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Managing Dental Problems and Emergencies

Tooth Decay Treatment

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Going to the dentist might not be your favourite thing in the world, but it is extremely important. It can be easy to make up excuses, whether it is out of fear, cost or just a bit of laziness and you might skip appointments by telling yourself that you’ll go when a problem presents itself. However, that is a dangerous approach to your health. By the time a problem occurs, it might have become more serious, while other problems may have been lurking out of sight. The truth is that avoiding regular appointments often results in more problems, more time in the dentist’s chair and more money out of your pocket.
 
 
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Progressive diseases are ones that gain momentum over time. The longer you wait to address the issue at hand, the worse the outcome and more expensive can be for you. A small decay means just a simple less costly filling. While waiting until you have a pimple or abscess or infection on the tooth, means an expensive Root canal treatment and Crown. If you don’t want to save the tooth doing those treatment, then your only option to stop pain would be to extract the tooth.

 

 

Causes of Tooth Decay

 

Tooth decay is a common disorder, second only to the common cold. It most often occurs in children and young adults, but it can affect anyone. Tooth decay is a common cause of tooth loss in younger people.

Bacteria are normally found in your mouth. These bacteria change foods, especially sugar and starch, into acids. Bacteria, acid, food pieces, and saliva combine in the mouth to form a sticky substance called plaque. Plaque sticks to the teeth. It is most common on the back molars, just above the gum line on all teeth, and at the edges of fillings.

Plaque that is not removed from the teeth turns into a substance called tartar, or calculus. Plaque and tartar irritate the gums, resulting in gingivitis and periodontitis.

Plaque begins to build up on teeth within 20 minutes after eating. If it is not removed, it will harden and turn into tartar (calculus).

The acids in plaque damage the enamel covering your teeth. It also creates holes in the tooth called cavities. Cavities usually do not hurt, unless they grow very large and affect nerves or cause a tooth fracture. An untreated cavity can lead to an infection in the tooth called a tooth abscess. Untreated tooth decay also destroys the inside of the tooth (pulp). This requires more extensive treatment, or possibly removal of the tooth.

Carbohydrates (sugars and starches) increase the risk of tooth decay. Sticky foods are more harmful than non-sticky foods because they remain on the teeth. Frequent snacking increases the time that acids are in contact with the surface of the tooth.

 

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Exams and Tests of Tooth Decay

 

Most cavities are discovered in the early stages during routine dental check ups.

A dental exam may show that the surface of the tooth is soft.

Dental x-rays may show some cavities before they can be seen just by just looking at the teeth.

 

Treatment of Tooth Decay

 

Treatment can help prevent tooth damage from leading to cavities.

Treatment may involve:

  • Fillings
  • Crowns
  • Root canals

Dentists fill teeth by removing the decayed tooth material with a drill and replacing it with a material such as composite resin, glass ionomer, or amalgam. Composite resin more closely match the natural tooth appearance, and are preferred for front teeth. There is a trend to use high strength composite resin in the back teeth as well.

Crowns or “caps” are used if tooth decay is extensive and there is limited tooth structure, which may cause weakened teeth. Large fillings and weak teeth increase the risk of the tooth breaking. The decayed or weakened area is removed and repaired. A crown is fitted over the remainder of the tooth. Crowns are often made of gold, porcelain, or porcelain attached to metal.

A root canal is recommended if the nerve in a tooth dies from decay or injury. The center of the tooth, including the nerve and blood vessel tissue (pulp), is removed along with decayed portions of the tooth. The roots are filled with a sealing material. The tooth is filled, and a crown is needed in most cases.

 

Outlook (Prognosis) of Tooth Decay

 

Treatment often saves the tooth. Treatment is less painful and less expensive if it is done early.

You may need numbing medicine and prescription pain medicines to relieve pain during or after dental work.

Nitrous oxide with local anesthetic or other medicines may be an option if you are afraid of dental treatments.

 

Possible Complications of Tooth Decay

 

Dental cavities can lead to:

  • Discomfort or pain
  • Fractured tooth
  • Inability to bite down on tooth
  • Tooth abscess
  • Tooth sensitivity
  • Infection of the bone
  • Bone loss

 

Prevention of Tooth Decay

 

Oral hygiene is necessary to prevent cavities. This consists of regular professional cleaning (every 6 months), brushing at least twice a day, and flossing at least daily. X-rays may be taken yearly to detect possible cavity development in high-risk areas of the mouth.

It is best to eat chewy, sticky foods (such as dried fruit or candy) as part of a meal rather than alone as a snack. If possible, brush your teeth or rinse your mouth with water after eating these foods. Limit snacking, since it creates a constant supply of acid in your mouth. Avoid constant sipping of sugary drinks or frequent sucking on candy and mints.

Dental sealants can prevent some cavities. Sealants are thin plastic-like coatings applied to the chewing surfaces of the molars. This coating prevents the buildup of plaque in the deep grooves on these surfaces. Sealants are often applied on the teeth of children, shortly after their molars come in. Older people may also benefit from tooth sealants.

Fluoride is often recommended to protect against tooth decay. People who get fluoride in their drinking water or by taking fluoride supplements have less tooth decay.

Topical fluoride is also recommended to protect the surface of the teeth. This may include a fluoride toothpaste or mouthwash. Many dentists include application of topical fluoride solutions (applied to a localized area of the teeth) as part of routine visits.

 

Symptoms of a rotting teeth

 

Tooth decay, or a rotten tooth, refers to a permanently damaged area on the tooth’s surface. Because some cavities can go undetected with no symptoms, it’s essential to schedule regular dental visits. A dentist can identify and treat cavities early to stop further tooth rot.

