- Treatment of caries
- Treatment of pulp
- Treatment of periodontitis
- Removal of tooth cyst
We use modern technology and precision equipment to heal our teeth. Forget fear and come heal your teeth! In family dentistry «Your Dentist» dental treatment is painless and safe.
Toothache, discoloration of enamel and gum, the appearance of unpleasant odour from the mouth are important signs that it is time to visit the dentist. Because the external state of the tooth and the state of health do not always correspond to what happens inside. Only a third of the tooth is visible to the naked eye, and the remaining two thirds are hidden under the gum.
In family dentistry «Your Dentist» treatment is carried out only after obligatory preliminary diagnosis – we rely in our work on reliable information about the state of health of the oral cavity. All stages of treatment are also controlled by digital technology. The orthopantomograph allows the attending physician to take panoramic photographs at any time when necessary and to monitor the course of the treatment.
An important criterion of high quality modern dentistry is the painless treatment of teeth. For this purpose, high-quality and effective anaesthetics are used in our clinic. Many people fear the pain of the injection at the time of the injection of the pain reliever – do not worry. Your Dentist will make this procedure painless.
We do our best to make dental treatment efficient, safe and pleasant for you. But it is important to remember that the most reliable way to keep your teeth healthy and save on treatment is to visit Your Dentist once every six months. Postponing medical visits and ignoring prevention is an outdated and ineffective pattern of behaviour. Make an appointment to the dentist for a routine check-up and be sure your teeth are healthy.
Find out the details
- Caries treatment
- Pulpitis treatment
- Periodontitis treatment
- Tooth cyst removal
The modern treatment of caries is not the same as before: it is most often a full-fledged tooth restoration that restores the shape of the tooth, preserves its natural appearance and serves for a long time. This is how it differs from the usual filling, when the filling material simply closes the carious cavity, can lie flat and differ in color.
When caries is treated with a filling
Not all caries can be eliminated by filling a tooth. Treatment depends on the stage. Initial caries – white spots on the tooth – can be treated without a drill. The dentist will remineralize the enamel and plan home care with the patient.
However, when the cavities enter the superficial stage, enamel fabrics are softened and a defect in the form of a dark spot appears, without sealing. And the longer the restoration is delayed, the faster the caries will spread, because the sealed cavity is open to bacteria and microorganisms. If caries are not treated, the tooth may break in a short period of time, and one cannot do with filling.
How the tooth restoration is going.
Caries is not so easy to see on their own and it’s not always accompanied by toothache. It is important to visit the dentist regularly every six months, for the doctor to notice defects in time. The stages of the treatment of caries are as follows:
- A preliminary examination of the oral cavity is carried out, cleaning, during which the oral cavity gets rid of plaque, is treated with antiseptics and is prepared for the upcoming procedure.
- Anaesthesia is performed. The severity of the anaesthetic is regulated by a physician. For example, the treatment of chronic caries is painless in itself, but if the patient wants it, you can still administer anesthesia to avoid unpleasant sensations.
- A tooth restoration is being carried out. During the restoration, Your Dentist insulates the desired tooth with the help of a cofferdam – a clammer structure, a handkerchief and a frame. This is very convenient for both the dentist and the patient. You will less often have to open your mouth wide, it will be easier to relax, the mucous membrane and tongue will be protected from accidental damage, and excess water and dust will not get into your throat. At the same time, the dentist will work more accurately, faster and more efficiently than with the usual cotton swabs.
Tooth restoration lasts at least an hour, during which the patient has time to tune in, anesthesia – to act, and the doctor – to remove caries and restore the tooth. In some cases, the restoration can take two and a half hours. This applies to difficult cases: lateral caries, severe decay, “kissing caries”, when decay affects the lateral walls of adjacent teeth.
Materials used for filling
Your Dentist in Odessa uses only modern filling materials – as a rule, Estelite Sigma Quick. This is a Japanese light-curing nanocomposite, thanks to which it is possible to achieve the natural shape of the teeth, not only the anterior, but also the lateral.
