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Dental caries treatment in the dental clinic DAVINCI dental clinic
Save your natural tooth! Treat tooth decay in time! Dental caries it is a dental disease that never goes away on its own – in other words, treating cavities is vital to the tooth's survival. Left untreated, caries develops, destroys the enamel and dentin reaching the dental pulp, causing the destruction of the nerve located in the latter (at this stage endodontic treatment is inevitable, more complex and expensive than the application of a simple dental filling). In the most complex cases, we even end up losing the tooth with its subsequent extraction.
Treatment of dental caries in the early stages it is minimally invasive, i.e. painless and quick. Of course, the costs will be lower when we treat a small, recently formed cavity.
DAVINCI dental clinic actively promotes prophylactic conduct, performing prophylactic sealing of young teeth (newly erupted in children and adolescents): non-invasive, painless and with excellent results over time.
What are the dental treatments for tooth decay in the DAVINCI dental clinic?
Since tooth decay is the most widespread dental problem, it is clear that we, the DAVINCI dental clinic team, successfully and with GUARANTEED results treat tooth decay.
Caries treatment it requires a lot of care and a professional dentist to clean the entire decayed surface, repair the tooth with a dental filling (filling) and ensure that the restored tooth will remain healthy in the long term.
There are two practices encountered and implemented by our dentists:
Crown fillings/fillings (most common, when caries are treated at the level of tooth enamel);
Root canal treatments (endodontic, when the dental pulp is affected)
According to WHO data, tooth decay is the most widespread condition worldwide. Since dental health affects the overall health of the body, it is important to prevent cavities and not delay them caries treatment from the early stages.
Dental caries do not disappear by themselves and if not treated in time or improperly, they can evolve quickly and affect the structure of the natural tooth, and even the surrounding tissues. Caries treatment it requires a lot of attention and a specialist doctor to clean the entire decayed surface, repair the tooth with the help of a quality dental filling and ensure that the restored tooth will remain healthy in the long term.
differently dental clinics they have different approaches and prices for caries treatment, but not every institution guarantees the quality of materials, work and the final result. We do it. With confidence.
There are two practices encountered and implemented by our dentists:
- Prophylactic treatments with fluoride have proven to be very effective, but they are only useful in the early stages of carious lesions, when they represent only a demineralization zone (chalky, without luster) of the tooth enamel. These procedures are called Remineralization Therapy or Fluoridation, using gels, varnishes or pastes with high fluoride content.
Fluoride, being an active element, penetrates into the dentinal canals and strengthens the enamel, increasing its resistance against the acids in the drinks and foods consumed daily.
We are paying attention! There are many patients with an increased risk of carioreceptivity, with acute carious processes and multiple demineralization areas in all teeth. In order to detect the cause of these cariogenic processes, the doctors at DAVINCI dental clinic recommend performing the so-called carioreceptivity tests before starting the remineralization therapy. - Crack sealing it represents the hermetic closure of newly erupted molars. The procedure consists of applying a very thin layer of fluid dental sealant on the masticatory surface of the teeth in grooves and pits. Thus, a mechanical protective barrier against bacterial plaque is created. At the same time, the occurrence of dental caries is prevented, because the sealant contains antibacterial substances based on fluorine.
They are released continuously over a long period of time. as a result, they increase the protective role, decreasing the risk of the molars to decay. The doctors at DAVINCI dental clinic recommend that you monitor the eruption of permanent molars of 6 and 12 years respectively in your children and make an appointment for the SEALING OF CRACKS procedure no later than 4-5 months after their eruption - Aesthetic obturation with light-curing material - is the most common method of rehabilitating a tooth affected by caries, available practically in any dental clinic and even in simple dental offices in polyclinics.
This procedure requires the dentist to clean the area where the caries has set in by removing the affected tissues and filling the space with a composite biocompatible with the body, which will have a color close to that of the natural tooth and which will restore the functionality of the tooth. In the case of oral rehabilitation on the front teeth or those visible on the smile line, where dental aesthetics are very important. - Canal blockage - in the event that tooth decay has destroyed the structure of the tooth and led to inflammation of the dental pulp and nerves, it is necessary for the specialist in endodontics to remove the pulp (mortified nerve) and clean, disinfect the root canals, then fill with a material biocompatible.
