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4 min read 6 sources

What Is Tooth Decay and Is It Serious?

Mara Sugue
Written by
Mara Sugue
Khushbu Gopalakrishnan
Medically reviewed by
Khushbu Gopalakrishnan
DDS, UCLA School of Dentistry

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In this article

What Is Tooth Decay?

Tooth decay, commonly known as cavities, is a serious problem affecting anyone regardless of age. Fortunately, it doesn’t develop overnight; it develops in stages, which makes it possible to stop it from getting worse.

Here’s the process leading up to tooth decay:

  1. Demineralization ⁠— The first stage of tooth decay. Acid removes minerals from the enamel, creating weak spots on your teeth.
  2. Enamel breakdown — The enamel continues to erode, leaving a cavity or hole, which is often seen as a dark spot or pit in the tooth.
  3. Dentin damage — This occurs when decay reaches the softer layer under your enamel, called the dentin. This may cause tooth sensitivity and pain.
  4. Pulp infection — If left untreated, the infection can reach the pulp or the innermost part of your tooth. This can cause severe pain, swelling, or even an abscess (a pus-filled sac).

The good news is that you can prevent tooth decay from progressing beyond the demineralization phase. You can do this by using fluoridated toothpaste and maintaining good oral hygiene.

What are the Signs of Tooth Decay?

Catching the early signs of tooth decay can prevent pain and protect your teeth. It can also help you avoid costly dental procedures.

Spotting the signs of tooth decay early and seeking early intervention can turn cavities from a serious problem to a minor inconvenience. Here are some signs you need to watch out for:

  • Visible changes — Holes, pits, dark spots, or brown stains may signify various stages of decay.
  • Tooth sensitivity — A twinge or pain when eating hot, cold, or sugary foods.
  • Toothache — Constant or spontaneous pain is a red flag.
  • Bad breath or taste — A severe infection can cause a foul odor or unpleasant taste in the mouth.

Special Dental Considerations for Children

Children need a little extra attention when it comes to dental health. Here are some reasons why kids are at a higher risk of tooth decay:

  • Kids have a sweet tooth and often love sugary foods.
  • Kids are still learning to brush and floss correctly, so they might miss some spots.
  • Baby teeth have thinner enamel, making them easier for decay to penetrate.

How Can You Prevent Tooth Decay?

Preventing tooth decay starts with a solid oral hygiene routine. Brush your teeth at least twice a day for two minutes using a soft-bristled brush and fluoridated toothpaste. Don’t forget to gently brush your tongue as well.

Flossing regularly is equally important. It helps remove food particles and plaque from between your teeth, where your toothbrush can’t reach.

Other ways to prevent tooth decay include:

  • Incorporate a fluoridated mouthwash into your routine to kill bacteria and freshen your breath.
  • Limit sugary and starchy foods, as they feed the bacteria that cause cavities.
  • Focus on a balanced diet rich in fruits, vegetables, and whole grains.
  • Drink plenty of water throughout the day to help wash away food particles and neutralize harmful acids.

By adopting these simple habits, you can significantly reduce your risk of tooth decay and maintain a healthy, beautiful smile.

How Often Should You Have Dental Visits?

Preventing cavities isn’t just about what you can do at home. It also involves regular visits to your dentist.

Dentists are essential for preventing cavities and maintaining oral health. They can detect problems early and provide professional cleanings to remove hardened plaque, called tartar.

Additionally, dentists can give you personalized advice based on your specific oral health needs. Regular visits can help prevent cavities and improve your dental health.

Dental Treatments for Tooth Decay

Treating tooth decay isn’t just about fixing the immediate pain or discomfort. It’s also about restoring damaged tooth structure, stopping further damage, and preserving your natural smile.

Your treatment also depends on the severity of the decay, your specific needs, and your dentist’s recommendation. Here are some available treatments that you can expect:

  • Fluoride treatments — Fluoride can help arrest tooth decay in the early stages.
  • Sealants — Sealants are like little raincoats for your teeth. They protect the grooved areas on molars, where cavities often start, from plaque and bacteria.
  • Dental fillings — After a dentist removes the decayed portion of your tooth, they’ll fill the space with composite resin, amalgam, or gold to prevent sensitivity and restore the damaged tooth structure.
  • Root canal treatment — This procedure removes the inflamed or infected pulp tissue, disinfects the inner canal, and fills the inner layer of the tooth with a special material for support. It’s typically used on severely decayed teeth.
  • Dental crowns — Crowns are often used when the cavity is too extensive for a filling or if a tooth is cracked. They provide protection, prevent further damage, and restore teeth’s function.
    • Extraction — If the decay is too extensive, sometimes it isn’t possible to save the tooth, and it may need to be extracted.

Although many options exist for fixing cavities, tooth extraction may be unavoidable in severe cases. This is typically the case for major tooth damage or painful abscesses. In this case, your dentist will discuss options like bridges or dental implants to replace the missing tooth.

Sources

  1. Heng C. “Tooth Decay Is the Most Prevalent Disease.” Fed Pract, 2016.
  2. Overview: Tooth decay.” InformedHealth.org. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG), 2023.
  3. Alhamed et al. “Dental decay in children and the link to weight status: A cross-sectional analysis of national school health data.” The Saudi Dental Journal, 2024
  4. Rathee M. & Sapra A. “Dental Caries.” In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2024.
  5. Van Chuyen et al. “The prevalence of dental caries and associated factors among secondary school children in rural highland Vietnam.” BMC Oral Health, 2021.
  6. Ahmadian et al. “Local treatment of the dental caries using nanomaterials.” Biomedicine & Pharmacotherapy, 2018.
Khushbu Gopalakrishnan
Dr. Khushbu Aggarwal
Medical Reviewer

UCLA-trained dentist practicing in public health. Focuses on whole-body approach to dental care.

Mara Sugue
Mara Sugue
Writer

Web content writer specializing in making dental research accessible to diverse audiences.