Short Communication - Journal of Clinical Dentistry and Oral Health (2024) Volume 8, Issue 6
From Plaque to Cavities: The Science of Tooth Decay Explained.
Marina Kohal *
Department of Pediatric Dentistry, Universidade Federal do, Brazil
- *Corresponding Author:
- Marina Kohal
Department of Pediatric Dentistry, Universidade Federal do, Brazil
E-mail: kohal@alu.de.co
Received: 01-Nov-2024, Manuscript No. AACDOH-24-153173Editor assigned: 02-Nov-2024, PreQC No. AACDOH-24-153173(PQ); Reviewed: 16-Nov-2024, QC No. AACDOH-24-153173; Revised: 21-Nov-2024, Manuscript No. AACDOH-24-153173(R); Published: 28-Nov-2024, DOI: 10.35841/aacdoh-8.6.239
Citation: : Kohal M. From plaque to cavities: The science of tooth decay explained. J Clin Dentistry Oral Health.2024;8(6):239
Introduction
Tooth decay is a common dental issue that affects people of all ages. It starts silently, often going unnoticed until pain or visible damage appears. But the process of tooth decay involves complex interactions between bacteria, food particles, and the tooth’s protective layers. Understanding this science can help you take proactive steps to protect your teeth and maintain optimal oral health [1].
This article breaks down how plaque forms, how it leads to cavities, and what you can do to prevent tooth decay. Tooth decay is the gradual destruction of a tooth’s structure caused by acid-producing bacteria in the mouth. Over time, these acids break down the enamel the outermost protective layer of the tooth and can extend to deeper layers if left untreated. The progression of decay results in cavities, also known as dental caries [2].
Plaque is a sticky, colorless film of bacteria that forms on your teeth and along the gumline. It develops when food particles, saliva, and bacteria mix. While plaque is a natural byproduct of eating and drinking, it becomes harmful when it isn’t removed regularly [3].
Bacteria in plaque feed on sugars and starches from food, producing acids as a byproduct. These acids can erode tooth enamel, setting the stage for decay. Plaque begins to form within hours after eating or drinking, especially if sugary or starchy foods are consumed. If not removed through brushing and flossing, plaque hardens into tartar, a substance that is more difficult to remove and provides a protective shelter for bacteria [4].
Enamel is the hardest substance in the human body, but it isn’t invincible. Prolonged exposure to acids causes minerals like calcium and phosphate to leach out of the enamel, leading to demineralization. When you consume sugary foods and beverages, bacteria in plaque break down the sugars and release acids. These acids lower the pH in your mouth, creating an acidic environment that weakens enamel [5].
If the enamel weakens enough, tiny holes or pits form, which are the beginning of a cavity. Without intervention, the decay spreads to the softer dentin layer beneath the enamel and, eventually, to the tooth’s pulp, which contains nerves and blood vessels. Advanced decay can cause severe pain, tooth abscesses, and even tooth loss. It may also lead to systemic health issues, such as infections that spread to other parts of the body [6].
Reduce your consumption of sugary snacks and beverages. If you do indulge, rinse your mouth with water or brush your teeth shortly afterward to minimize acid production. Drinking water helps wash away food particles and keeps your mouth hydrated. Fluoridated water is especially beneficial for strengthening teeth [7].
Chewing sugar-free gum stimulates saliva production, which neutralizes acids and promotes enamel remineralization. Professional cleanings remove tartar and plaque that brushing can’t reach, and your dentist can identify early signs of decay before they worsen [8].
Tooth decay is a progressive condition that starts with plaque buildup and leads to cavities if left unchecked. While the process may seem inevitable, adopting good oral hygiene practices, making wise dietary choices, and seeking regular dental care can prevent decay and protect your teeth [9].
Fluoride helps rebuild weakened enamel and is an effective preventive measure for tooth decay. You can get fluoride from toothpaste, mouthwash, and treatments provided by your dentist. In its early stages, tooth decay can be reversed through remineralization. This process involves restoring lost minerals to the enamel using fluoride, saliva, and a healthy diet rich in calcium and phosphate. However, once a cavity forms, professional dental treatment is required [10].
Conclusion
By understanding the science behind tooth decay, you can make informed decisions about your oral health and take proactive steps to keep your smile healthy and cavity-free. Prevention is always better and far less costly than treatment.
References
- Bagramian RA, Garcia-Godoy F, Volpe AR. The global increase in dental caries. A pending public health crisis. Am J dent. 2009;22(1):3-8.
- Mortazavi M, Mesbahi M, Azar MR, et al. MTA Pulpotomy in Primary Molars, A Prospective Study.Res J Biol Sci. 2009;4(5):1-5.
- Parsell DE, Streckfus CF, Stewart BM, et al. The effect of amalgam overhangs on alveolar bone height as a function of patient age and overhang width.Oper Dent. 1998;23:94-9.
- Qualtrough AJ, Wilson NH. The history, development and use of interproximal wedges in clinical practice. Dent Update. 1991;18(2):66-70.
- Santos MJ. A restorative approach for class ii resin composite restorations: a two-year follow-up.Oper Dent. 2015;40(1):19-24.
- Wirsching E, Loomans BA, Klaiber B, et al. Influence of matrix systems on proximal contact tightness of 2-and 3-surface posterior composite restorations in vivo.J Dent. 2011;39(5):386-90.
- Quadir F, Ali Abidi SY, Ahmed S. Overhanging amalgam restorations by undergraduate students.J Coll Physicians Surg Pak. 2014;24(7):485-8.
- Burke FJ, Shortall AC. Successful restoration of load-bearing cavities in posterior teeth with direct-replacement resin-based composite.Dent Update. 2001;28(8):388-98.
- Dörfer CE, Schriever A, Heidemann D, et al. Influence of rubber-dam on the reconstruction of proximal contacts with adhesive tooth-colored restorations.J Adh Dent. 2001;3(2):169-75.
- Abrams H, Kopczyk RA. Gingival sequela from a retained piece of dental floss.J Am Dent Assoc.1983;106(1):57-8.
Indexed at, Google Scholar, Cross Ref