There are also situations where the dental crown is destroyed more than 60% and has been severely damaged, so to restore it, following an endodontic treatment, the doctor resorts to a prosthetic rehabilitation of the tooth with a dental crown with a pivot or to the ceramic dental inlay.
Why choose dental caries treatments at DAVINCI dental clinic:
The best dentists, specialized in odontotherapy at national and international level.
Ultra-quality fillings - the use of the best and durable photopolymerizable materials as well as the best adhesion system manufactured by KURARAY (Japan), world leader in adhesives.
Digital x-rays for diagnosis and to assess how extensive and deep the tooth decay is.
Root fillings made with the support of a modern and safe technology (for complicated cases that require endodontic treatment).
- The use of isolation systems (dam, cofferdam) against oral saliva, the penetration of which on the surface of the tooth at the time of application of the filling material is undesirable (fillings fall). So Diga is an elastic sheet made of rubber that is used to isolate the work space - more precisely, to prevent saliva and the bacteria it contains from contaminating it.
- Using magnifying glasses, the doctors at DAVINCI dental clinic can prepare the surface affected by caries with great precision, correctly assess the extent of the caries and its depth.
- The use of biomaterials that, under crown fillings, help preserve the vitality of the tooth;
- Photopolymerizable aesthetic fillings, with extraordinary aesthetics and maximum resistance.
- Granting the Certificate of Quality Assurance (i.e. Warranty) for 8 years for light-curing fillings.
Doctors specialized in dental caries therapy
The doctors at DAVINCI dental clinic are specialized in dental caries therapy. It is continuously improved at national and international conferences and congresses, using in daily practice cutting-edge digital technologies that ensure non-invasive and conservative treatments, maintaining as much of the original structure of the natural tooth as possible.
The various problems of the teeth, from simple caries to their serious complications, can be eliminated with the help of appropriate therapeutic treatments. The treatments involve restoring the structure and functionality of the affected teeth, with the help of modern materials and techniques, which allow obtaining durable and perfectly aesthetic results.
The symptoms of caries are:
brown to black spots or dental cavities;
tolerable pain strictly induced by cold, sweet food or drink, and ceasing with the removal of the stimulus;
irritated interdental papilla (bleeding interdental gingival area), which can be an indication of the presence of interdental caries;
flaking of interdental floss in the presence of interdental caries.
The difference between obturation (filling) and restoration – the treatment of caries in detail vs the correction of the shape, color of the teeth
Fillings represent the method of reconstructing a tooth damaged by caries, in order to restore its normal function and shape. When performing a filling, the dentist first removes the affected tooth tissue, cleans the area, then fills the cavity with filling material to restore the shape of the tooth.
Aesthetic restoration of teeth
The performance of modern dentistry allows us to call the aesthetic restoration of teeth artistic, because its results can only be compared with real works of art. Artistic restoration is aimed directly at people who want a more beautiful smile, due to the correction of the shape and color of the teeth, the straightening of the occlusion.
During this procedure, defects and cracks are removed, and the restored tooth is as resistant as the one with natural enamel. The transparency of the enamel of the incisal edge of the tooth denotes its youth, and for this reason we obtain precisely this combination of colors when selecting materials, which allow us to make our patients' smiles truly young and healthy.
Indications for artistic restoration are:
- Injuries, dental abrasion,
- Loss of a tooth portion,
- Non-carious conditions (cuneiform defects, hypoplasia, fluorosis),
- Enamel color change after root canal treatment,
- Diastemas (spaces between teeth).
The modern artistic restoration of the teeth differs from the standard obturation first of all in that the lost dental tissues are replaced with a material that exactly imitates the dentin and enamel, their transparency and color range, while the dental obturation - represents a priori only restoring the functional characteristics of the tooth. Artistic modeling and dental restoration simultaneously solve two tasks – restore their functionality and give them an attractive aesthetic appearance.
