Frequently Asked Questions (FAQs)

Orthodontics

Is it possible to straighten teeth on only one jaw (upper or lower)?

Although patients often want to straighten only the visible upper teeth, orthodontic treatment is almost always performed on both jaws. This is because the most important part of the treatment is the contact between the upper and lower teeth (the bite). If only one arch is straightened, the teeth may no longer fit together properly, which could lead to chewing problems.

Will I need to have healthy teeth removed for orthodontic treatment?

Modern orthodontics strives to avoid tooth extraction. However, in cases of severe crowding or jaw misalignment, it sometimes remains the only way to achieve a stable and aesthetic result. This is only decided after a comprehensive diagnostic evaluation.

How much does orthodontic treatment cost?

The cost depends on the chosen method (metal braces, ceramic braces, or aligners) and the complexity of the case. It is important to note that the total price includes not only the appliance itself but also diagnostics, regular visits, and retainers after treatment. A precise estimate is provided by the doctor after creating a treatment plan.

Can I straighten my teeth if I have gum disease (e.g., periodontitis)?

Orthodontic treatment is only possible once gum disease is under control and in remission. A consultation with a periodontist is necessary before starting the straightening process. In the long run, straight teeth actually make it easier to maintain gum health because they are easier to clean.

Can orthodontic treatment help resolve head or jaw joint pain?

Often, yes. An incorrect bite causes uneven pressure on the jaw joints and muscles, which can lead to chronic head, neck, or ear pain. Once a correct bite is established, the pressure is distributed evenly, and symptoms often ease or disappear.

Can I drink coffee or tea while straightening my teeth with clear aligners?

It is recommended to remove the aligners before drinking any staining or hot beverages. Heat can deform the aligner plastic, while coffee, tea, or wine can stain them, making the aligners visible. You can drink water without restrictions while wearing the aligners.

Do clear aligners affect speech?

During the first few days, while the tongue adjusts to the aligners, minimal lisping may occur. However, most patients get used to them within 2–3 days, and speech becomes completely normal.

Is it possible to straighten teeth if I have fillings, crowns, or implants?

Yes, it is possible. Fillings are not an obstacle, and braces can also be bonded to crowns using special materials. However, it is important to know that dental implants do not move; therefore, if an implant is already present, orthodontic treatment will be planned by coordinating the movement of other teeth around it. Ideally, orthodontic treatment should be performed before dental implantation.

Do braces damage the tooth enamel?

Braces themselves do not damage the enamel. However, plaque accumulates more easily around them. If hygiene is poor, white spots (demineralization) or cavities can develop around the braces. Therefore, when wearing braces, oral hygiene requires twice as much time and the use of additional tools (interdental brushes, a single-tuft brush, an irrigator).

Why is it necessary to wear a retention appliance (retainer) after treatment?

Teeth have a "memory" and tend to drift back toward their original, irregular positions throughout a person's life. The retention period is critically important to maintain the achieved result. For this purpose, a thin, invisible wire on the inner side of the teeth or special night retainers (aligners) are used.

How often will I need to visit the doctor?
  • When treating with braces, visits are usually scheduled every 4–8 weeks.
  • With aligner treatment, visits are less frequent—every 8–12 weeks—because the patient performs part of the "work" (changing the aligners) themselves at home.
Will I need to change my diet while straightening my teeth with braces?

While wearing braces, it is recommended to avoid extremely hard foods (nuts, hard bread crusts, raw carrots – it is better to cut them into pieces) and sticky products (gummy candies, caramel, chewing gum). These products can detach a bracket or bend the orthodontic wire. When straightening teeth with aligners, there are no dietary restrictions because the aligners are removed before eating.

Which is better: braces or clear aligners?

There is no single "best" way – it all depends on the clinical case and the patient's lifestyle:

  • Aligners are superior in terms of aesthetics, hygiene, and convenience (they can be removed while eating).
  • Braces remain indispensable for solving extremely complex bite problems that aligners alone might not be able to correct.

During the consultation, the orthodontist will help you choose the most effective option specifically for you.

Is orthodontic treatment as effective for adults as it is for children?

Yes! Although the jaws of children and teenagers are more pliable, modern technologies allow for excellent results at any age. For adults, orthodontic treatment often becomes a necessary step before dental implantation or prosthetics in order to create the proper space for future teeth.

How long does teeth straightening take on average?

The duration of treatment is individual. On average, it lasts from 12 to 24 months. Simpler cases treated with aligners can be completed in 6–9 months, while complex bite anomalies may require 2.5 years or longer. The orthodontist will determine the exact duration after diagnostics and 3D planning.

Is orthodontic treatment painful?

The procedure of placing braces or delivering aligners is completely painless. However, during the first 3–7 days after the appliance is fitted or a new aligner is inserted, you may feel pressure, aching, or tooth sensitivity. This is a normal reaction indicating that the teeth have begun to move. The discomfort subsides once the body adjusts.

General Dentistry

Can I eat immediately after a dental filling?

It is recommended to wait until the numbness wears off after the filling. If a light-cured composite filling is used, you can eat immediately after the procedure.

How long does a dental filling procedure take?

Filling a single tooth usually takes from 30 to 60 minutes, depending on the size and complexity of the filling.

How long do dental fillings last?

The lifespan of dental fillings depends on the material used, dental habits, and oral hygiene. Composite fillings can last 5–10 years, while metal (amalgam) fillings can last even longer.

Can dental filling cause sensitivity?

Some patients may experience temporary tooth sensitivity after a filling, which usually disappears within a few days.

