Tooth Decay May Result From Poor Dental Care
Tooth Tartar and Descaling
Tartar is formed by the mineralization of bacterial plaque over time together with calcium salts from saliva. It sticks to the teeth’s surface as well as other hard surfaces, such as fillings, dental bridges, prostheses, implants, or orthodontic appliances (fixed or mobile), and it might be a factor that favors the development of periodontal disease. Tartar comes in two different varieties: supragingival and subgingival.
1. Supragingival Tartar
It has a white-yellowish color with reduced consistency at first, but it can reach a black-brown color if it is impregnated with food dyes or nicotine in smokers; its mineralization is due to the presence of saliva.
2. Subgingival Tartar
It is dark in color and harder and its mineralization is due to the presence of blood.
The rate of tartar formation can vary depending on the nature of the food, the flow of saliva, and its removal can vary depending on its fixation and adhesion to the dental surface. Some people have an individual predisposition, having reduced, moderate or large deposits of tartar.
Tartar removal is done through a therapeutic method called descaling.
This can be done by:
- with manually operated instrumentation
- with ultrasound
- with compressed air (sonic).
Supragingival tartar eliminated by manual and ultrasonic descaling, whereas subgingival tartar removed by using specialized curettes and descaling instruments and only partially by ultrasound.
The most popular type is ultrasonic descaling, which has a non-traumatic effect on teeth and gums, is well tolerated and painless in adults, neuropsychologically healthy, and who do not have sensitive teeth (dentin hypersensitivity), and the water sprayed by the descaling device releases a local pressure cleaning the area and removing the dislodged tartar.
Ultrasonic descaling is not recommended for people who have an accentuated vomiting reflex, respiratory problems ( asthma, pulmonary emphysema, cystic fibrosis ), patients with a pacemaker, children, or teeth with exposed root surfaces.
Sonic cleaning is similar to ultrasonic cleaning, only that a strong jet of air used, but it is less efficient.
For patients with fixed works and implants, a descaling should performed every six months and every four months for everyone else.
Descaling must produce a flawlessly smooth, even polished surface that is unfavorable for the formation of bacterial plaque and tartar. This result achieved in addition to expert brushing with specialized abrasive pastes, polishing gums, and by utilizing a well-tolerated, painless jet of water and sodium bicarbonate (prophy-jet), which removes even the final traces of tartar and delays new deposits.
In addition to preventing dental caries and periodontitis, using the right brushing method, mouthwash, and dental floss also makes it more difficult for bacterial plaque and, implicitly, dental tartar to form.
Tartar Microorganisms
On the basis that tartar “solidifies” the teeth, do not put off descaling. The tartar and the microorganisms in it determine whether the teeth are mobile, and if periodontal therapy delayed, the condition progresses and the doctor is unable to move on to the subsequent phases.
Dental pulp injuries can caused by poor oral hygiene.
Dental Pulp Tooth Infections and The Consequences of Not Treating Them
The occurrence of pulp infections mainly determined by microorganisms; they can come into contact with the dental pulp in several ways, the most common of which is direct penetration from large, deep caries. But bacteria can also affect the pulp through cracks or even fractures of the teeth, in these cases the “death” of the pulp happens very quickly, often even without pain.
Likewise, infection of the dental pulp can done by the penetration of microorganisms left after the incorrect cleaning of carious cavities, but these, being in much smaller numbers, do not necessarily threaten its infection.
Microbes can migrate into the tooth and retrograde through the apex (tip) of the tooth or through the lateral canals, following periodontal trauma or periodontal disease treatments.
The blood route can be another way for bacteria to penetrate, they reach the dental tissue following surgical interventions, after curettage of periodontal pockets, or even dental extractions. If the pulp tissue is already affected. It attracts bacteria from the blood through a phenomenon called anchorage.
No matter where the microorganisms enter the dental pulp, they will produce an inflammatory reaction manifested spontaneously. High-intensity pain can also be pulsating, and the duration varies from a few minutes to hours. The tooth is sensitive to percussion in the shaft. Because the pulp is in a hard cavity, with inextensible walls. The inflammation most of the time irreversible, followed quite quickly by tissue necrosis. Or the appearance of a periapical abscess.
That is why we recommend that you do not hesitate, when you have the slightest toothache, to contact a dental office. A root canal
Antiseptic Tooth Solutions
Intervention is not as bad as they say. The treatment consists in removing the damaged or infected tissue. That is inside the root canal (it being the cause of a possible abscess) under local anesthesia. With the help of manual or rotary endodontic instruments, and then by irrigation with antiseptic solutions.
The number of sessions required to complete the intervention at the level of the root canal will depend on several elements. Such as the stage of infection of the pulp or the complexity of the intervention; all this time the channel will be temporarily blocked. With mixtures containing antimicrobial substances. The final stage of the intervention will be the sealing of the root canal with a sterile. Material with the role of isolating it from the surrounding environment. And preventing the occurrence of an infection in the future.
Antibiotic therapy is not necessary, if the dentist does not recommend it. Afterward, it is likely that the tooth will need a crown-root reconstruction and a covering crown to restore. The initial shape and function. But this decision will made depending on a series of additional factors.
A tooth with root filling will be an active tooth and will continue to function. Using it as a source of blood and innervation. The surrounding tissues keep it in its position on the bone. Indeed, the tooth will lose its sensitivity to hot, cold, or sweet, instead, it will respond to masticatory pressure. If the treatment carried out correctly, the tooth should last as long as. The other teeth on the arch. And be able to used as an anchor post for a prosthesis or a dental bridge.
Acute Dental (Tooth) Infection
In an acute dental infection, if it not intervened by instituting an appropriate treatment. A periapical abscess may appear, manifested by pain and swelling of the region around. The affected tooth, sometimes fever may also be present.
Bacteria from dental abscesses can migrate deep. Towards the bone causing its infection, then fistulize at the level of the gum or facial skin. Or through the blood vessels from the inflammatory focus. Bacteremia and septicemia can reach. That is why a dental abscess should considered a dental emergency.
In more severe cases, antibiotic treatment is indispensable. But it will administered only on the doctor’s recommendation. These being insufficient to fight the infection, surgical drainage performed in the office largely solves. The problem and extraction is really the last method we resort to.
This is why dental infections must treated seriously. Because any delay in presenting yourself to a dental office can have serious consequences on your health. And what is more valuable than health?
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