Classification of tooth decay based on the level of penetration:
- Initial decay (located only in the enamel)
- Moderate decay
- Deep decay
In addition, there is also secondary decay. We refer to this when it appears in a tooth that has already been treated. Remember that decay is an infectious disease and that a tooth consists of five surfaces, each of which can develop decay.
Procedures aimed at eliminating initial decay can also be performed by a dental hygienist.
The first such procedure is extended sealing, which involves treating decay that appears in the grooves of the teeth. This involves cleaning the grooves, widening them, and then applying a light-cured filling to flatten the tooth surface. This also makes it easier for the patient, who, after eliminating the indentations, can better manage tooth cleaning.
Another procedure aimed at removing initial decay is infiltration, known as ICON. The surfaces where initial decay often appears are the lateral surfaces of the teeth, which should be flossed. ICON is a method of controlling decay without the need for drilling.
However, if the patient reaches a point where moderate or deep decay is present, a visit to the dentist is necessary. It often happens that decay is first visible from the palate side, so the patient looking in the mirror every morning may not notice it. The dentist must then remove the decayed tissue and shape the resulting cavity appropriately, paying great attention to aesthetics. If the dentist uses a laser, it can also be used here.
The difference between treating initial decay and deep decay is primarily that in the first case, the patient still has their own tissue reinforced with a preparation. In the second case, there is already a hole that the dentist must fill with artificial material.
Despite the significant advancements in dentistry, a material that perfectly mimics enamel and dentin has not yet been created. The durability of such a tooth with removed moderate or deep decay is, of course, much lower.
Regular visits to the hygienist, attending check-ups, and good cooperation are principles that every patient should uphold to maintain healthy teeth for as long as possible.
You can learn more by watching the video. The video also shows examples of decay.