Understanding the Five Stages of Tooth Decay

Did you know there are five distinct stages of tooth decay? And, that in the first stage of decay, you can actually take steps to reverse the progression of the disease? Indeed, it’s true. In the first stage of decay, whether you’re a child or an adult, the application of fluoride via fluoride treatments, your toothpaste and even the local water supply can stop a cavity from penetrating through the enamel and reaching its second stage. Even the saliva in your mouth and the foods you eat help to re-mineralize a tooth in jeopardy. But that’s just the first stage! What about the rest? Understanding how a cavity progresses can assist you in preventing each successive stage from occurring in your children. There’s always a lot going on in that little mouth!

Stage One: White Spots

In stage one, the tooth begins to show signs of strain from the attack of sugars and acids, and white spots will begin to materialize just below the surface of the enamel. These white spots are representative of the demineralization of the tooth and can be easy to miss because they’re likely to occur on your child’s molars. A dental exam, of course, is designed to catch such cavities! Can you see why regular visits to the dentist are recommended? As mentioned previously, at this stage, the cavity can be repaired without the need to excavate the tooth.

Stage Two: Enamel Decay

Stage two marks the beginning of the end for the surface enamel that is being attacked. Initially, the tooth erodes from the underside outward, so the outer enamel will still be intact for the first half of this second stage. Once the cavity breaks through the surface of the enamel, there is no turning back, and your child will need to have the cavity corrected with a filling.

Stage Three: Dentin Decay

If a cavity in your child’s mouth were to progress beyond stage two without you knowing, you’d tend become aware of it when it started to hit stage three because it would probably start to cause some pain. At this level, the cavity begins to eat away at the second level of tooth material that lies beneath the enamel: the dentin. A filling can still be used to stop the onslaught of bacteria assaulting the tooth in order to prevent the cavity from reaching the tooth’s most critical component: the pulp.

Stage Four: Involvement of The Pulp

Once the cavity reaches the pulp, it’s going to hurt. A lot. So if you’ve unfortunately missed all the signs to this point, a screaming child or moaning teenager will certainly let you know there is a big problem. Stage four is serious, and a root canal is the only option of treatment at this stage, save for a complete extraction.

Stage Five: Abscess Formation

In the fifth and final stage of a cavity, the infection has reached the tip of the root and exited the tip of the tooth’s structure. This in turn infects the surrounding tissues and possibly the bone structure. Swelling would be commonplace and pain severe. In children (as well as adults) an abscess can be fatal if not dealt with immediately. Root canal or extraction would be the order of the day should decay reach this stage. Need to see us? Give a call at (323) 312-0500 or make a online appointment here!

As you can see, cavities don’t happen overnight. In the early stages, regular visits can stall and reverse the progression of these dastardly little devils, so it really does pay to visit the dentist at pre-selected intervals. You can keep your kids far from stage five their whole lives, and if a little bit of prodding to get them to the dentist accomplishes that, you can rest easy despite the griping.

Effects of Soda on Your Teeth

Ever seen those videos where someone puts a baby tooth in a glass of soda and watches it decay? Well, the effect of soda in an actual mouth is a bit different. You have your saliva to help wash away the sugar, you eat other things throughout the day, and brush at least twice a day to remove debris or plaque. Nevertheless, soda is not something we recommend you consume more often than a once-in-awhile treat. Here’s why:

Sugar

Soda has an extremely high sugar content. The bacteria that cause tooth decay feed off of sugar and excrete acid, which is what causes tooth decay. The more sugar our teeth have to interact with, the more prone to decay they will be.

Acid

Think diet soda is a better alternative? Even though it contains zero sugar, it can still contain acids such as phosphoric acid or citric acid. Acid eats away at a tooth’s enamel and leaves it prone to decay.

Colors

Caramel color, Yellow 5, etc. Any type of artificial coloring can cause tooth-staining. If you prefer your teeth sparkling white, it’s best to stay away from soda.

Instead of soda, we recommend spicing up your daily beverages with other alternatives. How about some sparkling water or plain water infused with fresh fruit? When you do drink soda, make sure to rinse with water afterwards. And, as always, keep up with regular brushing and flossing to protect those precious teeth!

Should I Brush Before Flossing?

The age-old question – should you floss before you brush or after? If you asked any one of our team members, you just might get a different answer on this one!

Before you report them for not knowing their stuff, each response can be right! As long as you’re doing a thorough job, we don’t care when you floss!

The Case for Flossing Before Brushing

Theoretically, flossing first dislodges the gunk between your teeth, letting the fluoride in your toothpaste reach those crevices better.

Also, behavioral scientists say since most people don’t like to floss, it’s better to get the least-pleasant half of your dental routine out of the way first – you’ll be less likely to skip it. Once you have a minty, fresh mouth from brushing, you might be less inclined to feel the need to floss afterward.

The Case for Flossing After Brushing

Some say flossing last is better because it clears your mouth from extra food and debris that could otherwise be carried by the floss into the very spaces you’re trying to clean out.

Plus, it might be more pleasant to put those flossing hands into a clean mouth versus an unbrushed one.

Bottom Line

Floss when it works for you. But make it a habit! Choose the same time every day, floss once a day, and floss thoroughly.

And don’t forget to use the right flossing method: for each new set of teeth, use a new section of floss, and hug each side of the tooth by dragging the floss upward in the shape of a “C.”

Want us to show you how? Just ask!