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Cosmetic bonding

Cosmetic bonding enables us to achieve a beautiful smile while restoring a function of teeth as well. This procedure allows a dental practitioner to correct both minor and major defects of teeth, which can completely change a person’s smile. Cosmetic bonding involves a skilful and artistic application of knowledge about symmetry and proportions, colours, surface texture, translucency and the newest bonding techniques. Rūta Abloževičienė, a general dental practitioner, takes care of cosmetic tooth appearance.

Cosmetic tooth bonding (restoration)

Misalignment of teeth, changing teeth colour or closing large gaps between teeth can be fixed with cosmetic bonding. During this procedure your dentist can also replace old large fillings in the front teeth, repair decayed and chipped or broken teeth, to restore eroded enamel, and improve the colour of a discoloured tooth when other methods of whitening are not effective.

During the primary consultation at our clinic “Amber Surgery”, it is possible to show the desired outcome on a preliminary model. This helps the patient visualize the future appearance of a teeth and allows the dentist perceive the patient’s expectations.

How is the Procedure Performed?

Cosmetic bonding can be completed in a single visit, usually during 4–6 hours the dentist restores 4-6 teeth. The hard tissues of the patient’s teeth are preserved using this method. The patient undergoes local anesthesia and old fillings and decay-damaged tissues are removed. Then, the tooth is isolated using a rubber dam to keep a tooth dry, a doctor prepares the tooth and restores it in multiple thin layers by applying a bonding material of different translucency that replicates natural tooth tissues, colour, surface texture, and gloss. Tooth polishing is a very important step to complete the restoration because properly polished teeth regain a natural looking texture and gloss. In addition, it helps to remove the dental plaque from teeth surface using a regular toothbrush.

What Else should be known about the procedure?

  • Sometimes, after a few weeks following a cosmetic bonding procedure marginal corrections need to be done;
  • It is necessary to take care of the restored teeth to ensure the longest possible duration of a cosmetic bonding results. We recommend avoiding eating large pieces of food that is hard and brush teeth carefully every day. Also, it is advisable to polish teeth with a diamond polishing paste one to two times a year. Cosmetic bonding may last for 7–10 years with proper oral care;
  • If the restored tooth has fractured, it can be corrected easily without new cosmetic bonding.

Cosmetic bonding for teeth with an unusual shape or discolouration

Cosmetic bonding procedure can be used for patients who have teeth that have discolouration or pigmentation spots and cracked enamel, teeth that are misshaped and crooked, or teeth that are irregularly aligned in the dental arch (for example, too much protruded or located too deeply, rotated around their axis). However, cosmetic bonding is not always the best way to correct crooked teeth and often patients require orthodontic treatment.

How is the procedure performed?

The procedure is usually completed in 45–90 minutes. A patient receives local anesthesia and the crooked, too much protruding tooth is polished. After, the dentist restores the removed layer by employing the cosmetic bonding procedure. A brighter filling helps to mask discolouration of the tooth.

What should be known about the procedure?

  • For 2 hours after the procedure, a patient is not allowed to eat and drink;
  • Sometimes, after a few weeks following a cosmetic bonding procedure marginal corrections need to be done;
  • It is necessary to take care of the restored teeth to ensure the longest possible duration of the cosmetic bonding results. We recommend avoiding eating large pieces of food that is hard and brush teeth carefully every day. Also, it is advisable to polish teeth with a diamond polishing paste one to two times a year. Cosmetic bonding may last for 7–10 years with proper oral care;
  • If the restored tooth has fractured, it can be corrected easily without new cosmetic bonding.

Direct composite veneers Componeer

Direct composite veneers COMPONEER or SMILE TO GO are designed to correct imperfections of the front teeth. The Swiss company Coltene/Whaledent produces them. Direct composite veneers COMPONEER have high quality. Nanohybrid composite is used to produce the extremely thin special enamel shells, which precisely cover the surface of the front teeth and give them beautiful shape and shine, while still looking natural. Dentist can fit the COMPONEER veneers in a single visit.

What Are the Advantages of Direct Composite Veneers COMPONEER?

  • Direct composite veneers COMPONEER have a considerably lower price than individually lab-made veneers, because they are manufactured industrially;
  • The procedure does not consume a lot of time; it can be completed during a single visit (up to 12 teeth can be restored, 6 in each jaw);
  • During the restoration, minimal damage is caused to the healthy tissues of teeth; This system provides a chance to individually select veneers (according to tooth colour, shape etc.);
  • Stability and excellent cosmetic appearance of teeth is ensured due to the high quality of veneers; After some time, the shine of teeth can be refreshed by polishing them.

How is the procedure performed?

First, the dentist examines the condition of front teeth; then, an appropriate shade of COMPONEERS veneers is selected, and a proper shape of the veneers is chosen using special contour guides. The teeth to be restored are minimally shaved off. Then, the dentist bonds the veneers using the same material they are made of. The shape and length of teeth are customized to individual patient’s requirements. During the final step of the procedure, teeth are polished.

