Can cavities be brushed with an electric toothbrush?

Written by Li Bao Hua
Dentistry
Updated on September 12, 2024
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Cavities can be cleaned using an electric toothbrush. However, if the cavity is severe, the vibrations from the electric toothbrush may cause pain. It is necessary to fill or treat teeth with cavities as soon as possible. Only after treatment can the progression of the cavity be controlled; merely brushing with an electric toothbrush cannot control the development of the cavity. Cavities are a destructive disease caused by bacterial infection of the hard tissues of the teeth. Control over cavities can only be achieved by removing decay and using a drill to remove the infected cavity tissue; an electric toothbrush cannot control the development of cavities.

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How to perform pulp drainage for dental caries?

Pulpotomy and drainage for caries involve a treatment method for acute pulpitis or apical periodontitis caused by infected dental nerves. Teeth are composed of enamel, dentin, cementum, and pulp tissue. The pulp tissue, also known as the dental nerve, is located within the innermost part of the tooth, surrounded by the hard layers of dentin and cementum. Therefore, once the dental nerve becomes inflamed, the pressure within the pulp chamber rapidly increases. To alleviate the pain, it is necessary to release this pressure, namely by performing a pulpotomy and drainage. This can be done by drilling to remove some of the infected dental tissues, and then opening up the pulp chamber to relieve the pressure, significantly reducing the pain. If the dental nerve is completely purulent and necrotic, the top of the pulp chamber can be removed, followed by thorough pulpotomy and drainage.

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What should I do if my tooth hurts the day after getting a cavity filled?

Toothache the day after grinding a cavity-ridden tooth may be due to the cavity being deep and close to the pulp chamber. The pain could be caused by not placing a protective pulp material at the bottom of the cavity during the dental filling. It is recommended to remove the filling material and then place a layer of protective pulp material at the bottom of the cavity, and to observe further. The pain experienced the day after grinding may be due to injury during the grinding process or from exposure to very cold or hot substances, which can stimulate the nerves and cause pain. It could also be due to improper handling during the procedure. If the pain is mild and does not affect eating, it generally is not a serious problem. However, if the pain is severe, it is advisable to visit the dental department of a regular hospital for a re-examination. During treatment, avoid spicy, irritating, and very hard foods, and eat more fresh vegetables and fruits.

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Cavities that do not hurt still require root canal treatment.

Cavities that do not hurt may or may not require root canal treatment, depending on the extent of the decay. If the cavity has not reached the dental nerves, there will not be noticeable pain. In such cases, since the decay is relatively superficial, direct filling, or dental restoration can be performed without the need for root canal treatment. If the cavity is severe and has reached the dental nerves, causing the nerves to become necrotic and purulent, there will be no pain due to the loss of sensory function from nerve death. In these situations, root canal treatment is needed. This involves removing the infected dental nerves, followed by medicinal treatment of the root canal, and after the inflammation is controlled, filling of the root canal is performed. In other words, a painless cavity might actually be caused by necrosis and pus formation in the dental nerves, requiring root canal treatment.

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Dentistry
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What will happen if you insist on not getting a root canal for a cavity?

When a patient has dental caries, if they insist on not undergoing root canal treatment, it may lead to the exacerbation of tooth decay, damage to the tooth root or gum tissue, and long-term stimulation can cause the gums to shrink, and even lead to tooth loosening and loss. Therefore, it is recommended that if a patient has dental caries, the best method is to perform some filling restorative treatments. If the decay reaches the nerve of the teeth, it can cause symptoms of nighttime pain, or biting pain, so it is advised that the patient should undergo root canal treatment. Once tooth decay occurs, if it cannot be treated with self-repair, it is not possible to completely heal itself, and this will lead to further development.

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How long does it generally take for the pain from a cavity to ease when biting?

When patients experience some occlusal pain due to tooth decay, the time it takes for relief depends on the patient's inflammation levels and the treatment measures taken. If the patient receives timely treatment and effectively alleviates the inflammation, it generally takes about a week to heal and relieve the pain. If the patient does not undergo treatment, the condition may worsen and the pain may persist longer. Therefore, when a patient has tooth decay, it is best to visit a hospital for a consultation. Treatment should be administered based on the extent of the decayed tooth, and in severe cases of decay, tooth extraction might be necessary.