Services

Dental implantation

Dental implantation is the most advanced and long-lasting method of lost tooth restoration that has been widely applied in dentistry for over 40 years.
Dental implants are the substitutes of the tooth root on which crowns are attached. Dental implants are usually made of titanium, which is particularly biotolerant to the human body and does not cause allergic reactions.
Dental implants can replace the roots of one, several or even all of the lost teeth.
Dental implants can be threaded into the patients of any age whose jaw is already formed (usually from 18 years of age).

Why is dental implantation so important?

If one or more teeth are lost, unwanted physiological changes occur: the function of the chewing diminishes, the remaining teeth change their position, the gaps appear, and the bone begins to disappear in the lost tooth area. This deficiency can be restored by applying conventional dental prosthesis and dental implantation. During normal prosthesis, depending on the condition of the oral cavity, the doctor may offer a plate (removable denture) or a bridge (attachable denture). Both methods of prosthetics help to restore the chewing function and improve the aesthetic image, but have a number of drawbacks compared to implantation as grinding of adjacent teeth, treatment of root canals are needed, no interdental gaps are left (in case of bridge prosthesis), additional loading of adjacent teeth is applied, decay of jaw at the point of extracted tooth happens.
Choosing a dental implantation procedure can stop the bone loss process, completely restore the original chewing function, maintain intact adjacent teeth, and achieve perfect aesthetic results. In addition, with proper care of the oral cavity, the patient can enjoy the results for several decades.

Course of procedure

Before the dental implantation, a detailed doctor’s consultation is required to develop a treatment plan that meets the patient’s needs and capabilities.

During the consultation:

  • • A panoramic or 3D X-ray CT scan is performed. Only such a procedure can enable a proper assessment of the condition of the oral cavity, the amount of jaw bone of the patient
  • The overall health status of the patient (general diseases, medicines used) is assessed
  • The patient’s needs and capabilities are discussed. This information will help to develop a patient-friendly treatment plan
  • A treatment plan that includes the course of treatment, the procedures required, the number of visits to be made and the treatment estimate is developed.

 

The process of implantation

Dental implantation is commenced during the consultation process after a proper treatment plan for the patient has been developed. During the first visit, implants are placed in the jaw. It is a completely painless procedure performed in local anaesthesia, just like a simple tooth removal. The stitches are removed after 7 to 14 days and further implant integration is expected from 3 to 6 months, depending on the nature of the operation performed. After this period, the X-ray is repeated to see the implant success and the next stage can be started: the production of the crown(s) production, which, depending on the complexity of the situation, can be carried out in 2 to 4 visits.

What should the patients know to enjoy successful dental implants long?

  1. Take care of teeth and implants responsibly, follow good oral hygiene. Professional oral hygiene every 6 months is recommended.
  2. Visit an oral surgeon who performed implantation every 1-2 years to repeat the panoramic X-ray image to evaluate the condition of the implants.
  3. Try to refuse or severely limit smoking because nicotine interferes with the blood flow of the oral tissue, which causes the weakening of the immune system and can make it easier for infection to reach and damage the tissue around the implant.

 

Single-moment implantation

Single-moment implantation is the most advanced and targeted implantation method when an implant is placed immediately after removal of the tooth. This technique is more complex than usual implantation, but has many advantages over the latter:

  • The natural gingival contour is preserved (especially if a temporary tooth is produced immediately)
  • All surgical procedures are carried out in a single visit (there are 2-3 surgical interventions during routinely postponed implantation)
  • Lower postoperative symptoms (pain, swelling)
  • A shortened time before prosthetics: the crown can be made on the implant 3 months earlier
  • Less bone loss.

Prosthodontics

A non-removable (fixed) denture is any denture that is fixed to the tooth or tooth implants by cementing, threading in or other mechanical means.

Non-removable dentures may include:

  • The dental crown is a restoration of ceramic (porcelain), zirconium or a combination of these materials covering three or more tooth surfaces.
  • Bridge denture (bridge) is a type of prosthesis attached to the supporting teeth, filling the gap between the missing tooth and restoring its function for chewing, speaking, and aesthetics, if possible. This can be used for the restoration of more missing teeth if the adjacent teeth can maintain the future chewing load.
  • A dental veneer is a thin glass-ceramic plate covering the front surfaces of a tooth that requires aesthetic restoration. The veneer guarantees a perfectly restored natural look, anatomy, and durability of the tooth.

The purpose of prosthodontics

  • Restore chewing function.
  • Protect a weakened tooth by redistributing the chewing load by means of an artificial tooth crown to the remaining tooth tissue so that the tooth could continue functioning.
  • Optimize occlusion resulting from worn teeth, incorrect occlusion.
  • Replace big low-quality seals.
  • Improve aesthetics.
  • Prepare retaining teeth for fixing removable dentures.

Non-metallic ceramic prostheses are characterized by the best aesthetic qualities. To create a harmonious aesthetic image, not only the colour of the denture, but also the position of the prosthetic tooth, the health of the gums and mouth, the shape of the gums, the shape of the teeth involved in the occlusion, the peculiarities of the chewing movements are important as well.

Endodontic treatment

Endodontic (tooth root canal) treatment is a way to preserve natural teeth. This treatment is required when the tooth pulp (soft tissue inside the root canal of the tooth) is infected, affected by inflammation. This can be influenced by a number of causes: deep carious cavities, multiple dental procedures in the same tooth, tooth chipping, fractures, and similar problems.
In at the “DR” Dental Clinic, root canal treatment is performed by a doctor endodontist specializing in the field of endodontics through the use of a professional dental microscope and performance of X-ray examinations.

Symptoms indicating that endodontic treatment may be needed:

  • Toothache starts late at night or at night
  • Analgesics do not suppress pain
  • Toothache spreads to the ear, etc
  • Deep caries that has affected not only the enamel, dentine but also has reached the tooth pulp
  • Post-trauma of the tooth
  • An abscess (fistula) in the gums leading to the causal root tip of the tooth.

After quality endodontic treatment, the teeth are restored either by a filling material or by a fixed prosthesis depending on the existing situation.

Aesthetic prosthodontics

Aesthetic prosthodontics is a method of restoring damaged tooth tissues performed using aesthetic fillings. Aesthetic seals correspond to the natural colour and shine of the teeth and are generally invisible to the naked eye because the shade of the filler material that matches the colour and transparency of the particular tooth is chosen.
Aesthetic prosthodontics is used to restore chipped, worn-out teeth which have changed their natural colour, caries-damaged teeth, as well as to embellish the tooth shape, close the gaps between teeth, or replace old fillings differing from the natural tooth tissues by the colour in unnoticeable restorations.

During aesthetic prosthodontics, the aim is to restore the missing tissues without polishing and damage to healthy tooth tissues with particular precision so that the teeth are viable, proportionate, transparent, glossy and perfectly functional.