Tooth jewellery

Tooth jewellery is an excellent way to set you apart from the rest of the crowd by giving you a more sparkly and charming smile! We offer tooth jewels, which are made and certified in the European Union. You can choose from many different sizes and shapes, they can be made of gold, while gold, and Swarovski crystals.

How and when is the procedure performed?

It is an easy, painless, and quick procedure, which takes no longer than 20 minutes. Tooth jewellery is bonded to the enamel of a healthy tooth and does not cause any additional harm. Tooth jewels are tiny and thin (about 0.5–1 mm). Usually the person feels it only temporarily. A few days later, it does not cause any discomfort while eating, speaking, or brushing the teeth. The tooth jewel can be easily removed, when requested. The removal of the jewel (as well as its placement) is a completely painless and quick procedure, after which tooth enamel remains smooth and undamaged. Tooth jewellery can be used to mask small, non-carious lesions of the front teeth, for example, pigmentation or fluorosis related spots, enamel hypoplasia. However, no tooth jewellery should be placed on an unhealthy, decay-damaged tooth. Moreover, tooth jewellery is not recommended to people having gum disorders, dental calculus, or oral mucosa diseases.

What should be known after the procedure?

  • The attached jewel lasts on the tooth for a few months up to a year. If the tooth jewel comes off, the person should visit a dental practice where the dentist will remove the remaining layer of the adhesive material by gently polishing it off.
  • Practicing good oral hygiene and controlling dietary habits is very important in order to make the jewel stay on as long as possible. It is recommended to avoid rough, coarse foods and touching the jewel with his or her hands.
  • If a patient who wears a tooth jewel is a heavy coffee drinker or a heavy smoker, when the tooth jewel is removed, a substantial colour contrast can be seen at the place where the tooth jewel was placed. In this case, it is advisable to whiten all the teeth in order to remove tooth discolouration.

Tooth whitening

A beautiful, shining smile is one of the first most noticeable features when we meet new people; furthermore, it provides person more self-confidence and self-esteem. This is one of the most easily accessible methods for anyone to improve their smile. Modern tooth whitening is a safe and effective procedure that does not cause any damage to teeth, when performed following the recommendations properly.

There are many reasons why tooth discolouration may occur. Discolouration can be caused by several factors, such as inherited characteristics of tooth structure, age, some chronic diseases, gum inflammation, dental trauma, untreated teeth and their canals, or those treated with older generation materials, and excessive use of fluoride-containing products or certain medications (for example, antibiotic tetracycline). Frequent consumption of stain-causing products has a huge influence to a colour as well. Those products are tea (especially black) and coffee, red wine, and tobacco.

What methods of tooth whitening are offered?

  • Endodontically Treated Tooth Whitening. Endodontically treated tooth (sometimes called non-vital or dead) does not have nerve and blood tissue in the pulp, so the whitening process of it differs from a healthy tooth whitening. The dead teeth are whitened from the inside, when a special bleaching agent is placed into the tooth canal and after the tooth is sealed with a temporary filing material. The whitening material may be replaced with a new one until the desired result is achieved, after a certain time period. Before any whitening procedure of the dead teeth, it is necessary to evaluate the quality of the root canal treatment. It is recommended to retreat the root canals and fill them with a resin-like material known as gutta percha in combination with adhesive cement to assure complete sealing of the root canal system, if the previous endodontic treatment is questionable.
  • In-Office Tooth Whitening. This method of tooth whitening is performed in a dental practice, and can be completed in between half an hour to an hour. During in-office tooth whitening, a whitening material is distributed on the teeth, and then, it is activated with an LED curing light. Usually, it is recommended to perform 2-3 whitening sessions to see the best results. In-office tooth whitening is a good option to refresh a previous tooth whitening.
  • At-Home Tray-Based Tooth Whitening. Firstly, the dentist makes the impressions or moulds of the patient’s teeth, which are used to cast custom-fitted models. Vacuum-moulded whitening trays are made of transparent plastic by applying it over the models in a dental laboratory. During the next consultation, the whitening trays are adjusted as necessary to fit the patient’s teeth and the dentist provides instructions of usage. The whitening procedure can take 7 to 14 days. The patient has to place the bleaching gel in the tray, and wear it overnight or for 2 hours during the day. It is advisable make an appointment with your dentist after 2–3 weeks in order him or her to evaluate the effectiveness of tooth whitening procedure and the condition of teeth and mucosa. Sometimes, patients may feel side effects like increased sensitivity of the teeth, however it is temporary.
  • Laser-Assisted Tooth Whitening. This is the fastest and most effective method of tooth whitening. The whitening gel used in laser-assisted tooth whitening is activated by light of a particular wavelength via a photochemical reaction. The main component of the bleaching gel is hydrogen peroxide (approximately 35%) that has been used in tooth whitening for more than a century. The laser energy increases the generation of free radicals from hydrogen peroxide, so the bleaching gel is applied only for 16 to 24 minutes. And most patients require only a single procedure to achieve the desired results. The gel fully absorbs the laser light; therefore, all heat is eliminated, and there is no risk to negatively affect dental tissues. This method is safe, gentle, quick and effective.

