I have little doubt that some patients who visit a dentist and are told they have decay, but don’t experience any symptoms, are convinced that someone is trying to pull the wool over their eyes. There are probably several reasons for this. Possibly, they had been to some unscrupulous person in the past who suggested they had a problem, when they really didn’t.
I can see how that might create skepticism. I mean, it’s conceivable that sort of thing could happen.
But even if that were the case, I sincerely don’t believe it represents the behavior of a majority of dentists. Most of the dentists I know genuinely care about what they do and the people they treat. So maybe these skeptics are just people who don’t trust anyone. I don’t know.
The reality, though, is that these patients will eventually be in for a big surprise when the you-know-what hits the fan. Or – and let’s keep this a family column — when the decay hits the nerve.
But that could take a while.
And I believe that could be where some of the problem lies. A patient tries to use this to their advantage — they want to buy some time. After all, it’s not really being a “problem” for them in that they don’t perceive anything as being different. When the problem eventually does occur, I usually hear: “I never thought it would happen to me.”
A doctor detecting treatable decay usually recommends that the patient handle it at their earliest opportunity.
Why? Well, the patient can catch the problem when it is small, when it is less likely to cause post-operative discomfort, and when it will generally cost them a lot less.
But, first, let’s back up a little and explain why it’s possible to have a cavity – several in fact – and have absolutely no symptoms.
Most decay starts on the outer surface of the tooth called the enamel. It’s roughly 97% mineral in consistency and does not contain nerves. That means it has no feeling. Practically zero. Your dentist could DRILL on that part of the tooth and most of the time you won’t feel it.
Notice that in the earlier paragraph I mentioned “treatable” decay. Well, when would decay not be treatable right away? I can’t speak for other dentists, but I typically won’t treat decay when it is confined to the enamel. Why? It has the potential to re-mineralize. In other words, it has the capacity to fix itself – that is, if you don’t continue to do the things that led to the cavity in the first place. Usually, this is related to your diet, but it can be affected by hormones, or even medications.
Why not mention home care first? Isn’t that important too? Of course it is. It just may not be the most important factor.
Another time a dentist might not treat a cavity could relate to the age of the patient. For a much older patient, there are times when the pain or infection are not likely to come up before the patient passes. Of course, your dentist doesn’t have a crystal ball on that point. (Well, probably not.) But, it wouldn’t make sense to recommend treatment in the majority of those cases.
And this takes us back to the nature of a cavity. They often take a long time to get bigger. (But not always…. Again, no crystal ball here.) The reason has to do with the hardness of the enamel itself. Enamel, for you trivia lovers, is the hardest substance in your body. It’s harder than bone, and that property, along with the lack of sensation, can be problematic.
Here’s why: a cavity is often quite small on the outside of the tooth. It’s actually difficult for decay to work its way through that hard enamel. Most of the time it burrows a narrow channel down to the dentin (only a couple of millimeters away) and then it really starts to spread. Because dentin is softer than enamel, it’s just easier for it to spread more quickly there. By the way, this additional, and deeper, decay – very often still doesn’t hurt – as long as it is far enough away from the nerve.
Meanwhile, your enamel is, for the most part, continuing to hold its form. That stuff is hard. But things are generally hollowing out on the inside of the tooth now — out of sight and out of mind — as the decay continues to spread. Painlessly.
Eventually, your tooth can become very much like an eggshell.
Then one fine day you bite on something, and the hard enamel that was still doing its job holding the form of the tooth caves into the hole below. It just got too thin.
Now, at this point, does the skeptic understand that he got a cavity? Sure. Some of them finally get it. But for others –no! It’s more like: “Hey that blowhard dentist was obviously wrong because he talked about me having cavities years ago, and look – I did fine until now. In fact, I probably just lost a filling! Jeez, this hole just came out of nowhere. It’s probably the fault of some earlier dentist.” (Um, Mr. Skeptic never got the filling though. Remember?)
“Hey doc, how much is this going to cost me? $2,400?!!! (For a root canal, buildup and crown.) Are you insane? Just pull it.”
Now you are going to be missing a tooth, and may lose even more teeth as a result. Yet, when the doc first mentioned it, that cavity was only going to cost $150. How can it suddenly become sixteen times more expensive?!
“Rip-off artist. Seems you can’t trust anyone. . . .”
