Tooth decay and endodontic problems

Tooth decay and endodontic problems

Tooth decay (caries) and problems with the dental nerve (endodontic conditions) are among the most common oral health problems. Without timely treatment, they can lead to pain, infection and ultimately the loss of teeth.

What is tooth decay?

Tooth decay (caries), commonly known as cavities, is a bacterial breakdown of the tooth tissue. It occurs when sugars from food are converted into acids by bacteria in the mouth. These acids attack the enamel of the teeth, leading to demineralisation and eventually to a cavity.

In the early stages, tooth decay often causes no pain, but as it spreads further towards the softer dentine or the dental nerve (pulp), symptoms can develop such as:

  • Sensitivity to sweet, cold or hot
  • Pain when chewing
  • Spontaneous toothache

Regular check-ups at the dentist are essential in order to detect and treat early tooth decay in time, often with a simple filling.

What are endodontic problems?

If tooth decay is left untreated, bacteria can reach the dental nerve (pulp). This can lead to pulpitis (inflammation of the nerve), which causes severe toothache. The inflammation can then spread into the jawbone, resulting in an infection at the root tip (apical periodontitis) or an abscess.

Possible symptoms of endodontic problems include:

  • Sharp or throbbing toothache
  • Prolonged sensitivity to hot or cold
  • Swelling of the gums or cheek
  • A fistula (small pimple) on the gums

Treatment

The treatment for an inflamed dental nerve is usually a root canal treatment (endodontic treatment). The inflamed tissue is removed from the root canals, which are then cleaned and filled to prevent further infection.

Timely diagnosis and treatment can ensure that the tooth is preserved. Delay can lead to the spread of the infection and loss of the tooth. If you have symptoms, please contact your own dentist.

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