Cervical caries gel. Cervical caries

- a carious process with localization in the gingival region, that is, in the region of the neck of the tooth. Depending on the stage, cervical caries can be manifested by darkening of the tooth enamel in the perigingival region; hypersensitivity tooth on temperature, chemical and mechanical irritants; the formation of a carious cavity of various depths, pain syndrome. Cervical caries diagnosed during a dental examination and radiography of the tooth. Treatment of cervical caries is carried out taking into account the stage of carious lesions of the tooth and does not differ from that in other types of caries.

General information

Cervical caries - a type of cariescharacterized by the destruction of hard tissues at the border of the crown and root of the tooth, next to the gum. According to the classification adopted in dentistry, depending on the location, fissure, cervical (cervical), contact (approximal) and ring (circular) caries are distinguished. Cervical caries can affect the labial, buccal, lingual surfaces of the lateral and frontal teeth. Cervical caries often occurs in people aged 30-60 years. Cervical caries is one of the most dangerous types of caries, affecting the tooth in the most vulnerable place and contributing to its rapid destruction.

Causes of cervical caries

In general, caries of the cervical region develops due to the same causes and mechanisms as carious processes of other localizations. At the same time, the occurrence of cervical caries is favored by the special conditions that exist in the gingival region. First of all, this is the inaccessibility of this area for high-quality hygienic care, and, consequently, an increased accumulation of plaque and the formation of tartar in the cervical region. There is a direct link between cervical caries and gingivitis.

In addition, in the region of the neck of the tooth, the thickness of the enamel is only 0.1 mm, while in the region of the tubercles it is 1.7 mm, and in the region of the fissures it is 0.6-0.7 mm. A thin layer of enamel is relatively easily damaged when brushing your teeth with abrasive pastes, tooth powders, and hard brushes.

Among other factors, the development of cervical caries can contribute to the frequent consumption of acidic foods and medicines that increase the porosity of enamel, pregnancy. If several teeth are affected by cervical caries at the same time, most likely, one should think about endocrine dysfunction (diabetes mellitus, diseases thyroid gland).

Symptoms of cervical caries

In its development, cervical caries goes through the same stages as any other carious lesion: the stage of spots, superficial, medium and deep caries. In the initial stage, the enamel in the neck of the tooth loses its luster and becomes matte; a light (chalky) or pigmented spot with a smooth surface appears on it; clinical manifestations missing.

In the future, the surface of the spot becomes rough, which indicates the beginning of the destruction of the enamel; subjective sensations are characterized by a short-term painful reaction to chemical, mechanical and thermal stimuli. This indicates the transition of cervical caries to the next clinical and morphological stage - superficial.

The weakness of the enamel in the area of the neck of the tooth contributes to a fairly rapid progression of cervical caries to the stage of medium and deep caries, which are clinically manifested by the formation of a carious cavity, food jamming, pain reaction when talking, eating, brushing teeth. Deep caries can be accompanied by significant tooth decay and be complicated by the development of pulpitis. Cervical caries is usually localized on the labial or buccal surface of the teeth; sometimes the lesion covers the entire basal neck of the tooth in the form of circular caries.

Diagnosis of cervical caries

In the process of diagnosis, cervical caries should be distinguished from a wedge-shaped defect, enamel erosion, and fluorosis. If a patient has several teeth affected by cervical caries, he should be referred for a consultation with an endocrinologist to rule out pathology endocrine system.

Treatment of cervical caries

Treatment methods for cervical caries depend on the stage of contacting a specialist. In the early stages (stain stage), it is advisable to conduct remineralizing therapy - a course of periodontitis, gingivitis. Advanced cervical caries can lead to tooth decay and loss, the restoration of which will require prosthetics or dental implantation.

Prevention of cervical caries includes regular and thorough dental care using individually selected products (toothpastes, rinses, dental floss), compliance correct technique brushing teeth, professional oral hygiene, prevention of gum disease and endocrine disorders.

