Tooth Decay in Adults: It’s More Common Than You Think

26/05/2025

Tooth Decay in Adults: It’s More Common Than You Think

Tooth decay isn’t just a childhood issue. In fact, many adults are surprised to discover they’re dealing with dental decay, even if they’ve had relatively few problems in the past.

At Harley Private Dental, we see firsthand how common adult tooth decay is, and more importantly, how manageable it can be with the right care. If you’re noticing changes in your teeth or you’ve been putting off a check-up, this post is for you.

In this article, we’ll break down why decay happens, what signs to look for, and how we can help you keep your smile strong and healthy at any age.

Why Do Adults Get Tooth Decay?

Tooth decay, or dental caries, occurs when acids in the mouth erode the protective outer layer of the tooth—called enamel. This often results from a build-up of plaque, a sticky film of bacteria that feeds on sugars from food and drink.

Although we often associate decay with children (thanks to sugary snacks and irregular brushing), adults face their own risk factors, including:

• Gum recession – As we age, gums can recede, exposing softer root surfaces that are more vulnerable to decay.
• Dry mouth – Saliva plays a key role in neutralising acids. Many medications (including those for blood pressure, allergies, and depression) reduce saliva production.
• Busy lifestyles – Skipping dental visits or relying on convenience foods high in sugar or starch can increase the risk.
• Previous dental work – Old fillings, crowns or bridges can wear down or trap bacteria, leading to new decay around the edges.
• Changes in diet – Even “healthy” habits like sipping fruit juice or grazing throughout the day can contribute to acid attacks on your teeth.

Signs You May Have Tooth Decay

In its early stages, decay can be easy to miss. That’s why regular check-ups are so important. However, there are some symptoms to keep an eye out for:

• Sensitivity to hot, cold or sweet food and drinks
• Discomfort when biting or chewing
• Discolouration—such as white, brown or black spots on the tooth
• A persistent bad taste or bad breath
• Visible holes or pits in the tooth
• Occasional or lingering toothache

If any of these sound familiar, don’t wait. Getting treatment early is key to preserving your tooth and avoiding more extensive procedures later on.

How We Treat Tooth Decay

The good news? When caught early, tooth decay is very treatable.We’ll always begin with a thorough examination using magnification and, if needed, digital X-rays to detect decay that might not be visible to the naked eye.

Here’s how we typically manage decay depending on its severity:

1. Using Flouride

In the very early stages, before a cavity forms, we may recommend ways to improve your brushing, and suggest toothpast with higher fluoride levels to help re-mineralise the enamel.

2. Fillings

If a cavity has developed, we’ll remove the decayed area and restore the tooth with a natural-looking, tooth-coloured filling. Modern materials are strong, durable and blend beautifully with your smile.

3. Inlays, Onlays or Crowns

If more of the tooth structure is damaged, we may use inlays, onlays or crowns to restore strength and function while maintaining aesthetics.

4. Root Canal Treatment

If decay has reached the inner pulp of the tooth, a root canal may be needed to remove the infection and save the tooth.

Whatever the treatment, our approach is always gentle, clear, and tailored to your comfort. We’ll explain your options fully and support you every step of the way.

Prevention Is Always Better Than the Cure

While decay is common, it’s also largely preventable with a few consistent habits:

• Brush twice daily with a fluoride toothpaste, especially before bed
• Clean between your teeth using floss or interdental brushes
• Limit sugary and acidic snacks and drinks, especially between meals
• Drink water frequently, particularly if you suffer from dry mouth
• Attend regular dental check-ups and hygiene appointments
• Avoid smoking, which increases your risk for decay and gum disease

We’ll always help you personalise your oral care routine based on your needs and lifestyle. Prevention is a team effort, and we’re here to guide you, not judge you.

Fighting Tooth Decay at Harley Private Dental

Tooth decay in adults is far more common than many realise, but with early detection, modern treatments, and a supportive team, it’s something we can tackle together.

At Harley Private Dental, we believe in taking a compassionate, proactive approach to your oral health, whether you’re coming in with concerns or simply want peace of mind.

If you’ve noticed changes in your teeth or it’s been a while since your last check-up, don’t put it off. Your smile is worth looking after. Contact us today to book your next appointment. 

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