Questions and Answers
At what age can braces be fitted?
Orthodontic treatment using braces can be carried out from the age of 12 or 13, following the complete formation of roots of permanent teeth.
Are there braces which are not visible?
Yes. Orthodontic processes provide for a special lingual technique in this respect. Braces can be fitted on the inside of teeth. Further information about this question can be found on our web page «Orthodontic treatment using lingual bracket».
Do teeth have to be removed before braces can be fitted?
This depends on the pathology which is determined by the patient's doctor.
Do teeth deteriorate following the fitting of braces?
If the patient maintains an excellent level of hygiene, the traces left on the enamel can be minimal. Additionally, a therapy (saturation of teeth minerals to strengthen enamel and prevent tooth decay) can be used for patients who might have problems.
When the lingual technique is used, these processes are generally required less frequently.
What should be done after the removal of braces?
Folling completion of the orthodontic treatment, a period of retention commences. During this period it is necessary to fit retention devices (e.g. split, tyre, plate) which will secure and hold the result achieved by braces.
What are dental veneers?
A veneer is a ceramic or composite cap covering the facial, chewing surface and biting edge of the outermost layer of a tooth. Veneers are designed to adjust the shape and color of a tooth and are an alternative to a full crown in cases where only partial preparation of a tooth is required. The tooth restored with veneer, in addition to increasing aesthetics, gains strength, because the prefabricated veneer is retained adhesively and has a monolithic design.
Indications and contraindications for veneer replacement.
Indications: unsatisfactory aesthetics of teeth due to discoloration, stains, enamel defects, abrasion, and chipping, increased interdental spaces (diastema and trema), crooked teeth as well as old and discolored restoration.
Straightening teeth with veneers
Veneers can correct the tooth shape defects, slight inclination, and rotation. However, it is worth remembering that the more the tooth is “out of place”, the more dental tissue must be removed to “smooth” a tooth surface to make it similar to the rest. Sometimes, to avoid great sacrifice accelerated orthodontic treatment is an option worth considering.
How veneers are fixed?
Veneers are fixed to the teeth “adhesively”, in other words, they are glued. This method of retention is considered extremely reliable. According to some reports, the adhesion force of a classical veneer (when the preparation is carried out within the vestibular enamel surface) can even be slightly higher than the force bonding enamel to a tooth. This factor influences the lifespan of veneers, which is typically 10 - 15 years or more.
What teeth veneers are placed on?
When indicated, ceramic restorations can be placed on any teeth with any signs of tooth decay.
Are veneers harmful to teeth?
There is nothing better than a healthy, well-groomed, beautiful tooth untouched by time or a tool. However, what if it is far from being ideal, and especially if it is not healthy? When the treatment is provided applying classical dentistry approach, it refers to tooth rehabilitation, and not harm due to a compromise between beauty and function. Naturally, it is necessary to undergo a clinical examination to take into account the possible consequences, to weigh the risks and benefits, and after such examination, the dentist specialists will be able to answers all the remaining questions and the clinical picture will be complete.
Is there a way to see a result which can be achieved by fitting braces before the treatment commences?
Yes, there is. Imprints of a patient's teeth can be taken and used to produce a model of the end result.
Is there an age limit for dental implants?
There is no age restriction for the treatment. Our eldest patient who has successfully had a treatment for five implants is 84. This age is completely normal for this type of treatment in European countries if the patient has no existing medical conditions which might adversely affect the treatment.
How long should I wait for a dental implant following a tooth extraction?
How soon can prosthetics be fitted on dental implant?
There are several types of covers for dental implants.
Mostly we follow a process during which the lower jaw is fitted with crowns 2 months following the procedure involving dental impants is completed and the upper jaw - 4-6 months after the dental implants.
Sometimes it may be necessary to resort to immediate fitting of crowns, i.e. the dental impant is immediately covered with a crown. This method is used most often for esthetic reasons. This preserves the anatomy of the soft tissues around the teeth and feels comfortable.
If we use Zimmer trabecular implants, in this case we will be able to fix the crowns six weeks after the implant installation.
What can be done when there is not enough bone tissue for a dental implant?
The amount of bone tissue can be increased in several ways.
The most reliable method is by using the patient's own bone tissue. This is done when bone tissue is gently removed from another area, for example a corner of the lower jaw, and then moved to the place where implantation is required. This technique yields the highest positive result. Xenogeneic materials made from the bones of cattle can also be used. These materials also often provide a positive result.
Occasionally we use synthetic materials for treatment of small bone defects.
What are dental implants made of?
For more information, please visit our homepage «Implantation».
Do implants last throughout a patient's life?
The success rate following implantation is greater than 99%. With appropriate care and hygiene, implants can last a lifetime.
When are implants required?
In cases of individual missing teeth, missing posterior teeth, complete loss of teeth on the upper and lower jaws. Implants can be used regardless of the patient's age.
How many implants do I need?
In the case of a single missing tooth - 1 implant. Where posterior teeth have been lost - 2-3 implants. In cases of complete loss of teeth on the upper or lower jaws - 4 implant for a removable denture or 6-8 implants for a non-removable bridge.
Is the implantation procedure painful?
It is no more painful than any other dental treatment. Implantation is usually performed under a local anesthesia. Alternatively, if directed by doctors or requested by patients, the procedure can be performed using a drug sedation (state of surgical sleep) or under the general anesthesia.
When is implantation not recommended?
People who have been prescribed immuno-suppressive drugs or those who are undergoing, or in the previous 6 months underwent, chemotherapy should not have any implant procedures.
Are there any restrictions if a patient suffers from heart problems, valvular disease or similar?
Difficult cases are often discussed and determined by a team of our doctors which includes a cardiologyst amongst others.
What if the patient is allergic to contents of crowns?
We recommend have a consultation with allergist and conduct laboratory studies.
What if the patient is allergic to implant material?
According to the statistics from the German Association of Oral Implantology an allergy to titanium, which is what the dental implants are made of, occurs in one out of 10,000 patients. In this case, we undertake the Allergy LTT test (Limphozytentransformation).
If a titanium allergy is confirmed, we usually recommend less popular, but nonetheless effective in such cases, zirconia implants.
When are implantations not recommended?
Implantations should not be undertaken where a patient is undergoing radiotherapy as a result of a cancerous illness.
Other cases include osteoporosis, diabetes mellitus, thyroid gland diseases, nervous and psychic diseases, and severe cases of a cardiovascular system malfunction.
In these cases the use of implantations should be determined on a case-by-case basis.
How frequently does implant rejection occur?
An official statistic says that a correctly installed implant engrafts in 98,5% of cases. Basing on our long-term experience in the implantation sphere, we are presenting the index 98–99%.
Are there any new implantation technologies?
Nowadays, modern technologies enable implantations without the need for incisions through the use of 3-D modelling.
Patient N.: «I would like to change the shape and colour of front teeth using all-ceramic crowns. How long do I possess turned teeth and how can I minimise any related discomfort?»
Before turning the teeth, the doctor manufactures temporary aesthetic crowns, resembling the future permanent construction. Therefore, the effect of teeth absence is eliminated, which allows the patient to get accustomed to a new planned shape, and probably make corrections concerning shape and colour of a permanent construction.
How frequently should a dental deposit be removed?
It is necessary to schedule a prophylactic examination every 3 months.
How frequently can tooth whitening be done?
It is recommended to carry out tooth whitening once in two years, as frequent bleaching may destroy teeth structure.