Cavities: Causes, Concerns, and Dental Care Tips - Dentistry

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Cavity issues


Hello, doctor! I love drinking beverages, and I only brush my teeth at night, so I have a mouth full of cavities.
My fillings keep falling out, and a few days ago, a tooth that had undergone root canal treatment (5-6 years ago) completely fell out.
This made me realize I can't continue like this, but I still have many cavities.
I'm afraid that if I visit the dentist every week, it might seem strange.
I'm not afraid of dental visits, so I have a few questions:
1.
Many of my classmates drink a beverage in the morning and another at noon without drinking water, yet they don't seem to have cavities.
Is it because my baby teeth came in too early?
2.
Today, I noticed a small cavity near the gum line on the side of my front tooth that is hard to detect.
Pressing on that spot hurts, but eating doesn't cause pain.
Is this serious?
3.
At my previous dental clinic, I had to keep my mouth open for too long, which caused me to dislocate my jaw twice.
The dentist told me to fix it myself but didn't explain how (that was my first time experiencing this).
Later, I switched to another clinic and didn't mention it to the new dentist, trying to avoid opening my mouth too wide (which hasn't happened again).
Should I seek rehabilitation or consult an orthopedic specialist? I really want to get all my cavities treated, and I've started drinking fewer beverages and more water.
I hope this helps.
Thank you for your answers!

Ms. Zhang, 10~19 year old female. Ask Date: 2020/03/28

Dr. Lin Jiayong reply Dentistry


Hello: If you are very afraid of going to the dentist, you can choose to undergo general anesthesia to address all dental issues at once.
After the teeth are restored, you can focus on thorough cleaning and maintenance.
Thank you!

Reply Date: 2020/03/28

More Info


Hello! It sounds like you're facing some significant dental challenges, and it's great to see that you're motivated to improve your oral health. Let's address your questions and provide some insights into cavities, their causes, and how to maintain better dental care.

1. Why do some people seem to have fewer cavities despite similar dietary habits?
Cavities, or dental caries, are influenced by a combination of factors, including diet, oral hygiene, genetics, and even the composition of saliva. While you mentioned that you and your classmates consume sugary drinks, the difference in cavity rates could be due to several reasons. Some individuals may have stronger enamel, a more favorable oral microbiome, or better saliva flow, which helps neutralize acids produced by bacteria. Additionally, genetics can play a role in how susceptible someone is to cavities. It's also possible that your classmates have better oral hygiene practices, such as brushing and flossing regularly, which can significantly reduce the risk of cavities.

2. Regarding the small cavity near your gum line:
The small hole you discovered near your gum line could indicate the early stages of a cavity, especially if it causes pain when pressure is applied. It's crucial to have this evaluated by a dentist as soon as possible. Early intervention can prevent further decay and potential complications, such as infection or the need for more extensive treatments like root canals. Even if you don't feel pain while eating, the sensitivity when pressing on it suggests that the decay may be affecting the tooth structure. Your dentist can assess the severity of the cavity and recommend appropriate treatment, which may include a filling or other restorative options.

3. Concerns about jaw dislocation and dental visits:
Experiencing jaw dislocation during dental procedures can be distressing. If you have had episodes of dislocation, it's essential to communicate this to your dentist before any treatment. They can take precautions to minimize the risk of further dislocation, such as using a mouth prop or adjusting their technique. If you continue to experience issues with your jaw, it may be beneficial to consult with an oral surgeon or an orthodontist who specializes in jaw disorders. They can provide guidance on exercises or treatments that may help stabilize your jaw and prevent future dislocations.

4. Improving your dental health:
It's commendable that you're starting to reduce your intake of sugary drinks and increase your water consumption. Staying hydrated and rinsing your mouth with water after consuming sugary or acidic foods can help wash away harmful residues. Additionally, brushing twice a day with fluoride toothpaste and flossing daily are critical steps in preventing cavities. Regular dental check-ups are also essential, even if it feels awkward to visit frequently. Your dentist can provide professional cleanings and monitor your oral health, helping you catch any issues early.

In summary, addressing your dental health concerns requires a multifaceted approach. Focus on maintaining good oral hygiene, reducing sugary intake, and seeking regular dental care. Don't hesitate to communicate any concerns or past experiences with your dentist, as this will help them provide the best care tailored to your needs. Remember, it's never too late to improve your oral health, and taking these steps now can lead to a healthier smile in the future.

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