What is recommended before the procedure?

  • It is essential to consult with a dentist or a dental hygienist before a tooth whitening procedure. The most suitable whitening method can only be selected after an oral examination of the current condition of teeth and dental tissues, and determination of the causes of tooth discolouration;
  • Before the tooth whitening procedure, a patient has to get a professional oral hygiene treatment;
  • Only healthy and filled teeth can be whitened; otherwise, they may become very sensitive.

What should be known after the whitening procedures?

  • The thickness of enamel and its inherited shade, age, diet, bad habits, and oral hygiene all influence the efficiency of teeth whitening.
  • Good results can last for 2 years after the procedure, if the patient practices proper oral hygiene, reduces consumption of stain-causing products, and does not smoke;
  • Tooth sensitivity is a side effect that is temporary and usually disappears within a few days. If the sensitivity lasts longer, it is advised to use a fluoride-containing re-mineralizing toothpaste as well as a re-mineralizing gel placed in a tray;
  • The patient may cause damage to the gums, if he is using an improperly fitted tray or perform tooth whitening without supervision of a professional. This complication is temporary and it disappears after a few days as soon as the whitening procedure stops.

The procedure is not recommended for:

  • Tooth whitening can damage the nerve of the tooth or cause permanent sensitivity to children younger than 16, as the pulp chambers of their teeth, which contain the nerves are enlarged, and dentine tubules are very wide.
  •  People wearing braces;
  • Women, who are pregnant or breastfeeding;
  • People, who have numerous fillings or crowns. The materials used in these restorations do not whiten. Therefore, it is recommended to perform the tooth whitening first, then to fill and restore the teeth, and match the colour of a new restorative material to the whitened teeth. Otherwise, old restorative materials will likely need replacement after the tooth whitening procedure;
  • People with hypersensitive teeth or receding gums. Whitening does not have any effect on the exposed roots of the teeth as they do not have any layer of enamel;
  • People who have an allergy to peroxide or any other substance in a bleaching gel;
  • People with decay-damaged teeth or gum diseases.

General dentistry

General dentistry embraces a non-surgical approach of tooth treatment, to maintain healthy teeth and a beautiful smile as long as possible. Tooth decay and inflammatory processes are dental problems, which appear commonly. “Amber Surgery” clinic offers some of the most required procedures – dental filling and root canal treatment – carried out by highly skilled and experienced dental professionals. Rūta Abloževičienė a general dental practitioner takes care of cosmetic tooth appearance.

Post-and-core build-up with composite materials and glass fibre posts

Glass fibre posts are supportive materials, which provide support to retain the core of tooth structure, when restoring the shape of the tooth. They are used together with a composite filling, which hardens when cured with a special light source.

During a regular check-up your dentist can determine, whether the procedure is needed. In most cases, the patient needs it before restoration, when two lateral walls of the tooth are missing. This way of restoration is appropriate only when the remaining tooth structure is at least 2 mm above the gum line. This ensures that the restoration will be long-lasting and of high-quality. Later, the dentist places a dental crown over the tooth.

How Is the Procedure Performed?

The procedure usually takes up to one hour and can be completed during a single visit. Before this procedure, root canal treatment should be performed. Later, the posts are cemented, and the shape of the tooth is restored using a composite filling, which hardens by curing it with a special light source. The posts are tightly anchored to the roots of the tooth and the filing – a compact, tight monoblock is obtained.

Root canal treatment

The inner part of the tooth (called the pulp chamber) contains blood vessels, lymph vessels and nerves, which enter the tooth through the root canals. If teeth are left untreated, inflammation can be caused, due to the conditions enabling bacteria to enter the root canals. Treatment of the root canals should begin, when inflammation still takes place in the pulp (soft tissue) of the teeth. The main goal is to eliminate the bacteria present there and prevent the teeth and surrounding tissues from infection. Root canal treatment is a two-step process, first being chemo-mechanical preparation of root canals and then their filling.

