Is it painful to treat cavities without anesthesia?
Probably, there is not a single person on earth who would without shudder go to the reception to the dentist. Which only a few do not do to delay the visit to the doctor. They go to the healers, take self-medication and, of course, come up with many non-existent reasons that justify their newly postponed visit. But sooner or later, but it is necessary to go. So maybe it should be done sooner? It is in order to make the right decision - whether to treat or not to treat, it is necessary to know what kind of disease it is, and whether it is painful to treat tooth decay. Necessary information is presented below.
Caries - what kind of ailment?
Caries is the damage to the tooth by the acid produced by the bacteria. This process begins with the destruction of enamel with subsequent spreading into the interior, into hard tissues. However, for the formation of caries, one effect of bacteria is small, and there are also companion changes in the body.
Therefore, when all these factors are combined in the body, for example, poor nutrition, stress, genetics, poor oral hygiene, dental tissue structure disorder, etc., the development of caries begins.
Stages of the disease
There are several stages( stages) of this disease:
- Initial, superficial. On the surface of the tooth appear white spots, demineralization occurs. Then the enamel, damaged by bacteria, begins to darken, acquiring a rough surface.
- Average. There is a defeat of dentin - under the enamel layer. Soon a carious cavity is formed. It is painful to treat tooth decay at this stage or not, depends on the level of the patient's pain threshold. In some cases it is quite possible to do without anesthesia.
- Deep. Development of complications, when tooth decay goes beyond dentin.
Features in children and adults
The period of the disease is different for all. Thus, for example, children often encounter acute caries, which come almost immediately and cause damage to the baby teeth. If you do not treat it, the disease can move on to new, healthy teeth. In adults, however, the development process is rather chronic.
Complications caused by caries are an inflammatory process that goes beyond the limits of hard tissues. They include pulpitis, periodontitis, cyst and flux. The treatment of these diseases is already a rather complex and painful process, which can end with the removal of the tooth. Therefore, it is best to contact a doctor at an early stage of the disease. Then the therapy will be virtually painless.
Treatment at different stages of the
So, to understand if it's painful to treat tooth decay, if the tooth hurts, you need to determine the stage of the disease. The treatment procedure for the initial appearance of spots is the saturation of the body( tooth enamel) with substances such as calcium and fluoride. This is a painless procedure.
But when the first signs of destruction of the enamel appear, a filling is required. This procedure can cause a few painful minutes, but it also does not require anesthesia. If the patient wants, the doctor may well make an injection to remove the unpleasant sensations.
The middle and deep stages of tooth damage require thorough treatment. And in this case, you can not do without anesthesia. But do not be afraid of this procedure, because drugs allow you to quickly and at any time anesthetize the right tooth. They include:
- Novokain is a drug of low impact, no more than 15 minutes.
- "Pyromecaine" - effective after 2 minutes, and allows you to treat the tooth for 20 minutes.
- "Lidocaine" - the average level of exposure. Anesthetizes for 1.5 hours.
- "Bupivacaine" is the most powerful drug used in dentistry. Its action lasts up to 12 hours.
That is, in the arsenal of the doctor a lot of funds that allow anesthetize the process. Therefore, every patient, when deciding for himself whether it is painful to treat tooth decay and whether to take the drug, should remember that every remedy, apart from relief, causes harm. Therefore, if there is a possibility to suffer, and the doctor allows, it is better not to resort to their use.
Caries may differ in the location of the disease, depending on which teeth are damaged and how. For example, cervical caries occurs most often in children and adults over the age of 30, with non-compliance with hygiene, as well as in certain diseases that lead to this type of caries. For example, scurvy, osteochondrosis and others. Quite often it occurs in people with diabetes. Since in this case the amount of pathogenic microflora that leads to accelerated demineralization of the teeth increases.
This type of dental disease occurs at the border where the tooth is in contact with the gum. There is an increased sensitivity for thermal and mechanical effects, dark enamel, there is an unpleasant smell from the mouth. This type of caries very quickly progresses and spreads to the root.
At the initial stage, it is painful to treat the cervical caries, only the specialist will respond. But most often a course of therapy, which allows using nutritious pastes, enrich the teeth with trace elements. But the subsequent stages without anesthesia can not be passed. Since it may be necessary not only to fill, but also to remove nerves.
