What is Tooth
Decay?
Tooth
decay is damage to a tooth’s enamel. This can happen when harmful bacteria in
your mouth create acids that attack the tooth’s surface. These bacteria soften
the tooth’s enamel and dentin, causing a small holes in the tooth called a
cavity. This can cause infection or tooth loss if left untreated.
Early
tooth decay has little to no symptoms, but as it progresses, it can cause
toothache and sensitivity to sweets, temperature of the food and liquid intake.
If the tooth becomes infected an abscess, which is a pocket of puss, can form.
This abscess causes discomfort, fever, and facial swelling.
Causes of Tooth
Decay
The combination of
bacteria and the food and drinks you consume causes tooth decay. A clear sticky
substance called plaque is always forming on your teeth. Plaque contains
bacteria that feed on the sugars in the food you eat and the beverages you
drink.
The bacteria forms an acid
that attacks the tooth’s enamel making it lose its minerals. Sipping on a fizzy
drink, for example, can repeatedly expose your teeth to acid which causes the
enamel to continue mineral loss.
Sugary foods and drinks
are best consumed with other meals so that healthy foods can clean your teeth
of the acids. Foods that stick to teeth, such as toffee can increase your risk
for developing tooth decay.
Risk Factors in
Tooth Decay
Anyone with teeth is at
risk of tooth decay. Some factors you can control, while others you cannot.
Things you can control
include practicing good oral hygiene, using fluoride toothpaste, limiting
sugary foods and alcohol and avoiding tobacco products.
Factors you can’t
control are respiratory conditions that dry out your mouth like asthma, using
medicines that contain sugar, and ofcourse age.
Infants and toddlers are
at risk of baby bottle tooth decay which occurs when the
child is put to bed with a bottle of milk, juice or formula. The sugar in these
drinks feeds the bacteria that cause tooth decay.
Young children’s teeth
are still growing, and the minerals in new teeth are not stable making it
easier for acids to eat away at the enamel.
Older adults may have
receding gums that allow decay-causing bacteria to cause root cavities.
Diagnosis & Prevention of Tooth Decay
Earlier
detection of tooth decay may appear as a white spot on the tooth. More advanced
tooth decay can emerge as a dark spot or a hole in the tooth.
X-rays
are used to detect decay, but your dentist may also check if a sensitive tooth
is soft or sticky for tooth decay.
Brushing
your teeth twice a day, flossing and using mouthwash once a day improves oral
health. Regular dental check-ups are vital to keeping your teeth healthy.
Hygienists remove all the plaque from your teeth which inhibits tooth decay.
They can also spot signs of decay so it can be treated before it can worsen.
Dental
sealants are a thin coating that is painted onto the premolars and molars of
children. The painless procedure is the best way to protect kid’s teeth from
cavities, and they are easier to clean.
Raw
vegetables can scrape plaque off teeth. Calcium in dairy products strengthens
teeth and can help fight off harmful bacteria. Sugarless chewing gum can remove
food particles and induce saliva production to help wash away food debris.
Tooth Decay Treatment
A small
amount of erosion on your enamel may be treated using an approach that helps
repair that spot. This treatment can include a medicated mouthwash or
toothpaste that contains high levels of fluoride and calcium.
A smaller
cavity is repaired using a filling, while a large cavity may require an Inlay
or Onlay or even a crown to protect its structure and restore its
functionality.
To save
the tooth with an abscess, a root canal treatment needs to be done. Once the
infection is removed, the chamber is sealed, and the tooth is typically
restored with a crown.
If the
tooth cannot be saved, you will need an extraction. Your dentist will only use
this as a last resort and can help you choose a suitable tooth replacement
option.
Prevent
tooth decay by practicing good oral hygiene and visiting your dentist twice a
year for professional teeth cleaning and a dental exam.
Louisa,
Susan. “How to assess your risk of tooth decay.” Denthusiast,
http://www.denthusiast.com/2019/03/08/how-to-assess-your-risk-of-tooth-decay/