The aesthetic prosthodontics is used to restore the teeth in layers close to the natural anatomy of the tooth. This creates the natural appearance of the tooth: colour, transparency, shape, individual tooth features.
Aesthetic prosthodontics can be used to treat both the front teeth and cheek-teeth.
The procedure of aesthetic prosthodontics is painless and does not cause great discomfort as the tooth being treated and its environment are anaesthetized.

Aesthetic prosthodontics is a method of restoring damaged tooth tissues performed using aesthetic fillings. Aesthetic seals correspond to the natural colour and shine of the teeth and are generally invisible to the naked eye because the shade of the filler material that matches the colour and transparency of the particular tooth is chosen.
Aesthetic prosthodontics is used to restore chipped, worn-out teeth which have changed their natural colour, caries-damaged teeth, as well as to embellish the tooth shape, close the gaps between teeth, or replace old fillings differing from the natural tooth tissues by the colour in unnoticeable restorations.

During aesthetic prosthodontics, the aim is to restore the missing tissues without polishing and damage to healthy tooth tissues with particular precision so that the teeth are viable, proportionate, transparent, glossy and perfectly functional.

The aesthetic prosthodontics is used to restore the teeth in layers close to the natural anatomy of the tooth. This creates the natural appearance of the tooth: colour, transparency, shape, individual tooth features.
Aesthetic prosthodontics can be used to treat both the front teeth and cheek-teeth.
The procedure of aesthetic prosthodontics is painless and does not cause great discomfort as the tooth being treated and its environment are anaesthetized.

Advantages of aesthetic prosthodontics:

  • Strengthens the teeth;
  • provides aesthetic and natural appearance;
  • restores tooth chewing function;
  • aesthetic prosthodontics procedure is faster than the dental prosthesis procedure;
  • usually less dental tissues are removed than during the prosthetics.

Teeth whitening

Teeth whitening are one of the easiest ways to refresh the aesthetic look of a smile. At “DR” Dental Clinic, teeth whitening is performed using a state-of-the-art, most effective and safe tooth whitening system – PHILIPS ZOOM WHITE SPEED. This teeth whitening system ensures an effective and long lasting result that does not damage the hard tissues of the tooth.

It is important to emphasize that during the teeth whitening procedure with Philips Zoom white speed system, only a 6 percent hydrogen peroxide is used. Usually, the clinics use 36 to 45 percent hydrogen peroxide, which causes tooth sensitivity. The Philips Zoom whitening system is not only very effective but also safe and painless as the whitening agent contains amorphous calcium phosphate, potassium nitrate, and fluoride. These whitening gel ingredients reduce the sensitivity of the teeth, protect the enamel and provide the teeth with more shine. Nowadays it is the most modern and reliable method of teeth whitening; the procedure lasts only 2 hours, and the result is delightful – the teeth become lighter by up to 8 shades! Teeth whitening results depend on tooth enamel thickness, congenital shade, patient’s age, patient’s lifestyle and habits (nutrition, smoking, etc.).

Before a teeth whitening procedure, the consultation of a dentist or dental hygienist is required, during which it will be evaluated whether teeth and gums are healthy, there are no contraindications to teeth whitening. A professional oral hygiene procedure should be performed before teeth whitening.

Whom the teeth whitening cannot be performed to?

  • Children under 18 years.
  • Pregnant and nursing women.
  • People with acute periodontal diseases.
  • People with allergies to whitening agent ingredients.
  • People whose dental tissues are damaged by caries, attritions, cracks, erosions.
  • People whose gums are damaged by multiple recessions.
  • People who have poorly restored teeth.

Recommendations after procedures

  1. Dead teeth, seals and crowns do not change colour, so dental sealing and dental prosthesis should be performed at least 2 weeks after whitening until a new colour of teeth settles, and hydrogen peroxide reagents remove from the hard tissue of the tooth.
  2. Teeth that are severely damaged by tetracycline or other antibiotics may require more than one procedure. There must be at least a two-week break between the procedures.
  3. 2 weeks after whitening, it is recommended to avoid colouring food products and beverages (coffee, tea, red wine, beetroot, etc.), and not to smoke.
  4. It is important to maintain good oral hygiene.
  5. Patients should regularly perform professional oral hygiene (recommended every 6 months).

Professional oral hygiene

Periodontal diseases are caused by microorganisms present in dental plaque. If soft dental plaque is not removed, it mineralizes over time and becomes dental stones.

Dental stones themselves do not cause inflammation of the marginal periodontal but facilitate the accumulation of soft plaque containing microorganisms that cause periodontal disease.
Dental stones can be over the gum: they are well visible during the examination. Dental stones beneath the gums are found by probing with a periodontal probe; sometimes they can be noticeable through gums, visible in X-rays, and detected by special instruments.

Professional oral hygiene, or dental plaque removal, is performed during the initial phase of periodontal disease treatment and maintenance treatment. This procedure should also be carried out before any planned dental treatment or procedure if indications are available. The goal of professional oral hygiene is to remove soft and hard dental plaque and restore the health of gums by eliminating the underlying causes of gum inflammation.

During professional oral hygiene the patient is explained the importance of individual oral hygiene, suitable oral hygiene measures are chosen and he is taught to use them correctly; the concretions above and under the gums are removed, the surface of teeth roots are smoothed, pigmental plaque removal is performed, and dental enamel remineralizing applications are performed.

Recommendations after procedures

  • After the first day of the procedure, the saliva may be pink due to minor bleeding.
  • It is recommended to avoid pigmented foods (coffee, tea, red wine, beetroot, etc.) a couple of hours after the procedure.
  • If fluoride applications have been performed, do not use dairy products for 24 hours.
  • After several hours of professional oral hygiene, you may feel an increased sensitivity to your teeth.
  • It is necessary to follow all the instructions given by the specialist for individual oral hygiene.

Periodontology

Surgical treatment of periodontitis

The marginal periodontal is the aggregate of the supporting structures of the tooth: gingiva, bone, ligament, the root of the tooth. Each tooth in the jaw is located in the holes – alveoli. The tooth in the bone is supported by the periodontal ligament, which is located in the periodontal gap, between the tooth and the bone. One end of periodontal ligament penetrates into the outer layer of the tooth root – cement, and another one – into the bone surrounding the tooth. The tooth is surrounded by the gingiva.
The causes of marginal periodontal disease are microorganisms present in plaque. Unremoved soft dental plaque eventually mineralizes and becomes dental stones and facilitates the accumulation of soft plaque.
Chronic periodontal inflammation develops without timely high-quality cleaning of dental plaque, in case of an impaired immune response and general diseases.
Prolonged periodontal inflammation leads to the breakdown of the periodontal ligament, the formation of pathological periodontal pockets, loss of alveolar bone, tooth mobility, gingival recession. Due to the recession of the epithelium toward the root apex, the resulting periodontal pockets are a favourable medium for microorganisms that cause periodontal diseases.

