We are committed to offering our patients the highest level of service. To achieve this, our dental expert's professional knowledge is kept up to date by regularly attending medical conferences and improving their skills all over Europe.
The use of state of the art materials and technology makes it possible to offer you the treatment most suited to your individual needs. We wish to assure our patients that they will receive the same quality of treatment that we would like to receive in their place.
For this reason nanocomposite fillings are applied – these render the most lifelike appearance and the best mechanical robustness possible. At our practice, tooth conserving dentistry is done under special isolation, often using magnification. This serves the safety of the patient as well as a successful completion and durability of the restored tooth. Our dental replacements are manufactured in cooperation with renowned dental laboratories in order to reach the highest level of precision.
Philosophy
We all know that for people, visiting the dentist it’s not a piece of cake. We would like to provide a friendly and relaxing enviroment, while we offer the highest quality of service, with absolultelly no pain at all.
The clinic - situated in the heart of Buda - is brand new, we moved in in October, 2017.
Patients visiting Smile Dental find Széll Kálmán, one of Budapest's busiest traffic junctions, within a walking distance of just a few minutes. Numerous tourist attractions offered by the capital can be easily reached from here.
Only a few minutes on foot one can arrive at Mamut which is one of the city's biggest shopping centres with around 310 stores.
First Visit
We know, that dental treatments and replacements are long term investments.
For this reason we offer long warranty periods for our treatments.
After handover, the warranty applies to the correction or renewed preparation of the dental work or replacement. The warranty does not cover other incidental costs (such as costs caused by absence from work). The warranty granted by Budapest Smile Dental (BSD) only applies to dental works, replacements and treatments handed over by a dentists of BSD.
The outcome of treatments is influenced by the state of health and hygiene practices of the patient, for such influences a dentist may naturally not assume any responsibility.
At our practice, any warranty treatment is free of charge!
Aesthetic filling
1 year warranty
Inlay, onlay
2 year warranty
Permanent dental replacement (crown, bridge)
3 year warranty
Removable dental replacement, denture
1 year warranty
Porcelain veneer
1 year warranty
Implant
5 year warranty
Conditions for the validity of the warranty are that the patient
takes proper care of his/her teeth and constantly applies the dental hygiene procedures presented by the treating dentist,
attends the 6-monthly or yearly check-up appointments outlined by the treating dentist,
has the maintenance procedures (e.g. calculus removal, denture correction) suggested by the treating dentist performed within 30 days of the visit,
keeps the dental replacement clean as prescribed,
uses dental replacements in accordance with their intended purpose and only subjects them to physiological biting forces which do not lead to the overstraining of the dental works or replacements,
does not expose the dental work or replacement to trauma, bone or gingival disease,
settles the costs of every treatment.
The warranty is invalidated, if the patient:
fails to appear at the 6-monthly check-up,
heavily consumes tobacco,
has poor dietary habits and/or other addictions,
looses or gains significant bodyweight within a short period of time,
has a chronic condition which may negatively affect the state of the teeth or the dental replacement (e.g. diabetes, epilepsy, osteoporosis, cancer, radiation therapy or the state after chemotherapy)
is subject to allergies, dental diseases or consequent adverse effects which were not known prior to the treatment,
subjects the dental replacement or implant to extreme strain (nightly teeth grinding, bruxism) which damages the dental works or replacements,
uses the dental replacement not according to its intended use and thereby damages the dental work or replacement (e.g. dropping of a denture, sporting accident),
is subject to an accident by which the teeth are damaged,
does not have an occlusal splint made as advised by the dentist or fails to use it leading to the fracture or chipping of the porcelain coating due to the overstraining of the teeth,
has the treatments or dental work suggested by our dental clinic performed at a third party / other clinic,
complains regarding damages to porcelain veneers, caused by over-tension to the veneer,
complaint is submitted, but the implantation has not been performed within the planned time-frame (long-term provisional replacement which is a preparative replacement for the implant);
furthermore, our dental clinic is not responsible for any root canal treatments that become necessary at short notice. It may infrequently happen that the tooth suffers a trauma due to the preparation of different replacements (dental crown, bridge) which may make a root canal treatment necessary.
Before - After Gallery
porcelain veneers
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aesthetic fillings
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aesthetic fillings
After
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upper jaw rehabilitation
After
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upper jaw rehabilitation
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e-max ceramic crown
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dental bridge
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composit built
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ceramic crown
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Budapest SMILE Dental
A defining factor during the treatments is our patients' facial harmony, as no amount of ambitiousness and precision in the details can be perfect without looking at the whole.
