What are the stages of tooth decay leading to an abscess. How can you recognize the symptoms of a tooth abscess. What causes tooth abscesses and how can they be prevented. When should you seek treatment for a tooth abscess.

What is a Tooth Abscess and How Does it Develop?

A tooth abscess is a pocket of pus that forms within a tooth or its surrounding structures due to bacterial infection. These infections typically originate in the tooth, gums, or jaw bone and can be caused by various factors such as tooth decay, gum disease, or oral injuries.

The development of a tooth abscess is often the result of a progression through several stages of tooth decay. Understanding these stages can help individuals prevent or seek timely treatment for dental issues before they escalate to an abscess.

The Stages of Tooth Decay

1. Enamel decay
2. Dentin decay
3. Pulp decay
4. Abscess formation
5. Tooth loss

Each stage represents a deepening of the infection and damage to the tooth structure. Early intervention can prevent the progression to more severe stages and the formation of an abscess.

Recognizing the Symptoms of a Tooth Abscess

Identifying the symptoms of a tooth abscess is crucial for seeking timely treatment. Common signs include:

• Severe, persistent tooth pain
• Sensitivity to hot and cold temperatures
• Pain when chewing or biting
• Fever
• Swelling in the face or cheek
• Tender, swollen lymph nodes under the jaw or in the neck
• A sudden rush of foul-tasting, salty fluid in the mouth and pain relief if the abscess ruptures

Can a tooth abscess lead to more serious health issues? Yes, if left untreated, the infection from a tooth abscess can spread to the bloodstream, potentially causing sepsis, a life-threatening condition. Symptoms of sepsis may include high fever, increased heart rate, and difficulty breathing.

Primary Causes of Tooth Abscesses

Understanding the causes of tooth abscesses can help in their prevention. The main factors contributing to abscess formation are:

1. Untreated Cavities

Plaque, a biofilm of bacteria, can accumulate on teeth without proper oral hygiene. Over time, these bacteria erode tooth enamel, leading to cavities. If left untreated, the decay can progress deeper into the tooth, eventually reaching the pulp and causing an abscess.

2. Gum Disease (Periodontitis)

Severe gum disease can cause the gums to recede from the teeth, creating pockets where food particles and bacteria can become trapped. These pockets can become infected, potentially leading to abscesses.

3. Oral Injuries

Trauma to the mouth, whether from an accident or dental procedure, can increase the risk of developing a tooth abscess by creating openings for bacteria to enter and infect the tooth or surrounding tissues.

Complications of Untreated Tooth Abscesses

Why is it crucial to treat a tooth abscess promptly? Neglecting treatment can lead to severe complications, including:

• Spread of infection to nearby teeth and bone
• Systemic infection affecting other parts of the body
• Sepsis, a potentially life-threatening condition
• Tooth loss
• Damage to surrounding bone structure

These complications underscore the importance of seeking immediate dental care when symptoms of an abscess are present.

Treatment Options for Tooth Abscesses

Effective treatment of tooth abscesses typically involves a two-pronged approach: addressing the immediate infection and treating the underlying cause to prevent recurrence.

Treating the Infection

The first step in treating a tooth abscess is usually the prescription of antibiotics to eliminate the bacterial infection. This helps prevent the spread of bacteria and reduces inflammation and pain.

Addressing the Underlying Cause

Once the infection is under control, the dentist will focus on treating the root cause of the abscess. Treatment options may include:

• Filling cavities to repair decay
• Performing scaling and root planing to treat gum disease
• Placing crowns or implants for broken or lost teeth
• Root canal therapy to save severely infected teeth
• Tooth extraction in cases where the tooth cannot be saved

In rare cases where the infection has spread beyond the mouth, hospitalization may be necessary for intravenous antibiotics and potential surgical intervention to remove damaged tissue.

Preventing Tooth Abscesses: Essential Oral Hygiene Practices

Maintaining good oral hygiene is key to preventing tooth abscesses. Here are some essential practices:

• Brush teeth thoroughly twice daily, paying special attention to the gumline
• Use fluoride toothpaste to strengthen tooth enamel
• Floss daily to remove plaque between teeth
• Rinse with an antiseptic mouthwash to reduce bacteria
• Limit sugary and acidic foods that can erode tooth enamel
• Quit smoking, as it can weaken the immune system and increase the risk of gum disease
• Schedule regular dental check-ups and cleanings

How often should you visit the dentist for preventive care? Most dental professionals recommend check-ups and cleanings every six months for optimal oral health maintenance.

When to Seek Professional Dental Care

Recognizing when to seek professional help is crucial in preventing and treating tooth abscesses. Schedule an appointment with your dentist if you experience:

• Persistent tooth pain lasting more than a day or two
• Swelling in the gums or face
• Fever accompanying dental pain
• Difficulty swallowing or breathing
• Any signs of gum disease, such as bleeding or receding gums

Early intervention can prevent minor dental issues from progressing to more serious conditions like abscesses.

The Role of Diet in Dental Health and Abscess Prevention

Diet plays a significant role in maintaining dental health and preventing conditions that can lead to tooth abscesses. Consider the following dietary recommendations:

Foods to Limit

• Sugary snacks and beverages
• Acidic foods and drinks
• Sticky or chewy candies

Foods to Incorporate

• Calcium-rich foods like dairy products, leafy greens, and almonds
• Crunchy fruits and vegetables that stimulate saliva production
• Foods high in vitamin C to support gum health
• Water to help rinse away food particles and bacteria

How does a balanced diet contribute to oral health? A diet rich in essential nutrients supports strong teeth and healthy gums, while limiting sugary and acidic foods reduces the risk of tooth decay and enamel erosion.

Advanced Treatments and Technologies in Dental Abscess Care

Modern dentistry offers advanced treatments and technologies for managing tooth abscesses and their underlying causes. Some innovative approaches include:

1. Laser Therapy

Dental lasers can be used to precisely remove infected tissue and sterilize the affected area, potentially reducing the need for more invasive procedures.

2. 3D Imaging

Advanced 3D imaging techniques allow dentists to visualize the extent of an infection and plan treatments more accurately.

3. Regenerative Procedures

For cases involving bone loss due to severe infections, regenerative procedures using growth factors or bone grafts can help restore lost tissue.

4. Minimally Invasive Techniques

Endoscopic technology allows for less invasive treatment of gum disease, potentially reducing the risk of abscess formation.

These advancements in dental care offer more effective and comfortable treatment options for patients dealing with tooth abscesses or at risk of developing them.

The Impact of Systemic Health on Oral Health and Abscess Risk

The connection between overall health and oral health is well-established, with certain systemic conditions potentially increasing the risk of dental problems, including abscesses. Consider the following factors:

Diabetes

Individuals with diabetes are at higher risk for gum disease and infections due to compromised immune function and slower healing processes. Proper diabetes management is crucial for maintaining oral health.

Autoimmune Disorders

Conditions like Sjögren’s syndrome can affect saliva production, increasing the risk of tooth decay and subsequent infections.

Cardiovascular Disease

There’s a bidirectional relationship between oral health and heart health. Poor oral hygiene can contribute to heart disease, while certain heart conditions may increase the risk of oral infections.

Stress and Mental Health

Chronic stress can weaken the immune system and lead to neglect of oral hygiene, potentially increasing the risk of dental problems.

How can managing systemic health conditions benefit oral health? By maintaining good overall health and managing chronic conditions effectively, individuals can reduce their risk of developing oral health problems, including tooth abscesses.

The Psychological Impact of Dental Abscesses and Oral Health Issues

The effects of tooth abscesses and other dental problems extend beyond physical discomfort, often impacting an individual’s mental and emotional well-being. Consider the following psychological aspects:

Self-esteem and Social Interactions

Visible dental issues or chronic bad breath resulting from infections can lead to self-consciousness and social withdrawal.

Anxiety and Depression

Chronic pain from dental problems can contribute to mood disorders and anxiety, particularly if left untreated.

Fear of Dental Procedures

Past negative experiences or anxiety about potential pain can lead to dental phobia, causing individuals to delay necessary treatments.

Quality of Life

Persistent dental issues can affect eating, speaking, and overall quality of life, potentially leading to frustration and decreased life satisfaction.

Addressing these psychological aspects is crucial in comprehensive dental care. Many dental practices now offer sedation options and work closely with mental health professionals to provide holistic care for patients struggling with dental anxiety or the emotional impact of oral health issues.

The Economic Burden of Untreated Dental Problems

Neglecting dental health can have significant financial implications, both for individuals and healthcare systems. Consider the following economic factors:

Direct Costs

• Emergency dental treatments
• Complex procedures to address advanced dental problems
• Potential hospitalization for severe infections

Indirect Costs

• Lost productivity due to dental pain or treatments
• Impact on overall health, potentially leading to additional medical expenses
• Costs associated with cosmetic dental work to restore appearance

How does preventive dental care compare economically to treating advanced dental problems? Regular dental check-ups and preventive care are generally much more cost-effective than treating advanced dental issues like abscesses, which often require more complex and expensive interventions.

The Role of Community and Public Health in Dental Abscess Prevention

Public health initiatives play a crucial role in preventing dental problems, including abscesses, on a community-wide scale. Some important aspects include:

Water Fluoridation

Community water fluoridation has been shown to significantly reduce tooth decay rates, potentially lowering the incidence of dental abscesses.

School-based Dental Programs

Educational programs and dental screenings in schools can help identify dental issues early and promote good oral hygiene habits from a young age.

Access to Dental Care

Initiatives to improve access to affordable dental care, particularly in underserved communities, can help prevent the progression of minor dental issues to more serious problems like abscesses.

Public Education Campaigns

Raising awareness about the importance of oral health and the potential consequences of neglecting dental care can motivate individuals to prioritize their dental health.

These community-based approaches complement individual dental care efforts, creating a more comprehensive strategy for preventing dental abscesses and promoting overall oral health.

The Future of Dental Abscess Prevention and Treatment

As dental research and technology continue to advance, new approaches to preventing and treating tooth abscesses are emerging. Some promising developments include:

Probiotics for Oral Health

Research into beneficial oral bacteria may lead to probiotic treatments that can help maintain a healthy oral microbiome, potentially reducing the risk of infections.

