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Tooth Decay or cavities refers to the breakdown of the hard tissues of a tooth structure. In clinical terms, it is known as dental caries. Your tooth has three primary layers, starting from the most sensitive one, pulp, followed by dentin, and finally, the most burdensome outermost layer called enamel. Enamel is the hardest substance in the human body. It can resist several chemicals and mechanical forces. But in the case of poor oral hygiene, it can break down, which leads to tooth decay.