Caries is the destruction of dental tissue with the formation of a cavity.
Caries occurs as a result of prolonged exposure to harmful substances on the enamel and dentin. These harmful substances are formed in the oral cavity under the influence of cariogenic bacteria, which are concentrated in the plaque on the teeth.
What happens if caries is not treated
In cases where the patient ignores caries and leaves the tooth untreated for a long time, caries affects deeper and deeper tissues. This leads to inflammation, negative effects of acids, food entering the carious cavity, which always causes discomfort and pain. If you leave the tooth untreated in this case, there will be complications in the form of pulpitis (inflammation of the neurovascular part of the tooth) and periodontitis (inflammation of the ligaments of the tooth). Pulpitis and periodontitis lead to the destruction of the tooth and loss of its chewing function.
Often untreated decay is the cause of infection in the oral cavity. Also, next to a carious tooth, there is a high probability of infection of neighboring teeth.
In particularly advanced cases, when caries is not systematically treated, the disease leads to the loss of most of the teeth.
Types of caries
Caries can be classified according to several parameters: to the location and depth of the tooth lesion.
According to the depth of the lesion, caries can be:
- In its infancy (a stain), without visible tissue destruction;
- Superficial caries, when only the enamel of the tooth is damaged;
- Medium caries, when the dentin – mineral tissue of the tooth is damaged;
- Deep caries, when the tissue has more serious damage;
- Complicated tooth decay, accompanied by periodontitis, or pulpitis.
According to the localization:
- Cervical caries, it develops in the area of the necks of the teeth;
- Caries in the area of the dental fissures;
- Caries of the contact surfaces of teeth.
Methods of caries treatment
Depending on the type of caries, there are different ways to treat it. When caries is in its infancy (a stain), it is enough only to restore therapy with the use of gels based on calcium and fluorine.
In the presence of a carious cavity, first of all, it is necessary to clean it from dead dental tissues. The procedure is painless thanks to modern types of anesthesia and high-quality equipment. Anesthesia can be local, and in some cases, it is possible to use general anesthesia. After cleaning the cavity, space is filled with filling material.
Modern fillings are very reliable, resistant, and can even have healing properties. Such fillings can last from 5 to 10 years, and the main advantage of the latest materials is the ability to choose a shade to match the natural colour of the teeth and make the filling completely invisible.
Pain after caries treatment
Dental pain after caries treatment can occur for various reasons and requires special attention. One of the causes of pain may be inflammation of the dental nerve. In this case, retreatment with the removal of the focus of inflammation and filling of the channels will be required.
Another cause of the pain may be the inflammation of the tooth ligaments or periodontitis. In this case, the pain occurs when chewing. It is also necessary to repeat treatment: elimination of inflammation and filling of channels.
Often after treatment, the teeth may ache for 1-2 days. This is quite normal because the nerve endings respond to interference.
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