Category: Artykuły z strefa wiedzy

W ubiegły weekend lek. dent. Kamil Kikowicz, dzięki @dentsplysirona.polska, miał okazję uczestniczyć w kursie prowadzonym przez dr Thomasa Hansera, wybitnego chirurga i wykładowcy.
Podczas dwudniowych intensywnych warsztatów doskonalił zaawansowane techniki regeneracji i przeszczepów kości oraz tkanek miękkich.
Są to niezwykle ważne procedury, gdyż deficyty tych tkanek są główną przyczyną utraty zębów oraz braku możliwość wprowadzenia implantów, pozwalających na odtworzenie uzębienia.
#chirugiastomatologiczna #implanty #szkolenia #rozwoj #stomatologia #dentysta #dentalimplants #dentalsurgery #dentist

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Brave Patient – or how to help your child not to be afraid of the dentist?

When to come with your child for the first visit? What is an adaptation visit? How can I, as a parent, help my child enjoy visiting the dentist?

When is the first time to visit the dentist with the child?

Probably many parents wonder when to visit a dentist’s office for the first time? If this question arose in your mind, it means that both you and your child are ready to get to know the dentist. At the outset, it is worth noting that the first visit is best when the child does not have milk teeth yet. It may shock you, but it is the best time to learn proper oral hygiene, consult your doctor about your doubts related to the future eruption of milk teeth and, most importantly, to familiarize your child with the presence at the dentist’s office. If the child already has deciduous or even permanent dentition and has never visited a dentist, you should also make an appointment to check the condition of the oral cavity.

First visit – what should it look like?

Your child’s first visit to the dentist is very important. It must be accompanied by positive emotions, which is why it is often not combined with therapeutic intervention. It is the so-called adaptation visit, during which the child will get used to the new place. The little patient gets to know a new environment, and our goal is to have positive associations with it. Many new interesting stimuli are waiting for him in the office. Starting from the waiting room with a corner where the child can calm down, through the dentist’s office where the little patient is invited to the chair and the tools are presented in an accessible way, so that they do not cause unnecessary fear. During such a simulation of the visit, the patient may find out that the chair is very comfortable and that the Doctor is a new friend who additionally answers all bothering questions. At the end of the visit, the child receives a small gift, which additionally helps the patient to preserve positive memories of the visit.

An additional benefit is that the doctor familiarizes himself with the health of the child’s oral cavity. During such a visit, the dentist wastes no time and cleverly uses every opportunity when a child opens his mouth to carefully examine its condition. Thanks to this, you can plan further treatment and receive a set of recommendations for home oral hygiene.

It should be remembered that an adaptation visit is not a necessary element for a toddler to like the dentist. Some young patients feel very comfortable in the dentist’s chair from the very beginning and quickly begin to trust their doctor. Thanks to this, it is possible to start any therapy during the first visit. Each child is different and we are often unable to predict his reaction, so it is so important to show up for the appointment before anything worries us.

What if we missed the adaptation visit and the child shows up at the dentist’s for the first time with pain or caries?

Regardless of the reason for which you come with your child, you should make sure that they have pleasant memories of the visit. So what can you do as a parent to help your child?

Try to stay cool. Little patients perfectly read our emotions, so it is worth taking care of the right atmosphere at the beginning. If you feel anxious about the visit yourself, first try to calm your own emotions so that the little patient will feel more confident.

Let the doctor contact your baby. It is extremely important for the little patient to trust him, thanks to which he will be able to feel safe in the dentist’s chair.

Try to avoid messages that suggest negative emotions, such as “don’t be afraid, nothing will hurt” as they can paradoxically backfire. Instead, we encourage you to focus on positive feelings. You can say: “The doctor came to help you”, “you are very polite and I am very proud of you”.

Build your child’s trust by providing accessible information about the course of the planned visit. You should be aware that little patients perceive the world from a slightly different perspective. Avoid the “nothing will be done” message as it can result in a loss of confidence in both the parent and the dentist. Even if, in our opinion, this is true, because the doctor will not conduct the treatment, for the child the mere presence in the dentist’s chair may be perceived as an intervention. A much better solution is to inform the child: “the doctor will touch a tooth”, “the doctor will count the teeth”.

