A hole in the tooth is caries
A 'hole in the tooth' is the visible result of caries. Bacteria convert sugar from food into acid, which gradually demineralises the enamel. If the process isn't stopped, a real cavity forms — a hole that reaches deeper and deeper over time, all the way to the tooth nerve.
How do you recognise caries?
The tricky part: caries doesn't hurt for a long time. Watch for early signs:
- White, chalky or brownish discolouration on the tooth
- Sensitivity to sweet, cold or hot things
- A rough spot or a visible or palpable hole
- Pain — usually only when the caries is already deep
Because pain comes late, regular check-ups are so important — with an X-ray we also find caries where you can't see it, and before it reaches the nerve.
How is a hole in the tooth treated?
The earlier, the gentler and cheaper. The treatment depends on how deep the caries already reaches:
- Early caries (enamel only)Often still stoppable without drilling — with intensive fluoridation and good oral hygiene the enamel can partly remineralise.
- Small to medium holeThe carious area is removed and filled with tooth-coloured material — a <a href="/en/behandlungen/zahnkronen">filling</a> from CHF 300.
- Large defectIf too little healthy substance remains, a partial crown or <a href="/en/behandlungen/zahnkronen">crown</a> (from CHF 1’900) protects the tooth.
- Down to the nerveIf the caries reaches the pulp, a <a href="/en/blog/wurzelbehandlung-ablauf-schmerzen-kosten">root canal treatment</a> becomes necessary — usually followed by a crown.
Cost (depending on extent)
How to prevent caries
- Brush twice a day with fluoride toothpaste — and clean the interdental spaces daily.
- Reduce sugar and acidic drinks and don't snack constantly in between.
- Regular professional cleaning — it removes plaque and tartar where the brush can't reach.
- A check-up once or twice a year — so caries is detected early.
Do you suspect a hole or have a sensitive spot? Getting it checked early is simpler, gentler and cheaper. You can find more about our dental hygiene and prevention on the treatment page — or arrange an appointment at our practice at Löwenplatz in Zurich.
This article is for general information only and does not replace individual dental advice. Whether and which treatment is right for you is something we determine in a personal consultation based on your individual situation.
