In fact, the problem of oral teeth is basically to restore the function of teeth, not to restore the health of teeth; It can only prevent dental diseases from getting worse and cannot return to normal. Basically, the current dental problems are insurmountable problems in the medical field. Let's talk about several common and irreversible oral diseases.
1. Dental caries
Many people may wonder, won't a decayed tooth recover? No! Just restored the function and shape of the teeth. Although filling materials replace some teeth to perform their functions, the missing parts of cavities will never grow back. And filling teeth is not foolproof. It's just a way to delay the deterioration of tooth decay. It can be used for several years or even twenty or thirty years when filling teeth. But this does not mean once and for all. There is a terrible term called "secondary caries". That is, tooth decay occurs again at the gap between the filling material and the teeth. Therefore, we must check regularly. Once secondary caries are found, we must re-fill the teeth to prevent deterioration and damage to the pulp.
At present, there is no material that can ensure that the repaired teeth can be used for another twenty or thirty years, and the problem of secondary caries is difficult to overcome. Regular inspection of polishing and maintenance of oral hygiene by patients themselves are the key factors to protect teeth. It is worth noting that inlays, especially precious metal inlays, can be used for a little longer and are not prone to secondary dental caries. However, precious metal inlays are expensive, and gold alloy inlays are widely used in Korea to repair the occlusal cavity of posterior teeth. The effect and durability are not bad, but it is bling bling, which is not popular in China. People generally like materials similar in color to teeth, such as resin or porcelain.
If there is a kind of tooth decay that can restore health, it can only be early caries. It is a white spot on the tooth surface. Once a tooth has a hole or turns black, the dentist can basically tell everyone that the tooth cannot recover. Treatment and filling of teeth can only prevent the deterioration of diseased teeth.
2 pulpitis
"Toothache is not a disease, it hurts like hell." This generally refers to one kind of pulpitis, acute pulpitis. Patients often have unbearable pain in the middle of the night, and it is useless to take painkillers. Only then did they know that they had to go to the dentist. Note that pulpitis is also irreversible. Some people may ask: Isn't there root canal therapy? Root canal therapy, commonly known as "killing nerves", is to clean the nerve and blood vessels in the teeth and then seal the root canal to prevent infection.
But! No teeth, no pulp. That is, the main source of nutrition supply for teeth is gone. At this time, someone asked: then don't do root canal therapy, so don't you save pulp? You should know that acute pulpitis is irreversible. Once it happens, the pulp can no longer be healthy, and it will only gradually become necrotic. And if left untreated, the pulp will continue to infect the apical tissue and develop into periapical periodontitis. When the situation gets worse, your teeth will be lost.
So, don't wait for a toothache to see it. At that time, teeth often fell out and root canal treatment was needed. At present, there is a method that is still in clinical trials, and it is hopeful to preserve dental pulp, which is closest to restoring dental pulp health, and it is called "vascular reconstruction". But it is still in the experimental stage, and it may not be successful. And only for young permanent teeth (teenagers who have just changed their teeth).
3. Periodontal disease
Periodontal disease is like a devil who loses his teeth between whining and whining. Why is there an old saying? In fact, it is not that you will lose your teeth when you are old, but that your teeth will loosen and fall off in the late stage of periodontal disease. Maybe everyone has heard that some young people will lose their teeth, which is a disease caused by periodontal disease. Tooth loss is not a patent for the elderly, and your periodontal condition is not good. You may lose your teeth in your twenties. There is also an English proverb called "Give birth to a child and lose a tooth". This is also a kind of periodontal disease, called periodontal disease during pregnancy.
The treatment of periodontal diseases is to clean teeth regularly, and in severe cases, subgingival scaling is performed. But either way, the absorption of alveolar bone is irreversible. All periodontal treatments can only slow down the process of alveolar bone absorption, delay the time of tooth loss and make the atrophied alveolar bone recover as much as possible. The water under the bridge is difficult to second time around, and the process of entropy increase is irreversible.
So in the same way, the problem of periodontal disease is irreversible. Treatment is only to prevent deterioration, and no treatment is even more feasible. Of course, with the development of periodontal flap bone grafting, GBR, GTR, membranous gingival surgery and other technologies, some teeth that had to be pulled out in the past still want to be kept for a period of time, hoping that periodontal disease will be reversible in the future. However, even if dental health can be restored, we should not neglect regular periodontal maintenance. After all, the cost of an operation is sometimes enough to wash your teeth for a lifetime. Which do you think is more cost-effective?
Dental caries and periodontal disease are the two main causes of tooth loss. Unfortunately, they are irreversible. So, solemnly tell you, early prevention, early treatment! Health is hard to buy.