Tooth decay
According to the WHO, untreated decay in permanent teeth is the most common oral disease in the world. It develops gradually, and in the early stages often only a dentist notices it.
An independent guide to oral health. This is not a dental clinic website, it does not book appointments and it does not replace an examination by a dentist. For severe pain, facial swelling, or difficulty breathing or swallowing, call 112 or 103 (in Russia; 112 also works across the EU).
Topics
Topics here are grouped around what people run into most often: enamel and tooth decay, gums, children's teeth and situations where care needs extra attention. Each card gives a general explanation and a link to the section that covers the topic in more detail. We do not describe signs in a way that would let you diagnose yourself: that is the dentist's job.
Almost every dental problem starts quietly. The sooner you show it to a dentist, the simpler and calmer the conversation about treatment usually is.
How this section works: we include a topic when it affects many people and there is a clear reason to act, whether that is changing a habit, asking your dentist a question or not putting off a visit. We do not publish accounts of treating individual cases and we do not compare clinics.
Enamel is strong, but it cannot repair deep damage on its own.
According to the WHO, untreated decay in permanent teeth is the most common oral disease in the world. It develops gradually, and in the early stages often only a dentist notices it.
A short, sharp twinge from cold, hot or sweet things is familiar to many people. It has several possible causes, so it is better to look for a solution with your dentist than on the advice of an advert.
Soft plaque comes off with a toothbrush, but hardened tartar (calculus) cannot be removed at home; it is taken off during a professional cleaning at the surgery.
Even a small chip is worth showing to a dentist: a sharp edge can injure the cheek and tongue, and a crack can let irritants reach deeper into the tooth.
Healthy gums do not bleed during normal brushing.
Bleeding when you brush or floss is a reason to see a dentist. There is no need to stop brushing because of it: talk to your dentist about how to look after your gums.
The WHO lists tobacco as a risk factor for gum disease and oral cancer. Giving up tobacco benefits your mouth at any age.
Bad breath is often linked to plaque on the tongue and between the teeth, but there can be other causes too. If it persists, mention it to your dentist.
Baby teeth matter, even though they will be replaced later.
Care begins as soon as the first tooth appears. How and with what to brush a toddler's teeth is a good thing to discuss with a children's dentist or paediatrician.
Sipping sugary drinks throughout the day or at bedtime leaves sugar on the teeth for a long time. Water between meals is a habit that protects enamel.
Meeting a dentist without pain or rush helps a child not to fear the surgery. The dentist can tell you when to come for the first time.
A young child cannot yet brush thoroughly, so adults help and check the result.
Some circumstances change your care routine or treatment plan.
If you are pregnant or planning a pregnancy, tell your dentist. They will take it into account when choosing examinations and treatment.
Plaque builds up more easily around brackets and wires, so cleaning takes longer. Your orthodontist can recommend suitable brushes and interdental brushes.
Removable and fixed dentures also need daily care. The dentist who made them will explain how to clean and store them.
Fear of the dentist is common. It is worth telling your dentist about it in advance: that makes it easier to agree on breaks and clear explanations.
This is where standalone articles on dental and oral health for English-speaking readers will appear. They are written for this audience, with health systems outside Russia in mind, and do not repeat the material of other language versions.
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Words from the dental surgery and paperwork: enamel, pulp, plaque, filling, treatment plan.
Information is current as of the date prepared. Oral-care recommendations, the scope of dental care covered by Russia's compulsory medical insurance (OMS) and the rules for medical paperwork may change. Check the current documents and ask your dental clinic or insurer for details; arrangements differ in other countries.