Treatment of secondary caries


What should be the treatment for secondary caries? Middle caries is a very common dental disease. The course of this ailment is characterized by the ingress of acid-containing bacteria into the deep tissues of the tooth, while the pulp remains intact. Dentin is called the constituent tooth tissue. Due to their porous structure, they are exposed to such a problem as the rather rapid spread of microbes, which provokes the development of caries. Often with a small hole in the enamel, the presence of a significantly larger cavity in the internal part of the tooth is detected.

The problem of secondary caries

A bit about the reasons

As a rule, the middle stage of caries becomes a consequence of the omission of the initial stage of tooth damage, which is manifested by the formation of a pigmented spot on the enamel. The disease can be accelerated by an insufficiently serious approach to oral hygiene, bad habits, and a weakened immune system.

Types of CariesTreatment of secondary caries is recommended to begin with the elimination of provoking factors.

About the types of disease.

The middle stage of a carious tooth lesion may have:

  • sharp;
  • chronic form.

In the first case, dentin softens, its edges become fragile. The chronic form of secondary caries is characterized by the preservation of hardness of the carious cavity. Pigmentation of the walls of the affected tooth is not accompanied by their softening. Often this form of the disease for a long time practically does not make itself felt. In order to prevent a chronic pathology, it is very important not to neglect the regular examination by a dentist.

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Symptoms of pathology

The visible symptoms of the middle stage of the disease include a carious cavity. This form of tooth disease is distinguished by a rather strong layer of dentin, so the pulp is protected from carious damage, which does not allow serious complications to develop.

Tooth structureMany patients with moderate caries are concerned about the tooth’s reaction to sugary, cold, and sour foods. The duration of unpleasant and sometimes painful sensations is usually several minutes. Sometimes the disease of the described stage is almost asymptomatic (external signs alone can be quite difficult to detect). Spontaneous pain with moderate caries is not observed.

It is important that the treatment of secondary caries is timely. For this, an accurate diagnosis must be made. In order to exclude tooth diseases similar in symptoms, the patient needs to undergo special studies that provide detailed information about the condition of the tooth.

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Diagnostics Basics

Manifestations of secondary caries are not much different from the initial stage of this dental disease, therefore, only a qualified specialist can determine the presence of the ailment in question. It is worth noting that the process of tooth decay can be quite rapid, stopping it, thereby preventing serious consequences, will help timely treatment of secondary caries.

Dental consultation for the diagnosis of secondary cariesTo establish a diagnosis, a specialist dentist may need to examine a damaged tooth, in some cases there is a need for special procedures. Most often, carious tooth damage begins with:

  • cervical area;
  • tooth tubercles (fissures);
  • interdental areas.

It is usually not difficult for a specialist to diagnose the described disease, because at this stage the formation of a rather noticeable carious cavity in the tooth is observed. But some difficulties can nevertheless arise, since average caries has similarities with pulp necrosis. So, if the examination of the oral cavity and sounding of the carious cavity is not enough, the patient is assigned an x-ray examination.

Having established the diagnosis, the specialist proceeds to the preparation of the affected tooth. The procedure involves the removal of pigmented dentin from the walls of the tooth.

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All about the treatment of pathology

It is necessary to treat caries on time. In order to prevent dental diseases, it is very important to periodically undergo a preventive examination of the oral cavity by a specialist dentist.

The initial damage to the tooth very quickly gives way to a more severe stage of caries, which is dangerous for its consequences.

Treatment regimen for cariesAs a rule, caries treatment is carried out in stages. In this case, regardless of the method chosen, first of all, the specialist removes the softened tooth tissue and treats the cleaned cavity with the help of special preparations. The stages of treatment for filling a cavity are nearing completion. Preliminary administration of painkillers allows to relieve the patient from pain and discomfort that accompany the procedure.

It is noteworthy that the methods of treating caries of one stage or another are not much different. With significant damage to the tooth tissue, it may be necessary to install a pin or composite seal. In most cases, the specialist can cure both acute and chronic forms of secondary caries in one go.

In the process of caries treatment, the specialist faces the following tasks:

  1. Anesthetize.
  2. Remove plaque.
  3. Dissect a carious cavity.
  4. Treat the affected tooth with an antiseptic.
  5. Apply a layer-by-layer seal (it is worth noting that a composite seal also requires light curing).
  6. Sharpen and polish the filling (the procedure allows you to give the filling a natural anatomical shape of the tooth).

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About disease prevention

The benefits of vitamins to strengthen teethIn order to prevent the development of the described disease, it is very important to observe the rules of oral hygiene. Thanks to careful dental care and regular preventive check-ups at the dentist, you can avoid such troubles as a toothache.

To replenish calcium in the body, it is periodically recommended to take special vitamins. It is very important that dairy products (especially cottage cheese), fresh vegetables and fruits are present in the diet of every person.

In the case of a great predisposition to the development of caries, you can choose one of such procedures as remineralization of the teeth, the use of special applications or gels, which allows you to saturate the enamel with calcium and fluorine ions. Thus, the risk of carious tooth damage can be minimized.

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Additional Information

The consequences of secondary caries can be very serious, since the next stage of the disease is damage to the pulp of the tooth. For advanced forms of the described disease, symptoms such as severe pain and increased sensitivity of the teeth are characteristic.

Untimely treatment of secondary caries can lead to the course of the inflammatory process, which is dangerous by the stage of decay of tooth tissues. In addition, it must be borne in mind that carious damage can lead to the spread of microbes throughout the body, thereby provoking various infectious diseases.

Treatment of decay of deciduous teeth will protect the child from dental problems in the future. Therefore, it is so important not to ignore any of his complaints – from discomfort to pain, which can occur as a reaction to sweets and (especially) cold. The middle stage of caries can very quickly flow into pulpitis, periodontitis, and such complications are completely dangerous for tooth loss.

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