Before starting any treatment, we carefully take measures to avoid any sensation of pain, therefore, local anesthesia is applied. Before using anesthetics, a pleasant, fruit flavored gel is put on to make the injection painless too.
A relationship of trust with our patients is essential for us, both to create a friendly atmosphere during treatments and also, to ensure the long term preservation of teeth. Those who have no fear of dentists attend the six-monthly check-up more easily. At our practice, the six-monthly check-up is free of charge as we are delighted to welcome those that are interested in the health of their teeth and those that reward us with their trust.
We welcome our patients in a peaceful environment, with pleasant music and wholesome scents that serve as a spa-experience and help overcome dental anxiety.
dr. Zsófia Strémen
I obtained my diploma in dentistry in 2007, at at the Faculty of Dentistry, Semmelweis University Budapest. I consider continuous professional development indispensable in an effort to offer the best possible treatment to my patients. In this spirit I regularly attend trainings where I have the chance to acquire the newest techniques and get to know state of the art tools. Knowledge I have gained this way is applied at the highest possible standard. Empathy and a patient centered approach are values at the very heart of my clinic which was founded in 2012. I see our primary objectives in dispelling our patients’ fears, to treat acute symptoms in a pain-free way followed by the preparation of a complex treatment plan. All this is accomplished in a precise and aesthetic manner, using the most modern materials and tools in a youthful, friendly environment while respecting every aspect of my patients’ needs. My interests are smile design and cosmetic dentistry, dental replacements anchored in implants which serve as a foundation for a perfect smile.
dr. Dóra Derdák
To be able to maintain the highest treatment standards currently known, I constantly expand my knowledge. Regularly attending professional training courses, I have the opportunity to learn from the world’s top dentists. Currently, I am employed at Semmelweis University’s Periodontal Clinic. During my work, I concentrate on saving teeth by healing surrounding gums and bone tissue. Another important aspect of my treatments is creating a tranquil environment to make my patients feel safe, thereby reducing feelings of fear and anxiety.
dr. Bence Kecskés
My main fields of interest are pediatric and aesthetic dentistry. Additionally, I have the professional expertise to perform basic periodontal treatments. I am delighted to work with both my infant and adult patients and with a calm and cheerful nature, I strive to do everything to keep the treatment relaxed and free of tears. It is my credo that the correction of a poor dental condition needs to start from the foundations: indispensable are the adoption of a proper tooth brushing technique and a rigorous oral hygiene regime. These protect us from caries and periodontal diseases throughout our whole lives. I believe, it is the dentist’s duty not only to treat symptoms but to also to make an effort at education and prevention. Alongside the treatment I aim to give my patients - indepent from age - all the information and advice so that we reach the highest possible standard of oral hygiene.
dr. Zsolt Majtényi
My main fields of interest are pediatric and aesthetic dentistry. Additionally, I have the professional expertise to perform basic periodontal treatments. I am delighted to work with both my infant and adult patients and with a calm and cheerful nature, I strive to do everything to keep the treatment relaxed and free of tears. It is my credo that the correction of a poor dental condition needs to start from the foundations: indispensable are the adoption of a proper tooth brushing technique and a rigorous oral hygiene regime. These protect us from caries and periodontal diseases throughout our whole lives. I believe, it is the dentist’s duty not only to treat symptoms but to also to make an effort at education and prevention. Alongside the treatment I aim to give my patients - indepent from age - all the information and advice so that we reach the highest possible standard of oral hygiene.
dr. Tímea Szabó
I completed my diploma in dentistry in 2013 at Semmelweis University, Budapest, at the Faculty of Dentistry. It is my conviction that bad childhood memories and experiences can only only be overcome if the dentist is patient and empathic in such a sensitive situation. I like to establish a personal relationship with my patients, that is why I put the emphasis on communication at the first appointment. While always most thorough and precise, I always seek the best possible treatment for the patient. My main profiles are endodontics (root canal treatment) - which requires truly great patience from both patient and dentist - and dental implants of the highest possible quality. It is my aim to keep up the highest level of treatment quality, to help patients acquire the methods for the maintenance of necessary oral hygiene, to make them aware of its importance as well as helping them overcome their fear of dental treatments.
