Does a cavity mean tooth decay?

Written by Wang Ji Zhong
Internal Medicine
Updated on March 29, 2025
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The common term for dental caries is tooth decay. In the past, many people believed that tooth decay was caused by a kind of "tooth worm" that eroded the teeth, leading to tooth damage. In fact, it's the presence of a large amount of dental plaque and tartar on the teeth, and the erosion caused by numerous bacteria on these surfaces, which is what we now refer to as the phenomenon of caries, causing the teeth to turn black. Severe erosion can affect the enamel and dentin, and if it breaks through to the dental pulp, severe pulpitis can occur. When suffering from dental caries, it is essential to seek early treatment to remove the necrotic enamel and further prevent its progression.

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How to treat cavities in 3-year-old children?

If a three-year-old child has cavities, it is necessary to go to the pediatric dentistry department promptly for cavity removal treatment. Depending on the severity of the child's cavities, if it is severe, the child may need to have teeth extracted. If it is mild, the child will need to have fillings. It is important to pay attention to the dental care of the child. Make sure the child brushes their teeth morning and evening, rinses their mouth after meals, avoids drinking carbonated beverages, eats fresh vegetables and fruits, and drinks formula milk to enhance nutrition.

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Will tooth decay recur after a filling?

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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Cavities that do not hurt still require root canal treatment.

Cavities that do not hurt may or may not require root canal treatment, depending on the extent of the decay. If the cavity has not reached the dental nerves, there will not be noticeable pain. In such cases, since the decay is relatively superficial, direct filling, or dental restoration can be performed without the need for root canal treatment. If the cavity is severe and has reached the dental nerves, causing the nerves to become necrotic and purulent, there will be no pain due to the loss of sensory function from nerve death. In these situations, root canal treatment is needed. This involves removing the infected dental nerves, followed by medicinal treatment of the root canal, and after the inflammation is controlled, filling of the root canal is performed. In other words, a painless cavity might actually be caused by necrosis and pus formation in the dental nerves, requiring root canal treatment.

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Can you get your teeth cleaned if you have cavities?

Cavities can also be treated with teeth cleaning. Firstly, a cavity is a type of dental caries, a tooth condition caused by tissue infection. Generally, it is accompanied by pain. Teeth cleaning is needed when there is a significant build-up of tartar around the teeth, which if not promptly cleaned, can lead to gingivitis and even periodontitis, potentially causing tooth loss. During cavities, teeth cleaning can be performed. However, teeth cleaning involves ultrasonic removal of tartar around the teeth. If the cavities are deep, the cleaning process may cause discomfort or severe pain. Therefore, it is necessary to treat the cavities first before proceeding with teeth cleaning to avoid significant pain during the cleaning process.

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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.