Tooth Decay Treatment
Price of Cavity Treatment
Tooth Decay Treatment
Tooth decay is the progressive destruction (demineralization) of dental tissues of an irreversible chronic nature. It can occur at any age but is more common in childhood and adolescence when dental tissues have not matured.
According to WHO estimates, almost 3.5 billion people worldwide suffer from oral diseases, 2 billion people living in middle-income countries have cavities of permanent teeth. Untreated dental caries of permanent teeth is the most common pathology.
Causes of tooth decay
The reasons for the global prevalence of tooth decay are high urbanization and changing living conditions (fluoride deficiency, cheap food, sugar content, smoking, and limited availability of primary prevention).
Microbial factors, the presence of food plaque, and saliva pH are the leading causes of tooth decay. Sugars and carbohydrates convert sugar into acids, triggering microbial destruction of the tooth.
Symptoms of tooth decay
More often, tooth decay has an asymptomatic course, which can only be determined by a dentist during an examination or when the patient notices stuck food, tooth sensitivity, pain after eating sweets, changes in food temperature, or changes in enamel color.
Diagnostics and cost
Diagnosing tooth decay includes regular preventive examinations at intervals of 6-12 months when detecting the carious process at early stages and preventing its complications is possible. Radiological imaging helps to determine hidden cavities and the depth of damage to hard tissues.
Why can tooth decay be overlooked?
Hidden tooth decay does not bother the patient; no external signs or complaints exist. However, the tooth begins to deteriorate from the inside. Over time, the patient notices bad breath, chipping of the tooth’s crown, stuck food, sensitivity, and even painful sensations.
The dentist can detect hidden tooth decay in the fissures, root area, back wall, and the contact surfaces of the crowded teeth.
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The tooth doesn’t hurt, does it really need treatment?
A great motivation for a patient to visit a dentist is the presence of unpleasant sensations and complaints in the oral cavity (aesthetic defect of the tooth, stuck food, bad breath, tooth sensitivity to sour, sweet, cold, or hot food). In most cases, the initial and even deep caries do not bother the patient, and during the examination, radiography, and special tests, the dentist diagnoses the carious process and recommends treatment of the problem tooth. During an appointment with a specialist, it is easier for the patient to be sure of the tooth’s necessity and scope of treatment.
This is the importance of regular preventive examinations, on average every 6 months, without specific complaints.
Can decay appear again on a treated tooth?
After filling a tooth, the dentist recommends oral care based on the patient’s main causes of tooth decay, individual features of the bite, the presence of crowns, and the condition of the gums. If the care received is neglected, the risks of developing new dental problems or complications of already treated dental issues may increase. This can be secondary caries of a more complex stage of development on the tooth or root surface adjacent to the filling as a result of poor hygiene of the teeth and interdental spaces, which can lead to gum disease.
The dentist must determine the regularity of preventive hygiene and quality control of oral care individually for the patient to reduce the risk of complications after sanitation.
Why is the tooth sensitive after filling?
The symptom of temporary tooth sensitivity after filling is due to certain factors:
- overbite of the filling. During chewing, the tooth is overloaded on the ligamentous apparatus (periodontium), which sends a signal about the problem. It is unacceptable to get used to a false filling height; the patient should see a dentist to correct it and reduce the risk of trauma to the tooth.
- the tooth is sensitive to cold after filling.
In this case, the doctor traces the dynamics of sensitivity and the stage of caries development at the time of treatment, which allows them to make the necessary conclusions.
Short-term tooth sensitivity after medium, deep caries treatment is acceptable for up to two weeks. However, prolonged, increasing tooth sensitivity, especially unreasonable, should be considered a symptom of exacerbation or complication of chronic caries (inflammation of the nerve) and requires immediate referral to a specialist.
Why does tooth decay occur?
Tooth decay is the destruction of tooth tissue by bacteria (also called streptococci) in the mouth that break down sugar and carbohydrates in food into acid. They form a biofilm on the tooth surface that damages tooth enamel.
Tooth decay usually starts in the fissures or contact points between the teeth. However, if a tooth neck is exposed, decay may also develop there.
Dentists use dental probes to find cavities and thus can determine if the tooth tissue has become soft due to decay. An X-ray is an alternative method of diagnosis.
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