Caries – prophylaxis, treatments for healthy teeth

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at Caries, or trench mouth called is the world’s most widespread disease. over 95% of the people had, or has ever been with this infectious disease had to do. Especially children, in which the diligent brushing is often neglected, are affected by tooth decay, but also many adults affects the tooth decay. Once caries has crept in, you are all the more susceptible to further tooth involvement. But what is tooth decay anyway? What happens to the teeth? And what factors contribute to the formation of tooth decay? Many questions arise about this disease, which almost everyone has, but of which one does not really know much. In our great guide you will get the answers.

How does caries develop??

    • Short description Causes of tooth decay:
    • poor or insufficient dental care
    • Incorrect eating habits (especially sugary foods and drinks, Nuckelflaschenkaries)
    • Bacterial colonization of the teeth
    • Time
    • Genetic predisposition (tooth shape, pH content saliva, malocclusions)

    In the development of caries, an interaction of various factors is usually necessary. What many do not know, Tooth decay is an infectious disease. That It is infected with other people, mostly in childhood, with tooth decay. This is done through shared cutlery, pacifier that is cleaned by the mother with the mouth, kiss, etc. However, the good news is that with good oral hygiene, the bacteria can usually be successfully fended off.

    At the origin of caries form first, if no optimal dental care (brushing, flossing, mouthwashes) plaque, which are also called biofilm or plaque. This consists of food leftovers, salivary components, bacteria and their metabolites. This biofilm provides bacteria with a wonderful protected space and they can multiply explosively. Come on this breeding ground now also one more Not proper nutrition for healthy teeth, i.e. many sugary or carbohydrate foods, which are from the Bacteria metabolized to acid tooth decay is almost inevitable. Of the enamel is due to the permanent acid load under the plaque entmineralisiert (mainly calcium and phosphate) and becomes softer and softer until it completely dissolves in some places. If the tooth is finally without the protective enamel, then has Caries free course up to Dentin (dentin) and ins pulp. Tooth decay is an infectious disease, but not a hereditary disease. However, you can genetic dispositions facilitate or speed up the development of tooth decay For example, can a tooth shape with deep tooth fissures favor the development of tooth decay, as food can accumulate better in such teeth and they are more difficult to clean. Have the same effect Malocclusions, where the teeth can be cleaned worse in some places and pads can fix better. Also has the Composition of the saliva some people, a much lower natural PH value (acidity) than other people. Since a low pH value protects against the acidity of food worse than a high natural pH value, this may favor the development of caries.

    Also has one high saliva production a protective effect against the development of tooth decay. The food is better decomposed and transported away. This also explains why brushing your teeth before going to sleep is so important. Especially at night, the salivary gland works to a much lesser extent than during the daytime. If the biofilm is not reliably removed before going to sleep, it can be left overnight without disturbing influences, such as walking. the saliva, act. Especially in the emergence of the colloquially named “Baby bottles caries“Plays the night and also the” exposure time “a large role. The children drink or suck for a long time on their vial, which in the worst case with sweetened tea, juices o.ä. is filled. Hereby, the bacteria can do their work undisturbed and still get replenished! That’s why young parents should talk about the optimal care for baby teeth inform.

    How is caries noticeable and what types of caries are there?

    Short description caries types and symptoms:

    caries species localization Appearance symptoms
    initial caries
    step 1
    Top enamel layer White patches, transparent patches, brownish no
    Caries superficialis
    Level 2
    enamel White or brown Mostly none, possibly pain sensitive teeth, pull at best. food
    Caris media / Dentinkaries
    Stage 2-3
    Dentin / dentin brown Pain-sensitive teeth, pull on certain foods
    Caries profunda
    level 3
    2/3 of the dentin, spread almost to pulp / pulp Brown black Toothache possibly bad breath
    Caries profunda complicata
    Level 4
    Spread to dental pulp Brown black Extreme toothache, possibly bad breath

    Depending on the stage, tooth decay makes itself felt in different ways.

    in the 1st stage, which Initialkaries This is so far “only” the surface of the enamel affected, so it is not yet “real” caries, but one caries precursor, but without behavior change to “right” caries will progress. This is demineralized more and more, which is noticeable by white spots, also called chalk stains or white spots. Food stains may cause these stains to discolour but also to dark spots over time. This stage is usually still reversible, so reversible. It is important from now on to ensure good oral hygiene and proper nutrition. In addition, attempts should now be made to compensate for the mineral loss by fluoridated Zahngels. The enamel is, so to speak remineralized by fluoridation.

