Caries treatment has long been a service completely subject to market relations. This means that patients prefer to visit those dental offices in which the teeth are treated, firstly, qualitatively, and secondly - painlessly. In some places, offices with old-fashioned equipment and doctors of the old school who still believe that it is better for the patient to tolerate a few “shots” than to pay for an anesthetic injection are still preserved.
In most clinics today treat tooth decay it doesn’t hurt completely, and this procedure is only sometimes associated with minor unpleasant situations that can be quickly eliminated. For example, if the first anesthesia did not work, an additional one is done. But in such cases, the pain during the work of the dentist is definitely not more severe than at home when eating with a bad tooth.
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“I was probably lucky, and before the age of twenty, I never had a dentist at all. I remember that a couple of times in my childhood I was tearing milk teeth, but never had to treat anything. When I went to work after college, the first time my tooth ached with food. I somehow didn’t particularly think whether it was painful to treat caries, I only understood that I would have to treat it in any way, but the sooner this is done, the better. Therefore, she came to the doctor as soon as the pain became regular. Indeed, it turned out to be caries. I got a good doctor, she said right away that it would be necessary to drill, but there shouldn’t be anything particularly terrible, and therefore it won’t hurt and it is better not to anesthetize. Indeed, she just worked there for a couple of minutes with a typewriter, and I was only stabbed once. There was nothing more unpleasant. But in general, the office itself was good, the equipment was so new, clean, and water was constantly sprayed from the drill itself when working, which, in my opinion, reduces pain. “Three years have passed since then, I visited the dentist one more time, with just another tooth, and everything was just as painless.”
Inna, Yekaterinburg
But about twenty years ago, treating caries was really painful. Today, even its most neglected form is treated in such a way that the patient does not feel even half the pain that he could have felt in Soviet times. Therefore, walking with a tooth that brings suffering and being afraid to go to the dentist to get rid of pain within 20-30 minutes is at least not logical, and considering the risk of caries complications, it is also dangerous.
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“The treatment of caries is, in my opinion, the simplest and most fearless thing that can be done in a dental office. I still found times when there was no sprayer with cold water on the drills, and even if I went to the doctor on time, it didn’t reach the pain. Well, maybe somewhere out there the doctor will touch something sick, but it accidentally and quickly passes. But how cool you feel when a tooth aches for a week, and then again - and there is no trouble. Just recently, on my business trip, the seal fell out old, my tooth ached, I went to the doctor, he said that I need to remove the nerve. It would seem a complicated procedure. But there’s nothing wrong either. They made an injection, waited a couple of minutes - and that’s all, there is no sensation whatsoever in the mouth.
Andrey Tomilin, Cheboksary
Types of caries and sensations in their treatment
Caries at different stages of its development requires different treatments, and the patient's sensations with them also vary slightly.
In case of caries at the spot stage, the enamel lesion site is treated first with special grinding materials, and then enamel reducing preparations are applied to it. These procedures are painless, and feel similar to thoroughly brushing your teeth with a toothbrush.
Sometimes, before treating tooth decay, a doctor has to remove plaque. At the same time, painful sensations practically do not occur.
Important!
With caries in the spot stage, anesthesia (injection) is not done, which most people are unjustifiably afraid of. However, it is always anesthesia that completely eliminates the appearance of even minimal sensitivity.
With superficial caries, two treatment options are possible:
- if the lesion stain is located on the smooth wall of the tooth, it is simply ground and a restorative therapy is carried out according to the example of procedures with caries at the stain stage.
- If superficial caries developed in fissures, the doctor usually decides to open them according to the protocol and fill them. If the area of destruction did not have time to reach the dentin, this procedure will not cause pain. If there is even a hint of pain or immediately at the request of the patient, the doctor will immediately anesthetize the tooth.