Chemo-mechanical preparation of root canals

The root canal treatment begins with the chemo-mechanical preparation. It is done when inflammation is present in root canals. Different teeth have a particular number of root canals ranging from one to four. Conditions favourable for bacteria to enter the root canals and bone at the root tip, where they can cause inflammation, can arise, if teeth with are not treated in time. During the procedure of chemo-mechanical preparation, the root canals are cleaned and washed out. This procedure is necessary due to several reasons:

  • Inflammation in root canals usually causes severe pain, and it eases off only when the nerve is removed from the canal;
  • Contaminated root canals can cause an infection. From there, the bacteria can spread to the bone, which supports the tooth and create a more intense inflammation resulting in swelling and heavier pain;
  • Root canals are often very narrow and curved; so, for the root canals to be successfully sealed in the future, they are needed to be precisely enlarged and given a shape so that medications could be targeted where needed.

How Is the Procedure Performed?

The patient receives local anaesthesia. The procedure might take up 30–60 minutes. First, the dentist isolates the tooth using a rubber dam to protect it from saliva and washing liquid. Later, the dentist inserts needle-like instruments (so-called files) and takes x-rays to identify all the canals and determine their length. Then, the canals are enlarged with a series of files, each having a larger diameter, and are sprayed with a disinfectant solution. Thus, the parts of tissues, which are inflamed and majority of bacteria are removed, and the root canal is shaped to be sealed. Until the next visit, the dentist fills the canals with a calcium hydroxide paste, which has an antimicrobial effect.

What else should be known about the procedure?

  • The tooth can be very sensitive after the procedure, however it usually passes in a few days;
  • During the whole period of treatment, it is recommended to avoid chewing hard foods on the tooth being treated, as it may cause fracturing;
  • Once the root canals have been prepared chemo-mechanically, they have to be filled;
  • Sometimes the patient may not feel any symptoms of inflammation process in the root canal. However, eventually this leads to the formation of infection sources; so, the root canals have to be treated inevitably. This can be detected by taking an x-ray.

Filling of Root Canals

The second step of root canal treatment, after properly cleaning and preparing the root canals, is sealing them with special materials. Root canals need to be filled in order to prevent recontamination of bacteria and stop eventual spreading of the infection to the bone at the root tip. The dentist uses the filling materials, which have an antimicrobial effect. After the root canals are filled, the tooth should be restored and sealed by placing a restoration (filling, inlay or onlay, crown).

How is the procedure performed?

The procedure needs to be done after the root canals are chemo-mechanically prepared, usually during tour next appointment. Time of procedure depends on the number of root canals, usually it is completed within 30–60 minutes. Root canals can be filled using a few different methods. During the procedure, the dentist washes out remaining calcium hydroxide, then dries and fills the root canals. After filling the root canals, he or she takes an x-ray to ensure that the root canals are filled completely to the root tip.

What should be known after the procedure?

After the treatment, the tooth can be sensitive for a short period of time. Sensitivity usually fades in the first half-day and less frequently, in a few days.

White fillings

White fillings (also known as composite fillings), which get hard by curing them with an intensive light beam, have become increasingly popular. They are used during tooth bonding procedure, when a damaged or affected tooth is filled and restored using composites. The purpose of it is to retain the hard tissues of teeth and protect the inner structures of the tooth and bone from the invasion of bacteria. Also, the lost function and aesthetics can be restored by the dental filling (cosmetic bonding) procedure.

If teeth are left untreated, this may lead to the conditions favourable for decay to develop, teeth can become sensitive and sore, and a fracture may occur. Eventually this can result in tooth loss. Whether the procedure is needed, it is determined during a regular check-up.

How is the procedure performed?

If requested, the procedure can be performed under local anaesthesia. Usually, it is completed within 30 to 60 minutes, depending on the location and extent of tooth damage. Firstly, the dentist removes the decay-damaged tissues of the tooth, then he or she etches the walls of the tooth with a special acid. After the tooth is washed out and dried, a special adhesive system is applied to the surfaces. Then, the tooth is restored by applying the bonding agent in thin layers until the desired shape and natural texture of the surface is achieved. Each layer is hardened with a special LED light source. Once the filling has been placed, the excess is removed, and the restored tooth is checked for proper occlusion and polished.

What Should Be Known After the Procedure?

  • The restored tooth sometimes can be very sensitive, usually it is temporary and fades within a few weeks. The patient needs to see a dentist, if the tooth remains sensitive for more than 2 to 4 weeks.
  • Over time, fillings are worn, between the tooth and the filing, cracks can occur, leading to the conditions suitable for bacteria to gather and for secondary caries to develop. So, it is important for the patient to see his or her dental hygienist and dentist regularly. Old fillings can be polished during a routine check-up.

Prosthodontics

Prosthodontics is the branch of dentistry, which deals with the replacement of missing teeth and surrounding hard tissues, done by a dentist together with a dental technician. Missing teeth can be replaced using dental implants, bridges, or removable prostheses. The treatment of a patient, who lost their teeth is always challenging and requires special knowledge and skills in prosthodontics and implant dentistry.

The professional qualification of specialists of “Amber Surgery” clinic, their long-term experience, advanced methods, and the highest-quality materials allow to achieve the greatest possible results.

