Caron Glickman DDS
General & Cosmetic Dental Spa, Modern Integrative Dentistry,
Duvall Dental & Smile Makeover
(425) 788-1551

Cavities

Cavities are:

the de-mineralized areas—or holes, that form as a result of a bacterial infection on your teeth.

This infection takes place when the normal healthy bacteria in the mouth are out-numbered by acid-producing bacteria and is called Dental Caries.

Dr. Glickman is able to do much more than the typical "drill-N-fill" cavity fix for you.

Natural color matched fillings are the most popular, but there are several types of fillings we can work with to accomplish the best results for you. Plaque is a biofilm on the surfaces of the teeth.

Cavity Free for Life!

Yes, you really can be cavity free.  Fight your tooth decay the easy way with the CariFree™ treatment!
Dr. Glickman help you become cavity-free by assessing your risk for dental Caries in the comfort of the Great-Smile dental spa.  Diagnosing the presence of the bacterial infection that causes cavities, and treating the infection using preventive medical techniques rather than traditional "drill and fill" methods, is the first step to becoming cavity free for life.

You mean cavities aren't just bad things that happen to good people?

Cavities are the de-mineralized areas, or the holes, that form in teeth as a result of a bacterial infection called dental caries.  "Caries" is the technical term for the bacterial infection that causes cavities.
A caries infection occurs when an oral environment allows for the infectious bacteria to take hold.  "This infection takes place when the normal healthy bacteria in the mouth are replaced by acid-producing bacteria".  This shift in bacteria is primarily caused by two things:

  • Prolonged acidic oral environment: caused by a lack of saliva or a sugary/acidic diet that favors acid-producing bacteria.
  • Transmission: this infection is contagious!  You can be infected by someone through exchange of saliva.

Drilling and filling has been the traditional method of treating cavities, but it doesn't treat the infection, just the resulting cavitatim.  Brushing and floss have been the traditional method of prevention, but it does not change the pH (acidity) of the oral environment or treat the infection once it exists.

The caries infection is a very complex “biofilm” infection.  There are currently 23 identified strains of bacteria and even some strains of yeast that all have the ability to metabolize and ferment the carbohydrates and sugars that we ingest and produce lactic, acetic, and formic acids as a waste product.  These acids are responsible for eating away at the hard coating of the tooth, enamel. This causes demineralization, and eventual cavitation, holes, within the enamel.  The research and understandings of this process are far reaching, offering new avenues for prevention and treatment.  Long-gone are the days when cavities were just bad things that happened to good people.  They are caused by an infection that can be identified and treated.

Some of the challenges involved with treating the caries infection arise because it does encompass so many pathogens (organisms causing disease).   Most infections we deal with are pathogen-specific, meaning there is one specific virus, bacteria, fungus, etc. that causes the infection.  These diseases are, for the most part, easy to diagnose and treat, and respond well to antibiotics or can be prevented with vaccination.  Examples might be strep throat, measles, ring worm, etc.  But biofilm infections not only encompass many pathogens, but the structure of the biofilm community can be very protective and tough to penetrate.  So, treating the infection not only involves agents able to dissolve the biofilm community in order to access the bacteria, but also using treatment that is able to affect the whole range of pathogens present.

These pathogens may also behave very differently when in the biofilm than when studied in the laboratory on a petri dish.  Biofilm bacteria may undergo as many as 84 genetic mutations within this complex community, helping them to survive and manipulate their environments in atypical ways.

The other research emerging in treating this infection is with regard to pH.  The bacteria that live in the mouth, good and bad, survive in very specific pH ranges.  The acid-producing type thrive at acidic pH levels, and die in an alkaline environment, while the healthy bacteria thrive in a neutral to slightly alkaline environment and die at acidic pH levels.  So, another way we can work to reverse the infection is by using alkaline solutions to neutralize the oral pH.