What will happen if tooth decay is not treated?

Written by Li Bao Hua
Dentistry
Updated on October 30, 2024
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If dental caries are not treated, they may further infect and cause inflammation of the dental nerves, leading to pulpitis or apical periodontitis, causing severe pain. When apical periodontitis occurs, it may sometimes lead to a space infection, which is facial swelling. If the inflammation is not controlled in time, it may also cause osteomyelitis of the jawbone. Therefore, dental caries need to be treated as early as possible. Dental caries are caused by bacterial infections that lead to the decay of the hard tissues of the teeth; in the early stages of decay, using a drill to stop the development of the disease—namely, timely filling—can effectively control the further progression of dental caries. If dental caries further infect and cause inflammation of the dental nerves, it can lead to pain while eating or sleeping, sometimes waking from sleep due to pain, and in severe cases, it can cause facial swelling.

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Written by Li Cui
Dentistry
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Does removing a cavity-affected tooth have any impact?

Cavities, also commonly referred to as tooth decay, can impact daily life depending on the situation. Generally, if the cavity is not severe, extraction is not necessary, and treatment should be attempted if possible. However, extraction can be harmful, as it creates a gap. The teeth adjacent to this gap can be affected, leading to tilting towards the gap or becoming loose, which may impact how the teeth come together when biting. The body has a protective mechanism that can automatically close this space, but although this closes the gap, it may destabilize the overall bite alignment and function, potentially affecting the temporomandibular joint function. Therefore, if tooth decay occurs, it is advised to seek prompt treatment at a formal dental hospital or a major hospital’s dental pulp department, where the decayed and necrotic tissue can be removed and the cavity filled to restore the shape of the tooth crown and some of the biting function.

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Written by Li Bao Hua
Dentistry
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How to brush teeth with cavities

Cavities are a disease caused by bacterial infection of the hard tissues of the teeth, belonging to a type of self-destructive and infectious disease, and cavities need to be treated in a timely manner. When brushing teeth with cavities, it is especially important to brush thoroughly. Fluoride toothpaste can be used to clean each surface of the teeth, including the occlusal, buccal, lingual, and the insides of the teeth. Sometimes it is difficult for the bristles to reach the inside of the teeth, in which case an interdental brush or dental floss can be used to clean these areas to prevent the occurrence of cavities inside the teeth. Besides brushing, it is also necessary to fill the teeth promptly, also known as dental filling.

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Written by Tong Peng
Pediatrics
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Should a baby's decayed front teeth be filled?

Children's front teeth cavities require filling treatment, because if the front teeth are extensively damaged, it not only affects eating and appearance but also impacts the child's psychological development. Therefore, if a child's tooth color is abnormal, it is advisable to visit a hospital for fluoride treatment as soon as possible, which is beneficial for mineralization on the tooth surface. However, if cavities have developed in the front teeth, filling treatment is needed, otherwise it will progressively worsen, affecting the child's normal eating habits. Generally, children under three years of age have poor cooperation and cannot undergo routine outpatient treatment, so it is crucial to strengthen oral hygiene care in daily life.

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Written by Fang Xiao
Dentistry
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How to treat tooth decay without a cavity?

Once a cavity forms, there is definitely a cavity hole. It might appear that there is no hole on the surface, but the texture has already softened, forming a cavity hole; it's just that it has not been discovered by oneself. It can be seen by a doctor using an examination and can also be detected by taking dental X-rays. At this point, one should follow the treatment principles for cavities, which involve removing the decayed and necrotic material inside the cavity and then filling it with filling material. If it is an interproximal cavity, the decay inside can be removed via an X-ray and then filled. Some occlusal pit and fissure caries, which are relatively shallow, can be treated with topical fluoride medication. For cavities, it is important to detect and treat them early. Regular oral hygiene should be maintained, with brushing in the morning and evening, and rinsing after meals. If a cavity is not treated in time, it will become deeper and ultimately turn into a residual root, which will need to be extracted.

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Will tooth decay affect other teeth?

When a patient suffers from tooth decay, generally not taking measures to treat it may cause other teeth to also develop cavities. Some patients with long-term cavities may have one or more teeth affected, and even some patients might have entire teeth significantly decayed. Therefore, when cavities occur, certain measures must be taken for treatment. Depending on the condition of the cavity, a specific treatment plan should be formulated, whether it's a dental filling or tooth extraction. Thus, patients must pay attention to oral hygiene in their daily lives, brushing their teeth morning and evening. After meals, it's important to promptly remove food residues from the mouth and develop proper habits for brushing and eating. If a cavity develops, the patient should treat it early to prevent it from affecting other teeth.