Gingival recession treatment

Gingival recession (also referred to as receding gums) is a dental condition characterized by the retraction of the gum line from the crown or implant of the tooth leading to exposed tooth roots. It can be caused by orthodontic treatment with braces, functional overload on a tooth or a group of the teeth, and physiological or pathological bone loss in the area of teeth or dental implants. This condition can lead to the increased sensitivity of teeth, elongated teeth, loss of the aesthetic appearance of restored teeth or dental implants, and higher risk of root caries.

The strategy of surgical treatment depends on the severity of a recession. It can be surgically treated using soft tissue and (or in combination with) alveolar bone grafting techniques. The procedure prevents further development of the recession. After the treatment, the aesthetic appearance is restored by covering the exposed tooth roots or dental implants and reducing tooth sensitivity.

Tooth and/or root extraction

We offer atraumatic tooth extraction, which aims to preserve the surrounding tissues and remaining alveolar bone. After the procedure, the bone regenerates at the extraction area, and usually we plan the eventual placement of a dental implant.

Postoperative period

After the procedure, a gauze pad will be placed between the cheek and the teeth, which will be kept there for approximately half an hour to absorb the blood. The gauze pad should be replaced with the new one, which should be kept for another 30 minutes, if the bleeding continues. It may be necessary to measure patient’s the blood pressure (reference range, 120/80 mm Hg), if the bleeding continues for a longer period of time. If patient’s blood pressure is higher than the norm, your surgeon will give the medications to lower it. High blood pressure is most often the main cause of bleeding. If it persists and blood pressure is within the reference range, the patient should contact our clinic.

What to avoid while recovering:

  • Any physical activities, which could increase blood pressure, (for example: exercise, lifting of heavy things, saunas and hot baths);
  • The patient should hold back from eating for 2 hours after the surgery. If the surgery was performed using an anaesthetic, the treated area will be numb, so the patient might easily injure their tongue or cheek while chewing.
  • Hot and coarse foods should be avoided, especially on the same day after the procedure. Also, drinking coffee or alcohol can increase blood pressure and cause bleeding, so the patient should restrain from them as well. It is normal to feel blood taste on the second day after the surgery.
  • Nicotine slows proper would healing, which can cause formation of an abnormal blood cloth, so the patient should hold back from smoking for at least 12 hours after the tooth extraction.

Discomfort

The patient might have slight swelling after the operation. To avoid or reduce it, cold therapy can be applied for 5-6 hours: the cheek is cooled for 15 minutes, then a 30-minute break is done, and the procedure is repeated again from the beginning. If you are using ice, then you should wrap it in a thin towel and then place it over the area treated. After the surgery, all common pain relief medications from a first aid kit at home can be used except aspirin, since it has blood-thinning properties.

Personal Oral Hygiene

On the first day after the tooth extraction surgery, you should gently brush the teeth with a soft toothbrush. However, you should not rinse the mouth as the blood cloth can be dislocated and it may cause pain. The next day, teeth can be brushed normally and the mouth needs to be rinsed with special mouthwashes 5 to 6 times a day. If after tooth extraction the edges of the gums were stitched together with the absorbable sutures, they will dissolve on their own in 30 to 35 days. To ensure proper wound healing, the sutures should be clean and free of debris. It is advised to clean them with a piece of gauze soaked in hydrogen peroxide.

Wisdom tooth extraction

Due to a lack of the space in the dental arch or the jawbone, not all wisdom teeth erupt or they erupt misaligned. This can lead to recurrent chronic infections and complications during orthodontic treatment. In complex situations, the surgical tooth extraction procedure is performed as follows: the unerupted tooth is completely exposed, the excess of the surrounding bone is cut away, and the tooth is broken into smaller pieces. Then, the inflamed tissues and mucosa are removed, and the edges of the incision are sutured. Self-dissolving stitches are used so they do not need to be removed. Patients are administered antibiotics and anti-inflammatory medications during postoperative treatment.

Oral surgery

Oral surgery is a wide area of dentistry, which deals with the diagnosis and surgical treatment of pathologies and tumours of not only teeth, but also tongue, oral mucosa, salivary glands, jaws, and sinuses.

Oral surgery is an integral part of complex treatment during tooth replacement and restoration, and orthodontic treatment. In the “Amber Surgery” clinic, oral surgeons in a team with other specialists perform a wide range of simple procedures, such as gum grafting or tooth extraction, as well as complex surgeries, such as vestibuloplasty, as jaw reconstruction, sinus lift, etc. The patient can undergo local or general anaesthesia during surgery.

Alveolar bone grafting

Alveolar bone grafting is a procedure, when the surgeon takes a bone fragment of a suitable size from a section of the jaw or the chin and transplants it using a special method to the area, where it is necessary to increase the volume of the resorbed alveolar ridge for the future installation of dental implants. When the alveolar ridge is too narrow to place dental implants or is not high enough to screw dental implants technically, the patient requires this surgery. After 6 months following this surgery, the dental implants are placed.

