Dentistry and oral surgery are complex procedures involving true teamwork.
Our work colleagues bring to this dental clinic and oral surgery a full range of dental provision with appropriate training and practise
at their disposal.
Our dentists, oral surgeons and our consultants working within these fields
can provide full provision of appropriate expert care.
Nowadays, dentistry is no longer a uniform specialty, because many still
newer and different kinds of treatment methods require that we each
undergo individual training.
A stress-free environment
Our colleagues care about the fact that our working environment should be
one free of fear, whether or not this means adult patient or children or
meaning those requiring oral surgery, or desiring implant work.
Fear-free dental care is in the interests of both the patient and the
dentist treating him or her, as a high standard of patient care can only
be carried out with a relaxed patient.
High-tech equipment
Our KaVo dental treatment units,
Owandy have digital diagnostic x-ray system, cutting-edge equipment,
tools and materials at their disposal.
The dental and oral surgery materials made
use of here
have been specially picked out from vanguard-development factories.
Regular check-ups
We recommend regular check-ups for all our patients.
Regular dental
check-ups ensure that dental care can continually be maintained.
It is not enough to just occasionally get our teeth looked at, but rather
to undergo constant care and repair in order to keep our teeth in good
condition. Professional mouth hygiene treatment alongside care of the teeth at home is very important.
Guarantees for treatment carried out.
All treatment undertaken at our Clinic is guaranteed.
The condition of the guarantee is that after completion of any treatment,
minimally some mouth hygiene care is taken advantage of here every year and in addition to this, keeps
appointments for prescribed dental check-ups, and follows the dental
hygiene programmes recommended by the dentist treating them.
Appropriate home dental care is of not insignificant importance.
Our colleagues take part in regular refresher training courses.
In the course of university training, updating of acquired knowledge is
required through continual refresher training courses. Information about
newer and newer procedures, materials used and techniques are desired, so
that our colleagues are constantly updating and deepening their
professional knowledge. In these interests, every single piece of
knowledge within this field is shared between us, so that in each given
area, we might acquire skills to an even higher standard.
Bone replacement materials
Sinus lifting
The sinus lifting procedure
Periodontitis and bone replacement
Bone replacement after tooth extraction
Bone replacement after apicectomy
Bone replacement materials
Today, bone replacement materials are used in dentistry, orthopedics and traumatology to treat bone defects caused by accidents or diseases.
There are many bone substitutes available for repairing bone defects and restoring bone structure. However, only the properties and synthetic nature of calcium phosphates (hydroxyapatite, tricalcium phosphate etc.) offer a safe and effective solution when bone grafts are needed, while preserving the patient's own bone stock. When used in the form of ceramic or calcium phosphate |
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cement they promote bone reconstruction, as their properties and behaviour are similar to those of biological apatites which are constituents of the mineral phase of human bone. As they are synthetic, they reduce the risks related to infection and immune response that may arise with other types of bone substitutes.
Sinus lifting
A sinus lift is a bone grafting procedure that is sometimes performed as a part of preparing a site for a dental implant. A sinus lift is required in those instances where the amount of bone found in a patient's upper jaw (in the region originally occupied by their bicuspid or molar teeth) is inadequate to accommodate the planned implant. |
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There can be several reasons why the amount of bone found in the patient's upper jawbone might be insufficient to accommodate a dental implant.
Some of them include:
The patient's normal jaw anatomy presents complications.
The relative size and shape of an individual's upper jaw as well as the current size and shape of their maxillary sinus (the size of the sinus can change with age) varies among people. While over simplified, any one person may have a combination of a relatively small upper jaw and relatively large sinus which together create a situation where there is an insufficient amount of bone for the placement of a tooth implant.
The patient has experienced bone loss due to gum disease.
In situations where advance periodontal disease (gum disease) is present, the bone that surrounds and supports the person's teeth is damaged. In the most severe cases, significant amounts of bone can be lost from around the person's teeth, to the point where there is no longer an adequate amount of bone in which to place a tooth implant.