Nanotechnology

Nanoparticles could be used to deliver targeted treatments to infected areas or to create more effective dental materials that resist bacterial growth.

Stem Cell Therapy

Advances in stem cell research may eventually allow for the regeneration of damaged tooth structures, potentially offering new treatment options for severe dental infections.

AI-assisted Diagnostics

Artificial intelligence could help dentists detect early signs of decay or infection more accurately, allowing for earlier intervention.

These emerging technologies and approaches hold the potential to revolutionize dental care, making the prevention and treatment of tooth abscesses more effective and less invasive in the future.

Tooth abscess stages: Symptoms, pictures, and more

A tooth abscess is a collection of pus that forms inside a tooth or its surrounding structures.

Tooth abscesses develop in response to acquiring a bacterial infection inside the tooth, gums, or jaw bone. Such infections can occur due to tooth decay, gum disease, or a mouth injury.

Without treatment, a tooth abscess may worsen or spread to other areas of the body. However, the factors that lead to them develop in stages, and knowing these stages can help a person prevent or treat an abscess.

This article outlines what a tooth abscess is, including its symptoms and causes. We also outline the stages of tooth decay and provide tips on prevention and treatment.

A tooth abscess is a collection of pus that develops inside a tooth or its surrounding structures. They occur due to a person contracting a bacterial infection in one of the following parts of the mouth:

• the tooth pulp, the innermost part of the tooth
• the gums
• the jaw bone

The most common cause of tooth abscesses is tooth decay from untreated cavities. However, they can also develop as a result of gum disease or having an open wound within the mouth.

The abscess itself is one of the later stages of tooth decay. The different stages include:

1. Enamel decay: Involves damage to the outermost layer of the tooth. Some people do not experience any symptoms, while others may notice increased sensitivity to heat and cold. Enamel decay can cause white spots on the teeth.
2. Dentin decay: Involves decay to the layer beneath the enamel of the tooth. Some people may notice pain or sensitivity. In some cases, there may be a visible hole or cavity in the tooth.
3. Pulp decay: This occurs when bacteria get deep into the innermost layer of the tooth. Bacteria inside the tooth pulp can attack the nerve of the tooth, causing intense pain. Sometimes, damage to the nerve means that a person first feels severe pain, then nothing at all.
4. Abscess formation: An abscess occurs in the later stages of tooth decay, after the bacteria travels to the tooth pulp, or deeper into the gums or jawbone. A person may notice pain near the tooth, along with swelling and redness of the gums. A severe abscess may also trigger a fever.
5. Tooth loss: A tooth that is severely decayed may break or fall out.

Some symptoms of an abscess include:

Without treatment, the bacteria from a tooth abscess can spread to the bloodstream. This may result in acquiring a serious and potentially life threatening infection called sepsis.

Some possible symptoms of sepsis include:

Tooth abscesses develop when bacteria in the mouth get deep inside a tooth or its surrounding structures, and then multiply out of control.

Below are some of the main causes of a tooth abscess.

Untreated cavities

Bacteria inside the mouth clump together to form a resilient biofilm called plaque. Regular brushing, flossing, and dental care can help remove plaque. However, without proper dental care, it can grow out of control.

Over time, plaque bacteria eat away at the tooth, causing tooth decay. If the decay continues without treatment, an abscess may develop.

Gum disease

Gum disease, also known as periodontitis, is the medical term for infection and inflammation of the gums.

Severe gum disease causes the gums to pull away from the teeth, exposing deep pockets between the teeth and gums. Food and bacteria can also become trapped inside the pockets, resulting in an abscess.

Recent injury to the mouth

An injury to the tooth or its surrounding structures can also increase the likelihood of a tooth abscess. These injuries could occur as a result of surgery or trauma to the mouth.

An untreated abscess can cause serious complications, such as:

When treating a tooth abscess, a dentist will prescribe antibiotics to kill the bacteria and stop them from spreading.

To prevent the infection from returning, the dentist will also need to treat the tooth decay or injury that caused the abscess. Treatment may include:

• filling cavities
• treating gum disease using a procedure called scaling and root planing, which cleans below the gumline
• treating broken or lost teeth with crowns or implants

In rare cases, the bacteria from an abscess can spread to the bloodstream and other organs within the body. A person with a widespread bacterial infection will require intravenous antibiotics at the hospital. They may also require surgery to remove tissues that have become severely damaged by the infection.

A person can take the following steps to help prevent dental abscesses:

• Brush teeth thoroughly to remove as much plaque as possible. Pay attention to the area just under the gums, where plaque can hide.
• Use fluoride toothpaste to help fight tooth decay.
• Floss teeth regularly to remove plaque between the teeth.
• Schedule regular dental appointments for thorough cleaning. A dentist can also remove hardened plaque or tartar, which a person cannot remove with brushing alone.
• Treat diabetes or any other underlying medical condition that may weaken the immune system and increase the risk of acquiring infections.
• Seek treatment for cavities as soon as possible, before the bacteria penetrate the deeper structures of the tooth.

A tooth abscess is a collection of pus that forms in response to contracting a bacterial infection inside the tooth, gum, or jaw.

Tooth abscesses can develop due to tooth decay, gum disease, or trauma to the mouth. Without treatment, the bacterial infection that causes the abscess can spread to other parts of the body. This can cause serious complications.

A person who experiences symptoms of a tooth abscess should see their dentist as soon as possible. With the right care, it is possible to treat both the abscess and its underlying cause. Good oral hygiene and regular dental cleaning can help prevent a tooth abscess from forming.

Tooth abscess stages: Symptoms, pictures, and more

A tooth abscess is a collection of pus that forms inside a tooth or its surrounding structures.

Tooth abscesses develop in response to acquiring a bacterial infection inside the tooth, gums, or jaw bone. Such infections can occur due to tooth decay, gum disease, or a mouth injury.

Without treatment, a tooth abscess may worsen or spread to other areas of the body. However, the factors that lead to them develop in stages, and knowing these stages can help a person prevent or treat an abscess.

This article outlines what a tooth abscess is, including its symptoms and causes. We also outline the stages of tooth decay and provide tips on prevention and treatment.

A tooth abscess is a collection of pus that develops inside a tooth or its surrounding structures. They occur due to a person contracting a bacterial infection in one of the following parts of the mouth:

• the tooth pulp, the innermost part of the tooth
• the gums
• the jaw bone

The most common cause of tooth abscesses is tooth decay from untreated cavities. However, they can also develop as a result of gum disease or having an open wound within the mouth.

The abscess itself is one of the later stages of tooth decay. The different stages include:

1. Enamel decay: Involves damage to the outermost layer of the tooth. Some people do not experience any symptoms, while others may notice increased sensitivity to heat and cold. Enamel decay can cause white spots on the teeth.
2. Dentin decay: Involves decay to the layer beneath the enamel of the tooth. Some people may notice pain or sensitivity. In some cases, there may be a visible hole or cavity in the tooth.
3. Pulp decay: This occurs when bacteria get deep into the innermost layer of the tooth. Bacteria inside the tooth pulp can attack the nerve of the tooth, causing intense pain. Sometimes, damage to the nerve means that a person first feels severe pain, then nothing at all.
4. Abscess formation: An abscess occurs in the later stages of tooth decay, after the bacteria travels to the tooth pulp, or deeper into the gums or jawbone. A person may notice pain near the tooth, along with swelling and redness of the gums. A severe abscess may also trigger a fever.
5. Tooth loss: A tooth that is severely decayed may break or fall out.

Some symptoms of an abscess include:

Without treatment, the bacteria from a tooth abscess can spread to the bloodstream. This may result in acquiring a serious and potentially life threatening infection called sepsis.

Some possible symptoms of sepsis include:

Tooth abscesses develop when bacteria in the mouth get deep inside a tooth or its surrounding structures, and then multiply out of control.

Below are some of the main causes of a tooth abscess.

Untreated cavities

Bacteria inside the mouth clump together to form a resilient biofilm called plaque. Regular brushing, flossing, and dental care can help remove plaque. However, without proper dental care, it can grow out of control.

Over time, plaque bacteria eat away at the tooth, causing tooth decay. If the decay continues without treatment, an abscess may develop.

Gum disease

Gum disease, also known as periodontitis, is the medical term for infection and inflammation of the gums.

Severe gum disease causes the gums to pull away from the teeth, exposing deep pockets between the teeth and gums. Food and bacteria can also become trapped inside the pockets, resulting in an abscess.

Recent injury to the mouth

An injury to the tooth or its surrounding structures can also increase the likelihood of a tooth abscess. These injuries could occur as a result of surgery or trauma to the mouth.

An untreated abscess can cause serious complications, such as:

When treating a tooth abscess, a dentist will prescribe antibiotics to kill the bacteria and stop them from spreading.

To prevent the infection from returning, the dentist will also need to treat the tooth decay or injury that caused the abscess. Treatment may include:

• filling cavities
• treating gum disease using a procedure called scaling and root planing, which cleans below the gumline
• treating broken or lost teeth with crowns or implants

In rare cases, the bacteria from an abscess can spread to the bloodstream and other organs within the body. A person with a widespread bacterial infection will require intravenous antibiotics at the hospital. They may also require surgery to remove tissues that have become severely damaged by the infection.

A person can take the following steps to help prevent dental abscesses:

• Brush teeth thoroughly to remove as much plaque as possible. Pay attention to the area just under the gums, where plaque can hide.
• Use fluoride toothpaste to help fight tooth decay.
• Floss teeth regularly to remove plaque between the teeth.
• Schedule regular dental appointments for thorough cleaning. A dentist can also remove hardened plaque or tartar, which a person cannot remove with brushing alone.
• Treat diabetes or any other underlying medical condition that may weaken the immune system and increase the risk of acquiring infections.
• Seek treatment for cavities as soon as possible, before the bacteria penetrate the deeper structures of the tooth.

A tooth abscess is a collection of pus that forms in response to contracting a bacterial infection inside the tooth, gum, or jaw.

