Services

BOULGAROPOYLOS VERVERIOS

– Specialized Dental Services –

CHILDREN’S DENTAL PREVENTIVE

The goal of a preventive program for children is to prevent caries first in newborns and then in permanent teeth, as well as to prevent gingivitis. If either disease is already established, the aim of the preventive program is to control and eradicate it.

The tools we have at our disposal are regular fluoridation, preventive seals, eating habits control and learning proper oral hygiene, that is, the right way to take care of your teeth daily.

Fluoride is usually recommended every six months in the office. With topical application of fluoride we succeed in recalculating the teeth, that is, we help restore a small starting caries without the use of a wheel, as well as strengthen the material of the external surface of the tooth against the caries.
The first permanent bankers appear in the mouths of children at the age of six and do not change again. For this reason it is recommended to protect these important teeth with a thin layer of composite resin (the material of “white” seals) without the use of a wheel. This layer comes and covers the grooves and cavities of the tooth, all the surfaces where the food is trapped and from which the caries begins. It is a simple, fast and painless procedure for the child, done without the use of a wheel and provides significant protection to permanent teeth.

Implantology

Implantology is the most specialized science of the restoration of lost teeth with the help of dental implants.

Dental implants are a substitute for missing natural teeth, and consist of a root-like section and a tooth replacement. They are made of titanium, a completely biocompatible material, used by orthopedists. It does not cause an allergic reaction and is not eliminated by the human body.

Patients who have lost one or more teeth and wish to restore their chewing, speech and aesthetics. Bone adequacy at the site of placement is a prerequisite for insertion of a sufficient length and diameter of the implant. Even in the case of a bone defect, it can be replaced by bone grafting. Any patient with a free medical history, or in collaboration with the treating physician, in the event of a systemic illness, may receive an implant repair.

The implant placement is a simple and painless procedure, in which – after local anesthesia – the implant is inserted into the bone and the site is sutured. A temporary transitional prosthetic restoration is placed so that after 3-5 months the artificial tooth can be inserted.

The placement of implants is the most conservative method of replacing lost teeth, as it does not require grinding adjacent healthy teeth, as is done when mounting a bridge. It also prevents bone loss in the area of ​​tooth extraction, under a bridge or an artificial denture.

The patient usually has minimal pain or edema, easily controlled with appropriate medication, and appropriate instructions for the first few days on chewing, hygiene and smoking.

ORAL SURGERY

It includes Surgery and Oral Cavity Surgery, that is, the study of the surgical techniques and the pathology of the diseases that are treated by surgery within the anatomical limits of the oral cavity. The most widespread oral surgery is tooth extraction. Other examples include the removal of incisional and semi-incisive teeth, cysts, nocturia, rupture, dental implant placement, bone regeneration and alveolar nodal resurfacing (GBR) and more.

In many intra-oral surgeries or even relatively simple exports, we need rapid healing and complete restoration of the tissues in the area. This can be achieved in part with various synthetic materials – bone grafts and membranes, but most notably with the method we currently use in our practice using autologous biological blood factors (L – PRF) from the patient himself.

This technique of placing in the surgical field of platelets and growth factors from the patient’s own blood is the most modern and effective procedure that guarantees rapid healing and excellent post-operative tissue quality as well as minimal discomfort for the patient after the first few days. intervention.

SURGICAL EXPORT OF CLOSED TEAMS

An incisor is called a tooth when it has not suspended in the oral cavity for the expected time. It is located inside the alveolar bone and is surrounded by gums.

Teeth that are most often enclosed are toothbrushes and canines. However, the rest of the teeth can also be closed.

Indications for export of freonium include:
  • The presence of doctrine
  • The bad position of the fronimite or the bad sunrise
  • Orthodontic treatment
  • Its great destruction due to caries

Cosmetic Dentistry

“Aesthetic dentistry” is a field of classical dentistry that deals with the improvement of the appearance of teeth, gums and the general dental area and is growing rapidly. Its rapid development is greatly contributed by both the desire for a beautiful smile and the advancement of the technology of dental biomaterials and applied techniques. The mouth area occupies 1/3 of the facial area, but in the impression that one presents for its appearance it is perhaps more important, as I am a zone that performs a range of motor functions. Vital practitioners such as chewing, communicating, speaking-articulating, expressing emotions and sometimes breathing are oral.

