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February 09, 2012  
EDUCATION CENTER: Dental Conditions
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  • Tooth decay

    Quick Reference


    Reviewed by: Dr. Kristen Dority

    Tooth decay results when enough of the hard enamel covering a tooth and the dentin layer below dissolves to form a cavity.

    Detailed Description

    Cavities are also known as dental caries (a term derived from the Latin word for rot).

    Tooth decay has always been present in history, but it reached pandemic proportions with the establishment of sugar plantations in the New World during the 1700s and subsequent sugar beet production in Europe beginning in the 1800s.

    Bacteria from food particles remaining on the teeth turns into the sticky substance known as plaque. (Please refer to the condition listing for cavities for more information on how cavities form.) Carbohydrate foods containing sugars then feed the bacteria in the tooth plaque. Although cavities generally take months or years to form, regular brushing and flossing minimizes the incidence.

    Brushing and flossing immediately after eating or drinking sugary foods — or at the very least rinsing - helps control tooth decay. Dentists also recommend limiting foods and drinks high in sugar and acid (beverages include colas, Mountain Dew and sports drinks like Gatorade) to mealtimes after which oral hygiene can be performed.

    When not quickly brushed away, the bacteria in the plaque produces acids that then begin to dissolve tooth enamel and the dentin below. Once decay reaches the dentin, deterioration can move rapidly to the pulp of the tooth where blood vessels and nerves are located. If left untreated, the living cells in the pulp of the tooth will eventually die.

    Last updated: 10-May-05

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