The causes of dental caries formation

Written by Li Bao Hua
Dentistry
Updated on September 23, 2024
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The causes of dental caries include bacterial factors, dietary factors, the tooth's own factors, and time factors, also known as the four-factor theory of dental caries. Dental caries initially result from bacterial infection. Under such infections, the hard tissues of the tooth undergo a chronic destructive deterioration; over time, this results in cavity formation. That is to say, the formation of dental caries primarily occurs under bacterial infection. Additionally, diet is a main cause of dental caries, especially sugary foods. Bacteria use glucose to produce acid, leading to tooth demineralization and cavity formation. Moreover, congenital calcium deficiency in teeth, leading to incomplete enamel development, is also an important cause of dental caries. Furthermore, the formation of dental caries requires a certain time factor.

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Is it normal to have pain after filling a cavity?

Mild pain after filling a cavity is normal. This is often seen when glass ionomer materials are used for fillings. Glass ionomer materials expand in volume within 24 hours of mixing, which can stimulate the dental nerves and cause pain. However, the pain should gradually decrease or disappear after 24 hours. If there is severe pain after the filling, it may be due to the filling material being too high or the tooth decay being too deep, reaching the dental nerves and causing nerve pain. This situation is abnormal and requires root canal treatment.

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Permanent tooth decay

Permanent tooth decay refers to the decay occurring in newly erupted teeth. The most common case is the first permanent molar, also known as the six-year molar, which emerges quietly in the mouth at the age of six. Once this tooth emerges, it cannot be replaced for life. If this tooth decays, it is necessary to fill the tooth as soon as possible; otherwise, if the decay reaches the dental nerve, it could lead to pulpitis. Alternatively, for newly erupted teeth, sealants should be applied to the pits and fissures of the teeth to slow down the pace of decay. Permanent tooth decay requires us to intervene with treatment as early as possible; otherwise, it may cause pain or even tooth loss.

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Can cavities be brushed with an electric toothbrush?

Cavities can be cleaned using an electric toothbrush. However, if the cavity is severe, the vibrations from the electric toothbrush may cause pain. It is necessary to fill or treat teeth with cavities as soon as possible. Only after treatment can the progression of the cavity be controlled; merely brushing with an electric toothbrush cannot control the development of the cavity. Cavities are a destructive disease caused by bacterial infection of the hard tissues of the teeth. Control over cavities can only be achieved by removing decay and using a drill to remove the infected cavity tissue; an electric toothbrush cannot control the development of cavities.

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How to deal with toothache from cavities?

Cavity toothache occurs when bacteria infect the hard tissue of the tooth, approaching or reaching the dental nerve, causing a pain response from the nerve, which is also a self-protective reaction. Initial treatment for cavity toothache involves using a drill to remove the decayed hard tissue of the tooth. If the decay is completely removed and the dental nerve is not exposed, this condition can be directly treated by filling or using a pulp-capping agent to protect the nerve before filling. If, after removing the decay, the dental nerve is exposed or reached, the situation cannot be resolved with a direct and immediate filling. Instead, nerve-killing procedures are necessary, which involve root canal treatment of the tooth.

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Written by Li Bao Hua
Dentistry
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Can a decayed tooth be extracted?

Whether a tooth with caries can be extracted depends on the extent of the decay. If the decay is shallow, it can be treated with a one-time filling. If the decay is deep, reaching the nerve, nerve-killing treatment is required, followed by anti-inflammation measures and, after inflammation control, root canal filling. In other words, teeth should be preserved through root canal treatment whenever possible and not extracted. If the caries has reached the deep layers of the tooth dentin, or is at risk of causing a perforation, such conditions are considered non-salvageable and the tooth should be promptly extracted. After extraction, timely dental prosthetics should be placed.