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| Cavities |


The definition of dental cavities is: Cavities are holes that damage the structure of teeth. Dental Cavities have alternative names: Caries; Tooth decay; Cavities – tooth. Dental cavity is one of the most common of all disorders, second only to the common cold. It usually occurs in children and the patientng adults but can affect any person. It is the most important cause of tooth loss in younger people. Bacteria are normally present in the mouth. The bacteria convert all foods -- especially sugar and starch -- into acids. Bacteria, acid, food debris, and saliva combine in the mouth to form a sticky substance called plaque that adheres to the teeth. It is most prominent on the back molars, just above the gum line on all teeth, and at the edges of fillings. Plaque that is not removed from the teeth mineralizes into tartar. Plaque and tartar irritate the gums, resulting in gingivitis and ultimately periodontitis. Plaque begins to accumulate on teeth within 20 minutes after eating (the time when most bacterial activity occurs). If this plaque is not removed thoroughly and routinely, dental cavities will not only begin, but flourish. The acids in plaque dissolve the enamel surface of the tooth and create holes in the tooth (cavities). Cavities are usually painless until they grow very large inside the tooth and destroy the nerve and blood vessels in the tooth. If left untreated, a tooth abscess can develop. Untreated dental cavities also destroy the internal structures of the tooth (pulp) and ultimately cause the loss of the tooth. Carbohydrates (sugars and starches) increase the risk of dental cavities. Sticky foods are more harmful than nonsticky foods because they remain on the surface of the teeth. Frequent snacking increases the time that acids are in contact with the surface of the tooth. And The Treatment of the dental cavities is: Destroyed tooth structure does not regenerate. However, the progression of cavities can be stopped by treatment. The goal is to preserve the tooth and prevent complications. In filling teeth, the decayed material is removed (by drilling) and replaced with a restorative material such as silver alloy, gold, porcelain, or composite resin.

 





Porcelain and composite resin more closely match the natural tooth appearance, and may be preferred for front teeth. Many dentists consider silver amalgam (alloy) and gold as stronger, and these materials are often used on back teeth. There is a trend to use high strength composite resin in the back teeth as well. Crowns are used if decay is extensive and there is limited tooth structure, which may cause weakened teeth. Large fillings and weak teeth increase the risk of the tooth breaking. The decayed or weakened area is removed and repaired. A covering jacket or "cap" (crown) is fitted over the remainder of the tooth. Crowns are often made of gold, porcelain or porcelain fused to metal. A root canal is recommended if the nerve in a tooth dies from decay or from a traumatic blow. The center of the tooth, including the nerve and blood vessel tissue (pulp), is removed along with decayed portions of the tooth. The roots are filled with a sealing material. The tooth is filled and a crown may be placed over the tooth if needed. Treatment often preserves the tooth. Early treatment is less painful and less expensive than treatment of extensive decay. Anesthetics -- local (novacaine), nitrous oxide (laughing gas), or other prescription medications -- may be required in some cases to relieve pain during or following drilling or other treatment of decayed teeth. For those who fear dental treatment, nitrous oxide in combination with anesthesia may be preferred.

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