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General Practice 2023

Decayed tooth: how to eliminate cáries from teeth

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Decayed tooth: how to eliminate cáries from teeth
Decayed tooth: how to eliminate cáries from teeth

Treatment to eliminate cavities is usually done through a restoration, which is performed by the dentist and consists of removing the caries and all infected tissue, and then covering the tooth with a substance that can be composite resin, ceramic or amalgam.

Currently, there are 3 ways to perform this treatment: with anesthesia and a drill, to scrape off all the caries, with laser or with a gel called Papacarie, which manages to soften the caries and eliminate all the injured tissue, in a simple, fast and painless, being an excellent option for those who are afraid of going to the dentist.

However, in cases where the decay is very deep and reaches the pulp of the tooth, it may be necessary to perform a root canal treatment, which is more invasive and requires more sessions at the dentist.

When to do the treatment

Tooth restoration is performed by the dentist, after diagnosing the tooth and detecting the presence of caries.

A person may suspect that they have a tooth decay if they feel pain, sensitivity to cold or heat, or if they notice that there is a small hole, a black speck or a dark spot on the tooth and, to confirm it is necessary go to the dentist.

To make the diagnosis, the dentist can observe the teeth with a small mirror and some sharp instruments, to check for local pain and it may also be necessary to take an x-ray to assess the he alth of the gums and the root of the teeth. See how the panoramic radiograph of the mandible and maxilla is performed.

How a tooth with decay is restored

To perform the restoration, the dentist:

  1. Administers anesthesia, depending on the case;
  2. Remove the part of the tooth that is damaged, with the help of a dental drill, laser or papacarie gel;
  3. Clean the decayed tooth with a small curette (if using the gel) or shave the area with the motor;
  4. Put resin to fill the hole;
  5. Sand the resin to adjust the height of the tooth.

Currently, the restoration is made with resin, which is a white material the color of the tooth, which is practically imperceptible and safer than older restorations. These were made with a gray substance called amalgam, which contained mercury in its composition and, therefore, has not been used anymore. Find out which materials are most used in tooth restoration and how to maintain them.

When the tooth is very affected, and the lesions are deeper and reach the pulp of the tooth, it may be necessary to resort to root canal treatment, also known as obturation, which is a more expensive and prolonged treatment, since requires several sessions and also needs a restore at the end.

What you can feel after treatment

If the treatment is performed with Papacarie gel, there is no need for anesthesia and, therefore, the person leaves the office without feeling discomfort. However, if the dentist chooses anesthesia and the use of a drill, the effect of the anesthesia can last a few hours and the person should feel numb, tingling in the mouth and have difficulty speaking and eating. Learn what to do for anesthesia to pass faster.

Why it is important to remove cavities

It is important to have the tooth restored whenever the tooth is decayed, because decay can spread to other teeth and also to other people through kissing and sharing glasses and cutlery, for example.

In addition, the cavity increases in size and can allow the installation of viruses, bacteria and foods that can worsen the situation, even favoring the need for other treatments such as root canal treatment, also known as filling, or even the removal of the tooth.If the person loses a tooth, it is necessary to place a prosthesis in the place or use dentures.

Can a pregnant woman treat cavities at the dentist?

Pregnant women have a higher risk of developing gingivitis and cavities due to the hormonal changes common at this stage and therefore it is important to go to the dentist at least 2 times during pregnancy to assess oral he alth in order to treat any caries before there are complications.

Dental treatments in pregnancy can be done in any trimester, however, it is recommended that, whenever possible, they are done in the second trimester, especially if it is the case of treatment for cavities or other treatments that require anesthesia or that directly affect the gingiva. This is because it is in the first trimester that the highest rate of formation of organs in the baby occurs and, therefore, dentists save these types of treatments for cases of greater emergency, during this period.

In the third trimester, there is a greater risk of side effects, such as a sharp decrease in blood pressure, since the baby is larger and can end up putting pressure on the pregnant woman's organs. During this period, if any type of treatment is necessary, the dentist should avoid taking very long treatment sessions.

In the case of papacarie gel, the treatment can be done in any trimester of pregnancy.

How to treat caries without anesthesia and without pain

An excellent way to eliminate tooth decay is to use a gel called Papacarie, which is made from papain, found in papaya, which completely removes tooth decay without needing anesthesia or using a bur to scrape the tooth. tooth.

This treatment with the Papacarie gel must also be performed in the dentist's office, because it must be applied inside the decayed tooth, and must act for about 1 minute.Then, the site must be carefully cleaned by the dentist, using a manual instrument called a curette, which removes the caries and damaged tissue without any pain or discomfort. Next, the dentist must cover the tooth with a 'putty' of resin so that it looks like its original shape.

This new treatment for caries with Papacarie gel is excellent for treating children and the elderly, who have more difficulty in enduring the treatment commonly performed by the dentist, but it can be used at all ages, including pregnancy.

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