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What are Cavities?
“Cavities” is another way of saying tooth decay. Tooth decay is heavily influenced by lifestyle, what we eat, how well we take care of our teeth, the presence of fluoride in our water and toothpaste. Heredity also plays a role in how susceptible your teeth may be to decay.

While cavities are generally more common among children, adults are also at risk. The types of cavities include:

  • Coronal cavities—the most common type occurring in both children and adults, coronal cavities usually are located on chewing surfaces or between the teeth
  • Root cavities—as we age, our gums recede, leaving parts of the tooth root exposed. Since there is no enamel covering tooth roots, these exposed areas easily decay
  • Recurrent decay—decay can form around existing fillings and crowns. This is because these areas may have a tendency to accumulate plaque, which can ultimately lead to decay

Adults are especially at risk for cavities if they suffer from dry mouth, a condition due to a lack of saliva. Dry mouth may be caused by illness, medications, radiation therapy and chemotherapy, and may be either temporary (days to months) or permanent, depending on its cause.

Cavities are very serious. Left untreated, a cavity can destroy your tooth and kill the delicate nerves at its center, which may result in an abscess, an area of infection at the root tip. Once an abscess forms, it can only be treated with a root canal, surgery or by extracting the tooth.

How Do I Know if I Have a Cavity?
Only your dentist can tell for sure whether you have a cavity. That’s because cavities develop below the tooth’s surface, where you can’t see them. When you eat foods that contain carbohydrates (sugars and starches), these carbohydrates are eaten by the bacteria in plaque, producing acids that eat into the tooth. Over time, the tooth enamel begins to break down beneath the surface while the surface remains intact. When enough of the sub-surface enamel is eaten away, the surface collapses, forming a cavity.

Cavities are most likely to develop in pits on the chewing surfaces of the back teeth, in between teeth, and near the gumline. But regardless of where they occur, the best way to spot them and treat them before they become serious is by visiting your dentist regularly for checkups.

How Can I Help Prevent Cavities?

  • Brush at least twice a day and floss daily to remove plaque from between teeth and below the gumline
  • Have regular dental checkups. Preventive care can help stop problems from occurring and keep minor problems from becoming major ones
  • Eat a well-balanced diet that limits starchy or sugary foods. When you do eat these foods, try to eat them with your meal instead of as a snack to minimize the number of times that your teeth are exposed to acid
  • Use dental products that contain fluoride, including toothpaste
  • Make sure that your children’s drinking water is fluoridated. If your water supply does not contain fluoride, your dentist or pediatrician may prescribe daily fluoride supplements

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Did you know that your teeth have a built-in defense system to help protect them from cavities and tooth decay? It’s called enamel and it forms a hard, protective shell over the surface of your teeth. However, bacteria can eat away at tooth enamel if you don’t properly clean and take care of your mouth. Dentists recommend receiving regular fluoride treatments to help strengthen your enamel and reverse the effects of tooth decay. Fluoride treatments can also help children develop strong, healthy teeth for years to come.

What is fluoride?

Fluoride is a mineral that can be found naturally in food and water. Fluoride treatments help strengthen tooth enamel and repair any holes in it by replacing the nutrients that are lost over time. After your teeth have been exposed to fluoride, they tend to become more resistant to acid, making it less likely that they will decay in the future.

What are the benefits of fluoride?

Fluoride’s primary benefit is that it helps prevent tooth decay. It can also reverse erosion that has already taken place. If plaque forms on the teeth and eats away at the enamel, fluoride treatments can replace the minerals in the enamel that have eroded. This allows teeth to remain healthy.

Fluoride treatments are especially important for children under the age of six. Even though these young children don’t have their permanent teeth yet, fluoride treatments can prevent bacteria build-up around the gums, fight gingivitis, and help establish long-term dental health.

Fluoride treatments are even more important if you require special oral care. Anyone who wears braces should receive fluoride treatments regularly to prevent bacteria from getting trapped underneath the wires. People who are undergoing radiation for cancer in the head or neck should also make it a priority to have fluoride treatments since radiation can damage glands in the mouth that produce saliva. Saliva is necessary to neutralize the harmful acids that are released as we chew and it stops food particles from making direct contact with your teeth. The less saliva you have in your mouth, the more susceptible you are to tooth decay.

Types of fluoride supplements

There are several ways to increase the amount of fluoride in your system. One of the most common ways is to use toothpaste that is enriched with fluoride.

You can also buy fluoride gels to use at home. Apply the gel directly to your mouth and let it sit for several minutes, then rinse out your mouth with water. You should avoid eating or drinking for 30 minutes after you apply this gel. Some gels are available over-the-counter and are typically meant to be used in conjunction with fluoride toothpaste. If you need a stronger dose of fluoride, your dentist will be able to prescribe a gel for you.

Finally, your dentist may provide a fluoride treatment during a routine checkup. During the treatment, your dentist will fill a mouth guard with flavored fluoride. For the fluoride to properly stick to your teeth, you should wear the mouth guard for up to four minutes. Then your dentist will remove the guard and rinse out your mouth. Some dentists also use a varnish or foam, which they paint directly onto your teeth. You should avoid eating, drinking or smoking for 30 minutes after the treatment.

Fluoride therapy for children

Although fluoride is highly beneficial for children, it also has certain risks. Dentists give fluoride treatments to children to aid with the development of healthy permanent teeth and to lower the risk of tooth decay. However, if children are exposed to too much fluoride, it can cause a condition called fluorosis. Fluorosis causes teeth to become brown and can actually cause tooth decay.

Children should use fluoridated toothpaste at home twice a day. However, parents need to monitor their children’s brushing to ensure that they do not use too much toothpaste. Children over the age of two should use a pea-sized amount of toothpaste. This is especially important when dealing with young children because they tend to swallow toothpaste instead of spitting it out. Children under the age of two should not brush their teeth by themselves. As their parent, you should use a soft bristle brush to apply fluoridated toothpaste to their teeth and help them rinse out their mouth.

In some cases, dentists may also prescribe fluoride supplements for children. Dentists usually only prescribe supplements to children who have a high risk of tooth decay, including children who eat a lot of sugary foods or children who don’t get enough nutritional fluoride in their diet. Fluoride supplements are used sparingly in children because of the risk of overdose. If your child needs fluoride supplements, make sure to keep the supplements out of his or her reach and follow all directions provided by your child’s dentist.

Many recent studies have demonstrated that when used correctly, fluoride treatments greatly help reduce the risk of tooth decay, especially in young children. It’s important to make sure your teeth get enough fluoride so that you won’t get cavities. Most adults can take care of their teeth by brushing twice a day with a fluoride toothpaste. If you are concerned about whether you’re getting enough fluoride, talk to your dentist about supplements. Your dentist will let you know if they are necessary and prescribe the proper dosage.

Content courtesy humana.com

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