Do filled teeth require special care?

Filled teeth do not have special care requirements, but it is important to maintain good oral hygiene and visit the dentist regularly.

What should I do if a filling falls out or breaks?

If a filling falls out or breaks, you should contact your dentist as soon as possible. Until your visit, you should avoid eating on the side where the filled tooth is located and maintain good oral hygiene.

What is dental filling?

Dental filling is a dental procedure during which damaged tooth tissue is removed and filled with a special material called a filling, in order to restore the structure and function of the tooth.

What materials are used for dental fillings?

The most commonly used materials are composites (synthetic resins), amalgam, ceramics, and sometimes gold alloys. The choice depends on the location of the filling, aesthetic requirements, and cost.

When is a dental filling needed?

Fillings are required in cases of dental caries (cavities), dental trauma, wear and tear, aesthetic problems, or for the replacement of old fillings.

Is dental filling painful?

Usually, dental filling is not painful because local anesthesia is used during the procedure. After the procedure, some minor discomfort or sensitivity may be felt.

Professional Dental Hygiene

At what age is professional oral hygiene recommended for children?

The procedure can be performed as soon as the first permanent teeth erupt (around 6 to 7 years of age) or even earlier if intense plaque buildup is noticed on the primary teeth. For children, the procedure is carried out very gently – usually without using ultrasound, employing only hand instruments, special brushes, and pleasant-tasting polishing pastes. It is also an excellent educational opportunity, teaching the child correct oral care habits.

What will happen if I do not get professional oral hygiene treatments regularly?

By ignoring this procedure, soft plaque mineralizes and turns into dental calculus (tartar), which can no longer be removed with a toothbrush. Calculus accumulating under the gums causes chronic inflammation (gingivitis), which over time can progress to periodontitis. This disease destroys the bone surrounding the tooth, causing the teeth to become loose, and if a specialist is not consulted in time, it can lead to tooth loss.

What is the "Air-Flow" method and how does it work during professional oral hygiene?

"Air-Flow" (or air-polishing) is a modern and painless method designed to remove soft plaque and pigmented stains. During the procedure, a strong stream of compressed air, water, and special medical powder (such as calcium carbonate or glycine) effectively cleans even the hardest-to-reach interdental spaces and gum pockets without damaging the tooth enamel.

Is it possible to have professional oral hygiene done if I wear braces or have dental implants?

Not only is it possible, but it is also absolutely necessary. When wearing braces, food debris and plaque accumulate around them much faster, and it is extremely difficult to remove them completely at home. For patients with braces or implants, professional hygiene is recommended more frequently – every 3 to 4 months, using special instruments that do not scratch the enamel or the implant surface, along with gentle polishing powders.

What is the difference between professional oral hygiene and teeth whitening?

These are two completely different procedures. Oral hygiene is a therapeutic and preventive procedure during which dental calculus and soft plaque are removed, allowing the teeth to regain their natural shade (they often look visually lighter because tobacco or coffee stains are cleaned away). Teeth whitening is a cosmetic procedure that uses special chemical agents (hydrogen peroxide) to lighten the tooth enamel itself by several shades. Whitening can only be performed after an oral hygiene treatment.

Is it safe to have professional oral hygiene done during pregnancy?

Yes, and it is highly recommended! Due to hormonal changes during pregnancy, gum sensitivity increases, making the development of so-called "pregnancy gingivitis" (gum inflammation) more frequent. The safest time to perform the procedure is during the second trimester of pregnancy; however, if needed, it can be safely carried out at any stage of pregnancy, provided you inform the specialist in advance.

What should I avoid doing immediately after a professional oral hygiene procedure?

After the procedure, it is recommended to avoid eating or drinking anything except plain water for at least 2 to 3 hours (especially if a fluoride application was performed). Additionally, you should follow a "white diet" for at least 24 to 48 hours – avoiding highly staining foods and beverages (coffee, black tea, red wine, beets, berries) and refraining from smoking, as the cleaned tooth surface is more susceptible to pigmentation.

How many times a year is professional oral hygiene recommended?

The general recommendation for an adult with a healthy oral cavity is to have professional oral hygiene done at least once every six months (2 times a year). This is the optimal timeframe during which plaque that cannot be reached at home does not have enough time to cause serious damage to the teeth and gums.However, the ideal frequency of the procedure is highly individual. There are certain patient groups who, due to a specific oral situation or increased risk, are recommended to undergo hygiene treatments more frequently – every 3 to 4 months (3 to 4 times a year):

  • Patients with orthodontic appliances: When wearing braces or orthodontic aligners, food debris and soft plaque accumulate around them extremely fast, and cleaning them perfectly at home is a real challenge.
  • Those with dental implants, crowns, or bridges: Maintaining the tissues around implants and prosthetics requires exceptional care, as inflammation in these areas (peri-implants) can lead to implant loss.
  • Patients with periodontal diseases: For patients diagnosed with periodontitis (periodontosis), more frequent visits are essential to control chronic inflammation and halt bone loss.
  • Heavy smokers and frequent coffee or black tea drinkers: Due to these habits, a dark, stubborn pigmented stain forms very quickly on the teeth, which cannot be removed with home oral care tools.
  • Pregnant women: Due to hormonal changes during pregnancy, the risk of gum inflammation (gingivitis) increases several times, so expectant mothers may be advised to get professional care more frequently.

Can there be any complications after a professional oral hygiene procedure?

