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Procedures that dentists do not do for themselves and do not advise others
We asked the doctor what kind of dental procedures she would never have dared to do.
– The Internet is now full of tips for whitening teeth at home, and I read some of them with apprehension.
Teeth whitening with soda, activated carbon, turmeric and other abrasives.
Your teeth will receive nothing but harm. All abrasives simply scratch off the top layer of the enamel, creating a temporary and deceiving whiteness. After using such methods, the enamel becomes more vulnerable, increased sensitivity appears. The effect of such whitening disappears in a couple of days, leaving problems that will need to be addressed in the future. Choose natural enzymes like pineapple or papaya. The effect will be weak compared to lamp whitening, but at least safe.
Speaking of whitening with a lamp, I would not whiten teeth with the previous version of the Zoom 3 system. Studies have shown that the pulp of the tooth reacts during such whitening, which can lead to complications in the future. Choose the latest generation lamp for this procedure – Zoom 4.
I also recommend that everyone avoid whitening in beauty salons or malls that are not medically licensed to practice dentistry. This can lead to irreversible consequences.
Bridge prostheses
Previously, they were widely used in dentistry to replace lost teeth. I am totally against this method of treatment today. When placing a bridge, the entire load is distributed to the abutment teeth, which, over time, simply cannot withstand, and they have to be removed. The bridges are lengthened, the load on the next abutment teeth increases. The patient does not have time to look around, as will be left without teeth at all.
It is the XNUMXst century, and today implants are perfectly used. A tooth is missing, an implant is installed in its place, which completely takes over the load of the missing tooth, and the patient is healthy and happy.
Metal-ceramic and stamped crowns
Also the last century. I would like to believe that stamped ones are no longer used at all, since there is no need to talk about any anatomical restoration of a tooth with its help, except as a conditional one. A stamped crown is a coping that approximates the anatomical shape of the tooth. Often the teeth under such crowns simply rot due to the lack of tightness and the ingress of saliva under the crown.
A porcelain-fused-to-metal crown is bad because it contains metal on top of which ceramics are applied. Accordingly, such a crown is very voluminous and requires more grinding of healthy tooth tissues. And our task is to preserve as much volume of our own tooth as possible. Further, the gums do not like metal, local inflammation develops in this area, tooth-gingival pockets are formed. Plus, there is no need to talk about aesthetics with cermets, the gum in the area of such a tooth looks cyanotic.
Give preference to metal-free structures. The teeth will last much longer and will be more intact.
Fissure sealing
This procedure is very fond of in children’s clinics and is done by everyone indiscriminately. I am apprehensive about this seemingly “simple” manipulation. In a nutshell, fissure sealing is filling the natural fissures of the teeth with a sealant.
Fissure is the most important anatomical formation on the surface of the tooth, conceived by nature for a reason. This is a kind of hydraulic discharge of the masticatory tubercles.
When we chew food, a lump forms. The contact with the tooth surface is very tight. Along the fissures, the food lump is just coming out. Thus, the fissure relieves pressure on the tooth surface. And if the fissure is filled with composite, a hydraulic press is created in this area. And often by the age of 14 in children with sealed fissures at an early age, we can observe pathological abrasion of the enamel. This, in turn, leads to bite pathology, with all the ensuing consequences.
There is only one indication for sealing fissures – the high-intensity development of caries in a child.