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Not all cavities are equal, it’s a disease process that exists on a spectrum. Early decay involves mineral loss, but can be stopped or reversed if it’s caught early enough. Once the tooth structure is physically broken down, it needs restorative treatment. Primary lesions may still be managed conservatively if non-cavitated, but small fillings are needed once the enamel surface breaks down. When decay reaches the dentin, it can no longer remineralize and requires a filling. Extensive lesions inv
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