Caries treatment

Caries can be attributed to the most common dental diseases. The main cause of caries is the failure of a person to observe individual oral hygiene, which leads to the appearance of plaque on the tooth enamel, which is firmly attached to the surface. Plaque gradually thickens due to the ingress of mineral salts into it, as a result of which a plaque is formed, where a large number of bacteria are concentrated. Bacteria in the process of their vital activity secrete lactic acid, which destroys the enamel of the tooth.

The treatment of caries involves the removal of tooth tissues affected by caries and the strengthening of weakened tissues with the help of filling materials.

Using the cofferdam

We use cofferdam in 80% of cases of therapeutic treatment.

Cofferdam is a latex plate designed to isolate the tooth during treatment from the humid environment of the oral cavity. Cofferdam protects the mucous membrane of the patient's oral cavity from aggressive antimicrobial fluids that are used to wash the root canals of teeth. Cofferdam also warns against the risk of the patient inhaling very small endodontic instruments. When setting a light-cured seal, the vapors formed during the patient's oral breathing negatively affect its quality. Cofferdam allows you to isolate the filling material from the vapors of oral respiration. The use of cofferdam is simply irreplaceable with increased sensitivity of the mucous membrane of the palate and the posterior parts of the tongue, i.e. with an increased "vomiting" reflex.

Thus, treatment with the use of cofferdam has a number of significant advantages.

In addition to the fact that the use of cofferdam provides the maximum effect of treatment, it allows the patient to feel more comfortable.

Find out, it will help you!

From patients who have visited the dentist, you can often hear: "I don't understand anything, what they did to me there for 2 hours."

In this age of computer technology, you just need to know what the dentist is doing to you? And with this knowledge, draw conclusions: did you choose the right dental clinic, did you get to a professional?

First of all, ask for a license, read it carefully, can a doctor perform this type of treatment, is the license expired?

Let's try to briefly describe the caries treatment regimen for you.

Initially, the injection site is anesthetized, an anesthetic gel is used for this (the mucosa is lubricated), then anesthesia is performed using hypoallergenic anesthetics.

Next, the preparation of the carious cavity is carried out, with the help of hogs, the enamel and dentin layer of the tooth exposed to the carious process is removed. If you leave caries under the seal, the tooth will gradually collapse. In order to determine the dental tissue damaged by caries, a special dye (caries marker) is used, which does not stain a healthy tooth. Dissecting a tooth is a labor and, believe me, a doctor has no interest in drilling healthy tissue.

After preparation (cleaning of caries) of the carious cavity, a pickling gel is applied, which creates a microcellular relief on the surface of the cavity. Then a bond (a kind of glue) is introduced into these cells to bond the seal with the tooth tissues. Bond, as a rule, is illuminated by a lamp.

Then, in small portions, 2-3 mm each, layer by layer, a composite material is introduced into the cavity, which is illuminated by a light-curing lamp, a special blue light. The composite material freezes under the influence of light of a certain wavelength. It is impossible to put a large amount of composite material into the cavity at once, it simply will not light up, the seal will be raw from the inside and will soon fall out. The material is applied in layers, in small portions of 2 mm, each portion is highlighted separately.

In order for the seal to be tightly located to the adjacent teeth, the doctor applies various matrices, wedges the teeth with special wedges. Otherwise, the patient will constantly experience discomfort when food gets between the teeth.

After setting the seal, it must be thoroughly sanded and polished using various abrasive pastes and polishing heads. If this is not done, secondary caries will develop on the border between the filling and the tooth in the near future. Plaque is glued to the rough surface, which is a breeding ground for caries-causing microbes.

It is also necessary to cover the seal with a special water-repellent resin, which will significantly increase its shelf life.

Attention!!!
The whole process, with the correct implementation of all technologies, takes a lot of time, from an hour minimum to two and a half hours maximum.

If you were given a seal in 20-30 minutes – this should alert you! The doctor cannot perform all the manipulations necessary for the treatment of caries during this time.