What can we do as a parent at home so that the child is not afraid of the dentist?

First of all, we can talk a lot with the child about past or future visits, a pleasant atmosphere, interesting things or situations that happened in the office. It is worth explaining that doctors are there to help not only children, but also adults. You can do it both during your daily hygiene activities and by walking past your dentist’s website. Educational books that mention the dentist theme can also be helpful (you can find both of them in most bookstore and in our children’s corner). We should remember that if the visit is associated with something nice and interesting, both in our memories and in our stories, our child will not be afraid of the dentist!

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Call us! 690 312 720

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Conservative dentistry – what is it and why is it so important?

What is conservative dentistry? Conservative dentistry and periodontics are divisions of dentistry that deal with both the prevention of dental diseases and the treatment of cavities. The scope of prevention includes activities such as: regular checkups of the condition of the mouth and teeth instruction on proper oral hygiene hygienization procedures: scaling, sandblasting, fluoridation, fissure...

Orthodontics – quick look

smile_and_care_stomatologia

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Endodontics, or commonly root canal treatment.

What is root canal treatment? Why is endodontic treatment necessary? When can root canal treatment fail?

What is root canal treatment?

Firstly its is worth to briefly focus on tooth anatomy. Our teeth consist of a crown and roots. In the correct situation, in the oral cavity, we only see the crown, and the roots hide under the gum in the bone. Inside the crown there is a chamber that connects to the canals inside the roots. These spaces are not empty. Inside, there is a pulp, i.e. a tissue made of blood vessels, nerves and cells specific only for this place – odontoblasts. This pulp has numerous functions:

development – participates in the production of dental tissues,
nutrition – a network of blood vessels provides the necessary substances and minerals to an already mature tooth,
protection – healthy pulp together with hard tooth tissues is a barrier against the penetration of microorganisms into the body,
sensation – thanks to the presence of nerve fibers, we feel the influence of external factors on the teeth, such as large changes in temperature (which can damage the pulp). Unfortunately, this part of the tooth is also responsible for unpleasant ailments such as hypersensitivity or pain during inflammation.

How is the root canal treatment performed at the Smile and Care Medical Center?

Endodontic treatment at the Smile and Care Medical Center begins with collecting a detailed history and conducting a complete examination of the oral cavity. The doctor then walks patient through the individual treatment plan, makes specific recommendations, and answers questions about the treatment. After the patient has received the full information, it is time to proceed to with the appropriate treatment.

Often patients wonder if it is painful. The endodontic treatment is performed under local anesthesia, so you should not be afraid of additional pain.

The aim of root canal treatment is to clean the entire tooth from bacteria, and in particular the root canal system. The dentist first cleans the tooth from all carious lesions, as they are the main habitat of bacteria. Before the root canal treatment, the doctor prepares the treatment area using a “cofferdam”. It is a coloured gum that is applied to the tooth and covers the entire mouth. It enables the isolation of the treated tooth from saliva, but also prevents the ingress of disinfectants into the oral cavity, improving the patient’s comfort during the visit.

The proper endodontic treatment begins with finding all canal openings and determining their length. The number of channels depends on the number of roots, but there are some exceptions. In the incisors and canines, respectively, one can expect one, occasionally two canals. In premolars, the presence of two canals is much more frequent, and there are also three canals. In contrast, four canals should be expected in molars.

Then the doctor cleans the canals using special files and disinfectant fluids, and when the canals are properly prepared, he fills them permanently with the appropriate material. A tooth treated in this way is prepared for the final restoration.

At the Smile and Care Medical Center, we pay great attention to quality and precision, each endodontic treatment is carried out using a microscope. Our doctors have at their disposal complete and modern equipment and high-quality dental materials. Dental chairs in our offices are equipped with tips dedicated to endodontic treatments and X-ray, which allows to maintain the highest standard of treatment and to assess the effects of work at each stage. In addition, to increase the precision of the procedure, the doctor has a computer tomography at his disposal, which enables treatment also in the most difficult cases.

