FAQ

Navigated Implant Surgery

What is guided dental implantation?
It is the placement of a dental implant using 3D navigation and a surgical guide. This method ensures the procedure is performed with maximum precision, speed, and without incisions.
How much does a surgical guide for dental implantation cost?
On average, it costs between 3,000 and 7,000 UAH, depending on the complexity and technologies used.
What is a surgical guide for dental implantation?
It is a custom-made template that precisely directs the placement of a dental implant into the correct position and at the correct angle.

Treatment of Pathological Tooth Wear

How are worn teeth treated?
First, a diagnostic examination is conducted, including a CT scan, bite scan, and functional analysis. Then, a restoration method is selected, including restoration, veneers, crowns, or mouthguards, depending on the degree of wear and anatomy.
Is it possible to use ceramic porcelain crowns for pathological tooth wear?
Yes, this is one of the most reliable and durable options. Modern ceramic porcelain and zirconium crowns provide high strength and precise adaptation to the bite.
What is localised pathological tooth wear?
This is a form in which abrasion affects a separate group of teeth (for example, only incisors or canines). This is different from generalised abrasion, where all teeth are affected. Treatment requires accurate diagnosis and targeted restoration.

LM-activators

What is the correct way to wear LM-activator?
Wear at night and, if necessary, during the day as the doctor recommends. It is important to close your mouth tightly and not to talk while wearing it.
What is LM-activator for teeth?
It is a soft silicone mouth guard that helps correct and prevent malocclusion.
How long do I need to wear the LM-activator?
Usually, it takes 6 to 24 months, depending on the patient's age and clinical situation with changing of LM-activators. The orthodontist determines the exact period of time.

Dental Consultation

What services are included in the free dental care?
We occasionally offer complimentary consultations as part of special promotions or when booking a treatment. In this case, the patient receives an express assessment of their teeth's condition and recommendations without a detailed plan.
What does a paid consultation with a dentist include?
Examination, review of complaints, targeted diagnostics (including images if necessary), treatment plan, care recommendations, and possible alternatives.
What is Level 1 dental assistance?
This is the basic level of dental care, encompassing prevention, treatment, diagnosis, professional hygiene, and fillings. Our clinic operates at all levels — from prevention to complex implantation and full-mouth rehabilitation.

Alveolitis

Is alveolitis a dry socket?
Yes, a ‘dry socket’ is the colloquial name for alveolitis when there is no protective clot and the bone is exposed. This is a painful condition that requires treatment.
What is placed in the socket for alveolitis?
The doctor puts an anti-inflammatory and antiseptic medication into the socket, most often based on eugenol, iodoform, or an antibiotic. Sometimes, plasma-rich fibrin (PRF) is used for regeneration.
What is placed in the socket for alveolitis?
The doctor puts an anti-inflammatory and antiseptic medication into the socket, most often based on eugenol, iodoform, or an antibiotic. Sometimes, plasma-rich fibrin (PRF) is used for regeneration.

Hygiene

Are a toothbrush and dental floss enough to clean bridges and implant crowns?
After rehabilitation, we always recommend hygiene products, depending on the types of prosthetic restoration and the oral cavity condition. It can be end-tufted and interdental brushes, superfloss, irrigators, and other dental products in addition to toothpaste, brushes, and floss.
Do teeth become whiter after a dental cleaning?
Oral hygiene procedures are aimed at removing calculus and plaque from the surface of the teeth. After a dental cleaning, the teeth become a bit whiter only due to the removal of plaque. While whitening changes the color of the tooth itself by exposing it to chemical compounds.

Periodontitis

Can you save loose teeth?
The reasons for teeth loosening can be various: the absence of bone around the tooth, excessive stress on the tooth, trauma, and inflammation of the tissues surrounding the tooth associated with severe caries. In each case, it is necessary to understand the reason for the tooth loosening. After eliminating the cause, we evaluate the treatment 4 months later. Loose teeth usually have questionable prognosis and require regular monitoring.
What is the cause of bleeding gums?
Subgingival calculus is the most common cause of bleeding gums that can be easily identified by objective examination. After the hygienic procedures, gums stop bleeding. Other reasons can be defects in fillings, poorly fitting crowns and bridges, periodontal disease, and hormonal imbalance. An objective examination and additional research methods can help identify all these reasons.
How often should I see a periodontist?
Our periodontist will recommend how often maintenance procedures should be performed after periodontal treatment, depending on the periodontal disease's severity. Typically, you will need to see a hygienist every 3 months for periodontal maintenance.

