Что делать при зубной боли после лечения кариеса, возможные причины

Пациенты часто жалуются, что у них ноет зуб после лечения кариеса. Казалось бы, все вылечено и запломбировано, кариеса нет, а зуб все болит. Попробуем разобраться, почему так бывает и что делать, если боль не проходит довольно длительное время.

Прежде всего, следует разобраться с видом боли. Именно в зависимости от характера болевых ощущений врач может принять правильное решение о причине возникновения боли и о тех мерах, которые необходимо предпринять в будущем.

Самым распространенным видом болевых ощущений является несильная боль в запломбированном зубе при накусывании, а также болевая реакция на холодное. Этот вариант болевых ощущений считается вариантом нормы, как говорят стоматологи, и возникает обычно из-за того, что во время лечения зуб «потревожили», в результате чего он стал более чувствительным. В будущем болевые ощущения обычно проходят сами по себе.

Бывает и так, что боль острая, возникает сама по себе, чаще всего ночью, долго не проходит. Иногда она настолько сильная, что не помогают даже обезболивающие препараты. Это означает, что во время процедур был был задет нерв, следовательно, его придется удалить. Для того, чтобы избежать таких неприятностей, опытный стоматолог при лечении среднего и глубокого кариеса без удаления нерва сначала поставит временную пломбу, чтобы проверить, не обострится ли боль после вмешательства. И лишь потом, если зуб не будет болеть, на место временной врач поставит постоянную пломбу.

Не существует правил как долго болит зуб после лечения. Он может не болеть совсем, а может реагировать болью на прикосновение длительное время. Если болит только при накусывании, врач просто отшлифует пломбу, подогнав ее по прикусу. Если зуб реагирует и на холодный раздражитель, врач покроет его специальным фторсодержащим гелем.

Часто зуб может болеть после лечения корневых каналов или периодонтита. Такая боль обычно проходит сама по себе, в течение недели-двух.

Если после пломбирования появился болезненный отек мягких тканей вокруг зуба, стоматолог под анестезией делает небольшой послабляющий разрез.

Если же боль острая, сама по себе не проходит, следует немедленно обратиться к врачу для того, чтобы удалить нерв и пролечить каналы.

Благодаря современным пломбировочным материалам все стало намного лучше. Если раньше практически всегда врач предупреждал о том, что после кресла зуб может какое-то время «беситься», реагируя болью на прикосновение, то сейчас такие боли стали редкостью. Но если вы столкнулись с неприятными ощущениями, обязательно обратитесь к врачу. Только он сможет установить истинную причину возникновения боли.

90000 Can Vitamin K2 Cure Tooth Ache and Sensitive Teeth? 90001 90002 During a toothache, your body releases Vitamin K2 dependent proteins. If you do not have enough Vitamin K2 to activate these proteins, tooth ache may ensue. Cure tooth ache and prevent root canal by eating plenty of Vitamin K2! 90003 Part 2a: Why Vitamin K2 Can Prevent Root Canal Treatment 90004 90005 To understand Vitamin K2’s dental benefits fully, we’re going to take a trip through the body. It begins inside your teeth, in the dental pulp — the area where our tooth ache often originates.Pulpitis, or dental pulp infections, are why you need to have a root canal treatment on your tooth. 90006 90005 As a dentist who focuses on nutrition, one thing about dental practice that bothered me were tooth aches. Dental school teaches dentists that toothaches occur in such a way that we can not intervene to help. 90006 90005 This is true in a sense, but only in the most severe cases of toothache, which are usually caused by very advanced dental caries. 90006 90005 Dentists are trained to think in this sequence: 90006 90005 90014 Dental disease -> Reversible pulpitis -> 90015 90014 Irreversible pulpitis -> Root canal treatment or tooth extraction 90015 90006 90005 Toothaches are one of the most common reasons for emergency dental appointments.If you’ve experienced tooth pain, you know it’s a not a nice experience. 90006 90005 The concern with many toothaches is that they signal infection in the pulp of the tooth. If you do experience tooth pain, it MAY be a sign you may need root canal treatment or tooth extraction. 90006 90005 When you go to a dentist for an emergency dental appointment, your dentist will investigate the cause. But one big mistake that dental medicine makes is that it does not account for the body’s ability to 90024 heal 90025 a tooth ache.90006 90005 Depending on the cause of the ache, they may offer you one of the following options: 90006 90029 90030 Wait and see how the symptoms develop 90031 90030 Perform a dental restoration or filling 90031 90030 Begin root canal treatment 90031 90030 Extract the tooth and replace 90031 90038 90005 If you have dental caries, then you will often need a restoration. For those who have had dental treatment such as a filling or a crown, toothache or pain is very common. Once the disease process reaches to a certain depth, you may need a dental restoration.But you need to understand how to heal your body to prevent possible root canal treatment. 