What happens when you ignore a cavity?

Early last week, Penny visited my practice after 4 years. Penny is a funny, lovely chap who wears his heart on his sleeve. He took an urgent appointment (which is very often the case with a lot of my patients) as he felt some sensitivity on a tooth.

On entering my surgery, he blurted "Yes four years ago, you told me that there was a hole in my tooth but I did not come for the filling now it hurts. Can you fill it?"

After my usual examinations, it was obvious to Penny that the cavity 4 years ago had evolved into a more extensive one, requiring further treatment.

What happened?

Penny's cavity got wider, deeper into the tooth's layers and eventually damaged the pulp.

8 reasons why should you not ignore your cavities?

1. Pain and sensitivity

   As a cavity grows in size, it can reach the nerve of the tooth, causing pain and sensitivity to heat, cold, and sweet. 

2. Tooth decay progression

   Cavities don't heal on their own; they continue to grow, making the tooth weaker and more prone to cracking or breaking

3. Infection

   Once the cavity reaches the nerve of the tooth, it can cause a painful infection

4. Can contribute to gum disease

   Deep cavities close to the gum can lead to bone loss and eventually periodontal disease

5. Tooth loss

   Sometimes, cavities are too extensive to be able to save the tooth. It leads to tooth loss and further issues down the line.

6. Systemic health issues

   Dental infections can sometimes lead to infections in the bloodstream which can be life threatening, especially in immunosuppressed individuals.

7. More extensive (and expensive!) treatment

   The more broken down a tooth is, the more expensive the treatment!

8. Impact on quality of life

   Pain, tooth loss and cavities in the esthetic zone undoubtedly impact negatively on confidence and quality of life.