Dental caries, dental cavities treatment
What are cavities?
Dental cavities are holes in teeth caused by tooth decay. Cavities are also referred to as caries.
The dentist’s goal is to achieve a healthy balance between prevention and restoration. It is a balance between being proactive and reactive. The dentist doesn’t want to be so proactive that he is recommending things that don’t need to be done – preventing problems that really never would have occurred. But he doesn’t want to be so reactive that he simply watches small problems become big problems. One mistake people often make is waiting for the pain to dictate the timing of treatment. Once a tooth starts hurting, it is often too late for remineralization or a small filling. The pain usually indicates a need for root canal treatment, a crown, or tooth extraction.
The basic information about Caries treatment
Caries treatment – most often patients turn to a dentist with darkening or damage to tooth enamel – caries. Caries is caused by microorganisms contained in plaque.
Possible causes of caries:
- metabolic disorders;
- genetic predisposition;
- insufficient or poor hygiene;
- excessive sugar consumption.
The first and most important thing is hygiene. Our doctor will help you choose the means for home hygiene that are right for you and work with your problems. Your task is to brush your teeth at least twice a day, and preferably after each meal. If it is not possible to brush your teeth, chewing gum will help.
But home hygiene is not enough. At least twice a year you should do a professional cleaning at your doctor and remove tartar.
You should adjust your eating habits and reduce your intake of sugar, especially lollipops and other sweets.
And don’t forget to visit your dentist twice a year – in addition to cleaning, the doctor will conduct a preventive examination and will be able to identify possible problems at the earliest stages.
How we treat tooth caries
At the initial stage, with shallow carious lesions, we use innodent and icon technologies that allow treating caries without dissection. The integrity of the enamel is not violated, healthy tissues are not damaged. The essence of the method is to fill the pores of tooth enamel with a special composite material that stops the development of caries.
If the carious lesion is severe and the enamel is badly damaged, more thorough interventions are needed. For filling teeth, we use light-curing materials of the latest generation of the best European and American manufacturers – nanocomposites and control the result with a modern digital radiovisiograph.
In case of large destruction of tooth tissues, the doctor will offer you a photopolymer restoration or a ceramic tab, which will preserve the aesthetics and functionality of the tooth.
If caries have affected the pulp of the tooth, endodontic treatment is required – cleaning (mechanical and chemical) of the root canals of the tooth and their filling. The canals are treated under a microscope with mandatory X-ray control.
Treatment of cavities during pregnancy
Hormonal and bacterial quantity changes during pregnancy put pregnant women at greater risk for gingivitis and periodontal disease. Therefore, it is very important that pregnant women continue to get regular dental cleanings during pregnancy. Pregnant women have generally been counseled to avoid elective dental treatment during pregnancy unless they are experiencing an emergency like pain or infection. In this case, the second trimester is the best time for treatment to keep the expectant mother as comfortable as possible. Local anesthetics and other materials used during dental treatment don’t increase the risk to the fetus, but the untreated oral disease has been shown to lead to adverse pregnancy outcomes. If X-rays are necessary, a protective apron will be placed over the woman’s stomach and thyroid. If antibiotics are necessary, tetracycline should be avoided because it will cause staining in the baby’s developing teeth.