Bone resorption associated with previous tooth extractions.
When teeth are extracted the bone that originally held the teeth in place will under go a process called resorption. The net effect of this process is that much of the bone in the region originally occupied by the tooth is lost, possibly to the point where there is an insufficient amount of bone in which to place a dental implant.
The magnitude of post tooth extraction bone loss can be as much as 40 to 60 percent within the first three years after teeth have been removed. Beyond that point, the rate of bone loss typically subsides substantially. The cause of post extraction bone resorption is typically attributed to disuse atrophy, decreased blood supply, localized inflammation and/or unfavorable pressure from a dental appliance (denture or partial denture).
The procedure
The sinus lift is a surgical procedure. The specific technique that the dentist utilizes can vary depending upon their training and experiences but traditionally the procedure has been performed as follows:
1. incision in the patient's gum tissue on the cheek side of their upper jaw in the area where the placement of the dental implant is planned (in the region originally occupied by the patient's bicuspid or molar teeth). This incision allows the oral surgeon to flap back the patient's gum tissue and expose the jawbone that lies underneath.
2. The exposed bone is cut in a fashion where a "trap door" of bone, hinged at the top, is created. This movable section of bone is then pushed gently inward and upward into the sinus cavity. This bone movement caries the sinus membrane attached to it with it, thus "lifting" the membrane (and hence the sinus floor) to a new, higher level. The empty space underneath the lifted sinus membrane is then packed with bone-graft material thus providing the new bone into which the tooth implant will be placed.
| 3. Once the bone-graft material has been positioned the gum tissue is stitched closed. 4. In some instances it can be possible that the oral surgeon will place the dental implant at the same time that the sinus lift is performed. In most cases, however, a dentist will allow a healing period of six to nine months before the dental implant is placed. The specific time frame allowed for healing is dependent upon the type of bone-graft material that has been utilized. |
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Periodontitis and bone replacement
Periodontitis is a disorder of the gums. Deposits form on the surfaces of the teeth, bacteria are concentrated in these deposits, grow and spread. Starting from the edges of the gums, the inflammation spreads between the teeth and to the surface of the teeth (called plaque), causing inflammation of the gums (gingivitis). When deeper areas of the gum are affected, this periodontal disease is called periodontitis.
Periodontitis is a disorder of the gums (gingivitis or gum disease). Deposits form on the surfaces of the teeth, bacteria are concentrated in these deposits, grow and spread. Starting from the edges of the gums, the inflammation spreads between the teeth and to the inner side of the teeth, causing inflammation of the gums (gingivitis). When deeper areas of the gum are affected, this periodontal disease is called periodontitis.
Progression of periodontitis is associated with breakdown of bone in the jaw and loosening of the teeth, since release of pathogenic substances from the plaques results in destruction of bone in the jaw. Periodontitis patients suffer from pain, bleeding gums, discharges of pus from infected pockets, bad breath and loosening of the teeth. In highly complicated or special forms and in advanced disease, periodontitis leads to loss of teeth if not treated by a dentist.
If bone defects have developed due to periodontitis, bone replacement provides the option of reconstructing bone in the jaw following standard periodontitis treatment.
The jaw bone defects are filled up with bone replacement material acts as a guiderail and building material for subsequent bone growth. Bone replacement materials are resorbed after six to twelve months and replaced by new jaw bone.
Bone replacement after tooth extractionBone defects also develop as a result of complete tooth extraction. This can involve both vertical and horizontal bone loss. |
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Bone replacement after apicectomy
| If apicectomy is needed as part of a dental treatment, CerasorbR can be used to reconstruct the bone that is removed. In apicectomy, bone is shaved off and the tip of the tooth's root removed. The resultant bone defect is treated by filling the cavity with bone replacement material, that is fully resorbed within 6-12 months and replaced by the patient's own, newly formed bone. |
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With larger defects, this filling is recommended. This considerably improves the conditions for any subsequent implantation which may become necessary. Aesthetic drawbacks caused by sinking of the mucosa are also avoided.
