When decay-causing bacteria come into contact with sugars and starches from foods and drinks, they form an acid. This acid can attack the tooth’s surface (enamel), causing it to lose minerals. When a tooth is repeatedly exposed to acid, such as when you frequently consume food or drink high in sugar and starches, the enamel continues to lose minerals. A white spot may appear where minerals have been lost. This is a sign of early decay. Tooth decay can be stopped or reversed at this point. Enamel can repair itself by using minerals from saliva and fluoride from toothpaste or through the application of fluoride by a dentist or dental hygienist. If more minerals are lost than can be restored, the enamel weakens and eventually breaks down, forming a cavity. More severe decay can cause a large hole or even destruction of the entire tooth. If tooth decay is not treated, it can cause pain, infection, and even tooth loss.
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