Aesthetic dentistry requires a well-designed treatment plan to develop a relationship of trust and cooperation between the therapist and the patient. The treatment plan must have a holistic approach and be fully personalized. It is based on triptych diagnosis-prevention-treatment, resulting from extensive discussion with the patient where their requirements are identified and whether they are realistic. The therapeutic part, the periodontal and endodontic treatment (denervation), always precedes the aesthetic.

 

 

Tooth blockages

Looking at our teeth, we immediately find that they do not consist of smooth flat surfaces. Especially the horizontal surface of the rear teeth is characterized by strong grooves and dents. These anatomical configurations called holes and slits contribute to the fragmentation and chewing of food. These spots are impossible to maintain clean even with meticulous brushing and are particularly susceptible to caries. More than 70% of the worldwide seals are on the chewing surfaces of the back teeth.

Dental sealants are a resilient resin material that is usually placed on the chewing surfaces of the back teeth (molars and premolars) and acts as a barrier where the caries most often develops. The process of placing sealants is a simple and completely painless procedure. It does not require tooth grinding or local anesthesia.

Η διάρκεια ζωής των sealants μέσα στο στόμα κυμαίνεται από 5 έως 8 χρόνια ή και περισσότερο. Επειδή η τοποθέτησή τους δεν προκαλεί καμία φθορά στα δόντια, μπορούμε να την επαναλάβουμε όσες φορές θέλουμε. Η εφαρμογή των sealants έχει ένδειξη σε όλα τα παιδιά άνω των 5 ετών μέχρι την ενηλικίωση τους. Είναι προφανές, πως όλες οι ηλικίες και ιδίως άτομα που έχουν ευπάθεια στην τερηδόνα, μπορούν να ωφεληθούν από την διενέργεια προληπτικών οδοντικών εμφράξεων.

The shelf life of sealants in the mouth ranges from 5 to 8 years or more. Because their placement causes no damage to the teeth, we can repeat it as many times as we like. The application of sealants is indicated in all children over 5 years of age until they reach adulthood. It is obvious that all ages, and especially people with caries vulnerability, can benefit from having preventive dental implants.

Dental cleaning

Cleaning or otherwise removing the teeth is the process of removing the stone and the soft dental microbial plaque deposited on the teeth. At our Dental Clinic, we use ultrasound EMS and Air Flow EMS polishing to remove tooth decay.

Tryptophan and microbial plaque are the primary cause of inflammation initially in the form of gingivitis in the mouth. The patient may, at this stage, experience bleeding while brushing. If left untreated, gingivitis develops into periodontitis, where in this case the gingival tissue (connective tissue and alveolar bone) begins to be affected except the gums. In these cases, the tooth begins and gradually loses its support which results in the absorption of the bone surrounding the tooth and eventually, at advanced stages, tooth mobility occurs.

These conditions, if left untreated, can lead to tooth loss and thus create problems in both the chewing ability, the nutrition but also the aesthetics of the mouth and ultimately the aesthetics of the face.

ENDODONTOLOGY

It deals with the diagnosis and treatment of damage to the pulp of the teeth as well as the pulmonary etiology of damage to the periodontal and periapical root tissues that surround and support them.

Sometimes a tooth that has been denervated does not heal as expected and is likely to hurt or swell after months or even years after the tooth has been completed. If your tooth does not respond to denervation treatment or new problems arise, you have a second chance: to resume endodontic treatment (denervation).

The purpose of endodontic treatment is to preserve the teeth in the mouth and prevent them from being extracted when their pulp is infected or dead, ie the living tissue within each tooth that provides vitality and sensitivity to the teeth.

During the endodontic treatment, the tooth pulp is first removed, disinfection and sterilization of the root canals – which are the continuation of the corneal chamber and containing the nerves and vessels of the tooth, followed by the hermetic occlusion of the root canals.

As is sometimes the case with any medical or dental procedure, a tooth may not heal as expected after initial denervation for a variety of reasons:

  • Narrow or bent tubes that were not treated (“cleaned”) during the initial denervation procedure.
  • Complex anatomy of the tubes not detected in the first denervation.
  • The placement of a crown or permanent seal was delayed after the initial denervation was completed.
  • The restoration (crown or blockage) did not prevent contamination through the saliva inside the tooth. It was defective in a nutshell.

In other cases, a new problem may endanger a successfully treated tooth. For example :

The development of new caries can expose the denervation material to germs, causing new tooth infection.
A loose, cracked or broken rim or blockage can expose the tooth to a new infection.
The tooth has a fracture.

