Experienced professionals modern offices
530 760 740
ul. Nowolipki 21, Warszawa
790 777 350
ul. Arkuszowa 63, Warszawa
pl

X-ray diagnosis

Nowadays, radiological examinations are frequently indispensable in carrying out the correct treatment. If done before the start of treatment, they make it possible to reach a precise diagnosis of the pathology and, as a form of review examination, they allow pathologies without symptoms to be identified.

At present, in our dental practices we make exclusive use of digital radiographic systems. As a result we are able to reduce the amount of radiation to which patients are exposed by 90%. We also considerably improve the treatment process – computer processing allows us to obtain the image in less than 2 seconds. Furthermore, computer programming makes it possible to view several dimensions on the photographs and to superimpose photographs, which allows us to trace the development of the illness, or the correct curing process as a result of a successful treatment.

A camera for specific location photographs makes it possible to take photographs of individual teeth from inside the oral cavity, for example in order to diagnose caries or as part of endodontic treatment.

The digital panoramic radiography device allows us to obtain panoramic radiographs, i.e. review photographs showing all of a patient’s teeth, the temporomandibular joints and also the maxillary sinus.

The dental practice on Arkuszowa Street is equipped with modern equipment of the 3-in-1 variety, which allows 3D CT scans, panoramic radiographs and cephalometric photographs to be taken.

3D CT scans using conical bundles have allowed us to include the third dimension in our diagnoses – the flat images used up until now can be replaced by three-dimensional reconstruction, which makes an exact diagnosis possible, for example in the case of broken teeth, abscesses and also in the planning of implant procedures using spatial visualization.

Cephalometric images, colloquially referred to as x-ray tele photos, are indispensable to achieve success in orthodontic treatments. The images obtained in digital format are analyzed by our orthodontists using computer programmes and are one of the crucial elements in the correct planning of orthodontic treatment.

Prosthetics

The main aim of prosthetic dentistry is to fill gaps in the dentition – we achieve this using both fixed and removable dentures.

We offer our patients the following removable dentures:
  • acrylic prostheses
  • skeleton prostheses
  • acetal prostheses – an aesthetic alternative to conventional skeleton prostheses, made from the thermoplastic material acetal, these prostheses are characterized by their flexibility and their high aesthetic standard, and are recommended for patients who are allergic to metal.
  • overdenture-type prostheses – dentures whose hold is improved by making use of the existing teeth or implants.

We make the following fixed dentures:
  • crown-root implants
  • metal crowns, metal-ceramic crowns and entirely ceramic crowns on a base of zirconium oxide using CAD/CAM technology.
  • bridges

A separate branch of prosthetic dentistry is the treatment of temporomandibular joint dysfunction. Some of the symptoms of pathology in the temporomandibular joints include pain in the region of these joints, sonic symptoms (crashes, creaks), and restrictions on the movement of the jaw. In order to reestablish the correct functioning of these joints, we use mandibular splints and biostimulatory therapy, which minimizes pain.

A novelty on the dental market is the TAP machine from the company Scheu, created for people who have a snoring problem. The mechanism, made to the specific measurements of the patient, advance the lower jaw, opens up the airways and eliminates snoring, along with all its negative side-effects – breathlessness, exhaustion, head-pain, problems with concentration and memory, disruption of the circulation (for example high blood pressure).

Periodontics

Periodontal disease, known colloquially as periodontitis, is a protracted bacterial disease, thus the basic condition for the success of periodontic treatment is control of the bacterial factors responsible for the destruction of periodontic tissue. The first symptom of the initial stages of the disease is usually bleeding from the gums while the teeth are being brushed. A later symptom is the appearance of the surface of the roots of teeth, which become visible as a result of the destruction of periodontal tissue in an inflammatory process, which gradually leads to increasing mobility of the teeth.

Treatment of periodontal disease consists in the elimination of tartar above and below the gums (using ultrasound or manual tools), the smoothing of the surface of the roots, antibiotic therapies, and the use of substances that work on a local area, such as mouthwashes containing chlorhexidine. These conventional methods used to treat periodontal disease do not, however, guarantee complete elimination of the bacteria that are to be found not only on the surface of the teeth, but can also occur in the mucous membrane of the periodontal pockets, and in the attached tissue. These areas are inaccessible to traditional periodontal instruments. The above limitations, linked to an ever-improving understanding of the mechanisms of periodontal disease suggest that it is better to abandon the purely mechanical approach and seek out alternative methods of combating bacterial factors. Alongside antibiotics and antiseptic substances in the form of mouthwashes (for example made of chlorhexidine), we also use an Er:YAG laser. The laser beam causes the detoxification of the gums and the liquidation of surface bacteria. The bacteria are destroyed by thermal effects and the cavitation effect. Low-energy biostimulatory lasers also aid the treatment of periodontal disease by stimulating cell metabolism and raising the regenerative potential of tissue, as has been proved by numerous analyses and clinical observations. The effect of low-energy lasers is to induce a process of fibroblast proliferation. Another instrument that helps us to combat bacteria in the deep pockets of the gums is the ozone generator: ozone is an allotropic variety of oxygen, which shows a very high success rate against bacteria (it kills 99.9% of bacteria).

