Self-management

Prevention

Good oral and dental hygiene can help you avoid cavities and tooth decay. Here are some tips to help prevent cavities. Ask your dentist which tips are best for you.

  • Brush with fluoride toothpaste after eating or drinking. Brush your teeth at least twice a day and ideally after every meal, using fluoride-containing toothpaste. To clean between your teeth, floss or use an interdental cleaner.
  • Rinse your mouth. If your dentist feels you have a high risk of developing cavities, he or she may recommend that you use a mouth rinse with fluoride.
  • Visit your dentist regularly. Get professional teeth cleanings and regular oral exams, which can help prevent problems or spot them early. Your dentist can recommend a schedule that's best for you.
  • Consider dental sealants. A sealant is a protective plastic coating applied to the chewing surface of back teeth. It seals off grooves and crannies that tend to collect food, protecting tooth enamel from plaque and acid. The Centers for Disease Control and Prevention (CDC) recommends sealants for all school-age children. Sealants may last for several years before they need to be replaced, but they need to be checked regularly.
  • Drink some tap water. Most public water supplies have added fluoride, which can help reduce tooth decay significantly. If you drink only bottled water that doesn't contain fluoride, you'll miss out on fluoride benefits.
  • Avoid frequent snacking and sipping. Whenever you eat or drink beverages other than water, you help your mouth bacteria create acids that can destroy tooth enamel. If you snack or drink throughout the day, your teeth are under constant attack.
  • Eat tooth-healthy foods. Some foods and beverages are better for your teeth than others. Avoid foods that get stuck in grooves and pits of your teeth for long periods, or brush soon after eating them. However, foods such as fresh fruits and vegetables increase saliva flow, and unsweetened coffee, tea and sugar-free gum help wash away food particles.
  • Consider fluoride treatments. Your dentist may recommend periodic fluoride treatments, especially if you aren't getting enough fluoride through fluoridated drinking water and other sources. He or she may also recommend custom trays that fit over your teeth for application of prescription fluoride if your risk of tooth decay is very high.
  • Ask about antibacterial treatments. If you're especially vulnerable to tooth decay — for example, because of a medical condition — your dentist may recommend special antibacterial mouth rinses or other treatments to help cut down on harmful bacteria in your mouth.
  • Combined treatments. Chewing xylitol-based gum along with prescription fluoride and an antibacterial rinse can help reduce the risk of cavities.
July 19, 2017
References
  1. Caries. Merck Manual Professional Version. http://www.merckmanuals.com/professional/dental-disorders/common-dental-disorders/caries. Accessed March 3, 2017.
  2. Dental caries (tooth decay). Centers for Disease Control and Prevention. https://www.cdc.gov/healthywater/hygiene/disease/dental_caries.html. Accessed March 3, 2017.
  3. Water fluoridation basics. Centers for Disease Control and Prevention. https://www.cdc.gov/fluoridation/basics/index.htm. Accessed March 3, 2017.
  4. About dental amalgam fillings. U.S. Food and Drug Administration. https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DentalProducts/DentalAmalgam/ucm171094.htm. Accessed March 4, 2017.
  5. Dental sealants prevent cavities. Centers for Disease Control and Prevention. https://www.cdc.gov/vitalsigns/dental-sealants/. Accessed March 3, 2017.
  6. The tooth decay process: How to reverse it and avoid a cavity. National Institute of Dental and Craniofacial Research. https://www.nidcr.nih.gov/OralHealth/OralHealthInformation/ChildrensOralHealth/ToothDecayProcess.htm#. Accessed March 3, 2017.
  7. Root canals. American Dental Association. http://www.mouthhealthy.org/en/az-topics/r/root-canals. Accessed March 4, 2017.
  8. Cavities. American Dental Association. http://www.mouthhealthy.org/en/az-topics/c/cavities. Accessed March 3, 2017.
  9. Anorexia nervosa. American Dental Association. http://www.ada.org/en/member-center/oral-health-topics/anorexia-nervosa. Accessed March 4, 2017.
  10. AskMayoExpert. Dental caries. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017.
  11. Dry mouth. National Institute of Dental and Craniofacial Research. https://www.nidcr.nih.gov/OralHealth/Topics/DryMouth/DryMouth.htm#. Accessed March 4, 2017.
  12. Nutrition: What you eat affects your teeth. American Dental Association. http://www.mouthhealthy.org/en/nutrition/food-tips. Accessed March 4, 2017.
  13. Wright JT, et al. Evidence-based clinical practice guideline for the use of pit-and-fissure sealants. Journal of the American Dental Association. 2016;147:672.
  14. Salinas TJ (expert opinion). Mayo Clinic, Rochester, Minn. March 17, 2017.