Smile design
Nowadays, it is almost an expectation to have a perfect, harmonious smile. A regular,
white set of teeth is a display of youth and health. Teeth that are not holding up to our
expectations can be reshaped with the help of veneers or crowns, and in some cases,
even the material used for fillings can reach an outstanding outcome. Prior to the
treatment of front teeth, it is advised to conduct an analysis of the patient's smile and
teeth. In order to create a harmonious face, smile and tooth arrangement, parameters
and necessary modifications are determined based on photos of the patient and a
clinical assessment. This is smile design.
How and why is smile design done?
In cases where a treatment is planned in a visible area which will significantly influence
the appearance of the patient, it is advised to examine the initial state before beginning.
Smile design means an assessment of the symmetry line of the face, the position of lips
and teeth in a resting state and during speech as well as the position of teeth to each
other and their size and color. Based on a detailed assessment and on the individual
needs, the modifications are determined with the help of a computer program. The
result is then realized in wax, on a gypsum model of the patient's teeth. The ideal front
area from gypsum and wax is created at the dental laboratory. The patient may take it
into his or her hands, examine it, and most importantly, it may serve as a basis for a
provisional plastic model which can be placed on the existing teeth before making any
treatment. Hence, smile design offers patients the possibility to observe the planned
dental work in their mouth while talking and smiling and to seek advice from their
friends and family. At this point, any further modification is still possible as it is a
provisional replacement on which the permanent replacement will be based. This is the
way to a perfect smile!
Tooth whitening
These days, the demand for a perfect smile is on the rise. If our teeth are healthy but not enough white, tooth whitening offers help to achieve a brighter shade.
What are the possible causes for tooth
discoloration?Intrinsic causes
The material below the enamel called dentin has a yellowish color. As the enamel is
translucent, the color of the dentin can show through. Those who have genetically
yellower dentin or more translucent enamel have yellower teeth as a consequence.
A primary tooth of poor condition can have a detrimental effect on permanent teeth
which may have flaws in the enamel and deviations in form and color as a consequence.
o Medication (e.g. tetracycline), especially during childhood
Extrinsic causes
Tobacco consumption;
Frequent consumption of coffee, red wine and tea;
Consumption of colored food;
Calculus, plaque;
After a root canal treatment, a tooth may assume a yellowish-grayish tone.
With advancing age the enamel gets thinner and the yellow hue of the dentin appears
more intensively.
What methods are used for tooth whitening?
Whitening is done using a material containing carbamide peroxide. Before performing this
treatment, plaque and calculus must be removed. After this preparatory step has been carried
out, two following methods are at our disposal:
The whitening treatment at the dental practice takes about one to one hour and a half. In
this case, the bleaching agent is applied in high concentrations which may reach the
desired result with only one visit. The material is placed onto the teeth and is lit with a
lamp.
At-home bleaching is done with a thinner solution and takes more time. Nonetheless, the
effectiveness is the same as with in-practice treatment. For this procedure, the patient
receives a special, individually tailored, transparent whitening mouthpiece which serves
to keep the bleaching agent in place. The mouthpiece has to be worn for five to ten days,
two to three hours a day.
Is tooth whitening possible if there is a filling in
my tooth?
If there is an older filling in the tooth in a visible area, it is advised to have it renewed after the
whitening as well as having dental replacements (crown, bridge) done after the whitening
treatment, as their color is unaffected by bleaching.
How long does the effect of whitening last?
The results of the whitening treatment will be long lasting if the patient avoids consumption of
tobacco, coffee and any colored beverages or foods as well as maintaining a high level of oral
hygiene.
Fillings
Poor oral hygiene and/or poor nutrition may promote tooth decay. The damaged tooth can
be restored by removing the decayed tooth substance and the subsequent treatment of the
cavity with filling material or an inlay.
What causes tooth decay?
Many different types of bacteria live in our mouths that play an important role in preserving
the biological equilibrium. Some of these bacteria are able to decompose carbohydrates
contained in our foods, releasing acids in the process. As a consequence, the pH level of our
mouth drops after eating – meaning that it becomes an acidic environment – which then is
restored after a while due the neutralizing effect of saliva. If we eat foods containing
carbohydrates more frequently, there is no time to restore the pH level, tooth decay
commences.
If the bacteria have breached the outer layer of the tooth, the so called enamel, the decay
process accelerates. Often, this is accompanied by discomfort in the affected teeth which
become sensitive to cold and sweets.