Tooth abscesses can develop due to tooth decay, gum disease, or trauma to the mouth. Without treatment, the bacterial infection that causes the abscess can spread to other parts of the body. This can cause serious complications.

A person who experiences symptoms of a tooth abscess should see their dentist as soon as possible. With the right care, it is possible to treat both the abscess and its underlying cause. Good oral hygiene and regular dental cleaning can help prevent a tooth abscess from forming.

Tooth abscess stages: Symptoms, pictures, and more

A tooth abscess is a collection of pus that forms inside a tooth or its surrounding structures.

Tooth abscesses develop in response to acquiring a bacterial infection inside the tooth, gums, or jaw bone. Such infections can occur due to tooth decay, gum disease, or a mouth injury.

Without treatment, a tooth abscess may worsen or spread to other areas of the body. However, the factors that lead to them develop in stages, and knowing these stages can help a person prevent or treat an abscess.

This article outlines what a tooth abscess is, including its symptoms and causes. We also outline the stages of tooth decay and provide tips on prevention and treatment.

A tooth abscess is a collection of pus that develops inside a tooth or its surrounding structures. They occur due to a person contracting a bacterial infection in one of the following parts of the mouth:

• the tooth pulp, the innermost part of the tooth
• the gums
• the jaw bone

The most common cause of tooth abscesses is tooth decay from untreated cavities. However, they can also develop as a result of gum disease or having an open wound within the mouth.

The abscess itself is one of the later stages of tooth decay. The different stages include:

1. Enamel decay: Involves damage to the outermost layer of the tooth. Some people do not experience any symptoms, while others may notice increased sensitivity to heat and cold. Enamel decay can cause white spots on the teeth.
2. Dentin decay: Involves decay to the layer beneath the enamel of the tooth. Some people may notice pain or sensitivity. In some cases, there may be a visible hole or cavity in the tooth.
3. Pulp decay: This occurs when bacteria get deep into the innermost layer of the tooth. Bacteria inside the tooth pulp can attack the nerve of the tooth, causing intense pain. Sometimes, damage to the nerve means that a person first feels severe pain, then nothing at all.
4. Abscess formation: An abscess occurs in the later stages of tooth decay, after the bacteria travels to the tooth pulp, or deeper into the gums or jawbone. A person may notice pain near the tooth, along with swelling and redness of the gums. A severe abscess may also trigger a fever.
5. Tooth loss: A tooth that is severely decayed may break or fall out.

Some symptoms of an abscess include:

Without treatment, the bacteria from a tooth abscess can spread to the bloodstream. This may result in acquiring a serious and potentially life threatening infection called sepsis.

Some possible symptoms of sepsis include:

Tooth abscesses develop when bacteria in the mouth get deep inside a tooth or its surrounding structures, and then multiply out of control.

Below are some of the main causes of a tooth abscess.

Untreated cavities

Bacteria inside the mouth clump together to form a resilient biofilm called plaque. Regular brushing, flossing, and dental care can help remove plaque. However, without proper dental care, it can grow out of control.

Over time, plaque bacteria eat away at the tooth, causing tooth decay. If the decay continues without treatment, an abscess may develop.

Gum disease

Gum disease, also known as periodontitis, is the medical term for infection and inflammation of the gums.

Severe gum disease causes the gums to pull away from the teeth, exposing deep pockets between the teeth and gums. Food and bacteria can also become trapped inside the pockets, resulting in an abscess.

Recent injury to the mouth

An injury to the tooth or its surrounding structures can also increase the likelihood of a tooth abscess. These injuries could occur as a result of surgery or trauma to the mouth.

An untreated abscess can cause serious complications, such as:

When treating a tooth abscess, a dentist will prescribe antibiotics to kill the bacteria and stop them from spreading.

To prevent the infection from returning, the dentist will also need to treat the tooth decay or injury that caused the abscess. Treatment may include:

• filling cavities
• treating gum disease using a procedure called scaling and root planing, which cleans below the gumline
• treating broken or lost teeth with crowns or implants

In rare cases, the bacteria from an abscess can spread to the bloodstream and other organs within the body. A person with a widespread bacterial infection will require intravenous antibiotics at the hospital. They may also require surgery to remove tissues that have become severely damaged by the infection.

A person can take the following steps to help prevent dental abscesses:

• Brush teeth thoroughly to remove as much plaque as possible. Pay attention to the area just under the gums, where plaque can hide.
• Use fluoride toothpaste to help fight tooth decay.
• Floss teeth regularly to remove plaque between the teeth.
• Schedule regular dental appointments for thorough cleaning. A dentist can also remove hardened plaque or tartar, which a person cannot remove with brushing alone.
• Treat diabetes or any other underlying medical condition that may weaken the immune system and increase the risk of acquiring infections.
• Seek treatment for cavities as soon as possible, before the bacteria penetrate the deeper structures of the tooth.

A tooth abscess is a collection of pus that forms in response to contracting a bacterial infection inside the tooth, gum, or jaw.

Tooth abscesses can develop due to tooth decay, gum disease, or trauma to the mouth. Without treatment, the bacterial infection that causes the abscess can spread to other parts of the body. This can cause serious complications.

A person who experiences symptoms of a tooth abscess should see their dentist as soon as possible. With the right care, it is possible to treat both the abscess and its underlying cause. Good oral hygiene and regular dental cleaning can help prevent a tooth abscess from forming.

Tooth abscess stages: Symptoms, pictures, and more

A tooth abscess is a collection of pus that forms inside a tooth or its surrounding structures.

Tooth abscesses develop in response to acquiring a bacterial infection inside the tooth, gums, or jaw bone. Such infections can occur due to tooth decay, gum disease, or a mouth injury.

Without treatment, a tooth abscess may worsen or spread to other areas of the body. However, the factors that lead to them develop in stages, and knowing these stages can help a person prevent or treat an abscess.

This article outlines what a tooth abscess is, including its symptoms and causes. We also outline the stages of tooth decay and provide tips on prevention and treatment.

A tooth abscess is a collection of pus that develops inside a tooth or its surrounding structures. They occur due to a person contracting a bacterial infection in one of the following parts of the mouth:

• the tooth pulp, the innermost part of the tooth
• the gums
• the jaw bone

The most common cause of tooth abscesses is tooth decay from untreated cavities. However, they can also develop as a result of gum disease or having an open wound within the mouth.

The abscess itself is one of the later stages of tooth decay. The different stages include:

1. Enamel decay: Involves damage to the outermost layer of the tooth. Some people do not experience any symptoms, while others may notice increased sensitivity to heat and cold. Enamel decay can cause white spots on the teeth.
2. Dentin decay: Involves decay to the layer beneath the enamel of the tooth. Some people may notice pain or sensitivity. In some cases, there may be a visible hole or cavity in the tooth.
3. Pulp decay: This occurs when bacteria get deep into the innermost layer of the tooth. Bacteria inside the tooth pulp can attack the nerve of the tooth, causing intense pain. Sometimes, damage to the nerve means that a person first feels severe pain, then nothing at all.
4. Abscess formation: An abscess occurs in the later stages of tooth decay, after the bacteria travels to the tooth pulp, or deeper into the gums or jawbone. A person may notice pain near the tooth, along with swelling and redness of the gums. A severe abscess may also trigger a fever.
5. Tooth loss: A tooth that is severely decayed may break or fall out.

Some symptoms of an abscess include:

Without treatment, the bacteria from a tooth abscess can spread to the bloodstream. This may result in acquiring a serious and potentially life threatening infection called sepsis.

Some possible symptoms of sepsis include:

Tooth abscesses develop when bacteria in the mouth get deep inside a tooth or its surrounding structures, and then multiply out of control.

Below are some of the main causes of a tooth abscess.

Untreated cavities

Bacteria inside the mouth clump together to form a resilient biofilm called plaque. Regular brushing, flossing, and dental care can help remove plaque. However, without proper dental care, it can grow out of control.

Over time, plaque bacteria eat away at the tooth, causing tooth decay. If the decay continues without treatment, an abscess may develop.

Gum disease

Gum disease, also known as periodontitis, is the medical term for infection and inflammation of the gums.

Severe gum disease causes the gums to pull away from the teeth, exposing deep pockets between the teeth and gums. Food and bacteria can also become trapped inside the pockets, resulting in an abscess.

Recent injury to the mouth

An injury to the tooth or its surrounding structures can also increase the likelihood of a tooth abscess. These injuries could occur as a result of surgery or trauma to the mouth.

An untreated abscess can cause serious complications, such as:

When treating a tooth abscess, a dentist will prescribe antibiotics to kill the bacteria and stop them from spreading.

To prevent the infection from returning, the dentist will also need to treat the tooth decay or injury that caused the abscess. Treatment may include:

• filling cavities
• treating gum disease using a procedure called scaling and root planing, which cleans below the gumline
• treating broken or lost teeth with crowns or implants

In rare cases, the bacteria from an abscess can spread to the bloodstream and other organs within the body. A person with a widespread bacterial infection will require intravenous antibiotics at the hospital. They may also require surgery to remove tissues that have become severely damaged by the infection.

A person can take the following steps to help prevent dental abscesses:

• Brush teeth thoroughly to remove as much plaque as possible. Pay attention to the area just under the gums, where plaque can hide.
• Use fluoride toothpaste to help fight tooth decay.
• Floss teeth regularly to remove plaque between the teeth.
• Schedule regular dental appointments for thorough cleaning. A dentist can also remove hardened plaque or tartar, which a person cannot remove with brushing alone.
• Treat diabetes or any other underlying medical condition that may weaken the immune system and increase the risk of acquiring infections.
• Seek treatment for cavities as soon as possible, before the bacteria penetrate the deeper structures of the tooth.

A tooth abscess is a collection of pus that forms in response to contracting a bacterial infection inside the tooth, gum, or jaw.

Tooth abscesses can develop due to tooth decay, gum disease, or trauma to the mouth. Without treatment, the bacterial infection that causes the abscess can spread to other parts of the body. This can cause serious complications.

