Tooth Decay

Tooth Decay Symptoms, Causes, Treatments, Prevention

Mechanism of Formation of Tooth Decay

Tooth decay can be defined to be a formation of hollow space on a tooth due loss of its enough mineral content. The process that takes place is termed as demineralization which is caused due to acids’ presence on a dental surface.

Origin of Acids to Cause Tooth Decay


The acids causing dental demineralization (hollow space formation) are created by particular kinds of microbes (mutants streptococci and lactobacilli) living in tooth plaque.

Such microbes are living beings just like us. When we eat foodstuff and drinks, we also generate useless products. Microbes too do the same. The microbes causing tooth decay exploit sugars - glucose, sucrose, fructose, lactose, or cooked starches as their food origins. The useless products derived from digested sugars are the lactic acids which induce de-mineralizing of dental enamel and dentin.

The microbes always live in our mouth, get their share when we eat, and while doing so, we swallow foods containing sugars like candy, milk, fruits and vegetables. And in moments they start yielding the acids to form tooth decay.

Dental Plaque Makes Room for the Oral Microbes to Cause Tooth Decay
Human mouth is colonized by microbes; in fact, a lone human mouth can comprise more microbes than the people living on the earth. If you are unable to purify your mouth, you should at least diminish the potential from encountering tooth decay. You can do this by disallowing the prevailing microbes to form planned colonies which are termed as "tooth plaque."

Tooth plaque not only allows oral microbes; rather it functions as a means to hold the acid they yield directly touching a tooth's surface. Looking at the illustration in the left, when there is active production of acid, i.e., while consuming sugar, certain acids so produced will seep off the tooth plaque's surface and enter our mouth. However, this acid will not cause tooth decay but the acids which enter into our mouth will get thinned, cushioned with saliva washing them away besides the foods and beverages we consume.

The involvement of acid in de-mineralizing a tooth's surface, and thus causing tooth decay, seeps in the reverse direction towards the plaque and down to the dental's surface. This acid will lie beneath the tooth plaque and directly against the teeth. And since the tooth plaque concealing this acid will act as a shield, there is ineffective thinning, cushioning besides cleansing action induced by saliva. In other words, the acid will tend to stay behind in a very rigorous form (a pH of 4 and lower) briefly after its creation, and hence dental demineralization will occur for a prolonged period.


With time, saliva will make a way into the tooth plaque and start having its counterbalancing outcome on the acids so created in reaction to the sweetened meal. However, this can consume a couple of hours.

The extent of dental demineralization that occurs post exposing to sugar is partly related to the era of the tooth plaque. Features like the thickness, compound character, and kinds of microbes existing in tooth plaque link with its era. A few hours’ old plaque cannot produce same tooth demineralization which plaque which is several days old can do.