Tooth Decay Treatment

The tooth doesn’t hurt, does it really need treatment?
A great motivation for a patient to visit a dentist is the presence of unpleasant sensations and complaints in the oral cavity (aesthetic defect of the tooth, stuck food, bad breath, tooth sensitivity to sour, sweet, cold, or hot food). In most cases, the initial and even deep caries do not bother the patient, and during the examination, radiography, and special tests, the dentist diagnoses the carious process and recommends treatment of the problem tooth. During an appointment with a specialist, it is easier for the patient to be sure of the tooth's necessity and scope of treatment. This is the importance of regular preventive examinations, on average every 6 months, without specific complaints.
Can decay appear again on a treated tooth?
After filling a tooth, the dentist recommends oral care based on the patient's main causes of tooth decay, individual features of the bite, the presence of crowns, and the condition of the gums. If the care received is neglected, the risks of developing new dental problems or complications of already treated dental issues may increase. This can be secondary caries of a more complex stage of development on the tooth or root surface adjacent to the filling as a result of poor hygiene of the teeth and interdental spaces, which can lead to gum disease. The dentist must determine the regularity of preventive hygiene and quality control of oral care individually for the patient to reduce the risk of complications after sanitation.
Why is the tooth sensitive after filling?
The symptom of temporary tooth sensitivity after filling is due to certain factors:
  • overbite of the filling. During chewing, the tooth is overloaded on the ligamentous apparatus (periodontium), which sends a signal about the problem. It is unacceptable to get used to a false filling height; the patient should see a dentist to correct it and reduce the risk of trauma to the tooth.
  • the tooth is sensitive to cold after filling.
In this case, the doctor traces the dynamics of sensitivity and the stage of caries development at the time of treatment, which allows them to make the necessary conclusions. Short-term tooth sensitivity after medium, deep caries treatment is acceptable for up to two weeks. However, prolonged, increasing tooth sensitivity, especially unreasonable, should be considered a symptom of exacerbation or complication of chronic caries (inflammation of the nerve) and requires immediate referral to a specialist.
Why does tooth decay occur?
Tooth decay is the destruction of tooth tissue by bacteria (also called streptococci) in the mouth that break down sugar and carbohydrates in food into acid. They form a biofilm on the tooth surface that damages tooth enamel. Tooth decay usually starts in the fissures or contact points between the teeth. However, if a tooth neck is exposed, decay may also develop there. Dentists use dental probes to find cavities and thus can determine if the tooth tissue has become soft due to decay. An X-ray is an alternative method of diagnosis.

Tooth Filling

Will the new filling look natural and invisible?
Today, we use the latest generation of photopolymers and their bonding agents, which allow us to obtain the best possible aesthetic result. The colour range of composite materials allows the doctor and the patient to select and approve a suitable tooth shade, which is especially important when restoring the front group of teeth. Before starting the restoration, the doctor also considers the selection of the material depending on the tooth group, the defect's depth, and the tooth crown's lost volume. The combination of dentin, enamel, and transparent composite masses makes it possible to repeat the lost tooth surface structure as identically as possible, restore the elasticity of dentin, and give the enamel its natural colour, which is identical to the rest of the teeth. We individually select composites for filling teeth after whitening, as well as with extracted nerves when dental tissues have a stably changed primary shade.
How to Take Care of Your Dental Restorations (Fillings)?
After the oral cavity treatment, the dentist will give recommendations for home care, which are not very different from those for untreated teeth or after professional hygiene in the dentist's office. The complex of daily care includes cleaning plaque with a toothbrush and toothpaste, flossing, interdental rinses or an irrigator for the interdental space, and finishing the care with a rinse. It is worth emphasizing the use of polishing toothpaste after restoring a group of teeth, especially the anterior teeth, to prolong the shine of the filling surface. It is also recommended that the patient undergo regular preventive check-ups with repeated restoration polishing in the doctor's office, and the patient's compliance with the home care rules should be monitored.
Dental Filling Aftercare
Often, a patient may come to you with food sticking problems after you or another doctor's treatment. First, the dentist checks how easy it is to pass the interdental spaces with a floss. The contact surfaces should be diagnosed if the floss is torn or difficult to pass between the teeth. It is necessary to assess the fit of the filling to the tooth, the absence of overhanging edges, and the quality of polishing, which can cause incorrect contact. If the doctor has found a wide gap between the surfaces of the teeth, and at the same time, the dental floss can easily pass the contact, it is necessary to correct the lateral surfaces according to the anatomy of these teeth. At the end of the procedure, check whether the contact is tight visually and by flossing, and give recommendations for home hygiene.

