Posts in category: Dental Treatments

Over time, your teeth can become stained or discolored mainly from dark foods (soy sauce and curry), dark drinks (tea, coffee and red wine) and not least from tobacco products. If you have stained and discolored teeth, teeth whitening could be the answer.

Today, many of our patients request teeth whitening. As your smile is one of the most expressive parts of your face, it has become one of the most requested cosmetic procedures. If you are self-conscious about the look of your smile, especially the color of your teeth, teeth whitening may be the boost you need.
Teeth whitening can be a stepping-stone for a renewed commitment to oral hygiene. Many people choose to maintain their bright new smile with diligent brushing and flossing.

There are basically two types of teeth bleaching/whitening ;

Home bleaching & In-Office bleaching.

Home Bleaching
The most popular teeth bleaching/whitening technique involves having a dentist make a clear plastic tray in which the bleaching gel is placed. These custom trays are made to fit your teeth precisely. Therefore, the maximum bleaching effect can be reached with the minimum amount of bleaching gel.
The gel is kept on the teeth for 90 minutes a day for up to a week. The results of this treatment are often dramatic, and the more days you use the gel the lighter your teeth become.

In-Office Bleaching
This technique is popular as the bleaching is done during one or two  appointments. With in-office bleaching we use a much higher concentration, and another type of bleaching gel. Some patients feel that the long-term effect is better with home bleaching as they can do touch-ups for a day or two whenever they need.
During the in-office bleaching, a whitening gel is placed on your teeth. To activate the bleaching gel, a plasma light (a very intense blue light) is focused on the gel. The light helps break down stains on your teeth.

White and shiny teeth are a valuable asset to our self-image. A beautiful smile adds to our charm and self-confidence, is a requirement of modern times and shows our care for our aesthetics.
A teeth whitening system is required to be above all effective, completely safe, convenient, and deliver immediate results. That is exactly how the ZOOM whitening system works. Tests have shown that teeth whitening using this method improves the colour of the teeth between 5 to 14 shades (according to VITA scale), and the effects are most definitely better than those obtained using other whitening systems. The procedure lasts only 30 minutes, and is a one-time treatment with no side effects. The usage of low temperature and cold light eliminates nerve irritation. ZOOM Whitening System is regarded to be the safest and most effective way of teeth whitening available on the market. Another method we offer at our clinic is the home whitening system, addressed to patients who are not ready to spend 30 minutes in the dental chair but appreciate a white and bright smile. Patients who choose this system have their dental arch impressions taken by the dentist in order to construct a precise and tight custom – made whitening tray construct. The sealing of these trays is one of the most important factors determining the effects of this whitening method. The whitening trays are individually prepared in our laboratory by our dental technicians using a thermoforming method at the pressure of 3 atm, which guarantees their absolut sealing.

ZOOM Teeth Whitening is a one-time procedure involving a special whitening gel being painted on the teeth and then activated by the light of the accelerator. The active agent of the whitening gel is hydrogen peroxide, while other ingredients are included to enhance the results of the procedure, and to diminish sensitivity. In the presence of light emitted by the ZOOM accelerator, whitening gel can pass more quickly through the enamel into the dentin. The light speeds up the whitening process as it increases the decomposition rate of hydrogen peroxide molecules. This leads to a rapid oxidizing reaction within the structure of the tooth, resulting in visible discolorations breaking down and oxidizing. The effect is instantly visible – white, gleaming teeth. The whole procedure lasts about 45 minutes, the total time amount may vary depending on the condition of the teeth.
The ZOOM treatment is completely safe and performed by a dental professional. When whitened, the teeth will not absorb further pigments, and the results can last for an average of 2-3 years, depending largely on the patient’s lifestyle.

The hydrogen peroxide – based ZOOM whitening gel oxidizes discolouration that is present in the structure of the tooth. The reaction that occurs during the procedure is innocuous and does not differ from similar treatments that have been administered by cosmetic dentists for many years. It is only the advanced formula of the gel and the light emitted by the ZOOM accelerator that make it possible to reduce the duration of the reaction to merely 24-45 minutes, while the obtained outcomes excel those of other methods.
The ZOOM Technology system is currently used in over 100 countries around the world, and hundreds of people a day are subject to this treatment. The safety of the ZOOM whitening method has been confirmed by the absence of any complications.

ZOOM System Whitening Treatment Stages

Stage One
Next, an assessment of the current teeth shade is performed using the VITA scale. The dentist then protects the gums with a special blue fluid resin – Blue Seal, which is cured with the ultraviolet dental curing lamp. That way the gums are secured from irritations caused by the whitening gel.

