Many still have trembling knees at the thought of visiting a dentist. Is it painful to put a seal on a tooth? Answering this question, such people say that this is a terrible procedure. We will prove that current dentistry can leave only pleasant memories about your visit to the doctor.
Tooth preparation
Not everyone knows for certain how teeth are filled. Does it hurt? Even 20 years ago, such an event was extremely unpleasant, especially in cases where the doctor removed the nerve. Now everything has changed. Let's get acquainted with the terminology used by modern doctors. Dissecting is the same as drilling a tooth. Using a drill, a doctor removes areas damaged by caries. The procedure is carried out before filling.
It happens that the preparation and filling cannot solve the problem if the tooth is so badly damaged, for example, with pulpitis, that that small volume of healthy tissues simply can not withstand the load. In such cases, you have to resort to installing a crown. But before that, the doctor seals the canals. He prepares the tooth so as to reach the pulp chamber (the place where the neurovascular bundle is located). Opening it, the dentist cleans and expands the channels (cavities in the roots of the tooth), seals them.
Aesthetic correction
Is it painful to put a seal on a tooth? Many do not believe that this can be transferred easily and calmly. They are even more surprised when they find out that sometimes they fill a tooth without caries or pulpitis. This is necessary when you need to make an aesthetic correction. It is mainly about the front teeth, in which the edge is slightly worn off or broken off. Also, this procedure is performed if there is a speck of fluorosis. In order not to sacrifice a healthy tooth and not to install a crown, a simpler option is chosen - restoration with a filling.
Does it hurt to make a filling in the tooth
The methods and approaches to treatment several decades ago and now are very different. Elderly people often scare stories about how they drilled a tooth without an injection. The dentist, opening the entrance to the channels through the pulp chamber, waited for the moment when the patient twitches in pain. It was a signal that the tool reached the nerve. In those days it was very painful to put a seal on a tooth. Today, anesthesia is not only the norm, but also a prerequisite. Today, to control the passage of channels, doctors use not the patient's pain, but apex locators.
Dentists also use anesthesia to make the treatment process comfortable for humans. When a doctor begins to drill a tooth, we initially do not experience pain. The doctor gradually moves the instrument to the place where the enamel passes into the dentin. Without anesthesia, we can twitch from a sharp pain, and the dentist can damage the gums with an instrument. The fact is that enamel is a hard cloth. There are no receptors in it. Nerves are located in the subgingival part of the tooth (in the canals). Anesthesia allows the doctor to work confidently, knowing that the patient will not flinch from unpleasant sensations.
Some people worry that anesthesia will not work. In fact, any of the modern injections will anesthetize well, regardless of the age of the patient and his chronic diseases. An anesthetic may not work only if you enter it a little in the wrong place. This does not always indicate the inexperience of the doctor. It happens that the neurovascular bundle of the patient has a non-standard location. It is solved simply: the dentist makes a second injection where necessary.
Is it painful to put a seal on a tooth? This is not to say that this is a pleasant procedure, because you have to endure an injection in the gum (sometimes two or three of them). The vibration created by the drill will also be felt.
Anesthesia
Is it painful to make a filling in a tooth? There are people who, even making sure that it is tolerable, continue to be afraid. In the dentist's chair, they are horrified at the sight of a syringe with an anesthetic. Dentists treat the injection site with an anesthetic cooling gel to minimize patient stress. But even without it, a qualified doctor performs an injection almost imperceptibly.
Allergies and side effects
Modern anesthetics are such that they almost do not cause allergic reactions. As for the side effects, in some people the heart begins to beat faster and tremors appear in the arms and legs. This is how adrenaline works in some painkillers. In some preparations, this substance is absent or is contained in a minimum amount. It is such anesthetics that are injected into children and especially sensitive people.
To avoid unforeseen situations, before performing an injection, the doctor always wonders if the patient is allergic to a substance. Answer this question with utmost honesty.
How painful is it to put a seal? This is not the only concern for patients. Many are afraid that anesthesia will cease action ahead of time, then at the end of treatment it will hurt. I must say that the duration of the injection is different for all people, because it is determined by the speed of blood circulation. For those whose jaw is numb faster, the anesthetic does not last very long. However, the doctor always monitors for pain.
Duration of caries treatment
It is not always possible to carry out the procedure in one visit. This does not mean that the dentist does not have enough experience. The reason is the patient’s baseless fears, which force him to delay a visit to the doctor. If the tooth has a shallow (superficial or medium) caries, then the nerves retain. Such treatment is carried out in one visit.
How long is pulpitis treated?
This is the name of the disease in which the pulp of the tooth is affected. The dentist solves the problem in two visits. The doctor removes the inflamed pulp and cleans the canals. Then it places a gasket with a special therapeutic agent in an open tooth, and then a filling, but not a permanent one, but a temporary one.
