Dental treatment

Dental treatment is a set of medical measures aimed at restoring the functions and aesthetic appearance of teeth and preventing oral diseases. Dental problems affect people of all ages. The reasons for this may be poor working conditions, for example, work in the chemical industry or mines. The environmental factor plays an important role. In cities with high pollution and hard water, people are more likely to visit the dentist to remove tartar and treat gum disease.
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Which doctor should I contact?

There are several types of specializations in dentistry:

  • Therapist – treats superficial or deep caries, pulpitis, periodontitis, as well as teething problems
  • Hygienist – removes pigmentation of tooth enamel and plaque
  • Orthopedist – restores teeth, performs implantation and prosthetics, treats violations of the integrity of the dentition
  • Orthodontist – corrects malocclusion, deals with preventive prosthetics
  • Surgeon – removes teeth that cannot be restored, treats damage to the soft tissues of the oral cavity and pathologies of the dental system
  • Periodontist – treats gum diseases

According to statistics, about 80% of people are not aware of dental problems.

It is important to remember that regular preventive examinations, dental procedures and professional teeth cleaning 1-2 times a year are the best methods for preventing oral diseases.

Which doctor should I contact?

Signs that you need to see a doctor

  • Pain
  • Bleeding gums when brushing teeth
  • Misocclusion
  • Bad breath
  • Teeth mobility
  • Any discomfort while eating
  • The appearance of dark spots and chips on tooth enamel
  • Defects in seals
  • Teeth sensitivity to hot and cold food and drinks

Causes of pain

Toothache is caused by various factors and conditions associated with both teeth and diseases of other organs.

Odontogenic causes

Odontogenic causes of pain are caused by diseases of the teeth and surrounding tissues. These include:

  • Caries. Causes destruction of hard tooth tissues and the inner layer (dentin). Pain occurs when eating sweet and sour foods, hot and cold drinks
  • Pulpitis. Occurs when bacteria penetrate the tooth pulp, causing inflammation and infection. Pain due to pulpitis is often acute, intensifying in the evening and at night.
  • Periodontal and periodontal diseases. Inflammatory diseases of the tissues surrounding the tooth. The patient is concerned about acute or aching pain, tissue redness, swelling of the gums, tooth mobility
  • Chip, defect of the filling or its loss, damage to the crowns. Accompanied by a sensation of a foreign body in the mouth, injury to the tongue, pain and crunching in the temporomandibular joint

Non-odontogenic causes

Non-odontogenic causes are not directly related to dental diseases, but cause unpleasant symptoms. These factors include:

  • Pyoinflammatory processes. Infections in the periosteum, bone and surrounding soft tissues
  • Bruxism (teeth grinding). Increases the load on the teeth, which leads to problems with chewing, sensitivity of the canines and incisors, and headaches in the morning
  • Hypersensitivity of tooth enamel. Some people experience discomfort when exposed to mechanical, temperature, chemical influences
  • Neuralgia. Some types of nervous system diseases can mimic toothache. For example, trigeminal neuralgia affects nerve endings and causes sharp, shooting pain in the face and mouth

There are other factors not directly related to dental disease that can cause unpleasant symptoms in the oral cavity. For example, sinusitis is accompanied by a feeling of pressure and pain in the upper jaw. The patient may mistake this discomfort for toothache. Also, pathologies of the temporomandibular joint (TMJ) can manifest as pain in the jaw, cheeks and even ear, causing difficulty chewing food and talking.

Dental treatment methods

Dental treatment offers innovative ways to solve dental problems. Thanks to high-quality anesthesia and advanced equipment, all procedures are performed without pain and discomfort, and therefore are well tolerated by patients.

In pediatric dentistry, the air-kinetic method of treatment and ozonation are most often used. For dental treatment in adults, chemical-mechanical or laser dental therapy is prescribed.

Painless ways to treat caries include:

  • Chemical-mechanical The technology involves silent and painless removal of infected dental tissues using a special gel that is applied to the affected area. It contains amino acids and sodium hypochlorite. The dentist then carefully removes the softened carious tissue and installs a filling
  • Laser Using laser action, the doctor removes carious areas that are softer than healthy tissue, and at the same time disinfects the resulting cavity. Thanks to the targeted impact, the method is considered safe, since there is no impact on healthy areas of the tooth. Then the doctor places a high-quality filling
  • Air-kinetic Used to treat superficial caries. The essence of the procedure is to use a stream of air, a water jet and an abrasive substance. This technique effectively removes damaged tissue, but is only suitable for patients with caries in the initial stages
  • Ozonation During the procedure, the doctor applies ozone to the carious tissues of the teeth in order to destroy bacteria and create a sterile cavity. It is then filled with a tissue strengthening compound
General information about dental treatment

Classical dental treatment

Dental treatment in the clinic takes place in several stages, each of which has its own significance for a successful result.