    At the 2nd stage, which Caries superficialis, or enamel caries, it is a Zahnschmelzdefekt. That The tooth decay has progressed to the enamel. The progression can now effectively be stopped only by the dentist. Because in this mini defect now more and more food remains, etc., because the defect forms an ideal niche for this purpose. Also, the defect with the toothbrush is difficult to access and also the saliva can develop its protective effect is difficult. This can already cause pain-sensitive teeth.

    in the 2-3. stage, the so-called Caris media / Carious, is the tooth decay except for that dentin (dentin) penetrates and spreads below the enamel from now on. The reason for this is that the enamel is much more resistant than the dentin and the caries can spread much easier and faster over the dentin channels running in the dentin. This is the reason why even with superficially considered small holes, often quite a lot has to be drilled. The cavities spread, so to speak, in the hidden. From this stage, the caries infestation can also be quite painful, since the dentin is sensitive to pain. The bigger the hole, the more food left behind. From a certain amount it comes then through bacteria in the holes to rotting processes. The resulting gases can lead to very unpleasant halitosis.

    The Stage 3 is called Caries profunda, or Deep caries. This has the tooth decay 2/3 of the dentin infested and himself nearly on the pulp (pulp). In the pulp, so in the pulp run many nerve tracts and blood vessels, thus the caries hole is becoming increasingly painful. There is also the danger that the pulp, so the dental pulp ignites. This can then result in the greatest pain.

    Stage 4 represents the last decay stage. It’s called Caries profunda complicata. Here, the decay has led to the cave of the pulp, So of the Toothpicks open Has. Very severe pain is the result that requires urgent treatment.

    To one special form is it at Caries sicca. This is an old caries stove has come to a standstill. He appears dark and hard during the investigation. Another special form represents the Baby bottles caries This is especially the upper anterior teeth affected. The picture of illness is triggered when parents give their babies and children sucking bottles filled with sweetened beverages (tea, juices, spritzles, but also baby milk, etc.) permanently to suckle (for example as pacifier replacement). The effect is also enhanced because of the longer exposure time when these products are given overnight.

    Proper caries prophylaxis – better care than aftercare!

    precautionary measures Behavior / Applications
    infection prevention V. A. For babies and toddlers, do not put their cutlery and pacifiers in their mouths themselves; in adulthood no longer effective
    Proper dental care Brushing teeth, flossing, mouthwash;
    Use fluoride containing products Gels, toothpaste, mouthwash etc.
    dentist Regular prevention, fissure sealing, 2x per year professional tooth cleaning;
    Right choice of drinks Mostly water, no or rarely sugary drinks
    Right foods Rarely or not several times Daily sweet or constantly many carbohydrates

    The best of course would be the Infektion with the caries bacteria easy to avoid. That Just not getting infected with tooth decay. This benefits above all baby and toddlers, if you do not use the baby spoon while trying the baby food, or if the pacifier falls off after being dropped, do not clean it in the mother‘s mouth. Because as long as no milk teeth are present, that is composition of saliva yet another, as that of adults and the mouth of babies thus defenseless Caries bacteria shipped. When suddenly the first little tooth breaks through, it is almost without protection for the caries bacteria! This is also the reason why the first tooth should already be cleaned! In adults, however, contact with caries bacteria for life is probably rather unavoidable and both the composition of saliva another, as well as the dental care easier. The good news is that caries can barely settle in a healthy oral hygiene and dental caries is not to be feared.

    The most important step for the optimal dental care And thus a successful caries prophylaxis is the several times a day, thoroughly clean the teeth with high quality toothbrush and toothpaste. Also should at least once a day the interdental spaces with floss or one Interdental brush getting cleaned. At least between the last meal and the teeth should brush ½ hour pass time, because the enamel needs this time to calm down after the last “acid attack”. Also recommended is the regular use of mouthwashes. Since children are not small adults, should be for you on the Optimum care for baby teeth be respected. Also, children should always use special products for children. Both toothpaste and toothpaste are specially adapted to the needs of deciduous teeth. Even dental floss is available in small mounts that look like animals.

    Also can Fluoride-containing dental care products (e.g. Fluoride-containing toothpaste), or fluorinated table salt contribute to a successful caries prophylaxis. You should consult your dentist for the right products. The mode of action of fluorine is based on the fact that fluorides make our tooth enamel harder and thus less sensitive to acids. On the one hand, they protect the enamel from remineralization and on the other hand, they even promote the reintegration of minerals into the tooth enamel.