90006 90005 In this article we’re going to help you to understand how Vitamin K2 and toothaches are connected. How to heal and even cure toothache naturally and also to potentially prevent root canal treatment. 90006 90003 90014 What is a pulpitis? 90045 90015 90004 90005 Inside each of your teeth is a dental pulp. It consists of the tooth’s blood and nerve supply. The pulp is responsible for the sensations of your teeth.It also relays information from the tooth, right back to your brain. 90006 90005 Pulpitis is inflammation of the dental pulp. It occurs due to dental caries, trauma, or dental restorations. The most common cause is dental caries where bacterial infection infiltrates the dentin and pulp of the tooth. 90006 90005 Pulpitis is often felt as a tooth pain that comes and goes. You may feel it as a throbbing tooth pain at night, in the day, or when your tooth encounters something hot or cold. 90006 90005 If you have a tooth pain or throbbing tooth, a dentist will classify it as one of the two types of pulpitis.90006 90005 90006 90058 90014 1.- Reversible pulpitis 90015 90061 90005 A reversible pulpitis is a toothache where treatment or monitoring will mean the pulp does not need treatment. 90006 90005 Reversible pulpitis symptoms and signs: 90006 90066 90030 Shallow dental caries and a dental filling 90031 90030 Sensitivity to cold, and a 90031 90030 Tooth pain that comes and goes. 90031 90030 Tooth pain that comes and goes every few months 90031 90075 90005 This is the good type of pulpitis because your tooth remains healthy with no, or minor, dental treatment required.The blood and nerve supply stay alive and your tooth pain eventually stops. 90006 90005 90006 90058 90014 2.- Irreversible pulpitis 90015 90061 90005 This is where the pulpitis and its sequelae require endodontic (root canal) therapy or tooth extraction. The tooth goes through a ‘dying’ or inflammatory process and the tooth becomes non-vital. 90006 90005 Irreversible pulpitis symptoms and signs: 90006 90066 90030 Toothache that makes your jaw hurt or radiates to your face and neck 90031 90030 Toothache at night 90031 90030 Tooth pain when consuming hot drinks and food 90031 90030 Throbbing, deep pain 90031 90030 Pain on biting 90031 90030 Pain when you put pressure on the tooth 90031 90030 Swelling, draining sinus or abscess above the tooth 90031 90030 Throbbing tooth pain that comes and goes 90031 90030 Deep dental caries close to the pulp or dental nerve 90031 90075 90005 Situations where pulpitis can occur: 90006 90066 90030 After a dental filling 90031 90030 After a crown 90031 90075 90005 There are two ways to categorize pulpitis: Acute or Chronic; Reversible or Irreversible.90006 90118 90119 90120 90121 Acute pulpitis 90122 90121 Chronic pulpitis 90122 90125 90120 90121 Usually found in teeth of children and adolescents 90122 90121 Found in adults 90122 90125 90120 90121 More noticeable pain; constant throbbing pain often made worse by lying down, swelling of gum and / or face 90122 90121 Less noticeable pain 90122 90125 90120 90121 Acute sensitivity to hot / cold 90122 90141 90125 90120 90121 Change in color of the tooth 90122 90141 90125 90120 90121 Purulent acute pulpitis: complete inflammation of tooth; 90005 Gangrenous acute pulpitis: pulp dies in less painful manner leading to formation of abscess at the tip of the tooth root.90006 90122 90141 90125 90155 90156 90005 http://cariology.wikifoundry.com/page/Pulpo-dentinal+Changes+due+to+Caries 90006 90118 90119 90120 90121 Reversible pulpitis 90122 90121 Irreversible pulpitis 90122 90125 90120 90121 Caused by caries encroaching on pulp 90122 90121 Caused by progression of reversible pulpitis 90122 90125 90120 90121 Mild inflammation 90122 90121 Severe inflammation 90122 90125 90120 90121 Does not have to be treated; heals over time 90122 90121 Treated via root canal treatment or tooth extraction 90122 90125 90155 90156 90005 Table 2: Comparison between Reversible Pulpitis and Irreversible Pulpitis 90006 90003 90014 Pain medicine, pulpitis and antibiotics 90045 90015 90004 90005 The most common treatment of pulpitis is a course of antibiotics.90006 90005 Antibiotics for a tooth ache may take the symptoms away, but they do not treat the cause of pulpitis, so I would recommend avoiding them if you can, because they’re only a band aid solution. 