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Fillings and decay

Common dental problems, and what each one usually needs

Heritage Dental Centre, South Edmonton

The short answer

Most of what brings people in is one of five things: decay, gum disease, sensitivity, a cracked tooth or an infected nerve. Almost all of them are cheaper and simpler to treat the earlier they are found, which is most of what a check-up is for.

What are the most common dental problems?

This guide offers common dental issues and their treatments explained, helping you maintain a healthy smile for years to come. Oral health impacts overall wellness, making regular dental care and awareness of common problems important.

Learn about different dental challenges and their effective solutions, from daily prevention to advanced restorative care.

  • Dental Concerns Get an introduction to prevalent dental concerns and their solutions.
  • Cavity Care Learn about cavities and tooth decay, their causes, and treatments.
  • Gum Disease Facts Understand gum disease stages like gingivitis and periodontitis.
  • Sensitivity Solutions Discover how to manage tooth sensitivity and discomfort.
  • Restorative Options Explore restorative dental options for damaged or missing teeth.
  • Preventive Steps Find actionable advice for protecting your oral health long-term.

Which problems do we see most?

Maintaining oral health involves addressing various concerns, from simple discomfort to conditions needing involved procedures. Regular dental visits are important for early detection and prompt treatment. Addressing these concerns helps keep your smile healthy.

Small holes in teeth caused by bacteria and acids. Untreated, they grow larger.

Inflammation of the gums, progressing from gingivitis to periodontitis, affecting supporting bone.

Discomfort or pain in teeth triggered by hot, cold, sweet, or acidic foods and drinks.

Physical damage to tooth structure, often from injury or biting hard objects.

Loss of one or more teeth due to decay, injury, or gum disease, impacting chewing and speech.

What is tooth decay?

Cavities, also known as tooth decay, remain among the most frequent dental problems. They result from bacteria in your mouth producing acids that erode tooth enamel. Without intervention, these acids create tiny holes in the teeth, leading to sensitivity, pain, and eventually infection. Early detection can prevent more significant damage and preserve tooth structure.

The progression of a cavity starts with minor enamel erosion and can advance to affect deeper layers of the tooth, such as the dentin and pulp. Regular dental check-ups, along with good oral hygiene, help identify and address decay at its earliest stages. This proactive approach minimizes discomfort and the need for extensive treatments.

White spots on tooth surfaces indicate enamel demineralization.

Pain or discomfort when consuming hot, cold, or sweet foods and drinks.

Small to large openings or depressions in the tooth surface.

Sharp pain when biting down, signaling deeper decay.

Brown, black, or gray stains on the tooth surface where decay occurs.

What is the difference between gingivitis and periodontitis?

Gum disease, also known as periodontal disease, affects the tissues supporting your teeth. It begins as gingivitis, an inflammation of the gums, and can progress to periodontitis if left unaddressed. Both conditions are common dental issues, and early detection makes a significant difference in their treatment outcomes.

Early intervention helps preserve gum health and prevent tooth loss. Regular dental check-ups are key to catching these conditions in their initial stages, allowing for simpler and more effective treatment options. Schedule regular dental check-ups to protect your smile.

Gingivitis is the milder form, often presenting as red, swollen gums that may bleed easily. Periodontitis is more severe, leading to gum recession, bone loss, and eventually tooth mobility. Knowing the differences helps in seeking the correct care. Improve your daily oral hygiene to help avoid gum problems.

The dashed line is the gumline. The colour is the pocket: how far the gum has come away from the tooth.

  1. Healthy1 to 3 mmA regular cleaning reaches the bottom of this.
  2. Early4 to 5 mmA regular cleaning no longer reaches it.
  3. Advanced6 mm and deeperBone has been lost. This is what deep cleaning treats.
Depth is measured around every tooth before anything is decided. The number is what separates a regular cleaning from treatment, not how the gums look.

What causes sensitivity and pain?

Tooth sensitivity is a common discomfort triggered by hot, cold, sweet, or acidic foods and drinks. Understanding the primary reasons behind this sensation is crucial for effective management and relief. This section outlines common causes and treatment options.

Enamel ErosionThe outer layer of your tooth, enamel, can wear down due to aggressive brushing, acidic foods, or teeth grinding. This exposes the dentin, a softer layer with microscopic tubules leading to the tooth's nerve.

Gum RecessionWhen gums pull away from the teeth, the root surface becomes exposed. This area lacks enamel protection, making it highly susceptible to temperature changes and touch. Receding gums often signal underlying periodontal disease.

Cavities or DecayHoles in the enamel allow irritants to reach the inner, sensitive parts of the tooth. Even small cavities can cause significant sensitivity. Regular dental check-ups help detect these early.

Cracked or Chipped TeethFractures can expose the tooth's inner layers, creating pathways for external stimuli to reach the nerve. This can happen from biting on hard objects or trauma.

