Tooth Decay: Tackling it Early for Good Oral Health

What Is Tooth Decay?

Tooth decay is damage to your teeth caused by acids in your mouth. These acids come from bacteria that feed on sugars and carbohydrates in your diet. As the acids eat away at your tooth enamel, they create tiny holes called cavities.

When cavities are small, they are much easier and less expensive to treat. At the dentist’s, using higher magnification and powerful lighting, it is easier to detect decay at an early stage to prevent unnecessary and excessive tooth damage.

Did you know? Tooth decay in Singapore is a more common phenomenon than what people make it out to be. It may or may not cause discomfort; even though it does not hurt, the tooth is still deteriorating. Furthermore, it’s not limited to just adults. 40% of children have tooth decay by age 6. “Baby bottle tooth decay” occurs when infants are put to bed with bottles of milk or juice. The sugars pool around their teeth all night long.

Early tooth decay does not tend to show many physical signs. Sometimes the tooth looks healthy, but your dentist will be able to see from an X-ray whether you have any decay under the enamel, any possible infections in the roots, or any bone loss around the tooth. That’s why it’s important to see a dentist regularly (once every 6 months).

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How Does Tooth Decay Happen?

Tooth decay starts with dental plaque, a sticky film that coats your teeth.

When you eat sugary or starchy foods, bacteria in dental plaque feed on them and produce acid. This acid attacks your tooth enamel, creating tiny holes.

The acid attacks happen all day long. Your saliva helps fight back by replacing lost minerals. But if acid attacks happen too often, your enamel loses minerals faster than it can repair itself.

You may see a white spot on your tooth. This is an early sign of decay. At this stage you can still stop or reverse the damage. But if you don’t, the enamel weakens and breaks down and a cavity forms.

Dental plaque can turn into tartar if not removed. Tartar makes plaque harder to clean and shields bacteria. Only a dentist can remove tartar.

Decay can form in:

Grooves of back teeth
Between teeth
Around fillings
Near the gum line

Remember: good oral hygiene is key to preventing tooth decay!

Tooth Decay Symptoms

Pain

You may feel a sharp or throbbing pain in your tooth. For example you’re having your morning cuppa and suddenly a pain shoots through. This could be tooth decay affecting your nerves.

Sensitivity

Your teeth may become sensitive to hot, cold or sweet things. You bite into an ice lolly and feel a sudden zing in your tooth. This sensitivity often means your enamel is weakened due to decay.

Visible holes

You may see small pits or holes in your teeth. While brushing you see a dark spot on your tooth that wasn’t there before. This could be a cavity forming.

Staining

Brown, black or white spots may appear on your teeth. You look in the mirror and see a brown mark on your front tooth. This discolouration means decay.

Pain when biting

You may feel pain when you bite down on food. You’re eating a sandwich and wincing as you chew. This discomfort often means decay has reached deeper layers of your tooth.

Facial swelling

Facial swelling: It occurs when fluid accumulates in the tissues of the face from various causes, such as allergies, injuries, or infections. It may also signal an allergic reaction like anaphylaxis, which is life-threatening.

Bad breath

Bad breath: Your breath may smell bad even after brushing. A colleague offers you a mint and whispers bad breath you didn’t know you had. This could be due to bacteria thriving in decayed areas.

Swollen gums

Your gums may be red, swollen or bleed easily. While flossing you notice your gums are puffy and bleed more than usual. This could decay near the gum line.

Loose Teeth

You might feel that one of your teeth is slightly loose. While eating or touching the tooth, you sense it’s not as firm as it used to be. This can happen if decay has affected the bone or tissues supporting your tooth.

Pus or Abscess

A small pimple-like bump may appear on your gums near the affected tooth, sometimes oozing pus. You notice a bitter taste in your mouth or mild swelling in the area. This could be a sign of an abscess caused by advanced decay.

Unpleasant Taste in Mouth

You may notice a persistent bad taste in your mouth. Even after brushing or rinsing, the unpleasant taste lingers. This could result from decay-related infection or bacteria buildup.

Difficulty Opening Your Mouth

In advanced cases, you might find it harder to open your mouth fully, especially if the decay has led to an abscess near the jaw. This could signal a more serious infection requiring immediate attention.

Discomfort While Speaking

You may feel a dull ache or irritation in your teeth when speaking for extended periods. This could indicate decay impacting the tooth’s structural integrity or nerve sensitivity.

