If the cavity doesn't hurt, does that mean it hasn't reached the nerve?

Written by Fang Xiao
Dentistry
Updated on February 20, 2025
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It is necessary to make judgments based on the patient's symptoms and examination results.

Dental caries refers to the chronic, progressive, destructive disease occurring in the hard tissues of the teeth under the influence of various factors such as plaque bacteria. Whether dental caries is painless or has reached the nerve, the simplest clinical method is to judge based on the patient's symptoms, asking whether the patient experiences pain. In the early stages, there are only changes in the color and texture of the tooth, which do not cause pain. In the later stages of the disease, due to necrosis of the dental pulp, pain may not occur. At this time, diagnosis can be assisted by dental films; an X-ray can show the low-density shadow produced by the caries, and whether this low-density area significantly erodes into the dental pulp, which is also an auxiliary diagnostic method. Therefore, it is important to maintain oral hygiene, brush teeth morning and evening, and rinse mouth after meals.

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Written by Li Bao Hua
Dentistry
59sec home-news-image

Do cavities have worms in them?

Cavities do not contain worms; they are caused by bacterial infections and are a type of infectious disease. Cavities are also known as dental caries, and many people mistakenly believe they are caused by worms chewing on the teeth, but this is not the case. Cavities occur when bacterial infections attack the hard tissues of the teeth, leading to destructive dental diseases. It is also a chronic infectious disease. Cavities are caused by bacterial factors, meaning bacteria are the initial factor in their development. Bacteria can use glucose to produce lactic acid, causing demineralization of the teeth and thus forming cavities. If one brushes their teeth and rinses their mouth immediately after eating to control dental plaque, the development of cavities can be controlled or slowed. If not controlled in time, cavities may further lead to pulpitis.

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Written by Li Bao Hua
Dentistry
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What causes cavities in children?

There are many causes of dental cavities in children, with bacterial infection being a common one. During childhood, if teeth are not brushed promptly after eating, the amount of bacteria in the mouth increases. These bacteria then break down food, producing glucose or lactic acid, which leads to demineralization on the surface of the teeth, eventually causing cavities over time. Additionally, it might be related to the sleep patterns during childhood, as children have longer sleep durations. During sleep, the brain inhibits saliva production, which reduces its effectiveness in washing away food residue on the teeth, thereby making cavities more likely to develop. Furthermore, children's preference for sweets also contributes to the high incidence of cavities.

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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.

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Written by Wang Peng
Dentistry
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If half of the cavity is empty, should the tooth be extracted?

Whether a tooth that is half decayed should be extracted depends on the condition of the patient's tooth root. It is recommended that the patient first undergo a dental X-ray to ascertain whether the tooth root is intact. If the tooth root is relatively sound, generally, extraction is not necessary. The decayed material in the tooth can be removed, followed by a pulp capping procedure, and then filling. Due to the severity of the decay, it is advisable to wear a porcelain crown for protection. If the decay has affected the dental pulp causing pulpitis, root canal treatment should be performed before filling the tooth and protecting it with a porcelain crown. However, if the tooth root is severely damaged, considering tooth extraction might be necessary.

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Written by Li Bao Hua
Dentistry
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Can tooth decay heal by itself?

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.