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INSTITUTIONAL
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MEDICAL TREATMENTS
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DENTISTRY
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 TEETH WHITENING / DENTAL BLEACHING
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Dental bleaching can be used to correct many tooth discolorations that may have been caused by stains, aging, or chemical damage to teeth. Using the latest bleaching technology, we can offer a safe method for creating a beautifully "bright" smile.
Although bleaching is very effective, sometimes there are some short term disadvantages. Some people get sore gums or teeth, but it ALWAYS disappears after the use of the bleach is discontinued. Bleaching is not 100% predictable, no matter what anyone says.
World research indicates that bleaching is totally effective in 80% of people, but it is impossible to accurately predict when it will not work. In cases of extreme tooth discoloration, bleaching may not be the answer, but on the other hand crowns or veneers may be the only choice. Because of the low cost of bleaching treatments, bleaching is certainly worth a try.
Teeth whitening can make you feel more positive, happier, more confident and transform your life. It can even give your career a boost!
The majority of teeth stains can be removed which may be caused by tea, coffee, red wine, tobacco and intrinsic staining which occurs inside the teeth.
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PORCELAIN VENNERS |
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Porcelain veneers have become more and more popular during the last few years. They are an aesthetic and healthy option to common crowning, which requires a painful drilling of the tooth to prepare the area for the crown.
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Veneers are similar to false fingernails. Veneers are thin and cover the front part of the tooth.
They look much better and last longer than their predecessors - plastic veneers or direct-bonded composite restorations.
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Porcelain veneers also look like regular teeth – they are extremely durable, and their natural looking color is long-lasting.
They work particularly well for discolored, spaced or misaligned teeth, even in cases that don't seem to have any possibility of restoration.
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DENTAL IMPLANTS |
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Dental implants are substitute teeth roots, resembling screws. These screws are usually made of titanium or its alloy. The implants are bonded to the living bone structure of the jaw.
Prosthetic crowns fastened with machined screws are placed on top of the implant to replicate the missing teeth.
Prosthetic options include single crowns (caps), bridgework or an implant retained overdenture.
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REMOVIBLE DENTAL PROSTHESIS |
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These are the prosthesis that are not stationary and that must be removed after every meal for the prosthetic hygiene.
They can be partial or complete, in resin or with a metallic frame, with a false pink gum in resin, with false teeth in resin or in china.
A stay of two weeks minimum is recommended.
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ROOT CANAL TREATMENT AND FILLING |
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Even if one of your teeth becomes injured or diseased, it often can be saved through root canal (endodontic) treatment.
Dentists use root canal treatment to find the cause and then treat problems of the tooth's soft core (the dental pulp). The pulp is the soft tissue that contains nerves, blood vessels and connective tissue. It lies within the tooth and extends from the crown of the tooth to the tip of the root in the bone of the jaws.
When the pulp is diseased or injured and can't repair itself, it dies. The most common cause of pulp death is a cracked tooth or a deep cavity. Both of these problems can let germs (bacteria) enter the pulp. Germs can cause an infection inside the tooth. Without treatment, your tooth may have to be removed.
Treatment often involves from one to three visits. During treatment, your general dentist or endodontist (a dentist who specializes in problems of the pulp) removes the diseased pulp. The pulp chamber and root canal's of the tooth are then cleaned and sealed. A gold or porcelain crown is usually placed over the tooth.
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TEETH REMOVAL/EXTRACTION |
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The third molar, commonly called the wisdom tooth, is the last molar to develop and usually erupts posterior to the second molar during the late teens and early twenties of an individual´s life.
Unfortunately for the majority of today's young adults, their jaws are not large enough to allow the eruption of the third molar tooth in a normal, healthy and functional position.
These teeth may sometimes appear partially through the gum, or they may remain completely encased by gum tissue and bone, and in many cases they can exert significant amounts of pressure to the adjacent teeth and jaw structures resulting in a variety of symptoms.
When the presence of third molars has been determined, it is best to have them evaluated. If their removal is indicated, it is frequently recommended that third molars be treated before symptoms occur.
The removal of third molars is frequently recommended. This requires selective surgical procedures that are individualized according to patient need. Hospitalization for the surgery on an outpatient or inpatient basis is available when medically necessary.
Recovery is usually rapid with most patients resuming normal activities within a few days following the procedure. Serious complications following the removal of third molars are infrequent; however, a discussion of potential complications is made so that an informed consent for surgery is obtained.
