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~30% of US adults

🦷 Untreated Cavity

Dental decay that has not yet reached the pulp. Without treatment, decay progresses deeper, eventually leading to pulp infection and root canal or extraction.

Information, not diagnosis. These are evidence-informed, population-level estimates drawn from the peer-reviewed literature and professional-body guidance — educational ranges, not results quoted from a single study, and not a prediction for your case (California AB 3030). AI-assisted clinical content is reviewed by our Benchmark Council (California SB 1120). Always confirm treatment recommendations with a licensed dentist.

Treatment pathways & outcomes

What typically happens with each treatment choice over time, based on clinical evidence — not individual cases.

1-year outcomes

No treatment / Monitor only

52%

Decay commonly progresses deeper into dentin.

What it means: Increased risk of pulp involvement.

Randomized controlled trial · Evidence-informed estimate — caries-progression RCTs and American Dental Association clinical guidance

5-year outcomes

No treatment / Monitor only

78%

Deep decay frequently requires root canal or extraction.

What it means: Likely need for endodontic therapy.

Meta-analysis · Evidence-informed estimate — caries-progression meta-analyses and cohort studies

Simple filling (composite or amalgam)

88%

Successful restoration with no recurrent decay in most cases.

What it means: Tooth preserved; normal function restored.

Cochrane systematic review · Evidence-informed estimate — Cochrane Oral Health reviews of direct restorations

10-year outcomes

Simple filling (composite or amalgam)

81%

Restoration remains intact without re-treatment for most teeth.

What it means: Occasional touch-ups or replacement possible.

Meta-analysis · Evidence-informed estimate — 10-year direct-restoration survival meta-analyses

Methodology

Public outcomes are shown only where the direction is supported by high-tier evidence — Cochrane systematic reviews, randomized controlled trials, and meta-analyses. We report the untreated ("do nothing") branch alongside active treatment. Each figure is an evidence-informed, directional estimate consistent with the peer-reviewed literature and professional-body guidance (Cochrane Oral Health, ADA, AAE, AAP, AAOMS) — not a number quoted from one specific study — and is reviewed by our Benchmark Council. Estimates are population-level and may not apply to your individual case.

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© 2026 Smile Mentors Inc. · Reviewed by our Benchmark Council of licensed US dentists · Information, not diagnosis