Endodontic therapy

Are root canals treatment painful?
Currently, all dental procedures possibly causing painful sensations are performed under anesthesia. You do not need to worry and tensely expect that the doctor is about to "touch the nerve," local anesthesia helps not think about the sensations during the procedure.
Root canal vs. extraction: what’s the difference?
Root canals are located within the roots of the teeth, holding them in the jaw. The roots remain, and the canals inside of them are cleaned and sealed.
Why do I need root canal treatment if my tooth doesn’t hurt?
It is not uncommon to have the canals re-treated due to poor previous treatment. The resealing can occur after the treatment, causing root canal infection, making periodontal disease visible through an X-ray. Modern standards of primary root canal treatment almost eliminate the need for further retreatment.
Earlier, during root canal treatment, a doctor would replace the medication inside the tooth, but how is it treated now?
The root canal treatment method requiring a change of medication for more than 4 weeks is hopelessly outdated. 1-2 visits are enough for most endodontic treatment cases.

Tooth restoration

What are the advantages of restoration?
When we consider the restoration of the crown of a tooth by restoration, we mean the use of highly aesthetic photopolymer. Budget composite options are excluded because we are faced with recreating the tooth's primary, natural, ideal shape and colour. The choice of a modern composite for restoration includes the main parameters:
  • a broad palette of colours to perfectly reproduce the layers of the tooth crown;
  • micro-particle infill provides mechanical adhesion to the tooth tissue, which will increase the longevity of the restoration;
  • the material hardens in seconds;
  • composite restorations can be repaired quickly and easily;
  • the composite used is non-toxic to tooth tissue;
  • affordable, easy home care;
  • a photopolymer restoration costs much less than a ceramic or zirconia crown.
Composite restoration allows tooth restoration after carious destruction and trauma to change the colour and shape of teeth in orthodontic pathology without long preparation.
What is restoration?
Restoration is the simplest, most biocompatible, least invasive way to restore a decayed, broken, or worn-out tooth. Composite restoration is a leading approach to treating dental crown defects, not including prosthetic intervention, which sometimes requires several visits. In one visit, the patient can painlessly close the problem tooth and continue their daily schedule. The restorative material used is harmless, does not cause allergies, has a broad colour palette, and is sufficiently resistant to stress for the optimally recommended amount of dental crown restoration. The dominant indicator of composite restoration is the practicality and simplicity of replacing the restoration with a new one without increasing the amount of tooth preparation or nerve resection. The exception is secondary caries, where the new boundaries of healthy tooth tissues and indications for crown restoration are determined after cleaning. Technological developments and improvements in the composite's content reach far beyond the materials of previous generations, such as glass ionomer or amalgam fillings. Only by using modern materials in the work on tooth restoration with complete confidence can we call it aesthetic restoration.

