Can tooth decay be cured?

Written by Li Bao Hua
Dentistry
Updated on February 18, 2025
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Cavities are a type of destructive dental hard tissue disease caused by bacterial infections and are also a chronic progressive infectious disease. Cavities can only improve through early and effective intervention and treatment; otherwise, the condition may develop further, leading to pulpitis or apical periodontitis. Severe cases can also cause systemic symptoms such as space infections, and some may lead to bacteremia or sepsis. In the early stages of development, cavities have no clinical symptoms. At this stage, filling the cavity is painless. If the decay progresses to reach or approach the dental nerve, filling the cavity can then cause widespread pain. If it reaches the dental nerve, it cannot be directly filled in one go; it requires dental treatment for improvement.

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Written by Fang Xiao
Dentistry
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How to prevent cavities in children

Prevention of tooth decay in children should first encourage them to develop good tooth-brushing habits, reducing bacteria and plaque on the tooth surface, and include brushing in the morning and evening, as well as rinsing after meals. Enamel is the hardest substance in the human body but is susceptible to cracking. Acidic or sugary substances are harmful to teeth, so it's best to avoid sweets and acidic foods in the evening and to brush teeth before going to bed. Brushing teeth before sleeping is crucial and some anti-cavity treatments should be done, such as fluoride application or dental sealants. It's also important to develop a habit of regular dental check-ups to detect and treat cavities early.

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Written by Wang Peng
Dentistry
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What will happen if a cavity is filled without being cleaned properly?

If tooth decay is not completely cleaned out before filling, bacteria can continue to develop and multiply within the tooth, leading to more severe decay and potentially causing diseases such as pulpitis or periapical periodontitis. It is recommended that patients with cavities should undergo treatment based on the severity of the decay. Mild cavities usually only cause minor changes in tooth color; this can be gently abraded and then treated with fluoride materials. If the cavity is more severe, the decayed material inside the cavity should be completely removed, and then light-cured resin material can be used for filling. Deeper cavities may also require a protective pulp base.

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Written by Li Bao Hua
Dentistry
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The difference between dental caries and tooth decay.

Cavities, also known as dental caries, are essentially the same thing. Cavities are a disease caused by bacterial infection of the hard tissues of the teeth, resulting in black holes on the tooth surface. If the cavity is deep, reaching or approaching the dental nerve, external stimuli from hot, cold, sweet, or sour sources can cause tooth pain. The term "tooth decay," commonly referred to as "worm teeth" by the public, fundamentally describes the same condition as cavities, not caused by any sort of worm but by bacterial pathogens. Thus, there is no difference between cavities and tooth decay; both are infectious diseases of the hard tissues of the teeth.

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Written by Wang Ji Zhong
Internal Medicine
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Does a cavity mean tooth decay?

The common term for dental caries is tooth decay. In the past, many people believed that tooth decay was caused by a kind of "tooth worm" that eroded the teeth, leading to tooth damage. In fact, it's the presence of a large amount of dental plaque and tartar on the teeth, and the erosion caused by numerous bacteria on these surfaces, which is what we now refer to as the phenomenon of caries, causing the teeth to turn black. Severe erosion can affect the enamel and dentin, and if it breaks through to the dental pulp, severe pulpitis can occur. When suffering from dental caries, it is essential to seek early treatment to remove the necrotic enamel and further prevent its progression.

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Written by Li Bao Hua
Dentistry
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Will tooth decay affect the replacement of teeth?

Cavities can have a certain impact on tooth replacement. Cavities are a chronic progressive destructive disease caused by bacterial infection of the hard tissue of the tooth. If not treated in time, it may further develop, forming pulpitis or even apical periodontitis. Once it reaches the stage of apical periodontitis, it may form a gum abscess, or even swelling. During the process of new teeth eruption, they emerge outward through the position of the old tooth roots by absorbing the roots of the old teeth. If there is severe inflammation in the eruption pathway, it may lead to the destruction of the dental follicle of the new tooth, causing a developmental defect in the enamel of the new tooth. Therefore, it is possible that cavities can affect tooth replacement.