Common "Dental Caries" queries answered by top doctors | iCliniq

Dental Caries

Tooth decay or dental caries is the disease of the tooth where a combination of factors like carbohydrate or sugar-rich foods, bacteria, time, and poor oral hygiene, erode or damage the most rigid layer of the tooth called enamel. This results in cavity formation. If untreated, it can proceed to the deeper layers. Tooth pain and swelling are its characteristic features.

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All the answers published in this website are written by verified medical doctors, therapists and health experts. The Content has been moderated by iCliniq medical review team before publication. Post your medical clarifications on iCliniq by choosing the right specialty and get them answered. Your medical queries will be answered 24/7 by top doctors from iCliniq.

My right tooth, which had a filling, is infected. Please help.

Query: Hi doctor, My right tooth is infected. I have done a filling in the tooth before two years. Now, the infection has spread to the roots. I am unable to use the right side because of this problem. Please tell me the solution.  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. As per your history, you are suffering from apical periodontitis, as the infection has spread to the roots. The problem is due to pulp exposure. So you can take medication for at least three to five days. Take tablet Augmentin 625 mg (Amoxicillin and Clavulanic acid) tw...  Read Full »

My lower tooth has a hole near the gum line. Please help.

Query: Hello doctor,My bottom tooth has a kind of a hole at the gum line. I do not know. When I breathe in, it feels cold like the air went in my tooth. It just does not seem or feel normal. Also, on my upper front tooth, I have some kind of deep line. An example like when you make a line in the sand and i...  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. As per your history, you have having class 5 dental cavity in the lower tooth. You need to do a filling (restoration) of the tooth as soon as possible. If you do not take measures at this time you may need RCT (root canal treatment) which will be 10 to 20 expensiv...  Read Full »

I have developed tooth pain. Has the infection spread?

Query: Hello doctor, I had my tooth checked up last year, and the doctor told me to go for an OPG as he was planning for a root canal therapy. But due to severe negligence and work, I could not do that. It is almost a year now, and tonight I am having a painful time. Please tell me whether there is a chanc...  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. As per your history and associated symptoms, it looks like you have now acute pulpitis leading to acute apical periodontitis. That means because of open pulp chamber, it is now infected. You need to take antibiotics and analgesics for this one. In case you do not have any...  Read Full »

I am worried about having multiple cavities. Please help.

Query: Hello doctor, I am convinced that I have a lot of cavities. I was inspecting my teeth the other day and I have multiple points of concern and I am now afraid to get to the dentist. I have my six-month cleaning in days and I am anxious. I have two small smooth dots on two teeth on the side. Is this a...  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. The black dots would be the carious lesions. It does not matter if you take much care and do regular brushing, with time the carious lesions increase in the dental arch. You need to get it filled by a dentist as soon as possible. The multiple carious teeth happen becau...  Read Full »

There is a hole in my tooth. What should I do?

Query: Hello doctor, I am 27 years old and have not seen a dentist since I was 18. I have a hole that has started to develop in one of my top teeth (although I have not experienced pain from it) and believe it is due to a cavity or gum disease. I use spitting tobacco and know I have other teeth issues. But...  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hello, Welcome to icliniq.com. I have gone through your clinical images (attachment removed to protect patient identity). Yes, it is a cavity and not a gum problem. In medical terminology, it is called a class-V dental cavity. If it does not pain, it can be simply filled with a GIC (glass iono...  Read Full »

I have a painful tooth cavity. Please help.

Query: Hello doctor,There is a cavity on my left molar tooth and it pains a lot even when the tongue touches it.  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. You need to visit a dentist as soon as possible. If it is not treated soon, you may either need a root canal treatment or an extraction of the tooth. In the meantime, I suggest taking the following medicine as Amoxiclav 625 (Amoxicillin and Clavulanic acid) twice daily ...  Read Full »

I have severe pain in a cavitated tooth. What can be done?

Query: Hello doctor,I got a cavity last year. I have left it untreated. It hurt really bad a year ago and stopped, but is not occurring again. I have not gone to the dentist because I do not want to make my parents spend the money. So, I have just been dealing with it. But it hurts really bad. Is there any...  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. I have gone through your question. I can understand your concern. For time being, you can get the pain relief from this infectious tooth. Take the following medication tablet Amoxicillin-clavulanic acid 625 twice daily for five days. Ketorol DT, only if the pain is ther...  Read Full »

There is swelling and pain in cheek due to decayed tooth. Please help.

Query: Hello doctor, I have had pain recently in a tooth that has a hole in it for several months and the pain has been horrible and a couple of days back, I woke up with swollen cheek on the side of my bad tooth and pain is also there. When I touch my cheek, pain shoots down to my tooth and I do not know...  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. I have gone through your question and I can understand your concern. As per your history, it seems to me that you are having acute apical periodontitis with related buccal space infection. You need antibiotics for at least five days, so have non-steroidal anti-inflammat...  Read Full »

I have a tooth decay with pain. What is the treatment?

Query: Hi doctor, My back tooth has developed a deep cavity within a few months. Now I have a pain in that tooth which got worse this morning. My cheek and throat have a sore, and they are swollen. It became a deep cavity when my filling fell out.  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. I can understand your concern. As per your history and symptoms, it seems to be acute apical periodontitis, that means that you have an infection in that tooth and the associated area. For immediate management and recovery take the following medications. Take tablet Aug...  Read Full »

How to save my decayed tooth which needs extraction?

Query: Hi doctor, I am very worried regarding my recent appointment. I have been very neglectful over the last three years and am yet to go to the dentist. I have been informed I have very bad decay and will require fillings and potential tooth extraction. I have been advised to stop the sugar intake and t...  Read Full »


Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to icliniq.com. I understand your concern. I have gone through your question. First, if you are asking about smoking, I might tell you it is not a good habit. The second thing is that your oral health condition of cavities is not because of smoking but because you neglect to brush and...  Read Full »

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