Consequently, there are two crucial steps for preventing tooth decay: proper and regular
cleaning as well as reducing the frequency of carbohydrate consumption.
How is a filling done? What types of fillings exist?
If only a small part of the tooth is affected by caries, the cavity is cleaned and the removed
part can be usually replaced with a filling. Fillings are done with local anesthesia, requiring a
one-time visit. The filling material is a special composite-plastic which largely resembles
original tooth material in both color and physical properties. This is what makes it especially
suited for durable and aesthetic fillings. The procedure consists of placing small portions of
the pasty substance into the cavity and the individual layers are cured or hardened with a
special lamp. At the end of the treatment, the filling material fully hardens and the tooth
function is restored.
In which cases should composite fillings be applied?
Due to its properties, this filling material can be used for every tooth group if the cavity is
not too large. In molars it can be used to restore functionality, meaning a filling resilient to
biting forces. When applied in anterior teeth (incisors), a virtually invisible filling will increase
the attractiveness of your smile.
Inlay, onlay
Insufficient oral hygiene or malnutrition may lead to tooth decay. Treatment options include the removal of the affected tooth-matter and the subsequent reconstruction of the tooth with a filling compound or an inlay/onlay.
What is an inlay, onlay?
An inlay, short for inlay/onlay, is a type of accurately formed filling that is placed in a tooth cavity in a solid state and cemented into position. The downside is its higher price as well as taking two appointments to complete, in return, it is more durable and appealing than a traditional filling.
When to choose an inlay over a traditional filling?
As it is often the case, the decayed portion of the tooth is so large that cleaning it leaves a hole which cannot be filled properly with a filling. That is where an inlay comes into play.
An inlay is also an ideal choice for a tooth that received root canal treatment, as such a tooth is less resilient to chewing forces and an inlay can help to reinforce it.
This treatment achieves the most attractive chewing surfaces, as well as often being the only option to reach a tight fit with neighbouring teeth.
In some cases a missing tooth may be replaced with a special bridge whose abutments are anchored in the inlays of adjecent teeth. An advantage is that less matter has to be drilled away from abutment teeth as compared to what is necessary for a crown.
How is an inlay prepared?
During the first appointment the cavity is properly prepared and an impression is taken, after this the tooth receives a temporary filling. Based on the impression, a gypsum mould is made into which the dental technician prepares the inlay using the shade that best matches the other teeth.
During the next treatment the final inlay is cemented into the tooth with an adhesive, following the removal of the temporary filling.
Materials of choice for an inlay
Composite resin inlay: This type of inlay is made of the same material as an ordinary filling, it is, however, more durable and appealing than a filling made in the surgery.
Ceramic inlay: Accurate, hard and capable of the most attractive results.
Gold inlay: A gold inlay is the most accurate of all solutions yielding the most durable replacement, although not the most advantageous in terms of appeal.
Veneers
If not satisfied with the shape, size or color of his or her front teeth, the patient may opt for
the placement of veneers if those teeth are otherwise healthy. With this invisible cover, you
will get the perfect smile.
What is a porcelain veneer and what is it made of?
A porcelain veneer is a thin ceramic covering placed on the surface of the front teeth and is
prepared by a dental technician according to the specifications regarding shape and color.
Its ceramic material is aesthetic and strong enough to resist biting forces, additionally, its
color offers an appearance identical to natural teeth.
How are veneers fitted?
Our aim is creating the ideal appearance, it is therefore advised to make use of smile design
prior to preparing the final veneer(s). This way the ideal tooth form can be achieved.
To apply a veneer, 0,3-0,5 mm of the frontal tooth surface has to be removed with local
anesthesia. State of the art technology allows us to remove only the necessary – smallest
possible – amount of tooth substance, all the while reaching a high-quality, accurate and
aesthetic result.
After treating the tooth surface, an impression is taken from both dental arches. Based on this,
the dental technician prepares the veneers which have been planned beforehand as to their
color and shape – these are then adhesively fixed onto the teeth.
Dental crowns
If a tooth is affected by a large cavity or has been subject to root canal treatment, the best
solution to avoid the weakened tooth from breaking is the placement of a crown. A crown
may also be done if the shape or color of the tooth is to be changed.
A dental crown is a permanent restoration that is cemented into place and completely
encircles the tooth.
How is a dental crown done?
The procedure begins with the preparation of the tooth, subsequently an impression is taken of
both dental arches. During the first visit, a provisional plastic dental cap is placed on the tooth
that has been filed down.
Based on the impressions, the dental technician manufactures the frame that is to be the
foundation of the crown. Then layers of porcelain are added in order to build up the tooth to
the desired shape and color. The tooth color is determined together with the patient. Finally,
the crown is cemented into place with a strong adhesive.
If the replacements are to be in the frontal area, we recommend taking advantage of smile
design. Smile design offers the possibility of making a sample which can be tested and shown
to friends and family prior to any treatment.
What are dental crowns made of?
Nowadays many different materials are at our disposal for making crowns.
The most cost effective solution is offered by the so called porcelain-fused- to-metal crown, an
extremely strong and durable type of restoration which, however, gives a less aesthetic
outcome when compared to non-metal solutions as the dark metal structure influences the
color and translucency of the crown.
In case of metal allergy and for replacements in visible areas, the best solution is a metal free
replacement at a somewhat higher price. A metal free dental crown is comprised of a zirconia
core with a porcelain veneer which is also very strong and aesthetically more pleasing than
porcelain-fused- to-metal. Manufacturing is done with the use of so called CAD/CAM
technology – computer based design and milling that produces a made-to- fit crown.
There is no more natural looking solution than pressed ceramic crowns as these do not have a
separate frame, hence offering a translucency similar to natural teeth.
Dental Bridge
One or more missing teeth can be replaced using a dental bridge or an implant. A bridge is a
fixed dental restoration which cannot be removed by the patient. The bridge is anchored
adhesively to the abutment teeth adjacent to the gap.
How is a dental bridge done and how long does the procedure take?
The procedure for getting a dental bridge usually requires three visits.
During the first visit, the abutment teeth are prepared with local anesthesia and an impression
is taken. To protect the reduced teeth, provisional plastic crowns are put into place which are
fixed by a provisional adhesive.
At the second appointment, the bridge frame, that has been prepared at the dental laboratory,
is checked for place and fit, also the color best matching the neighboring teeth is determined.
Next, the technician prepares the final porcelain bridge for the frame.
During the third visit, the bridge is put into place and checked for color, shape and for the
comfort of the patient. If any corrections are necessary, these can be done at the surgery or
dental laboratory.
If the patient is satisfied, the bridge is cemented onto the anchor teeth and the patient is
instructed how to properly clean the new dental replacement.
What materials are bridges made from?
The bridges we prepare are structurally made up of two parts. The frame of the replacement
can be made of metal or non-metal zirconium oxide ceramics. On this frame the technician
builds up layers of tooth colored porcelain, finally arriving at the ideal tooth shape.
Mechanically, both types are sufficiently resilient, but if you wish to have a lifelike
replacement, a non-metal bridge is the best choice.
What happens if I don't have my missing tooth replaced?
The efficiency of chewing is reduced;
Speech and pronunciation may change;
The face may sag in;
It might lead to an older appearance;
The teeth adjacent to the gap will start to tilt which impedes the placement of dental
replacements at a later point of time;
Tilted teeth may be overstrained and an inflammation could form around the root;
Teeth on the opposite side may literally grow into the gap which makes the application of dental replacements more difficult and could lead to tooth sensitivity.
Root canal treatment
In which cases is root canal treatment necessary?
If tooth decay has gone so deep that it reaches the pulp (the tissue at the core of the tooth made up of veins and nerves)
If the tooth dies due to some kind of trauma, for example overstraining, a deep filling or damage during an accident.
When bacteria find their way through the infected pulp chamber and cause an inflammation of the tissue around the tip of the tooth root An inflammation can be prevented from occurring or an existing inflammation can be treated by means of a tooth canal treatment, that is to say, the cleaning out of the root canal.
How is a root canal treatment done?
The treatment is done with local anesthesia and will require two to three appointments. As
first step, the root canal is opened up and cleaned out. Next, the tooth receives a temporary,
antiseptic seal.
During the next visit, the root canal system is cleaned out once again and widened up. This is
done by means of a mechanical and a chemical procedure – by applying antiseptic solutions.
In the final step of the treatment, the thoroughly cleaned, widened and dried root canal is
filled and sealed using permanent filling material. Lastly, the crown structure of the tooth is
restored.
What happens after the root canal treatment?
After the root canal treatment, the treated tooth is less resilient to physical forces than a
healthy tooth and could break more easily. To prevent this, it is safer to strengthen the coronal
structure of the tooth with an inlay or a crown instead of building up the tooth with only
filling material.
