Caries and prophylactics

The removal process

Thanks to accurate diagnostics, we start by locating the caries and determining their exact dimensions in order to follow through with the treatment.

Carie removal at Dentisterie du Bergerac is performed painlessly with state-of-art equipment. The process is accurate, quick and effective thanks to our use of cutting edge dental technologies. For your comfort throughout the process we offer special headphones or glasses with which to listen to music or watch television, thus making your experience more comfortable.

Your choice of fillings: photopolymer or ceramic
If the state of the caries is advanced, we would urge the patient to opt for CEREC ceramic filling instead of the standard photopolymer filling, as the former is more aesthetically appealing and three times more durable.

Carie removal - Painless abolition of caries - Dr. Dimitrovski

Minimally invasive dentistry

Tooth caries is among the most modernday widespread but preventable diseases which affects a significant part of the world population, and which starts during childhood. The caries process can best be summarized as a continuous cycle of demineralisation and remineralisation caused by interaction of environmental factors, genetics and, last but not least, behavioral factors.
Thanks to Dentisterie du Bergerac’s state-of-art diagnostic equipment, and our personalized approach to prevention and treatment of tooth caries, which is fully compliant with preventive and re-mineralizing protocols, we reliably detect early-stage changes and risk factors that lead to caries, as well as early-stage caries themselves.
Early detection enables us to use minimally invasive dentistry methods. In all cases, early or advanced, the removal process at Dentisterie du Bergerac is carried out painlessly, thanks to the experience of the dentists, the modern equipment and the use of state-of-art, tried and tested treatment methods. And in order to make the environment as non-clinical as possible, we offer our patients special multimedia glasses enabling them to enjoy their favorite movie or concert during the procedure.

What is minimally invasive dentistry?

Minimally invasive dentistry is a milestone concept in contemporary dentistry. The basic principles on which it is based are:

  • Early identification and assessment of the potential risk factors at the earliest possible stage, in order to help prevent caries by eliminating or reducing risk factors.
  • Determining the cause behind the development of carries
  • Prophylactics plan preparation.
  • Providing etiopathogenetic treatment with the intake of bioactive re-mineralizing devices.
  • Money spent on targeting disease prevention is money well spent and one of the best investments you can make in your health.
  • A conservative approach to tooth restoration

What distinguishes minimally invasive dentistry methods from the traditional surgical approach?
The traditional surgical approach of filing and filling only treats the disease symptoms, not the cause, and does not focus on prevention. Contemporary dental medicine assesses this method as not sufficiently effective because it doesn’t treat the disease. This risks bringing about a vicious cycle of restoration and replacement as the cavity gets larger, with obturation requiring increasing loads thus weakening the tooth. In minimally invasive dentistry, when caries must be treated surgically, we strive to retain maximal quantities of the original tooth structures and we use bio-active materials that enhance the restoration of the  demineralised enamel, thus protecting it against further damage. The application of minimally invasive techniques ensures that no tooth quantity beyond what is strictly necessary is removed. Only the irreversibly modified dentine is removed; the weakened but healthy tooth enamel is preserved and strengthened. It is totally unacceptable to sacrifice natural tooth tissue by stuffing large caries in the old-fashioned concept of “extension with the aim of prevention”. Modernday composites allow us to achieve better results instead of removing natural tooth tissue and replacing it with crowns.

Direct restoration is another minimally invasive method.

Treatment starts with the administration of anesthesia, caries are removed from the teeth, and, in a non-caries processes, a slight roughening of the enamel and dentine is carried out. Cofferdam – a rubber sheet tightly fixed around the tooth isolating the tooth from saliva and ensuring a clean and dry field for the dentist and comfort for the patient, is placed and  the enamel and dentine are processed with an acidic solution that roughens the tooth surface, bringing about a manifold increase. The composite is placed and polymerized with a photopolymer lamp. Then comes the step-by-step composite placement. In case of  walls deficiency, matrix and wedges are installed.

Tooth restoration requires carrying out functional modeling and via tubercles construction, which can also assist in chewing. Precise tooth anatomy modeling helps set adequate chewing contact points thus greatly enhancing food digestion. This process also yields a high degree of aesthetics. The final stages – surface finishing and polishing, will ensure greater durability, smoothness and shine. Straying from the process will eventually bring about micro-filtration, which constitutes the basic factor of the recurrence of caries.

The restoration of teeth, in colour, shape and dimension is a painstakingly precise procedure much akin to a beautiful work of art.