Tooth Decay (Cavities): Causes, Symptoms, Prevention and Treatment

Tooth decay, also known as dental caries or cavities, is one of the most common dental problems seen worldwide. It can affect people of all ages – from young children to older adults – and, if left untreated, can lead to pain, infection, or even tooth loss.

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While it often develops gradually, tooth decay doesn’t always cause symptoms in its early stages, which is why regular dental check-ups are so important. Identifying and treating decay early can help preserve the structure of your teeth and prevent more complex dental work later on.

At Oasis Dental Studio, our team provides gentle, comprehensive care to help detect and treat tooth decay as early as possible. If you’ve noticed sensitivity, discolouration, or discomfort, we encourage you to book an appointment at one of our practices in the Gold Coast, Brisbane, Melbourne, or Pottsville.

What Is Tooth Decay?

Tooth decay occurs when bacteria in your mouth produce acids that attack and break down the enamel – the hard, protective outer layer of your teeth. Over time, this acid erosion can create tiny holes or cavities. If not managed, the decay can progress deeper into the tooth, affecting the dentine (the softer layer beneath the enamel) and eventually reaching the pulp, which contains nerves and blood vessels.

Once the decay reaches the pulp, it can cause significant pain and may require more advanced treatment, such as root canal therapy or even tooth extraction.

Tooth decay develops gradually, and in many cases, it can be stopped or even reversed in its earliest stages with proper dental care and preventive treatments.

Common Causes of Tooth Decay

Several factors can contribute to the development of tooth decay. Understanding these causes can help you make changes that reduce your risk.

Plaque Build-Up

Plaque is a soft, sticky film made up of bacteria, food particles, and saliva. When you consume sugary or starchy foods, the bacteria in plaque produce acids that attack tooth enamel. Without regular brushing and flossing, plaque can harden into tartar, which makes the teeth more vulnerable to decay.

Diet High in Sugar and Carbohydrates

Foods and drinks that are high in sugar or refined carbohydrates – such as soft drinks, lollies, and white bread – can significantly increase your risk of cavities. The bacteria in your mouth feed on these sugars, producing acid that erodes the enamel. Frequent snacking or sipping sugary drinks throughout the day can be particularly harmful, as your teeth are constantly exposed to acid.

Poor Oral Hygiene

Not brushing or flossing regularly allows plaque to build up and remain on the teeth, leading to a higher risk of decay. Brushing twice a day with fluoride toothpaste and flossing daily are key habits that help remove food debris and bacterial film. 

Dry Mouth (Xerostomia)

Saliva plays an important role in neutralising acids and washing away food particles. If your mouth doesn’t produce enough saliva, bacteria and acid can linger longer on the teeth. Dry mouth can be caused by dehydration, certain medications, or health conditions such as diabetes. 

Deep Grooves and Tooth Structure

Some people naturally have deeper grooves or pits on the chewing surfaces of their teeth, especially molars. These areas can trap food and bacteria, making them more prone to decay even with good brushing habits.

Medical Conditions and Medications

Certain conditions such as acid reflux can expose teeth to stomach acid, increasing the risk of enamel erosion and cavities. Some medications may also reduce saliva flow, further contributing to tooth decay.

At Oasis Dental Studio, our dentists take all of these factors into account when assessing your oral health, so we can tailor prevention and treatment specifically to your needs.

Symptoms of Tooth Decay

Tooth decay can progress slowly and may not cause any noticeable symptoms in the beginning. As it advances, you might start to notice changes that indicate damage to the enamel or deeper layers of the tooth.

Common symptoms of tooth decay and cavities include:

  • Tooth sensitivity, especially to cold, heat, or sweet foods
  • Pain or discomfort when biting or chewing
  • Visible holes or pits in the teeth
  • Brown, black, or white spots on the surface of the tooth
  • Persistent bad breath or a bad taste in the mouth
  • Swelling or tenderness in the gums around an affected tooth

If you’re experiencing any of these signs, it’s important to see a dentist as soon as possible. Early detection often means the decay can be treated with a simple filling rather than more complex procedures.

When to See a Dentist

If you suspect you might have a cavity, it’s best not to wait until it becomes painful. Decay progresses gradually, and by the time pain is noticeable, the damage may already be extensive.

