{"id":512,"date":"2014-06-06T09:36:49","date_gmt":"2014-06-06T08:36:49","guid":{"rendered":"http:\/\/www.ashforddental.co.uk\/blog\/?p=512"},"modified":"2014-06-06T09:41:19","modified_gmt":"2014-06-06T08:41:19","slug":"tooth-decay","status":"publish","type":"post","link":"https:\/\/www.ashforddental.co.uk\/blog\/update\/tooth-decay\/","title":{"rendered":"Tooth Decay"},"content":{"rendered":"<h3>Tooth decay<\/h3>\n<p>Dental caries, also known as\u00a0tooth decay\u00a0or a\u00a0cavity, is a\u00a0<a title=\"Disease\" href=\"http:\/\/en.wikipedia.org\/wiki\/Disease\">disease<\/a>\u00a0where\u00a0<a title=\"Bacteria\" href=\"http:\/\/en.wikipedia.org\/wiki\/Bacteria\">bacterial<\/a>\u00a0processes change carbohydrate like sugar in food left on teeth to acid that demineralises hard\u00a0<a title=\"Tooth\" href=\"http:\/\/en.wikipedia.org\/wiki\/Tooth\">tooth<\/a>\u00a0structure (<a title=\"Tooth enamel\" href=\"http:\/\/en.wikipedia.org\/wiki\/Tooth_enamel\">enamel<\/a>,<a title=\"Dentin\" href=\"http:\/\/en.wikipedia.org\/wiki\/Dentin\">dentin<\/a>, and\u00a0<a title=\"Cementum\" href=\"http:\/\/en.wikipedia.org\/wiki\/Cementum\">cementum<\/a>).<a href=\"http:\/\/en.wikipedia.org\/wiki\/Dental_caries#cite_note-medline-0\">[1]<\/a>\u00a0If demineralisation exceeds saliva and other remineralisation like from fluoride, these tissues progressively break down, producing dental caries (cavities, holes in the teeth). Two groups of bacteria are responsible for initiating caries:\u00a0<a title=\"Streptococcus mutans\" href=\"http:\/\/en.wikipedia.org\/wiki\/Streptococcus_mutans\">Streptococcus mutans<\/a>\u00a0and\u00a0<a title=\"Lactobacillus\" href=\"http:\/\/en.wikipedia.org\/wiki\/Lactobacillus\">Lactobacillus<\/a>. If left untreated, the\u00a0<a title=\"Disease\" href=\"http:\/\/en.wikipedia.org\/wiki\/Disease\">disease<\/a>\u00a0can lead to pain,\u00a0<a title=\"Tooth loss\" href=\"http:\/\/en.wikipedia.org\/wiki\/Tooth_loss\">tooth loss<\/a>,\u00a0<a title=\"Infection\" href=\"http:\/\/en.wikipedia.org\/wiki\/Infection\">infection<\/a>, and, in severe cases, death.<a href=\"http:\/\/en.wikipedia.org\/wiki\/Dental_caries#cite_note-1\">[2]<\/a>\u00a0Today, caries remains one of the most common diseases throughout the world. Cariology is the study of dental caries.<\/p>\n<p>Below is a video showing decay progression in the teeth.<br \/>\n<script type=\"text\/javascript\" src=\"http:\/\/www.howdoyouguru.com\/Players\/Embed.ashx?mid=0a2fc92d-00db-45cf-a7c1-f372a19ed788&#038;l=en-US&#038;w=640\"><\/script><br \/>\n&nbsp;<\/p>\n<p>The presentation of caries is highly variable; however, the risk factors and stages of development are similar. Initially, it may appear as a small chalky area that may eventually develop into a large cavitation. Sometimes caries may be directly visible, however other methods of detection such as\u00a0<a title=\"Radiography\" href=\"http:\/\/en.wikipedia.org\/wiki\/Radiography\">radiographs<\/a>\u00a0are used for less visible areas of teeth and to judge the extent of destruction. Lasers for detecting caries allow detection without radiation and now are being used for detection of interproximal decay (between the teeth). Disclosing solutions are also available that are used during tooth restoration to minimize the chance of the recurrence.<\/p>\n<p>Tooth decay is caused by specific types of\u00a0<a title=\"Acid\" href=\"http:\/\/en.wikipedia.org\/wiki\/Acid\">acid<\/a>-producing bacteria that cause damage in the presence of\u00a0<a title=\"Fermentation (food)\" href=\"http:\/\/en.wikipedia.org\/wiki\/Fermentation_%28food%29\">fermentable<\/a>\u00a0<a title=\"Carbohydrate\" href=\"http:\/\/en.wikipedia.org\/wiki\/Carbohydrate\">carbohydrates<\/a>\u00a0such as\u00a0<a title=\"Sucrose\" href=\"http:\/\/en.wikipedia.org\/wiki\/Sucrose\">sucrose<\/a>,\u00a0<a title=\"Fructose\" href=\"http:\/\/en.wikipedia.org\/wiki\/Fructose\">fructose<\/a>, and\u00a0<a title=\"Glucose\" href=\"http:\/\/en.wikipedia.org\/wiki\/Glucose\">glucose<\/a>.