Deep caries is the last stage of the most common dental disease. How the treatment of deep caries will be carried out depends on the degree of damage to the dentin – hard tooth tissue. It is important not to postpone a visit to the dentist if you have even mild pain. This disease is very insidious and a late visit to the doctor threatens with tooth extraction.
A disease can hide under a seal!
Methods of treating the disease also depend on whether the disease first or secondarily appeared. The primary form is when deep caries has developed against a background of medium or superficial. Secondary is diagnosed if an already sealed tooth hurts. The disease can penetrate the covered tooth if a piece of the filling has broken off or a mistake was made by the doctor during the previous treatment.
Symptoms of deep caries are easy to recognize:
- Acute pain in the lower cavity.
- Painful reaction to hot, cold, sour.
- Aching pain of the entire cavity.
- Sensation as if the tooth became convex – so inflammatory processes proceed.
In order for the doctor to accurately determine the diagnosis and begin to treat deep caries, first of all, the patient must do an X-ray, electroodontodiagnosis and thermodiagnostics. All these manipulations will be promptly performed in a dental clinic.
Based on these diagnostic procedures, the dentist will determine the stage of the disease. The first stage is acute deep caries. In this case, there is a reaction to cold and hot, and pain can also develop due to the ingress of food into the cavity. Often the carious cavity is very narrow and the “hole” is not visible to the naked eye. But the base of the cavity is wide – there is a white coating on the walls, the dentin is softened and must be removed with layers during treatment.
The second stage is a chronic form of the disease. In this case, pain periodically occurs, subsides immediately after brushing your teeth. The carious cavity in this view is quite extensive and deep, the walls are open, and the dentin is softened only at the bottom of the cavity.
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You can even lose a tooth
Treatment of deep caries is carried out only after an anesthetic injection, because the cavity can be quite deep and there is a chance that the doctor will touch the living nerve. First of all, the dentist cleans the cavity of dentin, which is already so softened that it does not take much time. After that, filling begins. An excellent, albeit expensive material for treatment is the use of photopolymer materials. Such a seal has the unique property of rapid hardening under ultraviolet radiation. Also, it is characterized by high strength, and it definitely lasts at least five years. The resulting mixture includes a light-curing polymer and a bulky filler that mimics the structure of the tooth
Most often, the cases treated by patients are so neglected that damage to the pulp begins in the cavity – this is such a fibrous tissue that is in the cavity. If this happens, the doctor removes the soft tissues and the nerve as well. Of course, this shortens the life of the tooth, but it can still be saved and it will fulfill its function, and later on you can put on a crown.
Often due to the fact that in the treatment of this disease it is necessary to isolate the pulp, a tooth is filled in two visits to the doctor.
If the disease is slow, without acute severe pain, the pulp can not be isolated and put a seal on the first visit.
However, if the specialist sees that the patient has severe pain and it is not clear – the person has deep caries or pulpitis, it is better to apply a temporary filling with the medicine. And two days later, in the absence of complaints put a permanent seal.
There are such cases when there is already nothing to save – the doctor begins treatment, removes the dentin, then carries out pulpation, but the tooth is so affected that it is recommended to be removed.
All stages of the treatment of deep caries are aimed at maintaining the viability of dental pulp, avoiding the development and relapse of caries, stabilizing the mineralization of predentin and dentin, and activating pulp functions to accelerate the formation of replacement dentin.
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The doctor must issue a warranty card
Deep caries is a fairly serious tooth disease and even if treatment is done in a timely manner, complications in the form of a deep cavity often arise in the form of:
- Pulpita. If acute caries have not been treated or a mistake was made during treatment, inflammation of the pulp may begin, which leads to the removal of the nerve;
- Re-caries. If between the seal and the tooth the doctor, due to inattention, left at least a minimum gap.
- Spallation. The walls of the tooth are so thin that they can not withstand the onslaught of serious fillings and the natural burden that is placed on them. In this case, you need a new or additional seal or even a crown.
- Destruction or “departure” of a seal. This only speaks of the incompetence of the doctor and the need to re-go to treatment. Therefore, it is good if the dentist gives a guarantee for at least a year.
So, deep caries is a serious disease that can even lead to tooth loss. To prevent this from happening at the first pain symptoms, increased sensitivity of the teeth, be sure to contact your dentist. It is better to overcome the fear of the doctor and not delay the visit, because the longer you suffer from toothache, the more difficult it is to restore such a tooth.
Experts do not prohibit the use of painkillers or special toothpastes with an acute pain effect, but remember that tablets and pastes only temporarily delay the need to see a doctor.
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