The essence, objective, and method of surgical treatment

Surgical treatment of periodontal is performed to stop or slow the progression of periodontal disease, to restore lost peripheral periodontal tissues, and to maintain the results of periodontal disease treatment. Surgical treatment is only applied if deep periodontal pockets and bleeding after probing still persist after a professional oral hygiene procedure.
The main objective of periodontal surgery is to eliminate periodontal pockets. In this way, the medium favourable for microorganisms causing periodontal diseases is removed and the progression of the periodontal disease is stopped. Other tasks of periodontal surgery include removing or reducing damage to marginal periodontal, restoring function and form of periodontal tissues, creating favourable conditions for individual oral hygiene, maintaining aesthetic mouth, and preparing teeth for restorative treatment.
Usually, local anaesthesia is sufficient enough for the surgical treatment of periodontitis.
During the operation, the assessment of the depth of periodontal pockets is performed, dental surfaces are cleaned (removal of concretions, granulations, levelling of root surfaces), bone defects are eliminated and alveolar bone plastics are performed.

Without the periodontal surgical procedures in cases of severe periodontal disease does not ensure the prevention of the decay of periodontal tissue and the elimination of inflammatory foci. This eventually leads to progressive breakdown of the periodontal ligament, the formation of deepening periodontal pockets, resorption of increased alveolar bone, increased tooth mobility, and suppuration from periodontal pockets. For these reasons, the teeth are being lost, they needed to be removed and their loss has to be restored by means of dental prostheses and/or implants. Progressive inflammatory phenomena in the marginal periodontal result in the decrease of the body resistance, overall body health, development and progression of chronic diseases such as diabetes, atherosclerosis, rheumatoid arthritis, etc.

Plastics of lips and tongue frenulum

The tongue frenulum is the usual anatomical structure, which is like a link going from the bottom of the tongue and attaching to the soft tissue of the bottom of the mouth.

Trumpas liežuvio pasaitėlis – tai tokia vystymosi yda, kuomet liežuvis būna tarsi prikabintas prie burnos dugno.

A short tongue frenulum is a developmental problem when the tongue is sort of attached to the bottom of the mouth. A short tongue frenulum prevents the full tongue from sticking out and lifting the end of the tongue, so when a child starts speaking, it may be difficult for him to pronounce some sounds (usually R, L, Š, Ž, Č). In the older age, a short tongue frenulum can cause problems with the gingiva and occlusion. Surgical treatment of short lip frenulum is performed in 11-12 years.

The central frenulum of the upper lip is attached between the front teeth in the upper jaw. Short lip frenulum usually affects the appearance of a space between the front teeth.

Treatment of gingival recession

Gingival recession is a gingival retreat from the tooth. In the case of a gingival recession, the tooth neck or part of the tooth root is uncovered. The tooth looks longer, it is sensitive, the aesthetics of the smile decreases. The recession is treated surgically through gingival plastics when the recession area is being covered by a free autotransplant from a palate or synthetic gum substitutes.

Gingivectomy

Gingivectomy is surgery when an excess of gums are removed; it is often applied to lengthen the length of the tooth crown. Gum contour is changed during the surgery. After prolongation of the tooth crown, a higher quality dental prosthesis when the tooth crown enshrouds more healthy hard tissues of the tooth is possible.

Post-surgery recommendations

  1. After surgery, bleeding may occur for about 30 minutes. For the first day, the colour of saliva due to small bleeding may be pink.
  2. After surgery, swelling of the tissues is possible, which is usually the highest on the third day after which it recedes. It is necessary to use anti-inflammatory medications prescribed by a doctor for the reduction swelling for 3to 5 days, and immediately after the surgery, it is recommended to keep an ice blister on the cheek in the operated area for 20-30 minutes.
  3. The painkillers prescribed by your doctor should be used.
  4. It is recommended not to eat about 2 hours after the surgery. On the first day, hot, hard, spicy food should be avoided; not to chew with the operated side. It is recommended to eat soft, warm food and drink cool liquids.
  5. The operated area must not be warmed.
  6. It is recommended not to clean your teeth for the first day after the surgery, then to brush your teeth twice a day with a soft brush, except for the operated area. One week after the operation, the operated area should be cleaned with a special, very soft, post-operative brush applying gentle sweeping movements.
  7. Do not rinse your mouth on the first day after the operation, and then rinsing your mouth is possible with the prescribed antiseptic solutions twice a day after brushing your teeth.
  8. Not to smoke at least 24 hours is recommended after surgery.
  9. If a special postoperative bandage has been applied, it should not be touched. The doctor will remove the bandage and stitches after a week.

Surgical odontology

Dental removal

All surgical interventions at the “DR” Dental Clinic are carried out by an oral surgeon Med. Dr. Regimantas Simuntis.

Teeth are removed for a variety of reasons:

  • When the tooth damage has made progress and it is impossible to cure the tooth
  • When planning orthodontic treatment in case of irregular occlusion, also when teeth have erupted incorrectly
  • When the teeth damaged by caries or other diseases become the cause of various diseases (sinusitis, sepsis, myocarditis, endocarditis, arthritis, myositis, pyelonephritis, etc.)
  • Milk-teeth are removed when they are incurably damaged; when they are a cause of bone inflammation; when completely dislocated as a result of a tooth trauma; when they do not fall out themselves and prevent the growth of permanent teeth
  • Other reasons your treating doctor will tell you.

Teeth can be removed simply or surgically. Most often non-erupted (retinal) or partially grown teeth are removed surgically.

Wisdom teeth extraction

The third cheek teeth (wisdom) usually erupt in the age of 18-25. For a large part of the people, the third cheek teeth erupt partially or do not erupt at all.

The main reasons for removing wisdom teeth are as follows:

  • Inflammation of gums covering the wisdom tooth is repeated. It can cause sharp spreading pain, enlargement of the lymph nodes, difficult painful opening one’s mouth, swallowing. If the treatment has not started at an early stage, it may also result in the development of the bottom of the mouth or neck phlegmons.
  • When the tooth cannot erupt because of a lack of space in the jaw; it is often the case with orthodontic treatment is applied.
  • If a wisdom tooth has not erupted completely, it can complicate oral hygiene, which leads to the accumulation of food residues and plaque and caries occurrence in the wisdom and adjacent teeth.
  • Other reasons your treating doctor will tell you.

Non-erupted or partially erupted wisdom teeth are usually removed surgically.

Surgical removal of cysts

The jaw cysts are the pathological cavities bounded by a capsule filled with liquid or thick contents. In the initial stages, cysts usually do not cause any clinical symptoms. Untreated, they can maturate (causing inflammation of the surrounding tissues, pain, swelling), increase and destroy, deform the jaw, damage adjacent teeth, disturb the growth of teeth or become the cause of recurrent inflammation. The purpose of the cyst operation is to remove the entire cyst capsule from the bone, remove the changed, damaged bone and, if possible, preserve damaged teeth.

