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Why Time is Crucial in Cavity Treatment
Cavities require different treatment methods depending on the rate and extent of progression, and treatment complexity generally increases over time. Early symptoms are often minimal, making self-diagnosis difficult, potentially delaying treatment. By the time pain is felt, the condition may have progressed significantly, emphasizing the importance of early evaluation.
Mechanism of caries development
Bacteria and acid production process
Cavities begin when oral bacteria produce acid as they break down carbohydrates in food. This acid gradually weakens tooth enamel and can spread to the dentin and deeper tissues. Initially, there are no noticeable discomforts, so the onset of these changes is often undetected.
Characteristics and treatment approaches for stage-specific caries
The cavity treatment process is divided into three stages, with different treatment methods required at each stage. While relatively simple treatments may be considered in the early stages, their application may be subject to change after a condition assessment.
Stage 1 โ Enamel-limited lesions
Stage 1 refers to early lesions limited to the enamel. Depending on the extent of the lesion, less invasive treatments may be considered. Typically, the damaged area is cleaned and filled with materials such as resin. Treatment at this stage can be relatively simple, but may vary depending on individual circumstances.
Step 2 โ Considerations for Dentin Invasion
Stage 2 is when damage extends to the dentin beneath the enamel. Treatment varies depending on the location and extent of the lesion. In particular, when the damage occurs on the adjacent tooth surface, a method requiring a mold to be made, taking into account the morphological characteristics of the damaged area, may be applied.
Dentin is structurally more sensitive than enamel and can affect the rate of progression, so periodic observation is necessary.
Possibility of tooth extraction in advanced caries
If cavities are left untreated for a long period of time, tooth preservation becomes difficult, potentially leading to tooth extraction. While external changes may be minimal, internal progression may not be visible to the naked eye, requiring a thorough diagnostic evaluation.
The meaning of regular checkups
Regular checkups play a crucial role in detecting early cavities and ensuring appropriate treatment timing. Lesions in hard-to-see areas, such as between teeth, are particularly difficult to detect on your own, so regular checkups are helpful for early detection. This process can also help prevent unnecessary treatment expansion.