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“I had such caries on upper front teeth. Also, right under the edge of the gum, dark lines appeared. The doctor did not even do anesthesia, just cleaned them with a typewriter and sealed them. It was a little unpleasant while I was working with a drill, but the sensations were the same as when I inhaled air with my raised lip before that. In general, it's okay. ”
Olga, Kiev
Pain in the tooth can occur when the dentin area is covered in a pathological process. Stripping it with a drill can irritate the nerve endings inside it. Therefore, at this stage of development of caries (it is called average), work is more often carried out under local anesthesia. In some cases, patients can refuse anesthesia during treatment of secondary caries, since the depth of the cavity is still not critical and mild pain can be tolerated.
But deep caries treatment necessarily accompanied by anesthesia, since in this case the destruction can reach the borders with the pulp chamber, where a huge number of nerve cells are concentrated. Local anesthesia allows you to make the treatment procedure from start to finish painless and comfortable.
Anesthetics and discomfort
For local anesthesia in dentistry, a number of drugs are used, from which the doctor chooses the one that will provide anesthesia for the required period of time.
Typically, the following types of painkillers are used in clinics:
- Novocaine, Mepivacaine - short-acting anesthetics (about half an hour);
- Lidocaine, Artikain - anesthetics of average duration (from an hour to an hour and a half);
- Ethidocaine, Bupivacaine - long-acting drugs (over one and a half hours).
From the practice of the dentist
Novocaine in dentistry is slowly but surely leaving in the distant past. In most megacities and cities, they stopped using novocaine as anesthesia due to its inefficiency and increased risk of an allergic reaction to it. It was invented more than 100 years ago and has become obsolete as an anesthetic, although its importance in modern medicine cannot be underestimated (novocaine blockade, relieving vasospasm, dilution of drugs, etc.).
Novocaine and its successor, Lidocaine, which replaced the “old” anesthetic, are diluted with a 0.1% solution of adrenaline to enhance the duration and depth of action, but, unfortunately, often by eye. Most dentists deliberately turned away from such a vicious practice, choosing imported anesthetics, already diluted with adrenaline (epinephrine). This is due to past complications from an overdose of adrenaline. If you want to add an average of 1 drop per 5-10 ml of solution, then overdosing adrenaline is very easy.
Complications arise immediately in the form of fear, shortness of breath, tremors, cardiac arrhythmias, including loss of consciousness and cerebral hemorrhage.Why risk your own authority, the reputation of the institution, and most importantly, the life of the patient, when there are imported anesthetics that are completely ready for use, have quality certificates that practically do not cause complications and allergic reactions, are effective for various anesthesia techniques in dentistry ...
Anesthetics are injected with a syringe (usually karpulnogo), and depending on the group of the tooth and its location, they are pricked in different areas:
- into the transitional fold closer to the projection of the tooth root (infiltration) to turn off the peripheral “nerves” suitable for the tooth (from the outside and inside).
- In the area of the exit of the main "nerve" for a complete "shutdown" of pain impulses to several teeth (conduction anesthesia). For example, in the treatment of lower molars, torus or mandibular anesthesia is often done, which allows you to treat 3-5 teeth immediately without pain while it is acting.
- Intraligamentous (intracircular) anesthesia is done into the periodontal ligament with a syringe specially developed for this technique. At the same time, high efficiency of anesthesia is achieved.
It is important to understand that different patients have different thresholds for pain sensitivity and susceptibility to anesthesia: some normally tolerate cleaning the carious cavity with moderate caries without anesthesia, others are painful to treat tooth decay even when polishing damaged enamel. Therefore, the doctor himself during work makes a decision about which drug and in which place to prick.
Generally speaking, today carious cavities are treated with the most gentle methods. At the tips of modern drills there are channels for irrigation of the place of work of boron with cold water, and the burs themselves are made from unique alloys with diamond dusting, which allows literally jewelry operations inside the tooth. In addition, today in individual clinics there are laser drills that can completely relieve the patient of pain, if caries has not spread to the pulp area.