 

Post-operative recommendations

  1. Removing a tooth can cause bleeding. Hold the inserted tampon for 30 minutes after the tooth removal. If bleeding persists, replace the tampon with a new one; hold it firmly by occluding for another 20 to 30 minutes. Repeat if necessary.
  2. Do not smoke for at least 4-5 hours after tooth removal. It harms the healing of the wound and may also cause re-bleeding. Do not drink alcoholic beverages for 24 hours.
  3. Do not rinse your mouth at least 24 hours after tooth extraction. After 1 to 1.5 days, you can rinse with antibacterial solutions, but you should not rinse too severely: the solution should only be kept in the mouth for about 1 minute, as a clot or medication can be removed by severe rinsing, which can cause inflammation development.
  4. Proper oral hygiene will accelerate wound healing. In the first few days after surgery, be careful not to damage the surgical area and stitches, gently clean the teeth, do not touch the operated area, do not rinse heavily.
  5. To reduce the potential tissue swelling, it is recommended to chill the operated area. The cold should be kept for 1 to 3 hours at intervals of 20 to 30 minutes with 15 – 20 minutes breaks.
  6. Mild, nagging pain after the operation or extraction should be relieved using the medication prescribed by the doctor at the prescribed doses.
  7. After the tooth removal, you can eat and drink in 2 hours. For the first 24 hours, light, soft, not hot food is recommended. Do not eat or chew with the operated side.
  8. 8. Do not touch the stitches with the tongue, do not traumatize the wound. The doctor will explain whether the stitches need to be removed or not, will set the time. The most commonly, the stitches are removed in 7 to 10 days after surgery, but this time may vary depending on the clinical situation.

Therapeutic dental treatment

The caries of hard tissue o the tooth develops in enamel, dentine, and cement. Tooth caries manifests by a spot or a cavity. It is impossible to recover from caries. With proper hygiene and nutrition, caries can only stabilize. If the tooth is permanently painful as a result of a cavity caused by caries, it can be suspected that the caries are complicated and the tooth pulp is damaged. The final diagnosis can only be made after evaluating the pulp sensitivity, X-ray (as needed) and preparation of the dentin damaged by caries in the cavity.

The method of treatment depends on the nature, size, and depth of caries.
Acute caries spot is treated conservatively: by regular hygiene, polishing and enamel remineralizing applications. There is no need for treatment of stable caries, such a lesion is left for observation, and the condition is assessed every 6 months.
The caries cavity is treated by preparing hard tissues of the damaged tooth and restoring the anatomy, function, and aesthetics of the tooth by means of filling materials. The treatment of the caries is continued by applying proper hygiene and remineralizing treatment.
Root canal treatment is performed if after the preparation of caries it is found that not only hard tissues of the tooth have been damaged, but also by the pulp.

Pediatric dentistry

It is recommended that the first visit to the dentist would be when a child is under 1 year of age. The first visits are not for treatment, but for familiarizing the child with the environment, making contact with the doctor to avoid problems with the future treatment of the child’s teeth. The following procedures are applied for older children:

  • Filling the milk and permanent teeth
  • Treatment of milk and permanent dental channels
  • Removal of teeth
  • Prophylactic, tooth enamel-enhancing applications
  • Filling the dental grooves with sealants
  • Lessons for proper care of the teeth.

Milk teeth can be filled with coloured seals; the child has the opportunity to choose the colour of the filling himself, thus the child is involved in the treatment process, and his interest is being promoted. After each successful procedure, the child chooses a gift, and after completing the treatment, receives a diploma for courage.

Radiological examination

Radiological examination can be used for diagnosis, treatment planning, treatment assessment, and condition monitoring. The following most up-to-date and reliable X-ray tests are carried out at the DR Dental Clinic:

–    Dental X-ray. Dental X-ray is a photograph of one or more dental crowns and their roots taken for diagnostic purposes or application of therapeutic dental treatment. This photo allows determining the length of the root canals, their location, tooth caries, the depth of periodontal pockets.

–    Panoramic X-ray (orthopantogram).. The panoramic X-ray photo shows the overall image and sinuses of the upper and lower jaws. This photo is important to assess the overall condition of the teeth and jaws when planning the treatment and evaluating it. Usually, a panoramic mouth photo is performed when preparing a treatment plan and evaluating the condition of all teeth and their roots, planning the removal of wisdom and retinal teeth, planning prosthesis works of larger volumes, evaluating periodontological condition, planning dental implantation.

–    3D computed tomography. This is the most accurate X-ray examination in dentistry, showing teeth and jaws in three dimensions. In the “DR” Dental Clinic we use the X-MIND TRIUM computer tomography – one of the most accurate in the world and at the same time one of the safest for the health of the patients. Usually, a 3D computer tomogram is done when developing a treatment plan of larger volumes. Analyzing the images on three planes, the distance between anatomical structures is calculated and reconstruction operations of implantation or the jaws planned, non-erupted teeth removal procedures and other complex surgical interventions are accurately planned.
The results of the performed X-ray examinations are discussed with the patient. At the request of the patients, the X-ray photos are printed, recorded on digital media or sent by e-mail.

Facial aestetics procedures

Each of us strives to look healthy and beautiful. The facial attractiveness is determined by correct face profile and harmony with other facial parts – lips, nose, and cheeks. Trust your beauty to specialists of “DR” Dental Clinic, we will correct the defects that bother you and will hide the traces of time in your face.

Facial aesthetic procedures being performed in the “DR” dental clinic:

  • mesotherapy;
  • biorevitalization;
  • bioreparation;
  • injections with hyaluronic acid fillers;
  • injections promoting hair growth.

Hyaluronic acid is naturally found in the human body, which helps retain moisture in the cells, thus maintaining skin elasticity, youth. The most likely signs of skin aging such as skin thinning, loss of moisture, loss of facial contours, and wrinkle formation occur with age due to sun exposure, harmful habits, and lifestyle. The amount of hyaluronic acid decreases, so the skin dries out and fine wrinkles which are becoming deeper appear. As moisture and elasticity diminish, the skin tissue gradually slouches and the facial contour changes.
We recommend mesotherapy, biorevitalisation, and bioreparation procedures for moisturizing, toning, and wrinkle-eliminating of the skin. Reducing or eliminating deeper facial wrinkles as well as the volume of face contours, restoration of rotundity is performed by injecting hyaluronic acid fillers. The product can improve facial symmetry – give more volume to the cheeks, lips, highlight their contour. The effect of hyaluronic acid lasts from 6 to 12 months, depending on the individual characteristics of the body and the particular preparation.

Aestetitical procedures are carried out to:

  • Provide skin with long-lasting moisturization, improve skin elasticity, restore healthy skin appearance
  • Restore skin firmness
  • Perform intensive rejuvenation of facial skin, neck and décolleté
  • Beautify the skin, reduce dullness, colour unevenness
  • Reduce/eliminate wrinkles: forehead, nose – lip folds, wrinkles around the mouth or around the eyes, in the chin area
  • Correct and fill wrinkles in the neck, décolleté and arm areas
  • Increase the contours of the lips, cheeks and chin
  • Stop hair loss or baldness, promote the growth of new hair.