When resuming endodontic treatment, your dentist will remove the clogging material that had originally been inserted into the root canals. He will then carefully examine the tooth for an additional root canal or new infection. Then, it will clean and re-process the root canals, reinstall new sealing material inside the tooth (root canals) and seal the tooth temporarily.

Once your tooth heals (stops aching), your dentist will place a new crown or other restoration to protect it.

 SIMPLE AND SURGICAL EXPORT OF CLOSED AND SEMI-CLOSED FRONIMITES

Tooth extraction is the removal of one or more teeth from the dental barrier.

Usually, tooth extraction is done on damaged teeth from caries, periodontal disease, tooth trauma – especially when there is a toothache – improper tooth growth, eg incisive phrenitis, and orthodontics (often premolars), to create space. Tooth extraction is usually a relatively simple procedure and is performed using local anesthetics. Some teeth are more difficult to remove for various reasons, such as the position of the tooth and the shape of the tooth roots.

Fronemites or third molars, according to medical terminology, are the last permanent teeth that develop and appear in the mouth towards the end of adolescence, where the period of adulthood begins and the person matures and acquires wisdom. These teeth often cause problems, either with the pain they cause during sunrise or with the complications they can cause in cases of incorrect, ectopic orientation.

If a tooth is in the bone (eg, enclosed or semi-enclosed frondites) the extraction may need to be done surgically, which involves cutting and removing the bone that holds the tooth. After the tooth is removed, sutures are inserted.

In most cases, no problems or complications are expected during or after tooth extraction. But sometimes an export can have unforeseen complications.

Possible complications of tooth extraction after surgery include:

Dry alley. The area where the roots (alveoli) were located becomes infected, stops bleeding, begins to die and the patient aches too much. There is severe pain sometimes accompanied by an unpleasant odor. This occurs 2-3 days after export.
Contamination. Germs are likely to enter the wound, especially in patients with weakened immune systems or when post-operative instructions have not adhered to properly. In the event of a high risk of infection, the dentist will prescribe antibiotics for pre- and post-extraction.
Excessive bleeding and / or edema, redness or fever.
Nerve damage and numbness in the lower lip or tongue
Pain. It is common after extraction and especially after difficult procedures. Painkillers are taken as directed by the dentist.

To avoid the above, the dentist’s instructions must be followed before, after and during the procedure.

OLLOVENNAOGONY SURGICAL

There are a few times we think we see straight and beautiful teeth, but by observing them a little better we can see that they are small or the gums surrounding them are uneven. In this way the patient’s denture does not show up properly. To have a perfect smile is not only perfect for the teeth but also their contours, that is, the gums. Modern Dentistry through the techniques of Ultrasound Surgery has the solution with various methods and means, which with their contribution create healthy gums and teeth thus achieving a beautiful smile.

Ultrasound Surgery is a set of various surgical techniques. It aims at remodeling the gums and serves both aesthetic and therapeutic purposes. This technique is used by specialized dental surgeons, periodontists in various cases:

· Gingivitis: when the gums have been removed from the teeth and left exposed to the root. This can happen for a variety of reasons such as the wrong way of brushing teeth or after orthodontic treatment.

·    “Ultrasound smile“: In many patients their gums anatomically cover a larger area than the teeth, resulting in very small teeth when smiling.

·    Hyperplasia: Swelling of the gums. It can be caused either by periodontitis, or by hormonal disorders (eg pregnancy), or by taking specific medication, poor or poor hygiene.

·      Hypertrophic Grain: A tissue that is a membrane that unites each lip separately with the oral mucosa. Hypertrophy of the rice is mainly due to hereditary reasons.

However, there are various ways and techniques to correct the above depending on the problem. Some examples include:

·        Uloplasty

·        Electromechanical

·        Bronchial resection or otherwise

·        Mill elongation

·        Mildly displaced flap

·        Oblique displaced flap

·        Abutmentally displaced flap

·        Free gular graft

TEETH WHITENING

Teeth whitening is the procedure performed by the dentist in order to improve the color of the patient’s teeth and increase their brightness. Thanks to the whitening process, patients with yellow or discolored teeth are able to improve the appearance of their teeth and regain a healthy and glowing smile.

The color of the teeth varies from person to person, with the most common being yellow or even gray. Some are born with noticeably yellower teeth, while others complain that their teeth gradually lose their original bright color and become darker and yellow.

