Prevention of tooth decay
Caries is a multifactorial disease, which depends on three main groups of factors:
• The resistance of teeth to acid effect;
• Dental plaque and microorganisms that form it;
• Carbohydrates;
If not treated in time, caries can progress and develop some of its complications such as pulpitis and periodontitis. Our aim is to detect caries as early as possible and its prevention.
Prevention of caries is a complex activity that is aimed at creating resistant structures and reduction of pathogenic situation. Proper implementation depends on the establishment of preventive habits, and the responsibility for that is divided equally between the patient and the dentist.
We offer a number of preventive measures to reduce the risk of tooth decay:
• Oral Hygiene
• Fluoric prevention (endogenous and exogenous)
• Prophylactic coverage of fissure (silanizing)
• Nutritional prevention
• Re-mineralization as a non-operative treatment of caries
Oral hygiene
Professional removal of tartar, plaque and stains from tooth and root surfaces.
Instructions for the patient for effective plaque control by brushing all tooth surfaces at least 2 times a day after meals. Instructions for using a brush for tongue, tablets for visualizing plaque at home.
Use of interdental tooth brushes and floss to clean hard to reach areas where the hairs of the toothbrush cannot penetrate. Tooth floss consist of individual fibers and they are waxed or without wax. The waxed ones are more easily placed in the interdental space and are recommended for patients with very dense interdental contacts.
Chemical control of tooth plaque. Mouthwashes, toothpastes.
They act by different mechanisms: suppress plaque formation, prevent its attachment to tooth or disintegrate it thus facilitating its mechanical cleaning. Plaque inhibition means are included as active ingredient in many types of toothpaste, solutions for gargle, chewing gums, tablets, dental floss, etc.
Fluor prophylaxis
There are two basic types of fluor prophylaxis:
Endogenous: it means introduction of prophylactic doses of fluorine in the digestive tract. Contemporary methods for endogenous supply of fluorine are the following: fluorinated drinking water, mineral water, tablets containing fluorine, fluorinated salt, milk. The optimal daily dose of fluorine is 1 mg. With the increase of fluorine concentration, there is a risk of developing fluorosis-effect, where white or brown spots appear on the teeth and their resistance decreases.
Exogenous: it is external, local application of fluorine preparations. It is applied after teeth breaking. Two large groups of local methods for fluorine prophylactics are used:
1) Professional - solutions, gels, varnishes
2) Individual - toothpastes, rinsing solutions, gum, floss, chewable tablets, etc.
Sealants
This is a prophylactic coverage of strong, deep fissures (cracks), pits and furrows with a sealant.
Why do we need this?
Permanent teeth from their eruption are prone to tooth decay due to poor mineralization of the enamel surface. Moreover, there are fissures, pits and grooves on the chewing surfaces that are a prerequisite for retention of plaque and development of fissure caries.
What is sealant?
A sealant is a liquid resinous material that hardens under different specific conditions. At "Smile Clinic" we prefer light cure sealants due to the shorter hardening time and the lower risk of wetting the processing field. By placing it, we want to make the chewing surfaces of the teeth smoother and accessible for cleaning with the brush. This way plaque can be removed more efficiently and the risk of tooth decay is significantly reduced.
Food prophylaxis
Rational nutrition affects the successful development of teeth, periodontium and their good condition. An important point in food prophylactics is to reduce the amount of carbohydrate dainties, to exclude intermediate doses of carbohydrate foods and beverages.
Food should be distributed in three main feedings. Any carbohydrate intake must be accompanied by hygiene procedures: a chewing gum, mouthwash or best-brushing the teeth. This is necessary because sugars are metabolized by microorganisms in the mouth to acids that destroy tooth enamel. Particularly detrimental for vulnerable children's teeth are low molecular carbohydrates (sweets, lollipops), the intake of which lasts long and acidic environment in the mouth is kept for a long time. Sodas have the same effect. The type of carbohydrate food is also of importance - eating carbohydrates from the group of cereals, dairy, fruit and vegetables. Using foods with more solid consistency (raw vegetables and fruit) stimulate self-cleaning.
Re-mineralization as a non-operative treatment of caries
The most widely used and most effective means of re-mineralization is based on amorphous calcium phosphate. This is Tooth Mousse toothpaste produced by GC. The paste is produced in four fruit flavors and it is a local cream with bioactive Ca and P. It is applied in the evening, after individual oral hygiene, and it is applied directly onto the tooth surface or using splints prepared in advance.
Services
Address: Sofia, Strelbishte, 123 Nishava Str.
Phone: +359 02 869 11 96, +359 877 406 208
E-mail:
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Working days 8:00 a.m. - 5:00 p.m.
Days off - Saturday and Sunday
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