Implantation

Is there an age limit implant surgery?
One of our patients, whose all 5 implants survived and still function properly, is 84 years old. This age is absolutely normal for treatment in European countries if the patient has no contraindications for implantation.
How soon after tooth extraction can you have an implant?
We place implants in 6-8 weeks or 4 months after tooth extraction, depending on the bone volume loss.
Can implants last a lifetime?
The success rate after implant surgery is over 99%. With proper care and regular oral hygiene routine that we tailor after implantation, they can last a lifetime.
What are the indications for dental implant treatment?
An implant is a great solution when a single tooth or posterior teeth are missing, with complete loss of teeth in the upper and lower jaws.
Does dental implant surgery hurt?
It doesn't hurt more than any other dental treatment. Implant surgery is performed under local anesthesia; it can also be performed under sedation (a sleep-like state) or general anesthesia optionally and due to medical reasons.
What are medical contraindications to implant therapy?
The main absolute contraindication to implant therapy is radiotherapy. Relative contraindications can be osteoporosis, diabetes mellitus, thyroid diseases, nervous and mental diseases, severe cardiovascular diseases.In these cases, the question of implant therapy is considered individually.
How often do dental implant fail?
Official statistics indicate that a correctly placed implant survives in 98.5% of cases. Based on many years of experience in implant therapy, we give 98-99%.
What if the patient is allergic to the implant material?
According to the German Association of Oral Implantology, an allergy to titanium, from which the implant is made, occurs in one out of 10,000 patients. In this case, we can carry out the LTT (Lymphozyten Transformation) allergy test. If titanium allergy is confirmed, we recommend using the less popular but effective zirconium implants.
How many implants do I need?
With a single missing tooth - 1 implant, with the loss of posterior teeth - 2-3 implants, with an edentulous upper or lower jaw - 4 implants per bar overdenture or 6-8 implants per fixed denture.
What is the latest technology in dental implants?
Today, surgical navigation systems allow conducting implant surgery without incision using 3D modeling.

Immediate Implant Placement

Is there an age limit implant surgery?
One of our patients, whose all 5 implants survived and still function properly, is 84 years old. This age is absolutely normal for treatment in European countries if the patient has no contraindications for implantation.
Can implants last a lifetime?
The success rate after implant surgery is over 99%. With proper care and regular oral hygiene routine that we tailor after implantation, they can last a lifetime.
What are the indications for dental implant treatment?
An implant is a great solution when a single tooth or posterior teeth are missing, with complete loss of teeth in the upper and lower jaws.
Does dental implant surgery hurt?
It doesn't hurt more than any other dental treatment. Implant surgery is performed under local anesthesia; it can also be performed under sedation (a sleep-like state) or general anesthesia optionally and due to medical reasons.
What are medical contraindications to implant therapy?
The main absolute contraindication to implant therapy is radiotherapy. Relative contraindications can be osteoporosis, diabetes mellitus, thyroid diseases, nervous and mental diseases, severe cardiovascular diseases.In these cases, the question of implant therapy is considered individually.
How often do dental implant fail?
Official statistics indicate that a correctly placed implant survives in 98.5% of cases. Based on many years of experience in implant therapy, we give 98-99%.
What if the patient is allergic to the implant material?
According to the German Association of Oral Implantology, an allergy to titanium, from which the implant is made, occurs in one out of 10,000 patients. In this case, we can carry out the LTT (Lymphozyten Transformation) allergy test. If titanium allergy is confirmed, we recommend using the less popular but effective zirconium implants.
How many implants do I need?
With a single missing tooth - 1 implant, with the loss of posterior teeth - 2-3 implants, with an edentulous upper or lower jaw - 4 implants per bar overdenture or 6-8 implants per fixed denture.
What is the latest technology in dental implants?
Today, surgical navigation systems allow conducting implant surgery without incision using 3D modeling.

Teeth extraction

How long does the pain last after a tooth extraction?
Pain duration depends on the wound's size, individual sensitivity, and the healing process. It usually decreases after 2-3 days. However, if the wound is not healing correctly or the wound surface is large, pain may persist for over a week.
How long do I have to wait after a tooth extraction to place implants?
Implants can be placed immediately after tooth extraction. If the socket after extraction is infected, we wait about 2 weeks and do the so-called early delayed implantation. When bone grafting is necessary, implantation is carried out 4 months after the extraction.
What can I eat after a tooth extraction?
After a tooth extraction, the socket should not be traumatised for a few days. Therefore, it is necessary to avoid eating hard foods. Soups and soft foods are best at this time. Milk, yoghurt, cottage cheese, etc., are not recommended for the first three days, nor should you eat foods that crumble and may remain in the extraction site, thus infecting it.

All-on-4

Will 4 implants withstand a 12-tooth structure?
Such designs have been manufactured since 1998. Statistics show that such constructions last as long as conventional structures supported by 6 or 8 implants.
Is it possible to use old dentures as temporary crowns?
Yes, it is possible. In this case, the old prostheses must be adapted after implantation and then fixed to the installed implants.
Are implants placed without gum incisions?
Sometimes we make a surgical template to insert implants without incisions and immediately fix temporary crowns to them. This method is the least traumatic, although more expensive, and requires several days of preparation.

