Can cavities heal on their own?
Hello, Doctor: Recently, I visited the dentist due to discomfort in my teeth.
The dentist diagnosed me with a cavity that was quite deep.
After treatment, he mentioned that it would be difficult to fill the cavity in the back teeth.
He advised me to brush thoroughly at home and to use a sensitivity toothpaste without rinsing it out, similar to applying a medication.
However, I still experience significant discomfort when eating.
A week later, I went for a dental cleaning, and the dentist advised me to avoid eating on that side for 3 to 6 months, as it would gradually heal on its own.
I'm really worried that the cavity might worsen.
Should I seek a second opinion from another dentist?
Xiao Ju, 20~29 year old female. Ask Date: 2021/07/06
Dr. Zeng Guanghui reply Dentistry
If there is a cavity, it should still be filled.
However, if the decay is too extensive or in a location that cannot be filled, and the tooth experiences severe sensitivity and pain, then root canal treatment should be considered, followed by the placement of a crown for protection.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2021/07/06
More Info
Cavities, also known as dental caries, are a common dental issue that many people face. The question of whether cavities can heal on their own is a nuanced one. In general, once a cavity has formed, it cannot heal itself completely without intervention. However, there are stages of tooth decay where the process can be halted or even reversed, particularly in the very early stages.
When a tooth begins to decay, it goes through several stages. Initially, the enamel may start to demineralize due to acid produced by bacteria that feed on sugars in the mouth. At this early stage, known as "incipient caries," it is possible to remineralize the enamel through good oral hygiene practices, fluoride treatments, and dietary changes. Fluoride, in particular, can help to strengthen the enamel and reverse early decay. This is why dentists often recommend fluoride toothpaste and treatments, especially for children and individuals at higher risk for cavities.
However, once a cavity progresses beyond this initial stage and penetrates deeper into the tooth structure, it typically requires professional intervention. If the decay reaches the dentin (the layer beneath the enamel), it can cause pain and sensitivity, as you have experienced. At this point, the cavity cannot heal on its own, and treatment options such as fillings, crowns, or root canals may be necessary, depending on the severity of the decay.
In your case, it sounds like your dentist has assessed the situation and provided you with a treatment plan. The recommendation to avoid using that part of your mouth for eating for a few months is likely aimed at minimizing discomfort and preventing further damage while the tooth stabilizes. However, if you continue to experience discomfort or have concerns about the cavity worsening, it is entirely reasonable to seek a second opinion from another dentist. They can provide additional insights and possibly alternative treatment options.
It's also essential to maintain excellent oral hygiene during this time. Brushing twice a day with fluoride toothpaste, flossing daily, and avoiding sugary foods and drinks can help prevent further decay. Additionally, regular dental check-ups are crucial for monitoring the health of your teeth and addressing any issues before they become more severe.
In summary, while early-stage cavities can potentially heal with proper care, once they progress, they typically require professional treatment. If you have ongoing concerns about your dental health, don't hesitate to consult with another dental professional for peace of mind and to explore your options. Remember, maintaining good oral hygiene and regular dental visits are key to preventing cavities and ensuring your overall dental health.
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