I have 20 cavities – How do I resolve them?

The prevalence of cavities varies among populations and is influenced by factors such as age, socioeconomic status, oral hygiene practices, diet, access to dental care, and fluoride exposure. Globally, dental caries (cavities or tooth decay) is one of the most common health conditions, affecting a large proportion of the population.

Having 20 cavities is considered a significant number and suggests a high risk of tooth decay. It typically indicates that there are several contributing factors or behaviors that are contributing to the development of cavities.

Some possible reasons why a person may have many cavities include poor Oral Hygiene, high Sugar and Acidic Food Intake, infrequent Dental Check-ups, insufficient Fluoride Exposure, dry mouth, hormonal imbalance, certain medical conditions or medications, and so on.

To address the problem of multiple cavities and improve oral health, individuals should consider the following steps:

I have 20 cavities

Steps to getting treatment for Cavities

When faced with multiple cavities, it is important to take action promptly to prevent further deterioration of your oral health.

Here are some steps to help you get started on the right path:

Step 1: Schedule a Dental Appointment

Make an appointment with your dentist as soon as possible. They will conduct a thorough examination of your teeth and develop a treatment plan based on the severity of your cavities.

Step 2: Treatment Planning

Your dentist will discuss the treatment options available to address your cavities. This may include fillings, dental crowns, root canal therapy, or other restorative procedures, depending on the extent of the decay.

  • Dental Fillings: Most cavities can be treated with dental fillings. The decayed portion of the tooth will be removed, and the cavity will be filled with a suitable material, such as composite resin or amalgam.
  • Dental Crowns: If the cavities are extensive or if the tooth structure is weakened, your dentist may recommend dental crowns. Crowns provide additional support and protection to the affected teeth.
  • Root Canal Therapy: If the cavities have reached the inner pulp of the tooth, causing infection or severe pain, root canal therapy may be necessary. This procedure involves removing the infected pulp, cleaning the root canal, and sealing it with a filling material.

Step 3: Prioritize Treatment

Collaborate with your dentist to determine the order in which your cavities should be treated. This is usually based on the urgency of each cavity and the overall condition of your oral health.

Step 4: Improve Oral Hygiene

Adopt a thorough oral hygiene routine, including brushing teeth twice a day with fluoride toothpaste and flossing daily. Using antimicrobial mouth rinses may also be beneficial.

The American Dental Association (ADA) provides recommendations for effective brushing and flossing techniques to prevent tooth decay and gum problems, including:

  • Brushing your teeth for two minutes, twice a day, using a soft-bristled toothbrush
  • Using an electric toothbrush – they have been found to clean teeth and gums more effectively, resulting in fewer cavities and gum recession. A study conducted by the Oral Health Foundation in 2018 revealed that electric toothbrush users had 18% fewer cavities and 22% less gum recession over an 11-year period.
  • Proper brushing technique involves positioning the toothbrush at a 45-degree angle against the gums and using gentle back-and-forth strokes to clean the outer, inner, and chewing surfaces of the teeth. Paying attention to the inside surfaces of the front teeth with a gentle up-and-down motion is essential.
  • Brushing or scraping the tongue is also important to eliminate harmful bacteria and maintain fresh breath.
  • It is recommended to clean your toothbrush with salt water and replace it every 3-4 months to ensure effective cleaning.
  • In addition to brushing, daily flossing is recommended, ideally before bedtime. Flossing helps remove food particles and bacteria from between the teeth, ensuring that these areas remain clean throughout the night when there is no eating or drinking. Developing a flossing routine is crucial, even if it starts small, as consistent flossing plays a significant role in cavity prevention.

By adhering to these oral hygiene practices, individuals can enhance their oral health and reduce the occurrence of cavities.

Step 5: Modify Diet

Reduce the consumption of sugary and acidic foods and drinks, including candies, sodas, acidic fruits, and other bad foods for your teeth as they contribute to tooth decay. Opt for a balanced diet rich in fruits, vegetables, and calcium-rich foods to support healthy teeth.

Step 6: Identify risk factors and manage them

There are many risk factors that can make you more susceptible to dental cavities, ranging from hormonal imbalance to poor eating habits to certain medical conditions and medications.

Your dentist can help you identify the reasons why you are at higher risk of cavities and recommend appropriate interventions. Common risk factors for cavities include:

  • Teeth Grinding and Clenching: Persistent teeth grinding (bruxism) and clenching can wear down tooth enamel, making your teeth more prone to decay and cavities.
  • Using Teeth as Tools: Using your teeth to open packages, tear tape, or bite on hard objects can chip or crack your teeth, creating openings for bacteria to enter and cause cavities.
  • Dry MouthHaving a dry mouth due to medical conditions, certain medications, or mouth breathing reduces saliva production. Saliva helps neutralize acids and wash away food particles, so a lack of saliva increases the risk of cavities.
  • Tobacco Use: Smoking and tobacco use contribute to oral health problems, including an increased risk of cavities, gum disease, and oral cancer.

To prevent cavities, it is important to address any harmful habits or conditions that can negatively impact your dental health.

Step 7: Fluoride Use

Ensure adequate exposure to fluoride by using fluoride toothpaste, drinking fluoridated water if available, and considering professional fluoride treatments if recommended by a dentist.

Step 7: Regular Dental Checkups

Maintain regular visits to your dentist for checkups and cleanings. This allows your dentist to monitor the condition of your teeth, identify any new cavities or issues, and provide preventive treatments.

Final thoughts

Remember, each case is unique, and it’s essential to consult with a dental professional who can provide personalized advice and develop a treatment plan tailored to your specific needs. By treating your cavities promptly, addressing specific risk factors, and adopting good oral hygiene practices, you can restore your oral health and significantly reduce your risk of cavities and other dental problems in the future, allowing you to enjoy a healthy smile.


  • Editorial team

    A team comprising oral health care professionals, researchers, and professional Writers, striving to impart you with the knowledge to improve your oral health, and that of your loved ones. 

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