An untreated cavity can become larger and gradually affect the deeper layers of the tooth. Along with a hole, other signs of a rotten tooth include:

 

  • toothache
  • sensitivity to hot or cold
  • brown, black, or white spots on the tooth
  • bad breath
  • unpleasant taste in the mouth
  • swelling

 

A rotten tooth isn’t only an adult problem, it can also occur in infants, toddlers, and children. Symptoms of tooth rot in children are generally the same as those in adults but may also include swollen gums, irritability, and a fever, which indicates an infection.

If your child seems irritable and is unable to express the location of pain or discomfort, check inside their mouth and look for signs of a problem.

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Other Causes of rotten teeth

 

There isn’t only one cause of rotten teeth, but rather a collection of possible causes. Understanding factors for tooth decay can help prevent future problems with your teeth.

 

Poor dental hygiene

Regular brushing and flossing are necessary to remove plaque and keep your teeth strong and healthy. Brush your teeth at least two times a day and floss daily. Additionally, see a dentist twice a year for a professional dental cleaning.

 

Poor diet

Eating a diet that’s high in sugar and carbohydrates can also contribute to tooth rot because these foods cling to the teeth.

Sugar also feeds bacteria, and the more bacteria in your mouth, the more acid in your mouth. If you eat a lot of sugary foods and don’t brush regularly, you may experience faster breakdown of your tooth enamel, which is the outer layer of your tooth. Likewise, consuming too many acidic drinks (soda and juices) and having acid reflux disease can also cause tooth decay. The acid in beverages can slowly dissolve tooth enamel. With acid reflux, stomach acid flowing back into the esophagus and mouth can also erode tooth enamel.

 

Dry mouth

If your salivary glands don’t produce enough saliva to help wash away plaque and bacteria in your mouth, you could have more plaque and acid in your mouth, increasing the risk of tooth decay or rot.

 

Dental crevices

Tooth decay can also occur if you have deep dental crevices. These groves can make it harder to brush effectively, and if plaque settles in these groves, it can eat away at your tooth’s surface. Applying a dental sealant to healthy teeth may prevent the buildup of plaque.

 

Fluoride deficiency

Fluoride is a natural mineral that can strengthen tooth enamel, making it resistant to cavities. Fluoride is added to public water supplies, but it’s not usually found in bottled water. If you don’t use a toothpaste with fluoride or drink from your city’s water supply, there’s a risk for tooth decay.

 

Baby bottle

Tooth decay can also occur at an early age if your child falls asleep with a bottle of milk, juice, or formula in their mouth, or if you dip your child’s pacifier in sugar or honey. In both instances, sugar can collect around the teeth and lead to tooth decay.

 

Preventing cavities at home

 

Risk factors for cavities include:

  • dry mouth or having a medical condition that reduces the amount of saliva in the mouth
  • eating foods that cling to teeth, like candy and sticky foods
  • frequent snacking on sugary foods or drinks, like soda, cereals, and ice cream
  • heartburn (due to acid)
  • inadequate cleaning of teeth
  • bedtime infant feeding

Once a cavity has penetrated the dentin, you won’t be able to get rid of it at home. The following home remedies might help prevent cavities or treat “pre-cavities” by remineralizing weakened areas of your enamel before a cavity develops:

 

1. Sugar-free gum

Chewing sugar-free gum after meals has been shown in clinical trials to help remineralize enamel. Gum containing xylitol has been researched extensively for its ability to stimulate saliva flow, raise the pH of plaque, and reduce S. mutans, but long-term studies are needed.

Sugar-free gum containing a compound called casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) has been shown to reduce S. mutans even more than xylitol-containing chewing gum. You can find this type of gum in stores.

 

2. Vitamin D

Vitamin D is important to help absorb calcium and phosphate from the food you eat. StudiesTrusted Source show an inverse relationship between eating foods high in vitamin D and calcium, like yogurt, and cavities in young children. You can get vitamin D from dairy products, like milk and yogurt. You can also get vitamin D from the sun.

 

3. Brush with fluoride toothpaste

Fluoride plays an important role in preventing cavities and remineralizing enamel. Extensive research has been done to show that regularly brushing your teeth with a fluoride toothpaste prevents cavities.

Most studies have been conducted either in children or adolescents, so more research is needed in adults and the elderly.

 

4. Cut out sugary foods

This is the cavity remedy that no one likes to hear — stop eating so much sugar. The WHO says that eating sugar is the most important risk factor for cavities. They recommend reducing your sugar intake to less than 10 percent of your total caloric intake for the day.

If you’re going to eat sugar, try not to snack on sugary foods throughout the day. Once the sugar is gone, your enamel has a chance to remineralize. But if you are constantly eating sugar, your teeth don’t get the chance to remineralize.

 

 

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Disclaimer:

The information on this website is for information purposes only. Is not a substitute for a proper professional care and advice. Each patient’s outcomes, risks, potential complications, and recovery differ. Any dental procedure, minor or major, carries risks, some minor and some serious. Before and after images  seen on our Social Media and website pages are our actual patient and have been published/posted with our patients’ permission. All of our patients photos are subject to Copyrights protection. We are strong believers in responsible aesthetics. Every cosmetic, medical, or dental procedure comes with its own set of risks and benefits. Cosmetic Dentistry results will vary from patient to patient. Call our office and book for an actual in-office consultation for us to assess if you are a good candidate for a particular treatment. All of our Specials and packages posted on this site are subject to terms, conditions and availability. The exact fee for a particular cosmetic procedure will be determined after a preliminary assessment distinguishing your unique personal needs and the type of work needed. The prices mentioned on any of our website as well as any mentioned payment plan by a third party source,  are just a guide and is subject to change. Call the third party financing providers or visit their website for more info. Please call the office on 9629-7664 for further queries or clarification.
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