Reducing sugar and refined carbs absolutely changes the oral environment. Less frequent acid attacks from plaque bacteria can allow early enamel demineralisation to stabilise. In very early cases, where there’s no actual hole and the surface is intact, a lesion can arrest and become harder over time. That’s different from a true cavity rebuilding itself. Once decay has progressed into dentine and there’s structural breakdown, it won’t regenerate naturally.
A dark groove on a molar that hasn’t changed in six months and isn’t painful can sometimes just be staining in a deep fissure. A “sticky” area when probed is what dentists monitor more carefully, because that can indicate early active decay but stability over time is a positive sign.
Clinicians at Indental Castle Hill, NSW often explain that diet improvement can reduce caries risk and help arrest early lesions, especially when combined with fluoride exposure and good oral hygiene. That doesn’t guarantee reversal, but it may mean monitoring is reasonable.
Asking whether the spot is “active” or “arrested,” and comparing photos or bitewing X-rays over time, can provide reassurance. Keto may be helping but ongoing review is still important to avoid a small issue becoming larger.