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Orthodontics

The Orthodontic issues are usually treated by installing a dental orthodontic device. Dental orthodontic devices are usually made from metallic wires attached by small metal plates or by matrices made from plastic.

Orthodontic devices apply light forces on the teeth and make them to move for alignment correction.

Best results are obtained from children whose jaws are still growing; also many adults can take the advantage of orthodontic treatment, but in these cases the treatment takes much longer.

FIXED ORTHODONTIC DEVICE

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Fixed orthodontic device is used for to straighten crooked or misaligned teeth, or to correct wrong bites.In general the patients are coming to orthodontic physician leaded by the wish to have a beautiful smile, but the physician will choose the right solution only after he analyze full teeth x-rays, bite and the capacity of teeth to support the device pressure. This kind of orthodontic treatment can take between 9 months and 3 years, or even more, according to complexity of the orthodontic problem.

There are some cases when the entire jaw is in the wrong position, and in these cases effect of orthodontic device must be completed by a surgical intervention.

Until few years ago, the only option was mobile orthodontic device, but today there are many kinds of orthodontic devices. Orthodontic devices are made to allow physician to move teeth on all 3 axes. The patients can choose between orthodontic devices made from: stainless steel, gold, ceramic, plastic, or devices basically invisible.

The choice depends on many factors: what treatment involves (how badly affected is the bite, how crooked are the teeth, if the surgical intervention is necessary, the time needed to wear the device), physician’s preferences, financial cost, treatment’s duration and patient’s wish.

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Periodontology

Periodontal disease, generally known as “periodontytis” is actually an inflammation of the tissues supporting the teeth, consisting of gums, jaw bone and periodontal ligament, due to infectious stimuli.

You must know that teeth are fixed in the jaw bone in a cavity called tooth socket. Between the external wall and the internal wall of the tooth socket there is no direct contact but a network of ligaments (fibers) called periodontal ligament, made up of a special elastic tissue that hold teeth in this socket. Elasticity of these ligaments makes this network to act as a shock absorber, providing tooth high reliability in time. Periodontitis (periodontal disease) primarily affects these fibers, which are destroyed, leading to bone resorption (disappearance) around the teeth until they become mobile and can no longer fulfil its function.

The main reason that these ligaments are damaged is infectious attack made by microorganisms that develop tartar and plaque present at this level. Often, the plaque is covered by gum swells and hides it so that the only effective way not to have this problem is scaling and cleaning teeth made by medical professional at least every 6 months, with personal hygiene achieved by brushing, flossing supplemented by the use of mouthwashes or, more recently, by mouth showers.

It must be understood that with age the ligaments and jawbone, however suffer a process of degeneration, but if periodontal disease process is much faster, and there is hereditary cases, unfortunately very difficult to control, such as juvenile periodontitis .

It is also very important to understand that this condition is not curable, but controllable, meaning that doctors can get some improvements, and primarily can delay progression of the disease, but it all depends on when we present to the doctor. As later we come to the dentist the disease will be more difficult to treat and control and sometimes even impossible.

Treatment consists of removing plaque and infected tissue caused by this. This can be achieved by:

  1. Scaling and professional cleaning – tartar removal using ultrasonic and rotary brushing plaque;
  2. Scaling in depth – remove subgingival plaque;
  3. Subgingival Curettage – removal of subgingival plaque and infected tissue because of its (granulation tissue)
  4. Flap surgery – removal of subgingival plaque and infected tissue because it’s using hand tools by exposing the jaw bone by removing gum on the affected areas.

After removal of subgingival plaque and granulation tissue, in some cases, the remaining bone defects (areas of missing bone) can be filled with special substances that are designed to stimulate bone growth ( addition of Bio-Oss).

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Pediatric Dentistry

Temporary teeth or milk teeth are the first teeth that appear on small child’s dental arch. These teeth are structurally similar to permanent teeth, that has a crown and a root (which houses the nerve root) but smaller than the next generation of teeth. Due to the presence of nerve, these teeth are sensitive to physical stimulation (cold, warm) and chemical (sweet, sour and acid). Temporary tooth decay arises from poor nutrition, lack of hygiene or both cases associated.

BABY BOTTLE CARIES

Baby bottle caries or baby bottle caries syndrome is a cavity with early onset and unfortunately rapid development due to improper diet of infant or child. This condition, if it is left untreated, can lead to tooth damage and, in some aggravating form, may extend to surrounding bone tissue, can affect the development of permanent dentition.

Shortly after the appearance of milk teeth we can already observed in some cases generalized damage of teeth. Causative factor is wrong nutrition, being that bedtime to fall asleep, the child is given sweetened liquid (milk, tea or juice) without doing further cleaning teeth. Thus, the sugar acts on the teeth while producing caries.

Baby bottle tooth decay is a major dental problem very common for children under three years old. It tends to affect the visible front teeth. The four upper front teeth are most commonly affected, while the lower incisors are very common and protected from tongue during suckling and then wash the saliva, remaining usually intact.

Temporary teeth are treated like permanent teeth, trying to keep them on the arch as much as possible. If tooth extraction is needed, we will opt for a space maintainer.

Temporary teeth’s cleaning is an important element in maintaining the vitality and presence on the arch until you have drawn. Cleaning starts right at the time that the arch teeth. This cleaning is done initially by parents with a compress soaked in water, and as the child grows may also use age-appropriate toothbrushes.

Although some parents think that temporary teeth have cavities should not be treated, for the simple reason that these teeth are extracted, is wrong which will then cause damage to teeth replacements, permanent.

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Prosthetics

Prosthetics

WHY CHOOSE ZIRCONIUM TEETH?

