Caries treatment

Caries treatment in Wuppertal where? And how? Caries is the most common dental disease. This is what people encounter most often and go to the dentist for treatment. Cavities occur when harmful bacteria destroy tooth tissue, causing dark spots and cavities to form on the tooth.

Types of caries.

Depending on the location of the destructive process, experts distinguish the following types of caries:

  • Interdental: a nidus of enamel destruction appears in the spaces between the teeth;
  • cervical: carious lesion occurs in the neck of the tooth;
  • Fissural: a cavity is formed on the masticatory surfaces, where the enamel has recesses – fissures

Caries treatment in Wuppertal. Interdental caries is the hardest to detect on your own. For a long time, people don’t see that the enamel in this hard-to-reach area is darkening and deteriorating. Also caries can be primary or secondary, which appears under a filling or crown on the background of poor-quality dentin removal during treatment or prosthetics.

Symptoms and degrees of caries

Signs and manifestations of dental caries directly depend on the degree of the disease. In total, there are four main degrees of the disease.

Caries in the stain stage

This is the initial stage at which tooth decay can be noticed only by a dentist during a thorough examination. It does not cause the patient any discomfort, does not hurt and often does not even cause hypersensitivity. Externally, such caries looks like a small spot on which the enamel remains white, but is not shiny, becoming matte.

Caries is rarely recognized at this stage, usually by accident, during treatment of another disease or a preventive checkup. But it can be cured without drilling.

Initial caries

At this stage, the enamel is already slowly beginning to deteriorate. The stain darkens, deepens and becomes visible to the naked eye. The tooth usually does not hurt, but sometimes reacts sharply to cold, hot, sour and sweet.

If decay has occurred on the back surface of the teeth or between the teeth, it too may go unnoticed at this stage, as the small stain in these areas is difficult to see and there are almost no symptoms.

Medium dental caries

At this stage, the disease already looks more like what is commonly called tooth decay. A cavity of brown or black color appears in the tooth. Food gets stuck in it, and chewing or eating hot, cold, sweet or sour foods sometimes causes short-term pain.

At this stage, the tooth begins to gradually decay, affecting not only the enamel, but also the dentin.

Deep caries

This is the last stage before pulpitis. The cavity in the tooth becomes very deep and almost reaches the nerve of the tooth. Because of this, reactions to stimuli become more acute, and sometimes the tooth even hurts on its own, without external influence.

The tooth at this stage may be severely damaged, but sometimes only a small entrance hole is visible on the enamel on the outside, and the entire huge cavity is hidden under the enamel. Because of this, even at this stage, people leave tooth decay unattended.

Caries diagnosis and treatment in Wuppertal

Caries in the “stain” stage can only be noticed through dental examination and the use of instruments and special detectors. It is also difficult to notice in time a carious process localized in the neck of the tooth or in the interdental space.

The main ways of caries detection:

  • Examination in the dentist’s chair. The specialist uses a mirror and other tools to detect signs of caries: stains, areas of demineralization, cracks, and other enamel defects.
  • Application of the caries detector. A special marker reveals areas of demineralization, cracks, stains carious tissues.
  • X-ray Diagnostics. With the help of X-rays you can assess the condition of the hard tissues of the oral cavity, the pulp, to determine the degree of damage to the tooth.

The dentist prescribes a diagnosis at the visit and after a visual examination.

Caries treatment in Wuppertal

Depends on the stage of the disease:

  • At the stain stage, it is still possible to treat tooth decay without drilling, physical manipulation and filling. If caries is detected in time, remineralization – saturation of enamel with useful minerals – is sometimes enough to restore enamel.
  • Initial caries already begins the process of destruction of enamel, so remineralization will not help. At this stage, you can still do without drilling. For example, you can treat a tooth with a laser, but the affected tissue must still be removed and a filling put in its place.
  • With medium to deep caries, the only method that works is to drill out the affected tissue with a drilling machine and place a filling. All other methods are not used because they are ineffective.