Persistent Dry Mouth

A lack of saliva can exacerbate decay and leave your mouth feeling unusually dry. If this accompanies other symptoms, it might suggest decay-related bacterial activity.

When to See a Dentist

Regular dental check-ups are important for good oral health. You should see your dentist every 6 months for a routine examination and cleaning.

However some symptoms require immediate attention.

Tooth pain: If you have tooth pain that lasts more than 2 days you should book an appointment. Pain that persists could be a cavity or something more serious.
Sensitivity to hot or cold foods or drinks: Sensitivity to hot or cold foods and drinks that lasts 3 days or more should also see a dentist. This could be decay or exposed roots.
Bleeding gums: Bleeding gums when brushing or flossing for more than 5 days is a cause for concern. It could be gum disease or other oral health issues.
Persistent discolouration of teeth or gums: Notice a change in the colour of your teeth or gums? If the discolouration persists for a week see your dentist. It may be an infection or decay.
Bad breath despite good hygiene: Bad breath that doesn’t improve after 4 days of good oral hygiene is a sign of dental problems. Book a check up to find out what’s causing it.
Loose adult teeth: Loose adult teeth require immediate attention. Don’t wait - see your dentist within 24 hours if you notice any tooth mobility.

Tooth Decay Stages

White Spots Appear: At the earliest stage, you may notice dull, chalky white patches on the surface of your tooth. This signals the loss of vital minerals from your enamel—a process called demineralization. These patches are porous and weak, making the enamel vulnerable to further damage. Although there might be no pain yet, the invisible early signs can only be caught by a professional dental exam.
Enamel Breaks Down: If the decay isn’t addressed, the weakened enamel begins to break apart, forming small holes known as cavities. The once-white spots turn into light brown pits or spots, signifying the destruction of the outer layer. Over time, these cavities grow larger, allowing bacteria to penetrate deeper layers of the tooth.
Plaque Forms: Sticky, bacteria-filled plaque develops on teeth when remnants of sugars and starches aren’t properly cleaned. This layer acts as a haven for bacteria, producing acids that accelerate enamel destruction. If neglected, plaque hardens into a calcified deposit called tartar, forming a rough, yellowish-brown crust along the gumline. Tartar is tough and traps bacteria, making it nearly impossible to remove without professional scaling.
Dentin is Damaged: Beneath the enamel lies the softer, yellowish dentin layer, which decays at a faster rate once exposed. The damage penetrates deeper, and cavities grow larger, often making your tooth sensitive to hot, cold, or sweet foods. The discoloration intensifies, turning dark brown as bacteria continue their invasion.
Pulp Damage: At this advanced stage, decay reaches the tooth's inner core—the pulp—where blood vessels and nerves reside. The pulp becomes inflamed and infected, leading to intense, throbbing pain that can radiate to your jaw or head. The tooth’s appearance changes dramatically, with dark black or gray patches forming. Gums around the infected tooth may swell, turn red, and become tender. Left untreated, the pulp dies, making the infection more severe.
Abscess Forms: When the infection spreads beyond the pulp, a pus-filled pocket called an abscess forms at the tooth’s root. This stage is marked by severe, persistent pain, facial swelling, and swollen lymph nodes in the neck. The skin over the abscess may appear red and feel hot to the touch. If the infection spreads, it can cause fever, difficulty opening your mouth, and in rare cases, life-threatening complications. Other signs could be:
- Pain in your jaw or face
- Swelling in your face
- Swollen neck glands

In rare cases the infection can spread to other parts of your body.

Early treatment is key to stopping tooth decay. Regular dental check-ups with your dentist can catch problems before they get worse.

