Many people still get knee tremors at the thought of going to the dentist. Does it hurt to put a filling on a tooth? Answering this question, such people say that this is a terrible procedure. We will prove that today's dentistry can leave only pleasant memories of your visit to the doctor.
Tooth preparation
Not everyone knows for sure how teeth are filled. Does it hurt? Even 20 years ago, such an event was extremely unpleasant, especially in cases where the doctor removed the nerve. Now everything has changed. Let's get acquainted with the terminology used by modern doctors. To prepare is the same as to drill a tooth. The doctor with the help of a drill removes areas damaged by caries. The procedure is carried out before filling.
It happens that preparation and filling cannot solve the problem if the tooth is so badly damaged, for example, with pulpitis, that that small amount of he althy tissue simply cannot withstand the load. In such cases, it is necessary to resort to the installationcrowns. But before that, the doctor seals the canals. He prepares the tooth so as to get to the pulp chamber (the place where the neurovascular bundle is located). Having opened it, the dentist cleans and expands the canals (cavities in the roots of the tooth), seals them.
Aesthetic correction
Does it hurt to put a filling on a tooth? Many do not believe that this can be transferred easily and calmly. They are even more surprised when they learn that they sometimes fill a tooth without caries or pulpitis. This is necessary when you need to make an aesthetic correction. We are talking mainly about the front teeth, in which the edge is slightly worn or chipped off. Also, this procedure is performed if there is a spot from fluorosis. In order not to sacrifice a he althy tooth and not install a crown, they choose a simpler option - restoration with a filling.
Does it hurt to make a filling in a tooth
Methods and approaches to treatment a few decades ago and now are very different. Older people are often frightened by stories about how they drilled a tooth without an injection. The dentist, opening the entrance to the channels through the pulp chamber, was waiting for the moment when the patient would twitch in pain. It was a signal that the instrument had reached the nerve. In those days, it was very painful to put a filling on a tooth. Today, anesthesia is not only the norm, but also a prerequisite. Today, doctors use apex locators rather than pain sensations to control the passage of canals.
Dentists use anesthesia to make the treatment process comfortablefor a person. When the doctor starts drilling a tooth, we don't feel pain at first. The doctor gradually advances the instrument to the place where the enamel passes into the dentin. Without anesthesia, we can twitch from a sharp pain, and the dentist can damage the gum with a tool. The fact is that enamel is a hard tissue. It has no receptors. The nerves are located in the subgingival part of the tooth (in the canals). Pain relief allows the doctor to work with confidence, knowing that the patient will not flinch from discomfort.
Some people worry that the anesthesia won't work. In fact, any of the modern injections will anesthetize well, regardless of the age of the patient and his chronic diseases. The anesthetic may not work only if it is injected a little in the wrong place. This does not always indicate the inexperience of the doctor. It happens that the neurovascular bundle of the patient has a non-standard location. It is solved simply: the dentist makes a second injection where it is needed.
Does it hurt to put a filling on a tooth? It cannot be said that this is a pleasant procedure, because you will have to endure an injection in the gum (sometimes they are done by two or three). You will also feel the vibration generated by the drill.
Anesthesia
Does it hurt to make a filling in a tooth? There are people who, even after making sure that it is quite bearable, continue to be afraid. In the dentist's chair, they are horrified at the sight of an anesthetic syringe. Dentists, in order to minimize patient stress, treat the injection site with an anesthetic cooling gel. But even without him a qualified doctorperforms the injection almost imperceptibly.
Allergies and side effects
Modern anesthetics are such that they almost do not cause allergic reactions. As for side effects, in some people, the heart starts to beat faster and tremors appear in the hands and feet. This is how adrenaline works in some painkillers. In some preparations, this substance is absent or contained in a minimal amount. It is these anesthetics that are injected into children and especially sensitive people.
To avoid unforeseen situations, before performing an injection, the doctor always asks if the patient is allergic to a particular substance. This question must be answered with the utmost honesty.
How painful is a filling? This is not the only issue of concern to patients. Many are afraid that the anesthesia will stop acting ahead of time, then at the end of the treatment it will hurt. I must say that the duration of the injection is different for all people, because it is determined by the speed of blood circulation. For those who have a faster jaw numbness, the anesthetic does not work very long. However, the doctor always monitors for pain.
Duration of caries treatment
It is not always possible to carry out the procedure in one visit. This does not mean that the dentist lacks experience. This is due to the patient's unfounded fears, which force him to delay the visit to the doctor. If the tooth has a shallow (superficial or medium) caries, then the nerves are preserved. This treatment is carried out in one visit.
How long is pulpitis treated
This is the name of a disease in which the pulp of the tooth is affected. The dentist solves the problem in two visits. The doctor removes the inflamed pulp and cleans the canals. Then he installs a gasket with a special remedy in the open tooth, and then a filling, but not permanent, but temporary.
