Sugar-dependent disease resulting into cavities or holes in the teeth.


  • Poor oral hygiene results in bacteria accumulation in a plaque on the tooth surface. Acid produced as a by-product of metabolism of dietary carbohydrate by the plaque bacteria causes demineralization and disintegration of the tooth surface forming a cavity

Clinical features

  • Localized toothache
  • Cavitations in the teeth
  • Tooth sensitivity to hot and cold stimuli
  • Susceptible sites include pits and fissures of the posterior teeth, interproximal surfaces, and teeth in malocclusion

Differential diagnosis

  • Dental abscess
  • Referred pain from ENT infections, commonly sinusitis


  • Paracetamol 1 g every 8 hours
    Child: 10-15 mg/kg every 8 hours
  • Or ibuprofen 400 mg every 8 hours
    Child: 7-13 mg/kg every 8 hours
  • filling or extraction