Types of Tooth Decay

Smooth Surface Decay: This type of decay occurs on the flat, outer surfaces of your teeth and progresses slowly. It’s caused by dental plaque buildup that weakens and dissolves enamel over time. The good news? Smooth surface decay can often be prevented or even reversed with consistent brushing, flossing, and fluoride treatments.
Pit and Fissure Decay: This form of decay develops in the grooves and crevices of your molars and premolars, where food particles and dental plaque often accumulate. These cavities can also appear on the sides of back teeth. Pit and fissure decay is common during teenage years and tends to progress more quickly due to the difficulty of cleaning these areas thoroughly. Dental sealants are often recommended to protect these surfaces.
Root Decay: When your gums recede due to aging, gum disease, or aggressive brushing, the exposed roots of your teeth become vulnerable to decay. Unlike enamel, the root surface lacks a protective layer, making it more susceptible to dental plaque and acid attacks. This type of decay progresses quickly and is often harder to treat, especially if it spreads to surrounding structures.
Coronal Cavities (Dental Caries): Coronal cavities are the most common type of decay, typically forming on the chewing surfaces of molars and premolars or between teeth where dental plaque accumulates. Both children and adults are at risk, especially if oral hygiene habits are inconsistent or diet includes sugary or acidic foods.
Early Childhood Caries: This aggressive type of decay affects young children, often starting on the upper front teeth and quickly spreading to other teeth. It’s commonly linked to prolonged exposure to sugary drinks, such as juice or milk, especially when children sleep with a bottle. Early intervention is crucial to prevent long-term oral health issues.
Recurrent Decay: Recurrent cavities develop around existing dental work, such as fillings, crowns, or bridges. These areas are prone to dental plaque accumulation, which can seep under restorations and lead to decay. Regular dental check-ups are essential to monitor and maintain the integrity of existing dental work.
Rampant Decay: This refers to widespread, rapid decay affecting multiple teeth, often caused by poor oral hygiene, high sugar consumption, or medical conditions like dry mouth (xerostomia). Rampant decay requires immediate dental intervention to prevent tooth loss and further complications.
Interproximal Decay: This type of decay occurs between teeth, in areas that are harder to clean with brushing alone. It’s often detected during routine dental X-rays and is a common issue for people who skip flossing or use improper techniques.
Cemental Decay: Cemental decay affects the surface of the tooth root (cementum), typically in individuals with receding gums. This type of decay is more common in older adults and progresses rapidly because the cementum is less resistant to acid than enamel.
Dry Mouth-Related Decay: Saliva plays a vital role in neutralizing acids and washing away food particles. Conditions like dry mouth (xerostomia), often caused by medications or medical conditions, can lead to an increased risk of tooth decay, particularly around the gum line and on the root surfaces.

Regular dental check-ups are essential for catching tooth decay early, preventing minor issues from becoming major problems. Combine this with consistent oral hygiene practices — like thorough brushing, daily flossing, and a balanced diet — to protect your teeth from all types of decay and maintain a healthy smile.

Tooth Decay Causes

Bacteria in Your Mouth: Naturally occurring bacteria in your mouth form dental plaque, a sticky film that adheres to your teeth. When these bacteria come into contact with sugars and starches from your diet, they produce acid that erodes tooth enamel, leading to cavities.
Sugary Foods and Drinks: Consuming sugary snacks, desserts, and drinks provides bacteria with fuel to produce more acid. Over time, this acid weakens and breaks down your enamel, increasing the risk of decay. Sipping sugary drinks or eating sweets throughout the day prolongs the exposure, causing even more damage. High-risk foods include:

Soda and sugary soft drinks: These beverages are packed with sugar and can quickly contribute to enamel erosion.
Candies and gummies: Sticky sweets tend to stick to your teeth, keeping sugar in contact with your enamel longer.
Pastries and cakes: These often contain both sugar and refined carbs, which feed bacteria and contribute to plaque buildup.
Fruit juices with added sugar: While fruit itself can be healthy, fruit juices often contain added sugars that can harm your teeth.

Poor Oral Hygiene: Failing to brush and floss regularly allows dental plaque to build up, trapping bacteria against your teeth and gums. Over time, this leads to enamel erosion, cavities, and gum disease.
Dry Mouth (Xerostomia): Saliva is essential for neutralizing acids and washing away food particles. A lack of saliva creates a dry environment in which bacteria thrive, increasing your risk of tooth decay. Certain medications, dehydration, and medical conditions can contribute to dry mouth.
Frequent Snacking: Frequent snacking, especially on sugary or starchy foods, gives bacteria repeated opportunities to produce acid. This consistent acid attack weakens enamel and increases the likelihood of cavities.
Tooth Location and Shape: Back teeth (molars and premolars) are more prone to decay due to their complex grooves, pits, and crevices. These areas are harder to clean, making it easier for food and dental plaque to get trapped and lead to cavities.
Medical Conditions: Certain medical conditions can increase the risk of decay, such as:

Eating disorders like bulimia, where repeated vomiting exposes teeth to stomach acid.
Diabetes, which can reduce saliva flow and increase sugar levels in saliva, feeding bacteria.
Autoimmune diseases that weaken the immune system, making it harder for your body to fight off infections, including those in your mouth.