The teeth gradually lose their bright color over time and become more yellow and darker. This is a normal development, as over the years a greater amount of dentin is deposited inside the teeth. Dentin (dental tissue under the enamel of the teeth) has a darker yellow color by its very nature and it is in essence what determines the color of our teeth. Dentin deposition in combination with tooth enamel abrasion, which also occurs over time, often justify the phenomenon of tooth discoloration.

Other factors that are also responsible for changing the color of the teeth are smoking, drinking red wine or soft drinks with pigments etc. Poor oral hygiene also results in plaque and stone retention on the teeth surface, causing the teeth to appear discolored. and yellow. Old damaged seals, like amalgam black seals, give the teeth a gray or yellow color.

The same dark gray color is often present in decayed or decayed teeth that need to be decayed. In addition, teeth with old metal-ceramic tooth crowns (pockets) display a gray color in the gum area.

There are 3 whitening techniques:

  • Whitening in the dental office. Whitening in the office is under the supervision of a dentist and lasts about 1 hour. Dentists first thoroughly clean the gums until there is no stone and polish the teeth. Subsequently, the gum is isolated by special insulation material, so that the bleaching material does not come into contact with the gum and irritate them. Immediately afterwards, the whitening agent is placed on the dental surface of the teeth to be bleached. The material stays on the teeth according to the manufacturer’s instructions (usually 30 – 40 minutes). Finally the dentists rinse the bleaching material and the patient is ready with a bright and shining smile.
  • Bleaching at home. Bleaching at home is essentially done by the patient himself, who wears special bleach pads that are filled with bleach material provided by the dentist. At the first appointment, the dentists will clean the patient’s gums and teeth and obtain a fingerprint, which will be sent to the dentist to make customized whitening towels for the patient.. Pre-made whitening towels are also marketed, but they are difficult to fit exactly in each patient’s mouth. With pre-made sachets there is a chance that the whitening agent will be promoted in the gums and irritated. This is why it is best for the patient to make personalized towels for the dentist to fit exactly on his own teeth.
  • Whitening combination in the dental office and at home. It is a combination of the two above techniques. Depending on the technique and philosophy of each dentist, a whitening session is first performed in the clinic and the patient continues whitening at home for 7-10 days at home or vice versa, whitening at home is performed by the patient and a second phase is performed. Inflammation in the office. It is worth noting that with this technique the patient has the best and most stable result he could get.

ADDITIONAL REPAIRS

Lost teeth should be replaced immediately as their loss has an impact on both oral health and aesthetics. By prosthetic rehabilitation we mean any immovable or mobile prosthetic work that is called to replenish the lost dental substance.

A. Real Prosthetic

Crowns: The crown is a prosthetic work that tightly embraces the tooth with the shape, size and color of a natural tooth. In order to make a hoop, the outer surface of the tooth is removed by removing dental material. The porcelain is built on the outer surface of the metal (chrome-cobalt or noble alloys) and has the color of adjacent teeth so that it fits perfectly with them. It is also possible to make a rim without metal elements (alloy: zirconia, lithium dipyrite).

Bridges: The bridge is used when a tooth is missing and we want to cover the fresh space without the use of implants. They are like pockets stuck together, adjacent to the grinding teeth. The construction materials are the same as the hoops. At all stages from the abrasive to the final adhesion of the prosthetic work, the patient always leaves the office with temporary (transitional) hoops / bridges. This ensures the aesthetic appearance of the patient, who throughout his mediation period continues his daily routine. The choice of material and the method of manufacture depend on several factors and the choice is individual for each incident.

B. Mobile Prosthetics

The mobile prostheses are the partial denture and the total denture. The former rests on teeth and tissues, while the whole denture ensures retention and stability only by the tissues. This solution can be a permanent solution when implant placement is not possible. With the implantation of dental implants, more and more people are turning to prosthetic solutions that include dental implants.

Artificial dentures generally improve chewing ability and speech, providing adequate support to the facial muscles. They also enhance the aesthetic appearance of the face.

Artificial dentures, when first placed in the mouth, require the appropriate time to familiarize patients with their “new teeth”. This almost always happens no matter how well they are made. However, if patients follow their doctor’s instructions, these problems are minimized.

C.Prosthetic implant
An implant can be placed immediately after removal of a tooth or in a second surgery. Likewise, dental implant repair can be performed immediately or after some time. The choice depends on the general health of the patient, the quality and quantity of the surrounding bone, the place of placement, the chewing forces it receives from other teeth and of course the personalized preference of the dentist.
In any case, the aesthetic, phonetic and chewing function of the mouth is guaranteed, even temporarily.

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