A person who experiences symptoms of a tooth abscess should see their dentist as soon as possible. With the right care, it is possible to treat both the abscess and its underlying cause. Good oral hygiene and regular dental cleaning can help prevent a tooth abscess from forming.

Pictures of Common Dental Problems

You know good dental habits can help prevent things like cavities and gingivitis, but you may not know what conditions like these really look like or how they can affect your mouth. Use this visual guide to learn more about some of the most common dental health issues, symptoms to watch for and the potential treatments that are available. Please note: This content is for informational purposes only. Only a dentist, physician or other qualified health care professional can make a diagnosis.

Cold Sores (Fever Blisters)

Cold sores are fluid-filled blisters that erupt on your lips, under your nose or around your chin caused by a virus known as herpes simplex virus type 1. Once you have them, you’re likely to get them again. Extremely contagious, they can be passed to others from the time you feel the first symptoms (like itching or tingling by your mouth) to the time they heal completely. Cold sores are often red, yellow or gray and usually heal within a week or two on their own. Your dentist can prescribe antiviral drugs within the first few days of an outbreak to help it heal more quickly. Over the counter drugs are available to help with pain, itching and burning they might cause.

Cavities

One in four adults has an untreated cavity, and according to the CDC, nearly every adult will have tooth decay at some point. You might have a cavity if you experience pain, food gets caught in your tooth, your tooth feels rough to your tongue or it hurts to eat something cold or sweet. Depending on their severity, cavities can be treated with fillings, crowns or root canals. If the damage is too extensive or involves nerve damage, the tooth may need to be removed. To reduce your chance of developing cavities, brush twice a day, floss once a day, drink water with fluoride, use a fluoride toothpaste, stay away from sugary food and drinks and see your dentist regularly.

Chipped Tooth

If you regularly chomp on hard foods like nuts or ice cubes, grind your teeth or have a mouth piercing, you’re at a higher risk for a chipped tooth. You might feel pain, depending on how much tooth has been lost. You may also feel a rough edge when you run your tongue along it.

If this happens, see your dentist. A small chip might be able to be smoothed down. Your dentist can use a tooth-colored filling, a veneer or crown to shape up your smile after a larger chip.

Teeth Grinding

Grinding your teeth (bruxism) is most likely to happen when you’re sleeping, though it can occur anytime during the day if you’re stressed, have a new filling or crown that’s higher than the rest of your teeth or have an abnormal bite. Over a long period of time, the surface of your teeth will become worn. You could experience toothaches, dull headaches or earaches, and jaw pain (TMJ). Your teeth may also appear more yellow because the white outer covering is worn away.

A custom mouthguard from your dentist can protect your teeth during sleep and correct bite issues. If stress is the cause, find a way to relax. Meditation, counseling and exercise can help reduce stress and anxiety (and the likelihood that you will grind your teeth).

Gingivitis

Gingivitis is the earliest stage of gum disease, an infection of the tissues around your teeth caused by plaque. If you have gingivitis, your gums may become red, swollen and bleed easily. You may also experience bad breath. Because gum disease is usually painless, you may not know you have it.

You are more likely to develop gum disease if you skip brushing and flossing, use tobacco, have crooked teeth that are hard to keep clean, are pregnant, have diabetes or take certain medications. When in its early stages, the disease is still reversible and your gums can be returned to good health with a professional cleaning from your dentist, along with daily brushing and flossing.

Periodontitis

Periodontitis is the more advanced form of gum disease, a major cause of tooth loss in adults. According to the CDC, nearly half of U.S. adults suffer from it. The disease can be reversed in early stages, but damage may be permanent the longer it goes untreated. Although you may not be aware of the gum disease in your mouth, abscesses can develop which usually painful. Symptoms include bleeding, swollen gums, persistent bad breath or bad taste, loose permanent teeth and a change in bite. Your teeth may appear to become longer as gums and bone recede. There are many treatments available, including deep cleanings known as scaling and root planing. Talk to your dentist to find out what’s best for you.

Thrush

Thrush is a yeast infection that looks like white film in your mouth. You’re more likely to get thrush if you have an illness that affects your immune system. This includes people with HIV/AIDS or cancer, as well as people using steroids to manage their asthma. People with untreated or uncontrolled diabetes are also susceptible because sugar in saliva encourages yeast to grow. Thrush is also common in people who wear dentures. If you have symptoms, see your dentist. After a scraping to confirm you have thrush, your dentist can prescribe medicine to clear it up.

Darkened Tooth

There are two reasons your tooth may change color after trauma: It’s either trying to protect the nerve or it’s dying. If it’s protecting the nerve, your tooth may look a little darker than the ones next to it. If it changes colors like a bruise (from pink to gray), this means your tooth is most likely dead. You may need a root canal, usually followed by a crown. In some cases it may be necessary to remove the tooth. If it is a baby tooth, you may be able to leave it alone until it falls out.

Canker Sores

Canker sores are small white or gray sores with a red border that appear your lips, the back of your throat or under your tongue. Their exact cause is uncertain but some suggest that immune system problems, bacteria or viruses may be play a role. They are also more common in women.

Canker sores aren’t contagious and usually heal on their own after one or two weeks. Over-the-counter creams and mouthwashes may give you temporary relief. Until it heals, stay away from hot, spicy or acidic foods because these can irritate the sore.

Cancer

Each year, approximately 40,000 new cases of oral cancer and cancers of the throat, tonsils and back of the tongue are diagnosed. Tobacco use, alcohol abuse and HPV all increase your chance of developing these cancers. Men are twice more likely to get oral cancer than women. During regular checkups, your dentist will check your mouth for symptoms like red or white patches, sores that won’t heal and rough, crusty spots. If anything suspicious is found, your dentist will order more testing or refer you to a specialist. The image above is only one example of how oral cancer might appear.

More from MouthHealthy

Tooth Infection Symptoms & Treatment

Overview

What is an abscessed tooth?

A tooth abscess is a pocket of pus from a bacterial infection. Abscesses can occur in different places around a tooth for different reasons and affect the involved tooth, but also the surrounding bone and sometimes adjacent teeth. Three types of tooth infections can cause abscesses:

• Gingival: This infection develops in the gums. It does not usually affect the tooth or supporting structures.
• Periapical: A periapical abscess is an infection that forms at the tip of the root. This occurs because bacteria can spread to the inside of the tooth to the pulp through a fracture or cavity. The pulp is the innermost part of the tooth that contains nerves and blood vessels. When bacteria invades the pulp, they can spread to the tip of the tooth’s root causing the infection to spread to the bone eventually leading to an abscess.
• Periodontal: This infection starts in bone and tissues that support the tooth. A periodontal abscess usually results from periodontitis or gum disease and is more common among adults.

Who gets tooth infections?

You’re more likely to develop tooth infections if you:

• Smoke: Smokers are about twice as likely to get tooth infections as nonsmokers.
• Have dry mouth: Bacteria thrive in a mouth with a low amount of saliva.
• Have poor dental hygiene: Regularly brushing, flossing and getting dental cleanings reduces bacteria.
• Have a weakened immune system: Diseases or medications can lower your immune response, making it harder to fight off germs.

What are the complications of a tooth infection?

Left untreated, a tooth infection can spread to the jawbone, the soft tissues of the face and neck, and beyond. In extremely rare cases, the infection can travel to the heart (endocarditis) and brain (bacterial meningitis).

Symptoms and Causes

What causes a tooth abscess?

Anything that creates an opening for bacteria to get into the tooth or surrounding tissues can lead to a tooth infection. Causes include:

• Severe tooth decay: A cavity, or tooth decay, is the destruction of the hard surfaces of the tooth. This occurs when bacteria break down sugars in food and drink, creating acid that attacks enamel.
• Broken, chipped or cracked teeth: Bacteria can seep into any opening in a tooth and spread to the pulp.
• Gum disease (periodontitis): Gum disease is an infection and inflammation of the tissues around the teeth. As gum disease progresses, the bacteria gain access to deeper tissues.
• Injury to the tooth: Trauma to a tooth can injure the inner pulp even if there’s no visible crack. The injury makes it susceptible to infection.

What are the symptoms of a tooth infection?

If your tooth is infected, your pain may be:

• Gnawing or throbbing.
• Sharp or shooting.
• Continuous or only when chewing.
• Radiating to the jawbone, neck or ear.

Other oral symptoms of infection include:

• Tooth sensitivity to hot or cold temperatures.
• Bitter taste in the mouth.
• Foul-smelling breath.
• Gum redness and swelling.
• Loosening of the tooth.
• Swollen area in the upper or lower jaw.
• Open, draining sore on the side of the gum.

In addition, you may experience more generalized symptoms like:

• Fever.
• Swollen neck glands.
• General discomfort, uneasiness or ill feeling.

Diagnosis and Tests

How is an abscessed tooth diagnosed?

In addition to examining the tooth and surrounding tissue for signs of infection, your dentist may:

• Recommend an X-ray. This can help identify sources of dental disease that may have led to the infection. Your dentist can also use X-rays to determine if the infection has spread and may be affecting other areas.
• Recommend a CT scan. If the infection has spread to other areas within the neck, this will help to identify the extent of the infection.
• Tap and press on your teeth. A tooth with an abscess is often sensitive to touch or pressure.
• Thermal tests. These tests will help your dentist determine the health of your pulpal tissues.

Management and Treatment

Will a tooth infection go away on its own?

A tooth infection will not go away on its own. Your toothache may stop if an infection causes the pulp inside your tooth to die. The pain stops because the nerve isn’t functioning anymore, so you may not be able to feel it. However, the bacteria will continue to spread and destroy surrounding tissue. If you have tooth infection symptoms, see your dentist even if you no longer have pain.

How is an abscessed tooth treated?