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“No anesthesia takes me at all. This is some kind of nightmare. I come to the doctor just to close up a hole in the tooth, he cuts off my gum, opens the tooth, and starts to shoot at me. I’m sorry to add him, he adds, but no result. And it doesn’t matter, on the upper jaw, or on the lower. I don’t know, maybe it’s so painful for me to treat caries - I have been terribly afraid of dentists since childhood ... ”
Olga Vereshchagina, Tver
When is caries really painful?
However, in the treatment of caries, discomfort may occur. If anesthesia is not done, the patient may feel discomfort or pain when cleaning the carious cavity, when the areas of dentin located close to the pulp are disturbed by boron.
If during processing the walls of the tooth are damaged, the doctor will need to put a special matrix. Moreover, he sometimes corrects the gum during its installation, which also causes discomfort, and sometimes even pain and slight bleeding.
If anesthesia is done, the injection itself may seem painful to especially sensitive patients, but compared with the pains that the patient may experience during the treatment of caries, the anesthesia itself causes minor pain.
Occasionally, when a patient is intolerant of pain medications, all operations have to be performed without anesthesia. This is perhaps the only situation where dental treatment can be very painful. But even in these cases, it is possible to carry out all work under anesthesia when the consciousness is turned off.
Treatment of caries with the patient’s eyes
In general, to be afraid of pain in the dentist’s chair and postpone the visit because of this means to increase the risk of serious damage to the tooth and gums near it and doom yourself to complex medical procedures and high financial costs in the future.At the first appearance of pain in the tooth, you should immediately consult a doctor - treatment in this case can be almost painless.
Already in the chair do not be shy to ask questions to the doctor. He must explain to the patient the situation with the tooth, show the pathology in the mirror or in the picture, describe the course of the upcoming treatment.
Different dentists have different attitudes to anesthesia in the initial stages of caries, and in some situations, the doctor suggests starting the opening of enamel without an injection. It is worth relying on his professionalism, but agree that if the pain appears or becomes too severe, he will do anesthesia.
On a note
Often during caries it is very difficult to establish the nature of the internal lesion of the tooth without opening the enamel. In such cases, the doctor needs to start treating the carious cavity, and when the extent of the problem becomes clear, he will decide on anesthesia. In addition, if the patient was never given local anesthesia before visiting the clinic, some doctors are afraid to take risks, since in very rare cases, painkillers can cause an acute allergic reaction. That is why there is always an anti-shock first aid kit in the dentists office to provide an opportunity to save a person even in the event of serious manifestations of anaphylactic shock. However, do not be afraid: the risk of its occurrence is minimal.
After the procedure for processing and cleaning the cavity, the doctor proceeds to the “harmless” (in terms of the risk of pain) manipulations associated with the preparation and placement of filling materials on the tooth. In most cases, modern anesthetics work flawlessly, and allow you to carry out all stages of treatment, including the potentially most painful one - the initial one, without pain. The professionalism of the dentist himself, knowledge of the basic and additional techniques of anesthesia, the possibilities of combining them to achieve this goal are important here.
In general, if you trust the doctor, you don’t have to worry from the very beginning: he will do everything possible so that you do not get hurt during the treatment.
Interesting video: caries treatment without pain
An example of the preparation of a carious area with a laser
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I am 16, there was a hole in the tooth on the lower jaw. She pulled, pulled, until the tooth began to hurt terribly, especially after the sweet. God shot like that, I don’t want anyone to feel like that! I went to put a seal: there was no pain, although the nerve was open, the doctor is very good, albeit young. There seemed to be no experience yet, but still. He cleaned and filled my tooth. A seal flew out after 2 years, the hole was huge, but I abandoned it because I was afraid. Stupid, of course, then the cheek was swollen terribly, a tooth lifted up - could not eat or speak! The pus was in the gums, once quickly passed, rinsed with a solution of soda and water. I went to the dentist, he cleaned the canals, but again became inflamed, just for the holidays. I was tormented terribly, for 3 days in a row I was tormented, groaned, walked, did not sleep. Nothing helped! Then the father freaked out and called a friend and asked to snatch, for a tidy sum, of course. The injection was the most expensive, because the cheek with pus was very painful.And then they still pulled out, and I felt everything, I will never forget that. Therefore, do not wait, but go straight to the hospital, because it is much easier to treat teeth at the initial stage of the development of the disease. Be healthy!
