What will happen if tooth decay is not treated?

Written by Li Bao Hua
Dentistry
Updated on October 30, 2024
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If dental caries are not treated, they may further infect and cause inflammation of the dental nerves, leading to pulpitis or apical periodontitis, causing severe pain. When apical periodontitis occurs, it may sometimes lead to a space infection, which is facial swelling. If the inflammation is not controlled in time, it may also cause osteomyelitis of the jawbone. Therefore, dental caries need to be treated as early as possible. Dental caries are caused by bacterial infections that lead to the decay of the hard tissues of the teeth; in the early stages of decay, using a drill to stop the development of the disease—namely, timely filling—can effectively control the further progression of dental caries. If dental caries further infect and cause inflammation of the dental nerves, it can lead to pain while eating or sleeping, sometimes waking from sleep due to pain, and in severe cases, it can cause facial swelling.

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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.

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Written by Li Bao Hua
Dentistry
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Wisdom tooth has a cavity, should it be pulled or filled?

Whether to extract or fill a decayed wisdom tooth first depends on the condition of the wisdom tooth itself. If the wisdom tooth has erupted properly, is not impacted, and participates in occlusion and chewing food, it can be preserved and continue to function in chewing. If the eruption of the wisdom tooth has caused resorptive damage to the anterior teeth through compression, or if the wisdom tooth is impacted and recurrent pericoronitis occurs, there is no need to forcefully preserve the tooth. It can be extracted after inflammation control, and the extraction will not affect chewing functions.

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Written by Li Bao Hua
Dentistry
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Can cavities spread to other teeth?

Cavities are a disease caused by bacterial infections of the hard tissues of the teeth, and they are infectious but not contagious. If cavities are not treated in a timely manner, the inflammation can further infect the dental nerves, causing nerve inflammation, and even lead to damage in the apical region of the tooth. Damage to the apical region of a tooth may also lead to damage in the apical region of adjacent teeth due to inflammation. This situation can spread to other teeth, but it is limited to the stage of apical inflammation. If it is just a simple cavity, where decay is confined to the crown area of a tooth, it will not spread to other teeth. Therefore, once a tooth decays, it is necessary to carry out dental filling treatment as soon as possible.

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Written by Li Cui
Dentistry
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What to do if you have tooth decay and swollen, painful gums?

When patients experience dental caries and swollen, painful gums, it is advised that they seek medical attention promptly. They may take some anti-inflammatory and analgesic medications to relieve inflammation and pain. After the inflammation has completely subsided, treatment should be based on the extent of damage to the dental caries. If the damage to the dental caries is minor, conservative treatment may be sufficient. However, if the damage is severe, it may affect part of the tooth structure or even the entire tooth and root, possibly leading to cavitation. In such cases, it is recommended that patients consider tooth extraction or filling as remedial measures. Additionally, patients must pay attention to oral hygiene and develop correct tooth brushing habits. (The use of medications should be under the guidance of a professional doctor.)

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Written by Li Cui
Dentistry
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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.