Can cavities be detected in an X-ray?

Written by Fang Xiao
Dentistry
Updated on February 08, 2025
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In clinical practice, not all cavities require X-rays, nor can all cavities be detected through X-rays. The purpose of taking X-rays is to understand the depth of the cavity and the distance between the cavity and the dental nerve. Some cavities occur on the surfaces between teeth which cannot be seen with the naked eye; in these cases, X-rays can provide a clear diagnosis. However, early-stage cavities only involve changes in the enamel, showing as chalky changes or small black dots and lines on the tooth surface. For these superficial changes, X-rays will not show any abnormalities. Therefore, it is important to maintain oral hygiene by brushing teeth morning and evening, and rinsing after meals to detect and treat cavities early, to prevent other complications.

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Written by Li Bao Hua
Dentistry
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Can a cavity that exposes the dental pulp be filled?

Cavities that expose the dental pulp cannot be directly filled in one session. Treatment of the tooth must be carried out before filling. In the early stages of a cavity, only the hard tissue of the tooth is damaged. If the decayed part is removed promptly and the dental nerve is not exposed, the tooth can be directly filled in one session. However, if the cavity progresses to the point where the dental pulp, or nerve, is exposed, this requires a nerve removal procedure. After the nerve is killed, the root canal is sealed with medication, and following inflammation control, the root canal is filled. Only after root canal treatment can the tooth be filled. Otherwise, the inflammation may further develop into apical inflammation, or even lead to space infections causing facial swelling.

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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 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.

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Written by Li Cui
Dentistry
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If a cavity is not thoroughly cleaned before being filled, what will happen?

When a patient has severe dental caries and undergoes filling, if the decay is not completely removed before filling, it may lead to reinfection and residual decay, continuing to cause inflammation. Therefore, it is recommended that the decay be completely removed before filling. In such cases, it is generally safe for patients to seek treatment at a formal dental hospital. Official hospitals adhere to strict standards, effectively cleaning the affected area for filling and repair. Therefore, patients need not be overly anxious; this type of procedure is quite common in dentistry. Patients are advised to maintain good oral hygiene in daily life and seek timely medical attention when dental caries occur.

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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.