What should be known about the procedure?

After the bone grafting surgery, the oral surgeon will ask the patient to bite on a gauze pad placed over the treated area for half an hour. The gauze pad is meant to stop the bleeding by absorbing blood. It may be necessary to measure patient’s the blood pressure (reference range, 120/80 mm Hg), if the bleeding continues longer. If patient’s blood pressure is higher than the norm, your surgeon will give the medications to lower it. High blood pressure is most often the main cause bleeding. If it persists and blood pressure is within the reference range, the patient should contact our clinic.

What to avoid while recovering:

  • Any physical activities, which could increase blood pressure, (for example: exercise, lifting of heavy things, saunas and hot baths);
  • It is recommended for the patient to sleep on the side of his/her body that has not been operated on.
  • The patient should hold back from eating for 2 hours after the surgery. Hot and coarse foods should be avoided, especially on the same day after the procedure. Also, drinking coffee or alcohol can increase blood pressure and cause bleeding, so the patient should restrain from them as well. It is normal to feel blood taste on the second day after the surgery.
  • It is strongly advised to quit smoking as it increases the risk of acquiring an infection at the site treated, restricts blood flow and wounds heal poorly.

Discomfort

The patient might have slight swelling after the operation. To avoid or reduce it, cold therapy can be applied for 5-6 hours: the cheek is cooled for 15 minutes, then a 30-minute break is done, and the procedure is repeated again from the beginning. If you are using ice, then you should wrap it in a thin towel and then place it over the area treated. After the surgery, all common pain relief medications from a first aid kit at home can be used except aspirin, since it has blood-thinning properties.

Personal Oral Hygiene

On the first day after the surgery, you should gently brush the teeth with a soft toothbrush. Also, the mouth needs to be rinsed with special mouthwashes 5 to 6 times a day. After the surgery, the edges of the gums are stitched together. The sutures will be removed after 14 to 21 days. To ensure proper wound healing, the sutures should be clean and free of debris. Until the sutures are removed, it is advised to clean the sutures with a piece of gauze soaked in hydrogen peroxide.

Maxillary sinus lift

A maxillary sinus lift surgery is done to increase the bone height in the upper jaw, or to move the sinuses, which are too close to the jaw, for dental implants to be placed. Your surgeon might use sever techniques to perform this procedure.

After the procedure, a gauze pad will be placed between the cheek and the teeth, which will be kept there for approximately half an hour to absorb the blood. After the procedure or the next day, it is normal to experience bleeding from the nose. This is a way for your organism to clear all the blood that gathers in the sinus. The patient should contact our clinic, if the bleeding is intense and does not stop.

What to avoid while recovering:

  • Nose blowing should be avoided. Secretions, which gather in the nose, can be expectorated, if needed. Also, while sneezing the mouth should be open;
  • Any physical activities, which could increase blood pressure, (for example: exercise, lifting of heavy things, saunas and hot baths);
  • It is recommended for the patient to sleep on the side of his/her body that has not been operated on.
  • Scuba diving and travelling by plane should be avoided for three weeks after the operation.
  • The patient should hold back from eating for 2 hours after the surgery. If the surgery was performed using an anaesthetic, the treated area will be numb, so the patient might easily injure their tongue or cheek while chewing.
  • Hot and coarse foods should be avoided, especially on the same day after the procedure. Also, drinking coffee or alcohol can increase blood pressure and cause bleeding, so the patient should restrain from them as well. It is normal to feel blood taste on the second day after the surgery.

Smoking

Smoking increases the patient’s risk of acquiring an infection at the site treated and wounds heal poorly due to a restricted blood flow. Therefore, we strongly recommend quitting smoking at all or at least a week before the procedure and three weeks after it.

Discomfort

The patient might have slight swelling after the maxillary sinus lift operation. The third day after the surgery, the swelling will reach its peak and will start to ease off each day. To avoid or reduce it, cold therapy can be applied for 5-6 hours: the cheek is cooled for 15 minutes, then a 30-minute break is done, and the procedure is repeated again from the beginning. If you are using ice, then you should wrap it in a thin towel and then place it over the area treated. After the surgery, all common pain relief medications from a first aid kit at home can be used except aspirin, since it has blood-thinning properties.

Personal Oral Hygiene

On the first day after the sinus lift surgery, you should gently brush the teeth with a soft toothbrush. Also, the mouth needs to be rinsed with special mouthwashes 5 to 6 times a day. After the surgery, the edges of the gums are stitched together. The sutures will be removed after 14 to 21 days. To ensure proper wound healing, the sutures should be clean and free of debris. Until the sutures are removed, it is advised to clean the sutures with a piece of gauze soaked in hydrogen peroxide.