Tooth Grinding (Bruxism): Grinding your teeth can wear down the enamel, creating weak spots where bacteria can penetrate and cause cavities.
Inadequate Fluoride Exposure: Fluoride strengthens tooth enamel and helps prevent decay. Without enough fluoride in your toothpaste, drinking water, or dental treatments, your teeth are more vulnerable.
Orthodontic Appliances: Braces, retainers, and other dental appliances can trap food and dental plaque if not cleaned properly, increasing the risk of decay around these areas.
Dietary Deficiencies: A lack of essential nutrients, such as calcium and vitamin D, can weaken teeth and make them more prone to decay. Poor nutrition also affects overall oral health.
Family History: Genetics can play a role in your risk for tooth decay. Some people inherit a predisposition for weaker enamel or higher susceptibility to dental plaque buildup.
Smoking and Tobacco Use: Tobacco products reduce saliva production, promote bacterial growth, and damage gum tissues, increasing the risk of tooth decay and other oral health issues.
Prolonged Bottle Feeding or Sippy Cups: For young children, prolonged use of bottles or sippy cups filled with sugary liquids can cause “baby bottle tooth decay,” particularly on the front teeth.

Tooth Decay Risk Factors

Tooth Location: Your molars and premolars, located at the back of your mouth, are particularly prone to decay. These teeth have deep grooves, pits, and multiple roots, which make them harder to clean than the smoother surfaces of front teeth. Food particles often get trapped in these areas, creating an ideal environment for bacteria to thrive.
Sticky Foods and Sugary Drinks: Foods and beverages that cling to your teeth, such as candy, cookies, chips, and sugary sodas, are more likely to contribute to decay. Unlike items that are easily washed away by saliva, these substances stick around, providing a constant food source for bacteria.
Frequent Snacking or Sipping: Every time you snack or sip a sugary drink, your teeth are exposed to acids produced by bacteria. This constant "acid bath" weakens enamel over time, especially when sipping sugary or acidic beverages throughout the day.
Bedtime Baby Bottles: Feeding babies bottles of milk, formula, or juice at bedtime can lead to prolonged sugar exposure, which feeds decay-causing bacteria. This condition, often called "baby bottle tooth decay," can also occur in toddlers who drink sugary liquids from sippy cups for extended periods.
Poor Brushing Habits: Failing to brush your teeth thoroughly and regularly allows dental plaque to form quickly. This sticky film of bacteria is the precursor to decay and gum disease. Brushing soon after eating is essential to keep your teeth clean and healthy.
Lack of Fluoride: Fluoride is a natural mineral that helps strengthen enamel and reverse early stages of tooth decay. While many public water supplies contain fluoride, bottled water typically does not. Fluoride toothpaste and mouth rinses can also play a critical role in cavity prevention.
Age-Related Risks: Cavities are common in young children and teenagers, as their developing teeth may be more vulnerable. Older adults are also at increased risk due to receding gums, enamel wear, and medications that reduce saliva flow.
Dry Mouth: Saliva acts as a natural defense against decay by washing away food and neutralizing acids. Conditions like dry mouth, caused by certain medications, medical treatments, or illnesses, reduce saliva production and increase the risk of cavities.
Worn Fillings or Dental Devices: Over time, dental fillings and devices can wear out, break, or develop rough edges. These imperfections create spots where dental plaque can accumulate and are harder to clean, increasing the likelihood of decay.
Heartburn and Acid Reflux: Gastroesophageal reflux disease (GERD) and frequent heartburn can expose your teeth to stomach acid, eroding enamel and leaving dentin vulnerable to bacteria. If you have symptoms of GERD, consult your dentist and doctor for appropriate care.
Eating Disorders: Conditions like anorexia and bulimia can severely damage your teeth. Frequent vomiting exposes teeth to stomach acid, causing enamel erosion and cavities. Eating disorders can also impair saliva production, further increasing the risk of decay.

