Cavities/tooth decay

Mayo Clinic Health Manager

Get free personalized health guidance for you and your family.

Get Started

Free

E-Newsletter

Subscribe to receive the latest updates on health topics. About our newsletters

  • Housecall
  • Alzheimer's caregiving
  • Living with cancer

Symptoms

By Mayo Clinic staff

The signs and symptoms of cavities and tooth decay vary depending on the extent and location of the cavity. When a cavity is just beginning, you may not have any symptoms at all.

But as the decay gets larger, it may cause such signs and symptoms as:

  • Toothache
  • Tooth sensitivity
  • Mild to sharp pain when eating or drinking something sweet, hot or cold
  • Visible holes or pits in your teeth
  • Pain when you bite down
  • Pus around a tooth

When to see a doctor
You may not be aware that a cavity is starting, so visiting your dentist regularly is your best protection against cavities and tooth decay. However, a toothache or tooth pain is commonly a telltale sign of a cavity. If your teeth or mouth hurts, visit your dentist as soon as possible.

In addition to pain, contact your dentist if you develop any of these signs or symptoms:

  • Red, tender or swollen gums
  • Bleeding gums
  • Gums that are pulling away from your teeth, which may make your teeth seem longer
  • Pus around your teeth and gums when you press on the gums
  • A bad taste in your mouth
  • Unexplained bad breath
  • Loose teeth
  • Changes in the way your top and bottom teeth touch
  • Sensitivity to sweet, hot or cold foods or beverages
  • Pain that causes you to avoid brushing or cleaning certain teeth or areas

If a cavity is treated before it starts causing pain, you probably won't need extensive treatment. That's why it's important to have regular dental checkups and cleanings even when your mouth feels fine. By the time you notice symptoms, the damage is getting worse.

References
  1. Gonsalves W. Oral health. In: South-Paul JE, et al. Current Diagnosis & Treatment in Family Medicine. 2nd ed. New York, N.Y.: McGraw-Hill/Lange; 2007. http://www.accessmedicine.com/content.aspx?aID=3036775. Accessed March 9, 2009.
  2. Durso SC. Oral manifestations of disease. In: Fauci AS, et al. Harrison's Principles of Internal Medicine, 17th ed. New York, N.Y.: McGraw-Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aID=2862909. Accessed March 9, 2009.
  3. Plaque: What it is and how to get rid of it. National Institute of Dental and Craniofacial Research. http://www.nidcr.nih.gov/NR/rdonlyres/0C900F9D-C582-4609-A62C-CF4AB53E84A0/0/Plaque_brochure.pdf. Accessed March 9, 2009.
  4. Seal out tooth decay. National Institute of Dental and Craniofacial Research. http://www.nidcr.nih.gov/OralHealth/Topics/ToothDecay/SealOutToothDecay.htm. Accessed March 9, 2009.
  5. Fact sheet: Tooth decay. Academy of General Dentistry. http://www.agd.org/public/OralHealthFacts/files/pdfgenerator.aspx?pdf=FS_ToothDecay.pdf&id=. Accessed March 9, 2009.
  6. Eating habits that can harm teeth. Journal of the American Dental Association. 2002;133:1739.
  7. The oral health of older Americans. Centers for Disease Control and Prevention. http://www.cdc.gov/OralHealth/publications/factsheets/adult_older.htm. Accessed March 12, 2009.
  8. Kagihara LE. Assessment, management, and prevention of early childhood caries. Journal of the American Academy of Nurse Practitioners. 2009;21:1.
  9. Caries. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec08/ch095/ch095b.html. Accessed March 8, 2009.
  10. Oral health: Preventing cavities, gum disease, and tooth loss. Centers for Disease Control and Prevention. http://www.cdc.gov/nccdphp/publications/aag/pdf/doh.pdf. Accessed March 9, 2009.
  11. Dental amalgam use and benefits. Centers for Disease Control and Prevention. http://www.cdc.gov/OralHealth/publications/factsheets/amalgam.htm. Accessed March 12, 2009.

DS00896

April 28, 2009

© 1998-2009 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "EmbodyHealth," "Reliable tools for healthier lives," "Enhance your life," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

Print Share Reprints

Text Size: smaller largerlarger