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Why are my teeth decaying so fast and do I need RCT for all my aching teeth?
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Dental & Oral Disorders
Question #29001
90 days ago
223

Why are my teeth decaying so fast and do I need RCT for all my aching teeth?

Client_c0b154

I had cavities n fillings in many tooth.now they are aching again n the doctorhas told that need rct in all that ache . Is rct must for all. Pain is moderate. Fillings are not longer than past five years or less. Why my teeth is decaying so fast.

How long have you been experiencing tooth pain?:

- More than 6 months

Have you noticed any specific triggers for your tooth pain?:

- Sweet foods

How often do you visit the dentist for check-ups?:

- Once a year
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Doctors' responses

Based on your history of multiple filled teeth with long-standing (over 6 months) mild but persistent pain, especially on biting, this suggests that some of those teeth may have deep decay or irritation reaching the nerve, a condition often leading toward Pulpitis. In such cases, simple refilling usually does not solve the problem if the nerve is already affected; that is why your dentist is recommending Root canal treatment (RCT). However, not all filled teeth automatically need RCT—only those with confirmed nerve damage (based on X-ray, sensitivity tests, or severe symptoms). Some teeth with minor leakage or shallow decay can still be managed with refilling or crown placement. The best approach is to treat teeth one by one based on severity, starting with the most painful or infected. In summary, RCT can sometimes be avoided in early cases, but if the nerve is involved, it is the correct treatment to save the tooth, and not all your filled teeth will necessarily require it.

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Hello dear See RCT is always the last resort. First there is excavation of caries which is followed by either restoration of gic or sandwich technique (gic + light cure) However in case of reversible pulpits Ipc or indirect pulp capping is done It is associated with Sedative dressing Dentinal barrier to prevent further progression However iopa or x ray is must to evaluate the extent. So please consult the concerned dentist and as per iopa or clinical history get treatment done. Not all pain ful conditions require RCT. Some times desensitised paste are useful Regards

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Why your teeth are decaying quickly might be tied to several factors. Possible causes include poor oral hygiene, high sugar diet, genetic predisposition, or underlying medical conditions that affect oral health. Regular plaque buildup on teeth leads to decay; you might not be adequately removing it with brushing and flossing. If you consume sugary foods and drinks often, the sugar can mix with bacteria in your mouth to form an acid that attacks the enamel. Conditions like dry mouth or acid reflux might also contribute to erosion. Assess your daily habits and consider any recent lifestyle changes that might have impacted your oral health. If your doctor is recommending root canal treatment (RCT) for all aching teeth, it’s likely due to the decay having reached the pulp or the nerve inside your tooth. When this happens, simply refilling may not be effective as the internal part of the tooth could be infected. It’s reasonable to consider a second opinion, but if X-rays and clinical evaluation reveal infection or pulp involvement, RCT is often necessary to save the tooth and prevent the spread of infection. Pain that is moderate but persistent is another indicator that the issue may be worsening. To manage this, practice impeccable oral hygiene — brush twice a day with fluoride toothpaste, floss daily, reduce intake of sugary foods, and visit your dentist regularly for cleanings and exams. If lifestyle factors are contributing, modifying them can be vital to stopping further decay. If any tooth discomfort escalates significantly, alert your dentist quickly as delayed care can worsen oral infections, leading to complications. Running a conversation with your dentist about any lifestyle or dietary changes that might be increasing your risk for decay can also be revealing and helpful.

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