Tooth Decay Treatment Types

Fluoride Treatment for Early-Stage Decay: In the initial stages of tooth decay, professional fluoride treatments can help strengthen weakened enamel and reverse very early cavities. It can also boost remineralisation. These treatments often include high-concentration fluoride varnish, gel, foam, or mouth rinses applied by your dentist.
Fillings for Small to Medium Cavities: For cavities that have progressed beyond the enamel but haven't reached the tooth's inner pulp, your dentist will remove the decayed portion and restore the tooth with a filling. Common materials include:
- Composite resin: Tooth-colored fillings that blend seamlessly with your teeth.
- Dental amalgam: A durable and cost-effective option, though less commonly used due to its silver appearance.
- Glass ionomer: Often used for baby teeth or areas not subject to heavy chewing pressure, this material releases fluoride to protect the tooth further.
Crowns for Extensive Decay: When decay compromises a significant portion of the tooth, a dental crown may be necessary. A dental crown is a custom-made cap that covers the entire tooth, restoring its strength, shape, and function. Crowns can be madfe from materials like porcelain, ceramic, metal, or a combination of these, depending on the tooth's location and aesthetic requirements.
Root Canal for Decay That Reaches the Tooth Pulp: If the decay has reached the tooth's pulp, causing infection or severe pain, a root canal may be required. During this procedure, your dentist or endodontist removes the infected pulp, thoroughly cleans the root canals, and seals them with a filling material. A crown is often placed afterward to restore the tooth and protect it from further damage.
Tooth Extraction for Severely Damaged Teeth: When a tooth is extensively decayed and cannot be saved, extraction may be the only option. This is considered a last resort and is often followed by tooth replacement options, such as:
- Dental implants: A permanent solution to replace the missing tooth.
- Bridges: A prosthetic tooth supported by adjacent teeth.
- Dentures: A removable option for replacing multiple teeth.
Minimally Invasive Advanced Treatment Options:
- Laser Dentistry: Laser technology can precisely remove decayed tissue while preserving healthy parts of the tooth. This technique minimizes pain and reduces the need for anesthesia.
- Air Abrasion: Using fine particles to gently remove decay, this method is quieter and less invasive than traditional drilling, making it a preferred choice for small cavities.
- Ozone Therapy: Ozone gas can disinfect and halt decay progression by killing harmful bacteria, promoting healing, and aiding remineralization.

Tooth Decay Diagnosis

Visual Examination: Your dentist carefully inspects your teeth for signs of discoloration, white spots, or visible cavities. These can indicate early or advanced stages of tooth decay.
Dental Probe: Using a small, pointed metal tool, your dentist gently probes the surface of your teeth to check for soft, sticky, or rough areas that may suggest enamel breakdown or decay.
Dental X-Rays: Dental X-rays are invaluable for detecting hidden decay between teeth, under existing fillings, or deep within the tooth structure. They help identify issues that aren’t visible to the naked eye.
Pain and Sensitivity Assessment: Your dentist asks about any tooth pain or sensitivity to hot, cold, or sweet foods and drinks. These symptoms often provide important clues about the presence and extent of decay.
Saliva Test: A saliva test may be conducted to assess your mouth’s ability to neutralize acids and protect against cavity-causing bacteria. Reduced saliva flow or acidic saliva can increase the risk of decay.
Plaque Analysis: Your dentist may collect a sample of dental plaque from your teeth to examine bacteria levels. Elevated bacteria counts can indicate a higher risk of decay and the need for more targeted preventive measures.
Caries Risk Assessment: This is a comprehensive evaluation of your overall risk of tooth decay. It considers factors like diet, oral hygiene habits, medical history, and existing dental restorations to create a personalized prevention plan.

Tooth Decay Risks

Infection: Bacteria can spread to the tooth’s pulp and cause an infection that can lead to severe pain and swelling.
Abscess: An untreated infection can form a pocket of pus around your tooth root and cause intense pain and potentially spread to other areas.
Damage: Decay weakens your tooth structure and makes it more prone to chips, cracks or breaks during normal activities.
Gum problems: Decay near the gum line can irritate your gums and cause inflammation or recession.
Dry mouth: Some medications or conditions that increase decay risk can also reduce saliva flow and make the problem worse.

Regular visits to the dentist are crucial for early detection and treatment of decay. Dentists can identify issues before they worsen, provide professional cleanings, and recommend personalized preventive measures to ensure optimal oral health.

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Tooth Decay Complications

Tooth loss: Severe decay can lead to the loss of affected teeth, impacting both function and aesthetics.
Disruption to Daily Life: Severe tooth pain from decay can interfere with your work, sleep, and overall well-being, making everyday tasks harder to accomplish. Chronic pain can also contribute to stress and anxiety.
Increased Treatment Costs: As decay worsens, the treatments required become more extensive and costly. What could have been a simple filling may evolve into the need for a root canal, crown, or even extraction, increasing both the financial and time commitment required for treatment.
Systemic health issues: Advanced infections from decay may enter the bloodstream, potentially contributing to serious conditions like heart disease or diabetes.