The next visit, the doctor prescribes after a few days. This is to check if the channels are well cleaned. If it’s bad, then the tooth under a permanent filling will hurt. During the second visit, the dentist wonders if the tooth bothered. If there is no complaint, then the channels are filled with a permanent seal.
How long do periodontitis treat
If a patient with a bad tooth has not visited a dentist for a long time, periodontitis develops. This is one of the most serious diseases. First, the crown of the tooth deteriorates, caries passes into pulpitis. Then the nerve is destroyed and dies, and the inflammation affects the teeth. This is the last stage and is periodontitis. Treating it is troublesome and long. The dentist has to fill them with medicine before filling the canals. The entire treatment process takes several weeks.
What determines the duration of treatment
Even if the nerve is alive, and the tooth does not need to be depulped, the treatment can be long. Its duration depends on the volume of tissues affected by caries. It happens that the carious cavity develops simultaneously in several areas of the tooth, for example, on the chewing surface and the side wall. Then the doctor is forced to form cavities for several fillings.
Also, restoration takes a lot of time, when the specialist tries to give the tooth such a shape and color so that it is indistinguishable from healthy ones. How long does such a recovery take? You can drill out the rotten part quite quickly - in 5-10 minutes. It may take half an hour or an hour to recreate the shape of a damaged tooth.
What drill
The dentist works with a turbine tip (impeller). At its end, a boron is installed, which is driven by a motor. The engine makes it rotate at a speed of up to 5 thousand revolutions per minute. There are more powerful turbine models. Boron is a diamond or steel milling cutter. They are also made from a special alloy. There are different types of burs, differing in abrasiveness (granularity), size and shape (spherical, needle-like, etc.).
Treatment process
As already mentioned, with caries, the nerve is preserved, and the canals are not filled. Let's consider what stages exist in the process of treating a tooth with caries.
Is it painful to put a seal on a tooth? Of course not! Before starting treatment, the doctor always puts an anesthetic injection. When the anesthetic begins to act, a special material is put on the tooth - rubber dam. This is a thin stretch film. It fits the tooth so tightly that prevents saliva and other fluids from entering it. If this material is not used, the seal may fall out soon.
The doctor drills the rotten part of the tooth with boron, forms a cavity, lubricates it with a special solution (pickling). It is needed to make the seal and tooth grip better. When the etching has worked, it is washed off and fluoride is applied to the tooth. It strengthens tissues and reduces sensitivity.
Then another substance is applied to the damaged tissue - bonding. It is necessary to connect the filling and the tooth, but unlike etching, bonding is able to penetrate the dentinal tubules. In order for the substance to act and harden, a heliolamp shines on it. She is completely safe.
Is it painful to put a seal on a tooth? No, this procedure is completely unpleasant, but completely painless. To make a seal, the dentist uses not one, but several types of photopolymer material. The fact is that different layers of the tooth differ in color and transparency. After applying filling material to each of them, the doctor illuminates it so that it hardens.
To make a tooth with a filling look natural, the dentist artificially creates mamelons on its surface. This is a slightly noticeable longitudinal ribbing. If there is a restoration of a chewing (back) tooth, the doctor recreates the grooves between his tubercles.
At the final stage, the doctor polishes the tooth. It is necessary that its surface is smooth. Then the raid will not pester her. To find out if the filling is too high, the doctor asks the patient to knock (chew) with his teeth, putting special paper between them. It looks like a carbon paper, because it retains the imprints of all irregularities. It is for them that the dentist checks whether the seal is overstated. If necessary, he corrects it. If you do not do this check, the patient will be uncomfortable to chew. This will affect the bite.
Is it painful to put a seal on a tooth? At any stage, as you can see, it is completely painless.
How to behave at the reception
A good dentist always explains the treatment plan to his patient. Feel free to ask the doctor all the questions that concern you. The doctor will only be glad if he sees your interest in the results. Make it clear to the dentist what you want to receive from the treatment.
Explain to the doctor what exactly you are afraid of. A good specialist will always try to dispel your fears with detailed explanations, will do everything in his power to keep the patient calm. If you have already trusted the doctor, follow all his recommendations.
Is it painful to put a seal on a tooth? Patient reviews show that this is not the only issue that worries them. Anxiety is also caused by mild pain in a recently filled tooth, which sometimes appears from hot and cold drinks. This reaction is explained by the fact that the photopolymer material has a rather high thermal conductivity. As a rule, dentists are advised to wait a bit. Over time, everything normalizes. If the pain arises from acidic, this means that the seal is not tight enough. In this case, be sure to consult a doctor.