Therapeutic dentistry
Dental surgery
Dental surgery involves the prevention and treatment of tooth disorders related to enamel and dentin. Such diseases are caries,(tooth decay), erosion, small breaks of teeth etc. With dental surgery, the doctor aims at maintaining the hygiene of the patient’s natural teething, combined with the best functional and aesthetic effect.
By referring to compound resin sealing we mean the known white fillings.
The compound resin gives a satisfactory result and high aesthetics standards in the tooth color. The process is simple and ends in one appointment.
By referring to amalgam sealing we mean gray-metallic fillings. Their use has begun to be limited in recent years. Nowadays, resin is usually preferred to gray-metallic amalgam so the old fillings are being replaced with resin.
Frequently after endodontic treatment (denervation), there is a significant lack of dental substance, so it is necessary to place an endodontic shaft that helps to better support the restoration material. Thus, the sealing is placed much more compact form and is more durable, while the crown fitting becomes easier.
Endodontics
Endodontic treatment – denervation is absolutely necessary when decay has reached a stage that affects the core of the tooth, that is, the pulp. The pulp consists of vessels and nerve fibers, a mass of live tissue that when damaged and devitalized, it causes severe pain to the patient due to inflammation and abscesses in the apex. For the immediate treatment of the symptoms but mainly for saving the tooth, it is necessary to perform the endodontic treatment.
Depending on the case, an opening of the affected tooth can be made initially, in order to directly relieve the patient from the pain. Then the damaged pulp should be removed from the inside of the tooth while the root or root canals (depending on the tooth) should be thoroughly cleaned and hermetically sealed to prevent microbes from entering. Endodontic treatment usually ends in one visit. However, in case there is an inflammation that has spread beyond the tooth, a temporary filling is placed seal and antibiotic treatment is administered until it recedes. On the next visit, the tooth will be sealed (permanent filling) and under the proper circumstances, the denervated tooth will be retained for many years.
There is a case where a cyst can be traced to a tooth that cannot be denervated. Then the doctor proceeds with a “haircut” of the root of the tooth responsible (acariectoctomy) along with the pathological tissue (cyst) removal. The dentist removes the part of the root of the tooth that causes the problem.
When needed, a “seal” at the root end, called reversal occlusion, can also be fitted ensuring more effective sealing of the tooth root.
Periodontics
It is the dental branch that deals with the health of gums and periodontium. The treatment can be conservative without incisions or surgical involving root scraping and a gum flap surgery.
Periodontal disease in its original form is known as gingivitis, i.e. a gum inflammation that is expressed by swelling, redness and often bleeding gums. The treatment consists of removing the tartar and dental plaque both with ultrasound and with hand tools where needed as well as the most important learning of oral hygiene brushing, use of dental floss and inter-dental brushes.
Periodontitis, in contrast to gingivitis, is not limited to the gums, as it involves the destruction of the supporting bones and when it progresses, it makes the teeth initially shake and eventually fall. The cause of periodontal disease is the dental microbial plaque, that is, microbes that are either not properly removed by brushing or not removed even though the teeth are properly brushed because these microbes are trapped inside the mass of stone-tartar that only the Dentist-Periodontist can remove. Aggravating factors include heredity, smoking, diabetes, etc
The process of periodontal treatment begins with a good cleaning of the hyperluscular plaque and tartar as well as oral hygiene instructions. This is followed by a periodonogram where the teeth bursas are measured and their mobility and periodontal characteristics are evaluated. Afterwards, the basic stage of periodontal treatment takes place involving root scraping of each tooth separately using local anesthesia.
These are either in two sessions where each individual jaw is being worked on, or in four in more severe cases where the mouth is divided into quadrants. Approximately one month later, re-testing and evaluation of the therapeutic effects are performed.
Periodontal treatment can be either conservative or surgical where a gum flap and stitching occur.
