Early Signs of Cavities and Tooth Decay: What to Look For

What Is an Early Cavity?

Before we can define the term “early cavity,” we need to discuss tooth decay. 

Simply put, tooth decay is the process of demineralization and breakdown of tooth enamel (the hard protective outer layer). This process, also known as dental erosion, happens when plaque bacteria metabolize the sugars in your mouth and produce acids, which wear away the enamel. 

Tooth decay is a process that happens over time, but when it’s ignored, it can lead to cavities and severe dental issues. 

An early cavity — also known as an incipient cavity — is a sign of the first stage of tooth decay, which is enamel demineralization. At this point, the decay hasn’t yet penetrated the tooth’s enamel into the softer dentin layer. 

If left untreated, an early cavity can progress into a bigger cavity and, eventually, a more serious dental problem. 

Early Signs Tooth Decay and Cavities

In the initial stage of tooth decay when an early cavity is just starting to form, you may not notice any visible changes to your teeth. As the decay progresses, you’ll likely notice one or more of these early signs of tooth decay:  

• Chalky appearance: Compared to the normal translucency of healthy enamel, early cavities may have a chalky or opaque appearance. 

• White or brown spots: Early cavities often appear as white or brown spots on the surface of your tooth because of enamel demineralization. These spots may be difficult to see at first, so you may not notice one until a dental professional points it out during a routine checkup. 

• Tooth sensitivity: Discomfort or pain when eating or drinking certain foods may be an early sign of a cavity or tooth decay. 

Since cavities don’t always cause pain or have visible signs, regular dental checkups are essential for early detection. Your dentist can spot early signs of decay using specialized tools, helping to prevent more serious issues down the line. 

Cavity and Tooth Decay Treatments

The type of treatment recommended for cavities depends on the stage of the decay. More invasive treatment may be needed for more advanced decay. Below are common ways to treat cavities. 

Fillings 

Cavities are usually treated with fillings to restore the tooth’s strength and function. The dentist removes the decayed portion and fills the space with materials like amalgam or composite resin. 

Crowns 

If a cavity is too large for a filling, a crown may be required. This custom-made cap covers the affected tooth, restoring its shape, function, and appearance. Dentists typically reserve this treatment for teeth with more extensive decay or those weakened by multiple fillings. 

Root Canals  

When left untreated for too long, a cavity can reach the inner part of your tooth (the pulp) potentially causing an infection and severe pain. If this happens, you may need a root canal to remove the infected area and preserve the tooth. 

This procedure involves cleaning and disinfecting the inside of your tooth, then filling and sealing it to prevent further trouble. Your dentist may also place a crown for added protection and strength. 

Extractions 

If the tooth decay is too advanced for a filling, crown, or root canal to save your tooth, extraction may be necessary. This procedure removes the affected tooth from your mouth. 

Extractions are typically considered as last resorts and are only recommended when all other options have been exhausted. 

How to Prevent Cavities and Tooth Decay

No one wants to lose a tooth to decay, so it’s important to take preventive measures to keep your teeth healthy. Here are some tips for stopping decay and preventing cavities. 

Practice Good Oral Hygiene Habits

Establishing good oral health habits is one of the best ways to prevent cavities. A simple, but effective daily oral hygiene routine includes:  

• Brushing your teeth with an electric toothbrush twice a day as manual toothbrush leaves 50% of plaque behind.  

• Choosing a dentist-recommended stannous fluoride toothpaste to help remineralize your enamel 

• Flossing your teeth at least once a day 

Watch What You Eat and Drink

In addition to maintaining good oral hygiene, the foods you eat can impact your likelihood of developing cavities. To help keep your teeth healthy, try implementing these tips:  

• Choose foods that help prevent tooth decay and strengthen your teeth, such as yogurt, milk, cheese, fruits, vegetables, and whole grains. 

• Minimize foods that leave your teeth vulnerable to decay. These include candy, citrus fruit, processed foods, and alcoholic beverages. 

• Brush your teeth with an electric toothbrush soon after eating acidic or sugary foods. 

Get Regular Dental Checkups

Brushing and flossing alone are not enough to keep your teeth healthy, so regular dentist visits are still necessary. Your dentist can identify early cavities and treat potential issues before they become more serious.  During your dental checkup, your dentist will likely:

• Check for cavities, gum disease, and other oral health issues 

• Use specialized tools to clean and remove plaque or tartar buildup 

• Offer tips and advice to help you improve your daily oral care routine 

 At some visits, they may also take X-rays to help detect cavities in their early stages and get a better picture of your oral health.

Boost Your Dental Hygiene with Oral-B 

Now that you know the signs and symptoms of early cavities, you can proactively protect your smile and stop decay before it becomes a bigger problem. 

Remember to brush your teeth at least twice a day, floss daily, and maintain a balanced diet. You’ll also need to schedule regular dental checkups with your dentist. 

For a personalized professional clean feeling at home, try the Oral-B iO Electric Toothbrush Series. With micro-vibrating bristles and dentist-inspired round brush heads that perfectly adapt to each tooth, these toothbrushes clean in those hard-to-reach areas where cavities form. 

Sources 

• https://www.jcontempdent.com/doi/pdf/10.5005/jp-journals-10031-1029 

• https://www.ncbi.nlm.nih.gov/books/NBK8259/ 

• https://www.nidcr.nih.gov/health-info/tooth-decay/more-info/tooth-decay-process 

• https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/dental/art-20047475