Dental treatment

Composite resin dental fillings (white) were created as an alternative to traditional metal dental fillings. We use high quality tooth fillings of a wide colour range to ensure exact imitation of the actual teeth. The fillings bond to the tooth enamel and cover the front teeth fully, but in the case of the molar teeth it cover only the chewing part, as the sides of these teeth are more difficult to clean; this could result in failure of the bond, causing secondary caries.

Amalgam fillings - are used in these sections, as they harden after condensation and adhere totally to the tooth side without creating spaces; thanks to this quality their lifespan is a much longer, thus preventing secondary caries. Today’s generation of the non gamma 2 amalgams have gone through a long development; while the content of mercury has been considerably reduced, the content of the noble metals has been increased. Thanks to these properties they are easily workable and polishable, and through research proven not to be harmful to health.

Inlay - if the patients require white fillings in the side teeth, it is better to make either the composite or the ceramic inlay in the laboratory. The composite materials’ negative characteristics is their tendency to contract, leading to formation of a gap; however the laboratory made composite fillings do not contract in the mouth. The working procedure consists of preparing a cavity, required to remove the caries, making its impression to be used in the laboratory to make the filling, either of the composite or of the ceramic type, which is then adapted (glued) to the tooth with the use of a special cement.

Root canal treatment is a dental procedure that replaces a tooth’s damaged or infected pulp with a filling, or when the tooth crown is broken off and the pulp chamber is open. The most important part in the performance of a perfect endodontic treatment is the establishment of the correct length of the root canal (with the aid of Apexlocator), widening of the canal and filling it with the root filling material.

A tooth treated in such a way can be fitted with a crown using a root attachment, or to become part of a bridge. Well filled in root of a strong tooth can be used as an anchor for a detachable denture (see below “plug-in connections“).

It is made on devitalised (dead), endodotically treated teeth. Part of the attachment reaches into the tooth’s root and protrudes above the gum to serve as a stub to hold a planned crown. In our laboratory we cast root attachments from noble metals’ alloys.

These serve as replacements of the own tooth crown damaged by caries or trauma, or to replace unsuitable teeth due to their discoloration, shape or extensive fillings.

The own tooth is shaped under local anaesthetics, its impression made and a crown produced in the laboratory. This can be

• metal-ceramicwhich is a crown with a metal core with a ceramic burned onto it,

• fully ceramic, whereby the metal alloy is replaced by metal free material, which imitates the tooth enamel’s properties well and meets the high aesthetic requirements.

A dental bridge is a false tooth, known as a pontic, which is fused between two porcelain crowns to fill in the area left by a missing tooth. Bridges are used when the neighbouring teeth are in good condition, and the two crowns that are attached onto your teeth on each side of the false tooth hold the false tooth it in its place. This is known as a fixed bridge. This procedure is used to replace one or more missing teeth. Fixed bridges cannot be taken out of your mouth as you might do with removable partial dentures.

In areas of your mouth that are under less stress, such as your front teeth, a cantilever bridge may be used. Cantilever bridges are used when there are teeth on only one side of the open space. Bridges can reduce your risk of gum disease, help correct some bite issues and even improve your speech. Bridges require your commitment to serious oral hygiene, but will last as many as ten years or more. Materials used for bridges are the same as the materials for the crowns.

Teeth prepared for permanent crowns or bridges are fitted with temporary resin crowns or bridges to wear while the permanent crowns or bridges are being made. They protect the prepared teeth, sensitive against heat and cold effects, and ensure perfect patient comfort, until the work is fully completed, in terms of aesthetical appearance and by eliminating pronunciation problems.

These are taken out of the mouth for cleaning and for the night. Grip in the mouth for the replacements is provided by the remaining teeth, crowns and bridges. Here we often use so called plug-in connectors, which considerably increase the dental replacement’s retention in the mouth. One part of the plug-in connector forms part of a crown or a bridge, and the other one is firmly fixed in a denture. In our laboratory we use the CEKA plug-in connectors. It is also possible to anchor into the root of the tooth; this method is used on teeth weakened by paradentosis or damaged crowns of the teeth. The connection is adjustable and replaceable when worn out.

