Probably there is not a single person on earth who would go to the dentist without a shudder. What only many do not undertake to delay the visit to the doctor. They go to healers, self-medicate and, of course, come up with many non-existent reasons that justify their again postponed visit. But sooner or later, you have to go. So maybe you should do it sooner? It is in order to make the right decision - to treat or not to treat, you need to know what kind of disease it is, and whether it hurts to treat caries. The required information is provided below.
Caries - what kind of disease?
Caries is an acid attack on a tooth produced by bacteria. This process begins with the destruction of enamel, followed by propagation deep into hard tissues. However, for the formation of caries, the influence of bacteria alone is not enough; concomitant changes in the body are also necessary.
Therefore, when all these factors are combined in the body, for example, poor nutrition, stress, genetics, poor hygienemouth, violation of the structure of dental tissues, etc., the development of caries begins.
Stages of the disease
There are several stages (stages) of this disease:
- Initial, superficial. White spots appear on the surface of the tooth, demineralization occurs. After that, the enamel, damaged by bacteria, begins to darken, acquiring a rough surface.
- Average. There is a defeat of the dentin - the layer under the enamel. Soon a cavity will form. Whether it hurts to treat caries at this stage or not depends on the level of the pain threshold of the patient. In some cases, it is quite possible to do without anesthesia.
- Deep. The development of complications when caries goes beyond the dentin.
Features in children and adults
The period of development of the disease is different for everyone. So, for example, in children, acute caries is most common, which occurs almost immediately and causes damage to milk teeth. If left untreated, the disease can spread to new, he althy teeth. In adults, the developmental process is rather chronic.
Complications
Complications caused by caries is an inflammatory process that goes beyond the hard tissues. These include pulpitis, periodontitis, cyst and flux. The treatment of these diseases is already a rather complicated and painful process, which can end with tooth extraction. Therefore, it is best to consult a doctor at an early stage of the disease. Then the therapy will be almost painless.
Treatment at different stages
So to understandDoes it hurt to treat caries, if the tooth hurts, it is necessary to determine the stage of the disease. The treatment procedure for the initial appearance of stains is to saturate the body (tooth enamel) with substances such as calcium and fluoride. This is a painless procedure.
But when the first traces of enamel destruction appear, filling is required. This procedure may cause some minutes of pain, but it also does not require anesthesia. If the patient wants, the doctor may well give an injection to remove discomfort.
Middle and deep stages of tooth damage require thorough treatment. And in this case, anesthesia is indispensable. But do not be afraid of this procedure, since drugs allow you to quickly and at any time anesthetize the desired tooth. These include:
- "Novocaine" is a low-impact drug, no more than 15 minutes.
- "Pyromecaine" - acts in 2 minutes, and allows you to treat the tooth for 20 minutes.
- "Lidocaine" - the average level of exposure. Pain relief for 1.5 hours.
- "Bupivacaine" is the most powerful drug used in dentistry. Its action lasts up to 12 hours.
That is, the doctor has a lot of tools in his arsenal to anesthetize the process. Therefore, each patient, deciding for himself the question of whether it is painful to treat caries and whether it is worth taking the drug, must remember that each remedy, in addition to facilitating, also causes harm. Therefore, if there is an opportunity to be patient, and the doctor allows, then it is betterdo not resort to their use.
Cervical caries
Caries can vary and the place of the disease, depending on which teeth and how damaged. For example, cervical caries occurs most often in children and adults over 30 years of age, with poor hygiene, as well as in some diseases that lead to this type of caries. For example, scurvy, osteochondrosis and others. Quite often it occurs in people with diabetes. Since in this case the amount of pathogenic microflora increases, leading to accelerated demineralization of teeth.
This type of dental disease occurs at the border where the tooth is in contact with the gum. There is an increased sensitivity to thermal and mechanical influences, the enamel darkens, bad breath appears. This type of caries progresses very quickly and spreads to the root.
At the initial stage, is it painful to treat cervical caries, only a specialist will answer. But most often they carry out a course of therapy, which allows using nutritional pastes to enrich the teeth with microelements. But the subsequent stages cannot be passed without anesthesia. Since not only fillings may be required, but also the removal of nerves.