Caries is a dental disease that is characterized by the destruction of hard tooth tissues (enamel and dentin). At the initial stage, the disease is asymptomatic, but over time, a cavity forms in the dental tissues. This causes severe discomfort, pain and further leads to tooth loss.

Cervical (radical) caries is the most dangerous type of caries, which destroys the tooth at its very base. It is localized in the neck of the tooth (gingival zone). This disease progresses rapidly root canals and can lead to fracture of the tooth crown.

In this regard, it is necessary to treat cervical caries immediately. Timely therapy will help to avoid tooth loss and the development of such serious illnesses like pulpitis, gingivitis, periodontitis.

Causes of cervical caries

The main cause of the disease is plaque, which contains the harmful bacteria Streptococcus mutans. Due to poor brushing of the teeth, it quickly accumulates on the enamel and in the gum pockets. In the process of life, bacteria secrete organic acids that leach calcium from the enamel. As a result - the formation of a carious cavity.

Among the main factors contributing to the development of cervical caries are:

Neglect of two-time brushing, as well as insufficient removal of soft plaque- brushing movements should be cleaning - from the gums up, and not rubbing, as many people brush their teeth.
Anatomical features of the enamel near the gums. In the basal areas of the teeth, the enamel is very thin, so it is strongly exposed to the harmful effects of cariogenic organisms.
genetic predisposition to exfoliation of the gums causes the formation of “gingival pockets”, where food debris accumulates over time. As a result, carious cavities appear and caries develops under the gum.
secretion disorder salivary glands . Saliva in the human body performs a protective function. Decrease in the amount of saliva produced leads to a decrease in the level of protection of teeth from the harmful effects of bacteria living in the oral cavity.
Refusal of preventive visits to the dentist. Most people from time to time require professional hygiene procedures - the removal of hard tartar, which, like soft plaque, is inhabited by cariogenic microorganisms.
Root caries may be indicative of endocrine dysfunction(development of diabetes mellitus or disruption of the thyroid gland).

Cervical caries is the most dangerous among all types of this disease, because it very quickly damages the roots and canals of the tooth. In patients older than 60 years, it is the defeat of the neck of the tooth that becomes the main cause of its loss.

Symptoms

The main symptoms of cervical caries are exactly the same as with the occurrence of other types of caries. On the early stage In the development of cervical caries, a small bright spot appears on the tooth enamel, which darkens with time, becomes deeper, affects the dentin, and over time, in the absence of appropriate treatment, leads to complete destruction of the tooth.

Stages of development of cervical caries:

Caries that looks like spots. This stage is expressed by the appearance of a small white spot, which can remain unchanged for a long time.
Caries that breaks the surface of the tooth. The upper part of the tooth is affected - enamel, a person feels cold and hot.
Caries of the middle stage. Tooth enamel and dentin suffer, a pronounced sensitivity to temperature changes appears. The pain disappears fairly quickly.
Deep stage caries. This stage of the disease is characterized by a deep disturbance of the inside of the tooth, which is close to the nerves, the pain is powerful and unbearable, irritation to everything cold and hot.

A feature of cervical caries is that if it is started, the doctor will have to remove the dental nerve and fill the canals of the tooth. This is due to the fact that the neck of the tooth is in close proximity to the dental canals, and if caries is not treated in time, it will quickly penetrate deep into the tooth.

Cervical caries: before and after photos

What this type of caries looks like, we offer for viewing detailed photos tooth.

Diagnostics

Cervical caries is diagnosed well, since the affected areas are visible to the naked eye. The patient himself, looking in the mirror, can easily find white chalky areas at the base of the tooth.

In some cases, dentists use special solutions for accurate diagnosis and ask the patient to rinse their mouth with them. The essence of the technique lies in the inability of dyes to penetrate healthy enamel, while at the same time, in places of demineralization, the pigment easily penetrates through a porous, damaged surface into dentin. The main substance of the tooth easily and quickly takes on a given color and keeps it for several days.

