Ashamed to say, I hardly ever brushed my teeth seriously because of the trouble. Compared with my mother, who always has a toothache, my father, whose teeth are visible to the naked eye, and my younger brother, who goes to the dentist every three days, I feel like I am the son of heaven.
Until the hidden problem is exposed in the doctor’s eyes.
Danger! The hole is starting to get bigger!
I can’t remember exactly when this cave was born, but it seems to have been three months ago. However, I clearly remember eating chicken for dinner that day. At that time, I was chewing the meat and felt that the time was quiet. Suddenly, the second-to-last tooth on the lower right bit something hard, and the pain was so painful that I almost “lifted up to the sky”. I knew that there must be a small piece of bone mixed in with the meat. After groping with my tongue to spit out the broken bones, the toothache was relieved a lot. I tried to bite, it still hurts, but I thought it would be fine as long as I didn’t use it to eat, what a big deal.
After about three or four days, I accidentally licked the tooth and realized there was a hole in it. After a long period of time, I couldn’t bite hard on that tooth, but I still didn’t think it was a big problem, and I kept eating with my left tooth.
One night, I was habitually licking the hole, and suddenly I felt something in my mouth, and I spit it out and found it to be a small piece of hard object. Wait, it’s not my tooth! I licked it again, and the hole really got bigger. But I have a big heart. After Xiao Xian was surprised, I thought it wouldn’t hurt anyway, so I ignored it.
In fact, I am somewhat aware of the problem, but I just don’t want to go to the doctor. In addition to being lazy, more importantly, I am afraid. When I was young, my deciduous teeth were indestructible and would not give way to the permanent teeth that had already grown. So I visited the hospital many times for tooth extraction, which planted the seeds of fear. So, even though I know it’s more troublesome to procrastinate, I still insist on procrastinating one day at a time.
A few days ago, I was lying on the bed leisurely, chewing toffee while playing with my phone. I carefully chewed the sugar in my right mouth for a while, it didn’t hurt, I was relieved (I don’t know how many times I was relieved, ah no, I comforted myself). But the more you chew it, the worse it gets . There is a lot of slag in the sugar . I spit out the rest of the sugar, and there are a lot of small black spots on it. There seemed to be scum in my mouth too, I rinsed my mouth and licked it, my God, the hole got bigger again!
A small piece fell off last time, but this time it was directly smashed into slag, so it seems that my teeth are directly rotten!
I finally decided to go to the hospital. There’s no time left at the start of school, so make up for it while you still have a few weeks off.
Accidentally “harvested” four other caries
The doctor broke my tooth with tweezers
I’ve been trying to calm myself all day: it’s just a hole, just fill it up, it’s not a tooth extraction, we also have experience in tooth extraction, right? It really worked, and I didn’t even panic when I waited in the hospital with my mom in the afternoon.
When it was my turn, I started to get nervous when I climbed into the dental chair. The doctor told me to relax and take off my glasses. As soon as I opened my mouth, the doctor said in shock, ” Wow, such a big hole! “
I thought to myself, it’s over.
“Your problem is more than this hole,” she said, pointing to my mother. “Look, there are broken ones here, too. There are also broken upper teeth.” At this time, I tried my best to maintain my dignity: I waved my hand and brought it close to see that I was broken. Tooth’s mother drives away, trying to justify inarticulately. The doctor directly turned into a prophet: “Do you like to eat snacks and brush your teeth well?” Well, I admit it.
After re-examination, the doctor found some signs of acid erosion on my teeth, so she made a second prediction: “Do you like to drink carbonated drinks?” She was a little surprised to see that I denied it. Next to me, my mother hurriedly said, “She really doesn’t drink it, so she occasionally drinks milk tea.”
“You should also drink less milk tea.”
In fact, I don’t have any “obsession” with milk tea. I only buy it once after a long time. How could my teeth be so bad?
The doctor took a pair of tweezers and broke off the broken teeth piece by piece without any pain, but I was terrified: I can break it off with my bare hands, are my teeth so bad?
While operating, the doctor said, “You are so bad, it must be painful, right?” I said it didn’t hurt, and she expressed shock and suspicion again. I went to great lengths to explain that it didn’t really hurt and to make my problem sound less serious.
“You may need treatment.” At this moment, my mom and I both understood what she meant by “treatment”. I only had one thought left at the time: if root canal treatment is really going to be done, it would be better to just pull it out.
After the doctor finished breaking it, he sat up and said, “I think her condition is very serious, but since the child says it doesn’t hurt, let’s make up and observe it first, and then treat it if it doesn’t work , and try to keep the nerves as much as possible.” I breathed a sigh of relief.