All-on-6

Is it possible to use old dentures as temporary crowns?
Yes, it is possible. In this case, the old prostheses must be adapted after implantation and then fixed to the installed implants.
Are implants placed without gum incisions?
Sometimes we make a surgical template to insert implants without incisions and immediately fix temporary crowns to them. This method is the least traumatic, although more expensive, and requires several days of preparation.

Prosthesis

How long does it take to fit a prosthesis on a dental implant?
There are several types of implant load. We often use a protocol for loading the lower jaw after 2 months and the upper one after 4-6 months. Sometimes we apply immediate loading: prosthesis connected to the dental implant right after the implant placement. This method is used most often for esthetic reasons important for a patient. This allows preserving the anatomy of the soft tissues around the teeth and feeling comfortable. In case we use Trabecular Metal Implant from Zimmer Biomet, we can fix the crowns six weeks after the implant surgery.
How long can a temporary crown last?
Here the name "temporary" says it all, meaning you can only use it for a short period. It is used until a permanent crown is made. If during this time it comes off (the temporary crown is fixed to the tooth with temporary cement), you will need to contact your dentist for re-cementation. If you cannot get your temporarily installed crown replaced with a permanent one, please note that you should not have it for more than a month. However, this figure can vary. And it all depends on the case. Since the temporary structure cannot correctly perform all tooth functions, it is not worth delaying it by replacing it with a permanent tooth.
How long does it take to make an implant crown?
Depending on the clinical situation, we will make a crown for you within 3-8 days.
Fixed or removable dental restoration?
Dentures can be fixed, overdenture, and removable. Fixed dentures are always a high-quality, reliable, and durable solution. With such a prosthesis, the patient's jawbone is preserved, and the prosthesis itself provides excellent stability and makes a patient feel confident. The only drawback is the inability to remove them after the initial installation easily. An overdenture restoration is retained by natural teeth or dental implants and is a good option if a sufficient number of implants for a fixed restoration cannot be placed. If an overdenture is implant-retained, it will also preserve the jaw bone. Such prostheses are removable, easier to repair, and clean professionally. Removable dentures are fitted in cases it is impossible to install fixed or overdenture restorations for various reasons. The advantage of removable dentures is that the patient can remove them without assistance, affordable price, and ease of manufacture.

Veneers

What is the difference between veneers and lumineers?
Veneers and lumineers are dental onlays, also called microprosthetics. Applying the traditional dental veneers usually involves grinding a part of the tooth approximately 0.3-0.7 mm. So in the future, you will have to wear veneers permanently as a protective element. Lumineers do not require tooth facing; these are the same veneers, only in the premium segment; they are extremely fine and durable but are more expensive than veneers.
What are veneers?
Veneers are ceramic or composite shells that replace the front and sometimes chewing tooth surfaces. Veneers design helps correct the shape and color of the tooth and is an alternative to a full crown in cases where only partial tooth preparation is required. A tooth restored with a veneer and increasing aesthetics gains strength because the finished structure is fixed adhesively and creates monolithic restoration.
Indications and contraindications for veneer placement
Indications: unsatisfactory teeth aesthetics due to discoloration, stains, enamel defects, abrasion, and chipping, increased interdental spaces (diastema and trema), crooked teeth, as well as old and discolored restoration.
What teeth can be covered with veneers?
If indicated, ceramic restorations can be placed on any tooth treated from cavities.
Straightening teeth with veneers
Veneers allow eliminating defects in the teeth shape and correct a slight tilt and rotation, but it is worth remembering that the more the tooth is "out of place," the more dental tissue needs to be removed to "level" with the rest. Sometimes, to not make enormous sacrifices, it is worth considering the option of accelerated orthodontic treatment.
How are veneers fixed?
According to some reports, a classical veneer's adhesion force (when the cavity preparation was performed within the vestibular surface) can even be slightly higher than the force bonding enamel to a tooth. Veneers are fixed on the teeth "adhesively"; in other words, they are glued. This retention method is considered highly reliable. In many respects, veneer lifespan depends on this factor, lasting from 10 to 15 years or more.
When do you need veneers?
Veneers are a good choice if the teeth are not too damaged since veneers only cover the frontal tooth area. Veneers can be used when you want to correct your teeth' color, shape, position, or size when you want to reduce your teeth' distance or repair a chipped tooth.
Do veneers damage natural teeth?
There is nothing better than a healthy, well cared, fine tooth, undamaged by time or a tool. But if it is far from being perfect, and especially if it is not healthy? When the treatment is performed applying the classical dentistry approach, it is about dental rehabilitation and not about harm due to a compromise between beauty and functionality. Of course, to consider the possible consequences, weigh the risks, and evaluate the benefits, it is necessary to undergo a clinical examination. A dental specialist will be able to answer all questions, and the clinical picture will be complete.
How long does it take to manufacture veneers?
Depending on the clinical situation, we can make veneers for you within 3-8 days.

