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Conservativ treatments

Filling is a conservative therapy, which aims at the reconstruction of coronal and radical tooth destruction that has been caused by cavity and external injury. As a result of developements in technology aesthetic fillings are more frequently used than the outmoded amalgam fillings.

Aesthetic filling: as its name shows with the use of it we can reach perfect cosmetic results. Aestehetic filling substances are uttered in different tinctures. The dentist can sort out the adequate colour with the help of different colour ranges.

The in-lay is a transition between filling and prosthesis. Dentists use it in case of destruction/lack which cannot be repaired safely with a filling. Its substance can be porcelain or composite affirmed with fiberglass. After the building of the cave and taking an imprint the dental technician makes the realistic reproduction of the missing part, what the dentist will fix with cementation.

On-lay will be made when chewing surface of the tooth has been destroyed. Its substance is porcelain and it is created the same way as in-lay.

Root canal treatment (RCT) is one of most frequently used interventions in odontology because the cavity is commonly located near the dental pulp. In line with spreading of cavity towards deeper layers symptoms become more characteristic. Initially mild sensitivity can be observed. This time processes in the tooth are reversible, the treatment of the tooth can be a simple filling. During the exacerbation of a cavity constant spontaneus pain can occur which indicates that the cavity has reached dental pulp, causing imflammation. In this case root canal treatment is inevitable. It involves the removal of nerves, the cleanup and filling of ducts. In some cases we can observe necrosis of dental pulp without imflammation (e.g. accident) and in its therapy root canal treatment plays an important role. If pulpitis enters through radical apex and spreads to the fixing apparatus of tooth then it can cause periodontitis and later bone substance destruction. In treating overreach radical apex both palliative and surgical interventions can become necessary.

Cosmetic treatments

These days it can be observed that there is an increasing claim for beautiful teeth. The coming out of new substances and technologies enables the dentist to appease the highest aesthetic claims as well. We can reach spectacular results in case of broken or coloured teeth with creation of porcelain veneers. A porcelain veneer is a slight, homogenous layer, which covers the exposed surface of incisor and canine teeth and hides aesthetic problems. Its advantage is the minimal loss of substance (dentist needs abrade less from the tooth than in case of usual crown production) and colour and form will be absolutely perfect. In case of strongly filled tooth the use of it is not recommended.

Teeth whitening is another common aesthetic intervention in everyday praxis. There are two forms of it: whitening at home and in the clinic.

In first case, whitening at home needs a flexible silicone rail made by the technician on the grounds of imprint made by the dentist. The patient at home attains treatment. The patient puts a prescribed amount of the substance into the rail and inserts it to the upper and lower teeth. Tooth whitetning can happen during the day or night. To reach the requested result treatment must be continued from 7 to 10 days. Whitening at home helps to reach lighter colour with 2 to 3 tones. The efficacy is mainly influenced by the patient's nutritional habits (if many pigment containing foods - coffee, tee, coke - are consumed by the patient the original colour will return sooner), mouth hygiene and smooking habits. In case of congenital and acquired failures of tooth substance, dental collum sensitivity or gingivitis whitetning is not recommended. It is essential to note that the colour of filling and prosthesis cannot be changed with either intervention.

Whitening in the clinic needs strict medical control due to the higher dose of used substance. As a result of the intervention it can be reached from 7 to 8 tones change. The intervention lasts one and half hour. After the mouth is prepared the dentist puts the substance on the teeth and lights them for 15 minutes with a special lamp. The process can be repeated if the tone change is not sufficient. The issues with whitening in the clinic are the same as previously mentioned with whitening at home.

Implantation

No matter what your age is, if you have one or more missing teeth due to a dental extraction, an accident or decay, this loss changes the look of your smile, your bite putting stress on surrounding teeth to compensate for the lost tooth. One up-to-date option your dentist may suggest for replacing the lost tooth is with a dental implant.

A dental implant is an artifical tooth root replacement made of pure titanium, which anchors into the jawbone and supports an implant crown. The bone grows around the implant screw's roughened surface. Titanium could be succesfully incorporated into bone; it is biocompatible and stable, as if it was a natural tooth root but even stronger. A variation on the implant procedure is the implant-supported bridge or implant-supported denture. Dental implants can be for one tooth, several teeth or, in some special cases, for your entire mouth. This way you will have fixed permanent teeth again! Not only the appearance, but also the safe feeling of natural teeth is restored.