How to treat cervical caries

Depending on the severity of the course and the severity of the symptoms of cervical caries, a treatment regimen is determined. When caries still looks like white chalky spots, and the top layer of enamel is not damaged, conservative treatment is usually performed, namely, remineralization. During remineralization, calcium-deprived tooth enamel is saturated with this mineral using special preparations that also contain other minerals. This procedure strengthens the enamel and prevents caries from developing further.

When a cavity is formed, the process of treating cervical caries should include the following main steps: local anesthesia, removal of dental plaque, preparation of the defect and treatment of the cavity, the imposition of a medical and insulating lining (in the treatment of medium and deep caries), setting a filling with light polymerization, grinding and polishing the filling.

Prevention

The best way to prevent the recurrence of cervical caries is to brush your teeth regularly, making sure to thoroughly clean them down to the neck. In addition, visit the dentist regularly, because if caries is detected at an early stage, it will be quite possible to get by with a simple remineralization.

Caries is the most common disease on Earth, 93% of the world's population is susceptible to pathology. Caries is especially developed in the subpolar regions, developing countries and almost does not appear in the equatorial regions.

Caries occurs with a local change in the activity of hydrogen ions pH on the enamel surface, which occurs due to carbohydrate glycolysis under plaque and the production of organic acids.

Microorganisms that cause pathology are acid-forming streptococci and some types of lactic bacteria.

Cervical caries, or as it is also called - cervical, is one of the most dangerous varieties of the disease, as it affects the very base of the teeth. Cervical caries corrodes the cervical part, the very neck of the tooth and the area bordering the gum.

Root region due to its anatomical features is difficult to access, and cervical caries is the most difficult pathology to detect, so there is a rapid spread of caries and damage to the root and crown in a short period of time.

Causes of cervical caries

The cervical region is the most susceptible part to the effects of carious bacteria. In the slotted spaces between the tooth surface, the gum and the area between the teeth, an active atmosphere develops for long-term fixation of deposits.

Not thorough enough hygiene procedures oral cavity and teeth contribute to the formation in the deposits of microorganisms that cause caries.

Anaerobic microorganisms process carbohydrate deposits into organic acids, which contributes to the destruction of calcium and the formation of carious lesions.

Soft and carbohydrate-rich foods provoke the formation of dental plaque. Also, the emergence of pathogenic flora is influenced by general state body and the amount of minerals and vitamins in saliva. Saliva is able to neutralize the action of acid that destroys tooth enamel, and increase the amount of immunoglobulins that prevent bacteria from multiplying.

Violation of the secretion of the salivary glands and insufficient secretion of viscous saliva contribute to the fixation of bacteria in the pellicle, resulting in the formation of tartar. Violation of saliva production occurs due to the use of certain medicines and diseases of the stomach and intestines.

The anatomical structure of the root neck of the tooth in the root areas of the dentin has a very fine structure, which contributes to the rapid destruction when exposed to pathogenic microflora.

Cervical caries can occur when the functions of the endocrine system are disturbed, diabetes, hypofunction and hyperfunction of the thyroid gland.

Important! "Cervical caries requires immediate treatment, even at the initial manifestations, since the development of carious erosions can develop directly under the gingival mucosa and in the internal structure of the tooth."

Symptoms and diagnosis of the appearance of cervical caries

Symptoms of the formation of cervical caries can be differentiated by the following signs:

at the first stage there is a localization of the carious lesion on the surface of the enamel without affecting the dentin. A demineralization site is formed, which is expressed in a change in color, the appearance of a chalky or dark spot. The initial stage is easy to cure at home with the help of careful hygiene and saturation of the enamel with mineral elements;

Suspended cervical caries

With an increase in immunity and active filling of the enamel surface with the necessary minerals, the carious lesion may stop and not spread along the dentinal passages;

medium caries characterized by the formation of carious cavities in the cervical part of the tooth. The main lesion may occur in the gum pockets and may be expressed by pain syndromes. The dental cement of the root structure is exposed to pathological influences, inflammation can go to the periodontium.