Why was it necessary to undergo endodontic treatment?

Root canal treatment is performed primarily when there is inflammation or necrosis of the pulp filling the chamber and the canals. The most common cause of pulp inflammation is a significant loss in the tooth crown. The pulp, apart from the mechanical cover in the form of hard tooth tissues, has a limited ability to protect against bacteria. Prolonged infection with bacteria or their toxins can lead to increased inflammation. There is also a possibility of bacterial infection due to widespread inflammation of the gums, which is why regular inspection and professional cleaning of the surface of the teeth and gums from plaque is so important.

It happens that dental injuries can lead to the necessity of endodontic treatment. It is also carried out preventively, e.g. before prosthetic or surgical treatment, in which there is a high risk of pulp damage, which could lead to its subsequent necrosis and gangrenous decay.

What influences the prognosis of endodontic treatment?

First of all, the prognosis is adversely affected by the delay in starting treatment or the delay in continuing the treatment already started. This behavior spreads the infection and can expose you to serious complications, including bacterial infection of the kidneys and heart. In addition, despite the use of the latest technology, such as surgical microscopes and computer tomography, it happens that the anatomy of the root canal makes it impossible to clean it thoroughly. The canals of the teeth are very complicated in structure, often with numerous branches off the main canals. Unfortunately, it is not always possible to reach all canals mechanically, so we always pay attention to the use of an appropriate amount of disinfectants.

How can we be sure that the treatment has been successful?

Currently, the only way to check whether all microscopic and deep canals have been cleaned are follow-up visits. During them, an X-ray examination is performed to assess the occurrence of inflammatory changes in the bone surrounding the treated roots. If the primary treatment fails, re-treatment may be considered. Although endodontic re-treatment is initially burdened with a higher risk of failure, performed by an experienced doctor gives a very good chance of therapeutic success and allows you to save the tooth from extraction.

lek. dent. Kamil Kikowicz

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Call us! 690 312 720

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Conservative dentistry – what is it and why is it so important?

Prosthetics in a brief

smile_and_care_stomatologia

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Conservative dentistry – what is it and why is it so important?

What is conservative dentistry? What is tooth decay and how to deal with it? What is filling? When should you see a dentist?

What is conservative dentistry?

Conservative dentistry and periodontics are divisions of dentistry that deal with both the prevention of dental diseases and the treatment of cavities.

The scope of prevention includes activities such as:

regular checkups of the condition of the mouth and teeth
instruction on proper oral hygiene
hygienization procedures: scaling, sandblasting, fluoridation, fissure sealing
prevention of hypersensitivity and periodontal diseases

As we mentioned earlier, conservative dentistry, apart from preventing dental diseases, also deals with the treatment of existing problems.

The therapeutic procedures include:

treatment of cavities
reconstruction of damaged teeth
treatment of the resulting hypersensitivity
aesthetic correction of the tooth shape

What is caries?

Caries is a dental disease caused by bacteria that produce an acidic pH that destroys enamel. The carious process goes through the following stages. First, the acid formed causes white stains on the enamel, which is a symptom of enamel demineralization. In the next stage, the enamel is irreversibly damaged. Enamel loss is a gateway to dentin infection, a tissue that is softer and more susceptible to bacteria than enamel. Spreading caries takes up more and more of the tooth, eventually reaching the dental pulp as well. At this stage, the only way to preserve the tooth is endodontic treatment.

Why is caries formed?

Caries has a bacterial etiology, which is why it is so important to prevent colonization and the development of cariogenic bacteria in the oral cavity. You should be aware that sharing meals that you have already started, licking babies’ teats, and kissing can all contribute to the transmission of bacteria. In addition, our diet is not without significance. The sugar available in meals promotes the growth of bacteria and is converted into acids that destroy the enamel. Proper oral hygiene is also very important in the context of the development of caries. Poor hygiene, including inadequate brushing technique, has a large impact on the development of plaque, which, if not removed early enough, turns into tartar. Both plaque and tartar create ideal conditions for bacteria, promoting the formation of caries.

