Dental treatment - anesthesia, methods, complications

Modern dental treatment

Dental treatment of teeth is a set of measures aimed at eliminating the inflammatory process and restoring chewing functions. The most common disease is, of course, caries and its complications. The timing of dental treatment directly depends on the stage of development of the disease. Thus, installing a dental crown or implanting several teeth will take different times, depending on the number of specialist appointments. It is worth noting that regular preventive examinations allow you to notice pathologies at an early stage, allowing for dental treatment without extraction and significantly simplifying it.

If a patient comes to the clinic with acute pain, the task becomes much more complicated. Therefore, every dentist will tell you that the best dental treatment is prevention.

Photos before and after dental treatment

Photos Before and After treatment of chewing teeth.

Photos Before and After treatment of front teeth.

A wisdom tooth affected by caries - treat or remove?

According to statistics, when affected by caries, in approximately 20% of cases, the wisdom tooth can be treated, in 80% it can be removed immediately. The question of treating or removing figure eights is decided by the dentist, taking into account the individual characteristics of a particular patient.

In what cases can experienced dentists treat caries of third molars:

• If the tooth is in satisfactory condition, the carious lesion is superficial or in the stain stage and there are no obstacles to successful treatment.
• It is very desirable to treat wisdom tooth caries if for some reason the patient has had his sixth or seventh teeth removed and the eights bear a large chewing load.
• Treatment of a wisdom tooth affected by caries is also necessary if the figure eights act as a support for orthopedic structures - bridges, crowns.
• Treatment is acceptable if there is no gingival “hood” hanging over the dental crown.
• It is advisable to preserve the tooth even if the opposite jaw also has a figure eight.

Endodontic dental treatment

What is endodontic dental treatment? This is a procedure aimed at treating root canals, usually using a microscope. If you ignore the symptoms of caries for a long time, pulpitis, periodontitis and other complications develop. Endodontic treatment of teeth under a microscope will help eliminate acute pain and relieve inflammation. The help of an endodontist is indispensable when there is a suspicion of a dental cyst or granuloma. Often, after canal treatment, complications arise due to poor quality treatment or stuck pieces of broken instruments. In such difficult cases, they also resort to endodontic treatment of the tooth canal under a microscope.

Treatment without drilling

Dental treatment without drilling involves the use of minimally invasive procedures. Some of them have been mentioned above. In particular, lasers are actively used to eliminate caries. This type of dental treatment is performed for adults and children. Among the main advantages is a reduced risk of any infection, since contact of equipment with organs and tissues of the oral cavity is eliminated.

Also, dental treatment without a drill can be performed using the chemical-mechanical method. A special preparation is applied to the area of ​​the tooth affected by caries. It contains sodium hypochlorite and amino acids. Next, the specialist treats the affected area using special tools. Since only dead tissue is removed, the filling occupies a much smaller area, and it is also possible to preserve healthy areas as much as possible.

Another interesting technique was developed by German specialists. It is based on the bactericidal properties of ozone and is often used in pediatric dentistry. The gas used to treat teeth completely destroys microorganisms that cause caries.

The latest non-invasive methods

Before dental treatment, a specialist determines the degree of destruction of enamel, hard tooth tissue and dentin. In advanced cases, a granuloma forms around the root, which may subsequently increase in size. Modern methods of dental treatment make it possible to successfully combat the first signs of caries without the use of a drill. Among them:

• laser dental treatment;
• application of chemical-mechanical techniques;
• fluoridation – treatment of teeth with calcium;
• application of the air-kinetic method;
• ozone therapy.

Treatment of a tooth under a crown

After some time has passed after the installation of the prosthesis, subsidence of the gums and exposure of the neck of the tooth are often observed. All this contributes to the development of caries, and therefore pulpitis, periodontitis and other unpleasant diseases can appear even when the tooth is covered with a crown. Only a specialist can identify the problem and treat the tooth under the crown. If a disease is detected, the structure may need to be removed.

It is also the cause of problems - errors in the manufacture of the prosthesis: if the crown does not fit tightly around the neck of the tooth, bacteria can get under it. The specialist immediately removes such structures and carries out dental treatment. The crowns will subsequently be replaced, which will preserve the teeth and prevent the development of more serious diseases.

