Д-р Йорданова – Специалист по протетична дентална медицина Варна

Caries Treatment Varna

Tooth decay is one of the most common dental conditions and can affect people of all ages. When caught early, it can be treated quickly, painlessly and without significant loss of healthy tooth structure. Dr. Yordanova uses modern composite materials and minimally invasive techniques to preserve as much of the natural tooth as possible.

What is a cavity?

A cavity is a destructive process in the hard tooth tissues (enamel and dentine) caused by acids produced by bacteria in dental plaque. It develops gradually and is symptom-free in early stages – which is why regular check-ups are essential for early detection.

Four stages of tooth decay

Cavities progress through four main stages, each requiring a different approach:

  • Early (white spot) lesion – demineralisation of enamel with no visible cavity. Treatable with fluoride therapy or minimal intervention.
  • Moderate cavity – decay has reached the dentine. A filling is needed. The tooth may be sensitive to cold and sweet.
  • Deep cavity – the decay is close to the dental pulp. Careful treatment is required with risk of nerve involvement.
  • Complicated cavity (pulpitis) – bacteria have reached the pulp. Root canal treatment is needed to save the tooth.

Why early treatment matters

  • Preserves healthy tooth structure – a smaller filling is stronger and longer-lasting
  • Prevents pain – avoids progression to pulpitis and root canal treatment
  • Reduces costs – a small filling is far cheaper than a crown or implant
  • Saves the tooth – early treatment minimises the risk of extraction

Our treatment methods

Depending on the stage of decay, we use the following methods:

  • Fluoride remineralisation – for early white spot lesions without a visible cavity
  • Composite (tooth-coloured) filling – for moderate cavities. Matches the natural tooth colour and hardens instantly under UV light.
  • Inlay/onlay – a porcelain or zirconia insert for larger defects. High precision and durability.
  • Root canal treatment – when the nerve is involved. Saves the tooth instead of extraction.

Cavity prevention tips

  • Brush twice daily with fluoride toothpaste (1000–1450 ppm fluoride)
  • Use dental floss or an interdental brush every day
  • Limit sugary and acidic foods and drinks
  • Visit Dr. Yordanova every 6 months for a check-up
  • Apply fissure sealants for children – protects the deep grooves of molars

Frequently Asked Questions

Is cavity treatment painful?

With modern anaesthetics, treatment is virtually painless. You feel only a brief sting when the local anaesthetic is administered, after which the procedure is completely pain-free. Dr. Yordanova works with a gentle, caring approach.

How many visits are needed?

A simple cavity is filled in one visit of around 30–60 minutes. A deeper cavity may require 2 visits. Complicated cases with pulpitis require root canal treatment – 2–4 visits.

What is the difference between a filling and a crown?

A filling replaces lost tooth structure and is suitable when most of the tooth is intact. A crown covers the entire tooth and is recommended when there is significant damage – it provides greater strength, especially after root canal treatment.

Is caries treatment covered by public health insurance?

NHIF covers a limited number of fillings per year under certain conditions. Please contact us for specific information – the practice works with NHIF.

My child has cavities – how urgent is it?

Baby teeth must be treated too – they hold space for permanent teeth and cavities can progress rapidly to pulpitis. We recommend a visit within 2 weeks for active cavities in children.

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