How to fight tooth decay?

Prevention is the most important thing in the fight against caries. Adequate oral hygiene is key to caries prevention. It is important not only to clean your teeth and mouth properly and regularly, but also when tartar appears, go to the dentist’s office for professional hygiene treatment. Additionally, in order to avoid tooth decay, you should eliminate or at least reduce the amount of sugar in your diet. We should also take care not to pass on cariogenic bacteria. This is important for young children who, after birth, do not have cariogenic bacteria in their mouth, and contact with the saliva of adults may cause colonization with unwanted bacteria.

If, despite our efforts, caries has developed, we should immediately visit a dentist. Treatment depends on the stage of caries development.

In the case of demineralization changes, observation, frequent checks and the use of fluoride preparations may be sufficient.

In more advanced cases, it is necessary to prepare a carious cavity by mechanically removing the tooth tissues affected by caries (so-called drilling). You should not be afraid of discomfort, because the treatment is performed under local anesthesia. After careful preparation of the lesion, we make a composite filling to rebuild the lost tooth tissue.

In some cases, when the disease process is advanced and the carious lesions cover the pulp, endodontic treatment is necessary (more information in the article: “Endodontics or colloquially root canal treatment”). Unfortunately, it happens that the damage to the tooth is so advanced that it is necessary to remove it.

What is filling?

Filling iis made of a composite in order to rebuild the lost tooth tissue, both through the carious process and after an injury. Using the composite, we can also model the shape of our teeth. Unfortunately, not in all cases such a reconstruction is sufficient and often a prosthetic reconstruction (crowns, veneers) is necessary to protect and strengthen the teeth.

In order to make a perfect filling, it is necessary to have the appropriate knowledge and experience of a doctor, who must allocate the right amount of time and high-quality materials to make a highly aesthetic filling. A high precision is also necessary, which can be achieved by the use of a microscope. At the Smile and Care Medical Center, we make sure that each filling is a small work of art.

When should you see a dentist?

t is very important to remember about regular visits to the dentist, even if we do not experience disturbing symptoms. Appropriately frequent checks will allow us to avoid the development of caries or to diagnose it at a very early stage. Additionally, during check-up visits, you can consult your doubts and receive instructions on proper oral hygiene. Professional hygienisation is also important when tartar begins to form. All disturbing symptoms should lead us to an earlier visit to the dentist, such as: stains on the teeth or changes in their color, toothache with or without food, hypersensitivity, pain or bleeding of the gums. If you experience any of the above symptoms, don’t wait and make an appointment as soon as possible.

Want to know more?

Call us! 690 312 720

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Endodontics, or commonly root canal treatment.

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Prosthetics in a brief

smile_and_care_stomatologia

go back to the knowledge zone

Prosthetics in a brief

What is prosthetic treatment? Why is it so important? What are our prosthetic treatment methods?

What is prosthetic treatment?

The aim of prosthetic treatment is to restore the proper function and appearance of the stomatognathic system. Prosthetic treatment consists in restoring lost tooth tissues and rebuilding the surrounding soft tissues.

What are the benefits of prosthetic treatment?

Tooth loss is not just an aesthetic problem. We are often not aware of the negative consequences of damaging even a single tooth. Our teeth work as a team, so the remaining teeth must take over the functions of missing or broken one. While chewing food, bite force may exceed 60 kg. If so much pressure spreads over the incomplete dental arches, it leads to their faster wear and displacement of teeth from their correct positions. For the correct occlusal function, you need not only a full dentition, but also its proper height. The absence or the presence of damaged teeth can affect the entire dental system, making it difficult to speak and eat. Moreover, missing teeth have a negative effect on muscles and the temporomandibular joint, which may further result in recurrent headaches. They can radiate to the neck or ears or cause tinnitus. In addition, when deciding on a prosthetic reconstruction, we protect a significantly damaged tooth against cracking, preventing the need for its extraction.

