Management of Deep caries Lesion
KUILLIYYAH OF DENTISTRY INTERNATIONAL ISLAMIC UNIVERSITY MALAYSIA
from the crown at the top down to the softer body of the tooth (dentin) and the inner core of the pulp. fractured or cracked tooth. Treatment for tooth decay varies depending on the nature and extent of the damage a patient experiences. particularly when eating sweet foods or when the tooth is exposed to hot or cold substances.S. eventually. More significant damage may require an artificial crown or root canal. Patients with tooth decay do not usually experience any symptoms initially. a dentist treats cavities by using a dental drill to remove the decayed material before filling the remaining space with dental amalgam or composite resin. food particles and saliva. which contains nerve fibers and blood vessels. Plaque build-up can lead to tartar formation and. partially displaced or completely
. In most cases. Tooth injuries can involve a damaged. These injuries can cause teeth to become chipped. A sticky film called dental plaque is the source of tooth decay. Tooth pain may be the first physical symptom of tooth decay. Bruxism (teeth grinding or clenching) can lead to tooth surface loss. However. When a person consumes food. according to the U. Plaque is made up of a combination of bacteria. acid. accidents and other mishaps. A dentist usually diagnoses tooth decay during a dental examination. It strikes people of all ages. X-rays may be taken to confirm a diagnosis or to reveal hidden cavities. Visual inspection and probing of the teeth with a special instrument can help indicate potential signs of damage.
Tooth Decay & Damage Center Tooth decay is the destruction of teeth due to the interaction of teeth with bacteria and food. but is particularly prevalent in children ages 5 to 17 years.
Tooth injuries may include damage to teeth as a result of falls. cracked. cavities (dental caries) and/or gum disease. dental plaque builds up on the teeth and gradually erodes their structure. Damage can occur in any part of the tooth that is exposed to plaque. especially drinks high in sugars or carbohydrates. it will often cause pain.Tooth Decay
Tooth decay is the destruction of tooth enamel by dental plaque that causes holes known as cavities. Centers for Disease Control and Prevention. if a cavity is not detected and begins to progress. as well as trauma such as tooth loss.
wearing a helmet during sports and using a seatbelt when traveling in a car. enamel and pulp. Primary teeth that are completely knocked out of the socket cannot be reimplanted. Tooth injuries may be described as uncomplicated or complicated. In most cases. a tooth injury requires the care of a dentist or other medical professional. root. jaw swelling indicates a potential fracture or bleeding of the gums does not stop despite firm pressure. Teeth that are chipped or cracked can have the jagged edges smoothed during dental procedures.dislodged from the socket in the mouth. and it can damage the bone around the teeth. which can lead to the death of the pulp. On the other hand. After two hours. The severity of injury depends on which portions of the tooth have been damaged. Uncomplicated injuries do not expose the pulp. A dentist can stabilize teeth that are loose but still intact. which reduces the chance of infection and loss of the tooth. This is called an abscess. People can help reduce their risk of tooth injuries by taking simple precautions. complicated injuries do expose the pulp to potential infection.
. pus may begin to build up near the root tip in the jawbone. The tooth is composed of the crown.
When a permanent tooth is completely knocked out. If the pulp dies. the tooth has a low probability of surviving. such as wearing a mouth guard and proper headgear when participating in contact sports. Patients are urged to seek emergency help whenever a permanent tooth is knocked out. Teeth have the best chance of being saved if they are replaced within 30 minutes of falling out. dentin. it can still be saved.
Moderate damage(deep carious lesion) to central tooth structure (vital teeth)
Deep proximal lesions impinging on porcelain jacket crown or “vital core” (central) porcelain -fused-tometal crown with cement base and/ or pin-composite resin core
. Severe damage(deep carious lesion) to central tooth structure (vital teeth)
More than 50% of “vital core” destroyed (central)
Devitalization. dowel -core and porcelain jacket crown or porcelain-fused-to-metal crown.B.
C. Minimal damage (non-vital teeth) endodontically treated teeth
Endodontic access and small Proximal lesions (combined)
composite resin restorations on lingual as well as proximal surfaces.
jacket crown or porcelain-fused-to-metal crown. moderate to severe damage
ClassII (MOD)medium lesion
Porcelain crown or Pined inlay/overlay
.D. large proximal possible loss of incisal angle (s) (combined)
Dowel-core and lesions. Moderate damage (non-vital teeth) endodontically treated teeth
2. Total coronal destruction
Crown gone but still vital
RCT and post/pin porcelain/metal fused porcelain crown
. Severe damage
Class II (MOD) big/complex lesion
pinted porcelain/metal fused porcelain crown
Treatment planning for endodontically treated posterior teeth 1.C. Moderate to severe damage
RCT done MOD Complex lesion
Post/pin crown/overlay porcelain/metal fused porcelain
. Minimal damage
RCT done MOD lesion
Inlay/Olay porcelain or metal fused porcelain crown
Total coronal destruction
Crown gone lesion
Crown gone lesion
Patients who avoid sugary and starchy foods. the surface of the tooth may prove to be soft when probed with an instrument. In some cases. but no holes).The single most important method of preventing tooth decay is to reduce the amount of plaque and bacteria in the mouth.
