Deep caries: causes, symptoms, diagnosis and treatment features

Today it’s hard to find someone who has never encountered such a problem as tooth decay. Half the globe suffers from this fairly common dental disease. Usually, the ailment is a direct result of poor dental care or unwillingness to regularly visit the dentist's office. Other factors can affect tooth problems . Worst of all, when the disease becomes neglected, it is deep caries. Then a person may experience severe pain. Deep caries can also pose a risk of complete tooth loss. It is extremely important to timely identify the problem and begin treatment.

Description

deep caries

So, what is the feature of this ailment? By its nature, deep caries represents an extensive lesion that spreads to the hard tissues of the teeth. In the event that the patient does not want to deal with the treatment of the disease, inflammation can go to neighboring areas. It is for this reason that the disease is often confused with pulpitis. However, in most cases these are only complications.

Treatment of deep caries is a rather complicated process. A person needs to provide quality dental care. The patient in the process of developing pathology can experience serious discomfort. But this is not the worst. The main nuisance is that the problem easily transfers to neighboring teeth. The entire oral cavity may be infected. If the treatment is not completed on time, then there is a great risk of being completely without teeth.

Types of disease

caries in the picture

The treatment of deep caries for the most part depends on the type of ailment.

They can be classified at the site of lesion formation:

  • 1st grade: lesions relate only to anatomical depressions (fissures);
  • 2nd class: diseases appear on the surfaces of chewing teeth;
  • 3rd class: caries spreads to the upper part of incisors and canines;
  • 4th class: lesions appear on contact surfaces and tuberous parts of teeth;
  • 5th grade: inflammation concerns the neck of the tooth;
  • 6th grade: caries has a destructive effect on the cutting edges and tuberous parts of the tooth.

Stages

How to cure deep caries? The price of treatment will depend on the stage of the disease and is 3500-4000 rubles.

Dentists distinguish several stages:

  1. Chronic: the patient is concerned about short-term pain, localized in the affected area. Discomfort can be aggravated by drinking very cold or too hot drinks. Also, it becomes difficult for the patient to chew solid food. Lesions in this case can be considered even without the use of special equipment. Generally, deep caries affects the strongest teeth. However, the pain is not too strong, so the patient is in no hurry to seek help from specialists. The greatest danger of the chronic stage is that the problem cannot always be diagnosed in a timely manner.
  2. Acute: the process of tooth decay is very fast. Naturally, the incisors simply do not have time to recover. This can lead to very severe pain. Usually the disease causes damage to the nerves. Particles of decaying teeth at this stage may begin to cover surfaces. This is clearly visible, and the specialist will be able to easily make the correct diagnosis. With timely treatment, the disease responds well to treatment.

If the disease affects the area of ​​contact between the gums and the crown, they speak of cervical caries. Pathology of this type is usually localized in the anterior teeth. With this form of caries, there is a risk of a misdiagnosis. Also, an ailment of this type does not cause severe pain and does not affect the aesthetic condition of the teeth. This can be explained by the fact that the damage affects only the inside of the tooth. The risk of completely losing it in this case is very high.

Causes

causes of caries

This issue should be given special attention. Many probably know how expensive it is to overcome deep caries. After treatment, very often, patients ask the same questions: why does the disease appear and can it be somehow prevented? The cause of any tooth decay is the formation of acid foci. Destructive substances lead to the gradual erosion of enamel. Subsequently, this can cause the opening of dental crowns. The protective functions of the incisors are no longer fulfilled. As a result, they begin to deteriorate much faster.

The main cause of tooth decay is improper care. For this reason, deep caries most often appears on chewing incisors. Plaque containing destructive substances usually accumulates on the sides of the teeth. These places are the hardest to reach during the cleaning process. Front teeth are much less likely to be affected. The thing is that a person to get to them is much easier and more convenient.

Development speed

The speed of the lesion depends on the individual characteristics of human saliva. If it contains substances that slow down the growth in the number of harmful bacteria, then the pathology will develop much longer. Much also depends on the quality of food and water. For example, some people suffer from an imbalance of minerals in the body. Another important factor is the sphere of professional activity. Workers involved in hazardous work are more likely to develop deep caries.

Symptoms

healthy tooth

Let's dwell on this in more detail. The sooner deep caries will be filled, the better.

The first symptoms of the development of the disease are:

  1. The presence of defects on the surface of the teeth: usually people notice damage only on the front incisors. Not everyone has the habit of regularly inspecting the oral cavity for caries. People usually seek medical help when the disease has already reached the stage of pulpitis.
  2. Bad smell: the appearance of this symptom indicates that a visit to the dentist is inevitable. Usually an unpleasant odor appears due to the fact that harmful bacteria actively multiply in the oral cavity. The tissue decomposes into results, which causes the appearance of a “scent." There may also be a feeling of discomfort when taking hot and cold food. The pain may be paroxysmal and pass a few minutes later. In no case should you ignore such symptoms. The tooth enamel is gradually destroyed. The help of specialists is urgently needed.

