Almost everyone familiar with the sensation of the mouth “asleep” when we go to the dentist. That feeling is the result of local anesthesia, the dentist injected the solution into the mouth to block pain during dental procedures. Despite their usefulness to prevent pain, an application with the familiar and dreaded needle produces a lot of anxiety in dental patients. Today, we feel relieved that there is a modern technique of local anesthesia which allows us to visit more enjoyable.

In addition, anxious patients can use sedation and other psychological techniques to relax the patient. However, local anesthesia is inadequate in some patients. young patients and some specific disabilities can not tolerate regular dental care despite local anesthesia. In these patients, general anesthesia is recommended.

General anesthesia produced by pharmacological agents that cause the patient to sleep soundly (loss of consciousness and reflexes). Because the nature and risks of this type of anesthesia, it is given in the hospital operating room under the care of the anesthesiologist. Pediatric dentist provides dental care in the operating room with the patient is asleep by the anaesthesiologist.

Dental Anesthesia

This most common indication for general anesthesia in dental care are:

1. Status or condition of the patient’s teeth is significantly complex.

2. Because of age who are unable to resist or tolerate illness, or cooperate with treatment.

3. Medical conditions that make it necessary to do the treatment under general anesthesia in the hospital and who otherwise could cause significant risk to patient health.

4. local anesthesia is ineffective or contraindicated.

5. Country of fear or anxiety and that delays in treatment can cause pain, infection or complications.
6. Severe dental trauma in which local anesthesia is ineffective.

7. Because of disability or inability to tolerate ressitri or sick, or cooperate with treatment.

It is important that the pediatric dentist, examine patients and determine whether the type of anesthesia is indicated for this patient. If so, will require a medical consultation is necessary, including anesthesia and to schedule dental treatment in hospital.

We encourage parents or guardians of the people who had tried failed to complete the dental care their children for reasons of anxiety and behavior in the dental office, to consult with a pediatric dentist. These professionals can guide you if general anesthesia would be appropriate in this case.

Dental living organ that contains nerves and blood vessels. In the middle of each tooth, is a tissue called the pulp. When teeth affected by decay, it began to attack the enamel (the hard tissue, white, covering the visible part of the tooth) and then attack the pulp. this tooth in danger of collapse completely.

Symptom

Tooth decay should be started the hollow, it is difficult to clean. First destroy the enamel and create a cavity. At this stage, no pain. Then the line continues to the pulp tissue (dentin), enlarged cavity and allows the bacteria to attack the tooth pulp in the middle of barren. Finally, be sensitive to contact with cold and heat, and after contact with the sugar. If untreated, the damage will cause damage to teeth, spreading to the adjacent teeth and can infect the underlying bone.

Cause

Tooth decay is caused by the combined action of three factors: heredity (some people have stronger teeth than others), sugar-rich foods are rapidly absorbed (white sugar, sweets or cakes) and substances called plaques (rich in bacteria), which formed spontaneously 12 hours after a meal if you do not brush their teeth.
Cavity formation process is as follows: bacteria in dental plaque be treated rapidly absorbed sugars, they multiply and secrete acids that attack teeth and cause the formation of a cavity.
Treatment

Depending on the stage where the caries was found:
Early stage. Caries limited to email. This is enough to make the net cavity – using grooving to prevent the spread of infection. The lower part of cavity filled with certain substances that are blocked: either by a mixture, a mixture of different metals or composite resin material that mimics the tooth color.

Advanced stage. Dental pulp is affected. This is necessary to clean the teeth (to remove all damaged tissue), first with the strawberries and then with the aid of instruments
can not harm the healthy pulp.

Advanced stage. We have to eliminate dental personnel, ie remove all living tissue. You must first proceed to the cleaning and disinfecting root canals each, and then be blocked with the aid of an appropriate substance. Then the tooth is permanently filled with a substance to the surface of metal or resin compounds. It is important to note that the devitalized teeth are particularly vulnerable and at risk of breaking.
Prevention

Teeth play an important role in feeding (allowing mastication, which is the first stage of digestion), but it is also important to create a sound and from the standpoint of aesthetics, and holding the lips and cheeks. Therefore, we must keep well. There are several ways to prevent cavities. Plaque must be removed every day by thorough brushing after meals, complemented by using dental floss, which is passed between the teeth. Diet must be balanced and rapidly absorbed, low-sugar (candy, cakes and sweet drinks).

May also intervene at an early stage in the formation of teeth, the enamel by strengthening the provision of fluoride during the first 12 years of life. On the other hand, are advised to undergo periodic monitoring by a dentist or dental practitioner about once a year. During this visit, we test the sensitivity and mobility of individual teeth and the possibility of detecting caries. The person whose teeth covered with tartar, which promotes tooth decay, they are advised to clean and, in some cases, antibiotic treatment.
Brushing teeth

It is important to brush their teeth every day after every meal.
brush can clean teeth to remove food debris and plaque. A good brushing should last about three minutes and should be more careful than energetic. Done at all tooth surfaces with a circular motion from the gums to the teeth. We need to change your toothbrush regularly, consists of a flexible handle and small head (to reach areas not easily accessible) equipped with a flexible synthetic filaments.
Flossing

Dentists recommend a silk thread passing between the teeth to help remove all food debris from between them. Sometimes, the threads can be replaced with very fine brushes called “interdental brush. Its use greatly increases the effectiveness of toothbrushing in the prevention of dental caries and periodontal disease, also known as gingivitis (gum inflammation).

Causes of tooth sensitivity

A gum recession can also result from a bad tooth position or congenital anatomical defects.

Tooth whitening, can be caused by abnormal sensitivity to the teeth.
Acids found in foods and can erode tooth enamel demineralisation.
Clenching or grinding teeth (bruxism) can wear away enamel.

The main thing in this case is to eliminate the factors that dangerous to stop the disease and prevent tooth loss.

Treatment for tooth sensitivity
Before undergoing treatment must set aside other problems that can cause similar symptoms, such as cavities, dental fractures or cracks or defects refund.

Mouthwashes and toothpaste must be specific, contain potassium nitrate, potassium chloride or strontium chloride, because they reduce the sensitivity by reducing the permeability of dentin.

In more severe cases involvement sealing material used attached to the rubber as if it is protective varnish, which must be renewed every so often.

We have also used a laser to provide definitive results on this issue.