90006 90003 90014 How to heal a pulpitis naturally: Fat-soluble Vitamins and your teeth 90045 90015 90004 90005 An irreversible pulpitis occurs when the inflammatory response kills the nerve and blood supply to the tooth. So if you have an irreversible pulpitis, the blood supply to your tooth is lost and the natural healing capabilities we are about to discuss are gone.90006 90005 But if you have a reversible pulpitis, tooth decay or need a dental filling, you 90024 can 90025 prevent irreversible pulpitis and root canal treatment. 90006 90005 The recovery time between the time you experience a pulpitis will depend on your body’s healing process. 90006 90003 90014 Vitamin K2 to cure tooth ache and heal the dental pulp 90045 90015 90004 90005 Inside each of your teeth is a blood supply that carries a specific set of defense mechanisms. 90006 90005 Osteocalcin is a Vitamin K2 dependent protein that helps mineralize teeth and bone.It’s a reparative molecule expressed in response to injury of the dental pulp. 90006 90005 Inside an inflamed dental pulp, inflammatory mediators were found to be related to this expression especially in the reversible stages of pulpal inflammation. Osteocalcin seems to release factors that increase blood supply and decreases inflammatory factors associated with deep cavities. 90006 90005 Studies have shown that levels of osteocalcin are higher in reversible pulpitis than irreversible pulpitis.This means that if your body’s defense systems are working, you can heal a pulpitis. 90006 90003 90014 Vitamin D, Vitamin K2 (and Vitamin A) for healing teeth naturally 90045 90015 90004 90005 Research shows that Vitamin D can increase serum osteocalcin levels. If your tooth has a blood supply, adequate Vitamin D and osteocalcin helps it to boost its immune response. 90006 90005 But Vitamin D alone is not enough. Osteocalcin also requires Vitamin A and is activated by Vitamin K2. 90006 90005 Therefore, if you have tooth decay, need a dental restoration or dental crown, you should always go through the protocol below.It may also relieve and cure tooth and mouth pain. 90014 90015 90006 90003 90014 Supplement program to Vitamin K2 to cure tooth ache and decrease risk of root canal treatment 90045 90015 90004 90005 If you suffer from a tooth pain or toothache, or require a dental filling; you should take the following steps: 90006 90005 90014 Then: 90015 90006 90005 If your levels are below 40ng / ml or 100nmol / L: 90006 90066 90030 Supplement 5000 — 10,000IU dosage of Vitamin D3 (consult with your GP regarding Vitamin D levels and your specific dosage, and check safety recommendations).90031 90030 90014 Supplement Vitamin K2 90015 90031 90075 90005 In the long term, you should get Vitamin K2 through your diet, but you may need a supplement to boost your activated osteocalcin inside your dental pulp. 90006 90066 90030 Supplement a minimum of 200mcg of Vitamin K2 MK4 and MK7 per day (always consult your GP before taking Vitamin K2 supplements with anticoagulants such as warfarin). 90031 90030 Emu Oil — I recommend Walkabout Emu Oil as one of the richest sources of Vitamin K2 MK-4.90031 90030 90014 Vitamin A 90015 90031 90075 90005 Natural sources of these fat-soluble Vitamins (including preformed Vitamin A): 90006 90005 300mg Magnesium citrate or glycinate supplement or Wake Up Maggie is a great mix of magnesium types. 90006 90003 90014 Long term diet change for healthy teeth 90045 90015 90004 90005 If you have a diet rich in fat-soluble Vitamins, balance your microbiome and send healthy epigenetic messages, your body can defend against all dental disease.The principles of nutrition and dental health means that your body has everything it needs. 90006 90005 90282 90283 90006 90005 90024 The Dental Diet 90025 is your guide to prevent root canal treatment naturally through delicious food. 90006 90005 90014 In the next article, we’ll move to the dentin and the immune system that protects your teeth from tooth decay. 90015 90006 90005 Want to know more? Dr Steven Lin’s book, 90014 The Dental Diet 90015, is available to order today. An exploration of ancestral medicine, the human microbiome and epigenetics it’s a complete guide to the mouth-body connection.Take the journey and the 40-day delicious food program for life-changing oral and whole health. 90006 90005 Click below to order your copy now: 90006 90005 US AMAZON 90045 US Barnes & Noble 90045 UK AMAZON 90045 Australia BOOKTOPIA 90045 Canada INDIGO 90006 90005 90006 90005 90014 References: 90015 90014 90015 90006 90005 90006 90005 Now we want to hear from you. Please leave your questions in the comments below. 90006 90005 For more information on Dr. Lin’s clinical protocol that highlights the steps parents can take to prevent dental problems in their children: Click here.90006 .90000 Statement on Early Childhood Caries 90001 90002 (Trans. 