Root caries tooth: symptoms, treatment
Very often I heard that developed caries. But what and why few people are interested in. Of course, most often the carious process in the coronal portion. But he can develop even further and go to the root of. On the other is a disease called caries of the tooth root. The tooth consists of a crown and roots. The crown part on top that covers the enamel and root cement. Hence the name. The structure and composition of the cement is more susceptible to external and internal factors than enamel. Therefore, where the process can evolve faster. It is very important to notice it in time to be able to cure and save the tooth.
The causes and development of diseases
Given the fact that the carious process in the tooth root is not as common, and the reasons for its origin a little. Most commonly it is found in those who have artificial crowns. Because of the violation of the rules of production or during prolonged periods of wearing them, the gingival margin may fall. Let it be mm, just enough to accumulate residues from the products. But we already know that this is a very good favorable environment for the growth of pathogenic microorganisms. The patient may be a long time to notice this because of the artificial crown. It may aggravate the process.
The second etiological factor of the disease of periodontal tissues. Most often it is the disease when there is destruction of the tooth-gingival connection. Because of this, again, gets there food and the process may develop, as in the previous case. But often, under the influence of minerals contained in the saliva plaque turns to stone. And under these stones often found caries of tooth root when they are deleted. Hygiene plays a very important role in the development of most diseases of the oral cavity.
The third and last reason is very unlikely. This cervical caries, which is very close to the cement of the root. If the latter is exposed, the infection can spread. But again it happens very rarely. However do not abuse it, and when it detects whenever possible, just go to the dentist. The carious process in the cervical region is most vulnerable, because that’s where the enamel is thinner. And the patient will feel the pain more acute, and the infection can develop faster.
How does the defect
The clinical picture is very poor in cases when root caries is closed. In other words, root caries, or covered with the gums or tooth stones. Because of this barrier the sensitivity significantly decreases and the patient may not immediately understand that it is something troubling. Often in the study of the teeth-jaw system using the radiographic image, it is detected carious lesion. But it so happens that the root is exposed and stones are absent. In such situations there is all the symptoms typical of the carious process. But in this clinical situation the patient feels stronger all.
Dental caries, tooth root, the patient will complain of pain from sweet, cold, sour, hot, brush your teeth and chew solid food too. They are abrupt, but they take place almost immediately if you remove the irritant, as with carious lesion in the coronal portion. Holding the probe also causes an unpleasant pain. The surface is rough, uneven. Sometimes the cavity can be filled with the softened dentin. In other words, a clinical picture similar to that, as in the process in the crown. The most reliable sign is the detection cavity on the radiograph. Sometimes caries of cement may be confused with such non-carious lesions such as erosion of enamel, wedge-shaped defect. Both of these diseases are localized in the cervical area and the symptoms are similar. But unlike tooth decay when probing the sides and bottom of the cavity is smooth and even.
Is there a cure and how to do it
The effectiveness of remedial measures and the possibility of saving the tooth depends on how quickly addressed the patient for dental care. In this, as in all cases it would be better if this will happen in no time. There are two ways to conduct the treatment of caries of tooth root — conservative, i.e., therapeutic, surgical and orthopedic. With the first method, it is possible to only treat the superficial lesions. For starters the exposed root of the tooth clean from plaque and stone. Then, the surface is washed with a weak antiseptic solutions. Then it is dried, it is desirable to do a low flow of air from a pistol or cotton balls. This is necessary in order not to provoke the tooth nerve. And after all this, the affected area is treated with drugs, containing calcium and fluoride. The root is saturated with these substances and the process of carious destruction of the origin stops.
The use of surgical manipulations
Surgical method is so called due to the fact that it is sometimes necessary to omit the gum to detach it or to resect at growth. We can say that it’s a phase and not a method. After gaining access to a carious cavity, proceed to the direct treatment. In those moments, when fluorination is not enough, you need to remove nekrotizirovannye fabric and filling. Here’s how it happens in stages:
- The excision of carious process tissues;
- Lavage antiseptic medicines;
- Drying of the cavity;
To clean up completely from infected tissue often use a drill. As usual turbine machine dissect cavity, giving it a round shape. Sometimes using a dental excavator. After preparation it is necessary to check whether any unprocessed areas. This is done by using special material — karenmarder that stains when it is applied to the affected part. If the cavity is clean it is treated with hydrogen peroxide or chlorhexidine, then dried and isolated from further contact with liquid of any origin. In the treatment of root caries is very convenient to use gingival retraction cord threads, which are placed between the tooth and gum. They absorb any moisture, even blood.
The next stage is filling. As it is carried out depends on the choice of the restorative material. You can only use glass ionomer or composite material. And the other is chemical curing and light.
In the first case, the material paid in one portion and wait until hardens. The second must be applied in layers and blend each layer of twenty to forty seconds, depends on the company and the manufacturer. But you must first etch the surface, apply a dental adhesive, and then the seal to install. After installation, the surface is ground and polished. For best effect, if possible, you can put on the bottom of the machined cavity preparation with calcium.
It is used when a crown is too destroyed and lose switched to root. But the root itself must be in good condition and stable. It is removed from the nerve, sealed, and then a couple of days rasprobyvat two-thirds of the length. There install copings and put on top of artificial crown. For this purpose, the root must be massive, well passable. But when he is destroyed and there is mobility, we have, unfortunately remove. Therefore, it is better not to bring this up and time to go to the dentist and not to forget about prevention.