What are the indications for prosthetic reconstruction?

extensive carious process
tooth reconstruction after endodontic treatment
extensive tooth injuries
missing teeth
reconstruction after insertion of a dental implant
correction of the aesthetics of the teeth
short-circuit height correction
dysfunction of the stomatognathic system
What are the methods of prosthetic treatment?

The types of prosthetic restorations can be divided primarily into permanent and removable restorations.

Permanent restorations such as veneers, onlays, crowns and bridges are fixed on teeth or implants (crowns, bridges). They provide the best comfort, faithfully imitating healthy teeth.

Removable restorations are generally called prostheses or dentures, but their designs can be significantly different. The use of precision abutments made on teeth or implants noticeably improves the stability of the prosthesis in the mouth. On the other hand, removable restorations based on the mucosa are less stabilized.

In Smile and Care dental center, each treatment is preceded by a complete diagnosis, including assessment of the conditions and determining the cause of problem. The restorations are designed individually, selected according to the case and the patient’s expectations.

The method of treatment depends on case. The loss of a small fragment of the tooth crown can be rebuilt with a composite filling (conservative dentistry). However, if the cavity is more extensive or the tooth is subjected to high loads, a permanent prosthetic reconstruction should be considered (veneer, onlay, crown). Missing single or several teeth require careful assessment and selection of therapy. The best method of restoring teeth are restorations based on implants or own teeth, because they provide the best comfort for the patient.

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A beautiful smile – your best friend.

It has been with us from an early age. Did you know that the first conscious smile appears even in the second month of life? It is a reaction to what is most important for the child, that is the closeness of the parents, their warmth and care. From that moment on, a smile accompanies...

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What is an implant? What befits does it provide? A dental implant is a reconstruction of a lost tooth placed into the bone. It is currently the best imitation of natural tissues. An implant is a unique foreign body that undergoes a process of osseointegration. This process connects the bone with the implant surface. Anatomy...

smile_and_care_stomatologia

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Orthodontics – quick look

What is orthodontic treatment? What are the consequences of untreated malocclusion? Is it time for my child to see an orthodontist?

What is orthodontic treatment?

Orthodontic treatment consists of prevention and treatment of malocclusion by changing the position of teeth, which not only results in a favorable aesthetic effect, but also improves function. It can also be performed to improve the conditions for placement of a dental implant or for prosthetic treatment. It should be remembered that orthodontic treatment can be performed in both children and adults.

What are the consequences of untreated malocclusion?

Many people associate orthodontic treatment only with improving the aesthetics of a smile. It is true that it greatly improves the appearance, but it is not its main purpose. There can be many consequences of untreated malocclusions and we often do not associate them with an orthodontic problem. These include speech impediments, meals eating difficulty, including chewing and swallowing, pain in the temporomandibular joint, and even headaches or pains radiating to the ears or neck. In addition, improper positioning of teeth may make it difficult to maintain proper oral hygiene and promote periodontal diseases. If we suffer from any of these ailments, it is worth consulting with an orthodontist who will carefully examine bite, assess whether our discomfort is due to its defect, and most importantly, suggest therapies to get alleviate or cure the ailments.

When is the best time to visit an orthodontist for the first time?

The first visit to the orthodontist should take place as early as possible, often when the milk teeth appear. Of course, this does not mean that it is time for proper treatment. Such a visit is useful in order to consult with a doctor the anatomical conditions of the bite, the correctness of tooth eruption (both permanent and deciduous), and most importantly, receive instructions on how to avoid the acquired malocclusion. During this visit, the doctor is able to assess when and whether orthodontic treatment will be needed for your child. It is important to be aware that each child is different and may require orthodontic treatment at a different point in time, so there is no one-size-fits-all age for treatment initiation. However, it is not worth waiting with the start of therapy, because in younger patients, apart from the correction of dental abnormalities, we also can correct bone development.

Which orthodontic appliance to choose?

