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Stages of Tooth Decay Stage 1: White Spots. The first stage of tooth decay begins when chalky white areas on the surface of the tooth appear due to the loss of calcium and build-up of plaque. ... Stage Two: Enamel Decay. ... Stage Three: Dentin Decay. ... Stage Four: Involvement of The Pulp. ... Stage Five: Abscess Formation. ... Stage Six: Tooth Loss.