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DentistryDecember 19, 2025Dr. Daman

Dental Caries: Understanding Tooth Decay

Caries is defined as a microbial disease of the calcified tissue that leads to demineralization of the inorganic components and the subsequent breakdown of the organic moieties of enamel and dentin.

Causes of Dental Caries

Several factors contribute to the development of tooth decay:

  • Poor oral hygiene
  • Frequent consumption of sugary and acidic foods
  • Inadequate fluoride exposure
  • Dry mouth (Xerostomia)
Dental Caries Progression

Progression of Dental Caries

The Culprit: Streptococcus mutans

Streptococcus mutans are Gram-positive bacteria that reside in the human mouth and, more specifically, in the multispecies biofilms on the surfaces of teeth. They play a major role in tooth decay by metabolizing sucrose to lactic acid.

Common Symptoms

⚠️ Toothache
⚑ Tooth Sensitivity
⚫ Brown/Black Spots
πŸ˜Άβ€πŸŒ«οΈ Bad Breath

Treatment Options

Treatment depends on the severity of the decay:

Early Stages

When decay is small and confined to the superficial layers, remineralization techniques such as fluoride therapy may be sufficient to stop further damage.

Advanced Stages

Where caries have progressed to deeper structures of the tooth, more extensive treatment is required, such as:

  • β€’ Tooth-colored fillings
  • β€’ Root canal therapy
  • β€’ Dental crowns
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