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Tooth Decay       

Tooth Decay or Dental Caries or Dental Cavities or Caries is a disease which breaks normal structures of the teeth to form a hole or a cavity. In severe case, a cavity may be very deep, affecting the central nerves.

tooth decay, dental caries, dental cavity, bad tooth, root canal, toothache, toothpaste

Tooth Decay Causes
The Bacteria or Germs (Factor 1) break down Sugary Food (Factor 2) into acids. Acids etch away The Tooth Surfaces (Factor 3). By Time Period (Factor 4) leaking out the calcium and phosphate minerals destroy the enamel and the dentin below to form tooth decay or cavities. Germs thrive on the teeth in a sticky coating called Plaque (Factor 1).

The Most Common Complications and Problems

At first, tooth decay may not produce any obvious warning signs, especially in milk teeth. But as it progresses it may lead to:
  • toothache, or sensitivity to hot or cold, or to very sweet foods
  • if the nerve becomes affected, infection may establish an tooth  abscess, with terrible pain, swelling of the jaw and fever, in severe cases, death
  • tooth decay or dental caries can also cause bad breath and foul tastes
  • tooth decay is the most significant cause of tooth loss in children
So How's it Treated?

Generally speaking, your early treatment is less painful and less expensive than cure of wide-spread tooth-decay. The goal of treatment is to preserve tooth structures and prevent further destruction of the tooth.

Very minor decay or the small lesions can sometimes self-cure or re-mineralize on its own. The plaque with germs on the tooth should be cleared and better oral hygiene started with the use of a dental sealants, varnishing, contact fluoride gel. The incorporated fluoride makes enamel more strong. We include application of topical fluoride solutions as part of everyday visits.

But usually the fillings and inlays will be needed to repair the small and larger cavities. Once the tooth-decay is removed, the missing tooth structure requires a dental restorations. Composite or white fillings are used when esthetics is a concern. We advise silver amalgam and gold restorations for posterior teeth where chewing forces are huge.

When the decay is too extensive, Root Canal Therapy, also called "Endodontic Therapy", is recommended. During this dental procedure, the nerves and other tissues are removed along with decayed portions of the tooth. The canals are cleaned and shaped. They are then usually filled ("deep filling") with a rubber-like material. A dental crown or cap may be needed if not be enough tooth structure remaining.

An extraction or tooth removal can also serve as treatment for dental caries. The removal of the decayed tooth is performed if the tooth is too far destroyed. Extractions including Wisdom Tooth are sometimes considered if the tooth will probably cause further dental problems. Tooth removal may also be preferred by patients unable or unwilling to go through the expense or difficulties in dental restoration.

To replace a lost filling:
  • Wash the cavity area with warm water and dry with the cotton swab.  Use applicator or your finger to scoop a small amount of material from the vial.  Pack tightly into the cavity area.  Close your teeth together, as if you were biting down on a piece of paper, and chew or grind a couple of times to create a comfortable bite.  Use the cotton swab to remove excess material from around the area. Temporary Filling Material such as Temparin will set softly in your mouth within a few minutes.  Avoid chewing on the repair for an hour to allow the material to set.
  • WARNINGS: To avoid infection and/or serious injury, this product should not be used if there is throbbing pain, ulceration or swelling in the affected area.  In this situation consult your dentist immediately. This product should not be placed on open wounds.  Read all of the directions carefully before use! Wash and dry your hands.  Use only what is needed to repair the dental emergency and save the rest for a future application.  Keep out of reach of children.
How Can You Avoid Tooth Decay?
You can prevent tooth decay by taking the following 4 steps:

1) Limit the bacteria and germs (Factor 1) by proper brushing and flossing to remove and put a stop to formation of plaque. A tooth brushing as the Bass Method can eliminate germs on most surfaces of the teeth except for areas between teeth. Dental floss removes plaque in the midst of teeth zones. 
Look for the Best Toothbrush...

2) Restrict the amount of Sugary Food (Factor 2) and sweet snacks your child is allowed (including acidic fizzy drinks and sodas). Snacking delivers nutrition for acid-creating bacteria in the mouth. Also, chewy and sticky foods (such as candy or dried fruit) tend to bind to the teeth longer. But Xylitol (wood sugar) has effect on reducing dental plaque.
  • For dental health, the regularity of sugar ingestion is more important than the amount of Sugary Food consumed. Chewing gum containing Xylitol (wood sugar) is widely used to protect teeth.
3) Build The Tooth Surfaces (Factor 3) more strong to demineralization and, thus, resistant to tooth decay. Fluoride helps prevent dental decay by binding to the crystals in enamel. Make sure that your water supply has the optimal fluoride level. Recaldent® (a naturally occurring component of milk) also promotes the mineralization of the tooth enamel.
4) Focus on the Time (Factor 4). The more frequently teeth are exposed to Sugary Food the more likely dental caries takes place. Professional hygiene care consists of regular (every six months) dental examinations and cleanings. Sometimes, complete plaque removal is difficult, and a dentist or dental hygienist may be needed.
  • Brush your teeth 2 times a day for about 2 minutes each time. Twice floss and mouth rinse regularly and daily.
Contact Dentist
Looking forward to hearing from you

Aleksandr V. Melekhin, DDS


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