Goals of treatment are to eliminate the infection and prevent complications. Treatment options include:

• Incision and drainage: Your dentist makes a small incision (cut) in the abscess to drain the pus. Sometimes a small rubber drain is placed to keep the area open for drainage.
• Root canal: This option helps to eliminate the infection and save your tooth. This common procedure removes the tooth’s infected inner pulp, and fills the space with material to prevent another infection. The inner pulp is important when the tooth is growing but once it’s mature, the tooth can survive without the pulp. After the procedure, your tooth should be back to normal, though you may need a crown to protect the root canal. If you care for the restored tooth properly, it can last a lifetime.
• Tooth extraction: Sometimes the tooth cannot be saved, and your dentist may need to pull or extract the tooth allowing pus to drain from the socket.
• Antibiotics: If the infection is limited to the abscessed area, you many not require antibiotics, but sometimes your dentist may recommend them to assist with your dental treatment. It is important to know, that while this medication may help fight off remaining bacteria, it will not get rid of the cause of the infection, which is the affected tooth.

Prevention

Can an abscessed tooth be prevented?

You can reduce the risk of developing a tooth abscess by seeing your dentist routinely and getting regular dental exams and cleanings. It’s also important to see your dentist if a tooth becomes loose or chipped. Oral hygiene is very important for dental health. At home, brush teeth twice a day and floss once a day.

How can I relieve the pain of a tooth infection?

Tooth pain is a sign that you should see your dentist. While you wait for your appointment, warm saltwater rinses and over-the-counter pain relievers can ease discomfort.

Living With

How do I prepare for an appointment with my dentist for an abscessed tooth?

To help you get ready for your appointment:

• Make a list of your symptoms — include any that may seem unrelated to your tooth or mouth pain. Remember, your dentist can only help you when they know everything going on.
• Make a list of medications, vitamins, herbs or supplements you may be taking with the dosages of each.

You should prepare a list of questions to ask your dentist, including:

• What’s likely causing my symptoms and condition?
• Which tests do you recommend?
• What is the best course of action?
• Are there alternative to the primary

A note from Cleveland Clinic

Remember, your dentist wants to help keep you and your teeth healthy. Just like other medical professionals you may see, they’re an important part of the healthcare team. Be sure to see your dentist routinely and don’t put off regular checkups – prevention is key! These visits give your dentist a chance to spot problems early, when they may be easier to treat. If you are experiencing pain, it’s important to see your dentist to get the care you need.

7 Ways to Tell If You Are Living With An Infected Tooth

Are you suffering from a debilitating toothache? Perhaps you’ve noticed a little gum or jaw swelling, or your tooth seems to be a different color? It could be a serious tooth infection.

Your teeth are packed with nerves. That’s why a toothache, though it may only affect one part of your mouth, is excruciating. What’s more, the pain may sometimes be related to a deeper oral health issue.

If your tooth feels sore, sensitive, or you’re experiencing sharp pains in your mouth, you may have a tooth infection or a tooth abscess.

Why a tooth becomes infected

There are a number of causes of tooth infections. One of the most common causes is older root canals. When you have a root canal, your dental professional removes a nerve from the affected tooth. Unfortunately, bacteria can grow in that area, leading to an infection that your body struggles to fight off.

It’s important to recognize the signs of an infection, so you can seek immediate treatment.

How to tell if your tooth is infected

1. If you experience pain when eating, you may have a tooth infection. The infection or abscess spreads out of the root tip, which causes the gum and bone to be affected. Sometimes the pulsating pain and throbbing may be so severe that pain medication does not relieve your aches. This could be because the infection has spread, and there’s more pressure on the gums and bones.
2. Your tooth has turned a darker color compared to your other teeth.
3. You’re experiencing swelling of your jaw, face, and surrounding lymph nodes. You may also have jaw pain from the swelling.
4. Your gum is swollen and filled with pus. The raised swelling may look similar to a pimple around your infected tooth. An open pimple called a draining fistula, ruptures and releases pus, which is a sure-fire sign of an infection.
5. A bad taste in your mouth or bad breath may also be an indicator of an infection.
6. Difficulty moving and opening your mouth may be another red flag. You may have a hard time moving or opening your mouth as a result of the pain and swelling.
7. You have a general feeling of unwellness. If the infection is severe, it can cause you to feel unwell and even develop a fever.

How to cure a tooth infection

If you suspect that your tooth is infected, you do have several options. One is to save the tooth with a root canal. Even if the infected tooth is the result of an old root canal, we may be able to re-treat it and remove the infection.

Alternatively, we can perform a surgical extraction to remove the infection and prevent a recurrence.

If your tooth, other than the infection, is healthy, prescription antibiotics may help get rid of the infection.

What you should do if your tooth is infected

If you are experiencing any of the aforementioned seven symptoms, and you notice a toothache or swelling getting worse, you need to seek treatment immediately.

Infections, or abscesses, are not something you should try to manage alone. They can spread to other areas of your body, causing a range of problems.

Dr. Charles Dennis will take an X-ray and examine the area to determine the best course of action and the best possible way to remove the infection to prevent any further risks.

Never try to cure a tooth infection at home.

Book an emergency consultation with Dr. Charles Dennis, DMD at Abington Center for Cosmetic and Family Dentistry today if you are suffering from a tooth infection.

90,000 Diseases of the gums and teeth | LISTERINE®

Treatment. First, the reasons that provoked gum disease are identified. Based on the results of the examination, physiotherapy procedures, a course of drug therapy and other methods of treatment are prescribed, depending on the causes of the disease and the state of the oral cavity. Eliminating the infectious component of gum disease and relieving inflammation remains a mandatory step.

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Reasons. Bacteria living in the oral cavity and their waste products form a soft plaque (dental plaque) that can cause an inflammatory process in soft tissues. This becomes the onset of gum disease. In addition, malocclusion, improperly installed dentures, the habit of grinding teeth, the presence of tartar, metabolic disorders and the functioning of the immune system can lead to periodontitis. Taking certain medications is another factor that can trigger periodontitis.

Symptoms. One of the main signs of periodontitis is a condition in which the gum swells, drops and exposes part of the tooth neck. At the initial stage, the depth of such a pocket is about 4 mm. As the disease progresses, other symptoms may appear: gradual destruction of the ligamentous apparatus, deepening of periodontal pockets, severe bleeding of the gums, unsteadiness of teeth and destruction of bone tissue at the roots.

Treatment. Provides for the removal of supragingival and subgingival stones, elimination of the cause of inflammation (by replacing prostheses or fillings), the use of local and systemic drugs, physiotherapy procedures, and it is imperative to educate the patient on proper oral hygiene, including the selection of suitable means – paste and rinse aidSevere cases may require surgical treatment, including bone implantation.

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Tartar

Reasons. As with other conditions and diseases of the gums and teeth, microorganisms present on the oral mucosa play a major role in the formation of calculus. Their vital activity leads to the formation of soft plaque, which, under certain circumstances, becomes the “foundation” for dental calculus.Such circumstances may be insufficient or improper dental care, their too dense arrangement, which makes it difficult to clean the interdental space, individual characteristics of the composition of saliva, systemic diseases that change the pH of the oral cavity, and other factors.

Symptoms. Tartar most often forms on the posterior surface of the lower anterior teeth and the outer side of the lateral ones adjacent to the mucous membrane of the cheeks. Externally, stones can be rough from gray to dark brown.They are not removed even with intensive cleaning with abrasive pastes and powders.

Treatment. Diseases of teeth and gums often begin with dental calculus. Its timely and correct treatment refers to measures for the prevention of gingivitis, periodontitis and other ailments. Tartar can be removed in a variety of ways. The choice of method remains with the doctor and depends on the situation. The treatment plan necessarily includes the selection of the right oral care products: brushes, dental floss, toothpaste and mouthwash, which together will prevent relapse.

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Reasons. Improper oral hygiene is the main and primary factor leading to the development of caries. Bacteria present on the surface of teeth, in the course of their vital activity, release substances that destroy enamel. The process occurs most intensively in the first 20 minutes after a meal – this is precisely what causes the need to brush your teeth after eating or rinsing the mouth with special rinses.

Symptoms. The initial stage of caries is asymptomatic, and the destruction of enamel can only be detected with the help of modern dental methods. As the disease progresses, small spots appear on the surface of the enamel, gradually deepening, visible to the naked eye and affecting the tissues located under the enamel. The first symptoms are hypersensitivity to cold, hot, sweet and sour foods. If nothing is done at this stage, tooth decay can expose the nerve, causing severe pain.

Treatment. Although tooth decay affects the teeth, the gums also suffer if left untreated. A neglected disease can cause an abscess, and surgery will be required, followed by a course of long-term therapy. Caries treatment is carried out by removing damaged and destroyed tissues and filling the carious cavity with special materials that restore the anatomical integrity and shape of the tooth. In addition, the patient is advised to use toothpastes and mouthwashes to help prevent re-injury.

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Pulpitis

Reasons. This disease most often develops as a complication of caries. In cases where the treatment has not been given due attention, or with the wrong approach to therapy, the inflammatory process spreads to the pulp – deep dental tissues. The second most common cause of pulpitis is tooth trauma, in which pathogens enter the pulp through damage to the enamel. Systemic infectious processes also affect the development of the disease, since pathogens are able to penetrate the dental tissues through the bloodstream.

Symptoms. Pulpitis is manifested by severe toothache, mainly in the evening and at night. The pain is aggravated by eating hot and cold food. In cases where pus forms in the inflamed tissues, the pain subsides with the use of cold drinks or dishes, and when hot drinks are taken, it becomes aggravated. Also, painful sensations arise when pressure is applied to the affected tooth. An increase in body temperature is possible. With severe inflammation, a person is unable to determine the localization of pain – it becomes diffuse and can be felt throughout the jaw.

Treatment. It is carried out by opening the inflamed cavity, removing infected and destroyed tissues, antiseptic treatment, applying drugs that reduce inflammation, filling the canal. In some cases, it becomes necessary to remove the nerve, and sometimes to completely remove the tooth. Treatment tactics are selected depending on the degree of damage, the patient’s age and other factors.

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Periodontitis

Reasons. Inflammation of the periodontium – the connective tissue located around the root of the tooth – can be caused by many reasons.Among them are untreated caries and pulpitis, tooth trauma (including chronic trauma from an incorrectly placed filling or the habit of clamping hard objects in the mouth), penetration of infection through the blood, from adjacent structures (maxillary sinuses, bones of the facial part of the skull), exposure to periodontal tissues of toxic or potent substances.

