Cervical Caries
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Cervical Caries
Cervical caries is a carious process affecting a particular area of the tooth above its equator on the vestibular surface. It is easily diagnosed and visible to the patient. It has different depths of development, reaching even vascular dentine, with the risk of complications of infection of the nerve and root canals.
Causes of development
Causes of tooth decay include improper brushing, incorrect selection of home hygiene products (such as a hard toothbrush), complications of hypoplasia spots and enamel necrosis, periodontal pockets, defects in the fit of fillings, and orthopedic crowns.
Symptoms of cervical cavity
Symptoms of tooth decay include aesthetic defects on the front surface of the tooth, tooth discoloration, food stuck in the tooth, and tooth sensitivity during eating and brushing.
Root surface decay
Root surface decay occupies the tooth surface beyond the neck area under the gum, making diagnosing it much more challenging. The radiological image determines the localization of the carious cavity.
Reasons of root surface decay
Root decay is caused by poor oral hygiene, especially in the interdental spaces; neglected, untreated tooth decay of contact surfaces at an early stage of development; and poor hygiene in deep periodontal pockets, crowns, and bridges.
Symptoms of root surface decay
Symptoms of root surface decay: stuck food that cannot be cured by home care alone, localized gingival inflammation, bad breath, chipping, and mobility of old fillings, and uncementation of dental restorations.
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FAQ
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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