cavities is a progressive disease that attacks the tooth enamel and if left untreated it proceeds to reach the pulp of the tooth, causing inflammation.
In the initial phase, cavities are often asymptomatic and it is necessary to intervene before they become more extensive to avoid losing structure, it is advisable to intervene early when they are identified.
The diagnosis of cavities is made clinically by the dentist through the use of different means: checking the presence of cavities with the probe and making intraoral radiographs.
it is important to undergo regular checks in order to be able to identify cavities early, since in the initial stages these are often asymptomatic.
The bacteria that cause cavities attack the dental enamel: if proper oral hygiene is not maintained, an obturated tooth can then decay again in a different point or in the vicinity of the filling
Like permanent teeth, milk teeth can also form cavities, be painful and, in the worst case, even an infection (abscess). Infections on milk teeth as well as their early loss can cause problems with the underlying permanent tooth bud.
In addition, some milk teeth can remain up to 12 years of age: it is therefore important to take care of milk teeth to avoid acute painful pathologies and to try to keep them until they fall naturally.
Once devitalized, the tooth loses sensitivity and becomes more fragile: it is therefore possible that with chewing it may fracture or break and in some cases it is necessary to extract it.
Precisely to prevent a devitalized tooth from breaking, it is necessary to protect it with an onlay or a crown that allows it to last longer over time.
Before starting the devitalization session, the dentist performs a local anaesthesia, so that the patient does not feel any discomfort or pain for the entire duration of the endodontic treatment.
After a devitalization you may feel a slight discomfort and for this reason the dentist may find it necessary to prescribe painkillers.
Very deep cavities can lead to the loss of tooth vitality: in some cases it can be an acute painful event, in others the loss of vitality is progressive and the patient may not feel pain.
The dentist uses special diagnostic tools to check the vitality of the tooth (percussion test, sensitivity test to cold, intraoral radiographs …) and when a tooth is not vital it is necessary to carry out endodontic therapy (or root canal therapy, or devitalization) to remove necrotic tissue, disinfect the canals and seal them.
This procedure is carried out to reduce the bacterial load that can cause infections and ensure a longer life of the tooth.
In some cases a devitalized tooth can cause pain after a long time: this can be due to different pathologies (fractures, granulomas, cysts …).
When a devitalized tooth hurts, it is necessary to undergo a dental examination in which the dentist, through appropriate means (intraoral radiographs, orthopanoramic …), can evaluate the presence of any pathologies affecting the devitalized tooth and formulate the most appropriate treatment plan.