Retainers

What are the types of retainers?
Retainers are orthodontic devices attached to 4 or 6 teeth to fix the result after treatment with a bracket system. They can be removable (made of transparent polymer for the entire row of teeth) or permanent (made of medical steel for 4-6 teeth). This design is recommended for patients at high risk of tooth displacement.
How Long Do You Have To Wear A Retainer?
The period of wearing is individual for each patient and depends on the following factors:
  • the complexity of the orthodontic case;
  • patient's age;
  • level of hygiene;
  • bad habits;
  • periodontal condition.
The wearing period can be 2-3 years and sometimes a lifetime.
Oral Hygiene While Wearing Retainers
In addition to brushing and using toothpaste twice daily, you should use an irrigator and special brushes. Special foams and aseptic rinses are available for plastic retainers. It is also worth visiting a hygienist twice yearly for professional plaque removal.

Braces and teeth alignment

How long does treatment take?
The duration of wearing orthodontic appliances depends on the case's complexity, age and other factors. The average treatment period is 1.5-2 years.
At what age can you get braces?
It is possible to start the orthodontic treatment with braces at the age of 12-13 after the root ends of permanent teeth have formed.
Do you need to extract teeth before getting braces?
It all depends on the pathology, which your doctor determines.
Do braces damage teeth?
If the patient has excellent hygiene, then the enamel traces are minimal. Still, there is remineralization therapy (saturation of the tooth tissues with minerals to strengthen the enamel and prevent cavities) according to the indications for those who have problems. This process is reduced when the lingual technique is applied.
What should be done after removing the bracket system?
After the end of orthodontic treatment, a retention period begins. During this period, it is essential to make a retention device (for example, a retainer, splint, or plate), which will fix and maintain the result.
Can see the result after treatment with a bracket system?
Yes, there is. After taking impressions, your expected result after treatment is simulated.

Lingual braces

What are the particularities of lingual braces care?
For the period of treatment it will be necessary to avoid nuts, seeds, sticky sweets, and all solid foods should be cut into small pieces before eating. After each meal, you should rinse your mouth with water. To keep your teeth clean and prevent tooth decay, it is recommended to visit a dentist for professional dental hygiene every 3 months.
How long will treatment with lingual braces take?
The average duration of treatment is 18-24 months. However, each case is individual, so this question should be asked to the orthodontist during the consultation.
Will there be pain when using lingual braces?
The installation procedure is painless. During the wear of the braces, there may be pain and discomfort caused by the movement of the teeth. The intensity of the sensations depends on the pain threshold and the severity of the bite abnormalities.

Сeramic braces

How much do ceramic braces cost on average?
A ligature-free ceramic bracket system in the KES clinic costs 36,000 to 41,000 UAH per jaw.
Which braces are better – ceramic or metal?
Both options are effective for aligning teeth. Ceramic models are recommended for patients who care about the smile's aesthetics. Metal designs are suitable for those who want to correct their bite quickly and are not embarrassed to wear noticeable orthodontic appliances.
What is the disadvantage of ceramic braces?
Ceramic is a more fragile material, so eating hard food or experiencing mechanical trauma can cause the braces to break. The design is not repairable, and you must order a new system to continue treatment.

