Cervical caries treated painlessly

the fourth German Oral Health Study (DMS IV), at least one root surface is carious or filled in 21.5 percent of 35 to 44 year olds and even 45 percent of all 65 to 74 year olds.

Thus, in these age groups compared to previous studies, a significant increase in cervical caries caused by sensitive teeth.

Table of Contents

What is cervical caries?

Among dental caries, in particular Caries on exposed tooth necks understood, as it can usually be favored by a regression of the gums. Especially adults and seniors are affected by cervical caries; Recent studies have found that in the group of 65 to 74 year olds almost half of all test persons had at least one decay-tooth root.

Difference caries and cervical caries

While caries usually affects the purchase surfaces or interdental spaces, cervical caries affects the tooth root. From a dental point of view, this difference is very important, because with already advanced caries special fillings, such as composites or glass ionomer cement are necessary.

For the person affected, there is a small difference in the symptoms. Before it comes to lasting pain with progressive infestation, not initially the cold and heat sensitivity strongly.

Symptoms a cervical caries

As usual with caries, there are no symptoms at an early stage. However, whitish discolorations along the neck of the cervix suggesting a possible cervical caries are typical. In the course of the damage to the tooth root is clearly visible, also appear first pain when eating cold and hot foods, as they are characteristic in exposed tooth necks anyway.

In addition to temperature sensitivity, root caries also shows symptoms when in contact with sugary foods. To permanent, severe pain it comes only when the tooth nerve is exposed and constantly irritated.

Trigger of a cervical caries

A prerequisite for root caries are exposed tooth necks, which are triggered by a decline in the gums. Such exposed roots are usually caused in turn by periodontitis, ie inflammation of the periodontium (periodontium).

Incidentally, periodontitis is especially common for diabetics, who are also at greater risk for cervical caries. If this basic requirement is met, caries forms easily at the critical transition between enamel and tooth root, because here the bacteria can adhere comparatively well. As with common caries also, the cause here is a lack of oral hygiene.

Treatment of a cervical caries

How dental treatment actually works depends on the severity of the tooth defect. Minor damage can be easily repaired by drilling and a special filling. Here, for example, glass ionomer cement is used, which additionally emits fluorine and thus additionally protects the teeth from renewed caries infestation. Of course, root caries still carries particular risks, because it effectively attacks the foundation of the tooth.

In severe cases, therefore, the tooth necks must be crowned, with dentures here as well as otherwise in dentistry only the last resort.

How to prevent a cervical caries?

When the gums recede, sensitivity to cold and hot food is quite common. Here, a toothpaste like Elmex sensitive, which closes the Zahnkanälchen and helps to reduce the pain helps. Furthermore, of course, should be a regular and thorough oral hygiene. More often than on the incisor, cervical caries occurs on the molar, especially the interdental spaces are affected. In addition to brushing twice a day, flossing should also be used for cleaning.

What happens if there is no treatment??

Basically, patients should undergo a treatment for the roots as quickly as possible. If this procedure is postponed, serious consequences are imminent: In particularly severe cases, the tooth can no longer be saved. In addition, those affected are of course not spared severe pain, so treatment should not be delayed.

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Dr. Frank Seidel

Last update of this page on 27.09.2019 by Dr. dr. Frank Seidel.


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