Stage Two
Next, an assessment of the current teeth shade is performed using the VITA scale. The dentist then protects the gums with a special blue fluid resin – Blue Seal, which is cured with the ultraviolet dental curing lamp. That way the gums are secured from irritations caused by the whitening gel.

Stage Three
The next two stages present the whitening procedure.
The dentist applies the ZOOM whitening gel (37 % hydrogen peroxide) to the prepared teeth using a special syringe.
The gel is applied thoroughly on the teeth’s surface and mixed so that all teeth are evenly coated.

Stage Four
The patient now receives special goggles for protection against ultraviolet light emitted by the ZOOM accelerator. Cold light emitted by the accelerator, of a temperature lower than used in other similar devices, increases the comfort and reduces teeth sensitivity. The irradiation lasts for about 30 to 40 minutes with intervals every 10 minute for an additional application of the whitening gel. After the whitening, the gel is removed with an ejector. The end result is then evaluated using the VITA shade guide. The final assessment is performed during a follow-up visit after two weeks. During that time, the consumption of pigmented foods and beverages is not recommended.

We can do all kind of pediatric dental treatments in our clinic that we have pediatric dentistry specialist doctor in our team  and a special pediatry dental clinic that is designed especially  for children .

As dental professionals we believe in preventive dental care and encourage our patients to bring their children to the practice from an early age. Regular check-ups from a young age will ensure children won’t suffer from untreated dental decay with devastating effects to their growing dentition. There are a number of preventive treatments that our team can provide for children.

Fluoride applications are a safe and effective way to safeguard your growing child’s teeth from developing decay. The fluoride is painted onto the surface of the child’s teeth and this helps to mineralise the teeth. Fissure sealants are tooth coloured and applied to biting surfaces of children’s teeth to prevent decay.

Studies have shown that the younger the age that you bring your child to the dental practice, even if just for a check-up, the more likely they are to have a positive experience and grow up not to be afraid of the dentist. Our team will take special care of your child to make them feel safe and cared for.

Treating a child from an early age also allows the dentist to spot early signs of underbites, cross bites or overbites developing. As with most things, the sooner you can start to treat it, the quicker it can be resolved.

Prevention is always better than cure .

Gum Contouring (Solution for a gummy smile)

Gum Contouring – Some people have more visible gum part rather than teeth aspect when they smile. When gums are extended far down on the surfaces of the teeth,  the teeth seem shorter than they are. There is noting  wrong with this, from a health standpoint, but from an aesthetic point of view,the teeth can be made more visible which is good for an asthetic smile.

Because the crown of the tooth ends up longer, this cosmetic procedure is often called “crown lengthening.” Some other terms are “gum lifting” and “gum sculpting.” All these phrases refer to the same thing.

 For gum contouring (crown lengthening), we use a laser to perform a gingivectomy (removal of gum tissue). This is a very fast process, often done with just a topical anesthetic.

The laser vaporizes extra and unwanted gum tissue, exposing the healthy enamel underneath. The result is often a dramatic improvement in a person’s smile.

Cosmetic dental bonding

Cosmetic Dental Bonding is done by placing tooth-colored filling material (composite) onto the tooth, to both build up the tooth and, when needed, to alter the shape of it. It requires an artistic eye to achieve optimal aesthetics using cosmetic bonding.

It usually takes one visit and it is the procedure of choice when an instant result is required. Composite is applied directly to the tooth and can be used to correct minor gaps between teeth or to cover heavy staining.

The advantage of bonding is that it is a relatively inexpensive and conservative way to restore a tooth, and the result is immediate.

Cosmetic bonding can resolve small cavities, chipped teeth, fractures, spaces between teeth, and tooth discoloration. However, if you have teeth that are more extensively damaged, a porcelain veneer or porcelain crown might be necessary.

Zirconia is one of the hardest materials avaiable making  it an ideal option for dental crowns&bridges.They are incredibly strong and long-lastingand are made to mimic the look and feel of the real teeth when placed in the mouth.

Zirconia crowns are translucent,metal-free,extremly durable ,%100  biocompatible and bond well with the teeth.These specialities make them one of the most popular crown types today.

As zirconia is white and translucent it allows the transformations to any shade which matches the rest of your teeth.

They look more natural  comparing to the metal based ones that they reflect the light better ,have tooth color which makes them look  more aesthetic especially on the front teeth.

Zirconia is the strongest crown that can stay for long time in the mouth,tolorates chewing and biting forces very well.There is no need to worry about any allergic reactions because zirconia is  a very biocompatible material which is so safe to stay in the body.