And what was more painful, filling or tooth extraction? A tooth with a root pulled out? I’ve already had a tooth removed in the lower jaw, but on the other hand there is a tooth with caries and the nerve is already open, and I’m wondering whether it’s more difficult to fill or remove, since I’ve already removed it and I know what it is.
I had three pulpitis, this is when caries gets to the nerve and hits it. So with the filling I came across. It seems to me that it’s more painful to pull out a tooth (I already managed to face this at 13). If tooth decay gets to the nerve, then without local anesthesia there is no way, so you will not feel anything. They pull out teeth, sort of like, without anesthesia. In any case, if you feel uncomfortable, you can ask the dentist to give you anesthesia))
I wonder where it is so pulling out teeth without anesthesia? It seems that we do not live in the Stone Age))
Dear Catherine, if your nerves are open, most likely pulpitis. In one visit, under anesthesia you can cure your tooth absolutely painlessly) Do not be afraid.
I had to remove 1 tooth, and they removed it without an injection, they simply pulled it out.
In theory, if your nerve was open, then you should already have removed the nerve and cleaned the canal. After all, the infection has already penetrated the canal.
He removed a tooth this week; it had caries. For a long time I could not understand why my jaw ached, I went to the municipal dentistry - they said there was nothing. So I guessed to hellish pain, then my brother took me to his "own" clinic, and everything was found out during orthopantomography. They said that if he had come earlier, the tooth could have been saved.
Tomorrow I’m going to fill a tooth, the pain is hellish! I'm terribly afraid. I would give everything for a healthy tooth. Hope it doesn't hurt.
In principle, it’s not always painful, but sometimes they will give an injection and the whole mouth will go numb except for the tooth itself ...
I have already treated the front tooth. If I cleaned the channels, will they still clean them for me?
Yes, they will clean again ...
I am 12 years old. I just won’t forget when I went to the dentist twice. Generally. The story about the first tooth was not a pleasant one. When I ate something, I began to feel pain in the upper right gum. At first I did not pay attention to it. Then it got a lot worse! I couldn’t even chew ordinary unsweetened food. She told everything to her mom. She told me to go to the dentist. Then I got so hysterical that I just can’t see it. Still, we went. I was told that the hole is already quite large and all the dirt is already in the channels and they need to be cleaned. Mom comforted me. She said, they say, it’s neither painful nor scary! Although I calmed down, but still ached. And yet, inside me, someone said that everything will be fine. It was such a complete lie! I do not want to scare anyone, but it was terrible. I went there for three terrible days. The pain is unbearable, I do not wish the enemy. Once, even after all this had passed, I had a nightmare. How much blood and tears. You can’t imagine.
But that is not all. My third channel just stupidly could not find! And they stuck a needle in my tooth and forced me to go with her constantly for an examination. Or whatever ... Where is the photo of the root of the tooth taken. And so every damn time. And then, due to a long absence, another doctor came and stuck another needle in my gum! This hellish pain! It simply cannot be conveyed. I screamed at the whole hospital and scared all the children. I don’t wish anyone like that, honestly.When, finally, it was all over, they told me that another tooth had to be cured. ONE MORE! I ached again. Yes, it so ached that it’s not easy to convey. I persuaded my mother not to go there again the next day and, surprisingly, she agreed. All this dragged on until May. And mom remembered the tooth that needs to be cured. Well, we have gone. And they told me that it’s too late. It’s necessary to tear up. And I was scared, but in vain. To tear out - although it is lost (like, to lose a tooth forever), but it is not so painful. At first I cried. I thought it would be even more painful, but no. I was called into the office and put on a chair. The doctor took out a very long syringe. Why am I even more afraid. Then she pulled something into this syringe and gave me three injections into the gums. People, it doesn’t hurt a bit! Do not be afraid of these injections. Then I calmed down and thought to myself: “seriously, but this is not sicker than a mosquito bite!” After my upper jaw began to take what was injected. After five or three minutes, my jaw became like a wooden one and my mother and I laughed at it. And I calmed down very much. Then they began to choose a tooth for me. Three roots. It doesn't hurt at all!
