Caries, pulpitis: how many teeth can be cured by a dentist at one time


For quite a long time, dentists have used, and still in some cases use the rule “One visit — one cured tooth”, but sometimes, for example, in the treatment of pulpitis, in order to completely cure a tooth, it may take more than one visit. What is the rationale for such actions? Is it possible not to stretch the «pleasure» and cure all the teeth at one time? Dentists say that in some cases it is possible, and special procedures have even been created — «check-up». But sometimes the treatment of caries and its complications, as well as the extraction of teeth, will have to be evenly distributed between several appointments. Why? Explain MedAboutMe.

Treatment of caries in one step

Treatment of caries in one step

Dentistry of the past cannot be compared with modern dentistry. Equipment, treatment methods are aimed not only at a qualitative result, but also at comfort for the patient.

Dentists can offer various methods of anesthesia for even minor interventions, not to mention more serious ones. Dental treatment in a dream (sedation) and under anesthesia is gaining momentum in popularity.

It was in the peculiarities of anesthesia that they previously saw the main reason for the principle «One visit — one cured tooth.» For each patient, a certain anesthetic was selected, but no one has yet canceled its overdose and the maximum allowable doses, but at the same time its duration was limited, and it was only enough to treat one dental unit.

In the past, anesthesia was not used in the treatment of superficial caries, and it is not required, since all manipulations are carried out in areas of the tooth that are devoid of sensitivity. In this case, the dentist can cure at least all the teeth at once and send the patient home until the next appointment.

If more serious manipulations are coming, for example, when caries has passed the dentin-enamel junction, then one cannot cope without anesthesia. Depending on the chosen method of anesthesia, not a single tooth, but several adjacent ones, falls into the zone of action. Subject to the promptness of the dentist, several teeth can be cured at once, and the filling can be postponed until later, when the effect of the anesthetic will decrease.

Previously, some 20-30 years ago, dentists did not use this practice, and there were many reasons: the absence of anesthetics with a long duration of action, the equipment was “less fast”, there was significant vibration and overheating of the pulp during preparation, which increased the risk of complications .

Modern dentists, who have the latest equipment at their disposal, can treat several teeth at one time with the help of strong anesthetics. And there is nothing difficult in this. But there is one condition — it must be caries. Treatment of its complications will require additional preparation, and the course and diagnosis may require separation of appointments to monitor symptoms and complications.

Features of pulpitis

Pulpitis is an inflammation of the dental pulp, which is most often considered as a complication of caries. There is no need to talk about the symptoms of pulpitis, many know firsthand about acute pain, sleepless nights and the only thought “When will it all end?”.

The treatment of pulpitis requires some preparation and some additional research methods. Difficulties are added by the fact that in some forms of pulpitis, the patient cannot say which tooth hurts. Only the side is unmistakably determined — the upper or lower jaw, on the right or on the left, or is it the front group of teeth.

Only a dentist after some tests can determine the diseased tooth and offer treatment. But even this is not the most difficult.

The success of the treatment of pulpitis depends on the patency of the root canals, as well as the state of the pulp and the type of inflammation: acute or chronic. If we talk about the possibility of carrying out treatment in one visit, then the peculiarities of pulpitis anesthesia add to the difficulties. Many dentists say that it is much easier to anesthetize tooth extraction than pulpitis. Despite all the difficulties, the treatment of caries complications may be included in the “check-up” procedure in dentistry, but this will require compliance with certain requirements:

  • careful preliminary preparation and additional research;
  • treatment should be carried out under the control of visiography, in other words, the dentist must see how he goes through the root canals and control the filling.

Unfortunately, not all clinics, especially state-owned ones, have modern and expensive equipment. Perhaps for these reasons, the check-up treatment protocol is not so common, and only a few clinics can offer such a service.

How many teeth can a dentist remove at one time?

The tactics of surgical treatment is determined by the patient’s condition, indications for removal, as well as possible complications associated with the reason for removal. In patients with jaw fractures, all teeth that enter the fracture line are removed, regardless of their number.

If we are talking about serious and dangerous surgical pathologies, for example, phlegmon, abscesses of the head and neck, osteomyelitis of the jaw, then the dentist can also remove several teeth.

Of particular note is the removal of wisdom teeth. It is worth noting that most often they are incorrectly located in the jaw, which makes it difficult to remove them. Within the walls of the hospital, under appropriate anesthesia, the dentist can remove several third molars at once, regardless of their location, for example, these can be the upper wisdom teeth on the left and right. The only condition is that patients should be monitored within the walls of the hospital.

How to prevent complications?

How to prevent complications?

Almost all pathologies of the oral cavity are diagnosed by collecting complaints, visual examination and instrumental methods of examination, in some cases additional manipulations may be necessary: ​​radiography, visiography.

This is necessary to avoid complications. The possibilities of modern dentistry are such that strong anesthetics with a long duration of action make it possible to cure several teeth at once at one time. After a preliminary consultation with the dentist, it is possible to sanitize the entire oral cavity in one step, but everything will depend on the clinical situation. If we are talking about the multiple form of caries, its complications, few of the patients will be able to sit in the dentist’s chair for several hours with their mouth open without consequences in the form of pain in the joint, which can persist for a long time.

Only the dentist together with the patient can decide on this possibility. In this case, the doctor must identify possible complications and consequences.


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