Caries is one of the most common dental diseases. But did you know a tooth can decay even after a filling? This is called secondary caries.
What is secondary caries?
It’s the re-decay of tooth structure under or near an existing filling, crown, or restoration. It occurs when bacteria enter microgaps between the tooth and the filling material.
Main causes:
- Poor seal between tooth and filling
 - Inadequate prior treatment
 - Wear of the restoration over time
 - Poor oral hygiene
 - Hidden decay missed during earlier check-ups
 
Symptoms:
- Pain or sensitivity when biting
 - Discoloration around the filling
 - Bad breath
 - Roughness felt with the tongue
 - Gaps between the filling and tooth
 
Note: Secondary caries may be asymptomatic.
Treatment includes
- Removal of the old filling
 - Thorough cleaning of the cavity
 - Root canal treatment (if needed)
 - New filling or crown
 
Prevention tips
- Visit your dentist regularly (2x per year)
 - Monitor old fillings
 - Act immediately on symptoms
 - Maintain hygiene: brushing, flossing, rinsing
 - Use remineralizing products if teeth are sensitive
 
If you suspect secondary caries — don’t delay. At Kadrioru Plaza, our experienced doctors use pain-free techniques and modern diagnostics to restore your teeth and comfort.