Professional oral hygiene is a completely safe, non-invasive, and tissue-preserving procedure that does not cause serious complications. However, depending on the initial condition of your teeth and gums, natural bodily reactions may occur for a few days after the visit:

  • Temporary sensitivity: Removing dental calculus exposes the necks of the teeth, which were previously "hidden" under the plaque. As a result, for a few days (sometimes up to a week), the teeth may be more sensitive to hot, cold, sweet, or acidic food and drinks. This sensitivity subsides on its own.
  • Slight gum bleeding and irritation: If you had a lot of tartar before the procedure, your gums were likely already inflamed (swollen, red). Once they are cleaned, a small amount of bleeding or a dull ache during the gum healing process while brushing at home for another 2 to 3 days is completely normal.
  • A feeling of "emptiness" between the teeth: Patients who have had a large amount of dental calculus removed may temporarily feel unusual spaces in the cleaned areas. This is natural – your tongue is simply feeling your cleared, natural interdental spaces.

How to alleviate these symptoms? For a few days after the procedure, it is recommended to use a soft toothbrush, a toothpaste designed for sensitive teeth, and to avoid extremely hot or ice-cold food. If the sensitivity or gum bleeding does not subside after more than two weeks, you should consult your oral hygienist.

Is professional oral hygiene painful?

Usually, the procedure does not cause pain, but sensitivity can vary individually. If the procedure is painful, the hygienist can apply local anesthesia.

How long does a professional oral hygiene procedure take?

Typically, professional oral hygiene takes between 40 minutes and 1 hour. The exact duration of the procedure is highly individual and directly depends on the condition of the patient's teeth, the amount of hard (calculus) and soft plaque, and gum sensitivity.What this time consists of:

  • Assessment of the patient's condition: examination of the oral cavity, identification of problem areas.
  • Removal of calculus: cleaning hard deposits using an ultrasonic scaler and special hand instruments.
  • Stain removal: eliminating stubborn stains from coffee, tea, or smoking using the advanced "Air-Flow" (air-polishing) method.
  • Polishing: smoothing the tooth surfaces with special pastes and brushes (making it harder for plaque to adhere in the future).
  • Education: selection of individual oral care products and consultation.

Important note regarding exceptions: If professional hygiene has not been performed for a very long time, the amount of dental calculus is extremely large, or the patient suffers from advanced periodontal disease, one visit may not be enough. In such cases, to ensure maximum comfort and the quality of the procedure, the treatment may be split into two visits (for example, one jaw is cleaned during the first visit, and the other during the second).

What are the benefits of professional oral hygiene?

Professional oral hygiene helps prevent gum disease, tooth decay, and bad breath, and in the long run, it can prevent tooth loss.

Does professional oral hygiene damage the enamel?

No, professional oral hygiene is performed safely using special tools and materials that do not harm the tooth enamel.

When is professional oral hygiene needed?

Professional oral hygiene is recommended as a regular preventive measure at least once every six months (depending on the individual situation – every 3 to 6 months) to prevent gum disease, tooth decay, and bad breath.However, there are a number of specific cases when this procedure is mandatory or strongly recommended:

  • Before other dental treatments: The removal of dental calculus and plaque is the first step before starting cavity treatment (filling), as a doctor can accurately select the filling color and ensure its longevity only on clean teeth.
  • Before surgical procedures and implantation: A clean oral cavity dramatically reduces the risk of infections during and after surgery (for example, during tooth extractions, implant placement, or gum contouring).
  • Before prosthodontics and cosmetic bonding: The procedure ensures that the condition of the gums is ideal (no swelling or bleeding), which allows for accurate dental impressions and a perfect fit for the future prosthesis or crown.
  • Before teeth whitening: Whitening gel cannot penetrate dental calculus or pigmented stains; therefore, without prior hygiene, the whitening result will be uneven and ineffective.
  • During orthodontic treatment (wearing braces / aligners): Food and plaque accumulate around braces several times faster, so those wearing orthodontic appliances are recommended to have hygiene treatments more frequently (every 3 to 4 months).
  • Patients with periodontal diseases: If gingivitis or periodontitis is diagnosed, regular deep hygiene is the primary way to stop the progression of the disease and bone loss.
  • When planning a pregnancy or during pregnancy: Due to hormonal changes, pregnant women often experience flare-ups of gum inflammation, so professional care protects the health of both the expectant mother and the baby.

What is professional oral hygiene?

Professional oral hygiene is a procedure performed by a dentist or oral hygienist to remove hard and soft plaque and dental calculus, and to polish the teeth in order to protect them from various diseases.

Teeth Whitening

How long do the results of teeth whitening last?

The results can last from a few months to several years, depending on the individual's lifestyle and oral hygiene.

What should be done after a teeth whitening procedure?

After the procedure, you should avoid foods and drinks that can stain your teeth, as well as smoking. It is also important to maintain good oral hygiene and visit the dentist regularly for check-ups.

Is teeth whitening in a dental clinic painful?

The procedure is usually painless, but some people may experience temporary tooth sensitivity.

How long does it take to achieve the desired result?

Usually, the desired result is achieved in one or a few procedures, depending on the initial condition of the teeth and the desired degree of whitening.

What is the price for professional teeth whitening at a dental clinic?

The price can vary depending on the whitening material used (e.g., Zoom! or Beyond), so it ranges from 190 to 350 euros.

Does professional teeth whitening at a dental clinic damage the enamel?

No, teeth whitening is performed safely using materials that do not harm the tooth enamel.

What is the process for professional teeth whitening at a dental clinic?