 In the dental laboratory, the thin zirconia core is designed in a computer program and thereafter milled through CAD/CAM out of an industrially produced block of stabilized zirconia closely matching the basic color of the tooth. As the core is machine-cut from a monochromatic block of zirconium, these one-colored restorations depend on staining of the core and the layering of the normal porcelain on top of the core to have aesthetic value.

Digital dentistry is a broad term encompassing any dental technology that involves the use of computer-based components such as hardware devices and software solutions. The purpose is to enable dental professionals to deliver treatment with the help of computer-aided tools. New possibilities such as digital scanning in dentistry enable dentists for example to take impressions, perform diagnostics or plan treatment without the use of mechanical tools. We use 3Shape TRIOS System in our clinic for achieving digital, fast and modern treatment results.

Digital smile design  is a  treatment plan that is  completely based on a the  analysis of the patient’s dental and facial proportions. Through the use of videos, photographs, and temporary mock-ups, DSD providers can get a better sense of the relationship between the lips, gums, and teeth, as well as how they work together to create the patient’s smile.

Dental implants are artificial tooth roots made of bio-compatible titanium which are inserted in the jaw to form the basis for a prosthetic restoration.

  A dental implant is a good, biological way to replace a missing tooth  placed in the bone .

 You can chew normally, smile with confidence, and care for your teeth just the way you always have with dental implants.

The main advantage of an implant is to leave the natural  healthy  teeth on the either side of the space of the missing tooth . The teeth on either side can be left untreated, whereas, the placement of a dental, fixed bridge may require those teeth to have crowns placed on them. 

With most current implant surgery techniques, there is a healing period after the implant has been placed. The healing period is normally 2-3 months before a crown can be placed on the implant but due to the type of the bone or the type of the implant immediate loading can be done for some cases.

After placing the implants in to the jaw bone we need time for healing of the bone cells that are getting connection to the implants . This process is called osseointegration and is the most important part of the implant treatment.

The phenomenon of the procedure lies in the fact that titanium is biocompatible – it does not induce any immune reactions when inserted in the bone.  The implants  become an integral part of the  body  that the presence of the implant is as natural as the presence of a natural tooth.

Dental implants can be used to support a single crown, a bridge or a denture (prosthesis).

Implant treatment is most often done in two steps:

Step 1: Surgical procedure

The implantation procedure is usually performed under local anaesthesia.

The implant has a screw-like shape, and is made of titanium. After placing an implant a special lid will be placed on the implant for protection of the connection part of the over prosthetic part .That will be left in the bone to heal stitches will be made over and will be covered by the gum.

Step 2: Prosthetic treatment

Once the titanium screw has healed into the bone, which normally takes 2-3 months, it can be used as an artificial root (or anchor) for the new crown. Implants can also be used to anchor bridges of different lengths, and removable dentures.

Properly placed and maintained, they last a lifetime provided that you brush and floss and when applicable use interproximal brushes.

Advantages of Dental Implants compared to fixed bridges and removal dentures:

An implant anchored tooth or bridge looks and feels like your own teeth. They are anchored in the bone.

The presence of implants in the jaw bone prevents the normal bone resorption (shrinking) that otherwise always occurs after teeth have been removed. This shrinking of the jaw bone is a serious long-term problem for patients who have had all their teeth extracted.

Implants do not require any work on adjacent teeth. By contrast, a dental bridge requires preparing (grinding) of the adjacent teeth for crowns. Removable partial dentures require some grinding of adjacent teeth and the fitting of clasps and rests on them, which can catch food.

Since dental implants are permanently anchored in the bone, any prosthetic restoration fixated to the implants will be securely anchored, unlike a removable prosthesis where there is always some degree of mobility.

Disadvantages of implant treatment:

They may be more expensive than other types of tooth replacement.

If you only have one or two missing teeth and if the teeth adjacent to those spaces already have or need crowns, there is less advantage with implant treatment.

Implant treatment involves a longer period of time  from start to finish.

ALL ON 4 / ALL ON 6 IMPLANT SYSTEMS

All on 4 / All on 6 implant systems are helping patients regain their confidence back and enjoy  the eating and chewing functions without the discomfort of removable prothesis

All on 4 implants is a technique used when the patient needs full arch reconstruction. The process involves placing only 4 individual implants; two straight anterior implants and two implants tilted up to 45deg in the posterior back part. That provides the patient a fixed full-arched prothesis with immediate loading on the day of surgery.

All on 6 implants is a technique of a full mouth restoration solution where 6 implants are placed to hold up the 14 unit bridge. All on 6 implant techique is biomechanically stronger then all on 4 system and also more cost-effective due to efficiency and the stability of the technique.

The treatment also preffered by patient with the severe gum disease when the bone requires stronger support.

