Caries and its progression in the mouth
Tooth decay is the most common disease in humans. It starts from the moment the teeth poke through the gum, sometimes molar cavities six years before the wheel rears completely explored.
There are the right foods, areas of decline, lack grooves and fissures, interproximal surfaces, inaccessible places, crowding, etc.., is where plaque build-up starts. Plaque is formed during the rest phases from decanting leftover food dissolved in saliva (especially refined carbohydrates) that along with dead cells and fibres form a suitable biofilm bacteria to establish, proliferate and multiplication in exponential numbers. These bacteria convert biofilm producing fermentations causing increased acidity (which is primarily responsible lactic acid). Acids have high avidity for salt and tend to dissolve. The teeth are formed by minerals in contact with acids will more or less rapidly dissolving.
And so begins the decay. The caries progression is variable and depends on various factors:
- Initial hardness of the enamel and or dentin, the teeth are not all equally mineralized
- Composition of saliva. More acidic, easier caries
- Supply Type. Softer, more acidic, sweeter, more cavities
- The dental hygiene, if correct, will slow down and may even stop the decay. It, along with the type of diet, the main weapon against the same
Since the decay starts and gets through the enamel may be a while, but watch out, this is good for those beginning in the grooves and fissures, where sometimes the appearance is very deceiving, looks a speck low , varying in colour, which can hide a deep cavity and all without pain or sensitivity.
Once the enamel, dentin progression is much faster and moves toward the dental pulp, in most cases without any discomfort. When you are already in pain is often too late, especially if it affects the pulp (nerve). This leads in most cases to Endodontics.
Once decay reaches the pulp chamber, the “nerve” is infected (I did not usually cause severe pain) and just necrosándose (pain is usually declining and changing). In its advance go abroad bacteria infecting the periodontium, producing what we call an apical granuloma. Even at these extremes can be performed endodontic treatment.
Though sometimes the dental granuloma does not cause any discomfort, much more frequent cases where it is accompanied by various symptoms:
- Severe and often throbbing pain in a tooth
- Discomfort when chewing or pressure in the affected part
- Tooth sensitivity to heat or cold
- Bitter taste in mouth
- Bad breath (halitosis)
- Sometimes swelling may be present in the form of lump at the base of the affected tooth
- Also becomes manifest elevated temperature and swollen glands in the neck
If you still do not perform the proper treatment and we pass the time, we end up losing the tooth and even suffer more serious for both our oral health to our overall health problems.