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Cavities

Cavities (dental caries) are the most common dental problems, both in the world and with us. The appearance of caries is a multi-factorial process and depends on several factors, the most important of which are:

  • bacteria,

  • diet and

  • saliva

Bacteria lead to the formation of caries by decomposing carbohydrates and resulting in the formation of various acids. These acids lead to the decomposition of minerals from the surface of enamel (the superficial substance of teeth) leaving behind the non-mineral basis of the tooth, easily destroyable by bacteria. Further spread of bacteria leads to the degradation of deeper layers of minerals and the progression of caries.

Diet: all foodstuffs have the potential to cause cavities. Of the three basic types (carbohydrates or sugars, proteins, and lipids or fats), the most cariogenic are sugars. The proper and healthy diet should be balanced with maximally reduced intake of sugar (sweets, juices, ...).

By its composition and quantity, saliva influences the formation and development of tooth caries. After each meal, secretion of saliva is stimulated, which plays an important role in preventing the formation of caries. All salivary gland diseases, smoking, various drugs, as well as other factors leading to decreased saliva secretion, favour the formation and progression of caries.

Treatment of caries and its complications is one of the most common interventions we perform in our practice using the most modern materials. We offer patients the possibility of choosing between white (Helio) and silver (amalgam) fillings. Our many years of experience have shown that white fillings, due to both their aesthetic properties and other improved features in new generation materials, are much better for patients, so we always recommend them. In case of major caries defects, we offer inlay and onlay fillings, as well as Helio bonding.

Cavities which are not treated in time reach deeper layers of enamel and dentine only to ultimately affect dental pulp. This stage is referred to as pulpitis which leads to pulp necrosis and spreading of the infectious process out of the tooth if not treated in time. Then the tissue around the apex of the tooth root becomes inflamed, which is known as periodontitis.

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