Both All on 4 / All on 6 implant systems provide a fast solution with immediate loading on the same day and to a achive comfortable lifestyle and natural looking teeth.

ARE YOU A CANDIDATE FOR DENTAL IMPLANTS?

Dental implants are the best opinion for people of all ages in good general oral health who have lost a tooth or teeth due to an accident,gum disease,an injury or some other reason.It is important that you have enough dental bone to support the implant.There are some health conditions that warrant special concideration.Certain chronic diseases,heavy smoking or alcohol problems contraindicate implant treatment.Age is not a factor for the implant placing.

WHY IMPLANTS?

Implants have many advantages comparing to the  other prosthetic treatments:

Implants improve the  quality of your life;

You can enjoy all food varieties,

You can forget the dentures with their disgusting adhesives,

The implants are felt as real teeth, and function likewise – they are stable,

Dental implants allow for more self-confidence due to lack of awkward situations with loosened dentures.The eating function will be more comfortable.

Improved appearance;

Dental implants prevent bone atrophy and therefore help maintain the natural gum contour as well as the jaw bone and face shape.

Improved health;

Implants make chewing easier and subsequently influence digestion,

Their presence limits the possibility of damage to adjacent healthy teeth.

Oral care for implants is the same as for natural teeth.

THE TREATMENT INFORMATION AND THE PROCEDURES

1 Consultation and planning

Prior to the surgical part of the implant procedure it is necessary to establish an individual, detailed treatment plan as to the number and placement of the dental implants required to supplement the teeth losses. The treatment plan considers individual characteristics of the patient, like the location of the sinuses and nerves, and the jawbone condition. The dentist requires at this stage a two-dimensional panoramic image of the patient’s face and a three-dimensional image of the chosen bone fragment, to picture the bone thickness at the place of the planned implantation. In more complicated cases, a full 3D tomography is required.

2 Bone preparation and implantation

If the bone conditions ( thickness, height and density) in place of the intended implantation are not sufficient, an additional treatment needs to be performed – procedure-driven bone grafting (augmentation) or sinus lift. The bone regeneration period after such a treatment lasts from 6 to 10 months, the implantation can proceed after this time. If the bone conditions are adequate and there are no other contraindications, the implantation treatment can commence at once. The main procedure is the insertion of the titanium root part of the prosthetic restorative into the bone socket of the missing tooth, which is subsequently sealed with a special protective screw. All this is performed during one visit.

Post – treatment advice

– Antibiotic and painkillers as prescribed by the dentist,

– Cold compress in the early post-operative period is advised,

– Diet restricted to soft foods only,

– Mouth rinsing with a special fluid prescribed by the dentist ( chlorhexidine gluconate 0,2%),

– Avoiding heavy lifting during the period specified by the dentist (until the removal of stitches),

– During the first 48 hours, smoking should be reduced,

– Following all doctors’ orders and follow-up visits is a must.

3 Prosthetic crown attachment

After the period of osseointegration (implant bonding with the bone), lasting from 3 to 6 months, the dentist will uncover the implant/s and replace the sealing screws on the implant with an abutment. The purpose of that is to prepare and sculpt the gums for future prosthesis (crown or bridge). After approx.. 2 weeks, the dentist takes impressions and conveys them to the  laboratory where the prosthetic restoration is produced. The restoration is then attached to the implant either by screwing or cementing.

Two stage procedure (most commonly performed)– The two stage procedure requires two surgeries. During the first stage, the titanium screw is placed in the jaw bone. Special protecting screws are placed on top of the implant, and healing caps to sculpt the gums. After the osseointegration process, after the surgery has healed, an abutment is placed on the implant, and dental impressions are taken. In the end, the individually prepared crown is placed on the abutment.

Single stage procedure– in the case of very good bone conditions single stage dental implants are used. The insertion of the implant screw and the placement of a temporary prosthetic crown is being performed during one visit.

Oral hygiene:

Self- discipline at effective home oral care and following strictly the dentist’s prescriptions are the key  for maintaining the implants for a lifetime without problems. The patient is expected to maintain good oral hygiene to prevent inflammation of supporting tissues. Teeth brushing is absolutely compulsory. A close cooperation with your dentist after the procedure and strictly attending the follow-up visits is a prerequisite for the  warranty for your new teeth. The implant prothesis may need extra dental care for a proper hygiene.Brushing, flossing and rinsing with special oral mouthwashes, although required, are often insufficient. Therefore, systematic dental check-ups are also required for professional teeth cleaning. Check-up visits at your dentist are also required to assess the implant status and evaluate whether the titanium screws do not require further actions.