Zirconium is a very strong white metal (it can be processed only by laser), being used with success in medicine for prostheses and artificial joints, in the last decade of the XX century, and in present, it is the best choice in dentistry. Having excellent biological features, the zirconium is preferred than any other material for dental restorations

THE MAIN ADVANTAGES ARE:

• Perfect bio-compatibility with mouth
• Its translucency improves the natural and esthetic look of denture
• The denture has a very long live – in case of gum retraction, the black edges are missing, by comparison with metal restorations
• The denture’s resistance is guaranteed even after 50 years
• The tests have proved that it has no allergic reaction
• Its resistance to acidity prevents absorption of pollutants and facilitates an easier cleaning

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Dental Prophylaxis

The most popular methods include scaling and dental prophylaxis cleanings, fluoridation local and sealing deep grooves. 

DENTAL SEALING

Dental sealing consists of applying resin materials on posterior teeth, having the purpose to reduce and prevent tooth decay by making the chewing surfaces smooth areas and less retentive for food.Sealant application procedure is simple and short.

SCALING

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Tartar is formed by mineralization over time of plaque along with calcium salts thereof. It adheres to the teeth, but also to other tough areas, namely: restorations (fillings), dental bridges, dentures, implants and orthodontic appliances (fixed or mobile) and can be a contributing factor for the occurrence of periodontal disease. 
Along with scaling will make a professional brushing, so besides tartar, and eliminate all stains and deposits from teeth and tooth surface becomes smooth and glossy. 

BLEACHING

Dental whitening is a process of dentin discoloration and tooth enamel stains using special gels containing peroxo compounds which brought in intimate contact with teeth release active oxygen. Degradation products resulted from bleaching includes oxygen, water and ammonia, products which normally exist in the human body, so absolutely harmless to it.

Dental whitening is indicated for all patients who want to have a bright and attractive smile. The degree of bleaching depends on the structure and type of dyes teeth is frequently exposed. Bleaching process is operating only on natural teeth, fillings, veneers, crowns or bridges are not affected.

Some patients may feel an increased sensitivity to cold or mild discomfort in the teeth. These symptoms disappear within 1-3 days after completion of treatment. During treatment avoid drinking cold or hot drinks, citrus consumption and smoking.Dental bleaching effect generally lasts 2-3 years depending on the type and frequency of extrinsic dyes acting on the teeth (coffee drinkers, juices, smokers will benefit from this effect a shorter period of time). Treatment may be resumed periodically to maintain the desired aesthetic dentistry.

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Dental Implantology

The dental implantology had revolutionized the dentistry in general and prosthetics in particular. 

implant-micThis field, relatively new, gave a new dimension to dentistry starting from the 80’s.
Reliable and rigorous new implant techniques and processes have evolved rapidly, occupying today an important role in developing treatment plan for prosthetic restoration of various forms of edentulism.
Dental implants are the most modern and advanced solution for replacing missing teeth, with the highest success rate.
In the cabinet Ogodent use dental implants and bone additive products made by Artis Bio Tech (Israel).

What are dental implants?

Dental implants are screw-like devices made of high purity titanium, which is a perfectly biocompatible material that allows their osseointegration.

Osseointegration is healing bone around the implant after its insertion.

The implants are inserted into the jaw bone or mandible, serving as artificial roots that further work will be carried prosthetic (artificial teeth).

WHY CHOOSE YOUR IMPLANT TREATMENT SOLUTION?

If one tooth is missing:

If guilds are healthy adjacent teeth (no cavities) is preferable to use an implant, avoiding them in order to achieve a sanding bridges.

If several teeth are missing:

In case of we have left too few available teeth and there is no way to create a prosthetic works, for patients with partial or full denture, the implants are the best treatment solution in order to get rid of the conventional denture.In situations where there is little teeth that can not be fixed cemented work done in patients with partial dentures, implants are the ideal treatment to get rid of conventional dentures. They allow us to have additional poles that can be inserted wherever needed (if bone support is satisfactory) which will be the base for prosthetic devices.

A number of cases, that until recently used only movable and mobile solutions, today can take the advantages of fixed prosthetic devices due to dental implants and bone augmentation techniques.

STEPS TO BE PERFORMED FROM TREATMENT TO DENTAL IMPLANT

Consultation to determine your treatment plan, making a panoramic radiography, bone size evaluation.

If we discover an insufficient bone volume, in our clinic we can solve this issue using bone additive techniques.

  1. Implant insertion operation involves painless surgery that is performed with local anaesthesia.
  2. After 10 days from surgery suture wires are removed.
  3. Complete bone healing period varies between 3 and 6 months.
  4. After the bone is healed, the head of implant is discovered and mounts a healing cap that is designed to allow healing gum for 1 week.
  5. The abutment is mounted on the implant and the mark for artificial tooth (teeth) is taken.
  6. The execution of artificial teeth is taking between 2 – 3 weeks according to their complexity.

WHO CAN BENEFIT OF DENTAL IMPLANT?

Implants can be placed at any age if the patient’s health and good dental hygiene is impeccable.

PERIODIC CHECK-UPS FOR PROSTHETIC IMPLANT

The prosthetic implant dispensary is required. Periodic inspections will be performed in the clinic as follows:

  1. First check-up of the work is done after one week from the last treatment.
  2. The next check-ups are made after one, three and seven months from the implant, then annually.

Only this way an implant supported prosthetic restoration can work for a long time, avoiding some complications that may arise.

Hoping that the information above was useful for you, we are expecting you at clinic to choose together the best treatment solution for you.

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