When does the dentist resort to prosthetic methods to restore the decayed tooth?
In order to eliminate the risk of fracturing the walls, in the case of extensive carious lesions, it is indicated to restore the coronal outline by adhesive cementing of some indirect restorations (inlays) or dental crowns.
When we have, for example, a destruction greater than 60 % from the dental crown, and the tooth is vital, i.e. with a living nerve, then the patient is proposed ceramic inlay (if we are talking about the teeth on the side) and facet (if we are talking about the front ones).
The inlays – they are dental reconstructions of micron precision that complete the missing portions of the crown of a lateral tooth (premolar or molar). They are popularly called "porcelain fillings", being manufactured from integral ceramic, with the help of dental robots (cad/cam systems). They are clearly superior to a classic filling made of composite resins and that is why the price of the inlay is higher. In the long term, however, thanks to at least triple the resistance compared to the common seal, they prove to be an economical solution. They exceptionally restore the aesthetics of the natural tooth thanks to the color variety of the porcelain cubes from which they are robotically milled. The preparation of the tooth is a special one, which our doctors perform with the help of magnifying glasses and some very fine instruments.
- inlays: ceramic prosthetic piece in the shape of a filling, made on a working model outside the oral cavity, to be cemented on the tooth.
- Overlays: a larger inlay used when at least one of the four walls of the tooth is missing.
- Overlay: when we have coronal destruction greater than 60% and a devitalized tooth, the patient is offered the dental crown prosthesis option with or without pivot or overlay (inlay).
- The crown: it is a rigid shell (metal-ceramic, all-ceramic, zirconium) that will be adhesively cemented to the remaining abutment, giving it greater stability and resistance in the event of a fracture.
Subjective signs of dental caries:
- pain to thermal (cold) and chemical stimuli (sweet, sour) and which lasts as long as the stimulus lasts;
- the color change of the enamel observed by the patient in the form of a chalky white spot, especially at the level of the front teeth;
- chewing pains, especially in the region of molars and premolars due to the pressure exerted by food on the unprotected interdental papilla, in the case of proximal caries with interruption of the marginal ridge;
- retention of food residues in the interdental spaces where there are proximal carious cavities;
- fetid breath in the oral cavity due to the fermentation of food residues left in the carious cavity.
Causes of dental caries
▪️ The infectious factor
The oral cavity contains a wide variety of bacteria that accumulate on the teeth or gums, especially in places where dental plaque is more difficult to remove.
The grooves and pits on the occlusal surface of the molars and premolars.
The spaces between the teeth, also known as interproximal spaces.
▪️ The food factor
The food factor is represented by foods rich in sugars or carbohydrates. Bacteria in the oral cavity turn these sugars into acids through a process called acid fermentation. If they are left in contact with the tooth for a longer time, the acids will attack the hard structures of the tooth (enamel, dentine) causing their demineralization. When demineralization continues for a longer period of time, enamel and dentin will lose significant amounts of mineral substances, leaving behind an extremely soft organic matrix. Due to the poor consistency, the organic matrix will disintegrate, forming a cavity.
▪️ The terrain or quality and hardness of dental tissues
The word "terrain" refers to the quality and hardness of dental tissues (enamel, dentin, cementum). Certain diseases or genetic disorders can affect the quality of enamel or dentin, thus increasing the risk of tooth decay. In such situations, the teeth become much more vulnerable because the enamel that covers them can no longer protect them effectively. Even if the soil is not the primary cause of tooth decay, it can be an important factor.
To eliminate the risk of fracturing the walls, in the case of extensive carious lesions, it is indicated to restore the coronal outline by adhesive cementing of some indirect restorations (inlays).
What does untreated caries mean? Need for endodontic treatment or tooth extraction. Caries treatment is simple and quick if done at the right time. It is a shame to lose healthy and vital teeth due to lack of time or desire to visit a dentist.
| treatments | Costs |
|---|---|
| Caries treatment (filling, filling) | 400-750 lei |
| Root canal treatment | 300-1200 lei |
| Artistic aesthetic restoration of the tooth | 1200 lei |
