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What is Sequela?

Sequela is a condition that occurs as a result of a previous disease.
Teeth can be damaged or lost due to dental caries, trauma, erosion, attrition, and abrasion.

What is Dental Caries?

Dental Caries is the main cause of dental pain. Caries begins as a painless white spot (enamel decalcification, which may be reversible), followed by cavitation and brownish discoloration. When caries affects the dentine, discomfort may come from different atmospheric conditions or from sweet or sour food or drink.

So, Dental caries is defined as a complex, infectious, and transmittable oral illness that develops over time as a result of the complex interaction between cariogenic oral flora (biofilm) and fermentable food carbohydrates on the tooth surface.

Untreated caries can spread through the dentine to the pulp, which becomes irritated (pulpitis). This inflammation causes severe, long-lasting pain within the boundaries of the pulp chamber (toothache). The pulp eventually dies due to inflammation. Inflammation can then extend around the tooth apex, causing an abscess, granuloma, or cyst.




1. Enamel Caries (Changes in Enamel):

Caries begins as a painless white spot (decalcification of the enamel, which may be reversible), followed by cavitations and the emergence of brownish discolouration.

2. Dentin Caries

Dentin caries is termed active and “rapidly progressing“ when the dentin appears soft and wet, with a high bacterial load, notably of Lactobacillus species, whereas dentin with “slowly progressing“ caries is described as leathery, or hard and discoloured.

3. Pulpitis

Most common reason for dental pain.
The majority of cases of pulpitis are mostly brought on by dental caries, in which bacteria or their byproducts infiltrate the dentin and pulp tissue.
This causes severe, chronic pain inside the narrow confines of the pulp chamber, and the pulp eventually undergoes necrosis.

4. Peri Apical Abscess (Infection of Roots & Underlying Bone)

A tooth abscess is a pocket of pus caused by a bacterial infection. The abscess can form in many locations near the tooth for a number of reasons.

A periapical tooth abscess is frequently caused by an untreated dental cavity, an injury, or previous dental procedure.

A periapical tooth abscess occurs when germs reach the dental pulp. The pulp is the internal component of the tooth that contains blood vessels, nerves, and connective tissue.

Bacteria enter the tooth through a dental cavity, a chip, or a fracture and spread all the way to the root. The bacterial infection may result in swelling and inflammation at the root’s tip.


Common symptoms of dental caries

You may have dental caries symptoms all the time or only on occasion. Any of these dental caries symptoms can be serious at times.
Dental caries symptoms are often confined to the mouth. They consist of:

• Holes in the surface of a tooth
• Pain when chewing
• Sensitivity to hot or cold foods and beverages
• Toothache


Causes of Dental Caries

Bacteria and harmful substances such as acid that come into touch with your teeth cause dental caries. After you eat, normal bacteria in your mouth interact with food remains and acids to form a sticky film known as plaque. If you don’t clean plaque on a regular basis with flossing and brushing, it can build up and harden into tartar.

Plaque and tartar, along with bacteria and acids, can erode the enamel on your teeth, resulting in dental caries, also known as cavities. Dental caries typically starts off as tiny, shallow holes; if left untreated, they can grow larger and deeper and can result in tooth loss or destruction.

Risk factors for dental caries

Dental caries is more likely to occur as a result of several circumstances. Not everyone at risk for dental caries develops it. Dental caries has several risk factors, including:

• Advancing age (older teeth form plaque more quickly)
• Dry mouth (inadequate salivation)
• Excessive consumption of sugary, starchy or acidic foods or drinks
• Poor dental hygiene
• Recessed gums
• Smoking

Prevention

Your risk of developing dental caries may be decreased by

• Limiting your intake of sugar, starch, and acid
• Avoiding foods that are sticky or could get stuck in your teeth (such as peanut butter or popcorn)
• Brushing your teeth twice a day is recommended.
• Flossing at least twice a day
• Fluoridation of the public water supply
• Visiting your dentist on a regular basis for routine cleanings and examinations
• Having dental sealants, or protective coatings, put on your teeth if your dentist recommends it
• Getting fluoride treatments from your dentist
• Seeking treatment for symptoms of dry mouth
• replacing sugar with artificial sweeteners
• Using antibacterial mouthwash



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Types of teeth:

Most adults begin adulthood with 32 teeth, not including their wisdom teeth. There are four different types of teeth, and each one affects how you eat, drink, and speak.
Incisors: You can cut up food with the aid of these chisel-shaped teeth.

Canines: You can tear and grasp food with these pointed teeth.

Premolars: You can crush and break food with the help of the two points on each premolar.

Molars: You can chew and grind food thanks to the numerous points on the top surface of these teeth.

Learn more about the anatomy, structure, and conditions that might impact your teeth as you continue reading. We’ll also offer some advice on dental health.

Structure and function


ROOT

The portion of the tooth that extends into the bone and maintains the tooth in place is known as the root. It covers about two-thirds of the tooth.
It is made up of various parts:

Root canal: A root canal is a pulp-filled channel.

Cementum: This bone-like substance, which is also known as cement, covers the tooth’s root. It is joined to the periodontal ligament.

Periodontal ligament: Collagen fibres and connective tissue make up the periodontal ligament. It is made up of blood vessels and nerves. The periodontal ligament joins the teeth to the tooth sockets along with the cementum.

Nerves and blood vessels: Blood vessels provide nourishment to the periodontal ligament, and nerves help regulate the force with which you chew.

Jaw bone: The jaw bone, also known as the alveolar bone, is the bone that contains the tooth sockets and encloses the roots of the teeth, holding the teeth in place.