In the treatment of cervical caries, the cavity is cleansed, the gums pushed out, the canals treated, the filling or, if necessary, the insertion of crowns, etc.
The caries of the front teeth is probably the most unpleasant and ugly disease. After all, they are always in sight. Therefore, their damage brings, especially to the beautiful sex, many experiences. Enamel on the front teeth is thinner than on chewing, and therefore more in need of careful care and timely treatment.
The first symptoms when you need to see a doctor
In order not to wonder if it is painful to treat caries on the front teeth or not, you should consult a specialist at the first symptoms. These symptoms include the following:
- teeth changed their color;
- there were spots, white or brown, that is, decalcification occurred;
- reaction to food, namely, hot, cold, sour, and the like;
- bad breath.
With fast access to the doctor, the filling can be painless. The only condition is an appeal to a specialist who can make an aesthetically beautiful seal. Because everyone wants to have a beautiful smile. However, if caries is accompanied by severe pain, anesthesia can not be avoided.
Another type of described ailment is its late stage or deep caries. With it there was destruction of hard tooth tissues, and the destruction of deep layers of dentin occurred. This is indicated by acute pain from mechanical, chemical, and also thermal stimuli.
With this caries it is absolutely necessary to take a picture of the jaw or one affected tooth. Is it painful to treat tooth decay with an anesthetic throat, which the doctor will enter at the very beginning of all procedures? With such diseases, it does not hurt.
There are several forms of such caries:
- Acute. It is accompanied by severe pain disappearing almost immediately after the cessation of the effect on the tooth of the stimuli. The carious cavity is larger than the inlet.
- Chronic. Pains practically are not present. The entrance and the cavity are quite wide.
- Under the seal. Secondary caries can develop, that is, between the filling and the tooth microbes have penetrated into the microcrack. And also a relapse, when the cavities of the tooth were not cleaned well at the beginning of the treatment.
Acute form of deep
In the acute form of caries, it does not even matter whether it is painful to treat deep caries or not, since it is necessary to completely remove the tissues that have undergone destruction, to treat the cavity of the tooth, to introduce the medication and to fix it with a temporary filling.
The medicine in the tooth, prevents the development of further inflammation, restores blood circulation. It is removed after a few days if there is no relapse. Then a permanent seal is established.
Under the gum
Perhaps the most severe and painful form of caries is the inflammatory process under the gum. It can be detected only in a deep, difficult stage. Since it develops in a section invisible to the eye. Almost always this inflammatory process is accompanied by pulpitis. Therefore, it requires, in addition to cleaning the cavity, the removal of the nerve.
Treatment of this type of caries is always accompanied by unpleasant sensations. And any doctor on the question - is it painful to treat a deep caries without anesthetic, responds positively and advises to make an injection.
Treatment of caries in children
Treatment of such a disease in children is associated with some problems, for example, such as fast fatigue of the child, abundant salivation, etc. Therefore, this process is broken down into stages.
Inflamed cavities in childhood have a flat and rather small entrance. At the first stage the doctor covers the tooth with fluorolac. Then on subsequent visits, the tooth is carefully treated with a ball-shaped boron and an antiseptic is applied. After that, it is sealed and polished.
Splitting the entire procedure into multiple visits helps to avoid anesthesia and helps the child to get used to the dental office.
Is it painful to treat tooth decay without anesthesia in pregnant women? This is a difficult question. The pain threshold for all is different, but any pain in this condition can lead to stress, cause the release of hormones that can affect the baby. For example, breathing may become disrupted and become a real threat of termination of pregnancy. But there is no way to treat tooth decay, because this inflammation can cause intrauterine infection, delay in the development of the child, etc. In this regard, doctors recommend anesthesia. And do not worry, modern drugs do not cross the placental barrier.
Caries of wisdom teeth
And, of course, we can not help remembering the tooth decay of wisdom. It develops on them because of poor hygiene procedures. These teeth are usually unsuccessfully located, and they are difficult to reach, which leads to rapid accumulation of plaque and development of caries. It happens that the wisdom teeth erupt with the already existing deep caries. About his development, a person only learns when pain starts to worry him.
From all this it follows that dental treatment is a rather unpleasant procedure. And in order not to think about the question - is it painful to treat caries, you should consult a doctor not only when the first symptoms of the disease occur, but also for carrying out preventive examinations.