With moderate degeneration, pain arises from chemical and thermal influences on the surface: when chewing food and atmospheric temperature changes. Pain sensations are short-lived and disappear in the process of adaptation to temperature changes.

Sometimes the average degree of caries damage proceeds painlessly, this occurs as a result of the destruction of the border between the enamel and the dentin area, the most sensitive area of the tooth. This phenomenon is most dangerous, since the destruction of the inner part of the tooth occurs unnoticed by the patient.

In some cases, when there is medium degree lesions, bad breath may appear, but this phenomenon cannot be indicative, since it occurs mainly when several teeth are affected.

deep cervical caries- this is the last stage of the disease, has a pronounced character, affects not only the surface of the enamel coating, but also the canals of the tooth: root, pulp and neurovascular bundle.

Diagnosing the symptoms of deep caries is not difficult, the pain syndrome progresses and is provoked by absolutely all external influences: food and water intake, temperature changes and any other factors of influence.

The carious area at the stage of deep damage has a pronounced character and is accompanied by fetid breath.

complicated cervical caries formed during the advanced process of development of a carious lesion with inflammation soft tissue tooth. The pulp becomes inflamed and provokes the occurrence of a pain syndrome that spreads to nearby teeth and jawbone.

Most often, inflammation of the pulp progresses to the development of periodontitis.

Diagnosis of cervical lesions

Among the most popular methods for diagnosing cervical caries are the following varieties:

visual method. Dental surfaces are carefully examined for discoloration, white or dark spots and the occurrence of plaque deposits on the cervical area of the tooth.

With medium and deep caries on the inner surface of the enamel, diagnosis occurs using a specialized mirror and probe. A severe lesion does not require any special diagnostic methods, since the affected area is visible to the naked eye.

Laser diagnostics. Hidden, internal and basal caries are diagnosed by laser fluorescence research.

This is the most sensitive technique for detecting carious lesions and the volume of enamel demineralization. The method is based on the use of argon laser beam, which highlights the surface and creates impulsive light waves, the degree of damage to the area is determined by their length.

When the enamel is demineralized, carious damage or other anomalies are found, the laser equipment emits an acoustic signal and displays the value on the device display.

Vital staining. This method is used for hidden carious lesions and identity with other diseases of the dental cavity, such as fluorosis. The suspicious area is pollinated with a solution of methylene blue dye, which, if pathological, stains the surface blue.

Tooth transillumination. An uncommon diagnostic method that allows you to identify the most initial manifestations of a carious lesion. The research process is carried out by shining teeth with bright rays with the formation of a special shadow effect when passing through the affected and healthy tissues of the tooth.

Important! “Diagnosing initial caries in the cervical region is difficult due to the similarity with the wedge-shaped defect of the teeth of non-carious ontogenesis. The identification of demineralized areas at an early stage occurs with the help of special coloring pigments that are applied to the enamel surface; in the presence of damaged areas, the tooth enamel is painted in its original color. This is due to the fact that tissue demineralization is accompanied by a porous structure and absorbs coloring pigments well..

Treatment of cervical caries

If you have been diagnosed with cervical caries, how to treat it due to difficult access to the required surface? The treatment of cervical caries is one of the most complex procedures in dental practice.

For the treatment of initial caries, it is necessary to eliminate dental plaque, clean gum pockets from carbohydrate deposits and intensively calcify and fluoride the enamel structure.

Treatment of superficial, medium and deep carious lesions is carried out using a mechanical effect on the tooth, which causes many problems due to the uncomfortable position of the affected cavity: the cervical defect often extends under the gingival region.

The process of treating a cervical lesion:

anesthesia of the required area;
cleaning the surface of plaque;
cleaning the carious cavity with a rotary instrument;
removal of all formed affected tooth tissues, the doctor grinds the edges and forms a cavity for further treatment and filling of the tooth;
with deep caries, the dentist depulps the tooth, the pulp is removed along with the nerve fibers;
the bottom of the damaged cavity is cleaned manually using a special excavator;
the resulting space cleared of carious areas is disinfected with antibacterial solutions, at a great depth a gasket is placed on the bottom to preserve the structure of the tooth;
the walls of the inner surface are treated with adhesive solutions to fix and firmly connect the tooth surface with the filling;
the cavity is directly filled and the subsequent grinding of the hardened filling is carried out.