However, most people are in no hurry to consult a dentist until they have severe pain. If you want to preserve the beauty and health of teeth, then this approach is unacceptable. It must be borne in mind that the better the mineral composition of teeth, the stronger they are. In this case, they can resist tooth decay much longer. However, regardless of this, if a destructive process has begun in the tooth, it will no longer be possible to restore it. Even with timely treatment of caries, a doctor cannot guarantee you that such a problem will not recur.

Diagnostics

What is its feature? In order to correctly diagnose the stage and type of caries, it is necessary first of all to conduct a visual examination. The specialist at this stage can check with the patient at what time each of his symptoms appeared. Also, the doctor will examine the oral cavity for the presence of foci of caries and measure their depth. The sensing process can cause quite strong pain in the patient. In severe cases, additional examination may be required. A doctor may need x-rays to make a correct diagnosis. This is the best way to diagnose. Only in this way will the doctor get a complete picture of the disease. Often, patients are concerned about deep caries after treatment: a tooth that has already been filled hurts. In this case, it is necessary to take a panoramic picture of the oral cavity. This will determine where else there are lesions. In some cases, only an aimed shot can clarify the situation. Such methods make it possible to 100% diagnose caries in children and adults.

Treatment

It is impossible to get rid of the problem without removing damaged tissue. Deep caries in children is also treated. First, the doctor cleans the cavity and seals the recesses. It is imperative that the doctor correctly assesses the condition of the tooth. The entire treatment process is performed under anesthesia. After the injection, the doctor prepares the affected area. Then the tooth is treated with an antiseptic. The doctor should assess the situation again. The next step is the additional treatment of the affected area. If such events are not required, deep caries can be sealed. In some situations, everything can be done in one procedure. In more complex cases, several visits to the dentist will be required. In the future, cured teeth will need to be well monitored. Many patients still have a toothache after a long time after treatment of deep caries.

Prevention

The use of certain drugs and medications avoids the development of deep caries. Special toothpastes with a high content of zinc and calcium prevent the onset of the disease. However, they do not damage the tooth enamel. This is especially important if the patient has already installed a large number of fillings in the oral cavity.

tooth decay paste

Medical pads in dentistry

It is extremely difficult to treat deep caries. For this, a lot of materials are used. In addition to fillings, a specific gasket is also used to treat deep caries. The price of 294 rubles is the minimum. Gaskets are used for the reversibility of processes in the pulp. Deep caries is just such a problem. Medical laying in dentistry is used to stop inflammation, prevent its development, as well as stimulate recovery processes. Gaskets exist of several types: based on calcium hydroxide, zinc-eugenol cements and combined products.

Features of the disease in children

Most parents believe that the baby’s baby teeth should not be treated. All the same, they will fall out over time, and indigenous ones will grow in their place. However, this opinion is erroneous. Deep caries in children is a serious problem. In the absence of the necessary treatment, pathogenic bacteria can develop in the oral cavity of the child. They then become the cause of deep caries. Therefore, from a very young age, babies should be accustomed to proper oral hygiene.

child brushes his teeth

The reason for the destruction of enamel in children is the use of sweets in large quantities and the presence of bad habits. As for the features of treating babies, psychological preparation is of great importance here. The process itself is a lot of stress for the baby. The child should not be afraid to treat teeth. Usually, doctors try to complete all the procedures at once so that the little patient does not have to come to the appointment once again. In addition, milk teeth have a completely different structure and are easier to treat. In some cases, the doctor recommends a removal procedure:

  • found a cyst on the root;
  • the presence of chips, cracks, injuries;
  • a permanent tooth began to erupt, and the milk tooth had not yet fallen out;
  • severe destruction due to caries;
  • the presence of fistula in the gums.

Complications

What can they be? Often patients complain that the tooth hurts after deep caries. A possible cause of this symptom is pulpitis. In this case, the person will need to undergo another complex dental procedure. Also, if the treatment was delayed, recurrent caries may appear. The carious cavity is formed at the junction of the healthy part of the tooth and fillings. In this case, the old one will need to be replaced. In any case, at the first appearance of pain, it is necessary to consult a qualified doctor as soon as possible.

Conclusion

treatment of deep caries in adults

Treating deep caries can sometimes be a rather complicated and unpleasant procedure. Therefore, at the first signs of the disease, you should immediately consult a doctor. Regular scheduled examinations and compliance with the rules of oral hygiene will help to avoid complications. For brushing your teeth, it is better to use formulations based on calcium and zinc. Always watch your oral cavity, otherwise the consequences can be disastrous.


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