iStomatolog > Dental Treatment > Caries Treatment

Caries Treatment

What is dental caries?

Dental caries is a complex and slowly developing pathological process that occurs in the hard tissues of the teeth. Dental caries develops as a result of the combined influence of negative external and internal factors. 

The disease begins asymptomatically, but its development leads to damage to the hard tissues of the tooth, resulting in the formation of a cavity in the dentin, and in the absence of treatment, to the development of inflammation of the pulp and periodontium. Various complications can also occur. In unfavorable cases, the tooth may be lost.

At iStomatolog, you will receive qualified help in treating all types of dental caries, including superficial, middle, and deep. You will learn the possible causes of dental caries in your specific case.

Causes of dental caries include:

• Poor oral hygiene

• Specific composition of saliva, which may lead to insufficient self-cleaning of teeth

• Smoking and drug use

• Childhood illnesses and antibiotics during the period of development of permanent teeth (or maternal illness during pregnancy for baby teeth)

• Genetic predisposition

• Composition of the consumed water

• General health conditions

• Overconsumption of sugary foods and drinks

• Eating mostly soft foods

• Taking certain medications

• Many other factors.

Stages of treating dental caries at iStomatolog in Kyiv

1 Stage

Pain relief. Local anesthesia is used.

2 Stage

Preparation of the cavity of the tooth and removal of all softened tissues.

3 Stage

Application of the isolating system Cofferdam. It is used to isolate the tooth from saliva and prevent reinfection.

4 Stage

Sterilization of the tooth surface. We use a laser and ozone. For deep decay, treatment is performed only on the HealOzone device. For moderate decay, both laser and ozone may be used.

5 Stage

Medicinal lining for deep carious processes prevents the recurrence of decay under the filling (so-called secondary decay) and strengthens the tooth tissue.

6 Stage

Isolating lining of fluid photopolymer.

7 Stage

Restoration of the cavity with a photopolymer material.

8 Stage

Grinding and polishing of the restoration.

Advantages of treating tooth decay at iStomatolog

Early diagnosis of dental caries

Diagnosis of hidden forms of dental caries

Effective prevention of secondary caries and its complications

Microscope-assisted treatment

Treatment of initial and surface decay without drilling

High aesthetics and functionality

Pain-free treatment

Use of the latest generation of light-cured materials

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    What are the dangers of dental caries?

    Dental caries is not as dangerous as its complications. The most common complication is pulpitis, which is inflammation of the tooth nerve.

    In addition, there is a risk of chipping off a part of the tooth - with extensive damage, the wall of the tooth becomes thinner and may break even with a small chewing load ("I ate a strawberry and a piece of my tooth came off").

    The specialists at iStomatolog have the knowledge, experience, and modern technologies to:

    • diagnose dental caries at early stages and its hidden forms (on interproximal and subgingival surfaces)
    • prevent the development of caries under the filling ("secondary caries")
    • prevent the development of complications associated with caries
    • restore the anatomical shape of the tooth
    • restore the function of the tooth and ensure its full participation in the chewing process.

    It is worth noting that if several carious teeth are present next to each other, it is better to treat them in one procedure. This will save the patient time and money.

    Where does tooth decay come from?

    Tooth decay does not develop overnight, nor will a cavity appear in a tooth overnight. It is a long process that can take months or even years. So how does tooth decay occur? A huge role in the development of tooth decay is assigned to dental plaque. Plaque accumulates on the surface of the teeth, and it is under the plaque that an acidic pH arises due to the release of acid by microorganisms.

    The more carbohydrate consumption, the more acid is produced by the oral cavity microflora. As a result, demineralization of the tooth enamel occurs, leading to further development of the carious process. Daily quality oral hygiene, in combination with professional hygiene, allows for the maximum reduction of plaque deposits on the teeth and, as a result, the development of tooth decay.

    Two main factors affect the intensity of caries development:

    • The amount of carbohydrates (especially simple ones) in the daily diet. Carbohydrates are the nutrient medium for microorganisms, resulting in the formation of acid that damages the tooth.

    • The saturation of tooth tissue with fluoride. It is thanks to fluoride that compounds are formed in the enamel of the tooth that are resistant to the effects of acid.