Then the doctor took out a high-speed mobile phone, which many people thought looked like an electric drill. But I know it’s not going to drill in like a power drill, it’s used to sand down the broken areas. It hurts a bit when grinding deeper, but it’s not a big problem. It was then that I realized that seeing the teeth was not very painful at first, but the psychological suggestion of “fear” would make me super scared.
The drill bit rubs against the teeth at high speed, and it sprays cold water for cooling, so the doctor “drilled” for a while, then told me to spit out the water and rinse my mouth. After doing this over and over again, I feel like I have done the amount of sit-ups in my life in half an hour.
After grinding out the damaged parts of the five teeth one by one, the doctor said: “If these caries are not treated in time, it will be more troublesome when they start to hurt in the future… Such a big hole is broken…”
I quickly explained that it wasn’t bad, it was rude. The doctor said that it is because the inside is broken that it is easy to get out of the hole. Then, I received the first little tip from the doctor: ” Your gums are all red and swollen, you must brush your teeth well, and go to the Internet to earnestly learn the horizontal vibration brushing method. “ I was shocked again! I can’t even brush my teeth!
Horizontal flutter brushing method丨Reference 1
The doctor turned around and started to fiddle with it. I saw that she took out a needle-like thing, and took out a “needle” from the bag and put it on. I was flabbergasted, even though I had a tooth pulled, it was scary to be caught off guard to get a needle in the gum.
When the syringe was stretched out, I could see that it was not a needle, but a hollow bent tube, so I opened my mouth with confidence. The doctor pushed a little medicine into the grinding hole, but too much medicine flowed onto my tongue. It was a little sour and spicy. Anyway, the taste was not good. I insisted on gargling until my tongue was numb. . The doctor pushed some medicine again, this time it was bitter, and then irradiated it with ultraviolet light, and gave a second tip: ” Whether it’s a meal or a snack, remember to rinse your mouth after eating, and if you’re not afraid of trouble, brush it Teeth will do. “
After all the teeth were filled, I was finally relieved, and there was always a medicinal smell in my mouth, said to be the smell of fillings. The doctor told me to eat normally and observe for a week to review. If there is no pain from hot and cold, it will be fine, otherwise root canal treatment is required.
A dreadful week
During dinner, I tried to take a bite of the steamed bun with the right side. I was a little unaccustomed to it. I could feel that it was not my own teeth, but chewing would not hurt, and I couldn’t help but chuckle. Carefully drink some warm porridge, it does not hurt, I am so happy to fly! With confidence, I poured a mouthful of cold water, and my heart also cooled: the affected tooth clearly felt cold and painful . It’s definitely because I haven’t recovered well, there’s still a week left, and I absolutely can’t do sit-ups any more!
Despite my efforts to console myself, I was still afraid and obediently brushed my teeth before I had a few bites of dinner. The mint-flavored toothpaste occasionally gets on my lips and tongue, and it’s hot, and I can’t help but miss the children’s toothpaste as a child.
At night there is still a dull pain in the tooth, which is very light, but it is difficult to ignore. Now every shred of it affects my destiny.
The next day, I basically got used to the taste of the medicine, the toothache was weaker and shorter, and drinking cold water didn’t hurt anymore. I wanted to try an ice cream, but I didn’t dare.
On the third day, in order to face my fear (definitely not greedy), I carefully took a bite of the ice cream, it didn’t hurt, I was super happy! However, after nibbling on a refrigerated apple at night, the toothache came back, and this time it hurt even the right half of my face, but it was still very weak. Why can’t the pain be so severe that it makes me desperate? It’s really hard to be so lucky and nervous.
Later, the smell of the medicine gradually disappeared, and the pain in my teeth was completely gone, and everything was getting better. This week, I looked at all kinds of desserts at home, and I have more than my heart but not enough teeth. Although the doctor didn’t say to avoid it, I still dare not act rashly.
Review ≈ Sentencing Day, “Not Guilty”
On the day of the review, I was full of confidence, but when I entered the clinic, I started to feel scared again. Fortunately, there are still patients ahead, and I have time to prepare. Sitting on the sofa and praying, I brushed my teeth every night for the past seven days, and I didn’t even touch the sandwich biscuits. God bless me that I don’t need root canal treatment…
Thinking like this, it’s my time, and my mother quickly told us to review it. The doctor looked at me for a while, then recalled it for a while, and then asked, “Where’s the tool?”
The unreliable mother then remembered that the doctor gave a small box when she left last time. She thought it was a disposable toothbrush or something, but she lost it, and now she has to buy another box. Seeing that the doctor wanted me to lie down, I hurriedly said that my teeth didn’t hurt. She explained that the medicine was given last time, and this time I had to change to a sturdy material .
I sat on the reclining chair in a daze, and the doctor looked at my teeth: “You still haven’t brushed your teeth properly.”