Implants
An implant is a cutting edge procedure to replace a missing tooth. It involves placing a dental
crown or bridge onto a metal frame that has been previously, surgically placed in the jawbone.
In the form of an artificial root, it can also serve to increase the stability of a denture.
What are the advantages of implants?
It is not necessary to file down adjacent teeth
Bone loss can be stopped
They feel natural and are made of a biocompatible material (titan)
Outstanding durability
What are the prerequisites of an implant?
Good general state of health
At least 18 years of age
Sufficient bone tissue (if the bone is lacking in height and width, or if the paranasal cavity (sinus) or neural pathway is too close, a bone graft must be done).
How is an implant placed and how much time does it take?
Before the treatment, detailed clinical and radiological assessments have to be done to survey
the quality, quantity and the state of the available bone mass, the available place, bite
structure, oral hygiene habits and the patient’s general state of health.
If there are no obstacles to the placement, the implants are surgically anchored in the jawbone
with local anesthesia. Subsequently, the gums are sutured above the site of the implant.
Following the treatment the bone needs a regeneration period of three to six months. This
time is required for the implant to become fully fixed and to stabilize.
After the three to six months have passed, the implant has to be uncovered. During this
procedure a tiny incision is made above the artificial root into which a gum shaping screw is
placed. Following the gum shaping treatment, a post is anchored onto the artificial root which
is to be the basis of the dental replacement. Finally, the dental crown, bridge or denture is
fixed on the post.
How long does a dental implant last?
Dental implants can last 20-25 years or even more. It depends on oral hygiene, the frequency
of visits at the dentist’s practice and whether the patient consumes tobacco.
Dental replacements
Our teeth play an important role in chewing, speech as well as greatly influencing the shape
of our face. Even the loss of one tooth can negatively influence our everyday life. If several
teeth are missing, removable dentures have to be designed.
How are removable dentures held in place?
There are many variations of removable dentures. Generally, they are clipped to natural
teeth or implants and can be easily removed by the patient.
Complete lack of teeth:
A non-metal denture is used which replaces all teeth. Such dentures need as much
contact with the gums as possible to be retained in place.
A denture snapped onto implants is another option; this requires the placement of at
least two or four implants. These dentures resemble the ones in the previous
category, but contain inner parts which permit snapping the denture into place,
thereby increasing the denture's stability.
Partial lack of teeth:
When doing a combined treatment, crowns or bridges are placed onto natural teeth;
the removable part is secured to them by special, precision attachments that are
virtually invisible. This solution is exceptionally stable, the attachment can be easily
unlocked by the patient.
Dentures fixed by metal attachments are joined to natural teeth by visible metal
clips. This is a somewhat more cost efficient solution which makes denture removal
easier although not being the most aesthetic option.
A telescopic denture can be applied if there are only few – typically 1-4 – natural
teeth left at our disposal. With this type, metal caps are cemented onto natural teeth
which fit exactly into the grooves in the bottom side of the denture. The main
stabilizing factor is the friction between the metal cap and groove.
How are removable dentures made?
Remaining teeth are shaped as required with local anesthesia. Next, an impression is taken
from both dental arches in order to provide the dental laboratory with a cast identical to the
patient's jaw bone structure. Based on this, the technician prepares the denture.
After taking the impression, the correct jaw or bite position has to be established. This is
necessary to ensure comfort and a natural appearance.
For a perfect result, it is indispensable to specify the color and shape of the replaced teeth.
Shaping the gums
Around natural teeth, gums are tightly adhering to or embracing teeth and form small
triangles in a scalloped manner in the interdental space. If we lose a tooth, it is not only the
underlying bone that begins the recede, but the gums as well.
If a tooth is replaced with an implant, it is our aim to reach the most aesthetic solution
possible. In order to achieve this, the gums around implants in visible areas – especially for
front teeth – have to be considered.
How is the gum shaping procedure done?
If a crown is made for an implant, the tissue which is evenly covering the jaw bone ridge –
where the gap is – needs to be prepared in order to make the implants and the surrounding
gums look as natural as possible. The shaping of the gums is done three months after the
placement of the implant. The procedure involves placing a special screw in the artificial
root for five to ten days to form the necessary socket for the crown. The procedure is
completely pain free and takes place virtually unnoticed by the patient.
