Therapeutic dentistry

Treatment of caries in Kiev

Therapeutic dentistry is a whole section of dental practice. Its scope of tasks includes the study and treatment of various diseases of the oral cavity. Doctors working in the field of therapeutic dentistry specialize in the treatment of diseases such as caries, pulpitis and periodontitis, etc.

The use of advanced methods of therapeutic dentistry allows to treat pathological processes in the root canals, to cope with hypoplasia and erosion of the enamel, as well as dental injuries. Thus modern treatment provides not only elimination of the center of a disease, but also restoration of the destroyed tooth fabrics.

In therapeutic dentistry, the most common are 2 types of dental diseases – caries and its complications in the form of pulpitis.

Caries and its types

Dental caries is a disease of the oral cavity that occurs as a result of the accumulation of plaque bacteria – a sticky film-like substance that constantly forms on the teeth, becoming a refuge for bacteria. When interacting with starchy or sweet foods, these microorganisms produce acid, which destroys teeth. If plaque is not removed, it turns into dental caries, or solid plaque on the teeth and below the cervical gums. It is impossible to remove the stone yourself, regardless of the stiffness of the toothbrush. As a result, it becomes a place of accumulation of even more bacteria, which continue to produce destructive acids for teeth. Gradually, this leads to the destruction of tooth enamel and the formation of holes in them, known as dental caries. Caries affects the teeth in two main ways:

through pits and fissures, ie grooves visible on the masticatory surfaces of distal teeth. They are thin areas of enamel, which have depressions that can hold food and plaque. Caries begins in the form of a small focus, then expanding and penetrating into the underlying dentin.
regions between the teeth, as well as their front and rear surfaces. In this case, the acids must pass through the entire thickness of the enamel. As a rule, bacteria affect a large area, which as the penetration of microorganisms into the deep layers of the tooth is reduced to a small focus. It is much easier to heal small carious cavities. Caries can infect the pulp of the tooth, resulting in the need for endodontic therapy or tooth extraction.

Pulpitis

Despite the very complex mechanism, it can be asymptomatic – the diseased tooth does not manifest itself, only sometimes “reacts” to strong pressure and slightly changes its color (which may be imperceptible under the pigmented plaque). Asymptomatic pulpitis can be determined only by a specialist who practices therapeutic dentistry during a detailed examination and, preferably, with the help of special diagnostic equipment. In some cases, the signs of the onset of pulp lesions (pulpitis) are similar to the manifestation of deep caries, but more pronounced in strength and time of pain. If the disease is started (the chronic form has become acute), there may be systematic acute pain, not associated with direct exposure to the tooth. The causes of pulpitis can be: