Dangerous cervical caries: treatment or how to avoid complete tooth destruction. Cervical caries: treatment Is it worth treating cervical caries?

Cervical caries is a dangerous disease that affects the very base of the tooth. It is strictly necessary to treat it. We will talk about the features of this dental disease and treatment methods below.

Cervical caries is a severe form of dental disease. An aggressive state occurs due to a number of factors.

First factor

If we consider, then these are the root, the crown and, in fact, the neck. The neck itself is located under the edge of the gum. The area where the neck is located is called the cervical area. The cervical area has a small protection in the form of fabric. In this area, tooth enamel is poorly mineralized. Caries affects precisely this weakened area. The disease actively destroys dentin and the enamel itself. The inflammatory process reaches the pulp itself. Depending on the stage of the disease, a person experiences varying degrees of pain. If cervical caries is not treated in a timely manner, it will soon develop into more dangerous diseases such as periodontitis and pulpitis.

Second factor

Cervical caries has a specific circular distribution. Defects in the form of caries quickly spread throughout the entire area. They quickly move to the middle of the crown. Further, the defects begin to deepen under the gum itself and, over time, cover the entire tooth in a circle. Without treatment, such caries can lead to the breakage of part of the tooth. Often the disease develops into circular caries.

Third factor

Another feature of cervical caries is that disease defects can be located in the area of ​​the open mouth during a smile. Cervical caries of the anterior teeth greatly affects the human psyche. It can even lead to a nervous breakdown. This psychological problem often concerns public people who are busy with business contacts and are constantly in public.

If the areas affected by caries are located on the side of the lateral teeth, which are not visible to the eye, then they do not cause such strong feelings. But another problem arises: sick people usually do not strive to heal such invisible caries. Over time, cervical lesions of the lateral teeth begin to cause pain and sensitivity from various irritants. If treatment is delayed, cervical caries will develop into a more complex form.

How does cervical caries develop?

Cervical caries develops in several stages. At each stage it is characterized by its own clinical picture.

• First stage:. A small stain forms on the surface of the tooth. It may not change in shape and size for a long time. With this form there is no pain. But sometimes a sore throat may appear, especially from taking sour or other irritants. The color of the spot can be white or pigmented. The shade depends on the speed of development of caries and its staining with food dyes. The enamel itself becomes thinner and acquires a matte tint. But it still feels smooth. The first stage of the disease is treated conservatively; drill preparation is not used here.
• Second stage: superficial cervical caries. The spot becomes rough. The process of destruction of the enamel begins. Painful sensations that appear from various irritants: sour, sweet, spicy foods and drinks begin to bother you. There have been cases when the stage of superficial caries was asymptomatic. This stage is characterized by fairly rapid progression of the disease.
• Third stage: average cervical caries. A carious cavity forms here. Dentin and enamel are simultaneously affected. The defect is very noticeable visually. The pain becomes much more intense.
• Fourth stage: deep cervical caries. The disease penetrates into the deepest tissues, which are located next to the neurovascular bundle. Caries affects the pulp and dental canals. The patient begins to suffer from unbearable pain, which intensifies at night. A person also begins to feel pain when inhaling cold air.

Determining the stage of the disease can be difficult. It is not visually clear to what stage the cervical caries has reached. There is a fairly smooth transition between developmental stages.

Symptoms

Having described the mechanism of development of cervical caries, we list the generalized symptoms:

• The appearance of a visible stain on the surface of the tooth.
• Formation of a corrosion cavity.
• Headache.
• Night toothache.
• Pain while chewing food.
• Feeling of tooth pain (reaction to irritants).
• Soreness in the oral cavity during brushing and toothpaste.

Causes

Some causes of cervical caries are similar to the causes of ordinary caries. Let's look at them.

1. Features of the structure of the cervical region. The gingival zone collects plaque very quickly. It is difficult to remove dental plaque with a brush without injury. As a result, soft tissues are always injured. If you don’t make an effort when cleaning, the plaque near the neck of the tooth always remains in place in a fairly large amount. Plaque contains cariogenic microorganisms that destroy the neck of the tooth. In addition, the thickness of the cervical enamel is only 0.1 mm. Compared to other areas of the teeth, this is a very small value. A thin layer of enamel is also easily damaged by hard bristles of a brush or aggressive cleaning pastes. The enamel layer wears off even more. As a result, the tooth becomes susceptible to damage by pathogenic bacteria.
2. Finding leftover food in the mouth. Food is collected in peculiar pockets that are located near the gums and teeth. When food remains decompose, lactic acid is released, which leads to demineralization of tooth enamel.
3. Excessive consumption of foods that contain quickly fermentable carbohydrates. For example, this applies to sucrose. Fermentation of carbohydrates leads to the appearance of organic acid, which begins to rapidly corrode the enamel.
4. Frequent consumption of acidic foods.
5. Significant deficiency of vitamins, especially vitamin B1.
6. Treatment with medications that significantly increase enamel porosity.
7. Presence of endocrine diseases, hormonal disorders.
8. Pregnancy period.
9. Insufficient or improper hygiene, which results in soft plaque and hard stone.

In most cases, cervical caries begins to develop in elderly and senile people.

Diagnosis of the disease

Root tooth damage is very easy to diagnose, even at home. It can be seen by carefully examining the teeth using a mirror and good lighting. There is usually a whitish spot near the neck of the tooth, which is similar in color to chalk. Detection of a defect should prompt a person to visit a dentist. The doctor will treat early-stage cervical caries.

The doctor can also confirm the diagnosis using a certain test. The patient is allowed to rinse his mouth with a dye solution. After rinsing, the white area indicating the disease turns dark. Other surfaces of the teeth remain unpainted. This happens due to the fact that the affected area has a porous structure into which the dye used can easily penetrate. The patient should not worry that his teeth will now be darker. The color will fade after a few hours.

The doctor also diagnoses diseases based on the following signs:

• Presence of a poor spot: first stage.
• The enamel is destroyed, the dentin layer is not affected: the second stage.
• Deep damage to the enamel, layers (superficial and middle) of dentin are also damaged: the third stage.
• The enamel and deep layers of dentin are severely damaged: the fourth stage.

When diagnosing, the doctor may use other methods. For example, transillumination, radiography, radiovisiographic examination, EOM and others.

Treatment Options

The treatment method depends on the stage of the disease. Treatment, except for the first stage, is carried out under the influence of painkillers. The fact is that the neck of the fur coat is a very sensitive area. Therefore, any aggressive influence causes unbearable pain to the patient. Patients do not have to worry about the pain of treatment. Because if the dentist understands that he will cause pain to the patient, he will definitely administer anesthesia.