Peculiarities of caries treatment in Wuppertal

Professional dental caries treatment has many subtleties and peculiarities. In the walls of our clinic patients receive qualified dental services, the prices of which are affordable for most patients. Specialists work with new techniques, modern filling materials, observe the rules of infectious safety, which allows you to minimize the risk of undesirable health effects.

The main goal of dental caries treatment is to remove the carious cavity, the affected hard tissue and replace it with a filling material that completely restores the shape of the tooth. Each form of caries has its own specifics of treatment. At the initial stage, experts make do with conservative procedures, so we recommend our patients to seek medical help as early as possible and not to let tooth decay progress.

Treatment of caries in the stain stage

The treatment of caries in the stain stage consists of the use of remineralizing therapy. Special dental products containing fluoride and calcium restore the integrity of tooth enamel, strengthen it and stop the development of infection and inflammation.

Professional preparations are applied directly to the enamel in the place of its thinning and darkening. An important condition for the successful treatment of caries in the white or dark stain stage is the removal of microbial plaque and tartar, which contains many pathogens and supports the inflammatory process in the oral cavity and dental hard tissues. After professional teeth cleaning, specialists conduct a course of remineralizing therapy.

Treatment of superficial, medium and deep caries

In the case of superficial caries, conservative methods of treatment are not sufficient. The doctor needs to remove the damaged enamel and place a filling over the damaged tooth. But first, the specialist removes the microbial plaque to improve visibility and eliminate as many pathogens as possible. The organic acids are capable of destroying tooth enamel and the deep tissues of dentin.

Medium dental caries is more common than other forms of the disease. The treatment takes place in several stages:

  • Removal of hard and soft plaque. Using professional cleaning methods.
  • Selecting the appropriate shade of the filling. This is done with a special scale.
  • Anesthesia. Anesthetics are chosen individually.
  • Removal of the affected dentin.
  • Isolation of hard tissues from saliva with a cofferdam.
  • Treatment of the oral cavity with antiseptic agents, acid etching of tissues, the use of an insulating pad under the filling material.
  • The filling process itself, sanding the tissues and polishing them.

In the case of deep caries, treatment includes removal of the pulp and filling the root canals. By nature, root canals of a tooth are thin and tortuous. During treatment, the dentist must be careful not to damage the walls with the instruments. To determine the root length of a tooth, K-files are used, with apexlocators – electronic devices that allow you to accurately determine the length of the tooth canal. After the filling, the doctor places a temporary filling and schedules an X-ray examination to confirm the quality of the work done. If the specialist is satisfied with the results of the X-ray, the drilled cavity can be closed with a permanent filling material.

Caries treatment in Wuppertal with an already formed cavity begins with an examination. The dentist carefully examines the cavity, conducts tests if necessary, and sometimes even prescribes an X-ray to make sure that the decay has not yet developed into pulpitis.

After the examination, the patient is given an anesthetic injection. Modern anesthetics make treatment completely painless, and the injection process itself can also be anesthetized with a local anesthetic.

After anesthesia, the doctor begins drilling. The affected tooth tissue is drilled out completely with a drill to prevent caries from reappearing. If the cavity is deep, this must be done particularly carefully so as not to accidentally drill down to the nerve of the tooth.

When all the tissue is drilled out, the filling process begins. If the cavity is very deep, a special insulating gasket is placed on the bottom to prevent inflammation of the pulp. After that, the cavity is filled with a filling material with which the dentist completely restores the original shape of the tooth.

At the end, the doctor checks that the filling does not interfere with the patient’s closing of the teeth, grinds and polishes it finally, and then the treatment of tooth decay is over.

What happens if caries is not treated in Wuppertal

In the initial stages, the treatment of tooth decay is very easy, sometimes even without drilling. The deeper the cavity, the more difficult and expensive the treatment. And if you ignore even deep decay, eventually it will get to the nerve of the tooth – the pulp. This will cause pulpitis, an acute inflammation that causes severe pain and requires complete removal of the pulp and a filling of the root canal for treatment.

To avoid pulpitis, it is better to visit the dentist every six months for a preventive check-up and treat tooth decay at the first sign of it.


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