If you notice any of these symptoms, it’s important to see your dentist as soon as possible. Early intervention can help prevent these complications and save your tooth from further damage.

At Nuffield Dental, we are committed to providing timely care to protect your oral health and ensure your smile stays bright and healthy. Schedule an appointment today and take the first step toward a healthier, pain-free mouth!

Cost of Tooth Decay Treatment in Singapore

Fluoride treatment: SGD $20 - SGD $50
Fillings: SGD $80 - SGD $250
Crowns: SGD $800 - SGD $2,000
Root canal treatment: SGD $432 - SGD $1,296

Note: These are general estimates. Your actual cost may vary depending on:

The clinic you visit
The materials used (e.g. type of filling or crown)
Your case complexity

Some clinics may offer package deals or promotions. Ask about these when you book your appointment.

Remember prevention is always cheaper than treatment. Regular check ups and good oral hygiene can help you avoid costly decay treatment altogether.

Are There Subsidies for Tooth Decay Treatment in Singapore?

Yes, there are subsidies available for tooth decay treatment in Singapore through the Community Health Assist Scheme (CHAS).

Under CHAS, you can receive subsidies for essential treatments like fillings, tooth extractions, and other preventive care. The amount you pay depends on the color of your CHAS card, with Pioneer and Merdeka Generation seniors receiving additional savings.

At Nuffield Dental, we proudly accept CHAS, ensuring that you can receive high-quality dental care at an affordable price. Before your treatment begins, be sure to bring your CHAS card to our clinic and inquire about the costs associated with your procedure. Our team is here to guide you through the process and ensure you get the care you need to maintain a healthy smile, all while taking advantage of the available subsidies.

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Why Choose Nuffield Dental for Treating Tooth Decay?

High patient satisfaction: With an average Google rating of 4.8-stars, you can trust Nuffield Dental to deliver a comfortable and personal experience.
Award-winning reputation: Nuffield Dental is a recipient of the prestigious E50 Award and recognized by The Straits Times as one of Singapore's fastest-growing companies. We're also consistently ranked among Singapore's top 10 dental clinics.
Technology that detects issues early: Nuffield Dental uses high magnification and bright lights to detect decay early. This prevents major tooth damage and keeps treatment simple and affordable.
Safer and Mercury free fillings: You will receive BPA-free composite or glass ionomer fillings instead of mercury amalgam. These options are safer for you and the environment.
Strict hygiene protocols: Our clinical staff wear scrubs and masks. Our treatment area is cleaned after each patient so there’s no risk of contamination.

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Cavities vs Stains

It can be hard to tell the difference between cavities and stains on your teeth. Both can cause discolouration but they have distinct characteristics.

Cavities are usually darker in colour than stains. They appear as a small spot on one tooth. If you see a tiny dark area on one tooth, it might be a cavity.

Stains affect multiple teeth. Caused by food, drinks or tobacco. Stains are more widespread and uniform in appearance.

Here's a quick comparison:

Feature	Cavities	Stains
Colour	Darker	Varies
Location	One spot	Smooth
Texture	May feel rough	May feel rough

It's crucial to act quickly if you suspect a cavity. Ring your dentist straightaway for an appointment. Early treatment can prevent further damage to your tooth.

Remember, regular check-ups can help catch cavities early. Your dentist can also advise on removing stubborn stains and keeping your smile bright.