Professional teeth whitening at a dental clinic typically involves applying a special whitening agent to the surface of the teeth, which is then activated by light or heat. The procedure can last from 30 minutes to an hour.

Are there any contraindications for teeth whitening in a dental clinic?

Yes, teeth whitening is not recommended for pregnant and breastfeeding women, children, people with allergies, or those with certain medical conditions.

Pediatric Dentistry

How many times a day should a child brush their teeth?

Children, just like adults, should brush their teeth at least twice a day – in the morning and in the evening before bed.

How should I care for my baby's teeth?

A baby's teeth should be cleaned with a clean, damp piece of gauze or a soft toothbrush, using a small amount of fluoride toothpaste.

When does a child need orthodontic treatment?

Orthodontic treatment may be recommended if there are issues with the alignment of the teeth or the jaw. The first orthodontic evaluation should take place around the age of 7.

Should I limit my child's sugar intake?

Yes, limiting sugar intake is an important aspect of dental health, as sugar promotes bacterial growth and tooth decay.

How often should I change my child's toothbrush?

The toothbrush should be replaced every 2–3 months, or sooner if the bristles become frayed or worn out.

What should I do if a child's tooth falls out or is injured?

If a child's tooth falls out or is injured, it is important to contact a dentist immediately. If possible, save the knocked-out tooth and head to a dental clinic right away.

How can I teach a child to brush their teeth properly?

Children should be taught to brush their teeth from a very early age, using games, examples, and interactive tools to make the process fun and engaging.

What should I do if my child is afraid of the dentist?

If a child is afraid of the dentist, it is important to prepare them gradually, talk about the visit in a positive way, and find a child-friendly dentist who is experienced in working with children.

How can I prevent tooth decay in children?

Tooth decay can be prevented by brushing teeth regularly, limiting the consumption of sugary and acidic foods, and visiting the dentist for regular check-ups.

Why is children's dental health important?

Healthy children's teeth are important not only for proper chewing and speaking but also for ensuring overall health and well-being.

When should I take my child to the dentist for the first time?

t is recommended to take your child to the dentist by their first birthday or within six months of the appearance of their first tooth.

What should be done about a child's nighttime teeth grinding?

If a child grinds their teeth at night, it is recommended to consult a dentist to avoid potential tooth damage and to have an appropriate treatment or protection method prescribed.

When should I start using fluoride toothpaste for my child?

It is recommended to start using fluoride toothpaste as soon as the first tooth erupts, using a very small amount.

Tooth Extraction

How soon after a tooth extraction should dental implantation or prosthodontics be planned?

Following a tooth extraction, the adjacent teeth begin to shift toward the empty space, and over time, the jawbone in that area starts to resorb (atrophy). To prevent this, it is essential to restore the defect. Standardly, it is recommended to plan the implantation 2 to 4 months after the extraction, once the bone in the socket has sufficiently hardened and healed. In certain cases, immediate implantation (performed right at the time of extraction) is also possible.

How should I properly clean my teeth after a surgical procedure?

Dental hygiene after surgery is essential to prevent the accumulation of bacteria that could cause an infection. However, cleaning must be done carefully: use a soft toothbrush, do not touch the surgical site on the first day, and clean the remaining teeth as usual. Spit out any remaining toothpaste gently and rinse your mouth by simply moving water around inside (without any intense swishing or rinsing motion).

What can I eat after a tooth extraction surgery?

For the first few days, it is recommended to choose soft, room-temperature, or cool foods that are easy to chew. Excellent choices include: pureed soups, porridge, yogurt, cottage cheese, mashed potatoes, minced meat, and smoothies (consumed without a straw!). You should chew on the opposite side of your mouth where the procedure was not performed.

What should you avoid doing immediately after a tooth extraction?
  • Rinsing your mouth: For at least 24 hours, it is strictly forbidden to rinse your mouth vigorously to avoid washing out the blood clot.
  • Eating and drinking hot beverages: Do not eat while the anesthesia is still active (about 2–3 hours) to prevent injuring your tongue or cheek. Additionally, avoid hot food and drinks on that day, as heat promotes bleeding.
  • Smoking and consuming alcohol: Smoking drastically slows down the healing process and increases the risk of dry socket.
  • Physical exercise: Avoid heavy physical exertion, as well as saunas or hot baths, for the first 48 hours.

What is a tooth root apicoectomy (root-end resection), and when can it save a tooth from extraction?

This is a surgical procedure that allows a tooth to be saved when standard root canal treatment (or retreatment) fails to eliminate a chronic focus of inflammation (a cyst or granuloma) at the root tip. During the surgery, the clinician makes a small incision in the gum, accesses the bone, removes the inflammatory tissue along with the very tip of the tooth root, and performs a retrograde root-end filling.

What is a gingivectomy around a wisdom tooth, and when is it performed?

A gingivectomy (also referred to as an operculectomy in this context) is the surgical removal of a portion of the gum margin (the so-called gum "hood"). When a wisdom tooth only partially erupts, a gum pocket forms over it, easily trapping food debris and bacteria that cause a painful inflammation known as pericoronitis. A gingivectomy fully exposes the tooth crown, makes cleaning easier, and helps prevent recurrent infections.

What is alveolar osteitis (dry socket) and how is it treated?

This is one of the more common postoperative complications, occurring when the protective blood clot dislodges or dissolves from the tooth socket, leaving the bone exposed and unprotected. This causes a severe, throbbing pain that typically begins 3 to 4 days after the extraction. If you experience these symptoms, the doctor will clean the alveolus during a follow-up visit, administer special medication, and perform procedures to soothe the inflammation.

