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FAQ

Does your centre offer dental cleaning services?
Yes, on a regular basis. Professionals use the term – dental hygiene – comprising – (among other things) the removal of dental plaque and dental tartar with the subsequent application of a high-fluoride coating. The dental hygiene service includes the presentation and training of the correct dental care, teeth cleaning techniques, correct use of dental accessories such as special brushes, dental floss, interdental brushes, etc.

What is dental plaque?
Dental plaque is a soft sticky film, produced continuously. It is of white-yellowish colour and can be removed by using the correct brushing technique. Plaque contains a large number of bacteria that participate in the development of cavities, further destruction of the teeth, and gum disease.

What is dental tartar?
Dental tartar results from the build-up dental plaque with insufficient or incorrect dental hygiene. The plaque gradually incorporates the minerals from the saliva and food. Gradually, the structure of the soft plaque changes into hard deposits of the dental tartar, above and beneath the gums. Dental tartar deposits gradually spreading out to cover the entire surface of the tooth.

What causes the build-up of plaque and tartar?
The first signs include bleeding and pain in the gums, especially during teeth cleaning, in which the gums inflame and swell up. The next stage involves the gradual destruction of the tooth supporting connective tissues (the tissue that anchors the tooth in the bone) and the surrounding bone. This results in the gradual increase of bleeding and eventually the loss of the tooth.

How can the dental plaque and tartar be removed at the dentist’s office?
Professional plaque and tartar removal is recommended on a regular basis depending on the rate of formation. Initially, the tartar is removed using ultrasound. If necessary, manual instruments are also used to remove any residual tartar. Plaque can be removed by using rotating brushes and special paste or by-so called sand-blasting. The sand-blasting is used to remove plaque and pigmentation by a a stream of sand, air and water. Finally the gums are locally treated using a disinfection rinse. After this treatment the teeth are clean, whiter and clearer.

Is amalgam hazardous to health?

Amalgam is one of the oldest materials used in dentistry - with excellent experience. The current amalgams have an improved, "refined" composition and contain much lower levels of mercury. The amount of mercury released during removal of old fillings, during the hardening of the filling is minimal. There were several studies performed in this field, confirming that the levels that are found in everyday food intake are much higher.

Does an amalgam filling ensure good quality?
As with every material, it is necessary to adhere to all the steps of the technique. This is a pre-requisite for the high quality of the filling, regardless of the material used. Amalgam is known for its very good mechanical properties, making it good especially for the rear teeth. However, after completing the filling, the material requires a certain time to harden. That is why the final polishing is performed during the next visit. Its disadvantage is more in the aesthetic aspect - the silver colour is quite far from the "natural" tooth colour. Another disadvantage is found in the risk of tooth fragmentation.

Can the amalgam be replaced with some kind of a white alternative?
Many of the materials currently used for dental filling can be used for rear teeth as well. The mechanical properties are comparable to those of the amalgam. Very good properties are demonstrated by the inlay and onlay system – the ceramic alternative is especially very popular. The extent of grinding is the same as with any other filling. However, the subsequent steps are different. Today’s advanced technology enables a computer rendering of such "filling" in a matter of a few minutes. Such filling is then applied to the tooth and adjusted as necessary. Thus, a created "filling” has excellent mechanical properties, is durable and the patients tolerate it very well. And last but not least, it is indiscernible from one’s own tooth.

Which material is the best?
One of the pre-requisites for a long-lasting filling is the compliance with the appropriate procedures. During the treatment it is necessary to proceed in full compliance with the prescribed rules. When these rules are complied with, all fillings can last for a long time. Nevertheless, the best experience is demonstrated by the inlay and onlay system.

How can “fresh breath” be attained?
Through correct and regular oral hygiene – removal of plaque, tartar and unwanted bacteria from the teeth, interdental space, gums and tongue. Bacteria generate the sulphur that is responsible for the odour in the oral cavity. Our recommendation is to visit a dental office once every 3 to 6 months and have oral hygiene performed professionally. People should go who have healthy teeth and an oral cavity once in 6 months, patients with additional problems once every three months. Most of the problems that people have with their teeth results from insufficient hygiene. The time, mental and financial cost of any tooth “repairs” are then much higher than the investment in the more frequent and regular hygiene and check-ups. Another reason can be found in inadequate dentures or insufficient hygiene of the dentures. Removable dentures should be cleaned with a soft brush in the evening and soaked in the disinfection solution. The oral cavity should be cleaned as well.

When should children show up for the first dental check-up?
A child should arrive at a dentist’s office for the first time just for a talk, not when the pain arrives. This is about when all of the temporary baby teeth (20) are out. However, if the parents are in doubt or have any questions, they should come as soon as possible. Our professionals will train the children and the parents in the correct technique of teeth cleaning and discuss the correct nutrition to support dental health. We will try to win the confidence of your children, so that they come to the dentist’s office willingly and without any fear. Every child will receive a small gift at each visit.

How can you convince those patients who are afraid of the pain? Are there any painless procedures?
Present day knowledge enables all dental procedures to be performed without pain. Local anaesthetics that are applied in the form of a spray or by injection are used for this purpose. The use of high quality diamond bits reduces the pain and shortens the procedures.

