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How to reduce caries in the oral cavity?
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Dental & Oral Disorders
Question #11595
48 days ago
177

How to reduce caries in the oral cavity? - #11595

Nicy

How to treat the caries? There's pain in the lower back tooth region since 5 days. How to reduce the pain and how to get rid of the caries ?There's black discoloration on the tooth with TOP Positive.Should root canal treatmentbedone?

Age: 25
Chronic illnesses: None
Pain in lower back tooth region
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Doctors’ responses

Dr. Varunkumar J
I am an ENT specialist with over 6 years of clincial practice and in this time I have tried to balance hospital work with building my own setup. Currently I work as Consultant at Meridian Hospital Kolathur and also as visiting consultant at VIHAA Hospital Anna Nagar. Along with this I started SCOPE ENT CLINIC in Villivakkam, which is my own space to treat patients with more time n focus. Running a clinic teaches you different kind of responsibility, not only treatment but also trust, making sure patient feels heard and safe. My practice covers a wide range of ENT issues, from common ear infections, sinus problems, throat disorders to more complex surgical cases. I try to focus on giving indiviualised treatment plans, because each patient story is differnt even if the diagnosis sounds similar. Working in multiple hospitals also let me collabrate with other specialities which is important when dealing with complicated ENT cases linked to allergy, pediatrics or even neuro. Founding my own clinic was both challenging and rewarding. Some days are hard, managing staff, handling emergencies, ensuring things run smooth.. but it gave me chance to create an environment where patients get continuity of care. For me ENT is not just about procedures but also education, I try to explain conditions in simple words, guide on prevention and lifestyle changes that can reduce recurrnce. Over these years, what matters most to me is not just how many cases I handled but the connections built with patients and their families. I want to keep growing, keep learning new techniques and stay updated with advances in ENT, but at the same time keep the human touch alive in practice.
48 days ago
5

Hi dear You need to take an OPG xray See the level of lesion and decide on filling or Root canal treatment Kindly maintain oral hygiene Take care

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Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
48 days ago
5

1.The black discoloration and pain in your lower back tooth suggest that the caries has progressed into the deeper layers of the tooth.

2.Caries once formed cannot be reversed with medicines. The decayed part of the tooth has to be cleaned and restored by a dentist.

3.Since you are having pain for 5 days and the tooth is tender on percussion TOP positive it means the infection has likely reached the pulp nerve of the tooth.

4.In this stage the correct treatment is usually root canal therapy to remove the infected pulp clean the canals and save the tooth followed by a crown.

5.Till you meet a dentist you can take warm salt water rinses twice daily maintain good oral hygiene and use clove oil or over the counter pain relief medicines if required.

6.Do not delay treatment because infection can spread to surrounding gums and bone. Visit a dentist soon to start root canal treatment and prevent further complications.

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Dr. Roopanshi Mehrotra
I am a Periodontist and laser speacialist who started my career as a general dentist and worked over 6 years in that role before moving deeper into gum care and implant dentistry, where I’ve now spend 2 years as a specialist. My clinical work revolve around treating periodontal diseases, performing dental implant procedures, and using modern laser dentistry for minimally invasive care. I am currently working as a Senior Lecturer at ITS Dental College, Ghaziabad, where I train students and young dentists in both theoretical and practical aspects of periodontology and laser application. Teaching make me reflect on my own methods, and I see it as a way to keep my knowledge sharp and up-to-date. Outside of academics I served as a Consultant Periodontist and Laser Specialist at Clove Dental, managing a wide range of complex gum issues and implant cases. These roles gave me strong hands-on experiance in private practice settings, dealing with patients who come with very different needs—from basic gum care to advanced implant placements. I tend to focus on patient comfort, I always explain the steps of the procedure in simple langauge and try to reduce anxiety that many people feel in dental chair. My intrest in laser dentistry grow because of its precision and faster healing time, and I try to integrate this wherever possible as I feel it give patients better experiance. Whether it is gum contouring, flap surgery or implant-related procedures, I rely on evidence based dentistry but also like to adapt treatment plans to individual patients rather than just following one-size-fits-all. I believe dentistry is not only about fixing teeth but restoring confidence and comfort in daily life. At the same time, I see myself as a learner—periodontology and implants keep evolving, and I want to stay ahead with continuous training and research.
47 days ago
5

Get an x ray done to see the depth of caries, that will decide if RCT is required, else restoration can be done.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
48 days ago
5

Hello dear See caries is a chronic disease which start from simple dimineralization in form of white or black ( starting) colour It has to be restored properly otherwise on pulpal exposure,it has to undergo RCT I think you are having incipient caries so get it restored timely from nearby dentist in person for further progression Also get an x ray first before getting restoration to see the extent Merely taking medicines will not eleminate the problem However for the temporary relief you can take below medications Tablet voveren xr 50 mg twice or accordingly Tab Augmentin twice a day for 5 days Please get sandwich type of restoration ( GIC+ light cure) combination for better results Hopefully you recover soon Regards

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To address the caries causing your pain, it’s crucial to have an in-person evaluation by a dentist as soon as possible. Based on your description, the black discoloration on the tooth, combined with tenderness to T.O.P (Tender on Percussion), typically indicates significant tooth decay. If the decay has reached the pulp, root canal treatment might indeed be necessary to remove the infected tissue and prevent further damage. Immediate relief can sometimes be managed by taking over-the-counter analgesics like ibuprofen or acetaminophen as directed, assuming no allergies or contraindications apply to you, but keep the dosing interval strictly according to package instructions. Reducing caries involves both treatment and prevention pathways. In the interim to potentially manage discomfort, avoid extreme temperatures in food and drink and refrain from foods high in sugar that can exacerbate decay. This, however, is not a replacement for definitive treatment. Long-term prevention involves consistent oral hygiene practices: regular brushing with fluoride toothpaste at least twice daily, flossing to remove food particles and plaque, and using an antimicrobial mouth rinse can help limit bacterial growth. Avoiding snacks and sugary drinks between meals can also help prevent further caries. Dental visits every six months give professionals opportunities to clean teeth thoroughly and catch early signs of decay before they worsen. If the cavity has not yet reached the stage of requiring a root canal, options such as fillings may be available. These recommendations are all actionable but keep in mind that decay identified by pain and visible damage should not be ignored or delayed. The presence of pain indicates that the case might be more progressed, and untreated cavities can lead to infections that might require more extensive treatment. If any signs of infection, such as swelling, fever, or persistent pain, are present, make sure to obtain timely care, as these are indicators of a more serious progression.

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