Why is it important to attend a follow-up visit after a tooth extraction?

A follow-up visit (check-up) after a surgical procedure allows the doctor to evaluate the wound healing process, ensure that no inflammation is developing, and, if necessary, safely remove the surgical sutures. This is an important preventive measure that ensures the postoperative period passes without complications.

What is socket suturing (stitching of the alveolus) and when is it necessary?

Socket suturing (stitching of the alveolus) is a procedure where the gum margins are joined together with special surgical sutures after a tooth extraction. Suturing is necessary following complex or surgical extractions, as well as to stop bleeding, protect the wound from food debris, and ensure the stable formation of a blood clot, which is the foundation of successful healing.

How long does wisdom tooth surgery and the healing process take?

Depending on the complexity of the tooth's position, the surgery itself can take anywhere from 20 minutes to an hour. Initial gum healing takes about 7 to 14 days (at which point the sutures are removed, if stitching was performed and non-resorbable sutures were used). Complete restoration of the bone tissue at the site of the extracted tooth occurs within a few months.

What is the difference between upper and lower wisdom tooth surgical extraction?

Anatomically, the upper jawbone is softer and more porous, and the roots of upper wisdom teeth are usually more regular, making the surgical extraction of an upper wisdom tooth medically simpler and quicker. The surgical extraction of a lower wisdom tooth is more complex because the lower jawbone is very dense, and the tooth is often completely or partially hidden under the gums or bone (impacted). Additionally, an important jaw nerve runs close to the lower roots, requiring exceptional care and precision from the surgeon.

Why is it often necessary to remove wisdom teeth, even if they don't hurt?

Wisdom teeth (third molars) erupt last, at a time when there is often no free space left in the jawbone. Even if a tooth does not hurt, it can grow crooked, press against the root of the adjacent tooth, and damage it. Furthermore, due to their position far back in the mouth, they are difficult to clean, which frequently leads to the development of cavities or chronic gum inflammation around them. Preventive extraction protects against more complex complications in the future.

What should I do if pain or swelling does not go away after a tooth extraction?

Following a tooth extraction (especially a complex or surgical one), mild swelling and a dull ache are natural bodily responses that typically peak on the 2nd or 3rd day and then gradually subside. The pain can be managed with medication prescribed by your doctor. However, if the pain intensifies rather than decreases after a few days, the swelling rapidly worsens, a fever develops, or you notice a foul odor from your mouth – it is essential to urgently schedule a follow-up visit.

Is a tooth extraction procedure painful?

During the procedure itself, the patient does not feel any pain because effective local anesthesia is always applied. The only thing you might feel is a temporary sensation of pressure or pulling as the doctor moves the tooth. For patients experiencing severe anxiety, surgical procedures can be performed under sedation.

What is the difference between simple and complex tooth extraction?

A simple tooth extraction is performed when the tooth is clearly visible in the oral cavity, has straight roots, and can be easily grasped with standard instruments. A complex tooth extraction is required when the tooth is severely decayed, broken down to the gumline or even below the bone level, has curved or multi-rooted structures, or is trapped within the bone. During such a procedure, the doctor may need to elevate the gum tissue or section the tooth into several pieces to ensure the roots are removed safely and completely.

When is a tooth extraction necessary, and when can it still be saved?

The dentist's goal is always to preserve the natural tooth, but extraction is prescribed when the tooth is irreversibly damaged. The main reasons include: a deep fracture located below the gumline, advanced periodontitis (where the tooth is loose), complete destruction of the crown due to decay (making restoration via filling or prosthodontics impossible), or severe purulent infections that pose a risk to general health.

Dental Implantology

Are dental implants long-lasting?

Implants can last a long time, even a lifetime, if they are properly maintained.

How much do dental implants cost?

The cost depends on many factors, including the number of implants, the complexity of the procedure, and other variables.

What kind of care is required after dental implantation?

Regular oral hygiene, tooth brushing, and routine dental check-ups are required.

What are dental implants?

Dental implants are artificial tooth root replacements, usually made of titanium, that are placed into the jawbone to hold dental prosthetics or crowns.

Can dental implants cause allergic reactions?

Titanium implants are generally very well tolerated, but in rare cases, allergic reactions can occur.

How to care for dental implants?

Caring for dental implants is similar to caring for natural teeth – regular brushing, flossing, and routine visits to the dentist.

Can dental implants cause allergic reactions?

In very rare cases, implants can cause allergic reactions, but they are most often very well tolerated.

Do dental implants look and feel like real teeth?

Yes, implants look and feel like natural teeth.

What complications can occur after dental implantation?

Possible complications include infection, bleeding, implant failure (non-integration), and others.

How long is the recovery period after dental implantation?

Recovery can take from a few weeks to several months, depending on each individual patient's case.

Are there any contraindications for dental implants?

Yes, certain systemic diseases, harmful habits (e.g., smoking), or a lack of jawbone can be contraindications for dental implants.

When is dental implantation not possible?

Implantation cannot be performed in cases of active infection, uncontrolled diabetes, or when there is insufficient jawbone.

Are there any contraindications for dental implantation?

Yes, certain diseases and conditions can be contraindications for implantation.

How is a dental implantation performed?

The procedure is performed under local anesthesia, during which the implant is placed into the jawbone.

Is dental implantation painful?

The procedure is performed using local anesthesia, so the patient does not feel any pain.

Do dental implants last a lifetime?

