Tooth Decalcification: Symptoms and When to Seek Help - Dentistry

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Demineralization of teeth


Hello, doctor.
I have two calcified teeth, and there is a molar in between them that is divided into four cusps.
One of the cusps is a different color, a bit gray, while the other three are pearly white.
Recently, I have been experiencing pain while brushing my teeth, and it also hurts when I use a dental scaler.
When I poke that gray cusp with my finger, it also causes pain.
I would like to know what might be happening.
However, I have an exam coming up in early February, and I'm unsure if I should wait until after the exam to seek treatment.
Thank you.

Niming, 20~29 year old female. Ask Date: 2024/01/08

Dr. Lin Jiayong reply Dentistry


Hello: If a tooth has already split into four pieces, it is advisable to seek medical attention as soon as possible, especially since there is already a symptom of "pain," indicating that the tissue has been injured.
If this issue is ignored, there may be a risk of infection.

Reply Date: 2024/01/08

More Info


Tooth decalcification, often referred to as demineralization, is a condition where minerals, primarily calcium and phosphate, are lost from the tooth enamel. This process can lead to various symptoms and may indicate underlying dental issues that require attention. Based on your description, it seems that you are experiencing some concerning symptoms related to your teeth, particularly with the grayish area on one of your molars and the pain associated with brushing and probing that area.


Symptoms of Tooth Decalcification
1. Color Changes: The most noticeable symptom of decalcification is a change in color. Healthy enamel is typically a whitish hue, while decalcified areas may appear yellow, brown, or gray. The gray color you mentioned could indicate a more advanced stage of decay or damage.

2. Sensitivity: Increased sensitivity to temperature changes (hot or cold) or pressure can occur. This sensitivity often results from the exposure of the underlying dentin due to enamel loss.

3. Pain: Pain when brushing or touching the affected area, as you described, is a significant symptom. This could indicate that the decay has progressed to a point where it is affecting the nerve endings in the tooth.

4. Texture Changes: The texture of the tooth may feel rough or pitted in areas where decalcification has occurred.


When to Seek Help
Given your symptoms, it is advisable to seek dental care sooner rather than later, even if you have an upcoming exam. Here are a few reasons why:
1. Progression of Decay: Tooth decay can progress rapidly. What may start as a minor issue can lead to more severe problems, such as cavities or even tooth loss if left untreated.

2. Pain Management: If you are experiencing pain, it may interfere with your ability to concentrate on your studies. Addressing the pain through dental intervention can help you focus better on your exams.

3. Preventive Care: Early intervention can prevent more extensive and costly treatments in the future. A dentist can assess the situation, provide necessary treatments, and offer advice on maintaining oral health.

4. Potential for Infection: If the decay has reached the pulp of the tooth, there is a risk of infection, which can lead to more serious health issues, including abscesses.


What to Expect at the Dentist
When you visit the dentist, they will likely perform a thorough examination, which may include X-rays to assess the extent of the decay. Depending on the findings, treatment options may include:
- Fluoride Treatments: To help remineralize the enamel.

- Fillings: If there is a cavity, the decayed portion of the tooth will be removed and filled.

- Root Canal Therapy: If the decay has reached the pulp, a root canal may be necessary to save the tooth.

- Crowns: In cases of significant damage, a crown may be placed to restore the tooth's function and appearance.


Conclusion
In summary, while it may be tempting to wait until after your exams to seek dental care, it is in your best interest to address your symptoms as soon as possible. Tooth decalcification can lead to more serious dental issues if not treated promptly. By visiting your dentist, you can receive appropriate care that will help alleviate your pain and prevent further complications, allowing you to focus on your studies without the distraction of dental discomfort. Remember, maintaining good oral health is essential not just for your teeth but for your overall well-being.

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