Tooth Decay Prevention

Regular Dental Check-Ups: Routine dental visits are essential for spotting early signs of decay. Your dentist can provide preventive treatments, such as fluoride varnishes, to protect your teeth from decay and catch any problems before they worsen. Visit a dentist at least two times a year.
Brush Twice a Day: Use fluoride toothpaste and brush your teeth thoroughly twice a day, especially before bed. Fluoride helps protect and strengthen your enamel, and it can even reverse the early stages of decay.
Don’t Skip Flossing: Flossing is crucial to remove food particles and dental plaque from between your teeth where your toothbrush can’t reach. Make it a habit to floss daily to keep your teeth clean and free from harmful bacteria.
Mind Your Diet: Cut back on sugary foods and drinks, as they feed the bacteria that cause tooth decay. Limiting in-between-meals or snacks can also help. Opt for tooth-friendly snacks like fruits, vegetables, and cheese, which can help neutralize acids and strengthen your enamel.
Do Not Smoke: Smoking weakens your gums and teeth, making them more susceptible to decay and gum disease. Quitting smoking is essential for maintaining your oral health and overall well-being.
Avoid Drinking Alcohol Excessively: Excessive alcohol consumption can dry out your mouth and reduce saliva production, increasing your risk of tooth decay and gum disease. Stick to moderation to protect your teeth and gums.
Drink Fluoridated Water: Fluoride is your tooth’s best friend! Many public water supplies contain fluoride, which helps strengthen your teeth and fight cavities. Make it a habit to drink tap water for added protection.
Consider Dental Sealants: Dental sealants are thin protective coatings applied to the chewing surfaces of your back teeth, preventing food and bacteria from settling into deep grooves. They’re an effective way to protect hard-to-reach areas.
Stay Hydrated and Stimulate Saliva Production: Saliva plays a key role in protecting your teeth by washing away food and neutralizing acids. Drink plenty of water throughout the day, and chew sugar-free gum to stimulate saliva production and help protect your teeth.
Additional Preventive Treatments: If you're at higher risk for cavities, ask your dentist about additional fluoride treatments or antibacterial rinses. These can provide extra protection against decay and help keep your smile healthy.

FAQs

How Common are Cavities?

Cavities are very common. About 90% of adults have had at least one cavity. Children and teens are also at risk, with nearly half of kids aged 2-11 having cavities in their baby teeth.

Can Tooth Decay be Fixed?

Yes, tooth decay can often be fixed. Early stages may be reversed with good oral hygiene and fluoride treatments. More advanced decay requires fillings or other dental procedures to repair the damage.

Is it Bad to Leave a Decaying Tooth?

Yes, it's bad to ignore a decaying tooth. The decay will continue to spread, causing more pain and damage. It can lead to serious infections that affect your overall health. Early treatment is best.

Are Cavities Contagious?

Cavities themselves aren't contagious, but the bacteria that cause them can spread. This happens through sharing utensils, kissing, or other close contact. Good oral hygiene helps prevent the spread of cavity-causing bacteria.

If a Cavity Hurts, is it Too Late?

Pain doesn't always mean it's too late. While it signals the decay has reached the tooth's inner layers, treatment can still save the tooth. See your dentist promptly for the best outcome.

Can a Decaying Tooth be Saved?

Many decaying teeth can be saved. Treatment depends on the extent of decay. Options include fillings, crowns, or root canals. In severe cases, extraction may be necessary. Early intervention gives the best chance of saving the tooth.

Can You Stop Tooth Decay Once It Starts?

Early tooth decay can be stopped and even reversed. Use fluoride toothpaste, limit sugary foods, and improve oral hygiene. For more advanced decay, dental treatment is needed to halt its progress.

How to Get Rid of a Cavity Without Going to the Dentist?

There's no safe way to get rid of a cavity without professional dental care. You can slow decay with good oral hygiene and diet changes, but once a cavity forms, it requires proper dental treatment.

How Long Do Fillings Last?

Fillings typically last 5-15 years, depending on the material used and your oral care habits. Amalgam fillings often last longer than composite ones. Regular dental check-ups help monitor filling conditions.

Can You Feel a Cavity With Your Finger?

You might feel a cavity with your tongue or finger as a rough spot or hole in your tooth. But small cavities aren't always detectable this way. Regular dental check-ups are crucial for spotting cavities early.

What’s the Difference Between a Cavity and a Decaying Tooth?

A cavity is a hole or damage caused by tooth decay. When a tooth starts to decay, it softens the enamel, leading to cavities. A decaying tooth refers to any tooth showing signs of decay, whether it’s a small cavity or more severe damage affecting the tooth’s structure.

Can You Reverse Tooth Decay Naturally?

Tooth decay cannot be fully reversed naturally, but it can be halted or remineralized in its early stages through proper oral care, fluoride treatment, and diet adjustments.

How to Prevent Cavities in Kids?

To prevent cavities in kids, encourage regular brushing, limit sugary snacks and drinks, and schedule regular dental check-ups.

Cost Of Root Canal Treatment In Singapore

Root Canal Treatment Cost

The price varies according to the unique treatment prescribed to each individual patient. For example, if a root canal treatment is require for more than one root, the cost would go up as well. However, saving the tooth with a Root Canal treatment is relatively cost-efficient in the long run.

A Root Canal Treatment procedure in Singapore's price ranges from S$500 - S$1700. However, the price may or may not include the crowning of the tooth and consultation charges. Average consultation prices of dental services in Singapore ranges from S$75- S$200.

