Caries.Caries of primary teeth in infants - Causes, Symptoms and Treatment .MF .

August 12, 2017 17:52 | Diseases Org. Indigestion

Ponder: To date, over 90% of people suffer from this disease, as caries.More than 90% !!!That is the problem of dental caries found in almost every one of us, so let's deal.

What is caries?

Caries (lat «Caries» -. Decay) - the process of pathological destruction of dental hard tissues (enamel and dentin), arising under the influence of various factors (local - are in the mouth, and general - depending on the overall condition of the body).

How does caries, what causes it?

To date, the problem of caries studied deeply enough.It is proved that caries begins as a result of the harmful effects of the microbial flora of the mouth, focal accumulations on the tooth which are called "dental plaque".When injected into the mouth of sugars, micro-organisms "plaque" begin their split with the formation of organic acids.The shift of acid-base equilibrium occurs in the acid side, which is the basis for the destruction of the mineral component of tooth enamel - gidroksiappatita.If this process is not suspended (

for example, brushing or rinsing the oral cavity, and suitable for this folk remedies caries), the protein matrix is ​​destroyed and the tooth.

But microorganisms - not the only cause of tooth decay.The reasons for its occurrence can be reduced to the following groups:

1) the presence of caries-forming microflora in the oral cavity (which is why dentists are paying a great attention to oral hygiene, and the timely removal of foci of infection);
2) the presence in the mouth "food" for this microflora - carbohydrates in large quantities contained in the sweet, starchy foods (this factor includes questions about nutrition and culture of consumption of carbohydrates);
3) reducing total body resistance (presence or chronic systemic illnesses, stress, etc.).

Symptoms caries

Various forms of caries are, in fact, its stages, following one after another.

Caries in the stage of chalky spots

caries process begins with the destruction of the tooth enamel as a white, lost luster, "chalk-like" spots.This stage is the so-called "white spot stage."As a rule, if the stain is on an inconspicuous spot, the patient does not experience any symptoms of the disease, it is very rarely appears on the sensitivity of sour or sweet.Only the timely treatment to the dentist can help to treat caries in the stage of spot.To clarify the diagnosis, the doctor may stain the enamel of the so-called "caries-marker" (the healthy tissue of the tooth they are not colored, the dye is only in the carious spot) or apply optical equipment.The outcome of the stage of white spots can be a process of stabilization (in case of receipt of a sufficient amount of minerals to restore tooth enamel), or the process moves to the surface caries (enamel involved yet) or middle caries (already involved and dentin).

Photo caries stage chalky (white) spots

Surface and the average caries

In this situation, as a rule, the defect is visible to the naked eye as a darkening, "holes in the tooth", as the patients themselves.Struck by the tooth becomes sensitive, especially for sweet, salty and sour.If caries develops between the teeth , the patients complain of constant jams there food or pain in the papilla (usually from a toothpick injury).If this stage of caries is left untreated, there is a deep caries.

Photo superficial caries

Photos average caries

Deep caries

Amazed have all the dental hard tissue.In a deep cavity permanently stuck food residue, appears halitosis.Patients complain of severe pain of any stimuli, but this pain is a transient.

Photo deep caries

If and deep cavities left untreated, it may develop more serious complications pulpitis and periodontitis.

Some dental diseases are very similar to the manifestations of caries.This may be a wedge-shaped defect, enamel hypoplasia, fluorosis, and others.The treatment of these diseases is completely different, so the diagnosis should only be a doctor!

What are the treatments of caries exist today?

Today reliably proven that tooth enamel is able to restore the initial stages caries.Perhaps this is due to the special structure of the tooth enamel.Tooth enamel is composed of a protein matrix and embedded in its crystal structure.If the protein matrix is ​​not destroyed (in the stage of white spot), but only there was a loss of the mineral component, the enamel is capable of rehabilitation - remineralization.

Remeneralizatsiya enamel

Such reductive (remineralization) therapy is carried out by different methods (baths, electrophoresis, coating varnishes and gels) and preparations based on fluorine ions of calcium and phosphorus (2% sodium fluoride solution, 10% calcium gluconate, fluorinesprays and gels).The course of such therapy caries is 15-20 procedures that are carried out every day or every other day.