Worn FillingsOld or damaged fillings can develop cracks or gaps, allowing sensitivity to occur as the underlying tooth structure is no longer fully sealed.

Treatment Options for Sensitive Teeth

Addressing tooth sensitivity involves identifying the root cause and applying targeted treatments. Your dentist can recommend various solutions depending on your specific situation. These options range from simple changes in your oral hygiene routine to more advanced procedures.

  • Desensitizing Toothpaste These toothpastes contain compounds that help block the tiny tubules in the dentin, reducing the signals to the tooth's nerve. Consistent use is key for results.
  • Fluoride Application Professional fluoride treatments strengthen tooth enamel and dentin, making them more resistant to sensitivity. Fluoride varnish can be applied during a dental visit.
  • Dental Fillings or Bonding For sensitivity caused by cavities or exposed root surfaces due to recession, dental fillings or bonding agents can cover these areas and provide protection.
  • Gum Grafts If gum recession is severe, a surgical gum graft can cover exposed roots, protecting them and reducing sensitivity.

Preventive Measures for Tooth Pain

Preventing tooth sensitivity often involves adopting good oral hygiene practices and making dietary adjustments. Taking proactive steps can help reduce the occurrence of sensitivity, ensuring long-term oral comfort.

  • Gentle Brushing Use a soft-bristled toothbrush and brush gently to protect enamel and gums. Avoid aggressive scrubbing.
  • Dietary Choices Limit consumption of acidic foods and drinks, which can erode enamel. If you do consume them, rinse your mouth with water afterward.
  • Mouthguards for Grinding If you grind your teeth, especially at night, a custom mouthguard can protect your enamel from wear. Your dentist can fit you for a nightguard.
  • Regular Dental Check-ups Consistent visits allow your dental team to detect potential problems early, such as small cavities or signs of gum recession, before they lead to severe sensitivity.

What are the repair options?

When teeth suffer damage or go missing, restorative dentistry offers solutions to bring back both their function and appearance. These treatments aim to address common dental issues, ensuring your oral health and smile remain intact. From fillings to implants, a range of procedures can repair and strengthen your teeth.

Each restorative option serves a distinct purpose, tailored to the specific needs of a patient. Discussing your options with a dental professional can help determine the most suitable course of action for your situation. Dental crowns can protect weakened teeth, while dental implants replace lost ones.

Fillings repair cavities and restore tooth structure after decay removal. They prevent further damage and discomfort.

Crowns cover and protect damaged, cracked, or severely decayed teeth. They strengthen the tooth and improve its shape and appearance.

Bridges replace one or more missing teeth by joining artificial teeth to adjacent natural teeth or implants. They restore your bite and prevent remaining teeth from shifting.

Implants replace missing tooth roots and support artificial teeth like crowns or bridges. They offer a stable, long-lasting solution that feels and functions like natural teeth.

Dentures replace multiple missing teeth or an entire arch of teeth. Both partial and full dentures improve chewing ability, speech, and facial aesthetics.

What to do next

Maintaining strong oral health prevents many common dental issues. Consistent daily habits and regular professional care combine to keep your smile healthy. Preventive steps reduce the likelihood of developing serious dental problems that require more complex interventions.

Proactive care involves several simple yet effective practices. These habits help maintain oral hygiene and address concerns before they worsen, ensuring long-term dental wellness.

Use a soft-bristled toothbrush and fluoride toothpaste. Brush for two minutes, covering all surfaces of your teeth and tongue to remove plaque and food particles. You can learn more about proper brushing techniques on our oral hygiene tips page.

Flossing removes food and plaque from between your teeth and under the gumline, areas your toothbrush cannot reach. This helps prevent cavities and gum disease. For additional guidance, review our flossing guide.

Visit your dentist every six months for check-ups and professional cleanings. Early detection of issues like cavities or gum disease makes treatment simpler and less invasive. Our team can help schedule your next dental check-up.

Limit sugary snacks and drinks, which contribute to tooth decay. Consume a diet rich in fruits, vegetables, and dairy products to support strong teeth and gums. Find healthy eating tips on our nutrition for dental health section.

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Common questions

Which problems have no symptoms early on?

Decay and gum disease, which are the two commonest. Both are usually painless until they are well established, and both are far easier to treat before that point.

Is a cracked tooth an emergency?

If it hurts, is sharp against your tongue, or the crack is below the gum, it should be seen promptly. A small chip with no pain can wait for a normal appointment.

What is the difference between a cavity and sensitivity?

A cavity is a hole in the tooth that needs filling. Sensitivity is usually exposed dentine with no hole at all. They can feel similar, which is why it is worth having it looked at.

How do I avoid most of this?

Clean between the teeth daily, keep your cleaning interval, and come when something changes rather than when it hurts.

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