Spot stage

The stain can be “removed” using remineralizing therapy. This therapy program includes:

• Cleansing tooth enamel from plaque and tartar.
• Carrying out application using fluorine-containing compounds. Such compositions are sometimes replaced with special gels. Ca/P, Fluoroden Gluflutored or Belagel F are used as these drugs. The listed products allow you to achieve a good visible result in just a few applications. Under their influence, the enamel layers are regenerated and the process of caries development is stopped.
• Carrying out rinsing with special solutions at home.
• Using toothpaste with fluoride (the concentration of the active substance should be 1000-1500 ppm).
• Use with fluoride content.
• Use of fluoridated water and salt.

It should be remembered that before applying special gels or pastes, plaque and stone must be removed.

Stage of superficial caries

At this stage, the affected carious area is polished. Diseased tissue is removed. In addition, remineralization therapy is recommended.

Stage of middle caries

At the stage of medium caries, the damaged tissue is first removed, then the resulting cavity is treated with special preparations. At the last stage, a filling is installed.

Stage of deep caries

This stage is the most difficult to treat. The dentist is forced to remove the pulp, thoroughly clean the root canals and perform a filling.

The doctor can easily reach the oral cavity and carry out treatment. The difficulty lies only in machining this area, because:

• The cervical area is extremely inconvenient for filling. If the patient still has subgingival caries, this significantly aggravates the situation.
• The treatment area is constantly exposed to moisture (saliva).
• The blood that accompanies the process interferes with the work.

The entire process of getting rid of deep caries takes place in several stages:

1. Conducting anesthesia. The gum is a very sensitive organ. Therefore, any doctor’s manipulations cause pain to a person. You can't do without painkillers here.
2. Carrying out professional cleaning. The deposits are removed from the tooth, as a result, the likelihood of infection is significantly reduced.
3. Setting the color of the filling material. The composite material used should be as close as possible to the original enamel color. This is quite an important stage.
4. Retraction of gums. The procedure is necessary to treat the area under the gum.
5. Preparation of a carious defect. Here, using a drill, tissue that has been affected by caries is removed.
6. Tooth isolation.
7. Carrying out the formation of a cavity for further installation of a permanent filling.
8. Treating the created cavity with adhesive. The material helps the filling adhere well to the tooth surface.
9. . This is a structural stage at which the structure and functionality of the tooth is restored. The filling material is applied in layers. Each layer is processed with a photopolymerization lamp.
10. Carrying out polishing and grinding. Here the doctor creates the correct natural form. This is a corrective stage in which the tooth is restored to its aesthetics.

Dentists often use glass ionomer cements for fillings. They are very stable in humid environments, are triple-cured, durable and have a fairly wide range of colors. Doctors also continue to use composite materials, which are much more aesthetically pleasing.

Treatment at home

Many people wonder: how to help themselves with cervical caries on their own, whether it is possible to cure the disease at home. It is possible, but only at the stain stage, that is, at the first stage. Among the drugs used in treatment, PresidentUnique, Ftorodent, Blend-a-med Anticaries, or Icon are often used. In addition, it is recommended to rinse your mouth with sodium fluoride and drink additional calcium tablets.

1. Sage. Pour one glass of boiling water over a tablespoon of herbs and leave for 1 hour. After cooling, treatment is carried out by rinsing.
2. Onion peel. Three teaspoons of husk are poured into half a liter of boiling water and put on fire to boil. Afterwards, the infusion is filtered and allowed to brew for 8 hours. Treat the tooth by rinsing.
3. Fir oil. For treatment, lotions are made from the named remedy.
4. Common angelica. Hold it in your mouth for 20 minutes and spit it out.
5. Calamus tincture. Calamus root is infused with vodka (0.5 l) and kept for one week. Rinsing is carried out for several minutes. It is not advisable to use infused calamus internally.

Prevention

It is advisable to prevent the appearance of cervical caries. To do this, constant hygiene is necessary. When cleaning, you should only use a good brush with medium-hard bristles. In daily care it is better to use only high-quality pastes. Dentist advice will help with this.

It is necessary to use dental floss. They clean the interdental space well.

After main meals and snacks, you should rinse your teeth. An irrigator helps with care. It makes care more complete.

Twice a year, in addition to treatment, you need to visit a dentist who will assess the condition of your teeth, restore them, whiten them and remineralize them.

It is necessary to carry out procedures at home that regenerate and restore tooth enamel. These include gum massage, application of preventive compositions, rinsing with herbal decoctions.

You also need to consume enough calcium and reduce your intake of sweets to a minimum.

Cervical caries occurs due to other diseases of the body, such as endocrine disorders. Therefore, such diseases must be treated so as not to completely lose teeth and not make the treatment of cervical caries useless.

Serious consequences from cervical caries can be avoided if all actions are systemic. After all, the disease affects the root of the tooth, and this is its basis.

Caries is one of the most common diseases in dentistry. Pathology can be localized in any part of the tooth and lead to damage to all its layers.

Cervical (root or gingival) caries develops in the root area, near the gums. Without appropriate treatment, the disease rapidly progresses, leading to tooth fracture and its subsequent removal.

Causes

It is quite difficult to independently identify cervical caries in the initial stages. Diagnosis of the disease is complicated by the presence of pigmented dental complications. People do not pay attention to the dark plaque near the gums, considering it only an aesthetic problem. Meanwhile, hard deposits cause the development of demineralization of enamel tissue and caries in the cervical area of ​​the teeth.

Causes of the disease:

• systematic violation of oral hygiene;
• avitaminosis;
• bad habits (smoking, alcohol abuse);
• gastrointestinal diseases (gastritis with increased secretion, reflux esophagitis, etc.);
• hereditary predisposition;
• hypoplasia of tooth enamel;
• night feeding of children with formula and porridge from a bottle;
• low fluorine content in water;
• taking medications that negatively affect tooth enamel;
• abuse of sweets and carbonated drinks;
• age-related changes (after 40 years, the risk of developing cervical caries increases significantly).

The development of caries is facilitated by hormonal changes in the body that occur during puberty, menopause, pregnancy and lactation. The disease can be prevented by following strict oral hygiene rules and regular dental monitoring.

Symptoms of the disease

Caries is characterized by a persistent course. In the absence of treatment, from the moment the initial symptoms appear until the time of complete tooth destruction, on average, 6 to 12 months pass. In the area of ​​the base of the tooth, the enamel is thinner and can quickly be demineralized. This rule mainly applies to children, pregnant women, elderly people, and patients with endocrine diseases.

The structure of the tooth and the difference in enamel thickness are clearly visible in the photo:

Cervical caries has a rapid course. Complications of the disease are: pulpitis, periodontitis, breaking off the tooth crown. With a timely visit to the doctor, the possibility of saving a dental unit is high; with a late visit, it is low.

Symptoms of cervical caries:

1. Visual changes. Depending on the stage of the pathology, chalky spots, roughness of the enamel, pigmented plaque, ulceration and darkening of tissue, and the formation of cavities are detected at the base of the tooth.
2. Pain. Due to the thinness of the enamel in the cervical area and the close location of the nerve fiber, the pathology is accompanied by unpleasant sensations almost from the very moment of formation. Pain occurs when eating spicy, sour, sweet, hot and cold foods. When the nerve bundle of a tooth is damaged, a disease develops, accompanied by acute toothache!
3. The formation of chips of tooth tissue and breaking off of the crown are the final unfavorable stage of the carious process. It is possible to get rid of the disease with significant tissue changes, but it will require significant investment of money and time.

Important information about cervical caries can be found in the video:

Identification of the primary carious process is carried out during an examination by a dentist. To reduce the risk of complications, you need to visit your doctor every 6-7 months. With the development of a pathological process on the front teeth, patients discover the disease on their own.

Stages of pathology development

Despite the fact that caries at the base of the teeth develops rapidly, it has well-defined stages that can be detected with careful visual examination. The pathological process develops in the area of ​​​​contact between the tooth and gums. In this place, with a low level of hygiene, in most cases there is a hard pigmented plaque. This is the reason for the late detection of the disease.

Forms of cervical caries:

• The appearance of chalky spots (initial stage). The pathology is associated with an imbalance of microelements in the enamel (loss of calcium and fluoride). Roughness appears in the affected area, white spots are found on the surface of the tooth;
• Superficial caries. The enamel is affected, and primary discomfort appears when eating and exposed to air. The roughness of the enamel and its pigmentation are visually observed;
• Average caries. The pathology is accompanied by increased pain symptoms. Unpleasant sensations appear upon contact with irritants and completely disappear a few seconds (minutes) after its elimination. Upon visual examination, at the base of the tooth there is darkening, loose tissue, and a pathological cavity. Due to the peculiarities of the tooth structure, with the development of moderate cervical caries, mandatory root canal treatment is carried out!
• A deep process is accompanied by a high degree of damage to enamel and dentin tissue and the penetration of infection into the nerve fiber of the root canals. The pathology has clear symptoms: severe toothache, without the participation of irritants, the presence of a deep dark cavity, chipped tooth tissue. Quite often, in the presence of multiple affected teeth, patients cannot accurately determine the source of pain due to the tendency to irradiate.

With circular caries, the pathological process covers the entire area of ​​the tooth neck and leads to crown breakage.

The development of cervical caries in children occurs due to violation of feeding rules. Drinking formula, juices or milk porridge from a bottle at night leads to rapid damage to all teeth. Photo of circular (kefir) caries in children:

Treatment of pathology

The treatment method depends on the phase of development of the carious process. The most favorable option is the presence of initial caries. Pathology at the stage of chalk spots can be treated without the use of a drill. By saturating the enamel with calcium and fluoride, the dental tissue regains its resistance and the disease recedes. Remineralization is carried out using special dental gels, creams, rinses and pastes. Treatment is carried out by a doctor in dentistry and at home. To restore the balance of trace elements and minerals in the enamel, people need to adhere to a nutritious diet.

With the development of superficial, medium and deep caries, treatment is carried out using a drill.

The doctor’s tactics include the following steps:

• anesthesia;
• selection of the color of the filling mass;
• thorough removal of carious tissue;
• carrying out antiseptic treatment;
• restoration of tooth integrity with filling material;
• correction of the filling according to the bite and its final processing (grinding, polishing).

Treatment of caries at the base of the tooth has its own characteristics. Due to the close location of the pathological focus to the gum, it is difficult for the dentist to maintain a dry working surface. If there is moisture in the cavity being filled, there is a high risk of the filling falling out in the future. The special knowledge and skills of the doctor, as well as special devices – a saliva ejector and a cofferdam – help improve the quality of work.

Photos before and after treatment of cervical caries:

Question answer

How to treat cervical caries on the front teeth?

When treating teeth in the smile area, it is necessary to achieve a highly aesthetic result. For restoration, special materials are used (composites, cements), which make it possible to achieve exact identity with natural teeth. The price of caries treatment depends on the level of the clinic, the availability of modern equipment and materials.

To cure a tooth with global damage, it is necessary to: completely eliminate carious tissue, treat root canals, restore the tooth using an inlay (or pin) and filling material, and cover it with a protective crown.

How to avoid the development of cervical caries?

Prevention is aimed at eliminating the causes of the disease. It is necessary to observe strict hygienic requirements when brushing your teeth (use dental floss with fluoride, rinses, fluoridated toothpastes, irrigators), give up bad habits and food, and systematically carry out hygienic cleaning of the oral cavity at the dentist.

What can be confused with cervical caries?

People confuse the disease with a wedge-shaped defect and hard, pigmented plaque. If formations are detected on the surface of the tooth, in any part of it, you must contact your dentist!

Which teeth are affected by cervical caries?

Pathology can develop on an incisor, canine, or chewing tooth. Sometimes the pathology affects several units at the same time. The least common is cervical caries on wisdom teeth.

This is called the neck of the tooth. The name comes from the location of this disease. Cervical caries is the most serious and dangerous type of caries, because it affects the tooth in its most vulnerable place - at the base. If left untreated, the disease deepens and affects all the canals of the tooth, which inevitably leads to its loss. This type of caries is mainly observed in people over thirty years of age.

Cervical caries

Reasons for appearance

The causes are cariogenic bacteria that live in dental plaque and tartar. Microorganisms process food debris, turning them into organic acids that damage tooth enamel, leaching calcium from it. Microorganisms can change their composition and become pathogenic, thereby causing disease with poor oral care and based on the anatomical features of the enamel of the neck of the teeth. Some patients are predisposed to gum detachment. Because this area is poorly cleaned of food debris, a large number of pathogenic microorganisms are formed in the gum pockets, which cause cervical caries.

Thus, the reasons boil down to the following:

• insufficient hygienic care;
• anatomical predisposition.

Mechanical damage to the enamel of the tooth neck can also contribute to the occurrence of caries; it can cause damage abrasive toothpastes and toothpowders, which, by damaging the enamel, open the way for pathogenic bacteria. This is where the enamel is thinnest and needs constant care and attention.

Cervical caries can spread with frequent consumption of acidic foods or medications that make the enamel porous. The first sign that the enamel has become thin and needs care is the reaction of the teeth to sour and cold things. This factor increases the risk of disease.

To strengthen and make the enamel in the root zone more dense, you need to apply special preparations to the cervical area, these manipulations are performed by a dentist, but you can do it yourself.

Symptoms of the disease

Symptoms of cervical caries are different, if detected, you need to seek qualified help immediately specialist They are similar to the symptoms of caries in any other part of the tooth.

In some cases, the disease is discovered in the chair during a dental examination. The initial stage of cervical caries, its photo is shown below, is easily treated with the help of remineralization, without the use of a drill.

If pain occurs when eating food, and upon examination the doctor notices a dark spot, then this stage already requires more thorough treatment. With this type of caries pain is always present and carious cavities form as the enamel thins.

Also, thin enamel reacts to various irritants, for example, mechanical ones - when brushing your teeth, pain appears.

Diagnosis of the disease

Cervical caries is easily diagnosed, since the affected areas are visible to the naked eye. The patient himself, looking in the mirror, can easily detect white chalky areas at the base of the tooth. But sometimes doctors use special solutions for an accurate diagnosis and ask the patient to rinse his mouth with them.

These dyes penetrate only into demineralized porous enamel, and cannot penetrate into healthy, calcium-coated enamel. The subject rinses his mouth with clean water and you can immediately see where the paint has lingered. After a few hours this color disappears.

Cervical caries or wedge-shaped defect?

Another common dental disease is a wedge-shaped defect. It appears on the outside of the tooth as a V-shaped flaw. This “wedge” is directed up or down towards the jaw. The teeth most often affected are those that experience the maximum load when chewing - canines and premolars. Many patients confuse a wedge-shaped defect with cervical caries, since their localization is the same, and require treatment corresponding to the caries.

But this cannot be done, because there are differences between these diseases.

1. With a wedge-shaped defect, the color of the tooth enamel remains the same, and the damaged V-shaped area remains dense and polished.
2. Cervical caries has a loose, rough structure, brown color and irregular shape.
3. A wedge-shaped defect has a long period of development, and cervical caries can destroy a tooth in a short period of time of several months.

Cervical caries

How to treat cervical caries?

Modern treatment of cervical caries is similar to the treatment of any other part of the tooth and should be reduced to a series of therapeutic procedures, which must be carried out by the dentist. However, it is impossible to start treatment without proper diagnosis to identify the stage of the disease.

Stages of cervical caries

As you know, the disease is divided into four stages.

1. At the first stage of the disease, in the gum area, the enamel changes color, becoming dark.
2. During the second stage, a chalky, rough spot forms.
3. The third stage is characterized by the appearance of a “hollow”, with which the affected areas are even more noticeable.
4. At the fourth stage, the canals are affected.

Treatment of cervical caries, which is at the initial stage, in which only a speck is visible and the enamel is not severely damaged, comes down to applications with drugs aimed at compacting the enamel in this area.

But in order to finally get rid of the discoloration in this damaged area, you need to choose one of the options described below.

First option.

In the first option, the doctor applies to the damaged area bleaching or etching gel, which discolors pigments. But due to these manipulations, the tissue becomes even thinner and more permeable to both dyes and teeth. Then the dentist continues the treatment and applies a special composition to the cervical area of ​​the tooth to strengthen and reduce the permeability of the enamel.

If attempts to discolor the enamel were not successful and the color remained the same, then this only means that the caries lasted long enough and had already stained the deeper layers of the enamel. In this case, the dentist must resort to the second treatment option.

Second option

The dentist begins to carefully polish the painted enamel with various polishers, after which he applies a medicinal composition, saturating the enamel.

If caries, getting deeper and deeper, has already affected the dentin, then this treatment will no longer be effective, since it is porous and requires a deeper color. In this case, treatment of cervical caries is carried out using traditional methods. The dentist carefully removes all damage and restores the tooth structure with filling materials.

Features of treatment

With this disease, caries is located in maximum proximity to the gum, which interferes with treatment, significantly complicates it and delays the recovery process. In the cervical area, it is quite difficult to keep the working field dry for reliable treatment. In case of moisture contact, there is a high probability of poor sealing, due to which it may fall out and the doctor is forced to perform the procedure again.

Another treatment method

There is another way to treat this disease, which involves accurately reproducing the contour and volume of the tooth. The fillings are quite thin, and if low-quality material is used, there is a high risk of it falling out, which can lead to recurrent caries.

It is important to remember that when caries is detected you must consult a doctor immediately and the sooner you start treatment, the more effective it will be. By taking care of your teeth, you are making an impact for many years to come.

Cervical caries is considered the most dangerous type of caries. It is often diagnosed in 30-60 year old people, children, and people suffering from endocrine diseases.

Causes

The gingival area is a difficult-to-reach area for high-quality hygienic care. When brushing, the brush does not completely cover the neck of the tooth, which is why more plaque accumulates here and tartar forms more actively.

1. Pathogenic bacteria multiply in plaque plaques Streptococcus mutans that produce lactic acid. It negatively affects the surface and subsurface layers of enamel, leaching calcium and fluorine from it and disrupting the mineral crystal lattice of the enamel.
2. Failure to comply with hygiene rules is not the only reason for the development of cervical caries. The development of the disease can also be provoked by too intensive brushing of teeth, during which the already thin enamel in the neck area becomes thinner (for comparison: 0.1 mm in the neck area and 1.7 mm in the cusp area). The condition of the enamel is also affected by the use of abrasive agents for teeth whitening and the use of certain medications.
3. Cervical caries affecting several teeth at once is often observed in endocrine diseases (diabetes mellitus and thyroid diseases). The fact is that with diabetes, the number of representatives of pathogenic microflora increases significantly. This leads to accelerated demineralization of dental tissues. A high concentration of glucose in saliva also leads to an increase in the prevalence of tartar and plaques (in diabetes - up to 6.33 mg, normally - up to 3.33 mg)

Stages

1. Caries in the spot stage. The color of the enamel in the cervical area varies from white chalky to pigmented spots. In a limited area of ​​enamel, shine is lost. From sour and other chemical and temperature irritants, a quickly passing feeling of soreness may occur.
2. Stage of superficial caries. A shallow defect appears within the enamel. Roughness appears in the center of the white or pigmented spot.
3. Average caries. The shallow carious cavity is filled with softened dentin. The damage is shallow and does not affect the layers adjacent to the pulp.
4. Deep caries. A deep carious cavity appears with overhanging edges of the enamel, filled with softened dentin. A common complication is pulpitis.

Symptoms

How to treat - a review of effective methods

How to treat cervical caries in a dental clinic

Depending on the stage of dental caries, various treatment methods can be used.

In the spot stage

1. ICON technique (treating the tooth with an etching gel, filling the damage with a special composite composition).
2. Remineralization. Its goal is to saturate the enamel with calcium and fluoride.

Remineralizing drugs used in dental clinics:

• Tiefenfluorid - enamel-sealing liquid;
• Gluflutored;
• Remodent;
• Belagel Ca/P;
• Calcium gluconate solution;
• Sodium fluoride solution;
• Fluorine-containing varnish (fluorine varnish, bifluoride-12).

Treatment in later stages

In advanced cases, treatment of the carious cavity and filling are required. If the dentin is deeply damaged, root canal treatment or nerve removal may be required.

Filling is performed in stages:

1. Professional cleaning (removal of dental plaque and tartar).
2. Determination of enamel color (for selection of material).
3. Gum pushback (necessary to treat the affected area under the gum).
4. Treatment of the carious cavity with a boron, removal of necrotic tissue.
5. Isolation of the tooth from saliva with a rubber dam (it is necessary that the filling does not fall out within 2-3 months).
6. Treatment of dentin and enamel with adhesive (for reliable adhesion of the filling material to the tooth tissues), if necessary, application of an insulating and therapeutic lining.
7. Installation of a light polymerization filling, grinding and polishing with fine-grained discs.

The choice of material depends on the location of the carious cavity - near the edge of the gum or under it. In the presence of subgingival defects, the dentist's choice falls on a material that hardens in a humid environment (isolation from liquid is practically impossible). We are talking about glass ionomer cements (VITREMER), which have high strength and a triple curing mechanism. In addition, light-curing composites (Filtek, Enamel, Charisma), compomers, ormokers (organically modified ceramics with high biocompatibility) are used.

To return the tooth to its aesthetic and functional parameters, some dentists combine 2-3 filling materials, which allows them to cope with complex clinical cases.

To treat or not?

Cervical caries is fraught not only with problems of an aesthetic nature and the periodic occurrence of pain. The main danger is complete destruction of the tooth and its removal.

Other complications:

• Pulpitis with acute pain;
• Gingivitis (inflammation of gum tissue);
• Periodontitis (inflammation of periodontal tissues);
• Phlegmon (inflammatory process in the tissues of the head and neck).

Is it painful to treat cervical caries?

Patients who are afraid of the drill are often interested in whether it hurts to remove cervical caries. If dentin is damaged and caries has gone beyond the enamel and mechanical treatment of the cavity is required, then anesthesia is required. The fact is that the defect area is located very close to the gum, and the dentist’s manipulations can be really painful.

Can be used:

• Superficial application anesthesia of hard tissues;
• Regional injection;
• Electroanalgesia;
• Acupuncture analgesia;
• Anesthesia.

What instrument is used to remove caries in the cervical area?

Treatment at home

For treatment at home you can use:

• Toothpastes and gels;
• Dental floss impregnated with fluoride;
• Rinse aids.

Remineralizing gels and special toothpastes are effective only in the case of cervical caries in the spot stage. Choosing such a product on your own is quite difficult and there are several reasons for this:

1. At the spot stage, cervical caries is almost always visually invisible, and the detected defect may turn out to be a disease of non-carious origin, pigmented plaque, or still cervical caries, but in the superficial or middle stage.
2. Treatment with drugs chosen in the pharmacy network may be ineffective, because... it is necessary to take into account the general state of health, the depth of the lesion and the area of ​​cervical caries.
3. The wrong choice of home treatment products can cause harm to dental health. For example, the use of products with a high fluoride content can cause the development of fluorosis.

Advanced caries of the tooth neck can be cured only by removing the softened affected tissue.

Treatment with folk remedies

If a visit to the dentist is impossible due to insurmountable circumstances, then folk methods will help stop the development of cervical caries and get rid of pain.

Sage tincture

1 tbsp. herbs pour 1 tbsp. boiling water, after an hour of infusion, strain and use for rinsing. In order to prevent the spread of carious lesions, a cotton wool soaked in the tincture can be applied to the enamel.

Propolis

Propolis is rolled into a pea and applied for 30 minutes. per tooth To prevent the propolis from softening, place a cotton swab on top.

Onion peel tincture

3 tbsp. husks are poured into 500 ml. Boiling water is brought to a boil over medium heat, filtered and kept in a cool place for 8 hours, and then used for rinsing.

Calamus tincture

1/2 cup of calamus root is crushed and poured into 500 ml. vodka, leave for a week, then rinse the aching tooth with the tincture for 1-3 minutes. To fill microcracks, you can add 10-20 g of propolis alcohol tincture.

Herbal rinse

• Collection 1: St. John's wort, dried chamomile and calendula flowers (1 tbsp each). Pour 2 tbsp. boiling water and leave for an hour.
• Collection 2: lemon balm, nettle and strawberry leaves, wheatgrass and knotweed root (in equal parts). Measure out 2 tbsp. l., fill them with 300 ml. boiling water and simmer in a thermos for 2 hours.
• Collection 3: fennel fruits and mint leaves (25 g each). Infuse in 500 ml. alcohol for 3 months, after which rinse the mouth, dissolving 1 tsp. tinctures in a glass of warm water.

Toothpaste, gels, rinses and ointments for cervical caries

Anti-caries toothpastes

• Strengthen the mineral tissues of the tooth with fluorine and calcium compounds;
• Prevents the formation of dental plaque;
• Blocks the growth of bacteria in plaque.

In the stain stage, the following pastes show good results:

• Lacalut Fluor(strengthens and restores damaged enamel);
• Remodent(from animal bones, its use leads to an improvement in the composition and structure of tooth enamel);
• Colgate Maximum(increases caries resistance by restoring the hydroxyapatite crystal);
• Apadent(contains nano-hydroxypatite, particles of which fill microcracks in tooth enamel and enhance the mineral flow of saliva);
• Signal(fluoride-containing pastes with therapeutic and prophylactic effects);
• Blend-a-med(the fluoristat system of the paste retains calcium well in tooth enamel).

Gels

Therapeutic gel Fluocal

This relatively new dosage form may contain chemically incompatible substances (since the aqueous shell prevents the reaction between them). They are effective when used as an application for both prevention and treatment of cervical caries in the spot stage.

For medicinal purposes the following are used:

• Fluocal;
• Fluodent;
• Elmex;
• Gel R.O.C.S. for office use.

Gels are applied to the teeth with a brush or a special application spoon for 3-4 minutes at certain intervals (they are installed by the dentist).

Therapeutic and prophylactic rinses

They are an adjuvant for remineralizing therapy in the spot stage. They are used 1-2 times a day according to the instructions, intensively passing between the teeth.

Popular anti-caries rinses:

• Oral-B;
• 32 Bionorm;
• Caries Protect;
• Caries Protect;
• Colgate Plax.

Anti-caries creams

Tooth Mousse- a water-soluble cream that restores the mineral balance of the oral environment in case of salivation pathologies, after curettage, teeth whitening, etc. This cream is suitable for children when other fluoride-containing preparations are not suitable due to age restrictions.

Tooth Mousse has been proven to “suspend” the development of caries on primary teeth and allow the use of anesthesia to be delayed. Apply the cream to the areas affected by cervical caries with a cotton swab for 2-5 minutes.

Complications

Cervical caries in children

The main reason for the development of cervical caries in children is insufficient thickness of enamel on baby teeth. It rarely reaches 1 mm and, due to certain difficulties in maintaining child oral hygiene, pathogenic microflora actively develops on it.

Cervical caries primarily occurs on the incisors of the upper jaw. While sucking on the nipple of the bottle, the main surfaces of the tooth are cleaned, but the cervical area does not have contact with the nipple. Gradually, microbes surround the entire tooth around the gum and corroded dark spots appear on all sides. The lower teeth are protected by the tongue when eating from a bottle, so caries rarely occurs on them.

Without timely treatment, caries affects the entire tooth and it must be removed.

Treatment of cervical caries during pregnancy

During pregnancy, there is a high probability of cervical defects in the hard tissues of the tooth and the development of caries. Pregnancy is not a contraindication to treatment, however, taking into account the toxic effects of anesthesia, it is worth doing it in the second trimester.

If there is no risk of exacerbation in the third trimester, then it is advisable to postpone treatment to the postpartum period.

In the first and third trimesters, only emergency interventions are performed.

Cervical caries and wedge-shaped defect

Wedge-shaped defect is a disease of non-carious origin. It differs visually from cervical caries. So, with caries, the damaged surface has an irregular shape and brown color, the enamel is loose and rough, and with a wedge-shaped effect, there is simply a V-shaped depression, the enamel does not darken.

Prevention

1. Endogenous drug-free. Introduction to the diet of foods rich in amino acids, proteins, vitamins, consumption of calcium and fluorine-containing products.
2. Endogenous medicinal. Taking calcium and fluoride supplements by children, pregnant women, and people at risk.
3. Exogenous drug-free. Careful hygiene with the use of therapeutic and prophylactic pastes, professional hygiene, drinking milk and tea slowly, limited consumption of carbohydrates, replacing sugar with sweeteners.
4. Exogenous medicinal. Local application of remineralizing agents, rinsing.

Treatment price

The cost of treatment depends on the stage of the disease, the status of the dental clinic and the filling material used. Average cost of treatment of unadvanced root caries - 1600-4000 rubles. If the channels are damaged, this figure rises to 6,000 rubles.

If remineralization is indicated, the price of treatment will be lower. Coating one tooth with enamel-sealing liquid will cost 500 rubles, and complex fluoridation TUS MUS up to 4,000 rubles.

Additional expenses: removal of dental plaque (up to 4,000 rubles per jaw).

FAQ

Tooth hurts after filling cervical caries

If the pain decreases over time, then this is a normal reaction of the body to the intervention. An increase in pain occurs in the case of inflammation in the gum and pulp, incomplete removal of necrotic tissue by the dentist, penetration of filling material into the tooth, or violation of the filling hardening technology, which led to nerve injury.

How soon can you drink after treatment of cervical caries?

After treatment you cannot eat for 2 hours; you can drink, but only warm plain water without impurities. It is also better to abstain for 2 hours.

Why does the tooth react to tapping after treatment of cervical caries?

There may be several options - from the natural adaptation of the tooth to a new environment to errors in treatment, for example, the filling is too high, they made a mistake with the diagnosis (cervical caries turned out to be deep) and placed a filling without a gasket. If symptoms increase, contact your doctor for re-treatment.

What vitamins should you take for cervical caries?

Patients with a rapid form of enamel demineralization require complex therapy that affects the immunological state of the body. So, for cervical caries, dentists recommend taking:

• ascorbic acid (0.1-0.2 g per day);
• vitamins A and E in oil (regulate phosphorus-calcium metabolism, a deficiency of these elements leads to a decrease in the resistance of teeth to caries);
• calcium preparations (glycerophosphate, gluconate, calcium pantothenate, lactate) in courses 2-3 times a year;
• fluoride preparations (sodium fluorate, fluoride) 1 mg twice a day;
• phosphorus preparations (phytin) 3 times a day, 0.25 g.

In addition to the above, for the synthesis of the complete bone structure, teeth need vitamin K1, silicon and manganese (participate in the synthesis of collagen, an element of the organic matrix of teeth). They are part of many vitamin and mineral complexes designed to strengthen teeth and reduce the risk of developing cervical caries (DentoVitus, Caltsinova, CalciumOsteoporosis, Forever Kids, Duovit, Centrum).

Caries in the cervical area under the gum

Subgingival caries is root caries in most cases. It is necessary to apply for an in-person examination.

Is it possible to put braces on cervical caries?

Teeth affected by cervical caries are healed until the installation of braces. Before installation, it is necessary to remove plaque and strengthen the enamel with fluoride and calcium containing preparations. If caries occurs while wearing braces, then the arch is removed from the diseased tooth, but this is extremely undesirable.

Treatment of cervical caries with nerve removal

Such treatment will be required if cervical caries has complicated to pulpitis, which has led to an acute inflammatory process in the pulp. In this case, the patient complains of acute pain and the dentist may decide to remove the nerve.

Is it possible to put a crown on a tooth with cervical caries?

A crown cannot be placed on a tooth with decaying enamel, because... caries will eat the tooth anyway. First you need to cure tooth decay.

How to cure cervical caries of a wisdom tooth

The easiest way to treat a wisdom tooth affected by caries is to remove the problematic “eight”.

When cervical caries occurs, many people, instead of running to the clinic as soon as possible to treat the tooth, keep delaying this undesirable moment. This is partly due to various conflicting information on the Internet about the possibility of treating cervical caries even at home (in its initial forms), about the possibility of using remineralizing toothpastes and other available products that supposedly will help effectively restore tooth enamel and thereby save a person from Problems.

We will talk further about what is the truth and what is the myth, what methods of treating cervical caries are really effective and what can be done at home. We will also consider the mechanism of development of pathology and features associated with the localization of caries in the cervical area of ​​the tooth.

Features of cervical caries and characteristic clinical picture

Cervical caries appears, generally speaking, for many of the same reasons as any other caries, and is associated with the activity of microorganisms that convert carbohydrates into organic acids. As a rule, the pathology develops against the background of unsatisfactory oral hygiene and, without timely treatment, progresses very quickly

The lack of brushing skills developed from childhood and ignoring dental floss (starting from adolescence) leads to the fact that the most caries-susceptible surfaces of the teeth are affected, where dental plaque accumulates abundantly.

On a note

Most dentists are inclined to believe that cervical caries is a rather aggressive form of dental disease, which is due to a number of factors.

1. The area affected by cervical caries has an insignificant thickness of protective tissue, and often the enamel is not sufficiently mineralized. A tooth consists of a crown, neck and root. The neck of the tooth is normally located under the edge of the gum, and the entire area next to the border of the neck is called “cervical”. Selective damage by caries to this particular weak zone often involves active destruction of enamel and dentin, right down to the pulp (“nerve”) with the rapid appearance of painful sensations characteristic of each stage of the disorder. It is for this reason that cervical caries, without timely treatment, can develop into complications in a short period of time: pulpitis, periodontitis, etc.
2. Combined defects. The specificity of the localization and spread of the lesion lies in the fact that often cervical defects “spread” throughout the entire cervical region, reaching the middle of the tooth crown, going deeper under the gum or capturing contact surfaces with the transition to the so-called circular caries. In such cases, the tooth is covered with caries in a circle, which without treatment often leads to the breaking off of part or the entire crown.

The photo below shows an example of circular caries of primary teeth:

Another feature of cervical caries is that often the defects are located in the “smile zone”. If the areas of destruction are located on the lateral group of teeth, or on surfaces inaccessible to view, then most often this does not cause serious aesthetic consequences or worries, however, short-term pain from various irritants and the risk of caries developing into its complications without treatment are possible.

When a cervical lesion appears (especially in the “smile zone”), serious psychological problems often arise, including a nervous breakdown. This is especially true for people whose work involves constant business contacts or public activities (journalists, artists, managers, teachers, doctors, etc.).

Symptoms of cervical caries can be very diverse, but they all fit into the general rule: the pain is always short-term and quickly passes after the irritant is removed. It is this aspect that makes it possible to make a correct preliminary diagnosis and not confuse it with caries complications.

Cervical caries in the spot stage, as a rule, manifests itself only visually: a change in the color of the enamel in the cervical area: from a white spot to a pigmented one, depending on the activity of caries and the options for its staining with food dyes. Sometimes there is a quickly passing feeling of being set on edge from chemical irritants (especially sour ones). At this stage, treatment is possible with conservative methods, without preparing the tooth with a drill.

Superficial cervical caries without timely treatment can cause a more varied clinical picture with the development of pain from cold, hot and sweet foods, although sometimes it also develops asymptomatically.

If you do not start treatment, then cervical caries from the superficial form passes into the middle, and then deep. In this case, pain most often appears from chemical (sweet and salty), temperature (cold and hot) and mechanical (when solid food gets in) irritants. It is worth emphasizing once again that all pain is short-term in nature and quickly passes when the causative factor causing it is eliminated.

When pain appeared in my front tooth from cold water, at first I didn’t understand what was wrong. I looked in the mirror and was horrified: near the gum near the upper tooth there was a barely noticeable dark spot that went under the gum. I went to a dentist I knew for treatment. He told me that it was cervical caries. The treatment took about 40 minutes, they put a filling similar to the color of my tooth, now I drink cold water as much as my heart desires...

Valery, Tambov

Treatment of cervical caries at home: reality or myth?

For many people, the very fact that it is possible to treat cervical caries at home allows them to avoid seeing a dentist for professional help for a long time (for example, due to childhood fears of a terrible toothache during dental treatment). Well, the good news for such people is that some therapy at home may indeed be worthwhile.

Cervical caries in the spot stage can be cured at home by long-term use of hygiene products and preparations with increased concentrations of fluorides and calcium to saturate the weakened crystal lattice of the enamel in the area of ​​discoloration (contraindications are possible). You can, for example, use remineralizing gels, as well as special toothpastes for cervical caries.

However, with such treatment there are some important points to consider:

1. Cervical caries and its characteristics are individual for each person: location, depth of lesion, area, enamel structure, etc. Moreover, the carious process in the cervical area (areas) often occurs against the background of various aggravating factors, which may include poor oral hygiene, age, presence of other dental problems, general health. There is no guarantee that independent choice at home will take into account all the nuances of not only the oral cavity, but also general, equally important characteristics, on which the success of therapy directly or indirectly depends.
   
2. The range of products (drugs) for professional and home treatment and prevention of cervical caries is too diverse and wide. Again, there are no guarantees that the independent choice of one or another remedy will be so successful that it will not only solve the problem of treating cervical caries in the spot stage in a short time, but will also not cause harm to the general health and health of teeth due to high concentrations of, for example, fluorides (which can be dangerous if used incorrectly).
   
3. Cervical caries can be treated with conservative methods only at the spot stage. And with what degree of probability can you assume that your cervical defect is caries in the spot stage, and not superficial, medium or deep (or in general a disease of non-carious origin - enamel hypoplasia, fluorosis, wedge-shaped defect; or banal dental deposits - pigmented plaque or stone)?

From the experience of a dentist

Even at a professional appointment, to clarify the diagnosis, even a dentist carries out not only clinical diagnostics (questioning, examination, probing), but also special research methods (staining the spot with dyes, X-rays, EOM, transillumination, etc.). Sometimes it takes from 10-15 to 60 minutes. After all, the correct tactics for further treatment of cervical caries depend on the correct diagnosis.

Often, cervical caries in the spot stage masks defects in deep-lying tissues (deep layers of enamel and dentin), as well as common complications of caries - pulpitis and periodontitis. When pulpitis (or periodontitis) is detected, treatment tactics are reduced to treating the tooth canal with the elimination of the infectious process in it. Placing a filling in the cervical area without treating and filling the canal(s) would soon lead to even more serious complications, including tooth loss.

