Can tooth decay heal by itself?

Written by Li Bao Hua
Dentistry
Updated on January 31, 2025
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Cavities are a type of dental hard tissue defect caused by bacterial infection, and represent a chronic, progressive, destructive disease. In the early stages of a cavity, if only the enamel layer is involved with simple demineralization of the tooth, then remineralization treatment can be conducted. This scenario is the only reversible one where the cavity can heal itself. If the cavity progresses to the dentin layer, then it cannot heal by itself and requires timely intervention by drilling to remove the decayed part and performing a filling treatment. If the infection is not controlled in time, bacteria can further cause the dental nerve to become purulent and necrotic, leading to symptoms of pulpitis or apical periodontitis. In such cases, timely root canal treatment is necessary.

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Written by Fang Xiao
Dentistry
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Does tooth decay easily cause bad breath?

Cavities can easily cause bad breath. If there are cavities, food will remain in the holes of the cavities, get stuck, and ultimately compress the gums, and it will be difficult to clean. Foods are prone to ferment and produce acids causing bad odors, and the gums can also become inflamed, and even suppurate, which also produces bad smells. Therefore, if you have cavities, you should go to a regular hospital's dental department and receive targeted treatment under the guidance of a dentist. It is essential to develop good oral hygiene habits, brush your teeth in the morning and evening using the internationally recognized Bass brushing technique, rinse your mouth after meals, learn to use dental floss to remove food residues in tooth gaps, and treat cavities promptly to prevent them from deepening and causing more severe consequences.

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Written by Li Bao Hua
Dentistry
46sec home-news-image

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 Li Bao Hua
Dentistry
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How to treat a cavity that has decayed to the root of the tooth?

For a tooth decayed to the root, it is first necessary to take an X-ray of the tooth. If the X-ray shows that the root still has some salvage value, the tooth can be preserved through root canal treatment after controlling the inflammation. If the decay has reached the tip of the root and the root has no salvage value, the tooth needs to be extracted soon after controlling the inflammation. After the tooth is extracted, it is necessary to get a dental prosthesis as soon as possible depending on the condition of the tooth. If the prosthesis is not done in time, the tooth above may elongate, and the teeth on either side may tilt towards the gap, potentially leading to the loss of space over time.

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Written by Li Bao Hua
Dentistry
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Will children's cavities grow new teeth?

Children's cavities can also regrow new teeth. Cavities, also known as dental caries, refer to the destruction of hard dental tissues under a bacterial infection. It is crucial to treat children's cavities early, otherwise, they may affect the underlying new teeth. If the cavity reaches the level of periapical inflammation, meaning the dental pulp tissues become pus-filled or necrotic, and gum abscesses appear, it could cause the newly emerged teeth to develop caries. Sometimes, it may also lead to abnormal eruption pathways of the new teeth, such as abnormal eruptions on the lip side or cheek side, resulting in misaligned teeth, which can impact the arrangement of the child’s primary or permanent teeth.

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Written by Li Cui
Dentistry
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How long does it generally take for the pain from a cavity to ease when biting?

When patients experience some occlusal pain due to tooth decay, the time it takes for relief depends on the patient's inflammation levels and the treatment measures taken. If the patient receives timely treatment and effectively alleviates the inflammation, it generally takes about a week to heal and relieve the pain. If the patient does not undergo treatment, the condition may worsen and the pain may persist longer. Therefore, when a patient has tooth decay, it is best to visit a hospital for a consultation. Treatment should be administered based on the extent of the decayed tooth, and in severe cases of decay, tooth extraction might be necessary.