Dental treatment under a microscope

The microscope in dentistry is a real revolution: it allows you to save teeth that were previously simply removed, to carry out less traumatic, better dental treatment.

It’s no secret that the capabilities of the human eye are limited. The tooth represents a very small working field. The canal diameter of the tooth can be less than 1 mm. Therefore, in order to better visualize the working field of the dentist, a dental microscope was created. In all countries of the world, dental treatment under a microscope is very popular, since in this case the working field can be increased more than 25 times, which allows the dentist to see the condition of the patient’s teeth in the highest detail.

Treatment of root canals

The use of a microscope in dentistry is always justified, and is primarily recommended for those patients who are to undergo endodontic treatment (canal treatment).

The microscope is indispensable for retreating tooth canals: if repeated caries has developed or a piece of an instrument remains inside the tooth.

During the initial treatment, the canals are wide enough, and during the repeated treatment, it is already necessary to remove the filling material and remove the source of inflammation. At the same time, the optical magnification provided by the microscope can significantly reduce possible complications of medical procedures.

Using optical magnification in combination with special illumination, the endodontist can easily identify the entrance to the canals. At the same time, all healthy tooth tissues are left intact. The device also allows you to easily determine their number and see even the smallest branches of the channel, which may be simply invisible to the naked eye. All this allows the doctor to carry out safe and high-quality treatment.

In addition, the use of optical magnification allows you to determine the cleanliness of root canals. During the procedure, the doctor can determine the condition of the filling product, as well as find even the most invisible cracks. The device makes it possible to determine the perforation (holes made by artificial means) and close it.

This device makes it possible to significantly facilitate the doctor’s task in the event that there is a need to remove pin structures or remove a fragment of an instrument.The microscope allows the doctor to see the root canals of the tooth during the treatment and examine all their parts. Thus, using this device, the dentist can carry out the most complex procedures.

Doctor’s qualification

Since a dental microscope is a complex piece of equipment, the doctor using it must be suitably qualified. Physicians-microscopists who have undergone special training work in this area.

A microscopist is able not only to determine the most qualitative treatment option, but also to save the patient those teeth, the removal of which seemed to be inevitable.Today, treatment using this technique allows you to identify the smallest cracks, to detect sources of inflammation, parts of old fillings and poorly installed crowns. It allows for high-quality treatment of cysts and granulomas: before its appearance, teeth affected by these diseases had to be removed.

Benefits of endodontic dental treatment under a microscope:

1. Gentle shaping of access to the canals

   Working under a microscope, the doctor makes access to the canals very purposefully and much smaller in size.Thus, more hard tissue of the patient’s own tooth is preserved. This means that the tooth itself and its functionality are better preserved.

2. Ability to find hidden canals of the tooth that are not visible on the images

   Of course, during endodontic treatment, an X-ray of the tooth is taken beforehand. But the x-ray shows a planar cut of the tooth. And therefore, if, for example, the fourth root of a tooth is outside the plane of the X-ray, we will not see it in the picture. The missed not removed tooth nerve during the treatment of pulpitis dooms the patient to big problems in the future.

   Treatment of canals under a microscope allows you to see all the roots of the tooth and is guaranteed not to miss the “hidden anatomy” during endodontic treatment.

3. Improved quality of cleaning of the tooth canals – protection against reinfection of the canals

   When examining a tooth canal under a microscope, the doctor is guaranteed to remove all tissue remnants of the removed nerve or old infected filling material. Such control is impossible to imagine without a microscope.The cleanliness of canal processing during endodontic treatment is a guarantee of the quality of treatment and a guarantee against re-infection.

90,000 Treatment of granulomas at the root of the tooth – what is it, how is it dangerous and how to treat the dentition: photos (pictures), symptoms

Contents of the article

1. What is this disease
2. Code of dental granuloma according to ICD-10
3. Causes of the formation of the inflammatory process
4. We diagnose a granuloma in the image of a tooth
5. How to treat a granuloma at the root of a tooth
6. Surgical treatment of gingival granulomas
7. Possible complications
8. Granuloma on the tooth root: what is dangerous and what predictions
9. Prevention

The formation of a purulent sac near the root system can lead to serious consequences, including loss. Therefore, today we will talk about granulomas at the root of the tooth, tell you what it is, and determine what treatment is needed.

The main feature of a dental disease is its frequent asymptomatic course. Usually, the appearance of a seal is not noticed by the patient, while a complete ignorance of the situation can lead to the growth of the focus of infection.

What is this disease

Focal damage to the periodontal tissues is caused by bacteria.First, a node appears at the site of the pathology, then it is transformed into a sac with a cavity inside, which is filled with purulent exudate. The peculiarity lies in the fact that the affected area can affect neighboring organs, including causing the formation of sinusitis, fistula, and a number of other disorders.

The appearance of a neoplasm is difficult to notice and localize at the initial stage, since most often it does not give any pronounced symptoms. The only way to see and start treatment on time is to have regular dental checkups.

Code of dental granuloma according to ICD-10

The International Classification of Diseases helps to unify the procedure for diagnosis, therapy, and the introduction of new technologies and methods into common practice. For convenience, alphanumeric codes have been assigned to all disease classes and specific conditions. Every 10 years, the list is updated and revised in accordance with corrections from the World Health Organization. According to the latest data, granuloma-like pathologies of the oral mucosa are encoded as K13.4.

Reasons for the formation of the inflammatory process

The periodontium consists of soft and hard tissues, which are the basis for keeping the tooth in the jaw. Therefore, any changes that violate its integrity can lead to inflammation of the gums, bleeding and even destruction and loss of dental organs. Therefore, the root cause of the appearance of granulomas is bacteria, which begin to destroy the periodontium. It, in turn, can be caused by caries and its complications – pulpitis and periodontitis – these are the main reasons, while the others listed below are only risk factors and increase the likelihood of the formation of the disease.We will refer to them:

• Microcracks on the teeth, through which infection is facilitated.
• Poor or irregular oral hygiene. It is not enough to clean with a brush, you need to use dental floss, rinse, and at least once every six months make an appointment with the dentist for a professional cleaning. This service is rendered in a quality manner in the clinic – “Dentica”.
• Insufficient antiseptic treatment of the gums after treatment or surgery.

Provoking factors can also be:

• Smoking.
• Overwork and stress.
• Lack of vitamins and minerals.
• Moving to other climatic conditions.
• Frequent colds and other signs of low immunity. It is especially bad when the disease has a bacterial lesion in the oral cavity.

Pay attention to prophylactic procedures that are prescribed by doctors for rehabilitation after surgery or other complex processes when it is necessary to disinfect the wound.On the mucous membranes, everything heals quite quickly and well, but even a slight ingress of bacteria can lead to infection. After each meal, be sure to rinse your mouth and perform an antiseptic treatment.

We diagnose a granuloma in the image of a tooth

Since the nodule appears deep in the tissues near the root, it is very difficult to determine its presence in the early stages. At first, outwardly, it will not be expressed by either swelling or redness.It will be possible to see the symptoms only with a sufficiently strong spread, when purulent exudate begins to accumulate. To recognize the presence of a problem at a stage when it is still possible to effectively carry out treatment is best done with the help of X-rays or radiovisiography. In the pictures, the ailment looks like a dark, rounded spot. The tumor can have different sizes – from 0.1 to 1.2 cm.

The specialist recognizes the presence of the disease at an early stage when healing adjacent incisors, canines or molars.

At a more advanced stage, you can find out how a tooth granuloma is treated by diagnosing the following symptoms:

• Sharp pain, especially on pressure. Also, the painful sensations are aggravated by the transfer of infections.
• Swelling, redness and hyperemia of the mucous membranes.
• Pus that flows out when pressing on the gum section.
• The enamel takes on a darker shade.
• Dizziness begins.
• Swollen lymph nodes – this does not happen often.

However, symptoms may indicate several more dental diseases. Therefore, the doctor is able to determine the formation of a purulent root node solely on an X-ray.

How to treat a granuloma at the root of a tooth

Treatment is selected by a specialist depending on several factors:

• At what stage is the inflammatory process at the moment.
• Whether adjacent areas are affected.
• What conditions accompany the pathology (pinched nerve, stomatitis, multiple caries, etc.).

As a result, drug therapy or surgical intervention is selected. The second method is more radical, it allows you to cope with the problem when the root is damaged, pulp, or a crack has formed.

Conservative method

To exclude a bacterial infection (it is it that leads to suppuration), antibacterial drugs are prescribed to relieve swelling, inflammation, redness and severe pain.A sick tooth is sanitized. It is opened, the dentist drills a hole right down to the root canals to remove all diseased tissue cells. Then the medicine is put into the formed cavity. Unfortunately, this does not give a 100% guarantee that a relapse will not occur.

Physiotherapy method

You can act on the granuloma, but not damage the soft tissue. This is done with:

• Depophoresis. At the same time, a special medical composition is placed in the dental canals, previously cleaned from the inside.This mixture is excellent at eliminating infections and preventing re-infection.
• Laser. This is a very effective technique in the early stages of development. The laser beam, acting on the root system, completely disinfects it.

Note that after all the above methods, a temporary seal is installed. This allows the doctor to then reopen and examine the condition of the tissues. If everything is fine there, then he will fill the area to be sanitized.

Surgical treatment of gingival granulomas

Intervention is necessary in cases where conservative medicine has not had the desired effect.It is required when diagnosing destruction processes in the acute stage. For the operation, local or general anesthesia can be applied. The easiest option is gingival excision to expose the purulent sac. Pus flows out, the cavity formed is washed out and a medicine is put into it for disinfection, anesthesia.

Root resection

During the procedure, the dentist-surgeon acts as follows:

• Gum tissue peels off to gain access to the apex of the root system.
• Dental canals are opened and cleaned.
• The formed passages are filled with drugs.
• The granuloma is excised together with the upper part of the tooth.
• The place where the inflamed node used to be is filled with a special bone substitute.
• Sealing is in progress.