Important! “The simplest method of rehabilitation occurs when a chalky spot forms in the initial stage of the disease. In this case, a traumatic effect on the tooth surface is not applied when using a drill and filling.

Prevention of cervical caries

Preventive procedures to prevent the occurrence of cervical caries consist in eating a large amount of roughage, raw vegetables, fruits and limiting bakery and confectionery products, strengthening tooth enamel by taking vitamins with a high content of calcium, phosphorus, and using special fluoride-containing toothpastes.

It is necessary to carefully observe oral hygiene, brush your teeth several times a day and use dental floss.

The main method of prevention is to prevent the appearance of dental plaques. At the first sign of plaque formation, contact your dentist for a professional cleaning.

Cervical caries is the most dangerous type of caries. The carious process manifests itself in the area where the tooth comes into contact with periodontal tissues. The danger of such a pathology is that in the first stages of progression, symptoms may not appear at all. Cervical caries goes unnoticed until the first severe pain. Also, in the area of the neck of the tooth, the thickness of the dentin is much less than in all other areas, so this type of caries quickly reaches the pulp chamber and degenerates into a deep process.

If cervical caries has reached the pulp, then absolutely all dental canals are affected, complications can develop, and in most clinical situations it is not possible to save the tooth. Therefore, it is important to timely detect the progression of the pathological process and prevent its further development. As practice shows, cervical caries affects mainly people after 30 years.

The reasons

The main cause of cervical caries is that the dentin in this area is much thinner than in other places. Also, the area of the neck of the tooth is very difficult to fully clean. Due to poor oral hygiene, accumulates in the cervical region a large number of soft plaque and stone. In these structures, pathogenic microorganisms that secrete acids begin to actively multiply. These substances destroy tooth enamel. Also, heredity can be attributed to the causes of the disease.

Predisposing factors to the formation of cervical caries:

enamel demineralization. This happens as a result of the vital activity of bacteria that are in the mouth, as well as due to changes in the biochemical composition of saliva. As a result of the activity of bacteria, lactic acid is released, which leads to the destruction of enamel (one of the main causes of caries);
avitaminosis. If there are not enough certain vitamins in the human body, then specific gum pockets can form, into which food debris can fall. As a result, pathogenic microorganisms will begin to multiply in these formations;
ignoring the appearance of chalky spots on the enamel. This is the first sign that indicates the development of cervical caries. If you start treating it at this stage, then the entire basal part of the tooth is not damaged and the tooth can be completely preserved.

stages

The carious process in the cervical region proceeds in several stages:

spot stage. A small whitish spot is formed on the surface of the tooth, which may not change at all for a long time. It is best to treat cervical caries at this stage of development, since it is possible to preserve tooth tissues and completely eliminate the pathological process;
carious process damages the surface of the tooth. It affects the upper part of the tooth - enamel. The tooth begins to react to stimuli;
average caries. The carious process penetrates deeper and affects both enamel and dentin at the same time. The patient has a strong sensitivity to various stimuli - chemical, mechanical, temperature. Pain, as a rule, passes rather quickly;
deep caries. The pathological process affects the deep tissues of the tooth, which are located in close proximity to the neurovascular bundle. The pain is unbearable, often occurs at night.

Symptoms

the appearance of a spot or cavity of various sizes;
pain while eating;
the tooth reacts to various stimuli - cold, hot, sour, sweet, etc.;
headache;
night pains (with deep cervical caries);
pain while brushing your teeth.

Treatment

Treatment of cervical caries depends on which stage of the pathological process is observed in the patient. At an early stage of disease progression, when only chalky spots are visible on the enamel, it is advisable to resort to conservative treatment. If a carious cavity of any size has formed, it is indicated to sanitize the cavity and seal it with composite materials.