Who chooses to have all their teeth treated “in their sleep”

For everyone who values ​​their time and is accustomed to a certain quality of life, i.e. for everyone, although 10 years ago this format was of interest only to “big screen” stars and patients from other cities

• Super-busy Muscovites If you don’t have time to go to the dentist, like going to work, in traffic jams, in the evening, 2 times a week for six months to a year to get your teeth in order, and the problem is put off and put off for years
• Patients not from Moscow Every month we accept at least 10 patients from Russia and Europe. The operations are planned remotely; you only need to come for diagnostics and the operation itself. Very comfortably!
• Public people of all professions Privacy, quick results and the absence of visible signs of treatment on the face are why this technique has long been loved by show business stars, politicians, businessmen, and more recently bloggers
• Connoisseurs of comfort You can treat your teeth in the format of a SPA procedure. Fall asleep and wake up when it's all over. Not seeing or remembering the process. Do not hear medical odors and unpleasant sounds. Get the result and go home!
• Parents of responsible children If your parents are also the type who wouldn’t let a dentist near them at the drop of a hat, but walk around without teeth, then the only treatment format they can agree to is “all in 1 visit.” Checked!
• All those who do not like dentists Uncontrollable feelings of fear, panic reactions, negative experiences with a dentist in the past - all this is a direct indication for treatment in medicinal sleep

Anesthesia

Conventional local anesthesia is performed very often today. Patients with increased sensitivity of soft tissues and children can first be given topical anesthesia. Also in dentistry, painkillers are used for dental treatment. The type of drug and its dosage are selected individually - it all depends on both the patient’s health condition and the clinical situation. For example, pediatric dentists often treat teeth with nitrogen. Laughing gas causes a feeling of mild euphoria and is not hazardous to health. The patient relaxes, and the doctor can calmly perform all the necessary manipulations. But general anesthesia in dentistry is used only in the most extreme cases.

Anesthesia after dental treatment can last up to 3 – 4 hours. Everything here is very individual and depends on how much anesthetic was used.

Features of treatment of anterior teeth

Treatment of anterior teeth is associated with some difficulties. A characteristic feature of the incisors is their smaller size compared to other teeth. The work that a dentist has to do is truly jewelry. Only an experienced specialist can achieve a high degree of aesthetics.

In the process of treating and restoring the shape of a diseased tooth, a filling can be performed using light-curing polymer materials or veneers. Their shade is selected taking into account the color of the enamel of the patient’s healthy teeth.

The last resort is the installation of crowns. This method is justified only if the tooth is severely damaged. Treatment of lower teeth in the frontal zone is performed using similar methods and techniques.

Reason to see a doctor: symptoms that cannot be ignored

If a tooth hurts, treatment should never be delayed. Any delay is fraught with serious problems not only for the oral cavity, but also for the whole body. The sooner the source of infection is identified, the easier and faster dental treatment can be performed in the clinic. Symptoms that indicate serious problems:

• acute throbbing pain in the tooth;
• significant increase in sensitivity;
• bad breath during regular hygiene;
• bleeding and swelling of the gums;
• tooth mobility;
• difficulty opening the mouth;
• the appearance of a defect on a tooth, an area with uneven edges and pigmentation.

How are teeth arranged in teenagers?

A newly erupted and grown tooth needs several years to fully form: its roots are not yet narrow and long enough, and its walls are much thinner. This leads to the fact that the tooth is able to withstand a significantly lower degree of load than at an older age.

Pulp

(nerve) at this age is larger in size, while hard tissues - enamel and dentin - on the contrary, are more permeable, thin, and slightly mineralized. This means that teeth are more fragile and more susceptible to caries. Acids actively act on thin enamel and destroy it - carious processes become more active. The pulp is located close, which increases the risk of inflammation of the neurovascular bundle of the tooth (pulpitis). Treatment of an inflamed nerve is complicated by the fact that it is necessary not only to remove the inflamed tissue, but also to try not to damage the growth area of ​​the tooth root. Otherwise, the root will not be able to grow, the tooth will remain unformed, and its “life” will decrease.

Fissures

(grooves on the chewing surfaces of teeth) at this age are deeper, they often have hidden cavities where bacterial plaque accumulates, which also leads to the rapid development of caries.

Teenagers under 18 years old should not have implants

. Therefore, tooth extraction should be a last resort when no other treatment is possible. Losing a tooth leads to displacement, malocclusion, deformation of the facial bones, and the appearance of gaps. In adolescents, these processes occur especially quickly. In addition, after a tooth is removed, the amount of bone tissue in its place decreases, so it will have to be restored before implantation.

