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Overview

Dental caries are cavities or holes (a type of structural damage) in the teeth. Cavities are formed due to tooth decay which occurs as a result of bacterial infections. Certain types of bacteria produce acids that affect or erode the tooth enamel and the underlying layers, called dentin. This acid is produced when the sugar concentration in the food and drinks reacts with the bacteria present in the plaque. The acid produced leads to a loss of calcium and phosphate from the enamel, and this process is called demineralisation. Salivary bacterial level is related to the oral infection among a lot of children. Strategies for effective management of this disease in early childhood includes risk management, brushing with a toothpaste that is fluoridated, and certain behavioural interventions that affect self-care exercises.

Symptoms

Dental caries can occur at any stage and age of life. It mainly occurs due to unhealthy eating and not taking due care of one’s teeth (like brushing twice, or gargling after alcohol consumption or smoking etc). The prominent symptoms of dental caries include: Toothache. Tooth sensitivity towards hot and cold. Loose and bleeding gums. Tooth loss. Tooth discoloration. Pain while chewing food.DFDAFF


Causes

Tooth decay or caries is a common disorder affecting majority of population around the world. Although common among children and young adults, it can affect our teeth at any age. Some of the most probable causes include: Mouth plaque. Cavity formation. Gingivitis and periodontitis. Tooth fracture or tooth abscess. Frequent unhealthy snacking.


Diagnosis

Right brushing habits (brushing twice daily), and regular dental check-ups help avoid occurrence of dental caries. On follow up visits, the dentist looks for caries formation inside the mouth. He explores the tooth for possible cavities and pits, if any. Following are the means to diagnose the disease: X-ray of the full mouth Liquid dye or stain High tech lasers


Treatments

treatments that help reverse tooth decay and prevent caries formation include: .. Silver fillings of molars and premolars The dentist drills the infected area of tooth and fills it with materials like silver, alloy, gold, porcelain, or composite resin. Porcelain and composite resin match natural tooth appearance, and are white in color. The filling is preferred for front teeth. But dentists consider gold, silver amalgam (alloy) as stronger and preferably use on back teeth. Crowning of infected teeth In cases of extensive tooth decay or damaged tooth structure which may weaken the teeth, crown or caps are applied. The crown is fitted over the remainder of the tooth, after removing the decayed area. Root canal treatment (making infected tooth dead) RCT or root canal treatment is recommended in cases where the nerve of the tooth dies due to decay or injury. The doctor drills from the center and removes the nerve including the blood vessels, and tissues (pulp), along with the decayed portions of the tooth. The root is sealed with a sealing material, and the tooth is filled and crowned.


Prevention

To prevent the occurrence of this disease, one should take care of the following things: Using fluorides. Reducing major consumption of sugar. Applying pit and fissure sealants.


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