The difference between dental caries and tooth decay.

Written by Li Bao Hua
Dentistry
Updated on September 30, 2024
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Cavities, also known as dental caries, are essentially the same thing. Cavities are a disease caused by bacterial infection of the hard tissues of the teeth, resulting in black holes on the tooth surface. If the cavity is deep, reaching or approaching the dental nerve, external stimuli from hot, cold, sweet, or sour sources can cause tooth pain. The term "tooth decay," commonly referred to as "worm teeth" by the public, fundamentally describes the same condition as cavities, not caused by any sort of worm but by bacterial pathogens. Thus, there is no difference between cavities and tooth decay; both are infectious diseases of the hard tissues of the teeth.

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Tooth decay lacks what element

Cavities are a type of dental hard tissue defect caused by bacterial infections. The factors leading to cavities primarily include bacteria, food, host, and time, mainly due to bacteria using food residues to produce acid demineralization in teeth, resulting in cavities. Cavities may also be due to incomplete enamel development during the prenatal calcification of teeth, which can occur if there is a calcium deficiency in the mother during pregnancy. Therefore, teeth are more susceptible to decay after they emerge, so cavities might be caused by a calcium deficiency during prenatal development. In addition, cavities are also related to postnatal factors, such as not brushing or rinsing promptly which allows food residues to remain, or due to the consumption of sweet foods, especially sugars, which bacteria break down to produce acids that cause tooth decay.

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Can tooth decay pain be relieved with Sichuan pepper?

If a patient has dental caries and is experiencing considerable pain, and there are no medications available nearby, they can temporarily use Sichuan peppercorns for pain relief. This is because certain components within Sichuan peppercorns can alleviate some of the pain, although they do not treat the dental caries directly. Thus, it is recommended that if a patient is suffering from toothache due to dental caries, they should seek timely treatment at a hospital. The specific treatment plan should be based on the extent of damage caused by the dental caries. If the damage is minor, the tooth generally does not require special treatment; however, if the dental caries are severe and have damaged the tooth structure, root, or even the dental nerves or gum tissue, it is advisable for the patient to consider tooth extraction followed by a dental restoration. The specific recommendations should still be based on a doctor’s diagnosis and a tailored treatment plan should be established.

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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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Does removing a cavity-affected tooth have any impact?

Cavities, also commonly referred to as tooth decay, can impact daily life depending on the situation. Generally, if the cavity is not severe, extraction is not necessary, and treatment should be attempted if possible. However, extraction can be harmful, as it creates a gap. The teeth adjacent to this gap can be affected, leading to tilting towards the gap or becoming loose, which may impact how the teeth come together when biting. The body has a protective mechanism that can automatically close this space, but although this closes the gap, it may destabilize the overall bite alignment and function, potentially affecting the temporomandibular joint function. Therefore, if tooth decay occurs, it is advised to seek prompt treatment at a formal dental hospital or a major hospital’s dental pulp department, where the decayed and necrotic tissue can be removed and the cavity filled to restore the shape of the tooth crown and some of the biting function.

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Can cavities be seen with the naked eye?

Some cavities are visible to the naked eye, while others are not. Clinically, some cavities can be observed with the naked eye. Such cavities usually have damage that extends beyond the enamel, with obvious cavities and incomplete tooth structures visible. For example, cavities on the biting surfaces of molar teeth and on the adjacent surfaces of front teeth that are moderate to severe can be seen with the naked eye. However, not all cavities can be observed with the naked eye. When the decay is confined within the enamel without obvious cavity formation, it cannot be seen with the naked eye, but it can be diagnosed by taking dental X-rays. Clinically, there are also some cavities on adjacent surfaces where the decay starts from hidden parts of the tooth; some of these might show ink-soaked-like dark brown discoloration on the biting surfaces, but they too require dental X-rays for diagnosis.