There is an advantage of dental implants that no other dental restoration can claim: it is the prevention of early bone reassertion. As with dentures, when teeth are missing the bone will resorb due to lack of stimulation by chewing, same as with dentures. It issues in the fact that the prosthesis will not find retention. This is not the case with dental implants.

Sinus lifting is a common surgical intervention nowadays. We thicken the adequate part of atrophic maxilla towards the sinus with the help of bone transplantation or bone expletive substance and as a result of it we enable the implantation.

Bone replacement will be necessary in case of lack of adequately thick bone, which could hold the implant. Substances used during the process of bone replacement can be the own bone of the patient (auto transplantation) or artificially produced bone expletive substance. The intervention can be carried out in maxilla and mandibula as well.

Useful links:

www.nobelbiocare.com
www.dentisystem.hu/english
www.oraltronics.com

Fixed treatments

Fixed prostheses are engrained with cement on a brushed tooth and cannot be removed by the patient. We create a crown if the tooth has been dramatically damaged and hinders the efficacy of conservative treatments (filling, in-lay), and in reconditioning original functions and aesthetics. Bridges are used to replace missing teeth when sufficient "anchor" teeth are available on each side of the gap.

Most of the fixed prostheses have a metal frame, which can be made of precious metal (e.g. gold), non-precious metal alloy or titanium. The aesthetic porcelain will cover the metal frame. This porcelain is uttered in more tones and it harmonizes with the original colour of the teeth. The full-metal crown can be used only in the grinders' area where it is not exposed.

In case of exposed teeth our aim is to reach the best aesthetic result and it can be achieved with metal-free prostheses. On the grounds of buildup these crowns can be all-porcelain (jacket crowns), or the more technologically advanced Procera crowns. The frame of Procera crowns is zirconia or aluminum oxide with the same colour like the porcelain. After the abrasion of the tooth the dentist takes an imprint, scans it and sends the information to Sweden. On the grounds of gained parameters a computer controlled precision tool creates the frame of the prosthesis. The technician in Hungary creates the superstructure from this frame. This procedure enables perfect aesthetic effect and a high level of exactitude.

If the damage of the tooth hinders the use of crowns, but the radix is intact then the missing part of the tooth must be supplemented with a cog. The cog is made of metal; it supplements the tooth and enables the use of a crown.

Telescopic crowns increase the efficacy of fixation and we use them to fix removable prostheses. The preconditions of their creation are the adequate number and statement of teeth. Telescopic crowns have two parts; the primary crown is fixed on brushed teeth with cement and the secondary crown is situated in the removable denture and is the accurate negative duplication of the primary part. Primary and secondary parts interlock like key and lock and the efficacy of fixation is guaranteed by joint crown-walls.

Temporary prosthesis is used until the permanent is inserted. A dentist or a technician can make it and its substance is plastic. The temporary prosthesis’ main function is the protection of brushed teeth.

Removable treatments

Removable prostheses are fixed to the bone base of the mucous membrane and to the permanent teeth and they can be removed easily also by the patient. This type of prostheses can be partial or full depending on the number of teeth. In case of a toothless mouth we use full prosthesis. The anatomic situation of the upper jaw and suction-effect of the palate help to fix the prosthesis. It is hard to create a lower denture and stabilize it due to the unfavourable anatomic situation. The substance of mobile prostheses can be hard-acrylate or flexible plastic.

We can differentiate permanent and temporary dentures. A temporary denture is worn until the permanent will be made and it has many advantages: it accelerates the wound healing process, abridges the adjustment period and is aesthetically pleasing. In case of partial prostheses teeth can be found in the mouth, which dramatically increases the stability of prosthesis.

The substance of prostheses is the combination of metal and plastic and is commonly named in prostheses made of sheet metal. The partial prostheses have many advantages; they are thin and the size of the bedplate can be changed. Due to these advantages the adaptation period will significantly shorten and less disturbs the sense of taste. A prosthesis can attach to the teeth with clips or precision mechanical fixing tools. The second method enables a high exactitude to be reached and is aesthetic. The combination of fixed and mobile prosthesis is called combined prosthesis.

implant package

Our stomatology practice is capable of performing implantation in 3 days for patients applicable for the operation.

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day 1 arrival

Arrival, panoral, consultation, treatment schedule

day 2 implant surgery

Placement of the appropriate implant (possible with local anaesthesia)
day 3 departure

Check-up, departure

more for this implant package >>

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