Contraindications::

  • Pregnancy and lactation;
  • Blood coagulation disorders;
  • Oncological diseases;
  • Acute skin diseases, exacerbation of chronic diseases;
  • Autoimmune diseases;
  • Allergy to component agents;
  • Various active infectious diseases.;

Dental implantation

Dental implantation is the most advanced and long-lasting method of lost tooth restoration that has been widely applied in dentistry for over 40 years.
Dental implants are the substitutes of the tooth root on which crowns are attached. Dental implants are usually made of titanium, which is particularly biotolerant to the human body and does not cause allergic reactions.
Dental implants can replace the roots of one, several or even all of the lost teeth.
Dental implants can be threaded into the patients of any age whose jaw is already formed (usually from 18 years of age).

Why is dental implantation so important?

If one or more teeth are lost, unwanted physiological changes occur: the function of the chewing diminishes, the remaining teeth change their position, the gaps appear, and the bone begins to disappear in the lost tooth area. This deficiency can be restored by applying conventional dental prosthesis and dental implantation. During normal prosthesis, depending on the condition of the oral cavity, the doctor may offer a plate (removable denture) or a bridge (attachable denture). Both methods of prosthetics help to restore the chewing function and improve the aesthetic image, but have a number of drawbacks compared to implantation as grinding of adjacent teeth, treatment of root canals are needed, no interdental gaps are left (in case of bridge prosthesis), additional loading of adjacent teeth is applied, decay of jaw at the point of extracted tooth happens.
Choosing a dental implantation procedure can stop the bone loss process, completely restore the original chewing function, maintain intact adjacent teeth, and achieve perfect aesthetic results. In addition, with proper care of the oral cavity, the patient can enjoy the results for several decades.

Course of procedure

Before the dental implantation, a detailed doctor’s consultation is required to develop a treatment plan that meets the patient’s needs and capabilities.

During the consultation:

  • A panoramic or 3D X-ray CT scan is performed. Only such a procedure can enable a proper assessment of the condition of the oral cavity, the amount of jaw bone of the patient
  • The overall health status of the patient (general diseases, medicines used) is assessed
  • The patient’s needs and capabilities are discussed. This information will help to develop a patient-friendly treatment plan
    A treatment plan that includes the course of treatment, the procedures required, the number of visits to be made and the treatment estimate is developed.

The process of implantation

Dental implantation is commenced during the consultation process after a proper treatment plan for the patient has been developed. During the first visit, implants are placed in the jaw. It is a completely painless procedure performed in local anaesthesia, just like a simple tooth removal. The stitches are removed after 7 to 14 days and further implant integration is expected from 3 to 6 months, depending on the nature of the operation performed. After this period, the X-ray is repeated to see the implant success and the next stage can be started: the production of the crown(s) production, which, depending on the complexity of the situation, can be carried out in 2 to 4 visits.

What should the patients know to enjoy successful dental implants long?

Take care of teeth and implants responsibly, follow good oral hygiene. Professional oral hygiene every 6 months is recommended.
Visit an oral surgeon who performed implantation every 1-2 years to repeat the panoramic X-ray image to evaluate the condition of the implants.
Try to refuse or severely limit smoking because nicotine interferes with the blood flow of the oral tissue, which causes the weakening of the immune system and can make it easier for infection to reach and damage the tissue around the implant.

Single-moment implantation

Single-moment implantation is the most advanced and targeted implantation method when an implant is placed immediately after removal of the tooth. This technique is more complex than usual implantation, but has many advantages over the latter:

  • The natural gingival contour is preserved (especially if a temporary tooth is produced immediately)
  • All surgical procedures are carried out in a single visit (there are 2-3 surgical interventions during routinely postponed implantation)
  • Lower postoperative symptoms (pain, swelling)
  • A shortened time before prosthetics: the crown can be made on the implant 3 months earlier
  • Less bone loss.

Prosthodontics

A non-removable (fixed) denture is any denture that is fixed to the tooth or tooth implants by cementing, threading in or other mechanical means.

Non-removable dentures may include:

  • The dental crown is a restoration of ceramic (porcelain), zirconium or a combination of these materials covering three or more tooth surfaces.
  • Bridge denture (bridge) is a type of prosthesis attached to the supporting teeth, filling the gap between the missing tooth and restoring its function for chewing, speaking, and aesthetics, if possible. This can be used for the restoration of more missing teeth if the adjacent teeth can maintain the future chewing load.
  • A dental veneer is a thin glass-ceramic plate covering the front surfaces of a tooth that requires aesthetic restoration. The veneer guarantees a perfectly restored natural look, anatomy, and durability of the tooth.

The purpose of prosthodontics

  • Restore chewing function.
  • Protect a weakened tooth by redistributing the chewing load by means of an artificial tooth crown to the remaining tooth tissue so that the tooth could continue functioning.
  • Optimize occlusion resulting from worn teeth, incorrect occlusion.
  • Replace big low-quality seals.
  • Improve aesthetics.
  • Prepare retaining teeth for fixing removable dentures.

Non-metallic ceramic prostheses are characterized by the best aesthetic qualities. To create a harmonious aesthetic image, not only the colour of the denture, but also the position of the prosthetic tooth, the health of the gums and mouth, the shape of the gums, the shape of the teeth involved in the occlusion, the peculiarities of the chewing movements are important as well.

Endodontic treatment

Endodontic (tooth root canal) treatment is a way to preserve natural teeth. This treatment is required when the tooth pulp (soft tissue inside the root canal of the tooth) is infected, affected by inflammation. This can be influenced by a number of causes: deep carious cavities, multiple dental procedures in the same tooth, tooth chipping, fractures, and similar problems.
In at the “DR” Dental Clinic, root canal treatment is performed by a doctor endodontist specializing in the field of endodontics through the use of a professional dental microscope and performance of X-ray examinations.

Symptoms indicating that endodontic treatment may be needed:

  • Toothache starts late at night or at night
  • Analgesics do not suppress pain
  • Toothache spreads to the ear, etc
  • Deep caries that has affected not only the enamel, dentine but also has reached the tooth pulp
  • Post-trauma of the tooth
  • An abscess (fistula) in the gums leading to the causal root tip of the tooth.

After quality endodontic treatment, the teeth are restored either by a filling material or by a fixed prosthesis depending on the existing situation.

Aesthetic prosthodontics

Aesthetic prosthodontics is a method of restoring damaged tooth tissues performed using aesthetic fillings. Aesthetic seals correspond to the natural colour and shine of the teeth and are generally invisible to the naked eye because the shade of the filler material that matches the colour and transparency of the particular tooth is chosen.
Aesthetic prosthodontics is used to restore chipped, worn-out teeth which have changed their natural colour, caries-damaged teeth, as well as to embellish the tooth shape, close the gaps between teeth, or replace old fillings differing from the natural tooth tissues by the colour in unnoticeable restorations.

During aesthetic prosthodontics, the aim is to restore the missing tissues without polishing and damage to healthy tooth tissues with particular precision so that the teeth are viable, proportionate, transparent, glossy and perfectly functional.

