Indent - Cariology; in photo - Dr. Andrei Iamadoiu

Odontology – cariology

What is a dental decay?

The tooth decay is one of the most popular diseases of either temporary or permanent teeth, being caused by poor diet and bad oral hygiene. These aspects allow the microorganisms which are normally inhabiting the mouth to destroy the hard dental substance. Untreated, the tooth caries can progress causing deep damage of tooth vitality.

Which are the tooth decay symptoms?

  • brown spots or dental cavities
  • pain strictly caused by food or cold sweet drinks, ache which ends once the stimulus is removed.
  • Irritated inter-dental papillae (the inter-dental gingival bleeding), which may be an indication of tooth decay presence
  • Pilling floss in the presence of interdentally decay (or un’proper filling)

Can tooth decay be prevented?

Although it affects millions, it can be prevented by simple measures:

  • Proper dental hygiene: brushing twice a day, using a correct technique, tooth paste and fluoride mouth wash, flossing, inter-dental brushes.
  • Balanced food diet (avoid excess of sugar, sweet sodas and specially, reduce the frequency of their consumption during the day)
  • Regular checks and professional cleaning accompanied by fluoridation (depending on the situation)
  • Sealing of back teeth surfaces (specially for children, to prevent the molar decay immediately after eruption)

Modern treatment of tooth decay

Once installed, further tooth decay evolution can be stopped only with professional treatment, consisting in the removing of the decayed substance and filling the resulted cavity with special materials which are aesthetically and functionally restoring the tooth. For the patient’s comfort, the procedure will be done under local anaesthesia.

Untreated, decay will affect the dental pulp (“dental nerve inflammation” ). In this case, beside tooth restoration, endodontic treatment is necessary.

Our philosophy is to take a more conservative attitude in approaching the tooth decay treatment, trying to maintain as much as we can from the healthy tooth substance.

The first step into this process is done through early diagnosis of the incipient injuries.

An important role is played by magnification equipment (magnifying glass and dental microscope) with which just formed very small injuries, hardly seen with the eye, can be detected.

Another compulsory examination is the x-ray screening; an important role having the bite-wing screening accurately capturing the incipient inter-dental caries, which often can be very difficult detected during clinical examination.

In the past there have been used dental materials which, besides the fact that they were not offering a satisfactory aesthetic outcome(to be seen the silver-gray silver amalgam fillings), needed the creation of mechanical retentions in the sane tooth structure in order to be filled. Unfortunately the biological sacrifice was important.

The introduction of adhesive filling technique represented a real revolution in dentistry. It is all about composite materials, known as aesthetic fillings (at tooth colour), which are establishing a chemical bond with the hard dental substance through the use of special adhesives. This feature allows the execution of minimally invasive dental preparation, consisting in strictly removal of the decayed dental substance only with miniature dental drills. The magnifying equipment (magnifying glass, microscope) are significantly enhancing the quality of the procedure.

Due to the fact that the adhesive filling techniques implies the existence of a dry working field, the doctor will choose to apply a dental latex insulating foil (“rubber dam”) on your teeth, fixed with special clamps. This is reducing to minimum the possibility of contamination with saliva. This allows a perfect adhesion between the tooth and the filling material which will increase the dental restoration success rate on long-term and consequently the tooth life on the dental arch.

In extensive carious destruction cases, due to resistance reasons, we recommend indirect crown build-ups. This means adhesive cementation of dental restorations, made either by the dental technician or in our Clinique (“in-office”) through CEREC 3D (CAD/CAM technology)

  • inlay: represents a prosthetic ceramic piece having the design of a filling, realised outside the oral cavity, piece that will be later cemented on the tooth
  • crown: a rigid shell (metal-ceramic or full ceramic) that coats the tooth and that will be adhesive cemented on it, by this giving an enhanced stability and resistance to fracture.