When the caries penetrates deep to the pulp of the tooth, specialized treatment is necessary. This treatment first begins with a thorough removal of the caries. Then comes the nerve protection, as well as the composite filling (chosen to match the natural color of the tooth). The entire process is performed under local anesthesia, which makes the treatment completely painless for the patient.
Despite all protective measures, these teeth have a higher risk of necrosis (spontaneous death of the nerve). This happens because the nerve is already damaged by the caries present. Although the tooth is clean and has an excellent filling, symptoms of mild (or severe) pain may appear over time. This pain lasts for a few days and then goes away. This is a sign that the nerve of the tooth is seriously damaged and that another treatment called endodontic treatment (root canal treatment) should be performed. In this process, the nerve of the tooth is removed and the root canals are cleaned, disinfected and filled with a special material to prevent further infection.
After placing a composite filling, teeth that previously had deep caries may show sensitivity to cold. This sensitivity is normal and should pass over the next few days. If the tooth after the filling is sensitive to pressure, it means that the new shape of the tooth during chewing has premature contact with one of the opposing teeth. This problem is solved by minimal correction of the point of the new seal.
Treatment of deep caries close to the dental nerve requires careful and professional handling to avoid complications. Despite the successful treatment, regular examinations are crucial for monitoring the condition of the tooth and responding promptly to any problems.
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