2000: 454) 90003 90002 1. Early Childhood Caries is defined as the presence of one or more decayed (non-cavitated or cavitated lesions), missing (due to caries) or filled tooth surfaces in any primary tooth in a preschool-age child between birth and 71 months of age. The term «Severe Early Childhood Caries» refers to «atypical» or «progressive» or «acute» or «rampant» patterns of dental caries. 90003 90002 2. The Association recognizes that early childhood caries is a significant public health problem in selected populations and is also found throughout the general population.90003 90002 3. The Association urges health professionals and the public to recognize that a child’s teeth are susceptible to decay as soon as they begin to erupt. Early childhood caries is an infectious disease. There are many aspects of early childhood caries; baby bottle tooth decay is recognized as one of the more severe manifestations of this syndrome. 90003 90002 4. The Association urges parents and guardians, as a child’s first tooth erupts, to consult with their dentist regarding: 90003 90012 90013 Scheduling the child’s first dental visit.It is advantageous for the first visit to occur within six months of eruption of the first tooth and no later than 12 months of age, and 90014 90013 Receiving oral health education based on the child’s developmental needs (also known as anticipatory guidance). 90014 90017 90002 5. The Association urges its members to educate parents (including expectant parents) and caregivers about reducing the risk for early childhood caries: 90003 90020 Role of Bacteria 90021 90012 90013 Because cariogenic bacteria (especially mutans streptococci) are transmitted soon after the first teeth erupt, decreasing the mother’s mutans levels may decrease the child’s risk of developing ECC.The Association recommends that parents, including expectant parents, be encouraged to visit a dentist to ensure their own oral health. 90014 90017 90020 Nutrition 90021 90012 90013 Infants and young children should be provided with a balanced diet in accordance with the Dietary Guidelines for Americans published by the U.S. Department of Agriculture and the U.S. Department of Health and Human Services. 90014 90013 Unrestricted, at-will consumption of liquids, beverages and foods containing fermentable carbohydrates (e.g. juice drinks, soft drinks, milk, and starches) can contribute to decay after eruption of the first tooth. 90014 90017 90020 Bottle Feeding 90021 90012 90013 Unrestricted and at-will intake of sugary liquids during the day or while in bed should be discouraged. 90014 90013 Infants should finish their bedtime and naptime bottle before going to bed. 90014 90017 90020 Breast Feeding 90021 90012 90013 Unrestricted, at-will nocturnal breastfeeding after eruption of the child’s first tooth can lead to an increased risk of caries.90014 90017 90020 Use of a Cup 90021 90012 90013 Children should be encouraged to drink from a cup by their first birthday. 90014 90013 At will, frequent use of a training cup should be discouraged. 90014 90017 90020 Home Care 90021 90012 90013 Proper oral hygiene practices, such as cleaning an infant’s teeth following consumption of foods, liquids, or medication containing fermentable carbohydrates, should be implemented by the time of the eruption of the first tooth.90014 90013 A child’s teeth should be periodically checked at home according to the directions of the dentist. 90014 90017 90002 6. The Association urges state and local dental societies to be a resource for the medical community and public health programs (e.g. Women, Infants and Children [WIC] and Head Start). Dentistry can be instrumental in educating professionals and the public about risk factors for ECC. 90003 90002 7. The Association recognizes that the unique characteristics of ECC should be considered in selecting treatment protocols.90003 90002 8. The Association, recognizing that the science surrounding early childhood caries continues to evolve, encourages research activities to study risk factors and preventive practices and should continue to seek a cure for early childhood caries. 90003 90070 90002 and be it further 90072 Resolved, that Resolution 6H-тисяча дев’ятсот дев’яносто сім (Trans.1997: 675), Statement on Early Childhood Caries, be rescinded. 90003 90074 .90000 Molar Pain | 5 Causes of Molar Teeth Pain, Treatment & More 90001 90002 5 Possible Molar Tooth Pain Conditions 90003 90004 The list below shows results from the use of our quiz by Buoy users who experienced molar tooth pain. This list does not constitute medical advice and may not accurately represent what you have. 90005 90006 Temporomandibular joint (tmj) dysfunction disorder 90007 90008 Temporomandibular Joint Dysfunction is often caused by a variety of factors, including daily habits, your teeth alignment, and even stress.It usually affects one side of the jaw, but in some people it can affect both sides. People with TMJ dysfunction will typically experience pain on one side of the face that is worse with chewing, yawning, or other movements of the jaw. With some simple changes in your daily habits and other at-home treatments, most people with TMJ dysfunction will experience relief of their symptoms within weeks. 