Treatments

DENTAL IMPLANTATION AND ITS FUNCTION

Usually it is hard to tell the difference between the original tooth and the implant supported crowns.

Replacing the missing teeth by means of implant dentistry will provide you better comfort, esthetics and harmony of your face with better function in smiling, chewing and biting.

ADVANTAGES OF IMPLANT DENTISTRY

  • Single tooth replacement: no need to file off the neighbouring healthy teeth when preparing them for bridge work.
  • Over 98% of implant placement is successful.
  • Missing molars: if there is free end e.g. no molars on the far back, it is impossible to make a bridgework and in conservative dentistry the only possible solution is removable partial denture. With implant dentistry it is still possible to make a fixed bridgework most of the times.
  • In the situation of the completely edentulous jaws, after a certain period of time the removable complete dentures become loose. Thus it is moving and it’s difficult to bite, chew and talk with them even when lots of denture glue is used. With implant supported dentures, the function could be back to normal again.
  • Missing neighbouring teeth: with a couple of implants a partial bridgework can restore the function.
  • In optimal circumstances, implant supported dental works can work against the bone resorption of the edentulous jaws.
  • With better function and stable bridgework and dentures can give you more self confidence and success in your interpersonal relationship.
  • You can possibly avoid to use removable dentures which by some is considered to be the sign of the old age.

MATERIAL OF IMPLANTS

Implants are made of pure titanium, that doesn’t cause any allergic reaction in human body.

WHO CAN GET DENTAL IMPLANTS?

The main indication for dental implant is the lack of teeth.

There are some contraindications:

  • uncontrolled diabetes mellitus
  • previous bisphosphonate therapy for osteoporosis
  • cytostatic therapy for various diseases (cancer, rheumatoid arthritis etc.)
  • heavy smoking
  • bleeding disorders
  • previous radiotherapy for the jaws or nearby regions.

We need to see the patients and their x-rays before we can give a treatment plan.

THE RISK OF IMPLANT SURGERY

When placing the implants it is theoretically possible to injure neighbouring structures. With the right technique the doctors can minimize these risks .
Implant rejections are relatively low in approximately 2% of the cases.
The secret of longterm implant survival is the right planning and regular check ups, good oral hygiene.

STEPS OF IMPLANT SURGERY

After local anaesthesia we raise a mucoperiosteal flap and with the implant drills we set the right depths and diameter of the hole where we will screw the implant in.
Following this we usually suture the flap back to it’s place with dissolving interrupted stitches.

Placement of dental implant
Placement_of_dental_implant

Attaching the dental implant’s head to the implant

PRE-AND POSTOPERATIVE INSTRUCTIONS

We usually advise the patients to have their teeth cleaned , scaled and polished cavities filled, infected roots removed, acute gingival inflammations managed. Prior to the operation we suggest to take the first dose of antibiotics and to rinse thoroughly with some antiseptics.

In the first three days after the implant surgery it is normal to have some pain and swelling of the face and also inside the mouth . Bruising could also be normal.  We recommend our patients to keep the treated region be cold. We sometime suggest to take regular antibiotics.

THERE ARE FEW THINGS YOU SHOULD KNOW ABOUT IMPLANTS BASED CROWNS/BRIDGES

  • The most important thing is dental hygiene. You have to pay attention on even more from this time. You may need special tools (like floss, or tiny brush that goes between the crowns) according to the type of solution.
  • Your dentist will explain and show you how to clean your new teeth on the day of fitting.
  • In the manner of long term use of your new teeth, it is adviced to appear on regular check up in every 6-12 months.
  • The long term success of implant based crowns / bridges mostly depends on You and the carried out hygiene. The dentist’s responsibility lasts till the fitting.
  • To avoid any inflammation around the implants, perfect mouth hygiene is necessary which is also responsible for integration of implants.

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Xrays:

Digital X-ray: a small sensor unit sends pictures to a computer to be recorded and saved.

Type  of x-rays:

  1. Panoramic X-rays
  2. Periapical X-rays
  3. Computed tomography, otherwise known as CT scanning

Aesthetic fillings:

These are highly aesthetic dental fillings made of natural tooth colored materials. The aesthetic fillings are immediately loadable.

Inlays are indirect fillings  fitted to a cavity in a tooth and cemented into place.

dental treatment

The Advantages of Dental Inlays:

  • the color and the shape can match exactly
  • they leave no space between the prosthetic and the tooth
  • none allergic
  • long lasting

Root canal:

This treatment is able to cure infection at the pulp of a tooth. With this treatment we can save the teeth which are damaged.

The endodontist uses special tools to clean out all of the diseased pulp.

The treatment cannot be most of the cases in one visit. Your dentist may put a small amount of medication in the cleaned canal in between visits to kill any remaining bacteria.

Root canal treatment is usually successful. The  loadability of treated teeth  is not as high as other natural teeth, so your dentist may recommend placing a crown on the tooth to protect it.

dental clinic

It is recommended to have annual check-ups and x-rays after endodontic treatment!

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Prothesis

Type of prothesis:

  • zirconia crowns – metal free
  • porcelian veneers

DENTAL EXTRACTION

A dental extraction is the tooth removal. The reason of the extraction is tooth damage. It’s performed under local anaesthetic.

dental

Bone grafting &sinus lifting:

Bone grafting is necessary when there is not enough bone materials  around the treated area.

What causes bone loss?

Whenever a tooth is lost or extracted a considerable amount of the bone that once surrounded the remaining root portion may disappear. This loss can be particularly rapid during the first few months and is described as ‘bone resorption’. Although the rate and amount of bone resorption is highly variable between individuals, it will always occur to some extent, unless specific care is taken to reduce its effects. Sometimes, the simplest measure to minimise bone loss after an extraction is to place the implant immediately (if there is no infection) or within the first few months.

Sinus elevation

This procedure involves elevating the sinus membrane and placing the bone graft onto the sinus floor, allowing implants to be placed.

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Professional teeth cleaning: Dental plaque is a pale yellow biofilm, that develops naturally on the teeth. Like any biofilm, dental plaque is formed by colonizing bacteria trying to attach themselves to the tooth’s smooth surface. Dental plaque starts to harden within 48 hours, and in about 10 days the plaque becomes dental calculus (tartar), hard and difficult to remove. Dental plaque can give rise to dental caries (tooth decay) and periodontal problems such as gingivitis and chronic periodontitis.

It is recommended to see your dentist or oral hygienist every 6 months for a check-up and teeth cleaning. Of course, individual oral hygiene also matters.

The dental hygienist carried out with an ultrasonic plaque remover.

Most dental treatments take between 30 minutes and an hour and absolutely painless.

 

TOOTH WHITENING – IS NOT ONLY AN AESTHETIC BUT ALSO AN ORAL HYGIENE ISSUE

Some foods, drinks, and tobacco can stain teeth. Thanks to the modern tooth whitening techniques, discoloration can be prevented. T

Type of tooth whitening:

  • in-office bleaching
  • at-home bleaching

treatment

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