Kiskinovi

Therapy


The therapy is the treatment of the tooth decay and its complications – pulp infections (pulpitis), gangrene as well as treating (restoration of) broken teeth. We use modern methodology and techniques together with materials of leading companies.

Tooth Decay is a common health problem. It has been estimated that 95% of people have tooth decay. It is interesting to know that anthropologists have discovered that ancient people suffered from tooth decay a lot less that modern people. The logical explanation for this is the better standard of life. One of the main factors for weakening teeth is the processed food consumption. Tooth decay forms when there is sugar and plaque bacteria. Bacteria convert the sugar into organic acid and it slowly weakens the tooth enamel. Then the process goes through the enamel into the unprotected dentin and starts to develop rapidly. Patients usually wait until the tooth decay becomes big as they believe that small tooth decays cannot be treated, which is false. The smaller the tooth decay is the less tissue the patient will lose.

Proneness to tooth decay depends on several factors:

- genetic – the structure of teeth is hereditary thus proneness to tooth decay.

- dental hygiene – regular brushing of the teeth (in the morning after breakfast and in the evening before going to bed), using dental floss, mouth wash and chewing gums keeps the teeth clean and thus reduces the risk of tooth decay.

- Diet and prevention – drinking more liquids, reducing the consumption of sour foods, fizzy drinks and sweets leads to great reduction of tooth decay risk.



Pulpitis is usually connected with toothache. The patient complains of constant pain, which becomes stronger at night. The main reason for pulp infection is deep tooth decay. Other reasons might be mechanical damage, thermal or chemical shock and chronic periodontitis. In the early stages the infection can be reversible but in most cases it is not and it leads to necrosis of the dental pulp. It is treated with the so called root canal treatment or in other words endodontic treatment. If the pulpitis is not treated the infection may spread to the surrounding tissue and can lead to complications such as: necrosis, periodontitis, abscess, cyst. Necrosis is an irreversible condition and if the infection developes more it leads to gangrene. There are several types of pulpitis:

- acute partial pulpitis without pus;

- acute whole pulpitis without pus;

- acute pulpitis with pus;

Periodontitis is usually localized disease that affects the tissue that supports the teeth and sometimes the alveolar bone, which leads to dysfunction of teeth. The acute periodontitis affects the hard tissues and the dental pulp (tooth decay, pulpitis, gangrene). The inflammation is localized around the tip of the dental root. The disease is common when the person has a massive infection and the defense of the body is weakened. The pain is stronger when chewing hard food. If it is periodontitis with pus then the pain is very strong even when you touch the tooth, which goes away only when the pus is drained. The patient has high temperature of around 38 degrees C and the glands under the jaw are swollen and painful. Adult periodontitis is the most serious form of the periodontal diseases. It involves the gingiva, periodontal ligament, and alveolar bone. A deep periodontal pocket forms between the teeth, the cementum, and the gums. Plaque, calculus, and debris from food and other sources collect in the pocket. Without treatment, the periodontal ligament can be destroyed and resorption of the alveolar bone occurs. This allows the teeth to move more freely and eventually results in the loss of teeth. Most cases of adult periodontitis are chronic, but some cases occur in episodes or periods of tissue destruction.