The methods described allow us to limit the infected area and stop the spread of the disease, but they do not lead to reconstruction of the destroyed tissue. The loss of bone tissue that arises is usually an indicator of the need for secondary reconstruction using the patient’s own tissue or synthetic biomaterials. The fate of every transplant is similar. Gradual resorption and replacement with the receiving tissue occurs, which leads to a liberation of the factors inducing osteogenesis (the creation of bones). Finally, new bone tissue forms, which is based on the modified surfaces of the transplant. The process of modification of bone transplants is a gradual one, taking place over months or even years.

Dental treatment for children

We know all too well how important the prevention and treatment of caries is, right from the earliest years. We also know, however, how important it is to create a suitably stress-free atmosphere in the practice and to provide treatment that does not leave behind bad memories.

Young patients can spend time before and after their visit playing in the specially prepared play-corner.

Our offer of dental treatment for children includes:
  • prophylactic treatments, which prevent the development of caries, as well as fluoridation and polishing
  • in the case of stains from caries and early-stage caries, pain-free ozone therapy (modern method replacing traditional cauterization) and infiltration methods (using the substance ICON)
  • in the case of extensive cavities, a pain-free method of treatment using lasers

Anaesthetization is not a pleasant element of a visit to the dentist for either adults or children. In order to eliminate unpleasant experiences relating to the application of anaesthetics, our dentists use apparatus known as The Wand – a computer-steered system for giving dental anaesthetics painlessly. A dentist gives the anaesthetic using an instrument that resembles a pen, and the anaesthetic itself is measured by the computer, so that the liquid is applied at the so-called physiological speed. This allows the anaesthetic liquid to be absorbed without a painful bursting sensation.

Our team of pediatric dentists (dentists specializing in treating children) are trained to correct an overly short or overly thick frenulum of the upper lip or tongue, which can be the cause of a fault in the bite (the so-called diastema) or of speech impediments. The treatment of the frenulum occurs under local anaesthetic with lasers, which means that it is painless, extremely quick, and bleeding is eliminated, as is the need for stitches (which thus eliminates the need for a second visit to remove the stitches).

A novelty in our practice on Arkuszowa Street is the option of using sedation by inhalation, using a mixture of nitrous nitrogen, colloquially known as laughing gas, and oxygen. This type of sedation puts the patient in a relaxed state, while still remaining conscious and maintaining control of basic functions. The use of laughing gas is particularly to be recommended in the case of children (because of their low pain and stress threshold), but can also be used in the case of adults who experience particular fear of visit to the dentist. Thanks to the anaesthetic properties of nitrous nitrogen, minor dental procedures can be carried out without the necessity of applying further anaesthetics e.g. procedures relating to minor losses and replacement).

Orthodontics

According to statistics, the frequency of faults in the bite ranges from 26% to 63% in Poland. With faults in the bite we refer to every kind of incorrect placement, starting from an incorrect placement of individual teeth or overcrowding, via appendicular tooth faults, to faults that require a linked orthodontic and surgical treatment.

We carry out complex orthodontic diagnoses: we take documentary photographs, make diagnostic models and undertake radiological research. Thanks to our apparatus we are able to complete the essential x-rays in our practice, using CT scans, cephalometric photographs and in some cases (e.g. non-descended teeth) also CBCT conical bundle scans. Then the orthodontists take measurements, undertake a computer analysis of every clinical case individually, and prepare a personalised treatment plan.

Our orthodontists treat both adults and children. In the process of treatment of faults in the bite, they use removable and fixed braces (metal or cosmetic and ceramic). Children can have coloured removable braces (we use block-braces, activators, Schwarz plates and Doppel-Platte) and fixed braces (for example a Hyrax screw). For adults we use fixed braces, metal or ceramic, and also invisible thermoformed Clear Aligner overlays from the company Scheu Dental.

In our practices we also undertake interdisciplinary surgical and orthodontic treatments for non-emerged teeth. These teeth can be revealed using a laser during a surgical process, and then brought in line with the curve of the jaw using orthodontic braces.

After the phase of active treatment of faults in the bite we always complete a retentive treatment: depending on the individual case we use fixed retainers, movable plates or specially crafted thermoplastic overlays.