But ... Before leaving the hospital, I noticed that the tooth decay started below the tooth and did not tell my mother. It's July 6th. And I still haven’t told her since that moment. I am very afraid of the first sensations when I cleaned the channels. The tooth itself had not broken, as at that time. And I think it will not hurt so much. But still I'm afraid to tell mom. And I perfectly understand that it will only get worse if I do not say. But fear is stronger.
In general, guys. No one would wish such pain. But still, I always know that dentists want to help us. And I will go whining again that soon everything will happen again.
I have 3 teeth that hurt, I'm dying of pain. This is terrible, so I want to say, treat your teeth in the early stages 🙂
I was also interested in this issue, today I was drilled 1 tooth, sprayed with some kind of spray, since I did not want to give an injection. And something didn’t really help, it hurt, so I don’t advise using all kinds of sprays. Tomorrow they will drill again, this time I will ask for an injection. I know that an injection anesthetizes more, because once I pulled out a milk tooth with an injection and there were almost no sensations. Oh, but a little scary.
I am very afraid to go to treat a tooth. The hole, it seems, is small, but it hurts to chew with this tooth. Anesthesia does not always help.
Hello! In modern dentistry, there are already significantly fewer cases when dental treatment is accompanied by pain. Today it is difficult to run into dentists who treat teeth without anesthesia, even when a person is hurt, or they do not know how to do anesthesia in a quality manner. The doctor is not interested in torturing the patient in order to achieve the desired result of treatment. It makes no sense that the patient will interfere with the doctor's quality of work.
That is why I advise you to find that dentist who, according to the reviews of your relatives, friends and acquaintances, will become suitable in all respects. I wish you to cope with the problem as soon as possible, otherwise the tooth in the future will become a source of infection, or simply an object for removal.
If they give me anesthesia, will the treatment of the early stage of caries be completely painless?
Hello! If the dentist does not perfectly know the techniques of anesthesia, in particular, infiltration and conduction, then the treatment of even the early stages of caries can be painful. However, most often, doctors still have a good command of anesthesia, so I advise you not to be afraid and trust a professional.
I had a temporary filling, today I went to the doctor for treatment, they gave me anesthesia. My tongue and cheek were numb, and I felt a tooth - it was such a pain, when they climbed a needle there, I became exhausted.And why is it pain, if a shot was given? I didn’t have the strength to heal anymore, and they again placed arsenic until the next time.
Hello! Almost 100% sure that your doctor for some reason could not conduct high-quality anesthesia: technical errors, no experience with different types of anesthesia (conduction, infiltration, etc.). If you do not want to suffer further, it is better to change the dentist, since the option of routine reception described by you is not a modern approach to the pulpitis treatment protocol. And “arsenic” is not currently quoted at all, since arsenic paste is harmful to periodontal tooth.
To summarize: your suffering during treatment is directly related to a violation of the anesthesia technique and the doctor’s inability to use alternative anesthesia options (intraligamentary, intrapulpar, for example, etc.).
I have a very advanced case, I'm afraid to go to the dentist. We can say that the floor of the tooth in black, respectively, the nerves are all open. The tooth does not hurt, but if you click on the caries itself, it becomes painful.