It is a tough and abrasion-resistant material that adapts to the color of the tooth, with a natural transparency and a long-lasting shine.
If the oral cavity is properly taken care of, the service life of the filling is five years, in some cases more. But if the case is complicated, the service life is reduced.
The pulpitis is an inflammation that affects the soft tissue and the vascular nerve bundle inside the tooth. A vascular nerve bundle is called a pulp. Under the influence of aggressive factors, it gets inflamed, which causes increased toothache.
The main symptoms of pulpitis
Pulpitis is accompanied by severe pain, which intensifies in the evening. It almost always seems that half of the jaw hurts, pain extending to the ear and temple. Such pain can be temporarily muted with pain pills – but do not stop there, but seek professional help.
In general, the pulpitis manifests itself through the following symptoms:
- The tooth hurts at night, sometimes the pain continues for several weeks.
- The pain is felt not only in the tooth itself, it’s extending in the ear or the temple.
- It feels like half the jaw is hurting.
- In response to a hot, cold or sweet, tooth hurts for a long time.
- The nature of the pain is whining.
- Bad breath appears.
- Edema sometimes appears.
Symptoms can be pronounced or insignificant, permanent or recurrent. The shape that the pulpitis takes depends on a lot: how quickly the problem can be solved, how it can be solved, what the chances of success – including whether there is a chance of retaining the pulp, or, as it is sometimes called, the dental nerve.
How do different types of pulpitis manifest?
Toothache with pulpitis can appear spontaneously and last not long – 10–20 minutes, after which it stops for several hours. This is typical for acute focal pulpitis. Merely avoiding pain provocateurs like cold, hot, or sugary foods and taking pain relievers is not enough. It is important to seek dental help on time: after a few days, focal pulpitis becomes diffuse. This means that the toothache will become more and more intense, and the intervals between the attacks of pain will be shorter. If you react in time, the prognosis is favorable: you can save both the tooth and the pulp.
But in patients with chronic pulpitis, the pain syndrome is not so pronounced. Much more important is the fact that chronic pulpitis leads to structural and functional changes in the tooth, sometimes irreversible. Chronic pulpitis is fibrous, gangrenous, or hypertrophic. Among them, fibrous is the most common and occurs in more than half of the cases.
In patients with fibrous pulpitis, fibrous tissue gradually grows in the cavity. Because of this, the patient feels a constant heaviness in the tooth. Bad breath appears. And various irritants, including cold and hot food, cause prolonged aching pain.
Following fibrous pulpitis, gangrenous usually develops. It is accompanied by more unpleasant symptoms: the mouth becomes putrid, the color of the tooth changes, the severity and discomfort in the tooth remain.
Patients with hypertrophic pulpitis complain of bleeding pulp tissue that overgrows. In this case, the pain from external stimuli becomes insignificant.
The causes of pulpitis
Pulpitis differs in types and methods of manifestation, respectively, and there are several reasons for its occurrence.
- Lack of oral hygiene and advanced caries – over time, carious defects become deeper and affect more and more tooth tissues. Because of this, toxins and microorganisms penetrate into the pulp more easily, which, for example, enter the oral cavity with food debris or live in dental plaque.
- The main causative agents of pulpitis among microorganisms are streptococci. Less commonly staphylococci, lactobacilli and other bacteria cause pulpitis. Poor hygiene and caries are the cause of the overwhelming spread of pulpitis. This disease can be avoided by simply adjusting dental care and visiting Your Dentist regularly.
- Loose filling – if the tooth is not restored in time, the same process is started as in the previous case. At the place of the filling, secondary caries develop rapidly, leading to a pulpitis. Inflammatory processes in neighboring organs and tissues, including the root of the tooth, bone tissue or nasal sinuses. This means that patients with periodontitis, tonsillitis, osteomyelitis or sinusitis are at risk of developing pulpitis.
- Tooth trauma: Chips, cracks and fractures expose the pulp, making it easier for microorganisms to penetrate and cause agitation.