I said, “I haven’t brushed yet today.”
“Then what did you do in the morning?”
“Didn’t you say brush at night?”
The doctor laughed angrily, and solemnly announced: ” Sooner or later, you have to brush! “
There was another round of left and right stabs, to grind off the last medicine first. After grinding half, the doctor squeezed the tweezers and pulled the remaining half directly out. Dude, are all dentists so powerful? Then she stuffed my tongue with a wad of cotton, stuffed a cotton dipped in syrup into the hole, and started fiddling.
“Rinse your mouth.” The doctor ordered coolly. I rinsed my mouth and tried to bite. The affected tooth came out a bit higher, and the upper tooth seemed to be bitten on cotton.
“Okay,” she said as she let me down.
Is this all right? Not too scary.
Before leaving, I hurriedly asked, what was the thing called. The doctor smiled: ” It’s glass ionomer, a filling material. “
ah? The glass ion taste seems to be a little sweet.
After I got home, the odor was gone. Halfway through dinner, the filling seemed to be “compacted” with cotton, and my teeth were finally able to fully bite .
Overall, it was a relatively pleasant dental experience. I still bleed when I brush my teeth, maybe it will improve if I keep brushing my teeth well. My teeth, you are frightened, I will love you well in the future!
Doctor Reviews
Ding Yijian丨Deputy Chief Physician, Department of Oral Medicine, The First Affiliated Hospital of Zhejiang University School of Medicine
Dental caries is an oral disease with the highest incidence, and because of its long course, slow progression and generally not life-threatening, it is not easily recognized by people. In fact, caries is very harmful. In addition to pain and affecting chewing function, when the disease develops deep into the tooth, it can cause a series of complications such as pulp disease, periapical disease, and jaw inflammation , which seriously affects the health of the whole body.
Dental caries is a multifactorial bacterial disease of the oral cavity. Susceptible host, oral bacteria, acid-producing food and sufficient time are four important factors of dental caries.
The theory of quadruple factors of caries | meipian.cn
Bacteria are the main factor in the occurrence of caries. Bacteria in the oral cavity colonize the tooth surface to form dental plaque biofilm, and the plaque becomes the initiating factor of caries.
Host susceptibility refers to the individual’s general condition, tooth morphology, dentition structure, saliva composition and flow rate, etc., which affect the anti-caries ability of teeth.
Carbohydrate foods, especially sucrose , are used by plaque bacteria to provide energy for continued metabolism and acid production.
In addition, each process of caries occurrence and development takes a long enough time . Only when the oral microecological imbalance is caused by poor oral hygiene and frequent consumption of sugary foods for a long time, the oral microorganisms metabolize carbohydrates to continuously produce acid, and the pH of the plaque is below the critical pH (5.5) for a long time, will the demineralization of the hard tissue of the teeth finally occur. , forming a cavity visible to the naked eye.
The patients in this article underwent dental caries filling treatment, which effectively prevented the progression of caries and restored tooth morphology and function. However, the treatment of caries is not limited to filling of caries. Active and effective measures should be taken according to the cause to control dental plaque and form good oral hygiene habits . This is of great significance for preventing and controlling the development of caries. The basis for maintaining the effectiveness of caries treatment.
Plaque control methods include, but are not limited to, using the horizontal flutter brushing method mentioned above (you can go to the Chinese Stomatological Association to watch the instructional video https://ift.tt/1mBDCZJ) to correctly brush your teeth twice in the morning and evening , and flossing or interdental brushing to remove plaque, soft scale, and food debris between teeth. At the same time, the intake and frequency of sugar-sweetened diets should also be controlled.
For children and adolescents, it is recommended to have a regular oral examination every 3 to 6 months, and the rational use of fluoride, pit and fissure sealing , etc. should be adopted in professional medical institutions to enhance the anti-caries of teeth , and to establish a good self-oral as soon as possible. health habits. For adults, it is recommended to have an oral examination every 6 to 12 months to achieve early detection and early treatment.
I hope everyone can have healthy teeth.
references
1.Suhasini, DJ (2020). Causes laceration of the gingiva 2 ) Modified Bass Method / Sulcus Cleaning Method : FIG 2 : Shows modified bass technique.
2. Philip N, Suneja B, Walsh LJ. Ecological Approaches to Dental Caries Prevention: Paradigm Shift or Shibboleth? Caries Res. 2018;52(1-2):153-165. [PMID: 29320767. DOI: 10.1159/000484985. ]
Personal experience sharing does not constitute diagnosis and treatment advice, and cannot replace a doctor’s individual judgment on a specific patient. If you need to seek medical treatment, please go to a regular hospital.
Author: the way home
Editor: An An An Anni, Li Xiaoqiu
Cover image: Figure Worm Creative
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