Dental decay is an infectious and transmissible disease that is
associated with high levels of bacteria. Streptococcus mutans (SM)
and secondarily, Lactobacillus (LB) are the bacteria that cause
tooth decay or dental caries. These bacteria utilize refined sugar
and produce acid that destroys enamel and underlying dentin (the
outer and inner layers of teeth).
This process usually does not elicit sensitivity until it reaches
deeper levels of dentin and approaches the pulp or nerve of the
tooth. At this point of infection a root canal procedure may be
necessary.
Contributing Factors of Decay
High levels of specific bacteria (SM)
Dry mouth (Xerostomia)
Diet containing refined sugar
Deep pits and grooves in the enamel
Defective enamel (outer layer)
Exposed root surfaces
Caries Prevention – Treatment Options
Restorations – We recommend cavities be removed and
fillings or crowns be placed to seal and protect the teeth.
Sealants/Preventative Resin Restorations – We recommend a
resin material to cover and protect deep grooves that harbor decay
causing bacteria.
Antibacterial Rinse – We recommend a mouth rinse that
contains chlorhexidine for two weeks, twice daily, to kill
offending bacteria.
Fluoride Varnish – We recommend a concentrated fluoride
be applied 3 times within one week to provide the most effective
tooth protection.
Daily Homecare Program
Brush and floss daily
Limit sweets and refined sugars
Chewing sugar free gum is acceptable (best after meals)
Regular fluoride treatments as recommended by your dentist
Recall appointments every 3 to 6 months as recommended by your
dentist
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