Implants can last a long time, even a lifetime, if they are properly cared for. However, their lifespan can depend on many factors, including the patient's health, oral hygiene, and more.

Can dental implants fail to integrate (be rejected)?

es, in rare cases, an implant may fail to integrate.

When is dental implantation needed?

Implantation may be necessary when one or more teeth are lost due to trauma, infection, or other reasons.

Oral Surgery

Is the removal of surgical sutures after surgery painful?

No, suture removal is a completely painless and quick procedure, typically performed 7 to 14 days after surgery. Using special sterile instruments, the doctor simply snips the knots of the thread and slides them out. The patient may only feel a mild tickling or tugging sensation. If the wound was closed with dissolvable sutures, a visit is still recommended so that the doctor can evaluate the quality of the healing.

What is dental implant repositioning (re-placement)?

Implant repositioning is a procedure where, due to certain reasons (such as an incorrect initial angulation, insufficient primary stability, or signs of early rejection), the placed implant is removed and reinserted either during the same visit or after a short healing period, thereby correcting its position in the jaw.

What is an incision, and when is it used in oral surgery?

An incision is a surgical cut made in the gums or soft tissues. It is most commonly performed as an emergency procedure when an abscess (pus collection) forms in the oral cavity. By opening the focus of the abscess, the pus is drained, tissue tension and acute pain are relieved, and the spread of infection into deeper facial tissues is halted.

When and why is pericoronitis treatment necessary?

Pericoronitis is an inflammation of the gums that occurs around a partially erupted tooth (most commonly a wisdom tooth). Because the tooth has only partially emerged, a gum "hood" forms over it, trapping food and bacteria, which causes severe pain, swelling, and difficulty opening the mouth. During pericoronitis treatment, the pocket is thoroughly flushed with antiseptic and antibacterial solutions, medications are prescribed, and, if necessary, the obstructing gum tissue or the tooth itself is surgically removed.

What is the uncovering of a dental implant, and when is it performed?

This is the second stage of dental implantation, performed approximately 2 to 6 months after the implant placement (once the implant has fully integrated with the bone). During this short procedure, the surgeon makes a minimal incision in the gums over the implant and attaches a special healing abutment. It shapes a beautiful and correct gum contour so that the prosthesis (crown) can be high-quality and properly fitted later on.

What is gum grafting (soft tissue plastic surgery) and graft harvesting?

The longevity and aesthetics of dental implants require not only strong bone but also thick, healthy gums around them. If a patient's gums are too thin or have receded (recession), gum augmentation with a graft is performed. During the procedure, graft harvesting (the separation of a small piece of tissue) is safely carried out from a donor site (usually the patient's palate), and it is then transplanted into the problem area around the implant or tooth.

What are dental membranes used for in surgery?

During surgical procedures (such as bone grafting or a sinus lift), a protective membrane is necessary to separate the fast-growing gum tissues from the much slower-forming new bone. The membrane covers the grafted bone, maintains its shape, and protects it from infections during the healing period. Depending on the complexity of the clinical situation and the size of the defect, the doctor selects the appropriate type (Type I or Type II) of membrane.

What is the difference between an open and a closed sinus lift?

Both of these procedures are performed in the upper jaw (in the molar area) when there is insufficient bone height beneath the maxillary sinus to place an implant.

  • Closed sinus lift: This is a less invasive procedure, performed when only a small amount of bone is missing. The sinus floor is lifted directly through the same osteotomy site prepared for the implant, and the implant is placed immediately.
  • Open sinus lift: This method is used when there is a significant bone deficiency. During the procedure, a small incision is made in the gums from the side (cheek side), the sinus membrane is lifted, the cavity is filled with a bone graft material, and it is covered with a protective membrane. Implantation is usually performed a few months later, once the bone has healed.

What is bone augmentation (grafting), and when is it necessary before dental implantation?

Bone augmentation (or bone volume restoration) is a surgical procedure during which your own or artificial bone is grafted to thicken or heighten a receded jawbone. It is required when the patient's own bone is insufficient to safely and stably place a dental implant. Bone loss usually occurs after a longer period has passed following a tooth extraction, as well as due to trauma or advanced periodontitis. Depending on the size of the defect, a small, medium, or complex bone augmentation may be performed.

How should I properly clean my teeth after a surgical procedure?

Dental hygiene after surgery is essential to prevent the accumulation of bacteria that could cause an infection. However, cleaning must be done carefully: use a soft toothbrush, do not touch the surgical site on the first day, and clean the remaining teeth as usual. Spit out any remaining toothpaste gently and rinse your mouth by simply moving water around inside (without any intense swishing or rinsing motion).

What can I eat after a tooth extraction surgery?

For the first few days, it is recommended to choose soft, room-temperature, or cool foods that are easy to chew. Excellent choices include: pureed soups, porridge, yogurt, cottage cheese, mashed potatoes, minced meat, and smoothies (consumed without a straw!). You should chew on the opposite side of your mouth where the procedure was not performed.

What is a tooth root apicoectomy (root-end resection), and when can it save a tooth from extraction?

This is a surgical procedure that allows a tooth to be saved when standard root canal treatment (or retreatment) fails to eliminate a chronic focus of inflammation (a cyst or granuloma) at the root tip. During the surgery, the clinician makes a small incision in the gum, accesses the bone, removes the inflammatory tissue along with the very tip of the tooth root, and performs a retrograde root-end filling.

Cosmetic Dentistry: Veneers & Composite Bonding

Does cosmetic dental treatment help to straighten crooked teeth?