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PERIODONTICS |
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Gum disease is a bacterial infection that results in changes in the gums and in the bone that supports the teeth. There are a number of treatments to control and eliminate gum disease:
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Oral Hygiene Instruction: We will provide you with the information and instructions for your own role in follow-up care.
Scaling and Root Planing: A deep cleaning utilizing local anesthesia can remove toxins on the root surface to allow the gum tissues to return to a healthier state.
Antibiotic therapy: If necessary we can start you on a therapy treatment using a number of effective antibiotics.
Periodontal Pocket Reduction Surgery: Gum disease and the associated changes to your gums and bone create 'pockets' around your teeth that can harbor bacteria. These pockets are impossible to clean by brushing and flossing. We can perform a minor surgical procedure that will allow access to the root surfaces to maximize cleansability. This result of this procedure is often the elimination of the pockets and a return to periodontial health.
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FIXED PROTHESIS |
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A dental crown is a tooth-shaped "cap" that is placed over a tooth -covering the tooth to restore its shape and size, strength, and/or to improve its appearance.
A dental crown may be needed when at least one of the following occurs: to protect a weak tooth (for instance, from decay) from breaking or to hold together parts of a cracked tooth, to restore an already broken tooth or a tooth that has been severely worn down, to cover and support a tooth with a large filling when there isn't a lot of tooth left to hold a dental bridge in place to cover misshaped or severely discolored teeth to cover a dental implant.
Metals used in crowns include gold alloy, other alloys or a base-metal alloy. Compared with other crown types, less tooth structure needs to be removed with metal crowns, and tooth wear to opposing teeth is kept to a minimum. Porcelain-fused-to-metal dental crowns can be color matched to your adjacent teeth. Next to all-ceramic crowns, porcelain-fused-to-metal crowns look most like normal teeth. However, sometimes the metal underlying the crown's porcelain can show through as a dark line.
All-ceramic or all-porcelain dental crowns provide the best natural color match than any other crown type. However, they are not as strong as porcelain-fused-to-metal crowns and they wear down opposing teeth a little more than metal crowns. All-ceramic crowns are a good choice for front teeth.
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BONE GRAFTING |
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If you are aware of bad breath, loose teeth, or have noticed excessive bleeding, particularly when your teeth are cleaned professionally, you may have gum problems. Periodontal (gum) disease is a major cause of bone loss and with reduced bone, dental implant treatment can be more complicated.
What else 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 or within the first few weeks.
Dentures - Many patients report that after a while their dentures become progressively looser and do not fit as well as they once did. Initially the increased rate of bone loss following extractions is responsible for the observed deterioration of denture fit.
Over the long-term it is the direct effect of chewing forces that causes slow resorption of supporting bone. Most people who have had dentures for many years will have needed a reline procedure to compensate for this bone loss. Therefore the longer dentures are worn, the more the amount of bone available for dental implants may be reduced.
Can dental implants preserve bone?
This is one of the most important features of dental implants. Once in place and supporting teeth, everyday functional forces stimulate the surrounding bone which responds by becoming stronger and more dense.
Like all things there are limits to how much work an implant can do.
Do you have enough bone for dental implants?
Routine dental x-rays show large amounts of detail, but in only two dimensions. From these views it is generally possible to judge the height of bone available for implant placement, however, more advanced imaging techniques are sometimes needed to determine the equally important bone width, which can otherwise only be estimated from clinical examination.
Dental CT scans - There are now a number of advanced x-ray techniques which allow your jaw bone to be looked at in all three-dimensions. The most accurate and widely available is known as the CT (computed tomography) scan. Imagesobtained by CT scanning will normally be able to show all of the information required about your bone, including quantity and quality, but most importantly the presence of anatomical structures that must be avoided.
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CROWS AND BRIDGES |
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When there is not enough tooth structure left, or the chewing demands in the mouth are too great for laminates, a stronger, more extensive restoration is needed.
Here we need porcelain jacket crowns. Porcelain jackets are pure porcelain crowns placed on a fully prepared tooth. They are the most life-like of all full crown type restorations.
The technique initially consists of preparing the teeth. Next, an impression is taken and then sent to the dental lab where the porcelain jacket is fabricated. Finally, they are placed in the patient's mouth and permanently cemented onto the teeth.
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COSMETIC DENTISTRY TREATMENT |
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The whole treatment includes: 8 full porcelain crowns; 6 porcelain full metal crowns; 14 root canal treatments; 8 fiber glass posts; 6 metal posts; 10 provisional crowns
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