Hi, Dr. Burhenne here of AsktheDentist.com.
Can you reverse a cavity?
I know a lot of people would love to hear the answer yes—
—and the answer is yes.
Think of the tooth as a hard-shelled sponge.
And it's living. It's a living entity.
It has blood supply. It has tissue that can form new tissue.
And of course, it can feel pain, of course
—and cold and hot.
If you feed your mouth the wrong foods,
the foods that feed the wrong bacteria and make them very active,
then of course, these bacteria go to the bathroom in your mouth.
And that product, that excrement
—whatever you want to call it—
is acid.
And the acid will literally attack the hard-shelled calcium outer shell
and literally dissolve its way through into that living tissue
—and hence, the reason for toothache.
So, at what point can you reverse—
Of course, you can prevent a cavity by eating the right foods
(and that's not what this video is about).
But let's say you do get that initial entry and the acid has attacked the enamel shell
and has entered the tooth.
It has compromised the outer structure.
At what point can you reverse that?
And how would you do that?
So, dentists look at x-rays.
And of course, we poke around with our little poking instruments.
We try and determine how deep that cavity is.
And an x-ray is helpful, but it's not completely accurate.
It really only shows us 25%, maybe 30% or 40%,
of the actual decalcification or hole that the bacteria are drilling through the tooth.
So, we try and make an assessment as to when we need to go in and treat this infection.
It is literally a biological infection of a living substance or structure in your body.
So, the tooth is such that you can't just apply an antibiotic and get rid of the infection.
You have to go after the infection and remove it surgically.
And that's what a filling is.
But back to the question:
At what point and how can I reverse the cavity?
So, I would say—and again, this is slightly controversial.
There are new companies coming that will tell us that they can reverse decay
(and I'll talk more about it in a blog post that will match this video).
And we've had the old standby, very strong prescription-strength fluoride as a back-up.
That can also reverse it, a small cavity.
So, here's how I would answer the question.
If you floss a lot and stop eating the foods that produce the acid attacks,
and if the cavity is small enough, and hasn't penetrated too deeply
(i.e. into the dentin, it's still in the enamel shell),
there is a possibility of reversing it.
Now, this doesn't mean you stay away from the dentist
and do this on your own and think perhaps that you've done it.
It has to be monitored by a dentist.
In fact, there probably will be some new guidelines as far as insurance goes
—the third-party providers—
in terms of when do we treat a cavity.
And then, there are some people that think they can actually clone enamel
and repair the cavity that way.
So, for now, floss a lot, brush a lot.
Stop eating foods that are cariogenic.
We've talked about that before in AsktheDentist.com.
And we'll mention it again and link to it on the blog post that goes with this video.
But flossing, the proper foods,
make sure a dentist is monitoring it,
and fluoride—but not fluoride in toothpaste or mouthwash that's over-the-counter.
It has to be 5000 ppm or stronger.
It has to be a strong prescription dose (at least in this country).
Toothpaste in other country is that strong. You can buy it.
You can just go into a drugstore and buy it.
So, buy or find a prescription-strength fluoride paste and gel.
Your dentist will provide that for you.
And use that. Use that two or three times a day.
And doing all those things, you can actually reverse a cavity and not get a filling.
I know it's hard to believe. I know many of you are happy to hear that.
But use caution and try that with your dentist and monitor it.
So, you can reverse a cavity if done properly.
And there's more, more technology coming to do this.
We'll be able to monitor it better without taking x-rays.
There are new devices that can detect small cavities.
So, anyway, read the post on our blog that goes along with this video for more information.
Thanks for listening and being a reader!
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