The aesthetic prosthodontics is used to restore the teeth in layers close to the natural anatomy of the tooth. This creates the natural appearance of the tooth: colour, transparency, shape, individual tooth features.
Aesthetic prosthodontics can be used to treat both the front teeth and cheek-teeth.
The procedure of aesthetic prosthodontics is painless and does not cause great discomfort as the tooth being treated and its environment are anaesthetized.

Aesthetic prosthodontics is a method of restoring damaged tooth tissues performed using aesthetic fillings. Aesthetic seals correspond to the natural colour and shine of the teeth and are generally invisible to the naked eye because the shade of the filler material that matches the colour and transparency of the particular tooth is chosen.
Aesthetic prosthodontics is used to restore chipped, worn-out teeth which have changed their natural colour, caries-damaged teeth, as well as to embellish the tooth shape, close the gaps between teeth, or replace old fillings differing from the natural tooth tissues by the colour in unnoticeable restorations.

During aesthetic prosthodontics, the aim is to restore the missing tissues without polishing and damage to healthy tooth tissues with particular precision so that the teeth are viable, proportionate, transparent, glossy and perfectly functional.

The aesthetic prosthodontics is used to restore the teeth in layers close to the natural anatomy of the tooth. This creates the natural appearance of the tooth: colour, transparency, shape, individual tooth features.
Aesthetic prosthodontics can be used to treat both the front teeth and cheek-teeth.
The procedure of aesthetic prosthodontics is painless and does not cause great discomfort as the tooth being treated and its environment are anaesthetized.

Advantages of aesthetic prosthodontics:

  • Strengthens the teeth;
  • provides aesthetic and natural appearance;
  • restores tooth chewing function;
  • aesthetic prosthodontics procedure is faster than the dental prosthesis procedure;
  • usually less dental tissues are removed than during the prosthetics.

Teeth whitening

Teeth whitening are one of the easiest ways to refresh the aesthetic look of a smile. At “DR” Dental Clinic, teeth whitening is performed using a state-of-the-art, most effective and safe tooth whitening system – PHILIPS ZOOM WHITE SPEED. This teeth whitening system ensures an effective and long lasting result that does not damage the hard tissues of the tooth.

It is important to emphasize that during the teeth whitening procedure with Philips Zoom white speed system, only a 6 percent hydrogen peroxide is used. Usually, the clinics use 36 to 45 percent hydrogen peroxide, which causes tooth sensitivity. The Philips Zoom whitening system is not only very effective but also safe and painless as the whitening agent contains amorphous calcium phosphate, potassium nitrate, and fluoride. These whitening gel ingredients reduce the sensitivity of the teeth, protect the enamel and provide the teeth with more shine. Nowadays it is the most modern and reliable method of teeth whitening; the procedure lasts only 2 hours, and the result is delightful – the teeth become lighter by up to 8 shades! Teeth whitening results depend on tooth enamel thickness, congenital shade, patient’s age, patient’s lifestyle and habits (nutrition, smoking, etc.).

Before a teeth whitening procedure, the consultation of a dentist or dental hygienist is required, during which it will be evaluated whether teeth and gums are healthy, there are no contraindications to teeth whitening. A professional oral hygiene procedure should be performed before teeth whitening.

Whom the teeth whitening cannot be performed to?

  • Children under 18 years.
  • Pregnant and nursing women.
  • People with acute periodontal diseases.
  • People with allergies to whitening agent ingredients.
  • People whose dental tissues are damaged by caries, attritions, cracks, erosions.
  • People whose gums are damaged by multiple recessions.
  • People who have poorly restored teeth.

Recommendations after procedures

  1. Dead teeth, seals and crowns do not change colour, so dental sealing and dental prosthesis should be performed at least 2 weeks after whitening until a new colour of teeth settles, and hydrogen peroxide reagents remove from the hard tissue of the tooth.
  2. Teeth that are severely damaged by tetracycline or other antibiotics may require more than one procedure. There must be at least a two-week break between the procedures.
  3. 2 weeks after whitening, it is recommended to avoid colouring food products and beverages (coffee, tea, red wine, beetroot, etc.), and not to smoke.
  4. It is important to maintain good oral hygiene.
  5. Patients should regularly perform professional oral hygiene (recommended every 6 months).

Professional oral hygiene

Periodontal diseases are caused by microorganisms present in dental plaque. If soft dental plaque is not removed, it mineralizes over time and becomes dental stones.

Dental stones themselves do not cause inflammation of the marginal periodontal but facilitate the accumulation of soft plaque containing microorganisms that cause periodontal disease.
Dental stones can be over the gum: they are well visible during the examination. Dental stones beneath the gums are found by probing with a periodontal probe; sometimes they can be noticeable through gums, visible in X-rays, and detected by special instruments.

Professional oral hygiene, or dental plaque removal, is performed during the initial phase of periodontal disease treatment and maintenance treatment. This procedure should also be carried out before any planned dental treatment or procedure if indications are available. The goal of professional oral hygiene is to remove soft and hard dental plaque and restore the health of gums by eliminating the underlying causes of gum inflammation.

During professional oral hygiene the patient is explained the importance of individual oral hygiene, suitable oral hygiene measures are chosen and he is taught to use them correctly; the concretions above and under the gums are removed, the surface of teeth roots are smoothed, pigmental plaque removal is performed, and dental enamel remineralizing applications are performed.

Recommendations after procedures

  • After the first day of the procedure, the saliva may be pink due to minor bleeding.
  • It is recommended to avoid pigmented foods (coffee, tea, red wine, beetroot, etc.) a couple of hours after the procedure.
  • If fluoride applications have been performed, do not use dairy products for 24 hours.
  • After several hours of professional oral hygiene, you may feel an increased sensitivity to your teeth.
  • It is necessary to follow all the instructions given by the specialist for individual oral hygiene.

Periodontology

Surgical treatment of periodontitis

The marginal periodontal is the aggregate of the supporting structures of the tooth: gingiva, bone, ligament, the root of the tooth. Each tooth in the jaw is located in the holes – alveoli. The tooth in the bone is supported by the periodontal ligament, which is located in the periodontal gap, between the tooth and the bone. One end of periodontal ligament penetrates into the outer layer of the tooth root – cement, and another one – into the bone surrounding the tooth. The tooth is surrounded by the gingiva.
The causes of marginal periodontal disease are microorganisms present in plaque. Unremoved soft dental plaque eventually mineralizes and becomes dental stones and facilitates the accumulation of soft plaque.
Chronic periodontal inflammation develops without timely high-quality cleaning of dental plaque, in case of an impaired immune response and general diseases.
Prolonged periodontal inflammation leads to the breakdown of the periodontal ligament, the formation of pathological periodontal pockets, loss of alveolar bone, tooth mobility, gingival recession. Due to the recession of the epithelium toward the root apex, the resulting periodontal pockets are a favourable medium for microorganisms that cause periodontal diseases.

