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Sometimes a massive cavity can hide in BETWEEN the teeth, and isn't visible at all. So what does it truly look like inside one of these hidden caverns of decay? Had this patient not seen his dentist (i.e. me) and had a dental x-ray taken, he would not have known he had a cavity until it was too late. With the microscope I had an idea that there was a cavity here even without an x-ray. After looking at the x-ray, I realized massive dental decay was present, and that this tooth had days, maybe weeks, before a toothache would begin. How is this possible? The bacteria that cause dental caries (aka cavities) can sneak in through a small breach in the enamel surface. Once underneath, it's like having a trojan horse - utter destruction of your tooth under the chewing surface, without you even knowing it. The decay turns hard tooth structure into mush, and all of it needs to be removed in order for the tooth to be safe. Afterwards, once the cavity has been removed, we need to properly fill the tooth to seal it under ideal conditions, otherwise you can get a cavity underneath the filling. MY FAVOURITE GEAR (these are NOT affiliate links - I don't receive ANY money for you clicking on them :) ) MICROSCOPE: Global A6 - https://www.globalsurgical.com - built like a tank and made to last a career. Highly recommend. CURING LIGHT: Valo Light - https://www.ultradent.com/products/ca... Also built like a tank. My assistant dropped our Valo light so many times and it doesn't miss a beat. COMPOSITE: Filtek Supreme Ultra - https://www.3m.com/3M/en_US/p/d/espe_... RUBBER DAM: Hedy Non-Latex Rubber Dams - sold through many different suppliers. They are amazing, feel like latex (even though they're note), and very resistant to tearing. #massivecavity #cavity #cavityunderneath