If the crowding or rotation of the teeth is minor, cosmetic bonding or veneers can be used to visually straighten the dental arch. However, if the positional defects of the teeth are severe or the bite itself is misaligned, it is recommended to first consult an orthodontist for treatment with braces or aligners. Cosmetic treatment is not a substitute for orthodontic treatment, but it can be a perfect finishing touch after it.

Is it possible to have cosmetic bonding or veneers if I grind my teeth at night (bruxism)?

Teeth grinding creates immense pressure that can cause both fillings and ceramic veneers to chip, crack, or fall off. However, bruxism is not a strict contraindication. For patients who tend to grind their teeth, it is mandatory to custom-fabricate a protective night guard after cosmetic treatment, which protects the restorations during sleep.

What is the preparation for cosmetic dental procedures?

Any cosmetic treatment can only begin in a completely healthy oral cavity. First, a professional dental hygiene treatment is performed (at least a few days before the procedure). Additionally, all cavities must be treated, defective old fillings replaced, and the condition of the gums evaluated (they must not be bleeding or swollen).

Should I whiten my teeth before cosmetic bonding or veneers?

Yes, if you want your smile to be brighter, teeth whitening must be performed before the cosmetic treatment (approximately 2 weeks prior). Veneers and fillings cannot be whitened after the procedure, so the doctor matches their shade to the current color of your natural teeth. By whitening your teeth in advance, the restorations will be matched to your new, brighter shade.

How to care for teeth after cosmetic bonding?

Composite materials are slightly more susceptible to pigmentation and plaque accumulation than natural enamel or ceramics. After the procedure, it is recommended to:

  • Use a soft toothbrush and non-abrasive toothpaste: Avoid whitening toothpastes with a high RDA index, as they will scratch the surface.
  • Visit a dental hygienist every six months.
  • Have your cosmetic fillings polished every 6 to 12 months: Visit your doctor to restore their original shine and prolong their lifespan.

Can cosmetic bonding be completed in a single visit?

Yes, in most cases, cosmetic bonding (even when restoring 4 to 6 front teeth) can be completed in a single, longer visit (which can last from 3 to 5 hours, depending on the number of teeth). This is a major advantage of the procedure, as the patient leaves the clinic with a completely transformed smile.

What is cosmetic bonding, and what dental issues is it used to resolve?

Cosmetic bonding is a procedure that uses highest-quality, layered light-cured composites (fillings) to restore the natural shape, color, and function of the teeth. This method is ideal for repairing chipped or worn teeth, closing small gaps between teeth, masking enamel defects, or adjusting a slightly crooked tooth position without orthodontic treatment.

Which is better: a cosmetic bonding correction or ceramic veneers?

Both methods have their advantages, and the choice depends on your goals and budget:

  • Veneers (ceramic): They are more durable, do not change color, look maximally natural (they transmit light just like real enamel), and are more resistant to wear. This is a larger investment, but it pays off with a long-term result.
  • Cosmetic bonding: It is performed faster (often in a single visit), is more financially affordable, and in case of damage, it can be easily repaired right in the dentist's chair. However, fillings require periodic polishing, and after 5 to 7 years, they may need to be renewed due to natural wear and discoloration.

Kiek laiko tarnauja dantų laminatės?

High-quality ceramic veneers, with proper oral hygiene and regular dental visits, last on average from 10 to 15 years and longer. Unlike natural tooth enamel or composite fillings, high-quality ceramic does not change color over time, does not darken, does not stain from coffee, red wine, or smoking, and does not lose its shine.

Is it necessary to heavily grind down natural teeth when placing veneers?

This is one of the biggest myths. Modern cosmetic dentistry is maximally conservative. Depending on the position of your natural teeth and the desired result, the tooth surface is only lightly roughened or minimally shaved down (only about 0.3 to 0.5 mm) – just enough for the veneer to blend naturally into the gumline and prevent the tooth from looking bulky. In some cases (so-called no-prep veneers), no tooth grinding is required at all.

What is the difference between dental laminates and veneers?

Technically, these terms refer to the exact same treatment method; the different names arise simply from linguistic variations and brand influences. The English term "veneers" is universal and covers all types of shells bonded to the teeth. The word "laminatės" commonly used in Lithuania (derived from porcelain laminates) usually implies ultra-thin ceramic restorations.In the English-speaking market, several other popular synonyms and terms are used:

  • Porcelain veneers – standard ceramic (porcelain) shells.
  • Composite veneers – veneers sculpted directly onto the teeth using composite resin (cosmetic bonding).
  • Lumineers – a specific, highly popular brand of ultra-thin veneers that typically require no tooth preparation (no-prep).

Regardless of the terminology used, all of these methods serve the same purpose – to ideally correct the shape and color of the teeth, close gaps, and create a flawless smile.

How long does the dental veneer procedure take?

The procedure can take anywhere from a few hours to several visits to the dentist.

What is the cost of dental veneers?

The price depends on many factors, including the type of material and the size of the veneer.

Is the dental veneer procedure painful?

The procedure is usually performed using local anesthesia, so there is minimal or no pain felt.

What are dental veneers?

These are thin porcelain or composite shells that are placed over the tooth surface to improve their aesthetics

Can veneers damage natural teeth?

No, veneers do not harm natural teeth, but a small amount of tooth enamel is removed before they are applied. This process is irreversible.

Is special care required after getting veneers?

No special care is required, but it is recommended to maintain good oral hygiene, avoid hard foods, and visit the dentist regularly.

When is it recommended to get veneers?