The essence, objective, and method of surgical treatment

Surgical treatment of periodontal is performed to stop or slow the progression of periodontal disease, to restore lost peripheral periodontal tissues, and to maintain the results of periodontal disease treatment. Surgical treatment is only applied if deep periodontal pockets and bleeding after probing still persist after a professional oral hygiene procedure.
The main objective of periodontal surgery is to eliminate periodontal pockets. In this way, the medium favourable for microorganisms causing periodontal diseases is removed and the progression of the periodontal disease is stopped. Other tasks of periodontal surgery include removing or reducing damage to marginal periodontal, restoring function and form of periodontal tissues, creating favourable conditions for individual oral hygiene, maintaining aesthetic mouth, and preparing teeth for restorative treatment.
Usually, local anaesthesia is sufficient enough for the surgical treatment of periodontitis.
During the operation, the assessment of the depth of periodontal pockets is performed, dental surfaces are cleaned (removal of concretions, granulations, levelling of root surfaces), bone defects are eliminated and alveolar bone plastics are performed.

Without the periodontal surgical procedures in cases of severe periodontal disease does not ensure the prevention of the decay of periodontal tissue and the elimination of inflammatory foci. This eventually leads to progressive breakdown of the periodontal ligament, the formation of deepening periodontal pockets, resorption of increased alveolar bone, increased tooth mobility, and suppuration from periodontal pockets. For these reasons, the teeth are being lost, they needed to be removed and their loss has to be restored by means of dental prostheses and/or implants. Progressive inflammatory phenomena in the marginal periodontal result in the decrease of the body resistance, overall body health, development and progression of chronic diseases such as diabetes, atherosclerosis, rheumatoid arthritis, etc.

Plastics of lips and tongue frenulum

The tongue frenulum is the usual anatomical structure, which is like a link going from the bottom of the tongue and attaching to the soft tissue of the bottom of the mouth.

A short tongue frenulum is a developmental problem when the tongue is sort of attached to the bottom of the mouth. A short tongue frenulum prevents the full tongue from sticking out and lifting the end of the tongue, so when a child starts speaking, it may be difficult for him to pronounce some sounds (usually R, L, Š, Ž, Č). In the older age, a short tongue frenulum can cause problems with the gingiva and occlusion. Surgical treatment of short lip frenulum is performed in 11-12 years.

The central frenulum of the upper lip is attached between the front teeth in the upper jaw. Short lip frenulum usually affects the appearance of a space between the front teeth.

Treatment of gingival recession

Gingival recession is a gingival retreat from the tooth. In the case of a gingival recession, the tooth neck or part of the tooth root is uncovered. The tooth looks longer, it is sensitive, the aesthetics of the smile decreases. The recession is treated surgically through gingival plastics when the recession area is being covered by a free autotransplant from a palate or synthetic gum substitutes.

Gingivectomy

Gingivectomy is surgery when an excess of gums are removed; it is often applied to lengthen the length of the tooth crown. Gum contour is changed during the surgery. After prolongation of the tooth crown, a higher quality dental prosthesis when the tooth crown enshrouds more healthy hard tissues of the tooth is possible.

Post-surgery recommendations

  1. After surgery, bleeding may occur for about 30 minutes. For the first day, the colour of saliva due to small bleeding may be pink.
  2. After surgery, swelling of the tissues is possible, which is usually the highest on the third day after which it recedes. It is necessary to use anti-inflammatory medications prescribed by a doctor for the reduction swelling for 3to 5 days, and immediately after the surgery, it is recommended to keep an ice blister on the cheek in the operated area for 20-30 minutes.
  3. The painkillers prescribed by your doctor should be used.
  4. It is recommended not to eat about 2 hours after the surgery. On the first day, hot, hard, spicy food should be avoided; not to chew with the operated side. It is recommended to eat soft, warm food and drink cool liquids.
  5. The operated area must not be warmed.
  6. It is recommended not to clean your teeth for the first day after the surgery, then to brush your teeth twice a day with a soft brush, except for the operated area. One week after the operation, the operated area should be cleaned with a special, very soft, post-operative brush applying gentle sweeping movements.
  7. Do not rinse your mouth on the first day after the operation, and then rinsing your mouth is possible with the prescribed antiseptic solutions twice a day after brushing your teeth.
  8. Not to smoke at least 24 hours is recommended after surgery.
  9. If a special postoperative bandage has been applied, it should not be touched. The doctor will remove the bandage and stitches after a week.

Surgical odontology

Dental removal

All surgical interventions at the “DR” Dental Clinic are carried out by an oral surgeon Med. Dr. Regimantas Simuntis.

Teeth are removed for a variety of reasons:

When the tooth damage has made progress and it is impossible to cure the tooth
When planning orthodontic treatment in case of irregular occlusion, also when teeth have erupted incorrectly
When the teeth damaged by caries or other diseases become the cause of various diseases (sinusitis, sepsis, myocarditis, endocarditis, arthritis, myositis, pyelonephritis, etc.)
Milk-teeth are removed when they are incurably damaged; when they are a cause of bone inflammation; when completely dislocated as a result of a tooth trauma; when they do not fall out themselves and prevent the growth of permanent teeth
Other reasons your treating doctor will tell you.
Teeth can be removed simply or surgically. Most often non-erupted (retinal) or partially grown teeth are removed surgically.

Wisdom teeth extraction

The third cheek teeth (wisdom) usually erupt in the age of 18-25. For a large part of the people, the third cheek teeth erupt partially or do not erupt at all.

The main reasons for removing wisdom teeth are as follows:

Inflammation of gums covering the wisdom tooth is repeated. It can cause sharp spreading pain, enlargement of the lymph nodes, difficult painful opening one’s mouth, swallowing. If the treatment has not started at an early stage, it may also result in the development of the bottom of the mouth or neck phlegmons.
When the tooth cannot erupt because of a lack of space in the jaw; it is often the case with orthodontic treatment is applied.
If a wisdom tooth has not erupted completely, it can complicate oral hygiene, which leads to the accumulation of food residues and plaque and caries occurrence in the wisdom and adjacent teeth.
Other reasons your treating doctor will tell you.
Non-erupted or partially erupted wisdom teeth are usually removed surgically.

Surgical removal of cysts

The jaw cysts are the pathological cavities bounded by a capsule filled with liquid or thick contents. In the initial stages, cysts usually do not cause any clinical symptoms. Untreated, they can maturate (causing inflammation of the surrounding tissues, pain, swelling), increase and destroy, deform the jaw, damage adjacent teeth, disturb the growth of teeth or become the cause of recurrent inflammation. The purpose of the cyst operation is to remove the entire cyst capsule from the bone, remove the changed, damaged bone and, if possible, preserve damaged teeth.

