In my surgery I mostly carry out procedures described below.
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Implants - to rebuild the lacking tooth/teeth we can use a modern implanting technique. This method consists in implantation in jaw-bone a titanic implant which imitates the natural tooth root. On the implant itself, using special links, we attach a crown, a bridge or a denture. Two implants implanted in a toothless jaw allow to hold a denture even in extremely difficult conditions. The Nobel Biocare company experience allows us to offer a 10 year guarantee for the implant endurance.
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- Frame denture - the best among all the removable prosthetic restorations. Acrylic teeth and gums are placed on a specially moulded metal frame. Clasps and spikes holding the frame denture transmit the chewing force to natural teeth. Thanks to this action gums are not exposed to a load. To hide metal clasps on visible surfaces we can use special locks or bars.
- Acrylic denture - a traditional denture used for completing partial or full lacks. The advantage of this denture is its low cost while its disadvantage is unnatural gum load followed by bone overload which results in atrophy and causes settling of prosthesis.
- Nylon denture (claspless) - built similarly to acrylic denture though needing no metal clasps for holding. Thanks to its elasticity it fits the patient’s mouth excellently.
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Prosthetic bridges - lacking tooth can be replaced with a prosthetic bridge. The technology is the same as in porcelain crowns case. We have to grind neighbouring teeth to mount the bridge and cement it on them.
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- metal based porcelain crown - if the tooth is very damaged we can rebuild it with the help of prosthetic crowns. The most common type is porcelain - metal crown. It consists of metal cap (inside crown) and porcelain overlay. Usually, metal creating foundation is prosthetic steel, alloy of gold and platinum or pure gold.
- metal-free porcelain crown - when we expect an excellent cosmetic effect we may use metal-free porcelain crown. The base for porcelain is white zirconium. Such crowns have more natural colour and are practically indistinguishable from vital teeth.
- porcelain facings - porcelain facings (veneers) are used when we wish to improve the shape and colour of teeth. Preparation of the tooth needs a minimal grinding from the labial side.
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Teeth whitening - it’s a cosmetic procedure which allows to brighten teeth colour, eliminating discolourations after antibiotics, improper root canal treatment etc. Before whitening a control visit is necessary to choose the best method of brightening and to clean teeth from dental deposit. In my practice I propose two methods of teeth whitening.
- onlay method - technician prepares special dental onlays, based on an impression, then a whitening gel is applied into them. Depending on its concentration, the patent wears them from one to four hours. Teeth should be carefully cleaned before the procedure and after it, the patent should not eat anything for a couple of hours. The whitening process should be repeated for at least nine evenings. The modern preparations which I recommend eg. NiteWhite contain a formula minimizing pain discomforts during such treatment. The whitening effect is long-lasting and less traumatic than single session brightening. Furthermore, the onlays can be also used for application of other medicines (fluorization, Tooth Mousse, oversensivity reducing formulas) as well as repeated whitening when the effect of brightening becomes to decline. In such case it’s enough to repeat the procedure for three nights in a row.
- whitening in consulting surgery - if you wish to whiten your teeth quickly it’s possible to do it during a single session. In such case more concentrated formula are used strictly under doctor’s control. It’s necessary to carefully protect gums from irritating whitening agents. To speed up the whitening process we may use a special lamp exposure. More informations in FAQ.
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Endodontic treatment - root canal treatment. When caries is very deep it creates a pulp (nerve) inflammation. Inflammatory processes of low degree may be treated with proper medicines, leaving the tooth vital. However, with more advanced pulp inflammation, the tooth has to be treated endodonticly. If it’s possible the nerve is removed in local anaesthetic procedure. After an extremely precise cleaning and processing the root canal is later filled with gutta-percha, right to the very end of the canal, leaving no free space.
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Treating caries with prosthetic restorations (inlays and onlays) - the other method of complementing the carietic defects is using
special porcelain and composite inlays/onlays. After processing the
defect an impression is taken and on base of it a technician prepares a
prosthetic appliance in the laboratory. Rebuliding the tooth this way
prevents tooth from tension (the lower risk of breaking as well as
post-treatment pain and microshunt), the filled areas are shaped more
precisely, especially when it comes to tangential teeth. Cemented
inlays are tighter than direct composite fillings and that meaningly
influences the durability of a filling. Eesthetics of such
complementing is very high.
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Treating caries - commonly known as tooth filling. After cleansing tooth from caries change it’s necessary to complement lacking tooth tissues. Generally the tooth is being filled during one visit with some composite materials. In my practice I use 3M ESPE Filtek Supreme fillings – the latest nanocomposite. A range of over 20 colours of this filling allows me to perfectly rebuild even the most damaged teeth. In less complicated cases there’s a possibility to use a cheaper material known as Valux.
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