The first part of Dr. Hossein Borjian's talk about the necessity of dental scaling

What is the necessity of dental scaling?

We will see very important and practical explanations of the best dentist in Isfahan.

Dr. Hossein Borjian, specialized fellowship in dental lasers from the University of Genoa and the founder of Najm Dental Pioneer Institute.

What I am telling you now. It is related to subgingival ultrasonic scaling of teeth. In relation to this treatment, we must first address the problem of plaque and bacterial plaque and the need for plaque removal . When bacterial plaque and protein substances caused by saliva and food sit on the teeth. And approx 48 If the watch remains on the teeth, it will be mineralized. and turning into a hard object called calculus or what the common people call dental plaque, which cannot be removed by brushing.. One of the worst dental caries is subgingival caries. As you know, the gum is not completely attached to the teeth without gaps.. Rather, a groove between the gum and the tooth in the first few millimeters that is normal 0 until the 3 There is a millimeter.
Subgingival plaques are one of the worst and most risky microbial agents in the oral environment.
Dental plaques, both above and below the gums, cause two major problems:
First, the problems of dental caries are especially in the collar of the teeth, in the place where the tooth meets the gum.. Consider that there is a mineral mass on the tooth that cannot be removed by brushing. No matter how much the patient brushes, rinses, and flosses, these plaques cannot be removed, and consequently, the surface of the tooth that is under the plaque will not be brushed and will not be cleaned by personal hygiene procedures..
Therefore, no matter how much the patient observes oral hygiene, the area of ​​the tooth that is under the plaque and bacterial plaque - although on a small scale- It will not be cleaned and will rot in the same area.
The decays of the gum ring result from this problem. In many cases, the tooth suffers from caries in this area, which reaches the pulp or the so-called pulp, the brain or the nerve of the tooth, and causes the need for root canal treatment or nerve extraction..
Therefore, the first problem of the presence of bacterial mass and plaque is the problem of causing dental caries. The second problem and problem, which is much worse and more destructive than dental caries, is the problems of the gums and bone around the teeth.. We call it periodontal diseases. Gum and bone diseases around the teeth, which are caused by bacterial plaque in dental plaque, can have different symptoms.. In a person, one, some or all of these symptoms can occur in the teeth; such as bleeding from the gums, either while brushing teeth, or while biting food that needs to be cut, such as apples, or bleeding from the gums while flossing, even if flossing correctly, or causing gingivitis, gingivitis, sometimes edema, swelling and inflammation Highlighting the gums and in more severe cases, bone loss or exposing the surface of the tooth root to the oral environment, which causes severe tooth sensitivity and the tooth starts to loosen, which itself will have several grades of mobility or degree of looseness, which will eventually lead to falling or Teeth will be pulled.

Therefore, carrion is a colony, a bacterial culture medium, a mineral potion full of bacteria in the oral environment. which firstly causes tooth decay and secondly causes diseases of the gums and bones that support the teeth.
Therefore, we will have no choice but to remove this mass and bacterial plaque.
With all these interpretations, it is necessary to pay attention to one point: Dental calculus has an important property called thermal insulation, so when for the above reasons, calculus removal or removal of dental calculus and bacterial plaque is done.. For some time, the tooth shows sensitivity to thermal stimuli such as heat and cold. This is completely normal and there is nothing to worry about.

What is the treatment of these tooth sensitivities to thermal stimuli?
The teeth are normal and physiological until the end of life, secondary dentin from inside the pulp chamber (Brain or tooth nerve) produce. In the face of some pathological and harmful stimuli. Tertiary dentin is produced. Sincerely, after scaling, dentin is made from inside the tooth, and a biological thermal insulation is made from inside the tooth.. And over time, after a few weeks to a few months, this thermal sensitivity will decrease until it becomes the same as other teeth.

In a percentage of patients, this secondary and tertiary dentin production does not take place well after teeth scaling. In that case, after some time has passed and there is no change in the feeling of thermal stimulation, which will be several weeks to several months. We have an external thermal insulation from the outside, i.e. synthetic (Industrial) We apply on the tooth surface exactly in the tooth collar.

There are different methods, one of the most common and convenient methods. The use of polymers and optical bonding. that with LED light with a wavelength of approx 450 nanometer which is in the blue color spectrum, these polymers are set. This blue wavelength is not laser light, but LED light, and a synthetic heat insulator, which is a type of polymer, is placed on the surface of the teeth by the therapist..

This is in the case that the patient is one of those few percentages, that natural and physiological dentin formation and biological thermal insulation are not made in him, and dental sensitivities to cold and heat stimuli continue to persist..