The difference between dental caries and tooth decay.

Written by Li Bao Hua
Dentistry
Updated on September 30, 2024
00:00
00:00

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.

Other Voices

doctor image
home-news-image
Written by Li Bao Hua
Dentistry
1min 10sec home-news-image

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.

doctor image
home-news-image
Written by Wang Ji Zhong
Internal Medicine
41sec home-news-image

What is the reason for black dental caries?

Cavity prevalence is quite high, especially in children who haven't developed good oral hygiene habits and consume a lot of sweets, making them prone to cavities. Early detection is thus very important. Early symptoms of cavities are not obvious, but with careful observation, one can notice parts of the teeth turning black. This is due to bacterial erosion and damage to the teeth. Damage occurs to the enamel and dentin of the teeth. If this continues to develop, it can lead to damage to the dental pulp, resulting in pulpitis. Therefore, when you notice your teeth turning black, it is crucial to seek timely treatment to prevent the progression to pulpitis.

doctor image
home-news-image
Written by Li Bao Hua
Dentistry
55sec home-news-image

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.

doctor image
home-news-image
Written by Li Bao Hua
Dentistry
50sec home-news-image

What causes cavities in children?

There are many causes of dental cavities in children, with bacterial infection being a common one. During childhood, if teeth are not brushed promptly after eating, the amount of bacteria in the mouth increases. These bacteria then break down food, producing glucose or lactic acid, which leads to demineralization on the surface of the teeth, eventually causing cavities over time. Additionally, it might be related to the sleep patterns during childhood, as children have longer sleep durations. During sleep, the brain inhibits saliva production, which reduces its effectiveness in washing away food residue on the teeth, thereby making cavities more likely to develop. Furthermore, children's preference for sweets also contributes to the high incidence of cavities.

doctor image
home-news-image
Written by Fang Xiao
Dentistry
52sec home-news-image

Can cavities be detected in an X-ray?

In clinical practice, not all cavities require X-rays, nor can all cavities be detected through X-rays. The purpose of taking X-rays is to understand the depth of the cavity and the distance between the cavity and the dental nerve. Some cavities occur on the surfaces between teeth which cannot be seen with the naked eye; in these cases, X-rays can provide a clear diagnosis. However, early-stage cavities only involve changes in the enamel, showing as chalky changes or small black dots and lines on the tooth surface. For these superficial changes, X-rays will not show any abnormalities. Therefore, it is important to maintain oral hygiene by brushing teeth morning and evening, and rinsing after meals to detect and treat cavities early, to prevent other complications.