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.
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.
Esthetic restorations (dental fillings)
The filling procedure
Direct restorations
Indirect restorations
Materials used in dental restorations
Inlay and onlay
Overdenture on implants
Esthetic restorations (dental fillings)
A dental filling is a type of restorative dentistry treatment used to repair minimal tooth fractures, tooth decay or otherwise damaged surfaces of the teeth. Dental filling materials, which include composite, porcelain and silver amalgam, may be used to even out tooth surfaces for better biting or chewing. |
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But in some cases, depending on the extent of tooth decay or damage, the affected tooth may require additional or alternative procedures, including:
- dental crowns: teeth requiring more support than offered by a traditional filling may require a dental crown
- dental implants and dental bridges: irreparable tooth damage requiring tooth extraction may require an implant or bridge
- root canals (perhaps along with antibiotic treatment): infected, abscessed or nerve damaged teeth may require a root canal procedure.
The filling procedure
| During preventative dental hygiene checkups, or dental emergency visits prompted by a toothache, your dentist evaluates your teeth, gums and supporting bone structure. He identifies the number of tooth surfaces affected by decay or damage, and then prepares the tooth and necessary surrounding areas in order to restore the damaged area. The decay or damage is removed with a dental hand-piece or laser, and the area is cleansed to remove bacteria or debris before the restoration is completed. The first step in performing a composite filling procedure involves isolation of the tooth. Tooth isolation is critical in a composite restoration, because it prevents moisture from interfering with the bonding process. |
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The bonding procedure requires the placement of various adhesives followed by the composite material, which is then hardened with a special bonding light. The completed composite restoration is both functional and natural looking.
Direct restorations
This technique involves placing a soft or malleable filling into the prepared tooth and building up the tooth before the material sets hard. The advantage of direct restorations is that they usually set quickly and can be placed by one operator. Since the material is required to set while in contact with the tooth, limited energy can be passed to the tooth from the setting process without damaging it. Where strength is required especially as the fillings become larger indirect restorations may be the best choice.
Indirect restorations
This technique of fabricating the restoration outside of the mouth using the dental impressions of the prepared tooth. Common indirect restorations include inlays and onlays, crowns, bridges, and veneers.
Usually a dental technician fabricates the indirect restoration from records the dentist has provided of the prepared tooth. The finished restoration is usually bonded permanently with a dental cement.
While the indirect restoration is being prepared, a provisory/temporary restoration sometimes is used to cover the prepared part of the tooth, which can help maintain the surrounding dental tissues.
Removable dental prostheses (mainly dentures) are considered by some to be a form of indirect dental restoration, as they are made to replace missing teeth. There are numerous types of precision attachments (also known as combined restorations) to aid removable prosthetic attachment to teeth, including magnets, clips, hooks and implants which could be seen as a form of dental restoration.
Materials used in dental restorations
Dental composites
Dental composites are also called white fillings, used in direct fillings. Crowns and in-lays can also be made in the laboratory from dental composites. These materials are similar to those used in direct fillings and are tooth coloured. Their strength and durability is not as high as porcelain or metal restorations and they are more prone to wear and discolouration.
Glass ionomer cement
A glass ionomer cement (GIC) is one of a class of materials commonly used in dentistry as filling materials and luting cements. These materials are based on the reaction of silicate glass powder and polyalkeonic acid. These tooth-coloured materials were introduced in 1972 for use as restorative materials for anterior teeth (particularly for eroded areas, Class III and V cavities).
As they bond chemically to dental hard tissues and release fluoride for a relatively long period modern day applications of GICs have expanded. The desirable properties of glass ionomer cements make them useful materials in the restoration of carious lesions in low-stress areas such as smooth-surface and small anterior proximal cavities in primary teeth. Results from clinical studies also support the use of conventional glass ionomer restorations in primary molars.
