
Caries - Tooth Decay
Caries or Tooth decay takes place in a tooth when the tooth's enamel
has been damaged or has dissolved, resulting in a hole or tooth cavity. Causes
of tooth decay vary, but overall the damage is caused by bacteria living in the
mouth as a result of poor
dental hygiene.
These bacteria eat the same food as we do and thrive on sugars in our food and
drinks. These same bacteria release acids, responsible for the breakdown of
minerals in our teeth.
Mild and Severe Tooth Decay
Depending on the seriousness of the tooth decay process, tooth decay needs
different kinds of treatment. Holes formed by mild tooth decay are experienced
by nearly every person, at least once in their life. The holes are filled by
your dentist, and the tooth can be used again.
Severe tooth decay might result in having the tooth capped with a
crown, to protect the damaged part of the tooth.
Root canal treatment is also an option. In root canal treatment the infected
core of the tooth (the pulp) is removed, thus removing the infection inside the
tooth. Extraction of the tooth is the last option if severe tooth decay has
damaged the tooth to a point where it cannot be treated anymore.
Types of Tooth Decay
There are different typed of tooth decay as listed below
Occlusal Caries
Occlusal caries is a form of dental carries in fissures on the surface of the
tooth that we use to chew food. This area is called the occlusal surface of the
tooth. This process of tooth decay starts slowly and can remain unnoticed for
over a year. The tooth is attacked by bacteria living on sugars and the enamel
of the tooth is damaged.
Facial Caries
A late or untreated tooth decay process may lead to complications such as facial
swelling and the passing on of pus coming from an infection in the mouth, to
another area in the body, usually the face or a cavity in the facial area.
If tooth decay, or caries, is not treated properly, it may lead to other painful
side effects such as inflammation of the pulp inside the tooth and the bacteria
in pus coming from infections could possibly spread to organs in the body.
Signs and Symptoms of Tooth Decay
Tooth decay can be identified by the various signs and symptoms mentioned as
follows
Halitosis
Halitosis
is another word for bad breath. The unpleasant smell that so many people suffer
from comes from bacteria caused by decaying remnants of food in the mouth,
causing caries. Tooth decay will cause bad breath and poor dental hygiene is
another reason why people suffer from bad breath. The decaying food and bacteria
produce a sulphur compound, causing bad breath
Toothache
One of the results of tooth decay can be a severe toothache. As tooth decay
develops and remains untreated, an infection will occur in the soft tissue
inside the tooth (the pulp). As the infection grows and pus is formed, you will
experience a throbbing and very uncomfortable pain.
Causes of Tooth Decay
Tooth decay is caused by different reasons, but most of them stem from poor
dental hygiene or neglect. Caries can take up to 7 years to cause a cavity in a
tooth and can therefore go unnoticed for a long period of time. Tooth decay
prevention is of the utmost importance, from a young age onwards. The most
common causes for tooth decay are:
Food Containing Carbohydrates
Carbohydrates coming from sugars or foods high in starch content, leave traces
on and in between teeth, and settle in cavities. They are broken down by
bacteria, feeding on these sugars. Acids, created by the bacteria in this
process, attack and damage the teeth, damaging them severely.
Accumulation of Plaque and Bacteria
Plaque contains up to 400 different kinds of bacteria, and starts to form on and
in between teeth when bacteria and food and sugar remains are not effectively
cleaned from the teeth. This accumulation of bacteria is one of the main causes
of tooth decay, and will slowly break down the enamel of the tooth, after which
it will attack the pulp in the tooth.
People who suffer from diabetes are, due to ever changing blood sugar levels,
more prone to dental caries. For these people it is overly important to take
good care of the teeth and gums to prevent any accumulation of plaque.

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