- Improper tooth treatment is a less common but possible cause of pulpitis. Excessive heating of the tooth, treatment with potent drugs, allergies not taken into account can lead to inflammatory processes, so the dentist and clinic must be chosen carefully.
Depending on the viability of the pulp – the very neurovascular bundle inside the tooth – the doctor selects the method of treatment. In family dentistry “Your Dentist” in Odessa, endodontic treatment of any complexity is carried out.
Sometimes it is possible to save the pulp – then the method of treating pulpitis is similar to the treatment of caries, and the main focus is on drug therapy.
It often happens that the inflammatory processes go too far, and then the tooth has to be depulpated – to remove the nerve, clean and rinse the root canals, and put a filling.
Stages of surgical treatment of pulpitis:
- The dentist will numb the tooth with local anesthesia. Due to the fact that the pulp is a bundle of blood vessels and nerves, any manipulations can cause severe pain.
- The dentist removes the softened tooth tissue and evaluates the extent of tissue damage.
- After that, he removes all the affected tissue and nerve. He will clean and rinse the tooth cavities in order to prevent re-inflammation.
- Since each root canal has a different length, they are measured before being treated.
- The final stage is the filling procedure. At the same time, the dentist fills the canals and completely restores the coronal part.
Periodontitis, like pulpitis, is an inflammatory disease of the oral cavity. It affects the periodont – a complex of tissues surrounding the tooth, thanks to which the tooth is securely fixed in the oral cavity and copes with the chewing load. If periodontitis is left untreated, a number of complications arise.
- Periodontitis is manifested by a sharp pain in the affected area, which increases with the slightest touch.
- At the same time, the tooth itself becomes mobile, because the ligament that holds it is affected.
- There is swelling of the soft tissues around the tooth.
- Bad breath appears.
- Fistulas appear on the gums – most often this occurs with granulating periodontitis.
- With acute periodontitis, an increase in lymph nodes and low-grade fever are possible. This is an increase in body temperature in the range of 37.1 – 38.0 ° C, which lasts for a long time.
The listed symptoms accompany mainly acute forms of periodontitis. If the disease is chronic, then the pain syndrome rarely manifests itself. And the patient himself complains of minor pains, fistulas that appear on the gums, and an unpleasant odor from the oral cavity.
Causes of periodontitis
Periodontitis occurs due to complications of caries or pulpitis, trauma, microtrauma or poor-quality root canal treatment. For example, trauma and microtrauma leading to periodontitis are found in musicians who play wind instruments.
Another reason for periodontitis is untreated pulpitis. The infection that caused the pulpitis can spread beyond the pulp, when it reaches the apex of the root, periodontitis begins to develop. Moreover, the disease is caused not only by the pulpitis that was not treated at all, but also insufficiently well treated. For example, the root canals may be insufficiently washed and processed, and the tooth itself may not be properly filled.
Periodontitis, like pulpitis, must be treated urgently. For this, the dentist uses an integrated approach: removes inflammation, stimulates recovery processes, restores functionality and a healthy appearance to the tooth. In some cases, it is necessary to unseal the canal in order to thoroughly rinse it and seal it tightly.
In the clinic “Your Dentist” both conservative treatment of periodontitis and surgical are possible.
Tooth cyst removal
A tooth cyst is a cavity formation in the gum, which has arisen as a result of an inflammatory process. There are two main reasons for the development of a cyst – chronic inflammation and tooth trauma. Cysts look like hollow capsules in a dense shell, they can be of different sizes – in advanced cases they exceed 1 cm.
Without treatment, the cyst becomes a permanent source of infection for the entire body. If the cyst worsens, purulent exudate accumulates inside. The cyst is dangerous because it grows. And if it grows quickly, then urgent action is needed.
Conservative treatment of cysts
Treatment of a small cyst (granuloma) always begins with conservative treatment – the doctor should not rush to remove the granuloma. The objective of the treatment is to preserve the maximum number of teeth with the minimum invasiveness of the procedure In this case, endodontic treatment is carried out – filling the root canals of the tooth and treating the infection in the tissues adjacent to the tooth.
