Mira SAYS!
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Tooth decay in the tooth enamel doesn't cause toothaches. Toothaches may start when the decay reaches the dentin, the softer mid-layer of a tooth that lies between the enamel and the pulp. Decayed teeth can be saved if they are identified while they affect only the enamel or dentin, however once the decay reaches the nerve of the tooth a root canal or an extraction may be necessary.
To avoid root canals and extractions be sure to visit your dentist regularly.