Why Do I Keep Getting Cavities, No Matter What I Do?

The difficult discussion as a dentist is the one that happens with an individual who is trying to do everything to stop themselves from getting cavities.  It is a challenge to convince these individuals that we are not all the same. Truth be told, there are individuals who do not take care of their teeth and they seem to get away with it for a while – but not forever. 

 Some of my patients cannot brush their teeth due to physical disabilities, and miraculously, some of these patients are not getting cavities.  Also, I have many who follow all of the recommendations but still get cavities.   

Why Do Some People Just Get More Cavities? 

You’ve probably been told that flossing and brushing makes all the difference, but this is just a small part of the equation.  The answer isn’t complicated, but it does have several considerations that we will address below: 

  • Our Diet – This is the top of the list for a reason.  Avoid soda pop!  My patients who cannot brush their teeth and never get decay are on a diet with no carbohydrates.  Carbohydrates in any amount and frequency cause cavities. 

  • Our Saliva – Saliva is what protects AND heals our teeth and without it our teeth stand little chance against a western diet.  Lack of saliva happens for many reasons.  

  • Genetics – Not all teeth are created equal, and some people’s teeth are just more susceptible or vulnerable to decay.  Unfortunately, this isn’t something you can change. 

  • Tooth Anatomy – Teeth that develop with deeper grooves or teeth that are difficult to clean are more prone to cavities.  Wisdom teeth are the last to come in and some of the first to get cavities because they’re difficult to reach. 

  • Gum Recession – My older patients exhibit root exposure when their gums recede.  Roots are much less protected when it comes to decay due to the lack of enamel.  This can be a very dangerous situation when you have other aforementioned factors happening concurrently.   

Is There Anything That Does Make A Difference? 

Below are a list of suggestions that do make a difference. 

  • Regular dental checkups – Visits and conversations with your dentist will improve your knowledge and catch cavities when they are small and easily dealt with. 

  • Brush and floss – We have had this pounded into hour heads and it does make a difference! 

  • Avoid sugars – Sugars are detrimental to your teeth and overall health.  Instead of reducing them, replace them with better foods.  Find healthy foods and snacks that won't leave you hungry but that also do not have sugar. 

  • Using the right tools – Discuss with your dentist and hygienist what products will work for you.  WaterPiks, electric toothbrushes, prescription toothpaste, perio aids, silver diamine fluoride are all options you can discuss at your next dental visit. 

At Elevation Family Dental we understand that cavities do happen, even to the best of people.  When you visit us you will find a welcoming staff eager to help you. We won’t make you feel ashamed about your teeth.  We hope this has given you motivation to put control back into your hands.   

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