Treatment under sedation

The parents came in requesting removal of dark, pigmented plaque on their child's teeth.

Aesthetic discomfort, uneven tooth color, accumulation of dark deposits near the gum line.

The examination revealed:

• massive pigmented plaque on the front and lateral groups of teeth
• deposits located mainly in the gumline zone
• signs of insufficient hygiene

Important: this is not caries, but without control it can create favorable conditions for its development.

The parents came in due to pronounced carious lesions of the front teeth in their child.

There was a change in enamel color, tissue destruction, increased sensitivity, and discomfort while eating.

The examination revealed:

• deep carious lesions in the front group of teeth
• significant demineralization of the enamel
• destruction of the crown portion
• high risk of rapid process progression

The situation required immediate comprehensive intervention.

The parents came in requesting comprehensive treatment for their child.

Complaints — multiple tooth lesions, aesthetic discomfort, inability to chew food properly.

The clinical examination revealed:

• multiple caries in the front group of teeth
• significant destruction of the crown portion of individual teeth
• demineralization and pigmentation of the enamel
• risk of further rapid progression of the lesions

The situation required complete oral rehabilitation in a single visit.

Alice's mother came to the clinic with complaints of tooth pain in her child, which intensified during meals and at night.

After examination and X-ray diagnostics, a deep carious cavity was found that had already connected with the pulp (nerve).

Treatment
Treatment was performed using computer-controlled anesthesia and mandatory rubber dam isolation. During the opening of the cavity, purulent exudate was found, after which root canal treatment was performed according to modern protocols.

The patient's parents came in with a complaint about a chip in the filling of permanent tooth #6.

The tooth had previously been treated with root canal work, but the old restoration had been placed at the gum line, which over time led to it chipping and losing its seal.

The examination revealed:

• Tooth #6 — disrupted marginal fit of the old filling.
• Tooth #5 — deep carious cavity with pulp damage.
• Tooth #7 — moderate caries.

Important: in teenagers, caries progresses faster than in adults. Even minor pigmentation or a "spot" can turn into a deep lesion in a short time.