The idea that losing teeth is an inevitable part of aging is a common misconception. While it’s true that tooth loss occurs more frequently among older adults, it’s not a foregone conclusion. With proper oral care and preventive measures, you can keep your natural teeth healthy and strong well into your later years.
Why Tooth Loss Occurs
Tooth loss can be caused by various factors, including:
Gum disease: This is the leading cause of tooth loss in adults. Gum disease is an infection that affects the soft tissues around the teeth, eventually destroying the bone that supports them.
Tooth decay: This is caused by bacteria that build up on the teeth and form plaque. Plaque produces acids that can erode the enamel, the hard outer covering of the teeth. If left untreated, tooth decay can lead to cavities and eventually tooth loss.
Trauma: Injuries to the mouth or teeth can also cause tooth loss.
Other health conditions: Certain medical conditions, such as osteoporosis and diabetes, can increase the risk of tooth loss.
Preventive Measures
The good news is that you can take steps to prevent tooth loss and maintain healthy teeth for a lifetime. Here are some key strategies:
Practice good oral hygiene: This includes brushing your teeth twice a day for two minutes each time, flossing daily, and using a mouthwash.
Visit your dentist regularly: For professional cleanings and checkups.
Eat a healthy diet: Limit sugary foods and drinks, which can contribute to tooth decay.
Quit smoking: Smoking increases the risk of gum disease and other oral health problems.
In addition to these general recommendations, there are some specific things you can do to protect your teeth as you age:
Use a toothbrush with soft bristles: Hard bristles can damage your gums and enamel.
Consider using an electric toothbrush: Electric toothbrushes can be more effective at removing plaque and bacteria than manual toothbrushes.
Get regular fluoride treatments: Fluoride can help strengthen your teeth and prevent decay.
Myths about Tooth Loss and Aging
There are several common myths about tooth loss and aging. Here are a few of the most prevalent:
Myth: Losing teeth is a natural part of aging.
Fact: While tooth loss is more common among older adults, it’s not inevitable. With proper oral care, you can keep your teeth healthy for a lifetime.
Myth: You don’t need to see the dentist as often as you get older.
Fact: It’s important to continue seeing your dentist regularly for checkups and cleanings, even as you get older. Regular dental care can help detect and prevent problems early on.
Myth: There’s nothing you can do to prevent tooth loss.
Fact: There are many things you can do to prevent tooth loss, including practicing good oral hygiene, eating a healthy diet, and quitting smoking.
Losing teeth doesn’t have to be a part of aging. With proper care and preventive measures, you can enjoy a healthy smile for a lifetime. Talk to your dentist about ways to keep your teeth healthy and strong as you age.
Can a Tooth Infection Kill You? The Scary Truth About Dental Abscesses
People often ask, “Can a tooth infection kill you?” The answer, while alarming, is yes—if left untreated. What starts as a simple toothache can escalate into a dangerous dental abscess that spreads beyond the mouth, potentially becoming life-threatening.
In this post from our Weird Dental Facts series, we’ll explain how dental infections can turn deadly, the warning signs to look for, and what you can do to protect your health.
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How Can a Tooth Infection Become Life-Threatening?
A toothache might feel like a small problem, but if the underlying infection isn’t treated, it can spread. When bacteria enter the inner pulp of the tooth, they can create an abscess—a pocket of pus that may expand into the jaw, face, or even the bloodstream, leading to a condition called sepsis.
Untreated periodontal disease(gum disease) can also lead to abscess formation. The danger is that dental infections are not always painful in their early stages, causing many people to delay treatment until it’s too late.
What Is Ludwig’s Angina?
One of the most serious complications of an untreated dental infection is Ludwig’s Angina. This fast-spreading infection can travel from the roots of the teeth to the floor of the mouth and under the tongue, causing severe swelling. If the swelling blocks the airway or makes swallowing difficult, it becomes a medical emergency.
Immediate medical treatment—such as opening the airway, administering antibiotics, or even surgery—is often required to save a patient’s life. Delaying treatment can be fatal.
How Dental Infections Spread Beyond the Mouth
When bacteria from a tooth infection enter the bloodstream, they can travel to other parts of the body. In rare but severe cases, this can lead to heart infections (endocarditis), brain abscesses, or even sepsis. These complications highlight why early dental care is crucial—what starts as mild pain or swelling can spiral into a medical crisis if ignored.