Inter-root hemisection of root

It is necessary in case of a severe defeat, when it is no longer possible to cut off only the top, while maintaining the main size.Key Operation Steps:

• Removal of the area located inside the alveolus, while the plate itself can be preserved.
• Cleansing of the periodontal tissues.
• Filling the cavity with a special compound.
• Installation of the implant.

For prophylaxis, it is required to monitor the operated area, regularly making X-rays. This is an effective and fairly simple method that allows you to preserve a living dental plate, and a neat crown can be installed on the remaining zones in the future.

How to cure a granuloma at the root of a tooth with cystotomy

This is a phased elimination of a large focus of inflammation. To remove all purulent exudate, an artificial canal is created that connects the inflamed node with the oral cavity directly. After removing the infected fluid, the site is treated with antibiotics, and the wound is sutured. The holes formed can be filled with artificial biomaterial – bone cells. This is a long-term operation, but it is usually performed without complications.

Removal

Appointed as a last resort if other procedures have shown their ineffectiveness, for example, when:

• Complications occur, advanced stage.
• An external purulent pocket began to form on the gum.
• A longitudinal crack is formed – the dental plate simply splits into two parts.
• Bone tissue is destroyed (the tooth is crumbling).
• The origin of the root perforation.
• The channels are destroyed.

During the operation, the root system is removed completely, and a hole remains in the periodontium. It is filled with pus that needs to be flushed out. 2-3 months after surgery, a post can already be placed on the healed area to place the implant. Additionally, the doctor prescribes rinsing solutions (for example, “Chlorhexidine”), gels for local anesthesia and disinfection (“Cholisal”), as well as antibiotics against bacterial infection and pain relievers in tablets or injections.

Possible complications

In the absence of treatment or improperly selected therapy, the infection can spread and give unpleasant consequences, including:

• Even greater progression of periodontitis with fistula formation.
• Alveolitis – when the tooth socket becomes inflamed.
• Periosteum flux.
• Tissue death.
• Loss of the patient and near standing bone formations.
• Formation of a purulent abscess, phlegmon.
• The penetration of bacteria into internal organs, starting with the nearest lymph nodes and ending with the liver, kidneys, heart and brain.
• Facial asymmetry due to pinched nerve or displacement of parts of the jaw by an inflamed node.
• Fever, malaise, weakness, nausea and other signs of intoxication of the body.

Granuloma on the tooth root: what is dangerous and what predictions

Note that this disease does not respond to home treatment.If it is found, an urgent appeal to a specialist, the use of drugs and surgical intervention is necessary. The danger of the condition lies in the fact that with self-medication, you can start the inflammatory process.

With prompt diagnosis and timely assistance, forecasts are very promising. The patient usually does not feel discomfort, quickly recovers from the anesthesia, and after a while the specialists are already starting to aesthetic correction – the installation of a crown or an implant. With a conservative method of therapy, a relapse is possible, so it is worthwhile to conduct regular examinations, if necessary, to do an x-ray.

Prevention

For preventive purposes it is necessary: ​​

• Perform daily oral hygiene using a toothbrush, floss, gum rinse.
• Have a dental check-up at least every six months.
• Reducing the consumption of sweets, coffee, tea, and all drinks with dyes – all this negatively affects the enamel and often leads to the formation of caries.
• Give up bad habits.
• Increase the amount of vitamins and minerals that enter the body.

In the article, we talked about what a granuloma in a tooth is and showed it in the photo. Follow our recommendations and carefully monitor your health! If you find any problems, come to the Dentica dental clinic, where we will select a course of treatment for you and eliminate any shortcomings.

How to remove a tooth root at home

Date of publication: 17.09.2018

The roots of the teeth are in the bone, and they are not densely located, with a certain degree of mobility and the ability to absorb. The tooth is denser than the surrounding tissue. These factors create the possibility of removal. In this case, the ligamentous apparatus is destroyed, and the spongy bone in which the root is located is crushed. The process is complicated if the root has a curved shape or if the root canal has been previously filled.

The condition of the teeth deteriorates over time.This is due to insufficient care, economic factors and lifestyle characteristics. Many people are afraid to go to the dentist and therefore endure pain. The crown of a tooth decayed by caries gradually collapses until only the root remains of it.

Why is it dangerous to leave a tooth root in the gum?

• The inflammatory process in it has not stopped, the risk of inflammation of the jaw tissues increases;
• Caries can spread to adjacent teeth;
• ENT diseases may develop.

The root of the decayed tooth must be removed. This is a complex manipulation that requires the use of antibacterial drugs and anesthesia. It should be performed by an experienced doctor.

Self-extracting the roots of the teeth is dangerous, as it is difficult to extract it completely. In addition, there is a high risk of infection of the well.

It is possible to tackle this problem on your own only under certain conditions:

• A decayed tooth loosens a lot;
• It is impossible to get to the dentist’s office, and the tooth hurts unbearably.

What are the risks:

• Inflammation may develop;
• The root can only be partially removed;
• Possibly heavy bleeding.

Do not use the doorknob to remove. Safe removal is only possible after systematic loosening.

To do this with minimal risk of tissue damage and infection, a number of guidelines must be followed.

• Assess the situation – will you cope with the task. If the tooth is firmly attached, is it worth starting the extraction? A tightly held tooth cannot be extracted.
• A loose tooth should be loosened further with the tongue. Perhaps he will fall out himself.
• Before attempting to extract the root, wash the flour, brush your teeth with a paste, and rinse your mouth with a disinfectant (mouthwash) for maximum decontamination. You can use special solutions.It is important that they contain alcohol.
• Use of pain relievers. The pain reliever should not cause side effects. To start the action of the drug, you must wait at least half an hour.

Procedure

• Grasp the tooth with a sterile bandage and pull. Keep wobbling it. You can use tongs, pliers, tweezers.
• Do not squeeze the tooth too much so that it does not split.
• From time to time try to pull it firmly, but without jerking, so as not to break off part of the root and cause an inflammatory process.
• Proceed smoothly, swinging the tooth and periodically trying to pull it out. Jerking is unacceptable, as you can damage the gum or break the root. Then you cannot do without the help of a surgeon.

After successful extraction:

• Place a sterile swab on the well for half an hour.
• Pull it out without breaking the formed clot.
• Do not eat for three hours.
• Monitor the condition of the gums in the injured area, rinse your mouth with vodka, potassium permanganate solution, hydrogen peroxide or other disinfectant.
• Oak bark decoction can be used to speed healing and relieve pain.

To remove the root of a tooth, you need to prepare:

• Spitting container;
• Antiseptics;
• Pain reliever;
• Gauze pads and pads;
• Mirror.

These tips should not be resorted to if there is an opportunity to consult a professional, since root extraction is a rather serious and risky operation.

Can I cut the gum myself

Even if it seems that it will become easier, it is strictly forbidden to do so, since:

• Possible infection and severe inflammation;
• May cause bleeding;
• Debris may remain in the gums, rot and infect adjacent tissues;
• The operation will be painful.

The best option is to contact a specialist.

What do you need to know?

The procedures for removing milk and molars are similar, but the latter are fixed in the tissues much stronger and deeper. Before removing, make sure that the trouble comes from this particular tooth. If blood has flowed during removal, you need to use tampons soaked in an antiseptic.

After removal, you need to remove parts of the tooth and blood from the mouth, wash your hands, and apply cold to the injury site to reduce the risk of swelling.Over the next few days, you should stop smoking, exclude heavy physical activity.

You cannot pull out a tooth yourself without pain. Only professional pain relief can provide such an effect. If removal was successful, observe the hole for a week. If suppuration or swelling occurs, use an antiseptic and see a doctor. If, after starting the removal, you cannot complete the process, there is severe pain, stop immediately and go to the hospital.Until then, do not load the tooth or eat.

The dentist must be informed:

• When the tooth was extracted;
• When the pain started;
• What means were used.

Expert opinion

Emir Romanovich Omerelli

Maxillofacial surgeon, implantologist

Experience: more than 13 years

It is impossible to remove a tooth root at home.This is a very dangerous and traumatic procedure that can lead to serious negative consequences – from damage to the oral cavity and trauma to healthy teeth, to purulent processes in the hole, inflammation of bone tissue and even sepsis. The entire tooth or any part of it, including the root, must be removed by the dentist under sterile conditions, using anesthesia and special instruments.

Extraction of wisdom teeth

You can remove a wisdom tooth if you can loosen it and grab it tightly with your fingers.A cotton swab should be placed in front of the cheek in the area of ​​the problem tooth. These teeth have long roots, so it’s almost impossible to remove them yourself. Extraction of teeth requires a careful approach, but it is equally important to avoid infection in the future.

For this:

• Provide maximum rest for an empty hole;
• Brush your teeth, but be careful not to wash out the formed clot;
• To improve blood circulation in the injured area, apply warm, moist compresses to the gums;
• Rinse your mouth after every meal;
• Stick to a diet – avoid hot and cold foods;
• Use pain pills only when absolutely necessary and avoid overdose.

Dentistry services in Moscow No. 1 Novadent

NovaDent – professional family dentistry №1. Leading dentists, qualified medical personnel, European quality of treatment. Full diagnostics, preparation of treatment plans for each patient.

Our services

One of the main adornments of a person is a smile. Owners of healthy, even, snow-white teeth feel confident in any company and immediately dispose people and inspire confidence.Dentistry services in Moscow allow you to get a smile no worse than that of Hollywood stars. All procedures are carried out here absolutely painlessly.

Dentistry NovaDent offers a wide range of services, both therapeutic and aesthetic. The offices have modern equipment that meets European and international standards. All types of services are provided by the best specialists in Moscow and the region.

