26/01/2026
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Most cavities reach this stage silently — long before patients ever feel pain.
Dental caries is a progressive disease that often advances beneath the surface long before symptoms appear. What begins as enamel demineralization can quietly spread into dentin and eventually reach the pulp — the living core of the tooth containing nerves and blood vessels.
By the time decay reaches this depth, the tooth is no longer just “cavitated.”
It is infected, inflamed, and structurally compromised.
At this stage:
• Pain may be absent, mild, or delayed
• Infection can spread beyond the tooth
• The risk of abscess formation increases
• Treatment becomes significantly more complex
A simple filling is no longer sufficient.
Management typically requires root canal therapy or extraction — both far more invasive than early intervention.
Dental caries is preventable and detectable in its early stages.
But once it progresses silently to this depth, treatment is no longer simple — it is damage control.
🔹 Disclaimer: This post is for educational purposes only and not a substitute for professional dental advice.