Illustrations: How a Tooth Decays
1. Healthy Tooth | 2. White Spots |
Enamel is the hard outer crystal-like layer. Dentin is the softer layer beneath the enamel. The pulp chamber contains nerves and blood vessels. It is considered the living part of the tooth. | Bacteria that are exposed to sugars or carbohydrates can make acid. The acid attacks the crystal-like substance in the tooth's outer surface. This process is known as demineralization. The first sign of this is a chalky white spot. At this stage, the decay process can be reversed. Using fluorides at home and in the dental office can help the tooth repair itself. |
3. Enamel Decay | 4. Dentin Decay |
Demineralization continues. Enamel starts to break down. Once the enamel surface is broken, the tooth can no longer repair itself. The cavity has to be cleaned and restored by a dentist. | The decay reaches into the dentin, where it can spread and undermine the enamel. |
5. Pulp Involvement |
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