In the treatment of cervical caries, they perform cleaning of the cavity, pushing back the gums, root canal treatment, filling or, if necessary, the installation of crowns, etc.
Caries of the front teeth is probably the most unpleasant and uglydisease. After all, they are always in sight. Therefore, their damage brings, especially to the fair sex, a lot of experiences. The enamel on the front teeth is thinner than on the chewing ones, and therefore needs more careful care and timely treatment.
First symptoms when you need to see a doctor
In order not to think about whether it hurts to treat caries on the front teeth or not, you should consult a specialist at the first symptoms. These symptoms include the following:
- teeth changed color;
- spots appear, white or brown, i.e. decalcification has occurred;
- reaction to food, namely hot, cold, sour, etc.;
- bad breath.
With a quick visit to the doctor, the filling can be painless. The only condition is an appeal to a specialist who can make an aesthetically beautiful filling. Because everyone wants to have a beautiful smile. However, if the caries is accompanied by severe pain, anesthesia cannot be avoided.
Deep caries
Another type of the disease described is its late stage or deep caries. With it, the destruction of the hard tissues of the tooth occurred, and the deep layers of the dentin were damaged. This is evidenced by acute pain from mechanical, chemical, and thermal stimuli.
With such caries, it is imperative to take a picture of the jaw or one affected tooth. Does it hurt to treat caries with an injection of painkiller that the doctor will administer at the very beginning of all procedures? With such diseases, it does not hurt.
There are several forms of such caries:
- Spicy. Accompanied by severe pain, disappearing almost immediately after the cessation of exposure to the tooth irritants. The cavity is larger than the inlet.
- Chronic. There is practically no pain. The entrance and cavity are quite wide.
- Under seal. Secondary caries may develop, i.e., microbes have penetrated into the micro-gap between the filling and the tooth. As well as a relapse, when at the beginning of treatment the tooth cavities were not cleaned well enough.
Acute deep form
In the acute form of caries, there is not even a question whether it hurts to treat deep caries or not, since it is necessary to completely remove the tissues that have undergone destruction, treat the tooth cavity, inject the drug and fix it with a temporary filling.
The medicine in the tooth prevents the development of further inflammation, restores blood circulation. It is removed after a few days, if there is no recurrence. Then a permanent filling is placed.
Under the gumline
Probably the most severe and painful form of caries is the inflammatory process under the gum. It can only be detected in a deep, severe stage. Since it develops in an area invisible to the eye. Almost always, this inflammatory process is accompanied by pulpitis. Therefore, he requires, in addition to cleaning the cavity, the removal of the nerve.
Treatment of this type of caries is always accompanied by unpleasant sensations. Andany doctor to the question - does it hurt to treat deep caries without painkillers, will answer positively and advise you to give an injection.
Treatment of caries in children
Treatment of such a disease in children is associated with some problems, such as rapid fatigue of the child, abundant salivation, etc. Therefore, this process is divided into stages.
Inflamed cavities in childhood have a flat and fairly shallow entrance. At the first stage, the doctor covers the tooth with fluorine varnish. Then, on subsequent visits, the tooth is carefully treated with a spherical burr and an antiseptic is applied. After that, it is filled and polished.
Breaking up the entire procedure over several visits avoids anesthesia and helps the child get used to the dental office.
When Pregnant
Does it hurt to treat caries without anesthesia in pregnant women? This is a difficult question. The pain threshold is different for everyone, but any pain in this condition can lead to stress, cause the release of hormones that can affect the child. For example, breathing may be disturbed and become a real threat of abortion. But it is also impossible not to treat caries, since this inflammation can cause intrauterine infection, delayed child development, etc. In this regard, doctors recommend anesthesia. And do not worry, modern drugs do not cross the placental barrier.
Wisdom tooth decay
And of course, one cannot help but remember the caries of wisdom teeth. It develops on them due to poor hygieneprocedures. These teeth are usually poorly positioned and difficult to access, leading to rapid plaque buildup and cavities. It happens that wisdom teeth erupt with already existing deep caries. A person learns about its development only when pain begins to bother him.
In conclusion
From all of the above, it follows that dental treatment is a rather unpleasant procedure. And in order not to think about the question - is it painful to treat caries, you should consult a doctor not only when the first symptoms of the disease appear, but also for preventive examinations.