The doctor acts according to the following scheme: to the granuloma through the root canals and inject into this cavity special materials that contribute to the hardening of the granuloma cavity and the formation of bone tissue. The task of this method of treatment: firstly, to localize the process of cyst development, and secondly, to lead to the formation of bone tissue in the area of the defect.
This method is successful with high-quality endodontic root canal preparation. The main condition for success is high-quality antiseptic treatment of root canals: they must be washed and dried well so that no infection remains. Only then can the canal be sealed. If this is not done and the tooth is sealed, the remaining infection causes the cyst to grow and may aggravate the situation. But if everything is done correctly, then the risk of complications is minimal.
For treatment, one visit to the clinic is not enough: two or three, and sometimes more – if the patient has an exacerbation stage. Sometimes the canal treatment alone takes up to three visits to the doctor. It is not speed that is important, but quality, it is necessary to listen to the patient’s complaints. During conservative treatment of cysts, anti-inflammatory medications and antibiotics are usually also prescribed.
If the cyst is in a stable state or its size decreases within 1 year of observation, then we can say that the therapy was successful.
Surgical removal of the cyst
The indication for surgical intervention is the ineffectiveness of conservative treatment. There are two ways to remove a cyst without tooth extraction: cystectomy – removal of the cyst together with the membrane, and cystotomy – opening the cyst to evacuate the contents.
Cystectomy is a completely radical operation in which a cyst with a membrane is removed and the damaged apex of the tooth root is resected, the wound in the gum is then sutured. To do this, an incision is made in the gum in the required place, a fragment of the cortical plate in the cyst zone is removed, the cystic cavity is sanitized and the remains of the cyst are revised. The apex of the root of the tooth is removed, a retrograde (from the inside) filling of the root canals is carried out, and special osteoplastic materials are installed that stimulate the formation of their own bone tissue.
Cystotomy is a more gentle method of removing the cyst under the tooth, in which the liquid contents of the cyst are removed. With timely treatment, it is possible to save the tooth.
Laser tooth cyst removal
Removal of a tooth cyst with a laser is effective in case of small neoplasms.
The procedure includes the following stages: under local anesthesia, the affected tooth is opened, a laser tube is inserted into the canal. The laser simultaneously disinfects the affected area, scleroses the cyst membrane and its contents, processes root canals, and also stimulates tissue regeneration. If a tooth cyst is removed with a laser, bleeding is avoided, and the healing process is easier and faster. Upon completion of the procedure, you can immediately fill the root canal with a temporary filling.
The cost of removing a tooth cyst with a laser is higher, since it is a more comfortable, painless and effective procedure that requires special equipment and staff skills.
Frequently asked questions
You probably care about questions that other patients have already asked. Look through the answers to them, but if you still have doubts –
just contact us!
- What will happen if pulpitis and periodontitis are not treated?
If pulpitis is left untreated, it spreads beyond the pulp. Periodontitis may begin, then periostitis. The latter is an inflammation of the periosteum, which is also called a flux.
Untreated periodontitis often results in jaw cysts. Other complications include near-maxillary abscess, phlegmon, fistulas, and osteomyelitis.
It is much more difficult to treat complications of pulpitis and periodontitis, and the cost of such treatment is higher. It is much more effective to regularly undergo preventive examinations at the dentist – once every six months.
- Can a tooth hurt after depulpation?
Yes, if there was a prolonged inflammation in the tooth. Or if the treatment was not carried out completely or of insufficient quality. For example, the filling technique was violated. In this case, you should definitely consult a dentist. To identify the problem, you need to take an x-ray.
- Does pulpitis occur in children and should it be treated?
Occurs, and it must be treated. Many parents are confronted with the erroneous opinion that «milk teeth do not need to be treated, they will fall out anyway». This is not just a misconception about pediatric dentistry, but also harmful: in the absence of proper treatment for pulpitis, a child may experience serious complications.
The anatomy of the dentition in children has its own characteristics. Because of this, many diseases develop, unfortunately, faster, and affect several teeth at once. So, caries very quickly leads to complications, including pulpitis and periodontitis.