If they put anesthesia, will it hurt a lot?
Hello! I do not want to scare you, but I will not give false information. It will be as true as possible: today, almost all dentists know how to do high-quality anesthesia, few do not know how, and there are also doctors who act out their emotions on patients. Bad doctors are much fewer than good. In private medicine, it is much less likely that you will encounter the fact that treatment of tooth canals will be even a little painful.
A dentist can even make the anesthesia itself invisible with superficial anesthesia even before the “main” anesthesia is done. Finding a good dentist is not so difficult today. It is enough to learn from your friends their favorite doctors. Believe me, among your relatives and friends there are much more those who trust the doctor and experience much less fears than it was 20-30 years ago. At the appointment with a professional dentist, even those who were previously afraid of injections of anesthesia and pain during treatment, at the end of the procedure are pleasantly surprised that everything went so well. It used to be different: either they did not do anesthesia at all and made them endure, or they used Novocaine, which was like a dead poultice.
It is much safer and safer to use the services of a good dentist-therapist now than to tighten it to a tooth surgeon before removing a tooth. The choice is yours!
My seal has fallen. And there is an open nerve. There is something black on the half of the crown and on the nerve. If I treat a tooth with anesthesia, will it hurt?
Hello! Before treating pulpitis, the dentist always performs anesthesia. This is considered an obligatory stage of adequate treatment associated with the removal of the "nerve". However, in rare cases, the doctor can not conduct high-quality anesthesia - there are not many such doctors, most often it happens in budgetary organizations with a large flow of patients, terrible provision of medicines and equipment and the same attitude of the attending physician to his wards. Now such hospitals are becoming less and less, so the likelihood that you will encounter such a doctor is minimal. Wish you luck! The main thing is not to prevent the doctor from doing his job, but with certain doubts your right to interrupt the "torment" and just get up and leave.
Hello, my front tooth has split by half. Well, the doctors frightened me, they said, like you have some kind of illness there. I don’t remember how they talked there. They came to remove the tooth, and the doctor said: what, you don’t have anything there, only the root is bad, so it’s better to remove the tooth. Well, agreed, they removed this tooth.
But in the back I had 2 more bad teeth, we also removed them. One tooth was removed two weeks ago, and the other yesterday. So, the one that was removed two weeks ago, it has already cut through with me (although it was permanent with me).
Now we need to treat a few more teeth. I’m terribly afraid, although, in my opinion, it’s more painful to remove the tooth, because they didn’t remove the tooth, but simply picked it out, because there was nothing to grab at all. Although they did it with painkillers. Now, at the place where my tooth was removed yesterday, the gums hurt terribly.
My questions:
How much more will it hurt for me (I mean the tooth that was removed yesterday)?
Will it hurt when they treat a tooth? I don’t know if the pain medication will help me, because Yesterday it hurt me terribly - maybe this pain medication didn’t work on me yesterday?
And one more. Can I have that front tooth grow, because one has already erupted, and the front one does not even think to erupt? Well, as they say: hope dies last. We hope that it will grow further, we will wait another month and a half. And who broke away - maybe cut through.
Hello! Since you did not indicate your age, I can only guess: was the tooth exactly permanent? It is possible that you are between 12 and 14 years old, when there is still a chance of having deciduous teeth. If the age is really young, then the dentist needs even more professionalism - I'm talking primarily about the technique of anesthesia. To make qualitative anesthesia, you need not only the help of the patient (adequacy, calmness, etc.), but also the skills of the doctor, as well as a high-quality effective anesthetic (which is not the case in all clinics).
Now I answer questions more specifically:
1. After tooth extraction, the hole hurts an average of 1-3 days. Again, this is not about acute pain (they pass on the first day of removal), but about aching, or from irritants. From irritants (when you press the gum), they can last up to 5-7 days. It is quite normal and well tolerated.