Root resection (apicoectomy)

Root resection (also known as apicoectomy) is a procedure, when the tip of a tooth root (called apex) is removed. Usually, it is applied after the failed treatment of root canals. This surgery can be performed in the area of the molar and premolar teeth, and the front teeth.

On teeth having multiple roots, a hemisection and root amputation procedures can be done. During these procedures, the entire root or a part of it can be removed, leaving the tooth attached to the bone through the remaining roots. A small opening in the bone is made to remove a part of the root tip, and the end of the root is sealed with a filling to prevent any future reinfections. Then, the incision is sutured.

Jaw cyst removal (cystectomy)

Benign bone and soft tissue tumours in the jaw and facial area are tumours, which originate in the jawbone as well as soft tissues. Usually they are asymptomatic and found incidentally or in cases when larger lesions develop.

The treatment strategy depends on the extent, localisation, and adverse inflammatory changes. All the tumours removed during the surgery are subjected to histological examination.

Root resection, hemisection or amputation

In some clinical situations, it is difficult to remove tooth roots, because of the position of tooth roots, their shape and position of the jawbone. Applying excessive force or an inappropriate instrument can cause an improper placement of the tooth root into the soft tissues or maxillary sinus that can result in inflammation of the affected site.

After the procedure, a gauze pad will be placed between the cheek and the teeth, which will be kept there for approximately half an hour to absorb the blood. After the procedure or the next day, it is normal to experience bleeding from the nose. This is a way for your organism to clear all the blood that gathers in the sinus. The patient should contact our clinic, if the bleeding is intense and does not stop.

What to avoid while recovering:

  • Nose blowing should be avoided. Secretions, which gather in the nose, can be expectorated, if needed. Also, while sneezing the mouth should be open;
  • Any physical activities, which could increase blood pressure, (for example: exercise, lifting of heavy things, saunas and hot baths);
  • It is recommended for the patient to sleep on the side of his/her body that has not been operated on.
  • Scuba diving and travelling by plane should be avoided for three weeks after the operation.
  • The patient should hold back from eating for 2 hours after the surgery. If the surgery was performed using an anaesthetic, the treated area will be numb, so the patient might easily injure their tongue or cheek while chewing.
  • Hot and coarse foods should be avoided, especially on the same day after the procedure. Also, drinking coffee or alcohol can increase blood pressure and cause bleeding, so the patient should restrain from them as well. It is normal to feel blood taste on the second day after the surgery.

Smoking

Smoking increases the patient’s risk of acquiring an infection at the site treated and wounds heal poorly due to a restricted blood flow. Therefore, we strongly recommend quitting smoking at all or at least a week before the procedure and three weeks after it.

Discomfort

The patient might have slight swelling after the operation. The third day after the surgery, the swelling will reach its peak and will start to ease off each day. To avoid or reduce it, cold therapy can be applied for 5-6 hours: the cheek is cooled for 15 minutes, then a 30-minute break is done, and the procedure is repeated again from the beginning. If you are using ice, then you should wrap it in a thin towel and then place it over the area treated.

After the surgery, all common pain relief medications from a first aid kit at home can be used except aspirin, since it has blood-thinning properties.

Personal Oral Hygiene

On the first day after the surgery, you should gently brush the teeth with a soft toothbrush. Also, the mouth needs to be rinsed with special mouthwashes 5 to 6 times a day. After the surgery, the edges of the gums are stitched together. The sutures will be removed after 14 to 21 days. To ensure proper wound healing, the sutures should be clean and free of debris. Until the sutures are removed, it is advised to clean the sutures with a piece of gauze soaked in hydrogen peroxide.

Prevention and oral health

Good oral hygiene helps to prevent serious diseases and conditions in time and maintain overall oral health. Professional dental hygiene procedures help to keep the gums and teeth healthy. A beautiful smile is a feature of a happy person. Entrust your smile to the dental experts of the “Amber surgery” clinic, who will be happy to consult you.

Professional hygiene treatment

A healthy and beautiful smile can be achieved by daily oral hygiene and regular professional check-ups. Oral hygiene involves oral care and the removal of tooth deposits to prevent plaque-related diseases. It is essential in the prevention of tooth decay and periodontal diseases. Many people think that regular tooth brushing is enough to keep good oral health, however it is not true.

Oral hygiene can be divided into two areas: professional oral hygiene procedures done at a dental practice and personal oral hygiene. Professional dental hygiene procedures aim to remove mineralized and non-mineralized tooth deposits, polish the surfaces of teeth and fillings, evaluate the effectiveness of tooth brushing, perform application of preventive materials (for example, fluoride), and teach patients how to maintain good oral health. While, personal oral hygiene is every person’s daily oral care, which involves brushing the teeth with a toothbrush and toothpaste, using mouthwash, flossing and other measures. Once calculus has formed, a person cannot remove it on his/her own, and this when a professional dental cleaning procedure can help.

