Patient Services

What You Don’t Know About Decay Can Hurt You

What is Decay?

Despite modern advances in dental technology and science, a bit of mystery and controversy still surrounds the underlying causes of tooth decay. But here’s what we do know:

Tooth decay begins as a bacterial infection. It is transmissible, but preventable. Decay-causing bacteria mixes with acid, food debris, and saliva to form a sticky substance called plaque. This plaque acts as a protective shield for bacteria, allowing it to grow and multiply. Over time, the acid produced by bacteria breaks down and eats a hole in the tooth’s enamel. If left untreated, the acid and bacteria will eventually reach the soft dentin. When bacteria penetrates the dentin, infection can set in and spread to the tooth’s nerve, unless the decay and bacteria are removed and the hole is sealed.

Where Does Decay Come From?

Decay occurs when your teeth are frequently exposed to foods and drinks that are high in starch, acid, and sugar—ingredients that feed or enhance the growth of decay-causing bacteria in your mouth. (Refined carbohydrates like crackers, white bread, and cereals act just like sugars and pose the same problem for your teeth.)

Some Obvious Warning Signals of Decay

  • Discoloration—Decay sometimes shows up as a brown stain
  • Occasional sharp pain
  • Throbbing pain that won’t go away
  • Sensitivity to sweets or to hot and cold foods and drinks
  • A hole in the tooth
  • A broken filling
  • A cracked tooth

Detecting Decay

When it comes to decay, most signs and symptoms are so subtle only a trained dental professional can detect them. In many cases, decay cannot be detected by the naked eye. It takes technical help from an x-ray, digital image, intra-oral camera, or a special magnified eyewear (worn today by most technically up-to-date dentists) in order to ferret out decay. The benefits of early detection are many, including smaller restorations, lower dental costs, and the preservation of a larger number of your natural teeth.


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