Veneers may be recommended to correct tooth discoloration, damage, or irregularities in shape or size.

How long do dental veneers last?

The lifespan depends on the veneer material, the patient's oral hygiene, and other factors, but they typically last from 10 to 15 years or even longer.

Dental Prosthetics

How long do dentures last?

With proper care, many dentures can last for decades. However, they may require regular check-ups and adjustments.

How do I know which prosthetic option is right for me?

The dentist will perform a comprehensive oral examination and recommend the most suitable prosthetic option for you.

Can I eat everything with dentures?

There are certain foods that should be avoided with some types of dentures, but most people with dentures can eat almost anything.

How long does it take to adapt to new dentures?

Most patients adapt to new dentures within a few weeks. There may be some discomfort initially, but this is a temporary condition.

What are dental prosthetics?

Dental prosthetics (or dental restoration) is a dental procedure where missing or damaged teeth are restored using prosthetic appliances.

Is the dental prosthetic procedure painful?

With modern technology and anesthesia methods, dental prosthetics are usually almost painless. There may be some slight discomfort after the procedure, but it passes quickly.

Can dental prosthetics cause allergic reactions?

Allergic reactions are rare, but some people may experience allergies to certain materials, so it is important to inform your dentist about any known allergies.

How long does the dental prosthetic procedure take?

The duration depends on the chosen prosthetic method. Some procedures can be completed in a single visit, while others may require several visits over a period of a few weeks.

What happens if the prosthesis is damaged?

If the prosthesis is damaged, you should contact your dentist immediately so that it can be repaired or replaced.

Do dental prosthetics look natural?

Modern prosthetics are designed to look as natural as possible and to harmonize with the patient's smile.

What are the different types of dental prosthetics?

The main types of prosthetics are removable (full or partial) and fixed (bridges, crowns, and implant-supported prosthetics).

When is dental prosthetics needed?

Dental prosthetics may be necessary when teeth are missing, there is significant tooth wear, or when teeth are damaged and can no longer function effectively.

What is the price of dental prosthetics?

The price may vary depending on the type of prosthetics, the materials used, and the procedures performed at the clinic. It is best to contact a dentist for an individual consultation.

How to care for prosthetic teeth?

Prosthetic teeth require regular cleaning, and it may also be recommended to avoid certain food products.

Anesthesia & Oral Preparation

How to properly prepare for a scheduled dental treatment or surgical procedure?

To ensure your visit goes smoothly, we recommend following these guidelines:

  • Do not fast: have a light meal before your appointment (unless intravenous sedation is planned). Hunger increases stress hormone production, which can reduce the effectiveness of the anesthesia and make you feel faint.
  • Avoid alcohol: it is strictly forbidden to consume alcohol for at least 24 hours before your visit, as it drastically weakens the effect of local anesthetics.
  • Inform us about your medications: be sure to provide the doctor with a list of medications you take regularly (especially blood thinners or antidepressants).

How long will the numbness last after the procedure, and what should I be careful of?

Depending on the type of anesthetic used, the amount of medication injected, and your individual metabolism, numbness in the lips, cheek, or tongue can last anywhere from 1.5 to 4 hours. While the numbness persists, we strongly recommend that you do not eat anything or drink hot beverages. Because the tissues lose sensitivity, you could severely and unnoticedly injure (bite) your lip, cheek, or tongue while chewing, or scald your oral mucosa with a hot drink.

Why does my heart sometimes start beating faster after receiving anesthesia, and is it dangerous?

This sensation (temporary heart palpitations or fluttering) is a completely normal and brief reaction of the body. It is caused by epinephrine (adrenaline) contained in the anesthetic, which is necessary to make the numbing effect stronger and last longer. This feeling usually passes on its own within 2 to 5 minutes as the medication distributes into the tissues. If you know that you are extremely sensitive to adrenaline or suffer from panic attacks, please inform the doctor before the procedure – they will select an epinephrine-free anesthetic.

Is it safe to receive dental anesthesia during pregnancy or breastfeeding?

Yes, dental treatment during pregnancy and breastfeeding is not only safe but essential, as the acute pain and stress experienced by the mother harm the baby more than local anesthesia. For pregnant women, it is safest to schedule procedures during the second trimester. In these cases, specialists choose specially balanced anesthetics with a minimal concentration of adrenaline (such as Citocartin 40/0.005 mg/ml) or medications entirely without adrenaline (Scandonest). These drugs only work locally, do not cross the placental barrier, and do not harm the baby, while breastfeeding mothers do not need to interrupt breastfeeding.

What types of anesthetics are used in the clinic, and how do they differ from older-generation medications?

Our clinic does not use outdated, slow-acting, or highly allergenic medications (such as novocaine). We use the most advanced, European-certified local anesthetics based on articaine and mepivacaine. These medications feature an exceptionally fast onset of action (taking effect within 1 to 3 minutes), high tissue permeability, and maximum safety. They allow for the complete blockage of pain impulses, even in cases of severe gum or dental nerve inflammation.

Is dental anesthesia safe for individuals with high blood pressure or heart problems?

Yes, it is completely safe, because in modern dentistry, anesthetics are selected individually. Most commonly, effective medications containing adrenaline (epinephrine) are used, such as Citocartin or Ubistesin Forte, which constrict blood vessels and prolong the numbing effect. However, for patients with high blood pressure, heart disease, or severe anxiety, we offer a safe alternative – a special anesthetic called Scandonest (mepivacaine). It contains no adrenaline, so it does not increase the heart rate and poses no risk to the cardiovascular system.