What is included in dental treatment?

  1. Diagnostics. The doctor collects anamnesis, asks about the patient’s complaints, and conducts an examination of the oral cavity. For an accurate diagnosis, additional studies may be required: radiography, visiography or computed tomography (CT)
  2. Professional oral hygiene. This procedure is aimed at removing plaque and tartar. It prevents the development of gum disease and detects hidden cavities
  3. Anesthesia. The doctor selects an anesthetic based on the duration of the procedure, its complexity, location of the tooth and the individual characteristics of the patient
  4. Treatment. Depending on the diagnosis, therapy may include elimination of caries, cleaning of canals, installation of a filling or crown, as well as other procedures

After treatment, temporary pain may appear, especially with deep carious lesions. If the pain intensifies or does not go away within several days, you should consult a doctor.

Does it hurt to treat teeth

Dental treatment using modern methods of pain relief significantly reduces pain. We invite you to read a brief description of the types of anesthesia in dentistry:

  • Appliqué (surface). Painkillers are applied directly to the mucous membrane in the form of an ointment, gel, solution or aerosol. Most often used to prepare the injection site before injection anesthesia
  • Infiltration. This method involves slowly injecting an anesthetic into the tissue surrounding the tooth. It is especially effective for procedures on the upper jaw and is used in the treatment or extraction of teeth, as well as in surgery of the maxillofacial region
  • Conductor. An anesthetic is injected into the areas where the nerve exits the bone. This method allows you to anesthetize a large area innervated by a given nerve. Often used for procedures on the lower jaw, including dental treatment and extractions, as well as surgical procedures
  • Intraligamentary. The drug is injected directly into the ligament of the tooth, which allows you to numb one specific tooth. This method has certain contraindications and is used relatively rarely
  • Intraosseous. In this case, the injection is made directly into the bone tissue, which allows you to numb a certain area around the tooth

These remedies act for 1.5-2 hours, after which the patient can return to normal life without discomfort.

Dental treatment during pregnancy

Dental treatment by a dentist during pregnancy requires a special approach and attention from both the physician and the pregnant woman herself. Oral health directly affects the general condition of the pregnant woman and the development of the fetus. Inflammatory processes and untreated teeth negatively affect the health of the unborn child, especially in the early stages of pregnancy.

Pregnant women should consider the following important points before dental treatment:

  • In the first trimester, dental treatment is carried out only in extreme cases, for example, in case of acute pain, high body temperature or the presence of purulent processes. During this period, the risk of negative effects on the fetus is highest, since the active formation of the organs and systems of the fetus is underway, and the placental barrier is not yet fully formed
  • The second trimester is considered the most favorable for dental procedures. By this time, the formation of the placenta is completed, which reduces the risk of negative effects on the fetus. It is allowed to carry out professional teeth cleaning, remove tartar, and treat caries
  • In the third trimester, especially after the 36th week, any dental interventions are contraindicated. This is due to a possible increase in fetal pressure on the mother's aorta and vena cava during the procedure, which can trigger early onset of labor

Dental treatment under general anesthesia during pregnancy is strictly prohibited. When choosing painkillers, the doctor must consider their safety for the fetus. For example, lidocaine and some other anesthetics cross the placenta and harm the baby. Ubistezin and ultracaine are used as safe alternatives.

In severe forms of the disease, the doctor prescribes paracetamol and ibuprofen for pain relief. For infectious processes, antibiotics from the cephalosporin and penicillin groups can be used. They are considered safe for pregnant women.

Where to treat teeth

When choosing a dentist and clinic, pay attention to a number of criteria:

  • Location. You can choose a clinic at your place of registration, especially if treatment is provided free of charge under the compulsory medical insurance policy
  • Qualification and equipment. Consider the reputation of the clinic, check the availability of certified doctors, read reviews from other patients
  • Laboratory and equipment. The presence of a dental laboratory and professional diagnostic equipment is the key to receiving high-quality dental treatment
  • Pricing policy. Price transparency and pre-screening allow you to estimate potential treatment costs

If controversial issues arise, it is recommended to undergo an initial examination in several clinics, analyze the conclusions of each doctor and make the right choice.

Our doctors
Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the Department of Dentistry, dentist-therapist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
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