Karies or hole is a dental disease in the oral cavity caused by the activity of the bacterial destruction of the network gear (email, dentin and sementum). If the damage is not immediately tertangani will quickly spread and expanded. If the left, the teeth will cause the hole pain, the date the teeth, infection, even death. Currently, karies is one of the diseases that most often suffered by the descendants of Adam on the planet earth. Therefore, the world needs a dentist! (Halah! Narsis!)
The existence of karies very diverse, but the risk factors and stage of development similar to one another. Starting with a black spot or pale in the tooth surface, and then developed into a big hole. Sometimes karies not visible because it is under the surface, sometimes also seen. Karies caused by a specific type of acid produced by bacteria that berfermentasi with carbohydrates such as sukrosa, fruktosa, and glucose. Where the minerals composing the structure of teeth is very sensitive to this substance. When the pH around the surface of the tooth down into 5.5, the process demineralisasi (demolition) process faster than remineralisasi (formation). This resulted in the emergence hole karies or teeth. Depending on the type of expansion karies, the various treatments can be done to maintain the network and functional teeth.
Classification
Karies can be classified according to location, etiology (cause), progresifitas, and on the network due to strong teeth. One of the purposes this classification is to create a dentist and get a description of the situation karies illness suffered by the patient so that they can take the appropriate action.
Based on the location
In the classification based on the location, the division of classes by GV Black is a major benchmark in the world dentistry. Where the division is divided into 5 classes.
Based on the etiology
Based on the etiology have the 2 most commonly used by the dentist, including:
karies baby bottles and karies rampan.
Karies baby bottles karies that is found in the milk teeth in small children. Karies baby bottles due to glucose / sugar in the milk bottle, which continues to stick to when the baby sleeps. This habit is done by many parents because they do not want to be bothered with the child crying. While this practice will cause the sugar found in milk would interact with the hole quickly to form a tooth because of exposure in a long time with the child's mouth.
While karies rampan is karies growing dramatically, and many occurred in the teeth quickly in adults. Karies rampan many occurred in patients with xerostomia (less saliva), a bad mouth hygiene, the use of methampetamin, excessive radiation, and excessive sugar consumption.
Based on progresifitasnya
In general, simple and divided into 2, namely: acute and chronicles. Division and classification level more depends results from analysis of a dentist directly to the patient.
Chronicles characteristics-characteristics: sense of mild pain, sharp and short. Pain occurs due to the existence of excitatory hot / cold, sweet, the food is exposed. After the stimulus is finished, the pain will disappear by itself so that the patient usually does not take a headache because only a small effect ngilunya. While in this stage, if not immediately get treatment by a dentist, it will be increased to acute symptoms
Acute-feature characteristics: a sense of pain, dull, and old. Often come at the time of the bed. Pain without the need to have come excitative first. At this stage, patients have often complained. Drugs reducer pain sometimes can not overcome the pain that occurred.
Treatment:
Network terlanjur teeth that have been destroyed can not be a full and beregenerasi maximum. Although the recovery process can occur, but in the case karies teeth that are quite large so the only treatment with tambalan.Untuk lesi karies small, fluoride application oles or with toothpaste can stimulate the formation of the email services. To lesi already up, the only way to stop this is to lift the damaged network and replace it with materials penambal (porselein, resin, glass ionomer, amalgam etc.).
A dental handpiece or dental pengebur tool used to lift the network that already terlanjur diinfeksi by bacteria. When the network is broken up and lost, then the network structure of the tooth is damaged is replaced by material restoration to restore the function of mastication and teeth.
In some cases to restore the function of the patient's appearance, then made a tooth crown to replace the original teeth look like before ditulari karies teeth. While the level of karies worse, the root channel treatment is done to maintain the network of remaining teeth.
How karies prevention:
Oral Hygiene doing that through careful and painstaking cleaning teeth with the toothbrush or flossing. Clean tartar at least 6 months to achieve the maximum dental hygiene. For friends who live in Makassar, please come to me, rousing insyaallah cheap, free Rp.75.000, - once to clean tartar (huuuuhh campaign!)
Controlling food diet, especially for foods that contain sugar. If not already done so can avoid brushing teeth as soon as possible. Because "time" is one of the main factors forming karies. If it difficult to brush teeth, then at least do kumur-kumur, to reduce the sugar attached dipermukaan teeth.
Fluorida therapy, can be done with various modifications. Insyaallah I will soon publish articles related to this treatment system.
Finally, as my advice for you all (quasi cieee. wise ...) keep your teeth as well as possible. Be grateful because you have healthy teeth. Do not remember the dentist only when your teeth hurt, but remember, every 6 months. Very different taste sensation, between the teeth with false teeth creation when God used to chew.
One phenomenon that I find most often in the clinic the patient is often impose a tooth pulled when ill. Know O brother / iku, that you forcing seganas any dentist to pull a tooth that you are sick, the dentist will never do it! Even if the dentist pull a tooth that you are sick, it means the risk of your own responsibility! Pull a tooth because of the effects of illness are very large risk. From bleeding, infection to other vital organs, and so forth. So, often, often to control the dentist! Peace ....
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