Signs of a Serious Dental Infection
See a dentist right away if you notice any of the following warning signs:
Persistent or throbbing toothache
Swelling in the face, jaw, or under the tongue
Fever or general malaise
Difficulty swallowing or breathing
A foul taste or pus drainage in the mouth
How to Prevent Dangerous Dental Infections
The best way to avoid asking, “Can a tooth infection kill you?” is to take preventive steps:
Brush and floss daily to remove harmful bacteria.
See your dentist twice a year for check-ups and cleanings.
Limit sugary foods and drinks that feed harmful bacteria.
Boost your immune system with a balanced diet rich in vitamins C and D.
Never ignore a toothache, swelling, or signs of infection—early treatment is much safer and less costly.
FAQ: Can a Toothache Really Be Fatal?
Can a toothache kill you? A toothache itself won’t, but if the infection behind it spreads untreated, it can become deadly.
How fast can a dental infection spread? Some infections can progress in just a few days, especially if they move into the soft tissues of the neck or bloodstream.
What should I do if I suspect an abscess? See a dentist or doctor immediately. Do not attempt to drain it yourself—this can worsen the infection.
Key Takeaway
A tooth infection can, in rare cases, be fatal if left untreated. Don’t take chances with your health—seek professional dental care at the first sign of pain or swelling.
For more surprising dental trivia and health tips, visit our Weird Dental Factsarchive.
How Do I Know If My Tooth Infection Is Spreading?
Wondering if your dental issue is becoming serious? A key sign of a spreading infection is pain that worsens or radiates to the jaw, ear, or neck. Swelling in the face or under the tongue, difficulty breathing, fever, or a foul taste in your mouth are all red flags. If you’re asking, “can a tooth infection kill you?” the answer is that severe infections can become life-threatening if they block your airway or enter the bloodstream. Don’t wait—seek professional help immediately.
Effects of Soda on Teeth: Why You Should Save Your Smile
Do you ever stop to think about what happens every time you drink a soda? Many people don’t realize how damaging these sugary, acidic drinks are to their teeth—and the rest of their health. At your last dental checkup, did you find yourself sinking lower in the chair as cavity after cavity was found? If so, it’s time to ask yourself: how much soda are you drinking? The effects of soda on teeth are both immediate and long-term, and they’re more harmful than you might imagine.
Sugar and Acid: A Double Threat
Some of the worst cases of dental decay I’ve seen involve sodas and sweetened iced teas. A single 12 oz. can of soda contains roughly 12 teaspoons of sugar—basically liquid sugar! Read ingredient labels carefully for added syrups, concentrates, or high fructose corn syrup (HFCS)—they all spell trouble for your teeth. According to the CDC, most Americans still consume far too many sugar-sweetened drinks, significantly increasing their risk of tooth decay.
Imagine watching someone stir 12 teaspoons of sugar into one cup of coffee—you’d be horrified! Yet most people drink cans, bottles, or even liters of soda daily without a second thought. The sugar feeds harmful bacteria in your mouth, producing acids that erode enamel and create the perfect conditions for cavities.
How Soda Causes Cavities Step-by-Step
The process is surprisingly fast. First, sugar in soda feeds bacteria that naturally live in your mouth. These bacteria produce acid as a byproduct. Combine that with the already acidic nature of soda itself, and you’re essentially giving your teeth a continuous acid bath. Over time, the enamel weakens, leading to cavities, sensitivity, and tooth decay. Even sugar-free sodas can cause enamel erosion because of their high acidity. The American Dental Association warns that frequent soda consumption dramatically increases your risk of long-term enamel loss.
The Acid Bath You Didn’t Expect
Sugar isn’t the only villain. Soda is so acidic that it can loosen rusty bolts or clean battery terminals—imagine that on your tooth enamel! This acid eats away at the protective outer layer, making your teeth more vulnerable to decay. Once enamel is gone, it doesn’t grow back. These effects of soda on teeth can happen faster than you think.
Beyond Your Mouth: Whole-Body Effects
Reducing soda benefits more than just your teeth. Frequent soda consumption has been linked to diabetes, kidney stones, osteoporosis, and even low potassium levels, which can lead to muscle weakness. Your body—and your dentist—will thank you when you swap soda for healthier alternatives.
What to Do Instead
If giving up soda feels difficult, start by cutting back slowly. Replace one soda a day with water, unsweetened sparkling water, or herbal tea. If you need help breaking the sugar habit, talk to your doctor or dentist. There are many ways to transition away from these harmful drinks while still enjoying refreshing beverages.
