Tooth enamel is hard and porous. It consists of many closely-packed rods made of
minerals. When you eat, acid forms on the outside of the tooth and seeps into the enamel's
pores. This demineralization process can produce a weak
spot in the tooth's surface. If unchecked, the enamel can decay and cause
a cavity.
Fluoride helps prevent tooth decay by slowing the breakdown of
enamel and speeding up the natural remineralization process. These microscopic views of the tooth's chewing surface show how
fluoride works:
Healthy tooth enamel rods before acid's
onslaught |
 |
 |
Enamel rods demineralized (broken down) by acid |
Enamel rods remineralized (rebuilt) by fluoride and the
minerals in the saliva. |
 |
Common sources of fluoride are fluoridated drinking water, toothpaste and mouth rinses.
High-concentration fluoride gels, mouth rinses, drops and tablets are available by
prescription
When a weak spot on your tooth is detected, at-home fluoride treatments may be
recommended to reverse the decay process. If the weak spot is left unchecked, a cavity
may form, requiring a filling. If decay is allowed to spread, it may penetrate the root
and enter the pulp (nerve) chamber, causing an abscess and
requiring root canal treatment.
Treatments
Progression of Tooth Decay |
|
|
|
Tooth decay often begins on biting surfaces, between the
teeth, and on exposed roots. |
 |
 |
Untreated, the cavity becomes larger. |
Decay spreads beneath the enamel and can destroy the tooth
structure. |
 |
 |
Decay enters the pulp and an abscess may occur. |
Use of fluoridated toothpastes and regular dental
check-ups can help prevent tooth decay in the early stages. |