2. It will not hurt to treat a tooth if the doctor is well prepared. However, if on the eve the doctor did not cope with the task of anesthesia, then the risk is high that this will happen again.
3. About the last question: again, I doubt how old you are. Is there any chance of having temporary teeth ... If you continue to erupt new teeth, then you can check with a panoramic picture whether there are any refined teeth. Then it will be possible to find out whether teething is planned.
Hello! I have two teeth with a little black, here is a strip of black. But the teeth do not hurt. I’ll go to the doctor tomorrow. Will it hurt me to treat them?
Hello! Most likely, it will not hurt. Now dentists have many good anesthetics to qualitatively anesthetize a tooth. In addition, sometimes this “strip of blackness” on a tooth indicates tartar (that is, it is not always caries). So here you need to look, whether, in general, anesthesia is needed, or not.
I have 2 caries, will it hurt to clean it?
Hello! Dentists today have a whole arsenal of imported anesthetics that work effectively on almost all patients. Secondly, with proper skills in working with anesthesia, a dentist can make any dental procedure painless, starting from the treatment of caries and ending with the removal of complex wisdom teeth.
At the same time, in an inexperienced (or negligent) doctor, even with an imported “freeze”, treatment is often painful, and in some cases the patient’s negative emotions will even benefit him: so that they do not come and load him with routine work (this concerns budgetary institutions). This phenomenon is - it is pointless to deny, but there are much more good dentists who are profitable for you to get only positive emotions for your money.So the chance of painless cure of caries (or other dental diseases) is much higher than vice versa. It remains to advise you to find out through relatives, acquaintances, friends, colleagues, where a good specialist works, and feel free to go to him, without fear that something will go wrong.
If the doctor will be a young woman, careful and kind, it does not hurt.
7 doesn’t hurt from above, doesn’t react at all to food (cold-hot), but there is a hole in the tooth from the side. I don’t remember whether they treated him or not, I'm afraid to treat him. What is the likelihood that there are already no nerves? Will it hurt to heal?
Hello! As for probability, this is a difficult question. The fact is that I do not know the scale of the tragedy, that is, how big is this very “hole” that you describe. Even with significant defects in some cases, the tooth reaction may not be due to deposition of replacement dentin. Of course, most often this reaction (to cold, hot, sweet, etc.) is still there.
It is best to trust the doctor: let him, having visually assessed the condition of the tooth or made a diagnostic image, check whether the tooth is treated in the canals and how well this treatment was performed. If it turns out that the tooth is not treated in the canals, the doctor will decide for himself whether it is worth it to be pulped off or treated with a diagnosis of Caries.
As for the pain in the treatment: if the tooth is depulped and treated well, then it will not hurt to treat (due to the fact that the tooth is dead, even anesthesia is not done). If the tooth is live, it is usually treated with anesthesia, especially when it comes to depulpation. When the doctor is a professional, the treatment is painless. By the way, 7 upper teeth are one of the most responsive to “freezing”, even a doctor will cope with average skills, if only there was a desire.
As for the canal resuscitation, if they have already been treated before, but it did not work out very well (or there is an inflammatory process on the roots), then more often this is done with anesthesia according to the same principle that I described above. Look for a good doctor and do not be afraid!
Hello, I'm 13 years old. Tomorrow I’ll go to treat a tooth. His seal turned black, I am very afraid of treating him. I encourage myself, we agreed on an injection. It would hurt me? I treated my teeth in a free clinic and there they gave me a bad injection and it was not very, but painful.
Hello! Paid clinic is provided with everything necessary and most often copes with the task: high quality and does not hurt. In principle, it depends on this whether you want to come back (and give your money back) or not. Therefore, you can safely trust a professional and speak at the slightest discomfort about your problems so that the doctor promptly responds to this. If the tooth is upper or from the first to the fifth lower, then closer to 90% the treatment procedure will be completely painless. To lower the lower 6, 7 and 8 teeth is somewhat more difficult, but, again, with the skill of the doctor and the high level of preparation, everything will also go off with a bang. Be treated as soon as possible and be healthy!
