Types of Cavities: What They Are and How to Treat Them

Published by Elena Chachik, DDS Updated On:

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Around 90% of American adults have had dental cavities, so it might seem that little is unclear about tooth decay. However, can you name different types of cavities? If you struggle to enlist five common types of tooth decay, go no further. 

This expert article explains the most widespread examples of cavities, possible treatment options for each type, and how to prevent tiny openings in your teeth. Cavities are the most common culprit to blame for serious and expensive dental problems, so it’s vital to catch them at their onset. Let’s proceed to this intricate matter!

What Are Cavities and How Do They Form?

Cavities are undoubtedly the most prevalent disease in the world. This pervasive chronic infection originates from tooth-adherent bacteria that feed on sugars and produce harmful acids. They demineralize the enamel and eventually gain the ability to penetrate deeper into the tooth structure. 

Sufficient mineral loss makes the early signs of cavities visible: you can notice tiny white spots on once pristine tooth surfaces. These spots can be reversed with certain behavioral amendments. If neglected, the condition can progress into a macroscopic hole, and you’ll have to opt for costly professional treatments to save your teeth from further deterioration.

5 Main Types of Cavities

Dentists can use specialized instruments or dental X-rays to diagnose different types of tooth decay. Let’s clarify what enamel, root, fissure, interproximal, and recurrent cavities mean. 

  1. Enamel Cavities (Smooth Surface Decay)

Smooth-surface cavities might be the most visually unpleasing as they affect the flat exterior tooth surface. This is what people see when you speak, smile, or laugh—each time you open your mouth, enamel cavities shamelessly manifest their presence. The good thing is that they form more slowly than other cavity types. The bad thing is that they won’t pass on their own. 

We’ll tell which treatment options are applicable to smooth surface decay a bit later. Acknowledging this information is vital if you don’t practice diligent oral hygiene.

  1. Root Cavities

Root cavities occur when bacteria take a fancy to the root surfaces of teeth. This disease variation is well-known to seniors with existing gum disorders. Patients with receding gums can also witness unsightly discolorations near or below the gum line. The reason is that the root surfaces become exposed when gums recede, making them susceptible to bacteria and erosive acids from foods and drinks. 

  1. Pit and Fissure Cavities

This type is a dental eminence grise: its living environment is the narrow grooves on the biting surfaces of molars and premolars. Even if you practice meticulous oral hygiene, it might be challenging to completely clean the crevices on the tops of your teeth. If you don’t brush your pearly whites properly, you literally say “welcome!” to pit and fissure cavities and future expenditures. 

To cut the risks, visit a dental practitioner at least twice a year for professional teeth cleaning. Experts use advanced devices and technologies to polish the tooth surface and prevent pathogenic bacteria from sticking to your teeth.

  1. Interproximal Cavities

This cavity type is the most treacherous of all: it’s hard to detect this dental lesion as it occurs between teeth. You might be completely unaware of its ominous presence unless you feel discomfort while chewing or a doctor spots it at a regular dental exam. Undetected interproximal cavities can become profoundly severe, so it’s essential to regularly visit a dental care office to monitor your oral health.

  1. Recurrent Cavities

We emphasize the importance of routine dental check-ups for a reason. Even if you cover a hole in your tooth with a dental restoration, a lesion can develop in the adjacent tooth structure over time. This condition is called a secondary, or recurrent cavity, and it can happen even with high-quality fillings, crowns, or dental bridges. 

Modern resin composite restorations can undergo polymerization shrinkage and biodegradation, necessitating recurrent treatment. It’s vital to periodically check the state of your existing restorations and fix or replace them if necessary.

How to Prevent Different Cavities

An ordinary toothbrush can’t effectively clean all bacteria in your mouth, especially in between teeth. Follow our simple tips to avert cavities:

  • Limit the consumption of sugary and acidic foods/drinks. This will lower the chances of bacteria feeding on sugars and reduce your risk of developing a cavity. 
  • Give up smoking (if you do). Tobacco is responsible for various oral diseases, including dental caries. If you want to enjoy a full set of teeth years later, it’s crucial to cease tobacco smoking.
  • Use a soft-bristle toothbrush with a compact head. It is gentler on the gums and more thoroughly cleans the grooves of molars. Brush your teeth twice a day for around two minutes.
  • Choose fluoride toothpaste. Using a toothpaste rich in fluoride promotes tooth remineralization and suppresses plaque bacteria. In-office fluoride treatments help to strengthen the enamel and prevent the development of serious dental issues.
  • Use dental floss. A practical habit of using dental floss once a day can help keep the crevices between your teeth cavity-free.
  • Rinse your mouth with water after meals. This is a plain remedy to remove food debris from your oral cavity. 
  • Consider dental sealants. These are thin coatings attached to the chewing surfaces of permanent back teeth to prevent them from cavities.

Sustainable collaboration with a dentist will not only help you receive VIP Dental Care when your teeth crave treatment but also take measures to prevent cavities. A professional can help you choose the best tooth products and accessories for your oral cavity, teach you how to brush teeth properly, and provide in-office teeth cleaning to reduce the risks of tooth decay. 

Treatment Options for Each Type

Untreated dental decay can result in severe complications, such as toothache, abscess, infection, and permanent tooth loss. Luckily, different treatment options exist to restore the health of affected teeth. 

Cavities TypeTreatment
Smooth-Surface CavityFluoride treatments (gels, varnish, toothpaste, or fluoride-enriched water);Tooth fillings (if the cavity affects dentin).
Root Cavity Dental fillings;Root canal therapy (if decay enters the pulp);Dental crowns (for severe cavities).
Pit and Fissure CavityDental sealants or fluoride treatment (on the early infection stages);Tooth fillings, root canals, and dental crowns (for deeper cavities or weak remaining tooth structure).
Interproximal CavityTooth fillings;Root canals;Dental crowns.
Recurrent CavityReplacement of an old dental work with a new restoration.

Once a part of your tooth is affected by cavities, it can’t repair itself. The earlier you address a credible dental office for professional treatment, the less expensive and invasive it will be. Don’t hesitate to take action to halt caries from progressing!

Frequently Asked Questions About Teeth Decay Types

Which type of cavity is most common?

Pit and fissure cavities on the chewing surfaces of molars and premolars are considered the most prevalent type. Deep grooves of these teeth are challenging to clean. 

Can cavities heal on their own?

Alas, once you have cavities, they won’t pass on their own. Though the affected enamel can’t regenerate, remineralization can help in the early stages of the disease. If cavities go too far, dentists can suggest tooth fillings, root canals, and dental crowns to improve your oral health.

What’s the best way to prevent tooth decay?

The prevention of tooth decay requires a multifaceted approach. It encompasses meticulous oral hygiene consisting of brushing your teeth twice daily with fluoride toothpaste, flossing once a day, and eating a balanced diet without sugary and acidic foods and drinks. Regular dental exams and professional teeth cleaning also reduce the likelihood of tooth decay.

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