The next visit is scheduled by the doctor in a few days. This is necessary to check if the channels are cleaned well. If it’s bad, then the tooth under a permanent filling will hurt. During the second visit, the dentist is interested in whether the tooth bothered. If there is no complaint, then the canals are sealed and a permanent filling is made.
How long is periodontitis treated
If a patient with a bad tooth has not visited the dentist for a long time, periodontitis develops. This is one of the most severe diseases. First, the coronal part of the tooth deteriorates, caries turns into pulpitis. Further, the nerve is destroyed and dies, and inflammation affects the periodontal tissues. This is the last stage and is periodontitis. Treating it is troublesome and long. The dentist has to fill them with medicine before filling the canals. The entire treatment process takes several weeks.
What determines the duration of treatment
Even if the nerve is alive and the tooth does not need to be depulped, the treatment can be long. Its duration depends on the volume of tissues affected by caries. It happens that a carious cavity develops in several parts of the tooth at once, for example, on the chewing surface and the side wall. Then the doctor is forced to form cavities for severalseals.
Restoration itself also takes a lot of time, when the specialist tries to give the tooth such a shape and color that it is indistinguishable from he althy ones. How long does this recovery take? You can drill out the rotten part quite quickly - in 5-10 minutes. It may take half an hour or an hour to recreate the shape of a damaged tooth.
What is drilled
The dentist works with a turbine handpiece (turbine). At its end, a drill is installed, which is driven by a motor. The engine makes it rotate at a speed of up to 5 thousand revolutions per minute. There are models of turbines more powerful. Boron is a cutter made of diamond or steel. They are also made from a special alloy. There are different types of burs that differ in abrasiveness (grit), size and shape (spherical, needle-like, etc.).
Treatment process
As already mentioned, with caries, the nerve is preserved, and the channels are not sealed. Let's consider what stages exist in the process of treating a tooth with caries.
Does it hurt to put a filling on a tooth? Of course not! Before starting treatment, the doctor always puts an anesthetic injection. When the anesthetic begins to act, a special material is put on the tooth - a rubber dam. It is a thin stretch film. It fits the tooth so tightly that it prevents saliva and other liquids from getting on it. If this material is not used, the filling may fall out soon.
The doctor drills the rotten part of the tooth with a bur, forms a cavity, lubricates it with a special solution (etchant). It is needed to make the bond between the filling and the tooth.it is better. When the etchant has worked, it is washed off and a fluoride varnish is applied to the tooth. It strengthens tissues and reduces sensitivity.
Further, another substance is applied to the damaged tissue - bonding. It is needed to bind the filling and the tooth, but unlike etching, bonding is able to penetrate into the dentinal tubules. In order for the substance to act and harden, a heliolamp shines on it. She is completely safe.
Does it hurt to put a filling on a tooth? No, this procedure is completely unpleasant, but completely painless. To make a filling, the dentist uses not one, but several types of photopolymer material. The fact is that different layers of the tooth differ in color and transparency. After applying filling material to each of them, the doctor illuminates it so that it hardens.
To make a tooth with a filling look natural, the dentist artificially creates mamelons on its surface. This is a slightly noticeable longitudinal ribbing. If the chewing (posterior) tooth is being restored, the doctor will recreate the grooves between its tubercles.
At the final stage, the doctor polishes the tooth. This is necessary so that its surface is smooth. Then a raid will not stick to it. To find out if the filling is too high, the doctor asks the patient to knock (chew) his teeth, putting special paper between them. It looks like a carbon paper, because it retains the prints of all the bumps. It is for them that the dentist checks whether the filling is overestimated. He corrects it if necessary. If this check is not done, the patient will be uncomfortablechew. This will affect the bite.
Does it hurt to put a filling on a tooth? At any stage, as you can see, it is completely painless.
How to behave at the reception
A good dentist always explains the treatment plan to his patient. Feel free to ask the doctor all the questions that concern you. The doctor will only be happy if he sees your interest in the results. Make it clear to the dentist what you want from the treatment.
Explain to your doctor what exactly you are afraid of. A good specialist will always try to dispel your fears with detailed explanations, will do everything in his power to make the patient calm. If you have already trusted the doctor, follow all his recommendations.
Does it hurt to put a filling on a tooth? Patient feedback shows that this is not the only issue that worries them. A slight pain in a recently filled tooth, which sometimes appears from hot and cold drinks, also causes concern. This reaction is explained by the fact that the photopolymer material has a rather high thermal conductivity. As a rule, dentists advise you to wait a little. Over time, everything will return to normal. If pain occurs from sour, this means that the seal is not tight enough. In this case, be sure to consult a doctor.