Sapphire braces

Can I choose the colour of my sapphire braces?
Sapphire is a colourless material that does not hide the natural shade of enamel. If you want braces that match the colour of your teeth, you should choose ceramic braces.
What advantages do sapphire braces offer?
The main advantage of using sapphire is its high aesthetics and imperceptibility. Orthodontic systems provide comfortable treatment and do not cause discomfort or complications. Transparent designs are an excellent solution for public figures, lecturers, and other people who lead active social lives.
How do sapphire braces differ from other types of braces?
These are the only transparent braces that are invisible on the teeth. Bite correction mechanisms are identical to structures made of other materials.
What are the specifics of care for sapphire braces?
Dental hygiene does not differ from the care rules for other braces. During the treatment period, it is necessary to remember the fragility of the structures and to refuse nuts, seeds, candy, and unchopped hard fruits and vegetables.

Bone building

If you don’t have enough jaw bone to support an implant, how can you fix this?
There are several ways to rebuild bone loss. The most reliable method is considered an increase with the help of the patient's bone (from the donor site, for example, from the corner of the lower jaw, the bone tissue is carefully taken, placed in the future implantation site). This technique gives a positive result. You can also use bovine-derived xenogeneic materials. Such materials also give a positive result. Sometimes we use synthetic materials to repair minor bone defects.
How long to wait for a tooth implant placement after bone graft?
Depending on the size of the bone defect, the amount and type of bone graft material used, implantation can be performed 4-9 months after bone graft. For example, after open sinus lifting, we place implants 9 months later and 4 months later after alveolar ridge restoration using our autologous bone.

Sedation

What is the difference between sedation and anesthesia?
Sedation is a technique in which there is a minimal effect on the central nervous system, enabling treatment to be carried out in a more comfortable environment for the patient; the patient is conscious, can breathe without assistance, and communicate with your doctor. During sedation, there is no release of catecholamines (stress hormones), so healing and recovery are several times faster and better. General anesthesia is complete anesthetic protection with a sleep-like state, general pain, and all body systems control, including control of sleep depth.
What are the sedation risks?
Sedation can affect your ability to respond correctly and quickly to events, which can have serious consequences. Therefore, during the first 24 hours after surgery, you should not:
  • drive a car or other vehicles;
  • make any vital decision or sign legal documents;
  • take alcohol or sleeping pills.

Aligners

What Are Aligners?
Aligners are transparent polycarbonate orthodontic guards used in orthodontics to treat malocclusion and align teeth. The teeth move along a pre-planned trajectory, and the patient feels a constant slight pressure on them.
How Does Aligner Treatment Work?
Step 1: Impressions of the dentition, photo, orthopantomogram (OPG), and teleradiograph (TRG). Design: A 3D model is created based on the dental impressions. Step 2: The position of the teeth in the 3D model is corrected in specialized software. The movement of the teeth between the current and the desired position is divided into steps. One aligner corresponds to each step. The first aligner is worn for four weeks, then others—each for three weeks. Sometimes, they are replaced in a week. It all depends on the choice of system. The number of aligners depends on the case's complexity, ranging from 3 to 24 aligners per jaw. Step 3: Make a plastic retainer to keep the achieved result after the alignment stage.

Bone grafting

What material is most often used in bone grafting?
Xenomaterial and allografts are most often used to fill in the missing bone volume. These bone materials look like white crystals of different sizes and are stored in sterile packages. The gold standard is autologous bone grafting - the patient's bone. It is taken with a particular instrument from the corner of the lower jaw, chin, iliac or tibia. This type of bone gives the best result but is traumatic and more painful.
How do I realise that there is not enough bone tissue for implantation?
Before implantation, the dentist will always refer you for a CT scan. When analysing the CT scan, the dentist will take measurements of the remaining bone and determine whether implantation is possible and whether bone grafting is necessary.

Upper lip frenulum plastic surgery

Is the upper lip frenotomy procedure painful?
Most often, children and adults find the procedure easy to tolerate. It is performed under anaesthesia and is entirely painless. The first two to three days after plastic surgery may involve slight swelling and discomfort when touching food. After the sutures are removed after seven days, patients usually forget about the procedure.

