DENTAL CARIES DEFINED

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Dr. Guy M. Lewis

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6/19/2018

Dental caries, or dental decay, is an infectious condition that deteriorates the structure of teeth. The most common result of dental caries is a cavity—a hole or space in the teeth. Without proper treatment, dental caries can cause pain, tooth loss—and in rare cases when the infection spreads to the brain—even death. Tooth decay is a widespread disease, the second most prevalent after the common cold. Fortunately, there are some cases in which dental caries can be avoided.

How Does Tooth Decay Form?

The mouth is loaded with bacteria that latch onto the plaque, the material that gathers at the surface of teeth when a person lacks adequate dental hygiene. When we eat sugar, for example, bacteria in the mouth break down the sugar for metabolism and produce acid as a by-product. In the absence of healthy saliva, pH levels in the mouth can decline to a highly acidic level and may eat away at the minerals in teeth enamel. This “erosion” process wherein more calcium and phosphate are removed from the tooth’s surface than what is put in is called “de-mineralization.” A healthy saliva level can reverse bacterial acid attacks and actually “re-mineralize” the tooth by putting calcium and phosphate back into teeth. Without a proper balance between “de-mineralization” and “re-mineralization,” teeth will buildup with bacteria inside cavities, a likely place where dental caries will form.

Protective Factors

The following factors will lower your chance of dental decay: 
Proper Salivary Function: Saliva replenishes enamel with calcium and phosphate and also helps protect teeth from acid-producing “bad” bacteria. 
Adequate Dental Hygiene: Effective brushing with fluoride toothpaste will remove plaque from teeth where bacteria are most likely to form, reducing the chances of decay—not to mention daily flossing. 
Healthy Diet: Eating right will reduce the amount of bad bacteria and acid in the mouth. 

Assessing Risk

Risk factors for developing dental caries are dynamic and vary by individual. Even with effective dental hygiene habits and a low-sugar diet, you’re not exactly immune to dental caries, as the protective measures above include factors outside of a person’s control. The best approach is to consult your dentist to determine your risk for dental decay.

Preventative Strategies

There are several products designed to prevent the effects of tooth decay that may be available through your local dental office. Some of these protective measures include:

  • Sealants
  • Antibacterial Agents
  • Topical Fluoride
  • Calcium & Phosphate Supplements
  • pH Neutralizers
  • Special Toothpaste & Mouth Rinse
  • Xylitol Gum

    Although there is no guarantee that the above products will impede the effects of dental caries, the best preventative strategy is to maintain proper dental hygiene, visit the dentist at least twice a year, and eat a healthy diet.

How Does Tooth Decay Form?

The mouth is loaded with bacteria that latch onto plaque, the material that gathers at the surface of teeth when a person lacks adequate dental hygiene. When we eat sugar, for example, bacteria in the mouth break down the sugar for metabolism and produce acid as a by-product. In the absence of healthy saliva, pH levels in the mouth can decline to a highly acidic level and may eat away at the minerals in teeth enamel. This “erosion” process wherein more calcium and phosphate are removed from the tooth’s surface than what is put in is called “de-mineralization.” A healthy saliva level can reverse bacterial acid attacks and actually “re-mineralize” the tooth by putting calcium and phosphate back into teeth. Without a proper balance between “de-mineralization” and “re-mineralization,” teeth will buildup with bacteria inside cavities, a likely place where dental caries will form.

Protective Factors

The following factors will lower your chance of dental decay: 
Proper Salivary Function: Saliva replenishes enamel with calcium and phosphate and also helps protect teeth from acid-producing “bad” bacteria. 
Adequate Dental Hygiene: Effective brushing with fluoride toothpaste will remove plaque from teeth where bacteria are most likely to form, reducing the chances of decay—not to mention daily flossing. 
Healthy Diet: Eating right will reduce the amount of bad bacteria and acid in the mouth. 

Assessing Risk

Risk factors for developing dental caries are dynamic and vary by individual. Even with effective dental hygiene habits and a low-sugar diet, you’re not exactly immune to dental caries, as the protective measures above include factors outside of a person’s control. The best approach is to consult your dentist to determine your risk for dental decay.

Preventative Strategies

There are several products designed to prevent the effects of tooth decay that may be available through your local dental office. Some of these protective measures include:

  • Sealants
  • Antibacterial Agents
  • Topical Fluoride
  • Calcium & Phosphate Supplements
  • pH Neutralizers
  • Special Toothpaste & Mouth Rinse
  • Xylitol Gum

    Although there is no guarantee that the above products will impede the effects of dental caries, the best preventative strategy is to maintain proper dental hygiene, visit the dentist at least twice a year, and eat a healthy diet.

I had a consultation at , Texas Center for Cosmetic Dentistry and it was a wonderful experience. The entire team was friendly, welcoming, and professional from the moment I walked in. The dentist took the time to listen to my concerns, thoroughly explained my options, and answered all of my questions without making me feel rushed.I left feeling informed, comfortable, and confident about moving forward with treatment. It’s clear they genuinely care about their patients and take pride in providing excellent care. I highly recommend this office.

M.M. Google

Very personable, caring, professional, gave full explanation / education of all procedures! Love Love Dr. G. Lewis and his staff! Thank you! Sincerely, Jane Mckirahan BSN, RN

J.M. Google

I recently saw Dr. Teddy Lewis at Texas Center for Cosmetic Dentistry in The Woodlands and had a wonderful experience. Both Dr. Lewis and his dental assistant Marissa were incredibly kind and compassionate from the moment I walked in.I’m a bit of a perfectionist, so I tend to notice every little detail—and Dr. Lewis matched that energy with the patience of a saint. He is clearly a perfectionist himself when it comes to cosmetic dentistry and that made me feel completely at ease knowing everything would be done to the highest standard.His office staff were equally warm, caring and supportive the entire time.I left feeling well taken care of and truly impressed. Highly recommend Dr. Teddy Lewis and his team!

D.M. Google

Dr. Guy Lewis is absolutely the best! I conducted months of research meeting with other cosmetic dentists before meeting Dr Lewis. Once I met him I knew he was the one! On our first visit he found a small cavity that 3 other dentists had overlooked.I live in Midland TX and traveled 9 hours. I trusted no one else with my smile. I personally know Dallas Cowboy Cheerleaders who travel to have him perfect their smiles.He is, honest, detailed and will never encourage you to have a procedure you do not need, he cares about perfection. Along with the health of your teeth, he is an artist, he sees every detail. If he feels something has not come out to his standards he will fix it free of charge.If you worry about the cost, DO NOT convince yourself that saving a little money by using another dentist is justifiable. I had the same concern; however, it is not worth compromising your smile which could compromise your entire facial appearance.A smile contributes so much to your first impression, make sure it is a good one. Your personal and professional life can be dictated by your smile. Your smile will change your life, I never realized people love taking pictures with me or of me because of my “smile”.I'm not paid to write this, I care about beauty, I want anyone seeking to better themselves to find the best professional to accomplish their goals. Life is worth living!The pure joy of having a beautiful smile is more than words can convey, your life will change and Dr Lewis is talent sent from heaven, if you want perfection do no search any further.

A.L. Google

Great experience- don’t live the dentist visits in general but this was easy and great!

S.G. Google

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