How to prevent cavities in children

Written by Fang Xiao
Dentistry
Updated on March 26, 2025
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Prevention of tooth decay in children should first encourage them to develop good tooth-brushing habits, reducing bacteria and plaque on the tooth surface, and include brushing in the morning and evening, as well as rinsing after meals. Enamel is the hardest substance in the human body but is susceptible to cracking. Acidic or sugary substances are harmful to teeth, so it's best to avoid sweets and acidic foods in the evening and to brush teeth before going to bed. Brushing teeth before sleeping is crucial and some anti-cavity treatments should be done, such as fluoride application or dental sealants. It's also important to develop a habit of regular dental check-ups to detect and treat cavities early.

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Dentistry
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Can a cavity that exposes the dental pulp be filled?

Cavities that expose the dental pulp cannot be directly filled in one session. Treatment of the tooth must be carried out before filling. In the early stages of a cavity, only the hard tissue of the tooth is damaged. If the decayed part is removed promptly and the dental nerve is not exposed, the tooth can be directly filled in one session. However, if the cavity progresses to the point where the dental pulp, or nerve, is exposed, this requires a nerve removal procedure. After the nerve is killed, the root canal is sealed with medication, and following inflammation control, the root canal is filled. Only after root canal treatment can the tooth be filled. Otherwise, the inflammation may further develop into apical inflammation, or even lead to space infections causing facial swelling.

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Written by Li Cui
Dentistry
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Is tooth sensitivity caused by exposed nerves?

When a patient has dental caries, it can cause some damage to the gum tissue, resulting in the gums being in a state of acute inflammation. At this time, the gums may be particularly sensitive, especially to hot and cold stimuli, but this does not necessarily mean that the nerves in the gums are exposed. It is recommended that patients pay attention to a light diet and avoid overly hot or spicy foods, as well as hard foods that may irritate the sensitive gum tissue, leading to discomfort. Therefore, patients are advised to maintain a light diet, avoid spicy and irritating foods, and drink plenty of water. Additionally, it is crucial for patients to develop healthy oral hygiene habits. It is recommended that patients visit the hospital in a timely manner for consultation, and receive specific treatment plans based on the extent of the damage caused by the caries.

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Written by Wang Ji Zhong
Internal Medicine
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What are the harms of dental caries in children?

Due to not forming the habit of brushing daily during childhood, and the frequent consumption of sugary foods during this period, the incidence of dental caries in children is relatively high. The onset of the disease is due to the presence of a large amount of dental plaque on the teeth, where bacteria gradually corrode the teeth, leading to the occurrence of caries. Initially, caries damage the tooth enamel on the surface, further progress destroys the dentin, and finally, it penetrates the dental pulp, forming pulpitis, which presents with obvious swelling and pain. Severe cases can also cause periapical periodontitis, leading to tooth loss, and affecting the normal emergence of permanent teeth. Therefore, it is important to maintain good oral hygiene and seek timely symptomatic treatment when children develop dental caries.

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Written by Li Bao Hua
Dentistry
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How to treat children with dental caries?

To treat cavities in children, first, the extent of tooth decay needs to be assessed. If the decay is mild, the decayed part can be removed and directly filled. If the decay is severe enough to inflame the dental nerve, an X-ray of the tooth is required. If it is a deciduous tooth that is about to fall out soon and is not worth saving, treatment might be unnecessary. However, if the tooth root has not been absorbed and the permanent tooth will take a long time to erupt, root canal treatment can be considered. In cases where a young permanent molar is decayed and the nerve is infected, a vital pulpotomy should be performed to preserve the living pulp and promote further development of the tooth root.

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Written by Li Bao Hua
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The difference between dental caries and tooth decay.

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.