Treatment of Deep Caries
Cost of treatment
What is a deep cavity?
Deep caries cause maximum damage to all the enamel and dentin layers of the crown or root of the tooth. Its prevalence in the adult population is more than 70%.
Treatment of deep cavity
Stages of tooth decay treatment:
- local anaesthesia;
- isolation of the tooth from the oral fluid by a system of cofferdam (rubber-dam);
- isolation, therapeutic pad if necessary, covering the projection of the pulp;
- restoration of all tooth surfaces according to individual anatomy;
- introduction of the filling in optimal occlusal contact;
- polishing, grinding.
Causes and course of deep cavity
There are acute and chronic course of deep tooth decay.
Acute caries is accompanied by extensive, rapid softening of enamel and dentin (maximum demineralization), large cavities, and a reaction to food intake. It is more common in the deciduous and replacement dentition, in adolescents, and during and after pregnancy. The patient is concerned about food constantly sticking to the tooth, a reaction to sweet, cold, and hot foods, and significant defects in the tooth’s crown.
The chronic process of deep tooth decay may be invisible to the patient, painless; there is stuck food. The affected tissues are quite dense when probing, and the volume of the tooth does not change noticeably. Deep tooth decay is subject to treatment, which saves the tooth from the possible complications of nerve infection. Asymptomatic dynamics after treatment of deep tooth decay is considered a successful solution and guarantees a favorable prognosis.
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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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