The Cavity Conundrum: How Those Pesky Holes Form and How to Stop Them

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Dr. Lady Ung

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1/23/2025

Cavities, also known as dental caries, are one of the most common dental problems affecting people of all ages. While they may seem like a small issue at first, untreated cavities can lead to more serious dental complications, including pain, infections, and even tooth loss. At UMG Family Dentistry, we believe prevention is the key to a healthy, cavity-free smile. Understanding how cavities form and what you can do to prevent them can help you maintain optimal oral health.

What Exactly is a Cavity?

Imagine your tooth enamel as a strong shield protecting the inner layers of your tooth. But when that shield weakens, bacteria can sneak in and cause trouble. Cavities are the result of tooth decay, which occurs when certain bacteria in the mouth produce acids that erode the enamel. Cavities, also known as dental caries, are essentially tiny holes that form in your teeth due to this bacterial invasion.

The Cavity Culprits:

Bacteria: Our mouths naturally contain bacteria. After eating, especially foods high in sugars and carbohydrates, bacteria feed on the leftover particles and produce acids. These acids begin to erode the enamel.

  • Acid: As bacteria break down sugars, they produce acids that attack your tooth enamel, gradually eroding its surface causing minerals like Calcium to come out of the tooth, in a process called demineralization.
  • Time: The longer acid stays on your teeth, the more damage it can do! This is why consistent oral hygiene is so important!
  • Frequent Snacking: Every time you eat, bacteria have another opportunity to produce acid and attack your teeth. That’s why its important to maintain a balanced diet and reduce your intake of sugary snacks and drinks, especially between meals. Instead, opt for fresh fruits, vegetables, nuts, and dairy products, which are lower in sugar and can help promote oral health.

Signs and Symptoms:

None:  That's right!  Early stages of cavities can sometimes be asymptomatic, meaning there are no signs.  Sometimes when cavities are caught early enough they can be remineralized using certain toothpastes.  But if the cavity has reached the inner part of the tooth, called dentin, or if there is a visible hole/cavity in the tooth then a dental restoration will likely be needed to restore the health and function of that tooth.

Sensitivity/Toothache: Sensitivity is discomfort or pain when eating or drinking something hot, cold, or sweet. Toothache is a persistent or throbbing pain in your tooth. A tooth that has pain or sensitivity results when the cavity has gotten into the deeper parts of the tooth, approaching the nerves and blood vessels of the tooth.  Early detection is key to preventing a toothache.  Once a tooth exhibits signs of a sensitivity or pain then it is likely that further more invasive treatments may be needed.

Visible Holes: You might see a white spot, brown stain but the most visible sign of a cavity is a hole in your tooth. At this stage, it’s crucial to seek dental care right away. If left untreated, the decay can spread further into the dentin and pulp, leading to more invasive treatments or more serious complications like tooth infections, abscesses, or even the need for root canal treatment or extraction. 

PREVENTION is Key!

Cavity prevention revolves around daily habits and professional dental care. Here are some key strategies to keep your teeth strong and healthy:

Brush and Floss Daily: Brushing your teeth at least twice a day and flossing once a day are essential steps in removing plaque and food particles. Make sure to brush for at least two minutes using a fluoride or other mineralizing toothpastes to strengthen enamel. Flossing removes plaque and food particles from between your teeth where your toothbrush can't reach.

Watch Your Diet: Reduce your intake of sugary snacks and drinks, especially between meals. Instead, opt for fresh fruits, vegetables, nuts, and dairy products, which are lower in sugar and can help promote oral health.

Drink Plenty of Water: Drinking water can help wash away food particles and bacteria. It also promotes saliva production, which naturally protects your teeth from decay.

Regular Dental Checkups: Schedule routine visits to UMG Family Dentistry for professional cleanings and exams. We can catch early signs of decay and provide personalized advice for maintaining a healthy smile.

Consider Sealants: Sealants are thin protective coatings applied to the chewing surfaces of your back teeth to help prevent cavities. Sealants are a protective coating that dentists apply to the chewing surfaces of the back teeth (molars). They help prevent food and bacteria from getting trapped in hard-to-clean areas, significantly reducing the risk of cavities.

Cavity Treatment at UMG Family Dentistry

If you do develop a cavity, don’t worry! At UMG Family Dentistry, we offer a range of treatments to address tooth decay and restore your smile. From tooth-colored fillings to more advanced care, our dental team is here to guide you through every step of the process. Our focus is always on preserving your natural teeth and maintaining your long-term oral health.

Final Thoughts

Preventing cavities starts with good oral hygiene, a healthy diet, and regular dental visits. By staying proactive about your dental care, you can keep your teeth strong and cavity-free for years to come. At UMG Family Dentistry, we’re dedicated to providing personalized dental care for your entire family. If you’re due for a checkup or have concerns about tooth decay, contact our office in Columbia, MD, and we’ll be happy to assist you in maintaining your brightest smile.


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I have never had a better cleaning or cavity fill experience in my life! Lady is incredible. For the first time, I walked away from dental appointments 100% happy. Everything was explained very well to me, and aside from the initial numbing for fillings, everything else was essentially pain free. I didn't know that was even possible. I walked away with everything taken care of, and researched, well reasoned recommendations for maintenance and care going forward. And a big thank you to everyone else there who met with a smile :).

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Dr. Lady Ung is the best! I would definitely recommend her for all of your dental needs! She is very knowledgeable and kind. She made me feel at ease and did a super thorough cleaning! Beautiful new office! 5 stars for sure!

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