Treatment of caries in the stain stage

The essence of the treatment of cervical caries at this stage is that the demineralized area of enamel must again be saturated with calcium. To this end, dentists use remineralizing agents, which contain active calcium and fluorine. Before applying such drugs, it is indicated to remove plaque and calculus from the surface of the affected tooth.

Treatment of caries in the formation of a carious cavity

It is possible to treat caries, in which the integrity of the tooth enamel is already broken, only with the help of a drill. Other methods in this case are not appropriate. The entire treatment process is divided into the following stages:

removal of plaque and tartar from the surface of the tooth;
The second stage is very important - the definition of color. It is important to choose the color of the composite material as accurately as possible so that it matches the color of the patient's enamel as much as possible;
preparation of an existing carious cavity. It is carried out only under local anesthesia;
tooth isolation;
covering the formed cavity with an adhesive;
filling the cavity and giving the tooth an anatomical shape. At this stage, the functionality and aesthetics of the tooth are restored;
polishing and grinding.

Prevention

Cervical caries is easier to prevent than to treat later. Prevention includes the following activities:

regular brushing of teeth;
for the purpose of prevention, it is recommended to visit a qualified dentist every six months;
after drinking drinks, coffee, sweets, juices, be sure to rinse your mouth;
Rational nutrition is also very important for the prevention of cervical caries. A person should consume a sufficient amount of vitamins and minerals;
strengthening the immune system.

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Diseases with similar symptoms:

Bottle caries is a disease that affects young children between the ages of two and four. Its name is quite original and is due to one of the reasons for the development of this pathological condition- bottle caries in children often develops due to the habit of drinking milk mixtures from a bottle at night. As a result of this, a large amount of food remains in the baby’s mouth all night, which is main reason caries progression.

Caries is a pathological process that leads to the destruction of enamel, a layer of dentin, resulting in a "hole". If you do not start treatment in a timely manner, then this pathological process can lead to total loss tooth.

AT modern world There is not a single person who has not experienced caries. In general, caries is a defeat of the tooth. Moreover, caries can occur in various parts of the tooth. This article will focus on one of the types of caries. Cervical caries is a lesion of the neck of one or more teeth.

First you need to figure out where the neck is.

crown,
neck,
root.

The crown is located under the gum. The root and neck of the tooth are protected by tissues. Hence the name cervical.

Symptoms of the disease

Most often, people start going to the dentist with severe symptoms, which are listed below.

Pain during various contacts with the teeth (brushing, eating, and so on).
Pain in the head.
Strong susceptibility of teeth to temperature changes, especially with cold or hot food.
With severe complications, night pain may occur.
Spots on the affected tooth.

There are cases when there is simply no pronounced pain. This is explained by the fact that with them, reserve dentin begins to be synthesized, the function of which is protection.

Causes

By themselves, the causes of any type of caries differ little from each other. Therefore, often an unknowing patient can confuse cervical with another type of caries. The reasons for the development of such damage to the teeth:

poor or inadequate oral hygiene. With dental hygiene, it is very important to maintain stability in this matter;
microbial activity. Because of their metabolic products, teeth begin to be damaged;
food. Wrong and unbalanced food intake also affects the occurrence of caries. So, the frequent use of carbohydrates and acidic foods increases the risk of onset of carious processes;
lack of vitamins (in particular B1);
hormone problems.

Problem development stages

Each stage is replaced by its own "picture". Therefore, it is important to distinguish between each of them. The steps are given below.

Spot. May not change for a long time. There are no pain sensations. But there may be a feeling of acidity and viscosity in the mouth, especially when consuming sour-milk and other acidic foods. There is a thinning of the enamel and it begins to turn into a matte shade.
surface stage. There is a feeling of roughness when feeling the spot. At this stage, pain already appears, because the enamel begins to break down. Eating sour, sweet, and spicy foods can also cause pain. There are frequent cases when this stage goes without any symptoms.
Medium cervical caries. A carious cavity appears and it is impossible not to notice it. There is an increase in pain. Continues to suffer enamel and dentin.
deep caries. There is a spread of the disease to the nerve nodes that are deep in the tooth. Increased pain at night.

