Dental caries


Can you get your teeth cleaned if you have cavities?
Cavities can also be treated with teeth cleaning. Firstly, a cavity is a type of dental caries, a tooth condition caused by tissue infection. Generally, it is accompanied by pain. Teeth cleaning is needed when there is a significant build-up of tartar around the teeth, which if not promptly cleaned, can lead to gingivitis and even periodontitis, potentially causing tooth loss. During cavities, teeth cleaning can be performed. However, teeth cleaning involves ultrasonic removal of tartar around the teeth. If the cavities are deep, the cleaning process may cause discomfort or severe pain. Therefore, it is necessary to treat the cavities first before proceeding with teeth cleaning to avoid significant pain during the cleaning process.


The concept of dental caries
Cavities, also known as dental caries or tooth decay, are caused by bacterial infection that damages the hard tissues of the teeth. Once cavities occur, it is essential to intervene with dental treatment as soon as possible. Strictly speaking, cavities represent a bacterial infection caused by the failure to remove food residues timely after eating. Bacteria break down glucose, producing lactic acid, which causes demineralization of the teeth. Once cavities occur, it is crucial to undergo dental filling treatment promptly, commonly referred to as dental restoration. If the progression of decay is not promptly halted, it can lead to further complications over time, including pulpitis which causes toothache or night pain, pain during sleep intense enough to wake one from sleep, and in severe cases, facial swelling.


What should I do about permanent tooth decay?
Permanent tooth decay refers to the decay that occurs in children's newly emerged permanent teeth or already replaced permanent teeth. Once decay occurs in a permanent tooth, it is necessary to fill the tooth as soon as possible. Decay is removed by drilling out the decayed hard tissue of the tooth. After removal, direct pulp capping treatment for the tooth is performed. If the decay in the permanent tooth is deep and has reached the tooth nerve, pulp treatment is needed. Vital pulpotomy can be used to retain the root pulp of the root part to promote further development of the tooth root. If the apex of the root has already formed in the permanent tooth and decay occurs, and the tooth nerve cannot be preserved, we can directly proceed with root canal treatment.


The causes of dental caries formation
The causes of dental caries include bacterial factors, dietary factors, the tooth's own factors, and time factors, also known as the four-factor theory of dental caries. Dental caries initially result from bacterial infection. Under such infections, the hard tissues of the tooth undergo a chronic destructive deterioration; over time, this results in cavity formation. That is to say, the formation of dental caries primarily occurs under bacterial infection. Additionally, diet is a main cause of dental caries, especially sugary foods. Bacteria use glucose to produce acid, leading to tooth demineralization and cavity formation. Moreover, congenital calcium deficiency in teeth, leading to incomplete enamel development, is also an important cause of dental caries. Furthermore, the formation of dental caries requires a certain time factor.


Can a cavity wait a month?
Cavities should be filled as soon as possible, through a treatment known as filling, and it is best not to delay. If a cavity could have been simply filled within a month, it might further become infected, causing inflammation of the dental nerve and leading to conditions such as pulpitis or apical periodontitis. Direct filling won't be possible; the tooth will need treatment before it can be filled. Cavities are a type of hard tissue decay caused by bacterial infection. If it's an adult's cavity, the progression is relatively slow and may only advance partially within a month, not reaching the dental nerve. However, in children, cavity progression is very rapid; if not promptly treated, severe dental nerve pain could occur within a month, necessitating further dental treatments.


Can a decayed tooth be extracted?
Whether a tooth with caries can be extracted depends on the extent of the decay. If the decay is shallow, it can be treated with a one-time filling. If the decay is deep, reaching the nerve, nerve-killing treatment is required, followed by anti-inflammation measures and, after inflammation control, root canal filling. In other words, teeth should be preserved through root canal treatment whenever possible and not extracted. If the caries has reached the deep layers of the tooth dentin, or is at risk of causing a perforation, such conditions are considered non-salvageable and the tooth should be promptly extracted. After extraction, timely dental prosthetics should be placed.


Permanent tooth decay
Permanent tooth decay refers to the decay occurring in newly erupted teeth. The most common case is the first permanent molar, also known as the six-year molar, which emerges quietly in the mouth at the age of six. Once this tooth emerges, it cannot be replaced for life. If this tooth decays, it is necessary to fill the tooth as soon as possible; otherwise, if the decay reaches the dental nerve, it could lead to pulpitis. Alternatively, for newly erupted teeth, sealants should be applied to the pits and fissures of the teeth to slow down the pace of decay. Permanent tooth decay requires us to intervene with treatment as early as possible; otherwise, it may cause pain or even tooth loss.


How to prevent dental caries
Cavities are a destructive disease caused by bacterial infection of the hard tissues of the teeth. The first step in preventing cavities is to understand the causes and implement basic prevention measures. Firstly, the condition is associated with bacterial infection, and controlling dental plaque through effective brushing can help. Data shows that dental plaque can easily reattach to teeth within eight hours after brushing. Therefore, it is recommended to brush your teeth twice a day, in the morning and evening. Some people are accustomed to brushing at night and just rinsing in the morning; however, this practice is incorrect as effective brushing helps control the accumulation of dental plaque. Secondly, diet plays a role, with sugary foods, especially sucrose, being particularly conducive to cavities. It is advisable to reduce the intake and frequency of sugar consumption. Additionally, effectively supplementing calcium can help prevent inherent enamel hypoplasia of the teeth. If the mother experiences calcium deficiency during pregnancy, there is also a higher risk of cavities.


Is a cavity the same as tooth decay?
Cavities, also known as dental caries, are a chronic progressive destructive disease caused by bacterial infection of the hard tissues of the teeth. Once a tooth is affected by a cavity, it is necessary to fill the tooth as soon as possible. Otherwise, the bacteria will further infect the tooth, causing inflammation of the dental nerve. Inflammation results in significant pain, including sensitivity to hot and cold, pain intensified by temperature changes, and even symptoms of nighttime pain. The most typical symptom of pulpitis is nighttime pain, which can wake someone from sleep. Therefore, once cavities occur, it is crucial to remove the decayed part of the tooth and fill it promptly to prevent potential tooth loss.


Can cavities be brushed with an electric toothbrush?
Cavities can be cleaned using an electric toothbrush. However, if the cavity is severe, the vibrations from the electric toothbrush may cause pain. It is necessary to fill or treat teeth with cavities as soon as possible. Only after treatment can the progression of the cavity be controlled; merely brushing with an electric toothbrush cannot control the development of the cavity. Cavities are a destructive disease caused by bacterial infection of the hard tissues of the teeth. Control over cavities can only be achieved by removing decay and using a drill to remove the infected cavity tissue; an electric toothbrush cannot control the development of cavities.