NECK

The area between the crown and root is known as the neck, or dental cervix. It creates the boundary between the enamel and the cementum, which covers the root.
It has three main parts:

Gums: The fleshy, pink connective tissue that connects the cementum and the tooth’s neck is known as the gums (also known as gingiva).

Pulp:The tooth’s innermost layer is called the pulp. It is composed of nerve tissue and microscopic blood vessels.

Pulp cavity: The area inside the crown that houses the pulp is known as the “pulp cavity“ or “pulp chamber.“

CROWN

The part of a tooth that is visible is called the crown.
It contains three parts:

Anatomical crown: This is the top of a tooth. A tooth’s crown is typically the only visible portion.

Enamel: This is the tooth’s outermost layer. It helps shield teeth from bacteria because it is the body’s toughest tissue. Additionally, it gives your teeth strength so they can endure the force of chewing.

Dentin: Just beneath the enamel is a layer of mineralized tissue called dentin. It runs from the crown to the neck and root. It shields teeth from both heat and cold.


Common Tooth Conditions:

Your teeth carry out numerous tasks each day, which leaves them prone to a number of diseases.

Cavities:
Tooth cavities are tiny holes formed by bacterial and acid accumulation on the surface of a tooth. If they aren’t treated, they may penetrate a tooth’s enamel all the way to the pulp. Cavities may result in discomfort, sensitivity to heat and cold, infection, or tooth loss.

Pulpitis:
An untreated cavity is frequently the cause of pulpitis, which is pulp inflammation. The primary
symptoms are severe pain and sensitivity in the tooth that is damaged. It can eventually cause an infection, resulting in an abscess in the tooth’s root.

Periodontal disease:
Periodontal disease is also known as gum disease. It is a gum infection. Red, puffy, bleeding, or receding gums are all common symptoms. It can also result in bad breath, pain, sensitivity, and tooth loss. Your risk of gum disease is increased by smoking, taking certain drugs, and having bad oral health.

Abscess:
A bacterial infection results in a pus-filled pocket called a tooth abscess. It may result in tooth discomfort that goes to your jaw, ear, or neck. Other signs of an abscess include sensitive teeth, a fever, sore or swollen lymph nodes, and swelling of the face or cheeks. If you suspect a dental abscess, consult a dentist or physician right away. If the infection is not treated, it may spread to your brain or sinuses.

Tooth erosion:
Tooth erosion is the breakdown and loss of enamel caused by acid or abrasion. It may be brought on by acidic meals and beverages. It can also be brought on by stomach acid from gastrointestinal problems like acid reflux. Long-term dry mouth can also produce friction, which can damage teeth. Pain, sensitivity, and discoloration are typical indicators of tooth erosion.

Tooth impaction:
Tooth impaction occurs when there is insufficient space for a new tooth to develop, usually as a result of overcrowding. It frequently happens with wisdom teeth, but it can also happen when a baby tooth falls out before the permanent tooth is prepared to erupt.

Tips for Healthy Teeth:

By taking good care of your teeth, you can prevent numerous dental diseases. Follow these tips to maintain a strong, healthy mouth:

  • Brush your teeth twice a day using fluoride toothpaste.

  • Floss between your teeth once a day

  • Replace your toothbrush every three months

  • Limit your intake of sugary foods and drinks



Have regular dental check-ups

Make sure to visit your dentist regularly. Do not postpone getting checked out. Early detection of problems may make them easier to treat.
If issues are not resolved, they may result in damage that is more difficult or even impossible to fix.

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Dental emergencies can arise at any time. Never neglect dental and gum injuries or let oral infections go untreated for a long period of time. These can be dangerous, even fatal, and may necessitate emergency dental care. If you neglect your current pain, it can develop into irreversible harm, necessitating future expensive and involved treatments.

If you have a damaged tooth, an abscess, a lost filling, or severe pain, you should contact your dentist right away. Avoiding dental emergency care can lead to more serious complications, even tooth loss.

There are additional steps you can take before visiting the dentist to save your tooth. The following are some preventive precautions you can take to keep your dental damage from worsening.

1. Act immediately but carefully.

When a tooth, a portion of a tooth, or a dental implant is displaced or lost, it is best to gather all of the missing pieces before visiting your dentist or the emergency room. Sometimes keeping the tooth enables the dentist to repair it.

2. Rinse gently with warm water if you have a severe toothache.

Additionally, use floss to get rid of any food fragments that might be between your teeth and giving you pain. Do not use aspirin on your teeth or gums. Call your dentist right away and explain the issue if you continue to feel pain.

3. Apply orthodontic wax or gauze to cover the sharp or pointed ends of loose or broken brace wires.

Do not attempt to remove a broken wire that has become lodged in your cheek, tongue, or gums on your own. Visit your dentist right away to receive treatment.

4. For Bitten Lips or Tongue, Press a Cloth to Minimize Bleeding.

Use a cold compress as well to lessen swelling. In the event of severe bleeding, visit the emergency department right away.

Dental emergencies can happen to anyone, whether or not they have a thorough oral hygiene care plan in place. Because of this, it’s essential that you are aware of them, know when you’re experiencing them, and know whether you need to call your dentist or go to an emergency hospital. Contact Dr. Praveen’s Speciality Dental, KPHB Colony, Kukatpally, Hyderabad, as soon as possible if you’re experiencing a dental emergency.







At Dr. Praveen’s establishment, our unwavering dedication is directed towards dispensing exquisite oral healthcare within an illuminated and contemporary milieu, wherein eminence and empathy take precedence above all else.

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