When you first notice mild tooth sensitivity or a small dark spot on your tooth, it’s tempting to wait and see if it improves on its own. After all, cavities don’t always hurt right away.
However, while some very early signs of decay can be managed through improved hygiene and fluoride treatments, true cavities do not go away on their own—and waiting too long for treatment can make the problem worse.
At Bella Dental in Oxnard, we often see patients who hope their cavities will heal naturally. The good news is that when caught early, decay can be treated quickly, comfortably, and effectively with dental fillings. Understanding how cavities form and why professional care is essential can help you take the right steps to protect your teeth and avoid more serious problems later.
A cavity, also known as dental caries, is a damaged area of the tooth caused by decay. It begins when bacteria in the mouth produce acids that erode the protective outer layer of enamel.
Over time, this erosion creates tiny holes or weak spots in the enamel. If untreated, these areas grow larger, eventually reaching the softer inner layers of the tooth (the dentin and pulp).
The process doesn’t stop on its own—once bacteria break through the enamel, they continue spreading deeper, causing pain, infection, and in severe cases, tooth loss.
Tooth decay is the result of several factors working together. Understanding the process helps explain why treatment is necessary.
Your mouth naturally contains bacteria that feed on sugars and carbohydrates from food. When these combine with saliva, they form a sticky layer called plaque that clings to the teeth.
The bacteria in plaque produce acid that begins to dissolve tooth enamel. Each time you eat or drink something sugary or starchy, another acid attack occurs.
Over time, the acids weaken the enamel, creating microscopic holes that grow larger if the plaque isn’t removed. Once the enamel surface is compromised, the bacteria can reach deeper layers.
As decay advances into the dentin, you may start feeling sensitivity or pain. If the decay reaches the pulp (the tooth’s nerve), infection and inflammation can develop, often requiring a root canal to save the tooth.
In the very earliest stages, before an actual hole has formed, it is possible to remineralize weakened enamel with good oral hygiene, fluoride, and professional care.
At this early stage, you might notice faint white spots on the enamel—these are signs that minerals have started leaching out due to acid exposure.
Fluoride treatments and improved brushing habits can help the enamel repair itself before a cavity fully develops.
However, once a cavity has formed, the enamel cannot regenerate on its own. The lost tooth structure doesn’t grow back, and the only way to restore the tooth is with a filling or other dental restoration.
Cavities are progressive. Without professional intervention, they continue to grow and deepen, affecting more layers of the tooth. Here’s why they can’t reverse naturally:
Ignoring a cavity allows the damage to expand, which can lead to pain, infection, and even tooth loss.
Cavities often start quietly, which is why regular dental checkups are so important. Common signs include:
Even if the symptoms seem minor, decay can progress quickly. Early detection makes treatment simpler and helps preserve more of your natural tooth structure.
Delaying treatment gives bacteria more time to spread. Over time, untreated cavities can lead to:
Once decay reaches the inner layers of the tooth, it can cause inflammation and infection in the pulp.
As the nerve becomes irritated, pain may increase, making it difficult to eat or drink comfortably.
If the infection progresses, the tooth may require a root canal treatment or, in severe cases, removal.
Decay can spread to nearby gums and bone, leading to swelling, abscesses, or jaw discomfort.
Bacteria can spread to neighboring teeth, creating additional cavities and accelerating oral health issues.
The earlier decay is treated, the easier and less costly it is to fix.
At Bella Dental, dental fillings are one of the most common and effective treatments for restoring a tooth affected by decay.
The process is straightforward, typically completed in a single visit:
Your dentist examines the tooth and may take X-rays to determine the extent of the decay. The area is numbed for comfort.
The decayed portion of the tooth is gently removed, and the area is cleaned to eliminate bacteria.
A tooth-colored composite resin (or another suitable material) is placed in layers, shaped to fit the tooth, and hardened with a special curing light.
Your dentist smooths and polishes the filling, checking your bite to ensure it feels natural.
This process not only stops the decay but restores the tooth’s structure, allowing you to chew and smile comfortably again.
The right filling material depends on where the cavity is and how much force that tooth experiences. Common options include:
Your Bella Dental dentist will recommend the best choice based on your specific needs.
With proper care, most dental fillings last 5 to 15 years or longer. The exact lifespan depends on the material, the size of the filling, and your oral hygiene habits.
Regular checkups allow your dentist to monitor your fillings and make minor adjustments or replacements as needed.
While cavities can’t heal on their own, they can often be prevented with consistent care and healthy habits. Here’s how:
Use fluoride toothpaste and a soft-bristled toothbrush. Brush for two minutes, covering all surfaces of your teeth.
Flossing removes plaque and food debris from between teeth, where cavities often start.
Limit sugary snacks, sodas, and acidic foods that feed bacteria. Eat plenty of fruits, vegetables, and calcium-rich foods.
Drinking water helps rinse away food particles and keeps saliva levels balanced, which naturally protects your teeth.
Routine exams and cleanings at Bella Dental allow your dentist to spot early signs of decay and treat them before they become serious.
Professional fluoride applications strengthen enamel and can help reverse early demineralization before a cavity forms.
It’s natural to feel uneasy about dental work, but modern fillings are quick, comfortable, and performed with your relaxation in mind.
At Bella Dental, we use gentle techniques and advanced technology to make the process as smooth as possible. Most patients feel little to no discomfort, and many are surprised by how easy it is to complete their treatment.
Addressing decay early helps preserve your natural tooth and avoid more extensive procedures later.
Early treatment provides:
In short, the sooner you treat a cavity, the simpler—and more effective—the solution will be.
If you suspect a cavity or have been experiencing sensitivity, don’t wait for it to worsen. Cavities won’t go away on their own, but with the right care, your tooth can be fully restored to health and comfort.
At Bella Dental in Oxnard, our experienced team provides strong, natural-looking fillings that repair damage and protect your smile for years to come. We’ll walk you through every step and ensure you feel confident about your care.
Book your appointment today to restore your smile and stop decay before it spreads.
Only the earliest signs of enamel weakness can be reversed. Once a cavity has formed, it requires professional treatment.
No. The area is numbed for comfort, and most patients report little to no discomfort during the procedure.
Most fillings are completed in less than an hour.
Yes. Once the numbness wears off, you can resume eating—just avoid very hard or sticky foods for 24 hours.
Eventually, fillings may wear down and need replacement. Regular exams help identify when that time comes.
Yes. Composite fillings are durable, long-lasting, and blend beautifully with your natural teeth.
Absolutely. Good brushing and flossing habits, along with regular checkups, go a long way in preventing decay.

Call Bella Dental at (805) 394-3000 for more information on booking an appointment, or fill out the form below and we will reach out to you!