FAQ About Soda and Teeth
Does soda cause permanent damage to teeth? Yes, once enamel is eroded by the acids in soda, it cannot regrow. This makes teeth more prone to cavities and sensitivity.
Is diet soda safer for your teeth? Not really. While diet sodas lack sugar, they are still highly acidic and can erode enamel over time. Water and unsweetened alternatives are far better choices.
How quickly can soda damage teeth? Enamel softening can begin within just 20 minutes of exposure to soda. Sipping it throughout the day keeps your teeth under constant attack. This is one reason why the effects of soda on teeth are so harmful over time.
Key Takeaway
Cutting back on soda—or better yet, eliminating it—may be one of the best steps you can take for your oral and overall health. The effects of soda on teeth are well-documented: enamel erosion, cavities, and long-term dental problems. Don’t let this common habit rob you of your smile.
For more tips on protecting your teeth, visit our ToothWiz Blog page.
When we are born we come into the world without teeth. Some of us leave the same way, but that really isn’t what nature intended.
When you are on a liquid diet having teeth doesn’t appear to be vital, since there is obviously nothing to chew. Nature pretty much handles a baby’s nutritional needs with mother’s milk. As we grow and begin to eat solid food, however, having and maintaining healthy teeth becomes an entirely different matter.
So when teeth become lost due to cavities, periodontal disease or trauma, the consequences for good health can become significant. Let’s not forget that digestion begins in the mouth. There are actually two forms of digestion – mechanical and chemical.
Mechanical digestion is the grinding and tearing of food, as in chewing, in order to increase its surface area. Creating a greater surface area means that there is a better chance that chemical digestion can do its job. In chemical digestion, enzymes react with the food to help break it down into simpler substances which can either be absorbed in the bloodstream as nutrients or passed out of the body as waste. This process of breakdown and assimilation occurs within the digestive tract – but it starts in the mouth with your teeth, tongue, and saliva.
Because a full set of adult teeth numbers thirty-two, it seems many people feel the occasional loss of a tooth is a relatively insignificant event. And while it is true that a person can still function with thirty-one, the long-term consequence of losing just one tooth can be more significant than most people realize.
While all of our teeth are important, structurally, the loss of certain teeth will bring about more change than the loss of others. Think of this in terms of the walls of your house. If you take down a non-supporting wall, the house will still stand. Take out a supporting wall, however, and you have a much bigger problem. Teeth are constructed much like an arch, though. If you have ever seen a stone arch, you know it has a keystone at the top that keeps the arch together. Remove that one stone, and the whole thing collapses. In your dental arch, you can think of your canines as a keystone. Lose them, and the ensuing change can be rapid. You can lose several teeth – even all – over time. But it’s not just the loss of canines that creates a problem.
Losing a first molar, for example, can create a domino effect of changes in your mouth that can affect your ability to chew easily. It can cause shifting of the teeth in a manner that even affects the appearance of your front teeth. Or, it can lead to periodontal problems and the formation of cavities on portions of the teeth that might not have been otherwise affected before the loss.
The point is that if you lose a tooth, you should consult your dentist about what tooth replacement options are right for you. Today, we have many ways of providing functional replacements that can improve your ability to chew your food, maintain your good appearance, and keep you from losing still more teeth. Depending upon your circumstances and financial considerations, these replacements may include removable dentures, bridges (which are non-removable, cemented tooth replacements), or dental implants (think of them as artificial tooth-roots that have crowns, bridges, or dentures attached to them).
If you are missing a tooth, speak with your dentist about what tooth replacement options are right for your situation. Replacing a lost tooth early is often much less involved (and costly) than when you begin to experience the problems resulting from long-term neglect.
Dr. Richard Walicki is a dentist practicing general and cosmetic dentistry. While we hope you find the information contained herein interesting and useful, this blog is for informational purposes and is not intended to diagnose any oral disease. Dental conditions should be evaluated by your dental health professional or a qualified specialist.
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Now, at this point, does the skeptic understand that he got a cavity? Sure. Some of them finally get it. But for others –no! It’s more like: “Hey that blowhard dentist was obviously wrong because he talked about me having cavities years ago, and look – I did fine until now. In fact, I probably just lost a filling! Jeez, this hole just came out of nowhere. It’s probably the fault of some earlier dentist.” (Um, Mr. Skeptic never got the filling though. Remember?)