Composite Veneers

Is it true that fillings on front teeth discolor over time, but veneers do not?
Yes, composite materials lose particles over time, and pigments get into empty micro-spaces.
What are the methods for composite veneer manufacturing?
Composite veneers are made directly in the office by the dentist. A simpler method is for the doctor to apply composite material layer by layer directly to the tooth, after which it is polished. We also use the injection method of veneer fabrication. Once the teeth' shape has been pre-approved, a transparent mouth guard with small openings for the injection of liquid composite is made.
Can composite veneers chip or break?
If dental veneers are placed appropriately, this will not happen. In addition, it should be stressed that the breakage of dental veneers depends mainly on the patient's eating habits. Grinding your teeth, biting your nails, and biting tough food can cause the veneers to break.
How long do composite veneers last?
Several conditions must be fulfilled to keep veneers long, such as brushing after every meal, flossing, and timely professional cleaning and polishing in the dental office.

Nylon dentures & Lamellar dentures

What are the disadvantages of a complete removable denture?
Removable complete dentures have several disadvantages affecting comfort, aesthetics, and functionality. Here are the main ones:
  • weak retention, often requiring the use of creams or gels;
  • it takes time to get used to the denture; dentures can rub on the gum;
  • can cause soreness or inflammation, especially initially;
  • the denture may partially cover the palate, which reduces the sensitivity of the taste buds;
  • may cause articulation difficulties in the first few weeks of use.
What is the lifespan of removable dentures?
The service life of removable dentures depends on the type of denture, the materials used, the quality of care and the patient's characteristics. On average, dentures last 5-7 years. The main reasons why they need to be replaced are as follows:
  • material loss (abrasion of the chewing surface);
  • changes in the shape of the gums and atrophy of the bone tissue, due to which the denture ceases to fit tightly;
  • loss of aesthetic appearance (discolouration, damage).

Removable prosthetic teeth & Clasp denture

How quickly do you get used to bugle (clasp) prosthesis?
Adaptation to bugle (clasp) prosthesis takes different amounts of time depending on the individual patient. On average, adaptation takes 2-4 weeks, but in some cases, it can take up to several months. Initially, the patient feels slight discomfort, problems with articulation, increased salivation, and slight prosthesis mobility when chewing. These will eventually disappear, and after a few weeks, the patient will feel comfortable with the denture.
What are the disadvantages of a complete removable denture?
Removable complete dentures have several disadvantages affecting comfort, aesthetics, and functionality. Here are the main ones:
  • weak retention, often requiring the use of creams or gels;
  • it takes time to get used to the denture; dentures can rub on the gum;
  • can cause soreness or inflammation, especially initially;
  • the denture may partially cover the palate, which reduces the sensitivity of the taste buds;
  • may cause articulation difficulties in the first few weeks of use.
What is the lifespan of removable dentures?
The service life of removable dentures depends on the type of denture, the materials used, the quality of care and the patient's characteristics. On average, dentures last 5-7 years. The main reasons why they need to be replaced are as follows:
  • material loss (abrasion of the chewing surface);
  • changes in the shape of the gums and atrophy of the bone tissue, due to which the denture ceases to fit tightly;
  • loss of aesthetic appearance (discolouration, damage).

Sinus lift

How long to wait for a tooth implant placement after bone graft?
Depending on the size of the bone defect, the amount and type of bone graft material used, implantation can be performed 4-9 months after bone graft. For example, after open sinus lifting, we place implants 9 months later and 4 months later after alveolar ridge restoration using our autologous bone.
Is it always necessary to have a sinus lift for bone deficiencies?
No, not always. If the residual bone height is at least 6 mm, we often use various techniques, such as elevating the maxillary sinus floor, expanding bone by osseodensification, and using short implants. The choice of technique depends on the clinical situation.
How long after the treatment of maxillary sinusitis or ENT surgery can a sinus lift be performed?
We usually perform sinus lifts 6 months after the end of treatment for ENT pathology. This is the average. Your primary care physician determines the timing of the surgery.

Surgical dentistry

For which pathology should I see a dental surgeon as an inpatient?
There are outpatient and inpatient surgical appointments. Inpatient maxillofacial surgery deals with the most complex pathologies that require the patient to be under observation. These include purulent infections (phlegmons, abscesses), jaw fractures, tumours, salivary gland disorders, etc. A qualified dental surgeon in an outpatient clinic always knows when to refer a patient to the hospital.