What’s dental decay?

Dental decay occurs when the enamel and dentine of a tooth develop into softened by acid assault after you’ve got eaten or drunk something containing sugars. Over time, the acid makes a cavity (gap) within the tooth. ‘Dental decay’ is identical as tooth decay and is often known as ‘dental caries’.

What causes dental decay?

Dental decay is attributable to plaque acids that progressively dissolve away the enamel and dentine of the tooth. Decay damages your tooth and will result in the tooth needing to be crammed and even taken out.

What’s enamel?

Enamel is the arduous, protecting outer coating of the tooth and is the toughest a part of the physique. It doesn’t include any nerves or blood vessels and isn’t delicate to ache.

What’s dentine?

Dentine lies beneath the enamel, forming a lot of the tooth, and it may be very delicate to ache. Dentine covers the central ‘pulp’ of the tooth.

What’s the pulp?

The pulp is a smooth tissue which accommodates blood vessels and nerves and is in the course of the tooth.

What’s plaque?

Plaque is a skinny, sticky movie that retains forming in your tooth. It accommodates many forms of micro organism.

Why do my tooth decay?

Decay occurs when sugars in meals and drinks react with the micro organism in plaque, forming acids. Each time you eat or drink something containing sugars, these acids assault the tooth and begin to soften and dissolve the enamel. The assaults can final for an hour after consuming or ingesting, earlier than the pure salts in your saliva trigger the enamel to ‘remineralise’ and harden once more. It is not simply sugars which are dangerous: different forms of carbohydrate meals and drinks react with plaque and type acids. (These are the ‘fermentable’ carbohydrates: for instance ‘hidden sugars’ in processed meals, pure sugars like these in fruit and cooked starches).

All the time verify the elements. Usually something with ‘ose’ within the identify is a sugar, for instance: sucrose, maltose and so forth.

Having sugary or acidic snacks and drinks between meals can improve the chance of decay, as a result of your tooth come beneath fixed assault and do not need time to get better. It’s due to this fact necessary to not maintain having sugary snacks or sipping sugary drinks all through the day.

What are the indicators of dental decay?

Within the early phases of dental decay there are not any signs, however your dental group could possibly spot a cavity in its early phases after they look at or x-ray your tooth. Because of this it’s best to go to your dental group often, as small cavities are a lot simpler to deal with than superior decay.

What occurs if I’ve a cavity?

As soon as the cavity has reached the dentine your tooth might develop into delicate, notably when you’ve got candy meals and drinks, and acidic or scorching meals.

Because the decay will get close to the dental pulp chances are you’ll undergo from toothache. If the toothache is introduced on by scorching or candy meals this may increasingly final for only some seconds. Because the decay will get nearer to the dental pulp the ache might last more and chances are you’ll must take painkillers – paracetamol or ibuprofen – to regulate the ache. You will need to go to your dental group immediately because the tooth is dying, and chances are you’ll develop a dental abscess if it isn’t handled.

What occurs if I do not get it handled early?

Toothache is an indication that it’s best to go to your dental group immediately, as it’s a warning that one thing is fallacious. Should you do not do something, it will normally make issues worse and chances are you’ll lose a tooth that would in any other case have been saved.

What areas of my tooth usually tend to decay?

The biting surfaces of the tooth and the surfaces between the tooth are most probably to decay, as a result of meals and plaque can develop into caught in these areas. However any a part of the tooth might be in danger.

What remedy will I want?

If the decay is just not too critical, the dental group will take away all of the decay and restore the tooth with a filling. Generally the nerve in the course of the tooth might be broken. If that’s the case, the dentist might want to perform root canal treatment by eradicating the nerve after which repairing the tooth with a filling or a crown. If the tooth is so badly decayed that it can’t be repaired, the dentist might need to take the tooth out.

Will I at all times want a filling?

No. Within the very early phases of decay, your dental group might apply a fluoride varnish onto the realm. This may also help cease extra decay and assist ‘remineralise’ the tooth. Nevertheless, you will need to observe the cleansing routine your dental group counsel, utilizing a fluoride toothpaste to forestall decay beginning once more.

Is there something I can do to guard my tooth in opposition to decay?

As every of the grownup molars (again tooth) seems, and if the tooth is free from decay, a pit and fissure sealant‘ can be utilized to guard the tooth. The sealant is a plastic coating that fills all of the little crevices within the tooth floor, making a flat floor that’s simpler to wash. Adults also can have this remedy if the tooth are free from decay. Your dental group will talk about whether or not that is best for you. Youngsters also can have fluoride varnishes painted onto their tooth twice a yr which can assist to scale back the possibilities of decay.

What can I do to forestall decay?

One of the best ways to forestall dental decay is by brushing your tooth totally final thing at night time and not less than one different time through the day, with a fluoride toothpaste. Just remember to brush the internal, outer and biting surfaces of your tooth. Utilizing ‘interdental’ brushes, or dental floss or tape, additionally helps to take away plaque and meals from between your tooth and the place they meet the gums. These are areas an odd toothbrush cannot attain.

Is there the rest I can do?

Go to your dental group often, as typically as they advocate. Have sugary and acidic meals and drinks much less typically. Keep away from having snacks between meals, to restrict the variety of instances your tooth are beneath assault from acids.

Chewing sugar-free gum for as much as twenty minutes after a meal may also help your mouth produce extra saliva, which helps to cancel out any acids which have fashioned.

How can my dentist and hygienist assist me forestall decay?

Your dental group will present you what areas it is advisable to take most care of when cleansing. They may also present you tips on how to brush appropriately and clear in between your tooth with ‘interdental’ brushes or floss.


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Should you want free and neutral recommendation about your oral well being, contact our Dental Helpline by e-mail or name 01788 539780 (native charge name within the UK).

Our Dental Helpline is totally confidential and has helped virtually 400,000 folks since opening over 20 years in the past. Contact our consultants by phone, e-mail or on-line enquiry, Monday to Friday, 09:00 – 17:00.