90005 90008 Treatment for temporomandibular joint dysfunction usually includes avoiding eating hard foods or foods that require a lot of chewing.Good posture and relaxation techniques may help relieve tension in the muscles that connect to your temporomandibular joint. In people who clench or grind their teeth, a mouth guard worn at night (and fitted by your dentist) may also help relieve your symptoms. Pain relievers, like ibuprofen (Advil, Motrin), can also help. 90005 90008 90013 Rarity: 90014 Common 90005 90008 90013 Top Symptoms: 90014 dizziness, pain, restricted movement, and clicking sounds from jaw, history of headaches, jaw pain, pain in the back of the neck 90005 90008 90013 Symptoms that always occur with temporomandibular joint (tmj) dysfunction disorder: 90014 pain, restricted movement, and clicking sounds from jaw 90005 90008 90013 Urgency: 90014 Primary care doctor 90005 90006 Dental cavity 90007 90008 A dental cavity (caries) is an infection of the tooth, which is the result of long-term acid production by bacteria that sit on your teeth.This can result in pain and the spread of infection into the tooth pulp, and, if untreated, into your jaw bone or bloodstream. The development of a cavity is … 90005 90008 Read more 90005 90034 90013 Molar Tooth Pain Symptom Checker 90014 90005 90008 Take a quiz to find out what might be causing your molar tooth pain 90005 90006 Acute viral sinusitis 90007 90008 Acute viral sinusitis, also called viral rhinosinusitis or «sinus infection,» occurs when viruses take hold and multiply in the sinus cavities of the face.90005 90008 It is most often caused by the same viruses that cause the common cold and spreads the same way, through an infected person’s coughing or sneezing. 90005 90008 Because children have small, underdeveloped sinuses, this illness is far more common in adults. 90005 90008 Symptoms include clear nasal discharge (not greenish or yellowish,) fever, and pain if facial sinuses are pressed. 90005 90008 If there is rash, severe fatigue, or neurologic symptoms (seizures, loss of sensation, weakness, or partial paralysis,) see a medical provider to rule out more serious conditions.90005 90008 Diagnosis can usually be made through history and examination alone. 90005 90008 Antibiotics only work against bacteria and can not help against a viral illness. Therefore, treatment consists of rest, fluids, and fever / pain reducers such as ibuprofen. (Do not give aspirin to children.) Symptoms of viral sinusitis last for about seven to ten days. As with the common cold, the best prevention is frequent and thorough handwashing. 90005 90008 90013 Rarity: 90014 Common 90005 90008 90013 Top Symptoms: 90014 headache, cough, sinusitis symptoms, sore throat, congestion 90005 90008 90013 Symptoms that always occur with acute viral sinusitis: 90014 sinusitis symptoms 90005 90008 90013 Symptoms that never occur with acute viral sinusitis: 90014 being severely ill 90005 90008 90013 Urgency: 90014 Self-treatment 90005 90006 Tooth abscess (infection) 90007 90008 A tooth abscess is a collection of infected material (pus) in the center of a tooth.It is due to bacterial infection. 90005 90008 90013 Rarity: 90014 Uncommon 90005 90008 90013 Top Symptoms: 90014 severe jaw or tooth pain, swollen jaw, jaw stiffness, tooth pain that gets worse with hot, cold, or sweet beverages, warm and red jaw swelling 90005 90008 90013 Symptoms that always occur with tooth abscess (infection): 90014 severe jaw or tooth pain 90005 90008 90013 Urgency: 90014 Primary care doctor 90005 90006 Acute bacterial sinusitis 90007 90008 Acute bacterial sinusitis, also called bacterial rhinosinusitis or «sinus infection,» has symptoms much like viral rhinosinusitis but a different treatment.90005 90008 Any sinusitis usually begins with common cold viruses. Sometimes a secondary bacterial infection takes hold. Like cold viruses, these bacteria can be inhaled after an infected person coughs or sneezes. 90005 90008 Anyone with viral sinusitis, upper-respiratory allergy, nasal passage abnormality, lung illness, or a weakened immune system is more prone to bacterial sinusitis. 90005 90008 Symptoms include thick yellowish or greenish nasal discharge; one-sided pain in the upper jaw or teeth; one-sided sinus pain and pressure; fatigue; fever; and symptoms that get worse after first improving.90005 90008 See a doctor right away for severe headache, high fever, stiff neck, or vision changes. These can indicate a medical emergency. 