A child with pulpitis may complain of a toothache while eating. In cases of purulent pulpitis, the temperature may rise.
It is undesirable to remove a milk tooth – this can lead to an incorrect formation of the bite. Therefore, it is important to turn to the dentist in time, who will carry out complex treatment, including thoroughly cleaning the root canals. And also – he is attentive to home oral hygiene from the earliest years and does not miss preventive examinations.
- How to prevent cyst?
Caries treatment: elimination of all, even the most minimal, carious cavities and prevention of any inflammatory processes in the dental pulp. It is necessary to exclude dental injuries at home and during sports.
Another possible reason for the appearance of cysts is incorrectly performed dental treatment, when a focus of inflammation remains. Therefore, if the tooth was previously treated, then it needs to be controlled, even if it does not bother.
The earlier the problem is detected, the more likely it is to save the tooth. Conservative treatment and antibiotic therapy can help before bones become inflammation and excessive tooth mobility.
- How to detect a granuloma at the initial stage, when it does not manifest itself in any way?
During a visit to the dentist, the doctor, when taking a history, checks the patient’s history over the past six months for risk factors. Finds out what viral and bacterial diseases the patient suffered, whether there were injuries, whether there are carious processes in the mouth.
Based on information about diseases and injuries, as well as taking into account the results of examination of the oral cavity, the doctor concludes that an X-ray examination is necessary. In the presence of a large cavity in the tooth, before its filling, the research protocol presupposes an X-ray without fail.
- How to treat a cyst in the maxillary sinus?
An inflamed tooth often causes sinusitis. In this case, the dentist works in tandem with the ENT.
The technique is as follows: conservative treatment by the dentist and surgical treatment by the ENT. That is, you first need to cure the causative tooth, if it is subject to treatment (if not, then it is removed); after completion of dental treatment – ENT deals with the problem of sinusitis.
If a cyst is found in the maxillary sinus, the doctors’ actions depend on the size of the cyst. If the cyst is large, then the dentist simultaneously removes the tooth and removes the cyst of the upper tooth. If the dentist has decided to save the tooth, the patient goes to the ENT, where the cyst of the tooth can be removed using endoscopic devices.
- If a cyst is found in a pregnant woman, what should I do?
If a cyst bothers, then it must be treated like any acute inflammation. Here you need to assess the risks, acting according to the rule: the possible benefit prevails over the possible harm.
If a cyst is found and it does not bother in any way, its treatment is postponed until the breastfeeding ends.
If there are signs of inflammation, if the cyst bothers, then we act according to the treatment protocols, but we try to use the least invasive methods in order not to burden the body once again. At the same time, we take into account the restrictions on taking antibiotics.
- Wisdom tooth cyst removal - what are the features?
Usually a so-called follicular cyst occurs in the area of the wisdom tooth, which cannot be treated conservatively. If a wisdom tooth cyst is found, it must be removed along with the tooth – the option of preserving the tooth is not even considered.
When a wisdom tooth and cyst are removed, a large defect is created in the jaw. The bone in this place requires reinforcement with reinforcing titanium plates due to the high risk of a pathological jaw fracture (a fracture that develops with minimal external impact). Therefore, the cavity is filled with osteoplastic materials – osteosynthesis is performed.
- Is it possible to cure a tooth cyst with folk methods?
Treatment with folk methods is not only unproductive, but moreover, it can provoke an exacerbation of diseases and complications. For example, when using heating agents.
The disease can be complicated by an abscess, phlegmon, mediastinitis. A cyst in the cold period (without exacerbation) in itself may not bother, but it must be treated. If left untreated, in the event of exacerbation of diseases that lead to serious consequences.
- What is the cost of removing a tooth cyst?
The cost of removing a tooth cyst depends on the stage of the disease, the required volume of medical procedures, the method of removing the materials used and anesthesia. In our clinic, you can remove a tooth cyst at an affordable price using advanced technologies and materials, including laser removal of a tooth cyst.
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