Many doctors cannot accurately determine the stage of the disease. Since the transitions between each stage are very smooth. A feature of the flow is individual development. That is, for everyone, the manifestation of each stage will occur in different ways.

Peculiarities

For such a severe form of dental damage, the following symptoms are characteristic:

it affects the cervical region of the tooth, as it is poorly protected. From it begins inflammation;
distribution is circular. Often inflammation can reach the central part of the crown. In rare cases, the entire tooth and a small radius from it become inflamed;
maybe on the front teeth. Because of such cervical caries, there are nervous breakdowns(especially often with various speakers and artists).

Such a disease can lead to breakage of parts of the tooth.

Diagnosis of a carious lesion

It is extremely difficult to determine the onset of caries on your own. Better play it safe and go to dental clinic and get an inspection. Diagnostics is carried out in several ways:

electroodontometry;
stain staining (for example, two percent methylene blue);
X-ray method and other methods.

But before using one of these methods, the dentist will examine for:

the presence of a stain;
enamel condition. If it is destroyed, then this is the second stage. If the initial layers of dentin are also damaged, then the third. If the deep layers of dentin are also destroyed, then the fourth stage.

Treatment

Each disease has its own severity. The more advanced the disease, the more intensive the treatment. Therefore, each stage of caries has its own therapy.

The filling process will be complicated depending on the place of cariousness. If the far lateral teeth have undergone caries, it will be more difficult to get to them. The pain will also increase.

Video - Treatment of cervical caries

First aid home care

In order for the patient's pain to subside a little, you can resort to folk remedies. The list is presented in the table.

Means	How to apply
	2 tablespoons per half liter of boiled water. You can rinse your mouth up to five times a day.
	Soak cotton wool and apply to the site of localization of pain.
	One glass of boiled water for two tablespoons. Rinse preferably three times a day.
	Three tablespoons per glass of boiled water. Rinse as soon as pain occurs.
	Two tablespoons per glass of boiled water. Rinse four times a day.
	Insist for an hour. Use two tablespoons per glass of boiled water. Rinse every time after eating.
	Cut the onion into small pieces. Wrap in gauze. Apply to the painful area until the pain is relieved.

Treatment at home

For lovers of self-treatment, now there will be very good news. If the patient has only the initial stages of caries, then home treatment is allowed. It will have its relevance only if the disease is not in the last stages. For treatment, special fluoride-containing and calcium-containing toothpastes, gels, and so on are usually used. Thus, the enamel will be saturated, especially where the color is already changing. But there are a few things you need to be aware of when it comes to treatment:

it is necessary to take into account the individuality of each person. That is, one paste or gel can help one person, but not another;
you need to know that the remedy to be chosen must be chosen correctly. The success of therapy depends on this. Therefore, the responsibility lies only with the patient. No one has guarantees that the choice will be successful;
you can treat at home only at the very first stage. And, as you know, it is very difficult to determine the stage. It will be especially difficult for an ordinary person who does not have a dental education.

Prevention measures

In any pathological process there is a chain of disease. Therefore, in order not to get sick, it is important to break the chain at only one link. Therefore, for preventive measures, you can use the following measures:

reduce the amount of fast carbohydrates taken (sweets, cookies, etc.). It will also have a good effect on the figure. If you can not adjust the diet, then you can eat little. But in no case should you eat such food between main meals;
rinse your mouth after eating;
brush your teeth in the morning and before bed. Special attention must be spent in the morning. Before breakfast, you can not brush your teeth, because there is a load on the enamel. Therefore, you need to clean after breakfast;
as a preventive measure, you can use various dental floss, as they can penetrate into those areas where a toothbrush cannot reach;
eat more solid and rough foods (vegetables and fruits). They contribute to the self-cleaning of the oral cavity.