Post-operative recommendations

  1. Removing a tooth can cause bleeding. Hold the inserted tampon for 30 minutes after the tooth removal. If bleeding persists, replace the tampon with a new one; hold it firmly by occluding for another 20 to 30 minutes. Repeat if necessary.
  2. Do not smoke for at least 4-5 hours after tooth removal. It harms the healing of the wound and may also cause re-bleeding. Do not drink alcoholic beverages for 24 hours.
  3. Do not rinse your mouth at least 24 hours after tooth extraction. After 1 to 1.5 days, you can rinse with antibacterial solutions, but you should not rinse too severely: the solution should only be kept in the mouth for about 1 minute, as a clot or medication can be removed by severe rinsing, which can cause inflammation development.
  4. Proper oral hygiene will accelerate wound healing. In the first few days after surgery, be careful not to damage the surgical area and stitches, gently clean the teeth, do not touch the operated area, do not rinse heavily.
  5. To reduce the potential tissue swelling, it is recommended to chill the operated area. The cold should be kept for 1 to 3 hours at intervals of 20 to 30 minutes with 15 – 20 minutes breaks.
  6. Mild, nagging pain after the operation or extraction should be relieved using the medication prescribed by the doctor at the prescribed doses.
  7. After the tooth removal, you can eat and drink in 2 hours. For the first 24 hours, light, soft, not hot food is recommended. Do not eat or chew with the operated side.
  8. Do not touch the stitches with the tongue, do not traumatize the wound. The doctor will explain whether the stitches need to be removed or not, will set the time. The most commonly, the stitches are removed in 7 to 10 days after surgery, but this time may vary depending on the clinical situation.

Therapeutic dental treatment

The caries of hard tissue o the tooth develops in enamel, dentine, and cement. Tooth caries manifests by a spot or a cavity. It is impossible to recover from caries. With proper hygiene and nutrition, caries can only stabilize. If the tooth is permanently painful as a result of a cavity caused by caries, it can be suspected that the caries are complicated and the tooth pulp is damaged. The final diagnosis can only be made after evaluating the pulp sensitivity, X-ray (as needed) and preparation of the dentin damaged by caries in the cavity.

The method of treatment depends on the nature, size, and depth of caries.
Acute caries spot is treated conservatively: by regular hygiene, polishing and enamel remineralizing applications. There is no need for treatment of stable caries, such a lesion is left for observation, and the condition is assessed every 6 months.
The caries cavity is treated by preparing hard tissues of the damaged tooth and restoring the anatomy, function, and aesthetics of the tooth by means of filling materials. The treatment of the caries is continued by applying proper hygiene and remineralizing treatment.
Root canal treatment is performed if after the preparation of caries it is found that not only hard tissues of the tooth have been damaged, but also by the pulp.

Pediatric dentistry

It is recommended that the first visit to the dentist would be when a child is under 1 year of age. The first visits are not for treatment, but for familiarizing the child with the environment, making contact with the doctor to avoid problems with the future treatment of the child’s teeth. The following procedures are applied for older children:

  • Filling the milk and permanent teeth
  • Treatment of milk and permanent dental channels
  • Removal of teeth
  • Prophylactic, tooth enamel-enhancing applications
  • Filling the dental grooves with sealants
  • Lessons for proper care of the teeth.

Milk teeth can be filled with coloured seals; the child has the opportunity to choose the colour of the filling himself, thus the child is involved in the treatment process, and his interest is being promoted. After each successful procedure, the child chooses a gift, and after completing the treatment, receives a diploma for courage.

Radiological examination

Radiological examination can be used for diagnosis, treatment planning, treatment assessment, and condition monitoring. The following most up-to-date and reliable X-ray tests are carried out at the DR Dental Clinic:

– Dental X-ray. Dental X-ray is a photograph of one or more dental crowns and their roots taken for diagnostic purposes or application of therapeutic dental treatment. This photo allows determining the length of the root canals, their location, tooth caries, the depth of periodontal pockets.

– Panoramic X-ray (orthopantogram). The panoramic X-ray photo shows the overall image and sinuses of the upper and lower jaws. This photo is important to assess the overall condition of the teeth and jaws when planning the treatment and evaluating it. Usually, a panoramic mouth photo is performed when preparing a treatment plan and evaluating the condition of all teeth and their roots, planning the removal of wisdom and retinal teeth, planning prosthesis works of larger volumes, evaluating periodontological condition, planning dental implantation.

– 3D computed tomography. This is the most accurate X-ray examination in dentistry, showing teeth and jaws in three dimensions. In the “DR” Dental Clinic we use the X-MIND TRIUM computer tomography – one of the most accurate in the world and at the same time one of the safest for the health of the patients. Usually, a 3D computer tomogram is done when developing a treatment plan of larger volumes. Analyzing the images on three planes, the distance between anatomical structures is calculated and reconstruction operations of implantation or the jaws planned, non-erupted teeth removal procedures and other complex surgical interventions are accurately planned.
The results of the performed X-ray examinations are discussed with the patient. At the request of the patients, the X-ray photos are printed, recorded on digital media or sent by e-mail.

Facial aestetics procedures

Each of us strives to look healthy and beautiful. The facial attractiveness is determined by correct face profile and harmony with other facial parts – lips, nose, and cheeks. Trust your beauty to specialists of “DR” Dental Clinic, we will correct the defects that bother you and will hide the traces of time in your face.

Facial aesthetic procedures being performed in the “DR” dental clinic:

  • mesotherapy;
  • biorevitalization;
  • bioreparation;
  • injections with hyaluronic acid fillers;
  • injections promoting hair growth.

Hyaluronic acid is naturally found in the human body, which helps retain moisture in the cells, thus maintaining skin elasticity, youth. The most likely signs of skin aging such as skin thinning, loss of moisture, loss of facial contours, and wrinkle formation occur with age due to sun exposure, harmful habits, and lifestyle. The amount of hyaluronic acid decreases, so the skin dries out and fine wrinkles which are becoming deeper appear. As moisture and elasticity diminish, the skin tissue gradually slouches and the facial contour changes.
We recommend mesotherapy, biorevitalisation, and bioreparation procedures for moisturizing, toning, and wrinkle-eliminating of the skin. Reducing or eliminating deeper facial wrinkles as well as the volume of face contours, restoration of rotundity is performed by injecting hyaluronic acid fillers. The product can improve facial symmetry – give more volume to the cheeks, lips, highlight their contour. The effect of hyaluronic acid lasts from 6 to 12 months, depending on the individual characteristics of the body and the particular preparation.

Aestetitical procedures are carried out to:

  • Provide skin with long-lasting moisturization, improve skin elasticity, restore healthy skin appearance
  • Restore skin firmness
  • Perform intensive rejuvenation of facial skin, neck and décolleté
  • Beautify the skin, reduce dullness, colour unevennessReduce/eliminate wrinkles: forehead, nose – lip folds, wrinkles around the mouth or
  • around the eyes, in the chin area
  • Correct and fill wrinkles in the neck, décolleté and arm areas
  • Increase the contours of the lips, cheeks and chin
  • Stop hair loss or baldness, promote the growth of new hair.

Contraindications:

  • Pregnancy and lactation;
  • Blood coagulation disorders;
  • Oncological diseases;
  • Acute skin diseases, exacerbation of chronic diseases;
  • Autoimmune diseases;
  • Allergy to component agents;
  • Various active infectious diseases.;
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