Hello. Cured caries without canal treatment. They put a filling + anesthesia, took 3000 rubles. Is it expensive or not for treating secondary caries? What is the sum of this?
Hello! It depends on the region in question. The average check for megacities is just from 2-3 to 4-5 thousand rubles for average caries, depending on the “bells and whistles” of the dental clinic. In the province, you can keep up to 2 thousand rubles, but not cheaper than 1 thousand rubles - that’s for sure, since the procurement part based on materials is now a fairly large expense item.
As for the components of this amount:
1. The cost of anesthesia is from 150 to 500 rubles (depending on the chosen drug);
2.The quality of the seal (chemical - on average about 300-800 rubles, light seal - 500-3000 rubles);
3. Laying material (some clinics consider it separately. Depending on the material - 100-500 rubles).
The price list may also include a category related to the localization of the carious cavity, since the complexity of the work depends on this. For example, convenient cavities having 4 walls on a chewing surface may be charged along with the material used. It can be written: "Treatment of secondary caries, Filtek - Z250 I class according to Black - 1800 without taking into account anesthesia." If we are talking about breaking off the side wall with the same average caries, then the price will be more expensive, since the doctor uses special matrices to restore a good gap between the teeth. Treatment of anterior teeth due to the requirements of aesthetics (restoration of a beautiful shape and color) can come out much more expensive, although the price list may simply reflect: “Restoration of an anterior tooth with average caries Filtek-Z250 - 2500 rubles excluding anesthesia” or “Restoration of anterior tooth” with average caries with violation of the integrity of the angle of the crown of the tooth Filtek-Z250 - 3,000 rubles excluding anesthesia. "
That is, the “flight of thought” here at the clinics is so individual that it can sometimes be abused, although a savvy patient, knowing the peculiarities of pricing, can roughly understand when 3,000 rubles for average caries is expensive, and when it is an average check in the city.
Finally, I can’t say that a number of dentists still have additional price points for any caries: the use of a laser, ultrasound, cofferdam, saliva ejector, applying “varnish-glaze” after treatment, artistic restoration of the tooth (modeling of fossae, tubercles, crown angles according to the bite and etc.) In addition, with the same average caries, not one surface is affected on one tooth, but 2 or more - for example, on the chewing and near the gums (cervical), that is, there will be two fillings, the work is more difficult and the price is much higher .
Thank you very much for the comprehensive answer! Today I made the 2nd tooth, the cost of treatment is the same - apparently, this is the cost of treating secondary caries. I would like to note the high professionalism of the dentist. And to say that in our time with anesthesia it’s not painful to treat teeth, moreover, there is not even the slightest hint of pain. People, do not be afraid to treat caries, any manipulations with anesthesia are absolutely painless!
I treated deep caries without anesthesia, and it doesn’t hurt, but everything is tolerable. They drill a minute, a maximum of two!
Hello! I have a problem, after birth, teeth began to crumble, cervical caries of the upper teeth. I am very afraid whether it will hurt to heal.
I have black dots and stripes on my teeth. Can you tell whether it will hurt to heal? They tell me that this is caries and that the pain will be unbearable.
Hello, Alexander. You were incorrectly informed. In modern dentistry, dental treatment is performed under local anesthesia, and in most cases, patients do not experience pain at all when preparing with a drill.
As for the black dots and stripes on the teeth - it’s not yet a fact that this is caries. I recommend that you start with professional oral hygiene and diagnosis.
Pigmentation may be associated, for example, with the presence of dental plaque.
Tell me please. Either a tooth under the crown or a neighboring one in which deep caries was treated hurts. Where you can send the picture - maybe you will see what the pain is associated with (
Hello, Elena. You can send a snapshot to the site’s mail - it is indicated here https://stomatologist.expertexpro.com/en/obratnaya-svyaz