\u00a0The\u00a0<a title=\"Mineral\" href=\"http:\/\/en.wikipedia.org\/wiki\/Mineral\">mineral<\/a>\u00a0content of teeth is sensitive to increases in\u00a0<a title=\"PH\" href=\"http:\/\/en.wikipedia.org\/wiki\/PH\">acidity<\/a>\u00a0from the production of\u00a0<a title=\"Lactic acid\" href=\"http:\/\/en.wikipedia.org\/wiki\/Lactic_acid\">lactic acid<\/a>. Specifically, a tooth (which is primarily mineral in content) is in a constant state of back-and-forth demineralization and<a title=\"Remineralisation of teeth\" href=\"http:\/\/en.wikipedia.org\/wiki\/Remineralisation_of_teeth\">remineralization<\/a>\u00a0between the tooth and surrounding\u00a0<a title=\"Saliva\" href=\"http:\/\/en.wikipedia.org\/wiki\/Saliva\">saliva<\/a>. For people who have little saliva, there also exists remineralization gel, especially due to radiation therapies which may destroy the salivary glands. These patients are particularly susceptible to dental caries. When the pH at the surface of the tooth drops below 5.5, demineralization proceeds faster than remineralization (meaning that there is a net loss of mineral structure on the tooth&#8217;s surface). Most foods are in this acidic range and without remineralization, this results in the ensuing decay. Depending on the extent of tooth destruction, various treatments can be used to\u00a0<a title=\"Dental restoration\" href=\"http:\/\/en.wikipedia.org\/wiki\/Dental_restoration\">restore<\/a>\u00a0teeth to proper form, function, and aesthetics, but there is no known method to\u00a0<a title=\"Regeneration (biology)\" href=\"http:\/\/en.wikipedia.org\/wiki\/Regeneration_%28biology%29\">regenerate<\/a>\u00a0large amounts of tooth structure, though\u00a0<a title=\"Stem cell\" href=\"http:\/\/en.wikipedia.org\/wiki\/Stem_cell\">stem cell<\/a>\u00a0related research suggests one possibility. Instead, dental health organizations advocate preventive and prophylactic measures, such as regular\u00a0<a title=\"Oral hygiene\" href=\"http:\/\/en.wikipedia.org\/wiki\/Oral_hygiene\">oral hygiene<\/a>\u00a0and dietary modifications, to avoid dental caries.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tooth decay Dental caries, also known as\u00a0tooth decay\u00a0or a\u00a0cavity, is a\u00a0disease\u00a0where\u00a0bacterial\u00a0processes change carbohydrate like sugar in food left on teeth to acid that demineralises hard\u00a0tooth\u00a0structure (enamel,dentin, and\u00a0cementum).[1]\u00a0If demineralisation exceeds saliva and other remineralisation like from fluoride, these tissues progressively break down, producing dental caries (cavities, holes in the teeth). Two groups of bacteria are responsible &hellip; <a href=\"https:\/\/www.ashforddental.co.uk\/blog\/update\/tooth-decay\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Tooth Decay<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-512","post","type-post","status-publish","format-standard","hentry","category-update"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.ashforddental.co.uk\/blog\/wp-json\/wp\/v2\/posts\/512","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ashforddental.co.uk\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ashforddental.co.uk\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ashforddental.co.uk\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ashforddental.co.uk\/blog\/wp-json\/wp\/v2\/comments?post=512"}],"version-history":[{"count":3,"href":"https:\/\/www.ashforddental.co.uk\/blog\/wp-json\/wp\/v2\/posts\/512\/revisions"}],"predecessor-version":[{"id":515,"href":"https:\/\/www.ashforddental.co.uk\/blog\/wp-json\/wp\/v2\/posts\/512\/revisions\/515"}],"wp:attachment":[{"href":"https:\/\/www.ashforddental.co.uk\/blog\/wp-json\/wp\/v2\/media?parent=512"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ashforddental.co.uk\/blog\/wp-json\/wp\/v2\/categories?post=512"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ashforddental.co.uk\/blog\/wp-json\/wp\/v2\/tags?post=512"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}