Root Canal Treatment FAQs

Is a Root Canal Treatment procedure painful?

The entire procedure will be done under local anaesthesia, so it will not be painful than getting your tooth filled or a wisdom tooth surgery. However, the affected area may cause discomfort and be slightly sore post-surgery but it goes away after a few days.
If the pain persists, please consult our doctor immediately. You can reach us at +65 9839 7363.

Can I go about my day to day activities after a Root Canal Treatment?
Most patients are able to return to school or work the next day following a Root Canal Treatment. However, it is advised against eating immediately post-surgery as there may be numbness in the affected area.

What are the side effects of a Root Canal Treatment?

The side effects of a Root Canal Treatment differs with each individual. Some people may experience pain or a slight soreness post-surgery, and some people may experience little to no pain at all. This also applies to certain patients experiencing a measured amount of sensitivity associated to cold or heat when consuming food or beverages.

What is the aftercare for a Root Canal Treatment?

As a Root Canal Treatment is considered a restorative procedure, the after-care is deemed crucial to experience lasting effects. After your procedure, your dentist will send you home with pain-killers to counter the soreness you may feel when the anaesthesia wears off. It is also strongly advised against the consumption of food until the numbness wears off. Brushing and flossing daily is encouraged to keep the area clean and this in turn would prevent infection. Upon completing any follow-up appointments for the Root Canal Treatment, you may be required to return to the dentist for a final crown to fully restore the tooth. A properly treated and restored tooth can last as long as your natural teeth.

Can a Root Canal Treatment be unsuccessful?

A Root Canal Treatment has a 90% success rate of fully restoring your tooth. However. failure to fully restore your tooth can occur if there is a loose crown, tooth fracture or decay. Undetected canal branches or an obstruction that causes the cleaning difficulties may also cause a Root Canal Procedure to fail. Should your Root Canal Treatment be unsuccessful, explore options with Nuffield's Endodontist for possible solutions.

Orchard Dental

Nuffield Dental Jewel
Wheelock Place501 Orchard Road #05-01 Singapore 238880

+65 6950 2866

+65 9657 4331

jewel@nuffielddental.com.sg

Closed on Public Holidays

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Why Choose Nuffield Dental?

Nuffield Dental is a one-stop, multi-disciplinary dental care centre in Singapore. At Nuffield, we put you first. We believe in providing personalised service for each patient.

Nuffield Dental is a one-stop, multi-disciplinary dental care centre. Here at Nuffield Dental, we pride ourselves of our personalised oral care for each and every one of our patients. We need to make sure you get all the help you need to make your dental procedures comfortable, accessible and seamless.

More about Implants

Our dentists have been accredited in root canal and oral surgery for 20+ years. We have accredited dental providers who are skilled in the area of dental implant surgery.

More about our Clinics

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Tooth Decay: Tackling it Early for Good Oral Health

What Is Tooth Decay?

How Does Tooth Decay Happen?

How Does Tooth Decay Happen?

Tooth Decay Symptoms

Pain

Sensitivity

Visible holes

Staining

Pain when biting

Facial swelling

Bad breath

Swollen gums

Loose Teeth

Pus or Abscess

Unpleasant Taste in Mouth

Difficulty Opening Your Mouth

Discomfort While Speaking

Persistent Dry Mouth

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Tooth Decay Causes

Tooth Decay Risk Factors

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Tooth Decay Diagnosis

Tooth Decay Risks

Tooth Decay Complications

Tooth Decay Complications

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Cost of Tooth Decay Treatment in Singapore

Are There Subsidies for Tooth Decay Treatment in Singapore?

Why Choose Nuffield Dental for Treating Tooth Decay?

Cavities vs Stains

Tooth Decay Prevention

FAQs

How Common are Cavities?

Can Tooth Decay be Fixed?

Is it Bad to Leave a Decaying Tooth?

Are Cavities Contagious?

If a Cavity Hurts, is it Too Late?

Can a Decaying Tooth be Saved?

Can You Stop Tooth Decay Once It Starts?

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Can You Reverse Tooth Decay Naturally?

How to Prevent Cavities in Kids?

Medical References

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Cost Of Root Canal Treatment In Singapore

Cost Of Root Canal Treatment In Singapore

Root Canal Treatment FAQs

Orchard Dental

The Nuffield Dental Clinic Network In Singapore

Why Choose Nuffield Dental?

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