Cavities: Symptoms, Causes, and Treatment

Being diagnosed with cavities is the worst possible outcome of a routine dental examination, whether young or old. Not only does it mean that your teeth may be damaged or rotten, but it also means that some potentially uncomfortable dental procedures, such as a dental extraction or root canal, may be just around the corner.
Even worse, until recently, patients diagnosed with cavities often had to deal with the embarrassment of being told that they didn’t practice proper dental hygiene or ate too much candy.
While in many cases, cavities are indeed the result of poor lifestyle choices, more and more research is beginning to shed light on the fact that, for some, cavities are merely a result of unlucky genetics.

What Are Cavities?
Cavities, also known as dental caries, are quite simply a penetration of a tooth’s dental enamel due to the action of acid-spewing bacteria. Thanks to certain oral microbes which feed on sugar and produce acid as a byproduct, tiny holes can form on a tooth’s surface. Over time these holes in the enamel can deepen and widen, eventually leading to damage of underlying dentin and, if left untreated, infection of a tooth’s sensitive pulp.
Typically, mild tooth decay that has not penetrated the enamel can be reversed with a rigorous and routine brushing with a fluoridated toothpaste. However, once the acid has penetrated through to the dentin, or worse, bacteria have made their way to the tooth’s inner pulp, more extreme measures may be required to save the tooth.
Common Symptoms of Cavities
For many people, cavities don’t become apparent until they feel pain. Unfortunately, by this point, it is often too late as pain indicates that a tooth’s nerves, and therefore the inner pulp, has been compromised.
However, there are plenty of other signs, and symptoms patients should be aware of to help them identify a cavity before it is too late.
Common symptoms of cavities are toothache, dental sensitivity, and tooth pain without any apparent cause. Visual clues that it’s time to see a dentist may include white, brown, or black staining and visible pits or holes. Sometimes, when dental decay is severe, a foul odor may even be detectable.

What Should You Know About Cavities?
Cavities are reversible up to a certain point. This is because dental enamel can naturally repair and remineralize itself over time. However, once a cavity has damaged dentin or enters the soft center of the inner tooth, it may be too late.
That’s why prevention and early detection are key. Knowing how to prevent and detect cavities can mean the difference between a costly dental procedure and a happy, healthy smile.

I brush and floss my teeth every day. Why am I still getting cavities?
How do I prevent cavities?
I have one or more cavities. Now what?
Cavity treatments
Cavity treatments will depend on the severity of a patient’s cavity. For mild cavities, a filling is typically employed.
This process entails drilling out the decayed part of the tooth and filling in the empty void with some dental material, either amalgam or another filling substance.
However, a root canal may be necessary when dental decay has reached a tooth’s roots. Also known as endodontic therapy, a root canal involves completely removing and cleaning the inner tooth, including the pulp, to save the tooth.
When a tooth is beyond rescue, we will recommend a complete dental extraction. The diseased tooth is removed and usually replaced with either a dental implant or another dental prosthetic. The good news is there are plenty of solutions.