Did you ever wonder if there is a “tooth worm” that eats at the teeth inside, which is what creates the toothache? While the tubules and dentin within the pulp that’s disease do look like a worm, there’s not actually worms in your teeth, even though they do look like this.
The Tubules
Tubules in dentin are little tubes that are hollow and sometimes cause diseases. They’re seen only with a microscope, and they do look like worms according to the ADA. The dentin tubules have a specific job which is pretty important. That is to conduct the sensitivity that’s there when exposed to heat or cold on the surface of the tooth all the way to the nerve.
But there are some instances where discomfort and pain occur when you expose the tubules. They do look like worms at first when you look at them with a microscope. However, they are not actually worms.
The Cause of Dental Disease
If it’s not tooth worms or problems in gums, what’s causing these toothaches?
The most common cause is bacteria, or plaque that forms on the teeth. They decay and play the part of the villain for people.
Plaque is where it forms when there is a lot of buildup near the bacteria that’s within the teeth. It leads to gingivitis and gum disease. It also causes periodontitis, which affects over half of Americans that are above 30 years old.
The treatment for Caries
While there’s no actual worms there, there are treatments that come with this.

Some of the treatments include:
- Cleaning out the teeth, filling them with restorations
- Preventing the pulp that’s there from being hurt further and dying, with a capping of the pulp
- Performing root canals on affected areas
If there is a lot of decay there, to the point where it can’t be salvaged, more than likely they’ll just take it out via extraction. Usually, they replace this with implants, or bridges. Ideally, it shouldn’t get to that point, but you never know.
Overall, your dentist will give you the right treatment. If there is periodontitis, then chances are they’ll also have you get a scaling, which is a deep cleaning of the mouth. This can prevent further worms from burrowing in, giving it a deep cleaning that’ll really work its magic.
Keeping the Mouth Healthy
While you shouldn’t worry about worms, you’ll want to make sure that you keep the mouth clean and healthy.
The best way to treat caries is to prevent them before they get worse. What’s the best way to prevent this though?

Well, the best ways are as follows:
- Brush your teeth twice daily for two minutes with a fluoridated toothpaste
- Floss once a day to get in between the teeth
- Rinse out with a mouthwash that’s antibacterial, and ideally alcohol free so that you don’t dry out the mouth and invite the cavity causing bacteria in
- See the dentist every six or so months to get a checkup and to look for any possible problems that might occur
- Have the teeth that are damaged examined and taken care of as soon as possible, in order to mitigate the damage that’s there
With a lot of advancements in modern medicine and dental science, you want to make sure that you take the time to ensure that this is properly taken care of.
Practice good oral hygiene practices, and from there you won’t have to worry about the dental worms. They’re for the birds then, rather than for your teeth.

