Will tooth decay recur after a filling?

Written by Li Bao Hua
Dentistry
Updated on September 10, 2024
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Cavities are a type of chronic, progressive destructive disease caused by bacterial infection of the hard tissues of the teeth. Normally, a cavity should not recur after being filled, but each dental filling material has a certain degree of microleakage. If glass ionomer materials are used, the microleakage is somewhat larger, and after filling, there might be tiny gaps between the edge of the filling material and the tooth, where bacteria can continue to infect, also known as secondary caries, necessitating timely refilling of the tooth. If resin-based materials are used, the microleakage is relatively smaller, and the likelihood of recurrence after the filling is smaller.

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Written by Fang Xiao
Dentistry
1min 17sec home-news-image

If the cavity doesn't hurt, does that mean it hasn't reached the nerve?

It is necessary to make judgments based on the patient's symptoms and examination results. Dental caries refers to the chronic, progressive, destructive disease occurring in the hard tissues of the teeth under the influence of various factors such as plaque bacteria. Whether dental caries is painless or has reached the nerve, the simplest clinical method is to judge based on the patient's symptoms, asking whether the patient experiences pain. In the early stages, there are only changes in the color and texture of the tooth, which do not cause pain. In the later stages of the disease, due to necrosis of the dental pulp, pain may not occur. At this time, diagnosis can be assisted by dental films; an X-ray can show the low-density shadow produced by the caries, and whether this low-density area significantly erodes into the dental pulp, which is also an auxiliary diagnostic method. Therefore, it is important to maintain oral hygiene, brush teeth morning and evening, and rinse mouth after meals.

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Written by Li Bao Hua
Dentistry
48sec home-news-image

How to treat a cavity that has decayed to the root of the tooth?

For a tooth decayed to the root, it is first necessary to take an X-ray of the tooth. If the X-ray shows that the root still has some salvage value, the tooth can be preserved through root canal treatment after controlling the inflammation. If the decay has reached the tip of the root and the root has no salvage value, the tooth needs to be extracted soon after controlling the inflammation. After the tooth is extracted, it is necessary to get a dental prosthesis as soon as possible depending on the condition of the tooth. If the prosthesis is not done in time, the tooth above may elongate, and the teeth on either side may tilt towards the gap, potentially leading to the loss of space over time.

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Written by Tong Peng
Pediatrics
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Should a baby's decayed front teeth be filled?

Children's front teeth cavities require filling treatment, because if the front teeth are extensively damaged, it not only affects eating and appearance but also impacts the child's psychological development. Therefore, if a child's tooth color is abnormal, it is advisable to visit a hospital for fluoride treatment as soon as possible, which is beneficial for mineralization on the tooth surface. However, if cavities have developed in the front teeth, filling treatment is needed, otherwise it will progressively worsen, affecting the child's normal eating habits. Generally, children under three years of age have poor cooperation and cannot undergo routine outpatient treatment, so it is crucial to strengthen oral hygiene care in daily life.

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Written by Li Cui
Dentistry
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Can you ignore a cavity if it doesn't hurt?

When patients develop dental caries, it is recommended that they visit a formal medical institution for treatment. If the tooth decay is not addressed, it may worsen significantly. While it may not always cause pain, the teeth can still be damaged. Over time, the teeth might deteriorate severely, potentially leaving only the roots. This could also lead to damage to the tooth roots, causing inconvenience in the patient's dietary life and might lead to severe complications later on, including pain and irritation to the gum tissue. Therefore, it is advised that patients seek early medical treatment and undergo appropriate therapeutic measures based on the condition of their dental caries.

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Written by Wang Ji Zhong
Internal Medicine
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How to Prevent and Care for Dental Caries

Cavities have a high incidence rate, especially during childhood. If oral care is neglected, dental decay can occur, thus the prevention of cavities is very important. The main cause of cavities is dental plaque, which necessitates good oral hygiene. It is essential to develop the habit of brushing teeth daily with the correct technique. It is important to start teaching children to brush their teeth after they turn three, striving to brush once in the morning and once at night, rinse after meals, and particularly brush before bedtime. It is also advisable to reduce the consumption of sugary foods. Currently, the best prevention method is to apply a dental sealant, which is a protective coating on the teeth to shield them from bacterial erosion. If decay occurs, it is crucial to seek immediate treatment at a hospital to repair the damaged dental tissue and restore health.