You should consider visiting Oasis Dental Studio in Gold Coast, Brisbane, Melbourne, or Pottsville if you notice:

  • Tooth pain that lingers or worsens after eating
  • Increased sensitivity to temperature or sweetness
  • Discolouration or rough patches on your teeth
  • A visible cavity or small hole
  • Gum swelling near one tooth
  • A broken or chipped tooth that traps food easily

Our dentists can assess your symptoms, perform an examination (and X-rays if necessary), and provide a treatment plan to restore your tooth and protect it from further decay.

Diagnosing Tooth Decay

Diagnosis usually begins with a thorough dental examination. Your dentist will visually inspect each tooth, check for soft spots or discolouration, and may use dental instruments to test for weakened enamel.

Dental X-rays are often taken to identify decay that’s not visible on the surface, such as between teeth or under existing fillings. These images help your dentist determine the extent of the damage and whether the decay has reached deeper layers of the tooth.

At Oasis Dental Studio, we use advanced diagnostic technology to identify early signs of decay – often before you can feel them – allowing for more conservative treatment.

Treatment Options for Tooth Decay

The treatment for tooth decay depends on how severe the damage is. Early-stage decay can often be managed with preventive care, while more advanced cases may require restorative procedures.

Fluoride Treatment

If the decay is in its earliest stage and hasn’t yet formed a cavity, fluoride treatments can sometimes help remineralise the enamel. This process strengthens the tooth and helps reverse the early damage. Fluoride may be applied as a gel, varnish, or foam during your appointment.

Dental Fillings

When a cavity has formed, your dentist will remove the decayed portion of the tooth and fill the space with a durable material such as composite resin or porcelain. Fillings restore the tooth’s structure, protect it from further decay, and allow you to chew normally again.

Dental Crowns

If a tooth has extensive decay or structural damage, a dental crown may be recommended. A crown is a custom-made cap that fits over the entire tooth, protecting it and restoring its shape, strength, and appearance.

Crowns are often used after large cavities, fractures, or root canal treatment.

Root Canal Therapy

If decay has reached the pulp of the tooth and caused infection or severe pain, root canal treatment may be required. This involves removing the infected tissue, cleaning the canal, and sealing it to prevent reinfection. Afterward, the tooth is usually restored with a crown for long-term protection.

Tooth Extraction

In cases where the tooth is too severely damaged to be repaired, extraction may be the only option. Once the tooth is removed, your dentist will discuss replacement options such as implants, bridges, or dentures to restore function and appearance.

At Oasis Dental Studio, we always aim to preserve your natural teeth whenever possible and will recommend extraction only when absolutely necessary.

Preventing Tooth Decay

Prevention is always the best approach when it comes to tooth decay. With consistent care and regular dental visits, cavities can often be avoided altogether.

Here are some practical ways to reduce your risk:

Maintain Good Oral Hygiene

Brush at least twice a day using fluoride toothpaste, and floss daily to remove plaque between teeth where your toothbrush can’t reach.

Limit Sugary Foods and Drinks

Try to reduce your intake of sugary snacks and soft drinks. If you do have them, enjoy them with meals rather than between meals to limit acid exposure.

Drink Plenty of Water

Staying hydrated helps maintain saliva flow, which naturally protects your teeth. Tap water that contains fluoride provides an extra layer of protection.

Regular Dental Check-Ups

Routine visits to Oasis Dental Studio allow your dentist to identify early signs of decay and provide professional cleaning to remove plaque and tartar buildup. Early intervention can prevent minor issues from turning into larger problems.

Manage Dry Mouth

If you experience dry mouth, speak with your dentist or doctor about possible causes. Simple measures such as sipping water frequently, chewing sugar-free gum, or using saliva substitutes can help.

Long-Term Outlook

With proper prevention and routine dental care, tooth decay can be managed effectively – and in many cases, prevented altogether. The key is to maintain good daily habits and see your dentist regularly for check-ups and professional cleanings.

If decay is caught early, treatments are usually simple and painless. The longer you wait, the more extensive the treatment may need to be.

Tooth decay and cavities are preventable with the right care and attention. Regular brushing and flossing, a balanced diet, and routine dental check-ups are the most effective ways to protect your teeth.

If you’re noticing sensitivity, discomfort, or signs of decay, contact Oasis Dental Studio to book an appointment. With clinics in the Gold Coast, Brisbane, Melbourne, and Pottsville, our team can provide early diagnosis, gentle treatment, and practical advice to help you maintain a healthy, strong smile.

More ODS dental symptoms pages:

Medical references for tooth decay (cavities):

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