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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I am seeking expert advice on tooth decay. Please help.

Query: Hello doctor, I am a 36-year-old female seeking your expert advice and guidance on tooth decay. I have been experiencing dental concerns and am eager to address them effectively. Your expertise can provide valuable insights on prevention and management. Could you explain tooth decay, including its c...  Read Full »

Dr. Bharat Joshi

Answer: Hello, Welcome to I have read the query, and I can understand your concern. Dental caries, or tooth decay, is primarily caused by two things: plaque buildup, which leads to an increase in microbiological growth (mostly Streptococci mutans), and a decrease in the fluoride content of t...  Read Full »

Kindly clear my queries regarding healthy oral care.

Query: Hello doctor,I am a 35-year-old female. I have a decayed tooth on the upper right side of my mouth. What are the best practices for preventing tooth decay, such as appropriate brushing and flossing techniques, and how often should I visit the dentist for check-ups and cleanings? How do diet and nutr...  Read Full »

Dr. Bharat Joshi

Answer: Hello, Welcome to We are elated to have you on board at icliniq. Please be aware of the following: Brushing is a good method of maintaining good plaque control. The modified bass technique is the best technique for brushing. In addition, using floss, preferably an unwaxed one, is ...  Read Full »

My mother is 50 years old and has had black spots on her teeth for the past three months. Please help.

Query: Hello doctor, My mother is 50 years old, and I am observing black spots on her teeth for the past three months (had two black spots on two teeth from childhood but for the other tooth the black spots are newly appearing on the top of the upper tooth). Could you please help with the cause and what s...  Read Full »

Dr. Bharat Joshi

Answer: Hello, Welcome to I can understand your concern. I can see the blackish spots that seem to be a combination of arrested caries and stains (attachment hidden to protect the patient’s identity). Since the other teeth are also showing abrasion and calculus so I confirm these spots are th...  Read Full »

I have a gray hole in my mouth. What could it be?

Query: Hello doctor, I think I have a gray hole in my mouth, and I noticed saliva accumulating there. I would like to know what this could possibly be, and I also want an assessment of the condition of my teeth. Thank you.  Read Full »

Dr. Bharat Joshi

Answer: Hello, Welcome to I have reviewed the clinical pictures (attachments removed to protect the patient’s identity), and I could not find any gray hole in your mouth. However, I can provide a summary of the condition of your oral cavity based on what I observed: There is pericoronitis d...  Read Full »

I get recurrent pain in my left upper jaw due to tooth cavity though I take a painkiller. Why?

Query: Hello doctor, I am suffering from a cavity in a tooth on the left upper jaw. Last night, I felt pain in the affected tooth after having dinner and I used a toothpick for clearing up any clogged food particle, but the pain kept increasing. I used clove oil but it did not provide any relief. The incr...  Read Full »

Dr. Bharat Joshi

Answer: Hello, Welcome to Thanks for the images (attachment removed to protect patient identity). It seems to be irreversible pulpitis. Have you taken only Ibuprofen or some other medicines also? Do you have any allergy to Amoxicillin and Diclofenac? Please confirm so that I can prescribe a...  Read Full »

What are the painless methods to treat a tooth with dental caries?

Query: Hi doctor,I had a root canal and it was a traumatizing experience. My endodontist tried for an hour to give numbness to my tooth. He gave a maximum amount of Novocain and told me that no more can be given after this level. He told me that my pain gets manifested by being tense and you need to go thr...  Read Full »

Dr. Bharat Joshi

Answer: Hi, Welcome to I agree that RCT (root canal treatment) is definitely a painless procedure. In your case, anesthesia was not effective and your endodontist should have postponed your appointment by giving you medications. The techniques of anesthesia range from intraligamentary, inters...  Read Full »

I have sensitivity in my teeth while gargling. Kindly help.

Query: Hi doctor, I need advice on the query mentioned below. I had wisdom tooth issues for many years, and I removed them two years ago. The wisdom tooth issue was there for the lower two teeth, but my dentist advised that even their upper pairing teeth should be removed. So all four teeth were remo...  Read Full »

Dr. Bharat Joshi

Answer: Hello, Welcome to I read your query, and I can understand your concern. As per your X-ray (attachments removed to protect the patient's identity), the tooth is completely decayed. But as per your query, it has been removed so it is not involved. I suggest desensitizing agents below...  Read Full »

What can cause intrinsic yellow spots on some teeth?

Query: Hi doctor,I am 23 years old. I have developed a kind of intrinsic spot on one of my canines. After few years, I noticed the same appearing on the other tooth. Secondly, I can see an accumulation of plaque on the inner side of the lower incisors. I do not have any other medical conditions apart from ...  Read Full »

Dr. Bharat Joshi

Answer: Hi, Welcome to The first spot appears to be due to vitamin D deficiency or calcium deficiency while the second and third spots are due to extrinsic stains. I suggest you do scaling to remove the stains. However, the first one seems to be incipient caries. So observe it and please send a...  Read Full »

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