    Factors that contribute to an increase in the number of cariogenic bacteria

    • Insufficient or improper oral hygiene

    • Large amounts of carbohydrates consumed in food (especially harmful is the habit of consuming sucking candies or any other products that remain in the oral cavity for a long time)

    • Unbalanced diet, lack of microelements and vitamins

    • Digestive system diseases that lead to a disruption in nutrient absorption

    • Increased viscosity of saliva (can be observed in endocrine disorders, systemic diseases, infections, etc.)

    • Tooth crowding and bite defects (for example, with tooth crowding, cleaning the surface from plaque significantly deteriorates)

    • Hereditary factor

    • Work-related factors (for example, confectionery workers are noted for the generalization of carious processes in an acute form)

    The carious process can affect any surface of the tooth and have varying depths.

    As an alternative to filling the tooth with significant destruction, we use restoration with ceramic inlays and overlays made directly in the clinic using the CEREC digital milling method.

    Types of caries according to the depth of tooth damage

    Caries in the spot stage

    Appears as a white, yellowish, or brownish spot on the surface of the tooth. There is no cavity in the tooth. The patient's complaints are usually related to the unaesthetic appearance of the teeth, and very rarely there may be increased sensitivity of the tooth. It is not necessary to fill the tooth in this situation. Preventive procedures may be performed to remineralize the tooth surface and prevent the development of caries.

    At iStomatolog clinic, treatment of caries in the spot stage is carried out according to modern protocols, and it is completely painless and includes the following stages:

    1. Treatment of the spot (microabrasion of the enamel) to remove discoloration from the tooth surface.
    2. Sterilization of the tooth with ozone or laser to prevent the spread of the process.
    3. Remineralizing therapy aimed at strengthening the tooth tissue

    Superficial caries

    Often has a darker color compared to the tooth color and may show a defect in the tooth tissues. Patients may complain of increased sensitivity or cosmetic defects. Treatment involves remineralization therapy and tooth filling for aesthetic indications.

    Middle caries

    Affects the entire thickness of the enamel and reaches the dentin of the tooth. Often, a visible defect in the form of a dark cavity is observed. Patients complain of food getting stuck in the tooth, increased sensitivity to cold, hot, sweet, and aesthetic defects. The treatment of middle caries includes disinfection of the carious cavity and restoration of the tooth with photopolymer materials or ceramic overlays.

    Deep caries

    Affects the enamel and deep layers of dentin. Patients' complaints are more pronounced: pain when chewing food, food impaction in the cavity, high sensitivity to thermal stimuli and sweetness. If deep caries is left untreated, it may complicate into inflammation of the tooth nerve. It is important to correctly diagnose the depth of caries during treatment to exclude pulpitis of the tooth

    Caries can also be acute or chronic

    In chronic caries, the cavity has a dark color and the walls of the cavity are dense. The patient may not experience discomfort from irritants even with deep caries.

    In acute caries, there is often no visible cavity in the tooth, or it is very small. The carious process develops inside the tooth. A common reason for seeking dental care in acute caries is the fracture of part of the tooth.

    The acute form of caries progresses faster and often leads to complications in the form of nerve inflammation (pulpitis).

    The treatment of chronic and acute tooth caries involves removing soft tissues affected by caries, sterilizing the surface of the tooth, and restoring the anatomical shape of the tooth.

    Caries can affect any surface of the tooth

    The most common locations are the chewing surface and the contact surfaces (between teeth). Additionally, caries can affect a "dead" tooth (in which the nerves have been removed).

    Methods of treating dental caries

    At the iStomatolog clinic, only modern equipment and materials are used to treat and remove tooth decay. Successful treatment largely depends on proper diagnosis and selection of treatment protocols.

    The diagnosis of caries at iStomatolog is carried out using the Diagnodent KaVo apparatus. This allows the determination of the degree and depth of caries damage, as well as the identification of hidden forms of caries that may remain unnoticed during visual inspection.

    The sterilization of the tooth surface before filling is carried out using the HealOzone or LAZRAM laser. We apply ozone therapy for all types of caries and at any depth of the carious process. The active molecules of ozone effectively sterilize all microchannels of the tooth, thereby eliminating the possibility of secondary caries development. The use of the laser is limited to the depth of the process due to the high temperature and possible thermal damage in case of a deep process. However, for surface caries and caries in the spot stage, we prefer to use the laser. Treatment for ten seconds allows obtaining a sterile and dense tooth surface.

