Acid from bacteria dissolving the hard tissues of the teeth (enamel, dentin and cementum). The acid is produced by the bacteria when
they break down food debris or sugar on the tooth surface.
CLINICAL ASPECTS OF DENTAL CARIES
(A)ACCORDING TO MORPHOLOGY OR ANATOMICAL SITE
1.
Pit or fissure
caries
2. Smooth surface caries
(B) DEPENDING ON
THE RATE OF CARIEUS PROGRESION
1. Acute dental
caries
2. Chronic dental caries
(C)
BASED ON NATURE OF ATTACK
1. Primary or virgin caries
2.
Secondary or
recurrent caries.
(D) BASED ON CHRONOLOGY
1. Infancy caries
2.
Adolescent caries.
PIT
AND FISSURE CARIES
Primary type develops on the occlusal surface of molars and premolars in the
palatal surface of the maxillary incisors. They may appear brown or black and
with feel slightly soft and catch a fine explorer point.
SMOOTH
SURFACE CARIES
Develops on the proximal surface of the teeth or on the gingival third of the bucal mucosa and lingual surface.
ACUTE
DENTAL CARIES
Which runs a rapid clinical course and results in early pulp involvement by carious process. Occurs mostly in children and young adults
presumably because the dentinal tubules are large and open and show no
sclerosis.
CHRONIC
DENTAL CARIES
Chronic dental caries is that from which progress slowly and tends to involve
the pulp much than the acute caries. It is most common in adults. The entrance
to the lesion is invariably larger, because of this there is not only less food
retention but also greater access of saliva.
NURSING
BOTTLE CARIES
Also called baby bottle syndrome, which is mainly attributed due to nursing bottle contains milk or milk formula or
sweetened water, breastfeeding and sugar or honey sweetened pacifiers. Most
commonly four incisors are affected followed by first
molars.
ADOLESCENT
CARIES
Occurs mainly 11-18 years of age, these are usually seen in teeth and surface
that are relatively immune to caries with a relative small opening in the
enamel with extensive undermining enamel.
MEDICINES FOR DENTAL CARIES:
1. ASAFOITEDA: Caries of teeth
after abuse of mercury with drawing pain in the jaws and
copious salivation.
2. BARYTA CARB: Rapid caries,
toothache in decayed tooth before menses or from cold. Toothache worse when
thinking about it.
3. CALCAREA FLOR:
Dental caries premature in children, caries of teeth and upper jaw.
4. FLOURIC ACID:
Rapid caries of teeth, violent pain at the root of the right eye tooth with frequent
discharge of pus. Mouth and teeth coated with mucous morning.
5. KREOSOTUM:
Rampant caries with periodontitis, spongy and bleeding gums.
Rapid caries as soon as the teeth erupt. Tooth shows dark spots, begins to
decay. Premature greying of milk teeth aching and pain in diseased teeth. Bad
odour from decayed teeth.
6. MERCURIOUS:
Crown of teeth except incisors decay, teeth feels elongated. Toothache in
decayed teeth. Drawing stinging pain in whole side of face extending to ears.
7. MEZEREUM: Caries at roots
and sides of teeth while crown remains sound. Rapid caries, sensation as if
even the healthy teeth are plucked out of socket. Teeth decay on sides above
the gums.
8. STAPHYSAGRIA:
Rapid caries in chlorosis, teeth black and crumbling cavitation sub- maxillary
glands swollen necrosis of teeth. Tearing pain shooting to ears. Teeth decay
early in children; cannot be kept clean.
9. SEPIA: Rapid caries,
drawing pain in upper molars extending to ears decay of teeth in chlorosis.
Taste salty, putrid. Pain in teeth from 6 pm till midnight; worse on lying.
10.
SYPHILINUM: Teeth decay at gum; edges serrated, dwarfed.
Tongue coated, teeth-indented; deep longitudinal cracks. Ulcers smart and burn.
Excessive flow of saliva; it runs out of mouth when sleeping.
11.
THUJA OCCIDENTALIS: Teeth decay at the roots, crown remain sound, crumble
and turn yellow. Toothache from tea drinking.
HOMOEOPATHIC MANAGEMENT:
·
MOUTH- TEETH-
Caries: ant-c, bell, borax, fl-ac, merc, mez, natc, plb, sep, staphy.
-Diabetes mellitus- sulphuric acid
-Internal- selenium
-Crown- merc, staphy
-Decay as soon as they appear- kreos, staphy
-Gums edge- calc, syph, thuja
-Internal- selenium
-Premature in children- calc fl, calc ph,
flac, kreos, staphy, sil, mez
-Roots- mers, mez, sil, syphy, thuja
-Sides of teeth- mez, staphy,
thuja
PREVENTION:
Prevention of dental caries includes regular cleaning of the
teeth, a diet low in sugar, and small amounts of fluoride.[2][4] Brushing one's teeth twice per
day, and flossing between the teeth once
a day is recommended.[4][6] Fluoride may be
acquired from water, salt or toothpaste among other sources.[2] Treating a mother's
dental caries may decrease the risk in her children by decreasing the number of
certain bacteria she may spread to them.
Remember that homeopathic
remedies are prescribed based on individual symptoms and characteristics. It’s
crucial to consult with a qualified homeopath for proper evaluation and
personalized treatment. Homeopathy focuses on treating the whole person, so a
detailed case study is necessary to select the most appropriate remedy.
Homeopathic medicines should be
taken only when prescribed by a homeopathic physician. Self-medication may
aggravate the original conditions.
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