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When you have a cavity, you really only have two choices: postpone treatment or get a filling.
The problem with postponing treatment is that a cavity will never go away on its own. It just gets bigger and bigger. It grows slowly while it's still in the hard outer enamel. But if a cavity is allowed to reach the softer inner dentin, it grows much more quickly.
Then, the race is on to fill the cavity before it infects the pulp chamber. If it gets into the pulp chamber, you'll need root canal treatment to save the tooth.
A filling stops decay in its tracks. Your dentist removes the decay and seals the tooth with filling material. This restores the tooth and keeps your mouth healthy.