Yes, tooth decay can be treated without fillings! Early decay is a reversible process. The key is to detect it in the early stages when this is still possible. It is helpful to think of this strategy as "medical vs surgical" treatment.
The traditional method of finding a cavity was to stick a sharp metal explorer in the tooth and see if it stuck. Unfortunately, this type of cavity is quite progressed and is needs surgical intervention..a filling. Modern dentistry now gives the dentist many tools to identify and manage decay when it can be healed without a filling. Decay occurs when a tooth loses too much calcium from attack by acid producing bacteria. Fortunately, with proper intervention decay can be halted and teeth can recalcify.
We utilize the following tools to identify this reversible decay:
- Magnification- Strong dental loupes allow the dentist to visually identify early cavities using a scoring system known as ICDAS (International Caries Detection and Assessment System).
- X Rays- These help identify early areas of decay between the teeth. Even these cavities are reversible if caught at the right time.
- Laser Detection- The Diagnodent decay detection laser has helped revolutionize the identification and management of decay. Dentist can now detect decay activity long before the old "explorer sticks in the tooth technique" when it is potentially reversible.
- Risk Assessment- CAMBRA stands for Caries Management by Risk Assesment. This protocol uses a questionnaire to gauge each individual patient's risk profile for future decay. It helps identify which strategies will work best for each patient.
- CariScreen - This chairside test tells the dentist just how prevalent the acid producing bacteria are in the patient's plaque. A quick swab and fifteen seconds later and the dentist has an accurate measure of just how infected the patient is.
Non surgical treatments are geared to each patient's individual needs identii
fied with the above techniques. These appraoches include:
- Fluoride- Over the counter or prescription fluoride treatments help remineralization occur. Fluoride incorporated in the tooth also makes it more acid resistant. We will sometimes apply fluoride varnishes in the office as well.
- MI Paste- This unique product is used at home and has bioavailable calcium phosphate that is readily absorbed by the tooth. Not only does it help harden teeth it improves the appearance too.
- CariFree System- A patented mouthwash and related products that are designed to kill the harmful bacteria and help raise the pH making your mouth less acidic.
- Xylitol- This naturally occurring sweetener has been shown to inhibit decay causing bacteria and promote remineralization.
- Sealants- Patients with deep pits and fissures on the biting surfaces of their teeth can benefit from sealants. Sealants are not just for kids, as many adults can benefit from them as well.
- Diet Counseling- Reduction in the frequency of carbohydrate ingestion is crucial to the healing process of decayed teeth. Harmful bacteria need energy frequently to produce the acid that destroys your enamel and they get from the sugars and starches in your diet.