The list of dental services is very large and includes various areas:

1. Caries treatment – involves the removal of softened / infected dentin followed by a filling.We use modern photopolymer materials, so the tooth will look as natural as possible and retain its functionality for a long time.
2. Tooth restoration – used in the absence of a significant part of the bone tissue. The price depends on many factors, therefore it is calculated individually and will be announced after examination by a specialist.
3. Root canal therapy – allows you to quickly get rid of toothache. It is used for pulpitis – inflammation of the nerve.
4. Prosthetics – allows you to restore a missing tooth using various techniques.To provide this service in dentistry, various types of crowns and implants are used, which significantly affects the cost of the procedure.
5. Orthodontic treatment – allows you to restore a normal bite and align the dentition. For these purposes, our dentists use mouth guards and braces, which are widely used for children and adults.
6. Prevention – includes diagnostics and professional cleaning of teeth from plaque and calculus. Helps prevent the occurrence of serious dental diseases.
7. Aesthetic dentistry – teeth whitening, use of rhinestones for decoration. Gives you the opportunity to become the owner of a Hollywood smile.

The website contains approximate prices for paid dental services in Moscow, and more detailed information can be obtained from the employees. We are ready to provide professional advice to everyone who wishes, free of charge.

Entrust the health of your teeth to professionals – make an appointment at NovaDent right now.

Treatment of the root canal – the history of the patient’s treatment with photos before and after

The patient turned to “GrandMed” on the recommendation of a dentist from another clinic. The left lower sixth tooth bothered the patient with aching pains, aggravated by biting.

Treatment history

The prognosis of the tooth is good. The patient was referred for further treatment to a dentist who prescribed canal treatment under a microscope. The tooth was recommended to be restored with a Build Up (base for a crown made of hardened composite material) and a temporary crown.After 6 months, X-ray control will be performed, after which a safe orthodontic load can be determined for the planned orthodontic treatment.

CARIES. A seal in 15 minutes – is it real? | Blogs

Perhaps the most common reason for visiting a dentist is CARIES. About how it happens, what contributes to its occurrence, and what methods of treatment are used, you can write a whole book, or even several! In this post, I would like to tell you about the standards of quality dental treatment for the most pressing problem.
Pay maximum attention to the practical side of the issue.
And the minimum is theory. So let’s start …

When is it time to collect your thoughts and go to the dentist?

Symptoms:

1) Food gets stuck between the teeth, it is difficult to extract it with dental floss (it gets stuck, strands and, as a result, breaks).
2) Bad breath. 3) Sensitivity to cold, sweet and sour.
3) In the presence of old fillings – the appearance of a visible border between the tooth and the filling, which can be manifested by staining the edge of the filling or even its detachment.
And if it suddenly happened that you yourself saw a “hole in the tooth” with the naked eye, then rather run to the dentist, because any delay entails more serious problems. Such as pulpitis or periodontitis. In this case, the treatment will be longer and more expensive.

Further, with specific examples, I would like to show what it looks like in practice that it ALREADY NEEDS TO TREAT:

1,2 – violation of the adhesion of old fillings to the teeth, recurrence of caries.
3 – the gums are inflamed due to the accumulation of plaque.

So, we figured out the problem and even chose a dentist. And now you need to understand whether your chosen doctor really works in line with modern standards.

Consider the main stages of treatment, their sequence and the time required for their proper implementation.

Pain relief (5-15 minutes)

“Doctor, will it really not hurt ?!”

The problem of pain in dentistry is always important and relevant.Most patients postpone a visit to the dentist, fearing the pain of the upcoming manipulations. However, today there are modern drugs and methods of anesthesia that allow you to completely exclude possible pain sensations.
Modern anesthetics are delivered ready-made in cartridges, the procedure is performed with a special cartridge syringe. Depending on the tooth, the waiting time for the drug to take effect after the injection can be from 5 to 15 minutes.

Cleaning the tooth from plaque (1 minute)

Before starting treatment, the tooth must be cleaned from plaque using a special brush and paste.If there are hard dental deposits (tartar), then it is necessary to remove it (in modern dental clinics, this manipulation is performed using an ultrasonic apparatus).

Tooth isolation (3-5 minutes)

According to modern standards, this stage is very important, especially when working with light composites (in most cases, doctors use them today), and the service life of a filling or restoration largely depends on it.Composite materials are very sensitive to moisture penetration (blood, saliva and even moisture from the patient’s breathing), so its penetration onto the working surface is unacceptable!
At the same time, many doctors still continue to use cotton rolls to isolate the working tooth, as they did many years ago. I will not categorically say that this should not be done, but this method is already leaving yesterday and in many cases is insufficient for high-quality long-term isolation.

Cofferdam allows the clinician to completely isolate the working area from the rest of the mouth.At the same time, during treatment, the patient can even cover his mouth without the risk of saliva getting into the working area.

Tooth preparation (5-10 minutes)

What should you pay attention to? First of all, it is water cooling, but, unfortunately, there are still specialists who work without it. Especially often this habit remains with the doctors of the Soviet school, who are accustomed to working on old standard dental units. Then…. In Soviet times, one could only dream of such a luxury as water cooling, the maximum that the patient could count on was spraying once (and then at the end) with water from a syringe.After that, each patient, to the best of his accuracy, spat what was in his mouth into a “bald bowl”. Agree – it is not very aesthetically pleasing and not hygienic  Now you don’t need to spit anything – modern installations are equipped with special vacuum cleaners and saliva ejectors!
Thank God, times have changed, however, not everyone has time to follow him. And if installations without water are already difficult to find even in district polyclinics, then there are enough doctors who specifically for the sake of their “convenience” turn off the water. Why is it so important that the tooth is well cooled during preparation? Any living tissue suffers from overheating, which occurs when boron rub against hard tissue.And if this elevated temperature is not quickly removed with a water-air flow, then the overheated pulp of the tooth will give you greetings soon in the form of inflammation – pulpitis. And there will be a need to remove it, i.e. very expensive treatment of teeth canals.
Another important factor is the formation of infected dust, which is formed during the preparation of a tooth without water. It is inhaled both by the patient who was prepared and by each subsequent patient. This can be avoided only if, after each patient, you perform a general cleaning of the office, which, you will agree, sounds very unrealistic 
So now, entering the clinic or office, if you feel such a familiar smell of “burnt teeth” “, Then you can safely turn 180 degrees.Nothing good is waiting for you there.

Caries marker (30 seconds)

After the preparation of the carious cavity, it is recommended to apply the Caries Marker to determine the residual caries, remove visible foci of infection and control the complete removal of carious dentin. If this stage is skipped, then a relapse of the carious process is possible.

Treatment of the prepared cavity with an antiseptic (30 seconds)

At this stage, we will not stop too much.I will only say that it is necessary! If the doctor, barely just letting the boron machine out of his hands (especially if the preparation took place without water cooling), began to hammer in the filling material there without treating the cavity with an antiseptic, then such a filling will delight its owner for many years.

Deep fluoridation (1 minute)

Today, in dentistry, preparations are used (dentin-liquid / enamel-liquid), which make it possible to strengthen the walls of the tooth and reduce sensitivity after preparation.Calcium and fluoride contained in these preparations penetrate into the tooth tissue, thereby strengthening it and clogging the dentinal tubules, which leads to a decrease in sensitivity after preparation. Deep fluoridation can increase the service life of the filling up to 7-8 years! (Of course, if you are a big fan of gnawing walnuts or open a bottle with your teeth for a bet, no liquid will help you)))).

Adhesive cavity preparation (3-4 minutes)

All modern filling materials are “glued” to the tooth with an adhesive (or bond). It is he who holds the filling in the cavity. To increase the bonding surface, a concentrated acid is first applied to the tooth. It creates micro-roughness on the enamel surface. Next, the doctor, with a special brush, introduces an adhesive into the cavity of the tooth. If you have not received a rubber dam, acid residues may enter your mouth when you rinse from the tooth and you will feel a sour taste. I have seen how some doctors, after washing off the acid, asked the patient to spit out “sour water” on his own.Everything would be fine, but in no case should the surface of the tooth come into contact with saliva after acid treatment. Otherwise, the whole point of the procedure is lost, the technology is thus grossly violated.

Placement of filling material (10-40 minutes)

What should the patient pay attention to, and what does he need to know about this stage?
The filling material is introduced into the cavity in small portions, after each “filling” the cavity is illuminated with a special lamp for about 20-40 seconds.That is why this stage is the longest. Some doctors, in order to speed up the process, “cook” everything from 1 “piece” of material, even if the tooth is badly damaged! This is a terrible mistake that can lead to premature failure of the filling or even the entire tooth!
Surprisingly, many patients interpret this moment in their own way, from a radically opposite side. They say “this doctor is good, he did everything in 15 minutes, and this bad doctor took an hour!” I hope you now understand that this interpretation is fundamentally wrong?
If the surface in contact with the adjacent tooth is affected by caries, the doctor must install special separation matrices before placing the filling material so that as a result the material does not stick to the adjacent tooth and does not hang over the gum.After the end of the treatment, you can independently check the quality of the work performed. Try to floss at the contact point between your teeth. The thread should pass, but with little effort and click at the point of contact between the teeth. If the thread does not pass, breaks or, on the contrary, “flies with a whistle”, then such a restoration must be finalized or altered altogether.
In addition to the fact that this stage is the longest (it can take up to 40 minutes), it requires artistic skills from a specialist – since it is not always easy to recreate a tooth shape and color close to its natural shape, especially when it comes to the frontal group of teeth (smile zone ).
go to viewing work on the restoration of the anterior group of teeth
Grinding and polishing (5-10 minutes)
The service life of your filling or restoration directly depends on the thoroughness of this stage. Grinding is done in order to remove all excess material, smooth out the edges and remove overhanging edges in the gum area. After sanding, the doctor must polish the restoration to a “shine”, especially in places that are hard to reach for the brush. If this is not done, then gradually plaque will accumulate in unpolished places, and this, in turn, will increase the risk of caries recurrence by 3 times!
At the end of this stage, you should not feel the joints between the filling and your own tooth, the border should not be felt to the touch.The surface should be smooth and not have roughness (just do not confuse this with the restored natural relief of the tooth – tubercles and fissures – about them below….).

And now a few words about the relief of the chewing teeth. )

Or rather, how important it is to keep it in its original form (or at least as close to it as possible). At the end of the treatment, the chewing teeth should not resemble the perfectly flat surface of a hemp. The relief of the tooth in the form of tubercles and “cracks” between them (fissures) has its own functional, very important role.