Лечение зубов

Treatment under the microscope 

Scientific developments, advanced technology are being successfully implemented in various fields, and dentistry is no exception. Thanks to the ability to obtain an enlarged image through a microscope, it has become possible to carry out dental treatment even in very difficult cases. Today it is a reasonable necessity and an opportunity to offer dental services at a high professional level. 

Medical microscopes allow specialists to diagnose the disease at an early stage of development, which was impossible with a standard examination without special equipment. Magnification of the object by 30 times allows you to examine it in detail and carry out therapeutic manipulations without affecting the living tissues of the tooth.

The use of the presented modern equipment ensures the painlessness of procedures, since the specialist, working with the tool, does not touch living tissues. This approach provides the patient with not only highly professional treatment, but also a complete absence of discomfort.

Our medical center constantly implements the latest methods and methodologies of treatment, as well as modern equipment. The Leica microscope is one of them. It provides multiple magnification of the object. Ergonomic design combined with high-quality light confirm the correctness of the choice. With its help, you can carry out almost jewelry work. Many experts unanimously agree on the need for a new approach to treatment through the use of microscopes.

Advantages of our clinic:

1.    The use of modern technology that expands the capabilities of specialists;

2.    Staff of highly qualified specialists;

3.    Application of the latest developments, methods of treatment;

4.    The possibility of eliminating the disease regardless of complexity.

When does a dentist use a microscope?

The rationality of the operation of the microscope is fully justified at all stages of dental treatment, including during primary diagnosis. Its use is in demand in the following situations:

- Detection of a foreign body in the dental canal. During treatment, the tip of the instrument may break and remain in the dental canal. In the future, this will provoke an inflammatory process. With the standard approach, the elimination of this problem is very radical, namely tooth extraction. In our medical center, this problem is solved quickly, while it is possible to save the tooth, since with the help of a microscope it is not difficult to find and eliminate the chip of the instrument.

- Treatment of tooth perforation. It is not possible to eliminate this problem by standard methods. It is difficult to consider damage to the root canal due to its small diameter. However, using a microscope, you can see the channel in a thirty-fold magnification, which allows you to eliminate the damage as accurately as possible.

- Repeated pain in the tooth. This situation indicates that the channels were not processed completely or the procedure was not performed correctly. Today dentists will be able to quickly find the problem and take the necessary measures to eliminate it.

- Raw channel. In the case when the channel has not been found or sealed with solid cement, this can become a source of constant pain. In addition, the inflammatory process affects the tissue around the root, destroying it. A microscope is necessary to identify and process all branches of the dental canal.

- Treatment of a tooth with a fiberglass, composite, or anchor pin. Due to the fact that the installed structure closes the root canal, the treatment of inflammatory processes is very difficult. Using a microscope, the dentist will painlessly remove the pin and take all necessary measures to treat and preserve the tooth.

- Inflammation of the tooth with an installed tab. In this situation, a specialist, using a microscope, will be able to examine the problem in detail and remove the tab, eliminate the inflammatory process. The microscope will allow you to perform all actions with jewelry precision.

Application of modern technologies in combination with a microscope

In order to quickly find and eliminate foreign objects, foci of inflammation, specialists successfully use a microscope in combination with KaVo ultrasonic nozzles and microbores. The presented equipment allows performing the most delicate operations in the dental canals.

For maximum convenience of using the microscope, it is supplemented with an APEX locator, through which the image is transmitted to the display. A specialist can see the position of the microborrow tip.

Our dental clinic adheres to the standards of the future, performing a wide range of work using a microscope.

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. The 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 using 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.

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 filling, 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 (caries cleansing) 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.

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.

And now let's try to describe the treatment of pulpitis.

The patient came to the dentist with a small hole, and the tooth almost didn't hurt, and then suddenly the nerve was removed from the tooth, and even a huge "hole" was drilled…

On top of the tooth is covered with a fairly strong fabric – enamel. With the development of caries on the enamel, a carious lesion occurs in the form of a small hole in the tooth. Under the enamel there is a less durable tissue - dentin, which undergoes the carious process much faster. The tooth seems to deteriorate faster from the inside than visually from the outside. When the doctor opens the hole in the enamel and removes all the dentin affected by caries, that's when this huge cavity is formed.

Inside the tooth there is a neurovascular bundle (the so-called "nerve" in the people).

When the carious process spreads deep into the tooth and reaches the "nerve", then it, this nerve, has to be removed. In addition to the tooth cavity, the neurovascular bundle is located in the root canals. Cleansing and filling of root canals is called endodontic treatment. This is a technologically complex process. The root canals of the tooth, most often, have a curved shape and a complex structure. A lot of tools and electronic equipment are needed for the treatment of channels. A doctor who is not armed with this arsenal will not be able to treat a tooth qualitatively.

Initially, the channels run the entire length and are expanded with various hand tools, then they give the channel the necessary shape with the help of machine tools, then the channels are thoroughly washed with antimicrobial solutions, dried and sealed tightly along the entire length. If the channels are not sealed for the entire length, sooner or later inflammation will develop in the tooth. If the channels are not thoroughly rinsed with antiseptic solutions before filling,

At the end of treatment, the doctor should show the patient a control X-ray, where it is clearly visible that all root canals are sealed along the entire length, up to the tip of the root.

You can often hear from a dentist: "You have impassable channels", there are practically no impassable channels, there are impassable channels and different levels of professionalism of doctors.

With poor-quality treatment of channels, an inflammatory process occurs on the tops of the roots. Most often, the inflammation has a chronic form. The tooth does not hurt, the patient will say, what other problems? But the problems are huge because the tooth is the same organ as the heart, kidneys, liver, and the blood flow in the body is one to all organs. So an infection from a tooth can get into any vital organ through the bloodstream and cause inflammation there, for example, chronic endocarditis, and this is, sorry, not a tooth, but a heart. Now you understand the importance of high-quality endodontic treatment.

Treatment of Periodontitis

If you have already had a nerve removed and the canals sealed and suddenly the tooth got sick again, or the doctor revealed the formation of a cyst on the X-ray image, this means that the treatment of the canals was carried out poorly: the canals were not sealed to the top of the root, or the root canals were washed with antiseptic solutions poorly. On the X-ray image, there is periapical inflammation, it can also be chronic when the patient does not complain. But any focus of inflammation in the tooth, including chronic, negatively affects the whole body as a whole and individual vital organs, such as the heart, kidneys, liver, etc. in particular.

For a doctor, the situation of canal re-treatment is always much more complicated than the initial passage and filling. Firstly, the doctor who treated the channels earlier could make a ledge in the channel, which can be very problematic to bypass, a false move may be made past the channel, with perforation of the channel wall, the previous doctor could break a fragment of the instrument in the channel, at