Stages of dental treatment

Despite the fact that modern methods involve virtually painless dental treatment, fillings and other procedures, many patients appear in the doctor’s office with acute pain and a whole “bouquet” of oral diseases. Treatment usually includes the following steps:

1. Diagnostics

   A specialist examines the oral cavity, identifies problems and draws up a treatment plan. Additional examinations may be ordered. At the same stage, the doctor conducting the consultation discusses the cost of services with the patient and selects the most convenient time for an appointment.

2. Professional oral hygiene

   It is advisable to begin dental treatment only after their surface is cleaned of hard and soft deposits.

3. Treatment

   The process of treating caries involves removing the affected tissue. The procedure is performed using local anesthesia, and the treated area is isolated from the rest of the mouth. Rubber dam or cotton swabs can be used for these purposes.

4. Seals

   Filling is carried out after cleaning the carious cavity. The final procedure is grinding the filling - this is necessary to eliminate the occurrence of discomfort during the process of chewing food.

Step-by-step treatment of wisdom tooth caries

If the dentist gave a positive answer to the question of whether to treat wisdom teeth, it is necessary to begin treatment as early as possible, before caries reaches a more advanced stage. The treatment procedure for third molars is slightly different from the treatment of other teeth in the upper or lower jaw, since due to the special arrangement of the teeth, the doctor cannot use all available technologies.

Treatment occurs in several stages:

• After anesthesia, the dentist carefully prepares the cavity and, using a drill and hand instruments, removes all tissue affected by caries.
• To prevent infection from entering the body, he treats the oral cavity and the tooth itself with an antiseptic solution.
• The dentist places a healing or insulating pad inside the cleaned cavity.

• A seal made of photocomposite material is installed on top of the gasket. It is applied in layers, and each layer is illuminated with a special lamp until completely cured.
• After filling, the tooth is adjusted to the bite, given the correct anatomical shape, ground and polished.

Why does a tooth hurt after treatment and what to do in this case?

Aching pain after treatment occurs quite often. However, its causes may be different, which means that the doctor’s actions to eliminate it are required different. Let's look at the most popular:

• Very often, after treatment, the tooth reacts to mechanical stress when chewing food. As a rule, minor pain appears after treatment of deep caries. This is due to the fact that the filling puts pressure on the pulp. Over time, the pain will pass.
• It is not uncommon for a tooth to ache after treatment and due to an individual reaction to the doctor’s intervention. The pain may persist for several days.
• Acute pain after dental treatment cannot be ignored. You must immediately contact a specialist. Unpleasant pain may indicate that there is inflammation after dental treatment.
• If you are sensitive to irritants such as hot and cold drinks, sweet or sour foods, then there is a high probability that the overhanging edge of the filling will injure the periodontal tissue in the gum area. This phenomenon leads to tissue inflammation and exposure of the tooth root, which is extremely sensitive to any irritants. Therefore, be sure to contact the dental clinic if your tooth aches after recent manipulations. The treatment was most likely carried out poorly.

How much does dental treatment cost in Moscow?

Taking into account the fact that therapy involves an integrated approach, the total cost of dental services will consist of the costs of individual procedures. Approximate prices for dental treatment in Moscow are presented in the table below.

Treatment methods

The very first thing to do is to clean the canals - in the absence of a crown, carious inflammation can very quickly spread to a nearby nerve. After this, it is necessary to begin restoring the coronal part, i.e. the very top of the tooth. There are several best options for this.

Installation of a stump inlay A stump inlay is a modern alternative to pin-based extensions. A pin is simply a metal rod, while an inlay is created individually and accurately replicates the structure of the root system of a particular tooth. The result is a longer service life of both crown and root, as well as superior esthetics.

Price:
from 5,000 rubles more details about the solution
Installing a crown If the crown is destroyed to the level of the gingival margin, it is impossible to install only a filling - you need to think about prosthetic crowns. But such prostheses need support; the best option is to install a stump tab, which will strengthen the root system and create support for the prosthesis. Ceramic crowns are better suited for the front teeth, and metal-ceramic crowns for the side teeth. In both cases, an excellent solution would be zirconium dioxide prostheses - strong, aesthetic and very durable.

Price:
from 11,000 rubles more about the solution
Dental implantation This method is advisable to use when saving a tooth is not possible. And it is best to install the implant immediately after root removal. Thus, the preservation of bone tissue and its protection from rapid atrophy will be ensured. In some situations, especially when it comes to prosthetics of the front teeth, a crown can be placed on the implant immediately, which will restore the aesthetics of the row.

Price:
from 35,000 rubles more about the solution