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, with the application of fluoride via fluoride treatments, your toothpaste and your 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. We use a special tool called the Spectra that allows us to detect even the tiniest sign of a new cavity developing. It's quick and painless. If we catch tooth decay early enough, we can treat it easily, and usually the treatment won't require numbing the patient.
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. We truly want to catch them before tooth decay reaches this stage. It could save the tooth, but treating the tooth with a filling is preferred to the next stages listed below.
Stage Three: Dentin Decay
If a cavity in your child’s mouth were to progress beyond stage two without your knowledge, you’d become aware of it 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. We do extractions and root canals here at the office, but sometimes we have to refer patients to an endodontist. Endontists that we have worked with in the past include Dr. Loftus in Hays, KS and Wichita Endodontics in Wichita, KS.
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, as and the 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. If this is the stage you or your child are at, please give us a call to come in and see us. Our phone number is 620-275-9157. The sooner we address it, the sooner we can make sure that severe consequences don't come as a result!
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 regular recare appointments. You can keep your kids far away 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.