The main cause for periodontal diseases is the accumulation of plaque on the surface of the teeth. The plaque, which accumulates on the teeth and is not removed turns into calculus (tartar), which can be removed only mechanically. Plaque forms on the teeth both below and above the gum line, in the cracks and defects, and around the dental fillings. The most common places for plaque to accumulate are the inter-proximal surfaces of the molar teeth and the tongue side (lingual) surfaces of the front teeth in the lower jaw.

Poor oral hygiene habits and deposits (plaque and tartar) on the teeth are related to the severity of gingivitis (inflammation of the gums) and periodontitis (inflammation of the gums and other supporting tissues). Usually, gingivitis develops within 10 to 21 days if the teeth are not brushed. As soon as the person resumes good oral care habits, the signs of gingivitis disappear within 1 to 8 days. Gingivitis occurs when tartar has not formed yet and disappears once plaque and tartar have been removed. If the causes are not eliminated in time, the inflammation will progress causing the damage to the gums, then deep pockets form, bone dissolves, teeth become loose and shifting, and it can lead to tooth loss.

A professional dental cleaning is recommended:

  • To avoid decay, gingivitis, periodontitis, and oral mucosa diseases;
  • Before a planned dental treatment: periodontal, endodontic or orthodontic treatment, cosmetic bonding, tooth whitening, prosthesis, implantation, and oral surgery;
  • As a first stage of the complex treatment of periodontal diseases regardless of the severity of the condition;
  • As a supportive treatment after a complex of therapeutic procedures in the treatment of periodontal diseases;
  • As a supportive treatment in order to decrease the risks of complications during the orthodontic treatment for patients with non-removable orthodontic appliances;
  • As a supportive treatment to reduce the risk of complications after dental implant surgery to achieve long-term results.
  • Before the tooth whitening procedure for the maximal enhancement of shade and colour of teeth.

“Amber surgery” clinic offers a wide range of professional dental hygiene services:

  • Assessment of overall oral health and hygiene, filling, prostheses, and implants conditions;
  • Scaling, i.e., removal of non-mineralized or mineralized deposits below and above the gum line with an ultrasonic scaler and handheld instruments;
  • Polishing of teeth and surfaces of fillings with the AIR-FLOW treatment or an abrasive paste;
  • Root planning;
  • Desensitization of teeth with exposed root surfaces;
  • Application of preventive materials to the teeth (for example, fluoride);
  • Education of patients on proper oral hygiene habits at home and assistance in choosing the proper oral care products: toothbrushes, dental floss, inter-dental toothpicks, inter-dental brushes, toothpastes, mouthwashes, and oral irrigators.

It is important to know:

  • A healthy person with good dental care habits should have a professional dental cleaning one to two times per year;
  • Plaque and tartar tend to collect much quicker in a person with poor dental care habits; so, a professional dental cleaning should be done every two to three, and those, who have periodontal diseases should have this procedure every one to four months;
  • During orthodontic treatment, it is recommended to undergo a professional dental cleaning every one to three months; people, who have dental implants, should have it every four to six months;
  • During pregnancy, it is important to monitor the condition of the mouth and teeth.

Hygiene treatment for kids

Professional dental hygiene treatment is very important to children, who wear non-removable orthodontic appliances. It is complicated and sometimes difficult to look after their teeth properly, so additional care should be taken to prevent the destruction of the hard tooth tissues. Tooth decay can be caused by non-removed or poorly removed dental plaque, so a professional dental hygiene procedure can help.

Tooth sealants

Tooth sealants, also known as dental sealants, are an effective preventive measure that protects the newly erupted teeth from early tooth decay. The first permanent teeth erupt to children ages of five to seven, who do not have good skills to brush their teeth properly at this stage. The fissures of newly erupted teeth are not completely mineralized and very often are extremely deep and narrow. This leads to convenient conditions for plaque to gather and for decay to develop.

Dental sealants are a specific fluoride-containing varnish, which is applied to the chewing surfaces of teeth. There it fills the fissures and prevents the plaque accumulation. Furthermore, fluoride ions, which are released after sealant application, improve the mineralization process of the fissures and strengthen tooth enamel, making it more resistant to decay.

How Is the Procedure Performed?

Usually the procedure is completed in about 20 minutes and it is painless. First, the teeth are cleaned with a special paste, then an acidic solution, which helps the dental sealant better adhere to the surface of the tooth, is applied. After, the dental sealant is placed and hardened using an LED curing light.

What Else Should Be Known About the Procedure?

During an oral examination, the dentist determines if a tooth sealant is needed. Before applying the sealant teeth have to be healthy, if they are already decay-damaged, teeth have to be treated first. Also, a child might not need a dental sealant, if the fissures of the tooth are shallow and well mineralized.

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