Composite resin
Dental composites, also called white fillings, are a group of restorative materials used in dentistry. As with other composite materials, a dental composite typically consists of a resin-based matrix, such as a bisphenol A-glycidyl methacrylate BISMA resin like urethane dimethacrylate (UDMA), and an inorganic filler such as silicon dioxide silica. Compositions vary widely, with proprietary mixes of resins forming the matrix, as well as engineered filler glasses and glass ceramics. The filler gives the composite wear resistance and translucency. A coupling agent such as silane is used to enhance the bond between these two components. An initiator package begins the polymerization reaction of the resins when external energy (light/heat etc.) is applied. A catalyst package can control its speed.
Porcelain (ceramics)
Full-porcelain (ceramic) dental materials include porcelain, ceramic or glasslike fillings and crowns (a.k.a jacket crown, as a metal free option). They are used as in-lays, on-lays, crowns and aesthetic veneers. A veneer is a very thin shell of porcelain that can replace or cover part of the enamel of the tooth. Full-porcelain (ceramic) restorations are particularly desirable because their color and translucency mimic natural tooth enamel.
Another type is known as porcelain-fused-to-metal, which is used to provide strength to a crown or bridge. These restorations are very strong, durable and resistant to wear, because the combination of porcelain and metal creates a stronger restoration than porcelain used alone.
One of the blessings of computerized dentistry (CAD/CAM technologies) is that it enabled the application of zirconium-oxide (ZrO2). The introduction of this material in restorative and prosthetic dentistry is most likely the decisive step towards the use of full ceramics without limitation. With the exception of zirconium-oxide, existing ceramics systems lack reliable potential for the various indications for bridges without size limitations. Zirconium-oxide with its high strength and comparatively higher fracture toughness seems to buck this trend. With a three-point bending strength exceeding nine hundred megapascals, zirconium-oxide can be used in virtually every full ceramic prosthetic solution, including bridges, implant supra structures and root dowel pins.
Previous attempts to extend its application to dentistry were thwarted by the fact that this material could not be processed using traditional methods used in dentistry. The arrival of computerized dentistry enables the economically prudent use of zirconium-oxide in such elements as base structures such as copings and bridges and implant supra structures. Special requirements apply to dental materials implanted for longer than a period of thirty days.
Ever more stringent requirements are being placed on the aesthetics of teeth. Metals and porcelain are currently the materials of choice for crowns and bridges. The demand for full ceramic solutions, however, continues to grow. Consequently, industry and science are increasingly compelled to develop full ceramic systems. In introducing full ceramic restorations, such as base structures made of sintered ceramics, computerized dentistry plays a key role.
Inlay and onlay
Inlays and onlays are dental restorations used by a select number of dentists. In certain cases, inlays and onlays are a conservative alternative to full coverage dental crowns. Also known as indirect fillings, inlays and onlays offer a well-fitting, stronger, longer lasting reparative solution to tooth decay or similar damage. These restorations are beneficial from both an esthetic and functional point of view. |
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Typically, an inlay or onlay procedure is completed in two dental visits.
During your first visit, your dentist must prepare the damaged tooth. A molded impression of the tooth is then taken and sent to a dental laboratory, where an inlay or onlay is fabricated.
Inlays and onlays can be made from gold, porcelain or resin materials. The difference is in the appearance of the finished restoration. A fitted, provisional inlay or onlay (sometimes known as a temporary or "temp" for short) in the shape of the final restoration can be created during this visit to protect the tooth while the final restoration is being fabricated.
| If esthetics is not a concern (for example, with back molars), gold is the best option. Porcelain inlays and onlays offer the best esthetics and are often used in the "smile line" areas. Resin materials may be the best option for people who grind their teeth and/or those with a misaligned bite (malocclusion). |  |
During your second visit, the provisional temporary is removed and your inlay or onlay is placed.
Inlays and onlays are extremely stable restorations that seldom fail. Your dentist will check all margins to ensure a smooth fit with tight adjacent contacts. Your dentist will also check your bite to ensure that there are no occlusion-related problems affecting the margins of the restoration. Once fitted, the inlay or onlay is bonded onto the tooth and the margins are polished.
More about implants: click here!
More about crowns and bridges: click here!
More about veneers: click here!