Treatment options for tooth decay
Treatment for tooth decay varies depending on the nature and extent of the damage a patient experiences. Visual inspection and probing of the teeth with a special instrument (explorer) can help indicate potential signs of damage.
Diagnosis methods for tooth decay
A dentist usually diagnoses tooth decay during a dental examination.g. If acid has not yet eroded through the enamel (a condition typically indicated to dentists by white spots on the tooth. diabetes) may require more frequent cleanings. the tooth may repair itself naturally with the
.. In other instances. Fluoridation and dental sealants can also help prevent decay. candies and beverages (such as sodas) can keep large amounts of plaque and bacteria from forming in the first place. patients should have their teeth professionally cleaned in a dentist’s office at least twice a year. pits or holes in the teeth may be visible. People with certain conditions (e. X-rays may be taken to confirm a diagnosis or to reveal hidden cavities. In addition. Regular tooth brushing at least twice daily and flossing at least once daily is essential in decay prevention.
Treatment is usually less extensive. In most cases. Instead. However. a cavity typically continues to deepen and worsen. once a cavity has penetrated the enamel. it cannot be reversed. In some cases. although the length of time a cavity takes to progress varies. composite resin (made of a tooth-colored substance) or porcelain (also made of a tooth-colored substance). Before any of these procedures are performed. If the damage from a cavity is extensive. More serious complications include tooth abscess from fracturing of a tooth. When damage extends into the interior of the tooth. discomfort or tooth sensitivity. This helps minimize the risk of a weakened tooth cracking. a general anesthetic will be used so that the patient is not conscious during the procedure.
. less painful and less expensive when the cavity is detected early. a root canal procedure may be needed to remove the tooth’s pulp (including the nerve and blood vessel tissue) and replace it with a sealing material.use of fluoride treatments provided in a dental office or at home. Crowns typically are made of gold. the dentist may have to cover the filling with an artificial crown. the patient receives a local anesthetic or nitrous oxide (laughing gas) provided by a mask placed over the patient’s mouth and nose. All of these complications can be treated. Dentists typically treat cavities by using a dental drill to remove the decayed material and fill the hole with a material such as dental amalgam (made from silver alloyed with copper or other materials). some patients may experience complications such as pain. Left untreated. Gold inlay is sometimes used when greater strength is needed. the tooth is covered with an artificial crown. However. the goal is to arrest further progression of the cavity. A dental professional called an endodontist performs this procedure. Once the root canal is finished. porcelain or porcelain fused to metal. the prognosis after treatment is excellent.
Would I receive greater benefit from having professional cleanings more often than every
. according to the U. protective coating that can be applied to the chewing surfaces of back teeth. Some states provide dental sealant programs through schools for low income families. Regular brushing at least twice daily and flossing at least once daily is essential in achieving this goal. including specifically targeting the bacteria that cause decay. some adults may benefit from the procedure. dental sealants can be applied to a child’s molars and premolars once they fully erupt into the mouth. and children in these communities have 29 percent fewer cavities than children in communities without fluoridation.g. Researchers are investigating additional methods to prevent tooth decay. What type of toothbrush and dental floss should I use? 2. Many cities add fluoride to their water system. Patients may wish to ask their doctor the following questions related to tooth decay.S. Finally. Sealants can be applied when the first permanent molars come in between ages 5 and 7. especially in children. These sealants are a plastic. (CDCP) Centre for Disease control Prevention.. the number of cavities has declined substantially as a result of fluoridation. patients who eat fewer snacks between meals will reduce the amount of plaque and bacteria that forms in the mouth. In addition. Patients who avoid sugary and starchy foods. Although sealants are usually applied to children’s teeth. Sugarless chewing gum that contains the ingredient xylitol can help break down acid that forms on the teeth. they can even arrest the formation of a cavity once it has begun. In the past several decades.
Questions for your doctor about tooth decay
Preparing questions in advance can help patients to have more meaningful discussions with their dentists regarding their conditions. Regular fluoride treatments at a dentist’s office can also help protect teeth. and when the second set comes in between ages 10 and 14. X-rays may be taken during dental visits every year or two to identify potential trouble spots in the early stages. People with certain conditions (e. inhibiting the growth of these bacteria and promoting good bacteria to compete with cavity-causing bacteria. candies and beverages (such as sodas) can prevent large amounts of plaque and bacteria from forming in the first place. What are the most important steps for preventing tooth decay? 1. diabetes) may require more frequent cleanings. Brushing after snacks will also help prevent plaque from forming. In addition.Prevention methods for tooth decay
The single most important method of preventing tooth decay is to reduce the amount of plaque and bacteria in the mouth. Fluoridation can also help prevent tooth decay. Sealants provide extra protection from cavity formation. In some cases. patients should have their teeth professionally cleaned in a dentist’s office at least twice a year.
How can I find out if my tap water is fluoridated? If it isn’t. What types of foods should I avoid to lower the risk of tooth decay? 5. or am I too old for this procedure? 6. Should I chew sugarless gum after eating?
. what treatments are available? 7. should I take fluoride supplements? 4. Can the decay on my tooth be reversed? If so. What are the risks associated with various treatments for tooth decay? 8. If I need a root canal.six months? 3. can you suggest a good endodontist? 9. Should I have sealants applied to my teeth.