Tooth decay 

Introduction 

The Tokkels: stop tooth decay

You can stop tooth decay by following a few simple rules: Use fluoride toothpaste - Spit. don't rinse - Brush before, not after, meals

Tips for looking after your teeth

  • brush your teeth twice a day, in the morning and in the evening
  • spend at least three minutes each time
  • always use a fluoride toothpaste
  • use a small toothbrush so that you can reach the back teeth, applying no more than a pea-sized amount of toothpaste for adults
  • flossing is very important as the toothbrush does not always reach the gaps between the teeth
  • do not brush too hard – this can damage gums
  • limit your consumption of sugar and starchy foods
  • visit your dentist regularly

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Tooth decay, also known as dental decay or dental caries, is when acids in your mouth dissolve the outer layers of your teeth.

Why it occurs

Your mouth is full of bacteria, which combine with small food particles and saliva to form a sticky film known as plaque, which builds up on your teeth.

When you consume food and drink that is high in carbohydrates (sugary or starchy), the bacteria in plaque turn the carbohydrates into the energy they need, producing acid at the same time.

Over time, the acid in plaque begins to break down the surface of your tooth. Left untreated, the plaque can completely destroy the outside of the tooth and expose the nerves inside. Once this happens, you will have toothache. Without treatment the tooth eventually falls out.

How common is it?

Tooth decay is one of the most widespread health problems in the UK. More than half (55%) of adults in the UK have one or more decayed teeth.

Tooth decay is also a problem for children. It is estimated that between 52% and 77% of children aged 8 to 15 have some obvious tooth decay in their permanent teeth.

Outlook

Although widespread, tooth decay is one of the most preventable health conditions. As long as you look after your teeth well and visit your dentist regularly, you should be able to prevent tooth decay.

If you get tooth decay, there are a number of techniques that can help repair damaged teeth, such as fillings and crowns (see Tooth decay - treatment for more information). In more advanced cases of tooth decay, the tooth may need to be removed.

Last reviewed: 28/05/2010

Next review due: 28/05/2012

Comments are personal views. Any information they give has not been checked and may not be accurate.

sciencebod said on 01 September 2011

While it is sensible to tell people to restrict their consumption of sugars, it is absurd to tell them to cut down on starchy foods as well. Yes, i know that starch is cariogenic, because breakdown to simple sugars begins as soon as food is mixed with saliva. But current dietary advice from the Government is to consume a diet rich in complex carbohydrates, a term which includes starches as well as non-starch polysaccharides. Consider for a moment what the alternatives are to starch. They are simple sugars (more cariogenic), fats and protein, all with more serious health implications if consumed in excess. So why is the NHS - and the NHS dentist I visited yesterday - giving out this idiotic advice to cut down on starch consumption when it conflcts with the Govt's own nutritional advice? Why not delete all references to starch, and simply tell folk to cut down on sugar, use fluoride toothpaste, and brush teeth carefully etc etc.?


PS: I used to be Head of Nutrition and Food Safety at a food RA, and contributed a chapter (The Glycaemic Index) to the British Nutrition Foundation Task Force Report on Complex Carbohydrates in 1990.

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Jackie58 said on 17 July 2009

I am trying to find out, when you have an injection at the dentists, to numb the teeth before a filling. what is in the injection. Could you have to much of the injection?

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