    In addition, the proper nutrition for healthy teeth important. Since many nutritional foods are considered healthy for which teeth are considered bad (for example, fruits, carbohydrates, etc.), it is above all important to have sufficient teeth cleaning after consuming them! sweet should be as possible not several times a day be consumed in order not to expose the tooth enamel to a type of continuous load or to permanently feed the caries. A classic example of this are so innocent-looking sweets! Several of these throughout the day, act as a kind of permanent source of caries, since there is always something sugar can act directly on the gums. Sugar is therefore associated with caries Not on the consumed amount, but on the Frequency of consumption on. In addition, especially with the drinks should be taken to ensure that this especially water is consumed. Especially sweet drinks, especially if they are also “sticky”, can clog the enamel permanently. For children, care should be taken to drink cups as soon as possible and not to drink them from pacifiers! In particular, you should never fill sweet drinks in Nuckelflachen and Nuckelflaschen never at night with in bed! Otherwise threatens the so-called Nuckelflaschenkaries!

    Regular dental visits are probably one of the most important bases for healthy teeth. The dentist can already do this smallest changes on the teeth, as they are e.g. occur in the form of white spots at initial caries and countermeasures initiate before it comes to a real infestation with tooth decay and thus to a hole. Also, the dentist can do a lot in the field of prophylaxis to keep the tooth condition healthy. For example, it is now recommended by most dentists, 2 times a year a professional tooth cleaning to have carried out. In this case, are removed by a specially trained dental assistant, tartar and deposits using special hand-held equipment, ultrasound and air-water salt blasting. Unfortunately, this treatment is not covered by the statutory health insurance and costs between 80 € -90 €. Therefore, for those who have the professional teeth cleaning performed regularly, the conclusion of a dental insurance with benefits for prophylaxis is recommended. The tariffs Württemberg V1, V2, V3 Here are very high quality services, just like the tariff Ergo Direkt Premium.

    Another possible prophylaxis treatment at the dentist is the fissure sealing. Here, the occlusal surfaces of the molars (fissures) are coated with a kind of protective layer, whereby the enamel is additionally protected and dirt and thus food remains can not fix so well. Usually, the fissure seal is performed in children, here reimburses the statutory health insurance, the cost of sealing the large molars. The Fissurenversiegelung the small molars is not included in the scope of the statutory health insurance, but can be used in the context of a dental insurance to be secured with. A tariff that provides services for children is the tariff Axa Dent Premium U. In the case of adults, the statutory health insurance unfortunately does not do anything in the field of fissure sealing. Again, the conclusion of a dental insurance may be useful.

    Treatments of tooth decay – how do I get rid of tooth decay

    If it has decayed caries, it hangs treatment strong of degree of spread of tooth decay.

    Is it still about initial caries, Caries, which only develops as a result of changes in the surface of the enamel in the form of white spots, are usually sufficient, reinforced on the oral hygiene to pay attention and with Fluoridierungsgels Remineralise the enamel again. Also offers at the initial caries a Caries treatment with ozone on. The enamel defect is still at this stage “curable“.

    Is the Enamel defect already advanced and has the caries already in the enamel or that dentin (dentin), then the must Caries completely removed become. This usually happens with the drill. Another method that unfortunately is not reimbursed by the statutory health insurance is the removal of caries with the laser. Here, the caries is irradiated with the laser beam, minimal water molecules in the tooth substance expand and thereby blow away the caries. Especially for patients with Fear of the dentist, or children, the laser may represent an alternative to the drill.

    No matter which of the two methods was used, after drilling or lasering, the resulting hole must still with a Filling material closed become. Different materials are available in different price ranges. The statutory health insurance unfortunately reimburse only in the anterior region (incisors and canines) Composite fillings (Single-layer technique). For the posterior teeth (molars) are from the statutory health insurance even only amalgams refunded. Will be so higher quality dentures desired, such. Gold or ceramic inlays, Plastic fillings also in the molar area, etc., the extra costs have to be borne by yourself. To be reimbursed the cost of high-quality dentures, the conclusion of a dental insurance on.

    In the event that the Caries already on the Denture spread over has, the treatment at the dentist significantly more extensive. This must a root canal treatment be performed and the root canals with Filled filling material become. The damaged tooth crown must be cleaned and sealed depending on the extent of the defect. Here come with small defects normal fillings in question. Become for larger holes Inays, onlays or Crown question. Again, the statutory health insurance pays only a simple care that usually does not meet today’s aesthetic requirements. Again, it is advisable to conclude a Zahnzusatzversicherung To give thought.


    Who always brushes his teeth diligently and also shows his children, prefers a low-sugar diet and twice a year to the dentist, thus has in many ways a reason to smile: on the one hand because of the beautiful teeth and on the other, because you get a lot of trouble , Pain and also saved money.

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