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Caries and its most common complications - pulpitis, periodontitis

Кариес

Caries is an infectious disease that leads to destruction of hard dental tissues - enamel and dentin. The most common symptoms include pain when taking cold, sugary foods and liquids. When caries has not spread to a large area of the tooth or has not damaged the heart of the tooth in depth, the problem is solved by placing an obturation (filling) in just one visit. For larger damages it is possible the tooth and the missing part of it to be recovered with inlay or overlay. They can be made by photopolymer or ceramics in dental laboratory and then they are stuck on the tooth with special cement. Sometimes there are no symptoms for the caries, therefore preventive examinations are important.

Pulpitis

The most common complication of tooth decay is pulpitis. In that case the destructive process has reached deep into the core of the tooth. A typical symptom is night pain. It is healed with the so-called endodontic (root canal) treatment. If no action is taken for the treatment of pulpitis, root canal infection can affect the tissues surrounding the tooth and develop various complications: periodontitis, abscess, and cyst.

Periodontitis

"The tooth was devitalized years ago, but it aches when I eat and knock on it" – the most common complain of a patient with periodontitis. Root canals that are not well filled and root canal bad treatment, and in many cases untreated pulpitis in time can lead to periodontitis. This is a complicated disease of the root canal system of the tooth, where a bag– granuloma is formed most frequently around the apexes (top of the roots) of the tooth. When possible, these complications are treated using methods and principles of modern endodontics, but when there are additional factors where the conservative treatment is not possible, an extraction of the tooth is necessary.

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