Total dental replacement is used when the patient’s mouth is toothless and the patient refuses implants. Provided the anatomical gingival projection is favourable, well functioning dental replacement with good retention in the mouth can be made. The dentures built in our laboratory are fitted with artificial teeth make Inceram, which are of higher quality than the resin ones .They are hardened, have a nice shape and a wide colour range to choose from is available.

We remove the dental plaque by ultrasound and, if it clings under the gum, we remove it under local anaesthetics by special dental plague curettes. Additionally, we use at our clinic an Air-flow device, which jets micro-particles of a substance similar to sand, which is capable to remove all pigments and by eye undetectable deposits on the teeth enamel. The treatment is painless. The final step of the treatment involves fluoridation by a gel, which comprises the ions of Fluor, which penetrates into the enamel and creates a bond with the hydroxyapatite (the basic building stone of the enamel). In this way the enamel becomes stronger and more resistant against caries.

Dr. Karel Závodský
Dental surgeon
Implantologist

The Dento-alveolar surgery is performed at our clinic within the following extent:

• Surgical extraction of wisdom teethwhich often do not have space to come through, and become a source of repeated problems in the form of tenderness and repeated inflammations.
• Excision of the root tipin the event of imperfect endodontic treatment, or in the case of dead teeth the resection of the root tip on which a granuloma forms as the result of constant irritation of the pathogenic substances. Removed under such operation is the granulation tissue together with the infected part of the root tip. It is a procedure, which saves the tooth from being extracted; such result is very desirable with front teeth.
• An open curettage of a tooth performed on teeth affected by paradentosis, when the periodontal pockets are cleaned by a special curette after slight lifting of the gum; the root’s surface is smoothed and after healing, firm attachment of the gum to the root’s surface takes place, which in turn leads to an improved condition of the gums and reduced looseness of the teeth.
  During this procedure a special membrane can be applied at the place of the funnel-shaped defect of the bone, which is prior to that filled with artificial bone granules; it is under the membrane where the bone grows to the required thickness. This procedure becomes the treatment component in the sphere of periodontology. Pure curettage does not heal the periodontitis, but it certainly slows down, sometimes even stops its process. The maximal cooperation of the patient is required here, to clean his teeth by special cleaning accessories in accordance with hygienic instructions. It is not possible to fight periodontitis successfully without increased hygiene.
• The sinus lift surgical procedure is performed in the upper jaw before the implants’ placement with patients, who do not have sufficient bone height. This involves lifting of the maxillary sinus to gain enough space for the implant’s fixing.
• Loss of the bone thickness often occurs after a tooth extraction, necessary for the implant’s placement. The bone augmentation is a procedure, during which the artificial bone granules and the special membrane are applied to the diminished bone; it is under the membrane where the bone grows to its original thickness. This procedure is also performed to increase the aesthetics of the ceramic bridge in the front section of the teeth, where the narrowness of the bone would be visually disturbing.

Periodontitis is the inflammation of the dental adnexa, that leeds to the tooth loss, repase of the tooth and gum (gingiva) regression. Through the medium of the special dissection Emdogain, that is applied during small surgical operation on the cleansed surface of the tooth root, can be achieved the regeneration process, during which occures the annex of the bone and consolidation of the defect.

The price including the local anaesthesia (injection), surgical operation, application of Emdogain together with the artificial bone Straumann BoneCeramic, the wound suture (including the stitches removal) due to the extent of the treatment:

• 1-2 teeth: € 420,-
• 4-6 teeth: € 500,-

Dr. Karel Závodský
Dental surgeon
Implantologist

A very comfortable option to replace the missing teeth is to use the implants. One or more teeth can be replaced by this method. We use the Straumann implants.

Teeth whitening is becoming increasingly popular. It is performed by an action of hydrogen peroxide carbamide, which reacts with the basic building element of the enamel, which is hydroxyapatite. Chemical bond takes place, which creates a whiter look of the teeth. At our clinic we use the American product Opalescence of a very considerate concentration (15% hydrogen peroxide carbamide), which is very gentle and harmless to the teeth. The gel is applied into individually made plastic mouth trays, which the patients wear at night and sleep with them in situ for 12 nights.

During whitening, temporary sensitivity to acidic or thermal action might be experienced. After completion of the whitening process, the sensitivity will disappear completely. Permanent whiter looking teeth will be the result. To maintain the achieved shade of white, wear the plastic mouth trays filled with the gel twice a year for only two nights each time.