In the article, we consider the treatment of caries without drilling teeth.
In all people, dental therapy is inevitably associated with an unpleasant sound of drilling and the included drill. But progress is moving forward, and now patients can use various methods of dental treatment without drilling. You can even call them innovative, as they not only carefully treat teeth, but also strengthen healthy tissues.
Dignity
The undoubted advantage of the latest methods is that they are suitable for everyone: pregnant women, elderly patients, children, people with high tooth sensitivity. However, there are also disadvantages - high cost and the ability to eliminate pathology only at the initial stage. Consider the basic methods of getting rid of caries without using a drill.
Why does caries appear?
The main cause of tooth decay is an infectious factor, that is, tooth plaque microorganisms. Cariogenic microflora can be transmitted to small patients from the mother if hygiene standards are not followed (licking a baby’s spoon, nipples, etc.).
Older children are especially likely to get caries due to malnutrition: addiction to sugar-containing drinks, foods and abuse, especially at night, artificial feeding from birth, inadequate micronutrients and protein, soft foods.
Dental treatment in children without drilling is very popular.
Hygiene
Of great importance in the appearance of caries is also the degree of oral hygiene. Insufficiently cleaned teeth cause an accumulation of plaque on them, the multiplication of harmful microorganisms, the formation of acids that provoke demineralization of enamel (trace elements are washed out of the tooth tissue, carious cavities appear).
Other causes of caries are a woman’s disease during pregnancy, the use of medications, impaired health of the child as a whole, a genetic predisposition to pathology, etc.
Stages
The development of caries is carried out in several stages, which are characterized by their own depth of inflammation:
- Stage of the "white spot" of caries - the formation of chalky white spots on the tooth surface - demineralization foci without the formation of a cavity).
- Superficial caries, i.e. enamel.
- Medium and deep caries, i.e. dentin caries.
In what cases is dental treatment indicated without drilling?
Indications
Such treatment can be carried out if the patient:
- Enamel caries in the spot stage, which appeared on the vestibular dental surfaces.
- Caries of dentin and caries of enamel in lesions to the primary layers (according to the X-ray classification, levels from E1 to D1) on approximate dental surfaces.
But there are contraindications to dental treatment without drilling.
Contraindications
Dentin caries therapy is contraindicated if:
- more than half the thickness is affected, i.e. levels from D2 to D3.
- there is an individual sensitivity to the substances of the material.
- there is a discoloration of the enamel as a result of injury.
What can be the treatment of caries without drilling teeth?
Method of infiltration
Scientists from Germany invented infiltration technology. Its essence boils down to the effect of a chemical reagent on inflammation in carious cavities. This method is used mainly at the initial stage of caries, however , it can also be effective with moderate damage to the teeth. One of the varieties of this technique is the use of the Icon system. The treatment of caries without drilling teeth in this way is very effective. This is an innovative dental product that is developing quite widely in Russia.
The treatment technology is as follows: a special gel is applied to the carious region, which breaks down only inflamed cells, while its own dental tissues are notable for oxidation resistance. The next step is drying the oral cavity and treating it with an antiseptic solution, then dental filling (if necessary).
The advantages of using the Icon system in the treatment of teeth without drilling:
- removal of exclusively carious lesions, healthy dental tissues do not touch;
- speed of treatment - it takes no more than 15-20 minutes for one tooth;
- anesthesia is not required, since the treatment takes place without drilling, that is, the dental tissues do not overheat;
- allowed for use in the treatment of teeth for pregnant women and children.
Among the shortcomings of the innovative method are noted: the ability to eliminate pathology only at the initial stage, the inability to use tooth enamel in pathological conditions (for example, with high sensitivity or hypoplasia). Naturally, the procedure is not cheap - the cost of such a dental treatment without drilling will be 2-3 times more than traditional.
Ozone Caries Therapy
This method also originated in Germany. Its essence boils down to the suppression of pathogenic bacteria by ozone: using a special apparatus, oxygen is converted into ozone, which softens and eliminates inflamed tooth sites. This is absolutely safe for the patient - therapy lasts a few seconds, does not require anesthesia.
Advantages of the technique: no impact on healthy dental tissue; no need for anesthesia; does not cause irritation and allergies; speed of therapy - for one tooth maximum 40 seconds; effective at the initial stage of carious lesions and as a prophylactic for children and adults.
The disadvantages of the technology are the same as that of the method of infiltration: you cannot treat deep caries lesions, the high price and low prevalence in dental clinics. Such equipment is quite expensive, and therefore it can only be found in the most respectable centers of the capital.
Laser application
Currently, the laser is quite widely used in the dental field - and not only for therapy without the use of a drill. It is also effective in gingival inflammation, surgical interventions. Regarding traditional treatment, it is necessary to tell its essence: laser beams are sent to the foci of caries, suppressing bacterial growth. This means that they are not only quickly removed, but their further reproduction stops. Thus, the risk of re-development of caries under the crown or seal is minimized.