If tooth decay has spread deeper into the surface layer of enamel, especially in finding a defect in the natural grooves (fissures) or between the teeth, then it is an indication for dental fillings.

whether treatment of caries possible folk remedies?

All traditional methods of treatment (mainly rinse decoction of the plant or ingestion bracing fees) is directed not so much on the treatment of dental caries, but rather on its prevention.Treatment (cavity fillings) is only possible in the dental office by a qualified technician, but prevention is available to everyone.

Caries under seal.

What is a "secondary caries"?Why is it formed?Indeed, quite often in practice, the dentist found « secondary caries », or « caries under seal ».There it is either due to insufficient removal of infected tissue from the cavity during its machining (while remaining infection continues the process of destruction of the tissues of the tooth), or as a result of getting an infection through mikroprostranstv between filling and tooth structure.As a rule, such a situation is due to the long service life of the seal.Over time, any seal shrinks (shrinkage have the greatest cement and plastic seals, the smallest - composite), thus creating a "gap" between the filling and the tooth.The microorganisms reproduce it perfectly, but clean places are almost impossible, and that starts the process of secondary caries.It is manifested in the form of a darkening of the tooth enamel around existing fillings, the sensitivity of sweet and sour, it would seem, in the cured tooth.Treatment of secondary caries is the removal of insolvent seals, complete excision of infected tissues of the tooth and the new formulation that meets all the requirements of the seal.

Caries of primary teeth in infants

How is tooth decay in children?Are there any features?Unfortunately, more and more necessary to observe the development of caries in young children, sometimes do not even yet reached two years.Caries of primary teeth takes place all the same stage, the permanent (from white spots to deep caries), but still has a number of features.

Photo Caries of primary teeth in infants

Proceeds caries in children is much sharper, that is developing a systemic (affecting almost all teeth), much faster, and often several lesions in one tooth.

Oral hygiene in these young children is very difficult, which only aggravates the process.
Bookmark deciduous teeth occurs in the first trimester of pregnancy (6-8nedelya).Usually, the cause of dental caries of deciduous teeth is some unfavorable factor affecting in this period of pregnancy.It may be taking medicines (especially antibiotics some groups), infectious diseases, stress, etc.

also cause tooth decay in children so young children can become irregular eating habits.This permanent presence in the mouth sweet (the use of caramel, cookies, crackers), or bottles with a mixture usually containing sugar.In the latter case, even allocated a separate group of "bottle caries" - the defeat of the anterior teeth in contact with the teat.

Cries treatment in young children is difficult because of inability to use the full arsenal of treatment: drill baby is frightened and can not keep his mouth open.Therefore, treatment of caries of deciduous teeth in children is carried out not as adults.Read more about the treatment of primary teeth in the corresponding article.

How to prevent tooth decay?

caries prevention begins even before birth, since the formation of teeth begins in the third month of embryonic development, it makes sense to start before birth mother receiving minerals, such as calcium and fluoride, vitamins.

in early childhood is necessary to teach the child to a daily oral hygiene and culture of food consumption, especially of sweet and sticky, enrich the diet foods rich in calcium (cheese, cottage cheese, milk, etc.).Also very effective in carrying out the sealing of fissures (grooves) of teeth with special materials (sealants, potting compounds).

in adolescence is especially important to pay special attention to oral hygiene, becausehormonal changes contribute to increased plaque formation.

adults and the elderly, in addition to oral hygiene (brushing teeth preventive toothpaste and brush in the morning and evening) and should take care of total body resistance, prevention of chronic diseases.

all without exception - take preventive examinations and conduct professional oral hygiene dentist two times a year!

FAQ dentist on dental caries:

What will happen if left untreated caries of deciduous teeth in a child, but simply remove an aching tooth, grow after the other?
Children bite in the process of forming, and if you remove even one tooth, it can be formed properly around the extracted tooth teeth will grow crooked and new teeth on this site will also be crooked.I'm not talking about the fact that the removal of a tooth can damage the beginnings of the molars.Upon detection of the first symptoms of the child's caries sure to consult a pediatric dentist, now there are many methods to save the child's teeth.

dentists Knyazev E.V