The treatment of caries is carried out in three main stages – cleaning of the soft dental tissue, placing of an insulation pad and a filling (restoration).
The cleaning of the carious enamel is done with the turbine while the cleaning of the carious dentine is done slowly using the handpiece and is accompanied by various degrees of pain. In the treatment of cavities, located only in the enamel, there is no pain and a local anesthesia is not necessary, while with caries affecting the dentine, there is varying degrees of pain and local anesthesia can be used if the patient would like this.
The next stage is the placement of the insulation pad. This is a layer of special cement, which is placed on the dentine in order to isolate the dentine and the nerve underneath from the filling.
The final step is the placement of a filling (restoration). There are various materials of which fillings can be made of. These are: photopolymer, chemopolymer, amalgam, glass ionomer cement, lab filling. The choice of material is complex and is based on multiple criteria – strength, appearance, durability, colour, location of the caries, etc.
Here are details about each of the filling materials.
Photopolymer tooth filling
Fillings of photopolymer composite material are the most commonly used.
Chemopolymer tooth filling
These are fillings with the same colour as the tooth made of a material.
Mercury amalgam is the oldest material used for closure.
Glass ionomer cement fillings
Glass ionomer cement is a contemporary material that is used in.
Inlays and onlays
Laboratory-made fillings are called inlays (onlays, overlays).
In most cases of the treatment of deep cavities, a very thin dentine wall.
Remineralization is a method of treatment of surface caries with.