Popular folk remedies for the treatment of cervical caries

Cervical caries is often accompanied by painful sensations that may not go away for a long time until the cause that causes them is eliminated: sweet, cold, hot - all this can cause pain of varying degrees of intensity. Sometimes it can cause very severe pain while eating, which is already typical for deep cervical caries.

In folk medicine, there are many ways to temporarily get rid of pain if an appointment with a doctor is postponed for some time due to insurmountable circumstances.

Among the popular methods of treating caries with folk remedies are:

• Infusions for mouth rinsing: from sage, lemon balm, blueberries, blackberry leaves, mallow herb, knotweed herb, oregano;
• Decoctions for rinsing the mouth: from oak bark, aspen, tricolor violet, flowering branches of wormwood, valerian;
• Roots for chewing: angelica, calamus;
• Propolis tincture for rinsing, previously diluted with water.

Folk recipe for pain due to caries

One of the simplest folk remedies for relieving pain from caries is sage infusion. It is necessary to pour 2 tablespoons of dry herbs with half a liter of boiling water, then leave for about 30 minutes in a closed container. Be sure to strain the resulting product and rinse your mouth with a warm solution 4-5 times a day, mainly after meals. This will not restore your teeth, but it will give you the opportunity to hold out for some time before going to the dentist for normal treatment.

Relief of pain from cervical caries after the use of folk remedies is temporary and can even mask serious problems, for example, the transition of cervical caries to pulpitis. Therefore, be careful and try to contact a specialist as soon as possible.

Features of filling gingival defects at the dentist

Cervical caries is one of the most difficult carious lesions to treat in the clinic.

The easiest way to treat cervical caries in the spot stage is with a conservative method, that is, without the traumatic use of a drill and filling. The most common means are drugs for remineralizing therapy and deep fluoridation.

• Gluflutored;
• Enamel-sealing liquid;
• Remineralizing gel R.O.C.S. for office use;
• Belagel Ca/P, Belagel F;
• Remodent;
• "Ftorodent";
• "GC Tooth Mousse."

Treatment of cervical caries in the spot stage using remineralizing therapy includes the following steps:

• Professional oral hygiene with cleaning of teeth from dental deposits (plaque, tartar).
• Application of remineralizing gels or application of fluoride-containing preparations in 2-3 visits at the intervals required according to the instructions.
• Home use of medications and hygiene products prescribed by the dentist to further strengthen the enamel.

Despite the often good overview of the carious cavity for the doctor and the convenience of approaching it, the subgingival location causes many problems in the treatment of superficial, medium and deep cervical caries using mechanical treatment of the cavity, namely:

• inconvenient location of the cervical defect cavity for filling (especially when combined with subgingival caries);
• moisture entering the work area;
• penetration of blood from the inflamed or injured edge of the gum into the working field.

Let us list the basic principles of treatment of cervical caries using methods of mechanical cleaning of the carious cavity and subsequent filling:

1. Cleaning tooth surfaces from dental deposits;
2. Isolation of the working field with a rubber dam if the clinic is well equipped;
3. Cavity preparation with water-air cooling with excision of carious and pigmented tissues;
4. Formation of a cavity for the selected filling material;
5. Installation of filling material in compliance with filling techniques;
6. Filling correction: grinding, polishing.

Among the main modern materials for the treatment of cervical caries with filling, glass ionomer cements (GIC), light-curing composites, compomers and ormocers (organically modified ceramics) can be noted.

This is interesting

A prominent representative of the ormokers is Admira. Ormokers are a group of light-cured restoration materials, or organically modified ceramics. They have high biocompatibility, are easier to model and have lower shrinkage than classic “light fillings”, and are resistant to abrasion. They are used for filling defects of all classes, including cervical caries.

Currently, combined technologies are used to fill cervical caries using 2-3 different materials to maximize the positive properties of each and minimize the negative effects. This makes it possible not only to cope with complex clinical situations associated with the gingival or subgingival localization of cavities, but also allows you to restore the aesthetic and functional parameters of the tooth, in other words, to preserve a beautiful tooth for many years.

The photo shows what teeth look like after treatment of deep cervical caries:

Prevention is the best protection against cervical caries

Prevention of cervical caries is many times better and more profitable than any treatment. However, most people either do not know its basics or neglect the basic rules that make it possible to protect teeth from cervical caries even in those who are prone to developing this pathology.

If the mechanism of caries development has been known for more than a hundred years, then it is enough to simply break the links leading to it, namely:

1. Limit the consumption of easily fermentable carbohydrates with high culinary processing (sweets, flour products). This will not only allow you to usefully adjust your diet, but will also reduce the risk of caries.
2. Follow the culture of eating carbohydrates if it is not possible to completely abandon them: in no case should you eat them in the intervals between main meals, in large quantities, and especially at night without performing oral hygiene.
3. Increase your intake of roughage (solid) food, especially at the end of the meal. Alternating hard fruits (apples) and vegetables (carrots) creates a procedure for self-cleaning the surfaces of teeth, which is not an innovation, but was the dietary culture of even the ancient Slavs.
4. As a mandatory procedure, you should brush your teeth after eating. Brushing your teeth before breakfast is a practically useless procedure, since plaque after eating begins to form within the first hours.
5. Improve your teeth brushing skills as quickly as possible, either with a dentist (hygienist) or with the help of an educational video. The level of hygiene and protection of teeth from cervical and any other caries depends on the correct adherence to the technique of cleaning surfaces accessible to the brush.
6. It is imperative to include dental floss (floss) in the list of hygiene procedures due to their high effectiveness against cervical caries that occurs on contact surfaces in the spaces between teeth that are not fully accessible to a toothbrush.

Special products that can be used at home:

• Toothpastes for cervical caries with fluoride concentrations from 1000 to 1500 ppm;
• Dental floss impregnated with fluoride;
• Fluoride rinses.

Most hygiene products for protecting teeth from cervical and other types of caries available on the market (for example, toothpastes) are safe for teeth and general human health, but there are always risks. In each age group, depending on the cariogenic situation in the oral cavity, the structure of tooth enamel, the level of hygiene, the number of fillings and extracted teeth, the concentration of fluoride in drinking water in a particular area, general health and the presence of concomitant pathologies, etc., an individual a set of products for professional and home strengthening of teeth and protection against cervical and other types of caries. These can be pastes, gels, and solutions.

This is a competent, systematic approach in the dentist’s attitude to the health of his patient. Therefore, if you are not sure about the correctness of your actions regarding prevention, you should contact a specialist for professional advice.

Interesting video about the features of cervical caries

Causes of caries and effective methods of protection against it