Is it possible that the applied anaesthetic will be ineffective in my case?
Most often we encounter two scenarios - complicated cases, extensive swelling and inflammation prevent the anaesthetics from infiltration into the tissues that are altered by inflammation. Another case is the excessive fear. In this situation we can administer sedatives or try to calm the patient down verbally and by creating a pleasant atmosphere.

What is gingivitis?
This is the inflammation of the gums. Often it is caused by plaque (yellowish coating on the teeth, containing bacteria) or by dental caries (harder calcified coating on the teeth). Bacteria release toxic substances that irritate the gums. The gums then become sensitive and painful, sell up and inflame (redden) and are prone to bleeding. The only prevention is correct and regular hygiene. If you notice any sign of gingivitis, you should visit your dentist. If the warning symptoms are neglected, the process penetrates deeper, gradually leading to loosening of the teeth and even to the loss of your teeth. This is what we refer to as periodontitis.

What are the current treatment options for periodontosis?
The only accepted successful method is surgical intervention - and only if the teeth are involved only locally and not as a whole. Most often the therapy focuses on the slowing down of the atrophy by using soft brushes and the very sensitive and careful cleaning of the teeth.

What are the causes of the periodontosis?
This dental disease is most often seen in elderly people, since the disease proceeds at a very slow rate. The science of today is still incapable of clearly identifying the underlying causes and this is the reason why physicians today are unable to establish clear procedures to remove the unwanted condition. When searching for the causes of periodontosis, the causes that are most often referred to include the overloading of the teeth during chewing, improper cleaning techniques, overly hard toothbrushes, orthodontic treatments, etc. If the atrophy is accompanied by any additional dental problems, it is necessary to seek medical help.

What to do with crooked or crowded teeth?
Crooked or crowded teeth can be corrected by several means. The possibilities include the use of fixed braces, ceramic facets, crowns, or composite dentures – depending on the specific issues and condition of the teeth.

How can cavities be prevented?
Cavities results from simultaneous action of several factors - sugar/sucrose/, bacteria/normal flora in oral cavity/ - over a sufficiently long time. Therefore, it is very important to thoroughly clean teeth with a toothbrush at least twice per day and use dental floss as well as an interdental brush in the evening. Fluoride preparations should be used to increase the resistance of teeth to cavities.

Can a tooth with a new filling be sensitive to cold?
Yes. Teeth can be sensitive to cold especially after the treatment of deeper cavities. However, this is a transient condition – until the tooth generates a sufficient dentine barrier. This condition may last for several days.

What can we do about old or unsightly teeth?
If the filling is okay, it is sufficient to polish it and it will be as before. Unacceptable fillings can be replaced with new materials - colour-matched to the teeth - such as composite fillings (white fillings) or ceramic inlays. The ceramic inlays are most durable - cosmetically as well as functionally. In case of more extensive tissue loss, tooth crowns can be used to cover the entire tooth. The crowns are necessary in the case of dead teeth, providing protection as well.

What to do about fractured, fissured or worn out front teeth?
Fractured, fissured or worn-out teeth can be repaired by using very thin, custom-made ceramic facets, which are indistinguishable from the patient’s own tooth. Another option is repair using white resin. In case of a larger defect, a crown repair is the option.

What to do about missing teeth?
Missing teeth can be replaced by removable dentures, fixed bridges, or implants.

What are implants?
An implant is an artificial root, implanted in the bone that supports a tooth replacement or a bridge. It looks like a screw, which can be used in the upper or in the lower jaw. The implants are made from titanium steel or from other materials that are suitable for the applications within the human body. The implants are fixed in the bone to provide a stable base for one or several teeth called crowns or bridges. This enables improved chewing, articulation and better looks. As opposed to the removable dentures, implants are permanent and need not be removed at night.

What are the contraindications for implants?
The suitability of implants is assessed by a specialist – dental surgeon. Generally, implants are not suitable for patients suffering form disorders that deteriorate the implant healing conditions (diabetes, tumour diseases, periodontosis and other) and for smokers.

What is the life expectancy of dental implants? Are the implants reimbursed by health insurance?
With the appropriate care of the implants and subject to a well performed treatment, you may count with the life-long use and that is why the implants are quite expensive. Proper care and hygiene as well as regular professional cleaning at the dentist’s office – once in six months are all very important. Insurance does not cover this treatment.

Is ozone treatment used only as prevention or does it serve only to repair damaged teeth?
Ozone treatment of teeth has a wide range of applications. It can be used as prevention – especially in young patients and children. It can also be used to remove cavities. However, this is so only in the early stages before nerve inflammation is involved. After the application of ozone, the defect is covered by a filling.

What are the advantages of the ozone cavities treatment compared to standard procedures?
The ozone therapy can be applied to most minor cavities cases, without the need to expect any pain. There is no drilling involved, in which the bacteria are killed by ozone. The tooth tissue is spared as well.

How do x-rays work?

X-rays are used to render images of the tissues that are hard see or cannot be seen at all by the naked eye. The x-rays pass through the tissues and onto the film. After the film is developed, the image can be viewed. The latest technique – the so called digital radio-diagnostics - involves a direct rendering of the image on a computer screen. This method is much less harmful and much more precise than the traditional x-ray. The advantage of this imaging technique is in the optional modification of the images and their distribution by e-mail.

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