diagnosis and treatment of cavities
Restorative dental therapy is the branch of dentistry that deals with the diagnosis and treatment of dental cavities.
It occurs as a result of damage to tooth enamel due to an excess of acids in the oral cavity. Untreated in time, it can permanently and irreversibly damage the tooth.
Factors that lead to cavities over time can be:
– predominantly acidic diet : excess sugar, carbohydrates, acidic drinks
- bacteriological: streptococci, the best known of which is the mutans which has the ability to generate large amounts of acid (acidogenicity) from carbohydrate metabolism and to withstand environments of extreme acidity (acidity) thus creating an environment conducive to the development of cavities
- genetic inheritance.
The 3 phases of cavities development are:
– staining phase - actually represents the onset of cavities in the form of a spot from slightly brown to black
- cavity phase, when cavity begins to dig into the tooth enamel but still does not affect the dental pulp, respectively the nerve
- the penetration phase of the pulp chamber, which requires the canal treatment with the removal of the nerve.
Of course, the last phase is the most serious and therefore it is to be avoided to reach this stage by performing periodic control and prophylaxis once every 6 months.
The effective filling or treatment of cavities is carried out in 3 stages:
- the stage of cleaning the tissues affected by caries - sealing step with varnishes and specific products to insulate the tooth from the external environment and the filling material - the stage of filling the empty space with specific, resistant materials but also with a more natural aesthetic.
The symptoms of caries or what we see and feel when we have caries:
- the smell of the mouth (or bad breath) due to the acid fermentation of food residues
- on the surface of the teeth, brittle brown or white spots are observed when brushing, which do not disappear after brushing.
- sensitivity or hypersensitivity to cold air, sweet, sour taste, etc.
- inflammation and / or bleeding of the gums around the affected tooth
- dental floss clings or flakes when used in interdental spaces
- finally pain when chewing or brushing the tooth with food or, at a later stage, acute pain or, even worse, dental abscess that needs imminent treatment to avoid complications.
As a conclusion: it is easier to prevent than to treat, so regular visits to the dentist's office and all methods of caries prevention must be considered with the utmost responsibility. We must trust our dentist to benefit from modern methods of treatment.