- Deep caries: the consequences of irresponsibility
- Diagnosis and treatment
About caries heard everything, even the children. They frighten us regularly on television advertising toothpaste and dental services. How really dangerous tooth decay, and when it is better to treat, in the beginning, when the tooth just specks or maybe when there will be more pronounced manifestations?
What is tooth decay and its causes
Caries - a pathological process in which hard tissues of the tooth, first losing to give them a fortress mineral salts, and then destroyed. The destruction of the tooth crown opens access to the soft tissues of the tooth to become infected and start an inflammatory process.
Reason caries - the deterioration (corrosion) of dental hard tissue by enzymes of bacteria that are always present in the mouth, including tooth surfaces. If the teeth are not cleaned promptly, the bacteria multiply in large numbers. They accumulate on the surface of teeth for dental plaque (dental plaque is made up of food debris, metabolic products of bacteria and enzymes), destroying the enamel and dentin of the teeth.
Caries begins quietly, with a small white or brown spots on the tooth, and then eroded enamel (surface caries), dentin (middle caries) and finally opens the cavity of a tooth, it affects the soft tissues (deep caries).
Stage spots - is the process of tooth loss of mineral salts, it can be restored without resorting to the drill and filling. Surface and the average caries also treated fairly simple, but deep caries can deliver such troubles as severe toothache and numerous complications.
How does deep caries
If in the early stages of tooth decay toothache was periodically by any chemical or thermal stimuli (sweet, sour, salty, cold, hot food), then there is still deep caries and pain by mechanical stimulation of the tissues of the tooth when chewing. This is because at a deep caries in the crown of the tooth so formed with an opening large particles of food fall freely into the cavity and injure the soft tooth tissue (pulp). A dental pulp contains a large number of nerve endings, which causes irritation of toothache.
Externally you can see the destroyed tooth and deep cavities. When you touch the bottom of the cavity tool dentist patient experiences severe toothache.
Deep caries is dangerous because it allows access to the soft tissue and bacteria residing in the mouth droop to the pulp, causing it inflammation - pulpit
Pulpit: what to do to not get on the table of the surgeon?
. Pulpitis appears strongest toothache
Toothache - itself does not take place
Which may be exacerbated at night, while you sleep
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. If the pulp is not the time to treat, the infection will penetrate further into the periodontal - ligament that holds the tooth in the jaw box. Then the infection may move to the jaw bone, or through the blood vessels to get to any part of the body or to internal organs. That is why it is so dangerous carious teeth for people with chronic inflammatory diseases - it is constantly smoldering firebrand, who at any moment can cause a fire.
Research
The classical approach to the treatment of deep cavities, approaching the pulp involves removal of all infected and damaged dentin. However, some studies indicate that it may not be the best method of treatment of deep caries.
The results of three randomized controlled trials, in one of which a group of patients seen for ten years, lead to the conclusion that the infected dentin is best to store, and its removal increases the risk of damage to the pulp. Additional studies showed that the caries bacteria isolated from its power supply after the restoration of dentin, or die, or live without showing any activity without presenting a threat to the dentin.
Adopted today an approach to the treatment of deep caries has a long history. Even in 1908, widespread view that in the course of treatment is better to reveal the pulp, than to leave it covered only one softened dentin. Currently, most of the surveyed dentists claim that they would remove all carious tissue, even if the procedure was associated with the risk of opening the pulp. Only one in five respondents prefer partial removal of caries. More research and additional information to dentists emerged a consensus on the most effective methods of treatment of dental caries
Treatment of caries: avoid development
. Modern dentists are trying to do everything possible to keep your teeth, even with deep caries, but exactly how to do this, in many cases, remains a matter of personal preference of the doctor.