Tooth Removal
There can be several reasons for tooth removal, among others:
the extent of decay or the severity of the damage which does not allow the correct
restoration of the tooth;
a weakened substructure due to gum disease (receding gums and bone loss) which
leads to a weakened support and the teeth becoming increasingly mobile;
a chronic inflammation around the tip of the tooth root which may pose a threat to the
whole body;
in some cases teeth need to be extracted when first receiving dental braces;
it is advised to have inflamed, badly damaged and dead teeth as well as those that have
received a root canal treatment removed prior to major surgical procedures (e.g. organ
transplantation) or radiation treatment in the head and neck areas.
How is a tooth removal done?
A tooth extraction is always done with local anesthesia. After applying local anesthetics, the
tissue around the tooth is loosened up – the patient may feel pressure. Next, the tooth is
mobilized which may be accompanied by a tightening sensation and unpleasant noise,
however, there is no acute pain for the patient. For the extraction of a tooth with more than
one root, these are usually separated which makes removing the individual roots easier.
Following tooth removal, it is especially important for the healing process to thoroughly clean
the resulting cavity. Finally, a piece of gauze is placed on the site which the patient should
bite on and hold there for 20-25 minutes.
The resulting hole is filled up by blood clot which is indispensable for the healing of the
wound. In order to protect the scab and keep it intact, the patient will be given crucial
instructions on what to do as a follow up.
What to do following a tooth extraction?
As long as you feel numbness, you should refrain from eating.
Avoid sucking of any type in order to avoid the scab from breaking off.
Rinsing your mouth for a few days is to be avoided to prevent the scab from breaking
off.
Smoking and the consumption of alcohol should be avoided.
It is advised not to consume milk and dairy products and foods containing nuts and
seeds for three days.
The surroundings of the wound have to be kept clean and gently cleaned with a soft
toothbrush and toothpaste the day after the treatment.
Gingival flap surgery (curettage)
Loose teeth? Intense calculus formation? Bad breath? Bleeding gums? These symptoms are
usually associated with the inflammation of the gums or gum disease (periodontitis). The
periodontium – meaning the tissues surrounding the teeth – is the supporting structure for the
teeth.
What is periodontal or gum disease?
Periodontal disease is a medical condition of the tissues surrounding the teeth which
constantly deteriorates if not treated. It leads to receding gums, bone loss and may ultimately
cause tooth loss. Many factors can contribute to the forming of periodontal disease such as
genes, the composition of bacteria in the mouth and the two most important ones: poor oral
hygiene and tobacco use.
The forming of calculus and a consequent, permanent bacterial presence causes chronic gum
inflammation which in turn may lead to the loss of bone tissue around teeth. In the course of
this process periodontal pockets may form. These are gaps between the teeth and gums –
which may be 8-10 millimeter in depth or even more – and an ideal place for bacteria that
exacerbate the condition even further. Unfortunately, these places cannot be kept clean at
home by any means. The only solution is the elimination of the pockets with periodontal
treatment.
How is periodontal disease treated? What is periodontal treatment?
Regrettably, bone loss and the recession of gums cannot be reversed but it is possible to
prevent the condition from worsening and to keep up the current state. This way, even mobile
teeth can be saved for many years to come.
This medical condition can be cured by the elimination of pockets. This requires one to four
visits during which the bare tooth root surfaces under the gums are cleaned of calculus,
bacteria and inflamed tissue and are then removed from the pockets with the help of special
equipment and local anesthesia. This is called gingival flap surgery or curettage. Discomfort
or pain may last for two to three days after the treatment. The healing process of the gums
takes six to eight weeks during which the maintenance of very good oral hygiene is
imperative. A result of the process is the reduction of pocket depth which leads to the
recession of the gums – a positive outcome, as surfaces are now accessible that previously
could not be cleaned. Plaque can now be removed which prevents bacteria from multiplying
and the inflammation from recurring again.
Can all teeth be saved with this treatment?
Unfortunately, if the condition is at an advanced stage and the tooth is mobile to an extent
where it is not able to resist biting forces and if an X-ray examination shows that only a small
fraction – less than one third – of the root is anchored in the bone, an extraction is
recommended.
In some cases, where the tooth is anchored to a sufficient extent but the pocket is very deep or
between the roots of a tooth that has multiple roots, it is not possible to apply the traditional
procedure. In such cases it is necessary to involve a periodontal specialist who surgically
applies the necessary treatment.
At our practice, any warranty treatment is free of charge!