There are many types of orthodontic appliances available today. In the simplest division, orthodontic appliances are divided into fixed and removable appliances, in addition, we can also choose treatment with invisible overlays. It is natural to feel lost in the face of the number of therapeutic paths. It is worth being aware that not every method is suitable for treating a given malocclusion, which is why it is so important to consult an orthodontist. At the Smile and Care Medical Center, during the first visit, the patient is thoroughly examined by an orthodontist who has modern diagnostic facilities at his disposal, including computed tomography and cephalometry. After thorough diagnosis, the doctor provides full information on the current malocclusion and possible therapeutic methods. It is also the moment when the patient obtains information about the estimated time and costs of treatment. When the patient is accurately diagnosed and receives complete information, it is possible to proceed to the appropriate treatment, which is individually planned for each patient.

Want to know more?

Call us! 690 312 720

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newest entries

A beautiful smile – your best friend.

Brave Patient – or how to help your child not to be afraid of the dentist?

When is the first time to visit the dentist with the child? Probably many parents wonder when to visit a dentist’s office for the first time? If this question arose in your mind, it means that both you and your child are ready to get to know the dentist. At the outset, it is worth...

smile_and_care_stomatologia

go back to the knowledge zone

Dental Implants – the basics.

What is an implant? What does it do? How does the procedure look like? Can everyone have implants? What are the advantages and disadvantages?

What is an implant? What befits does it provide?

A dental implant is a reconstruction of a lost tooth placed into the bone. It is currently the best imitation of natural tissues. An implant is a unique foreign body that undergoes a process of osseointegration. This process connects the bone with the implant surface.

Anatomy of the implant

The first implant was introduced in 1965 by Professor Brånemark. Since then, work on further development has resulted in a significant improvement and many modifications to the design of implants. It is up to the doctor to select the best model for a given case. In order to fully recreate a missing tooth, most implants need three parts: a screw that goes into the bone (the actual part is called an implant), an abutment, and a crown. Implants are made primarily of metal alloys, most often titanium, zirconium and tantalum.

What does the implant insertion look like?

The procedure of inserting a dental implant is a relatively minimally invasive procedure, definitely less stressful than tooth extraction. Most of these procedures are performed under local anesthesia. The duration of the procedure for inserting a single implant is 15 to 30 minutes. During the procedure, a small (about 2 cm) incision is made in the gum to reveal the bone. The implant bed is then prepared by drilling a hole in the bone. This procedure is less felt than removing caries from a tooth. Finally, the previously selected implant is inserted and the gingiva is sutured. Usually sutures are removed after 7 days.

Can everyone have implants?

Unfortunately, there are diseases and other factors that prevent the implant placement. The most important ones include: significant immunity disorders, some active neoplastic diseases, advanced osteoporosis, chronic decompensated diseases, significant bone loss.

In order for the implantation procedure to take place as smoothly as we have described, the most important thing is to properly plan the procedure in advance. This cannot be done without performing a conical computer tomography of the head, popularly known as CBCT. This test allows you to assess amount of bone and select the appropriate implant. Currently, computer-aided design of the implant position is additionally used and individual surgical templates are often made to assist in the perfect insertion of the implant. In a situation where we have significant bone deficiencies that do not allow for the introduction of an appropriate size implant, it is necessary to perform bone regeneration procedures. These treatments are more complicated and require a separate description.

What are the advantages and disadvantages of implants?

An alternative to replacing a missing tooth with an implant is a bridge. This is a solution that requires the presence of teeth on both sides of the missing tooth. Unfortunately, this often requires the damage of supporting teeth. In addition, food can stay under the bridge because there is a risk of space remaining between the gum and the crown of the restored tooth.

Dental implants are a great tooth reconstruction, although their damage is extremely difficult, they are not indestructible. Unfortunately, they are also more sensitive to gingivitis than teeth, so proper hygiene and periodic checkups are important.

lek. dent. Kamil Kikowicz

Want to know more?

Call us! 690 312 720

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newest entries

A beautiful smile – your best friend.

Prosthetics in a brief

smile_and_care_stomatologia