Can a cavity wait a month?

Written by Li Bao Hua
Dentistry
Updated on September 23, 2024
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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.

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Written by Li Bao Hua
Dentistry
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Is it normal to have pain after filling a cavity?

Mild pain after filling a cavity is normal. This is often seen when glass ionomer materials are used for fillings. Glass ionomer materials expand in volume within 24 hours of mixing, which can stimulate the dental nerves and cause pain. However, the pain should gradually decrease or disappear after 24 hours. If there is severe pain after the filling, it may be due to the filling material being too high or the tooth decay being too deep, reaching the dental nerves and causing nerve pain. This situation is abnormal and requires root canal treatment.

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Written by Li Bao Hua
Dentistry
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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.

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Written by Li Bao Hua
Dentistry
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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.

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Written by Li Bao Hua
Dentistry
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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.

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Written by Fang Xiao
Dentistry
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Do early-stage cavities need to be treated?

Cavities refer to the chronic, progressive destructive disease of the hard tissues of the teeth under the influence of plaque bacteria. For early-stage carious white spots, fluorides, fluoride toothpaste, or topical fluoride application can be used to halt the progression of cavities at that stage and prevent further development. Inactive caries can be effectively prevented and treated by brushing and rinsing. If not taken seriously, the cavity will continue to develop deeper, which can be classified into superficial, moderate, and deep caries. After the occurrence of cavities, patients may experience pain from thermal stimuli and pain from food impaction. When the stimuli are removed, the pain disappears. Cavities need treatment. If left untreated, they can lead to pulpitis, periapical periodontitis, and even result in tooth loss. Thus, early-stage caries should be adequately attended to, with an emphasis on early detection and treatment of cavities.