    Restoration of a tooth affected by caries. In the absence of visible defects, which is observed with superficial caries and caries in the spot stage, it is sufficient to carry out remineralization therapy or fissure sealing. Remineralization therapy stimulates the tooth's own protective functions and the densification of damaged tissues. As a result, the tooth can resist the destructive action of acids released by microorganisms in the oral cavity.

    Fissure sealing is an additional barrier that prevents food and microorganisms from accumulating on the surface of the tooth. It is performed on the chewing surface of the side teeth. We carry out fissure sealing both as part of comprehensive caries treatment and for its prevention.

    Simple and accessible methods for preventing dental caries

    • Quality daily oral hygiene using products recommended by your dentist;

    • Balanced nutrition with minimal carbohydrates;

    • Correction of bite defects or individual teeth;

    • Preventive check-ups at least once every six months

    How much does tooth decay treatment cost?

    The cost of tooth decay treatment depends on the degree of tooth damage, the material used for restoration, and additional methods for preventing complications of tooth decay.

    Full Price list of dental clinic services is available at the following link 

    You can learn more detailed information during a consultation at iStomatolog Center. After examination by a doctor, the most appropriate treatment options will be proposed specifically for your clinical case.

    FAQ

    Restoring a tooth involves restoring its anatomical form and function. Direct restoration, which is carried out using photopolymer material directly in the oral cavity, is called direct restoration. Indirect restoration is the restoration of a tooth using a crown, veneer, or inlay that is manufactured using specialized equipment and then fixed onto the tooth. In turn, photopolymer material restorations usually have several categories depending on the aesthetic characteristics of the material, the presence of anti-caries action in the bonding system (the adhesive for the photopolymer), and the use of special dyes.
    Dental restoration includes the following manipulations: - anesthesia; - individual therapeutic kit; - isolating system rubberdam; - isolating lining (liquid photopolymer); - restoration of the tooth using photopolymer material of the chosen category; - grinding and polishing of the finished restoration; - applying therapeutic gel to the gums and teeth.
    The restoration will last as long as there are walls of the tooth (not affected by caries) to which it is fixed.
    How much does restoration of front teeth cost? The approximate cost of restoring one tooth, taking into account additional manipulations, is 70-80 euros.
    With the use of the latest generation restoration materials, there are no strict limitations. However, for extensive restoration of front teeth with restoration of the cutting edge, it is not recommended to bite on hard foods like crackers, nuts, or bones (which is not very good for healthy teeth as well).
    It is the restoration of not only the anatomical shape and function of the tooth, but also the reproduction of all the color nuances, transparency, and microstructure inherent in natural teeth.
    Caries Treatment

    Article author:

    Olena Daynetska, chief Doctor of iStomatolog Dental Center

    During a consultation at iStomatolog dental clinic, you have the opportunity to receive digital and video diagnostics, a detailed treatment plan, as well as the overall cost of all stages of treatment.