The advantages of the laser are its perfect silence - the treatment is suitable for patients who are terribly afraid of the dentist. When using the device, living tooth tissues do not overheat (which is typical for a drill), there is no pain sensation completely - there is no need for anesthesia. That is why the laser is an excellent solution for people who cannot treat teeth with anesthesia (for example, due to the development of allergies).
Advantages of technology:
- Significant effectiveness: re-occurrence of caries is excluded;
- the laser does not warm the tooth tissue, this eliminates pain;
- anesthesia is simply not needed in this case;
- high efficiency in the treatment of not only superficial caries, but also deep;
- safety of use for healthy dental tissues;
- surgical therapy - for one tooth only a few minutes;
- complete sterility - the laser tip does not touch the tooth;
- does not provoke microcracks;
- with the help of a laser, it is possible to diagnose a patient and carry out prophylaxis;
- additional antibiotic treatment of the soft mucous membranes of the oral cavity.
Among the disadvantages of using a laser, the same high cost is noted, since the equipment itself is quite expensive, and the doctor must undergo training before working with him. Among other things, laser therapy requires the use of special darkened glasses, but this inconvenience is so insignificant that you can not pay attention to it.
Air abrasive treatment
The idea of using such a method first appeared in the USA in the middle of the last century. The method consists in the machining of carious lesions mechanically using sandblasting equipment. The abrasive stream, consisting of the smallest solid fragments of aluminum dioxide and water, allows you to eliminate soft carious tissues, while not touching healthy areas. This method makes it possible to remove superficial, deep and medium caries - the most important thing is that the tip of the device can get to the tissues with damage.
Advantages of technology:
- lack of need for anesthesia and painlessness;
- the likelihood of re-caries is reduced due to better cleaning of damaged tissues;
- minimal risk of tooth cracks.
Regarding the shortcomings of sandblasting, it must be said that they are again identical to the technologies described above - the impossibility of eliminating complex caries and the high cost of treatment. In addition, this method can cause increased tooth sensitivity due to the rather strong pressure on the internal tissues.
To treat caries without using a drill is thus quite possible. True, you will have to find a clinic that uses the latest technology, in addition, the cost will be clearly higher than with the traditional method of treatment. However, the client himself will be satisfied with the therapeutic process and the result - there will be no unpleasant sounds and pain, he will spend no more than twenty minutes in the dentist’s chair, and his teeth will be as good as new. However, you need to remember about regular hygiene. The most modern methods of prevention and treatment will be powerless if you do not care for your teeth properly.
The treatment of caries without drilling teeth in St. Petersburg is carried out in many dental offices, for example, in the GrandMed clinic, in the First Family Clinic of St. Petersburg.
The treatment of decay of deciduous teeth with Carisolv without a drill
Advantages of Carisolv (Swedish company Medi Team): maintains healthy dental tissue - the filling is less and the service life is longer; painlessness of the procedure; the gelled dentin structure forms retention points that securely fix the filling material; gum bleeding decreases; a simple technique enhances a child’s positive attitude.
Mechanism of action:
- With the help of the gel, selective interaction with denatured collagen occurs, carious dentin softens.
- Carious dentin in a softened state is removed with special hand tools. In this case, a clear boundary is formed between healthy tissues and dentin, which will be removed. Carisolv gel has a non-traumatic effect on open dentinal tubules, reduces pulp irritation, such treatment of caries without drilling teeth for children is not so painful.
According to experimental and clinical studies, the gel does not have a harmful effect on healthy tooth enamel and dentin, on the mucous membrane of the oral cavity and pulp.
Indications for the treatment of milk teeth without drilling are as follows:
- deep caries, which borders the pulp chamber (the gel at the same time reduces the likelihood of accidentally opening the pulp horn);
- decay of deciduous teeth (soft and silent treatment of the cavity of caries).
General indications:
- if necessary, the maximum preservation of hard dental tissue;
- negative attitude to treatment in children;
- patients who do not have dental treatment experience.
Reviews on dental treatment without drilling
According to patient reviews, these technologies have a lot of advantages:
- the healthy part of the tooth remains intact due to the lack of drilling;
- further development of the destruction process is prevented;
- the surface of the healed tooth is completely no different from other teeth;
- the condition of the teeth and their health is prolonged for a long time;
- painlessness of treatment;
- no need to use anesthesia;
- one visit to the dentist is enough;
- therapy of inaccessible places.
Although there are a lot of positive reviews, the latest techniques have their drawbacks.
Negative comments
High price. To cure one tooth, you need to spend about 4000 rubles. Although at present, classic filling will cost about the same.
The technology can be applied only at the very beginning of the development of pathology. If the depth of the lesion was not determined correctly, the result of treatment will be negative and will require further intervention by traditional methods. Most often, negative reviews are associated precisely with a dental error when tooth decay is treated with Icon.
In rare cases, a carious process continues after treatment, but the chance of such an effect is low.
We examined methods for treating teeth without drilling with a drill.