90005 90008 Diagnosis is made with a simple examination in the doctor’s office. 90005 90008 Bacterial sinusitis can be treated with antibiotics, but this is not always necessary. Often rest, fluids, and over-the-counter pain relievers and decongestants are enough. 90005 90008 Prevention is done through good lifestyle and hygiene to keep the immune system strong.90005 90008 90013 Rarity: 90014 Common 90005 90008 90013 Top Symptoms: 90014 fatigue, headache, cough, sinusitis symptoms, muscle aches 90005 90008 90013 Symptoms that always occur with acute bacterial sinusitis: 90014 sinusitis symptoms 90005 90008 90013 Symptoms that never occur with acute bacterial sinusitis: 90014 clear runny nose, being severely ill 90005 90008 90013 Urgency: 90014 Primary care doctor 90005.90000 Less caries with fluoride varnish application than without; benefit unclear regarding tooth preservation, toothache or dental abscesses — ScienceDaily 90001 90002 Whereas caries in adults and adolescents is declining, studies in children under the age of 3 have shown that caries in this age group has hardly decreased: On average, about 14% of all 3-year-olds in Germany have caries in the primary dentition. Fluoride varnish effectively helps in the remineralization of the tooth surface and prevents the development and progression of caries.The use of fluoride varnish has advantages especially for small children because it hardens quickly. Due to a lack of conclusive data it is unclear, however, whether fluoride application also has advantages regarding further patient-relevant outcomes such as tooth preservation, toothache or dental abscesses. 90003 90002 This is the conclusion of a rapid report published by the German Institute for Quality and Efficiency in Health Care (IQWiG) on 26 April 2018. 90003 90002 90007 Primary teeth are particularly prone to caries 90008 90003 90002 Caries is caused by bacteria in the dental plaque, sugary foods and drinks, and a lack of oral hygiene.Children are especially likely to have caries because the enamel on baby teeth is more sensitive than the enamel on permanent teeth. Permanent teeth are sensitive at first too: When they break through, their enamel has not yet fully hardened, making it susceptible to caries. If the primary teeth already have caries lesions, subsequent permanent teeth are often also «infected» with caries at an early stage. Particularly in young children, oral hygiene and caries prevention can be challenging, however.90003 90002 Children until the age of 6 years, with or without caries of their primary teeth, were included in the research question of the present rapid report: Does the application of fluoride varnish to the primary dentition have advantages in comparison with standard care without specific fluoride application? 90003 90002 90007 Studies focused on caries 90008 90003 90002 The IQWiG researchers extracted results from 15 randomized controlled trials (RCTs), in which a total of 5002 children were treated with fluoride varnish, whereas 4705 children received no such treatment.In many studies, further measures for caries prevention in addition to the application of fluoride varnish were offered. These included trainings on oral hygiene, instructions on the correct tooth brushing technique or provision of toothbrushes and fluoridated toothpaste. The follow-up observation period was mostly two years, in some cases up to three years. 90003 90002 The outcome «caries» was investigated in all studies; side effects were investigated in almost all studies. Further outcomes such as tooth loss, toothache, dental abscesses or inflammation of the gums (gingivitis) were only rarely investigated.The respective data showed no difference between intervention and control group so that no conclusions on advantages or disadvantages of fluoride varnish application could be derived. Data on oral health-related quality of life were lacking completely. 90003 90002 90007 Fluoride varnish promotes remineralization 90008 90003 90002 A clear advantage of fluoride varnish was determined despite the very heterogeneous study results: Caries of primary teeth was less common after application of fluoride varnish than without it.This treatment could completely prevent caries in about every 10th child. And it would at least reduce progression of caries in further children. Apparently, it did not make a difference for the benefit of the fluoride varnish whether the children already had caries or whether their teeth were completely intact. 90003 90002 90007 Story Source: 90008 90003 90002 Materials provided by 90007 Institute for Quality and Efficiency in Health Care 90008. 90035 Note: Content may be edited for style and length.90036 90003 .