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    Стоматология супер! Обслуживаемся всей семьёй уже 13 лет. В основном у Ирины и Елены на м. Дарница. Качеством очень довольны! Персонал опытный и приятный) Однозначно рекомендую !!! Спасибо вам за ваш труд!
    Досвід лікування моїх зубів і приведення у задовільний стан мою посмішку має чималу історію (для інформації, мені за 50). Це пломби у більшості зубів, брекет системи і навіть спроби змінити форму зубів. Щось виходило, але не з першого разу, щось не виходило і намагання повернутись до цієї проблеми не сприймалися схвально. У додаток до всього цього сам процес лікування затягувався на довгі місяці.
    Що мене очікувало в центрі iStomatolog.
    1. Відсутність очікування біля кабінету.
    2. Відсутність зайвого. Персонал і лікарі тебе не обтяжують. Їх стільки, скільки має бути.
    3. Без сумніву професіоналізм. Тебе вислухать, і обов'язково запропонують варіанти лікування. Що безцінно, це те, що тобі в першу чергу будуть пропонувати максимально зберегти свої зуби.
    4. Відсутність бажання затягнути процес лікування на рік (якщо у тебе проблема не одного чи двох зубів). Головне, щоб дозволяли працювати ясна (їх стан).
    5. Матеріали з якими працюють лікарі. Це виключно японський виробник.
    І нарешті результат, який я навіть вже і не очікувала.
    Лена, дякую тобі ВЕЛИЧЕЗНЕ за твою роботу. Тобі і твоїй команді.
    Nice clinic. Very attentive doctors, very nice people. Competent in their job. All procedures, implantation, crown installation in 1 day, filling - everything is absolutely performed according to the protocols. The clinic is clean, tea and coffee will be offered. Protection against covid is carried out - everyone is wearing masks, shoe covers, the temperature is measured. Thank you very much to Maxim Valerievich, Elena Dainetskaya, Lidia Vladimirovna. We wish you prosperity!
    Якби мені раніше хтось сказав що я полюблю ходити до стоматолога, то я б не повірила)
    Але тут працюють дуже відповідальні, приємні і турботливі професіонали! Дякую всій команді цієї стоматології, і окремо дякую моєму стоматологу Пекарському Віталію за прекрасну роботу. Тепер я і солодке їм без болі, і більше посміхаюсь ☺️
    Я із задоволенням буду ходити тільки до вас 😊
    I would like to express my deep gratitude to Elena Sergeevna Dainetskaya. We have been treating teeth with the whole family for more than 10 years and we thank God that we have fallen into these wonderful hands! A very professional and competent doctor, kind, sensitive and always worried about his patient. There would be more such doctors in our medicine!I wish you health, success and prosperity in your work.I RECOMMEND iStomatolog clinic and Dr. Elena Sergeevna to everyone.
    С 2007 года iStomatolog наша семейная стоматология. Почему? Потому что кто лучше делает своё дело, если оно семейное и уже в третьем поколении. Я пришёл по рекомендации моего друга Антона на приём к Ларисе Викторовне. Она сказала мне сразу: «я не вырву не одного зуба если за него можно бороться» Пол года лечения и сейчас у меня только раз в 6 месяцев профилактика. Супруга, дочь, моя мама (83 года) все доверили свои зубки iStomatolog. Правда уже Елена Сергеевна (старшая дочь Ларисы Викторовны) руководит клиникой. Строгая, но наверно так и надо, а то мы всегда пытаемся отсрочить, откладываем на потом профилактику, а потом выкладываем огромные деньги что бы спасти уже гнилой зуб. В этой стоматологии принцип очень простой: делай качественно, относись к людям по человечески, предупреди заранее (ну ведь забываем и «забиваем» на это). Многие подумают заказная статейка. Нет, просто мне повезло, я нашёл тех кому не безразлично мое здоровье и посчитал своим долгом перед Вами, рекомендовать стоматологию iStomatolog.
    Так случилось, что в "iStomtolog", я попал по настоятельной рекомендации побратима. Имея, без преувеличения, огромные проблемы с зубами, могу вас уверить, это место где вам реально помогут! Теперь по выполненным работам: поснимали камни и налет, пролечили каналы, поставили 8 коронок и 1 винир, 3 импланта. Объем работ просто огромный. Хочу поблагодарить Елену Дайнецкую и всю ее команду за профессионализм, позитив и замечательную домашнюю атмосферу в клинике.
    Все мы знаем, как сложно выбрать хорошего врача, но могу с уверенностью сказать, приходите в клинику “IStomatolog”- здесь Вы найдете лучшего доктора Виталия . Очень хороший доктор-внимательный, доброжелательный, настоящий профессионал своего дела. Спасибо за Ваш труд, желаю Вам благополучия и успехов! А еще в кабинете чистота, комфорт, свежий воздух и приятная музыка. Рекомендую☝️
    Отличная стоматология. Быстро и качественно оказывают услуги, ничего лишнего не навязывают. Вежливый и обходительный администратор. Очень рекомендую. Теперь по всем зубным вопросам только туда.
    Я доглядаю зуби в цій клініці майже 15 років, і це про щось та говорить. Свого молодшого сина також привела сюди ще з першими зубками.

    Всі лікарі уважні, професійні, з щирою турботою про пацієнта. Запам'яталось, як мені років п'ять тому довго і терпляче спасали майже безнадійний зуб, зіпсований в іншій клініці — спасли, стоїть свій зуб, а міг би вже бути імплант.

    Дуже рекомендую.

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