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Enamel decays in stages when a cavity begins to form, so taking early action can prevent it from progressing. Tooth enamel is a hard and mineralized coating that protects your pulp and dentin – the soft inner layers of the tooth. When acids from common mouth bacteria attack the enamel, it begins to change colour. This is the first sign of enamel decay.

Tooth Enamel

Tooth enamel is the hardest substance in your body. It is a crystal-like material, made mostly of a mineral called hydroxyapatite, that also contains smaller amounts of similar minerals. The natural colour of enamel ranges from light yellow to grayish white; because it is semi-translucent, the colour of the tooth’s inner area contributes to its overall appearance.

Tooth enamel does not contain living cells, so you don’t feel the first effects of its decay. The enamel slowly breaks down under acid erosion, and when it is worn away completely, it does not grow back.

Mouth Bacteria

“Streptococcus mutans” is the bacterium responsible for enamel decay, and it lives in the mouth from the time your baby teeth erupt.  When plaque sticks to tooth enamel, other mouth bacteria inhabit it. Together with Streptococcus mutans, the bacteria convert sugars in food to lactic acid, which demineralizes the enamel.

Stages of Tooth Enamel Decay

In its early stages, enamel decay is reversible. Cavities form very soon, however, and only a dentist can treat the damage. When lactic acid breaks down the minerals in your enamel, it turns white – but unfortunately not the white you want. The first sign of decay is actually a white patch on the tooth, and at this stage, improving your oral health habits and treatments are vital to prevent the decay from progressing.

In the second and third stages of enamel decay, explains the University of Rochester Medical Center, the affected area turns light brown and then dark brown. Finally, the enamel wears off, allowing the acids to enter the soft inner part of the tooth and develop a cavity. Without treatment, this cavity grows larger and the tooth can become painful.

Preventing Enamel Decay

Tooth enamel cannot regrow, but it can remineralize at its remaining points with the help of fluoride. According to UC Santa Barbara, repeatedly coating tooth enamel with low concentrations of fluoride enables it to quickly grow new and larger enamel crystals.

Brushing twice a day with fluoride toothpaste provides regular exposure to fluoride and, along with once-a-day flossing, helps keep the teeth free of plaque and other harmful acids. Using a fluoridated mouthwash also prevents existing decay from progressing. Your dentist can provide similar fluoride treatments to further protect the teeth and remineralize any weakened enamel.

Tooth enamel is a tough substance, but it still needs your protection. Good oral care can ward off an acid attack, but you should also check your teeth regularly for white or brown areas that signal the start of decay. Your dentist is looking for these and other warning signs at every checkup to help you keep your tooth enamel in top condition.