Caries: Or something else? Differential Diagnosis

Diseases or changes

  • Deposits on the teeth, e.g., tartar.
  • Noncarious dental defects:
    • Abrasion (loss of tooth structure due to abrasion by foreign bodies).
    • Attrition (abrasion due to contact with adjacent or antagonistic tooth surfaces).
    • Hereditary developmental disorders (tooth hard tissues not formed properly, abnormalities in tooth number and shape).
    • Wedge-shaped defect (probably caused by incorrect loading and resulting bending and tensile stress in the area of the tooth neck).
    • Developmental disorders of the teeth
    • Erosions (due to frequent exposure to acid on clean tooth hard substances).
    • Acquired hypo- or paraplasia (local trauma; disturbances in mineral metabolism due to hormonal disturbances, general infectious diseases or drug influence).
    • External or internal odontogenic resorptions (dissolution of tooth substances, e.g., root dissolution due to periodontal inflammation or granulomas)
    • Mechanical wear
  • Pain can also be triggered by other causes, such as.
  • Places with less pronounced mineralization. These spots thus appear whiter, so-called white spots.
  • Discoloration of the tooth substances, for example, due to plaque from smoking, tea, red wine, etc..