Nearly 90 percent of American adults aged 20 to 64 have experienced tooth decay, leaving them vulnerable to infection and even heart disease, according to federal data. While drilling is a common treatment, experts advise patients to consider several factors before proceeding.
Not All Cavities Need Immediate Fillings
Many cavities do not require a filling right away. However, delaying treatment too long can lead to serious complications. If decay has not penetrated the enamel, dentists may recommend improved brushing or flossing instead. Dr. Sara Stuefen, an Iowa dentist and American Dental Association spokeswoman, notes that there is still a chance to reverse early decay with proper care.
The Financial Aspect of Dental Procedures
Dentistry is a business, and surgical interventions generate higher bills than cleanings or X-rays. A filling can cost over $200 with insurance, while a crown may reach $2,000. Dr. Diana Nguyen, an associate clinical professor at UC San Francisco, explains that more surgical intervention leads to greater financial payout. However, this does not imply that all dentists are motivated by profit; opinions on necessary treatment can vary between practitioners.
Risks of Waiting vs. Treating
Some dentists advocate monitoring smaller cavities to avoid unnecessary procedures. Large or old fillings increase the risk of fractures, potentially requiring additional treatments. Conversely, postponing a filling for just six months can cause difficulty chewing, extreme discomfort, and compromise tooth structure. Cavities reaching the living soft tissue may necessitate a root canal, and in severe cases, tooth loss can affect eating and facial appearance.
Ultimately, the decision rests with you and your dentist, balancing the benefits of early intervention against the costs and potential overtreatment.
