Oral surgery and Implantology
Depending on the symptoms diagnosed we design an interdisciplinary treatment plan to deal with the various oral diseases. Oral surgery is a speciality that rehabilitates aesthetic and functional aspects of the mouth with the aim of promoting and regenerating oral health.
Implants are a high quality alternative when missing one or more teeth. The implant is attached to the jawbone and a crown or bridge is mounted upon it. The main advantage of implants over a traditional bridge is that is does not damage your own healthy teeth to fix the bridge. It is always best to keep your own healthy teeth as long as possible. The implants are of titanium and have a lifetime warranty..
For many people the malformation and defects of the teeth can be more than just an aesthetic problem. It can also present difficulties from a strictly functional point of view. If not corrected, other oral health issues could arise, including tooth decay, gum disease, tooth loss, chewing and speech deficiencies, abnormal wear of tooth enamel or jaw problems.
Traditional brackets align teeth through the application of pressure. Small brackets connected by a wire are attached to the teeth and tightened gradually, adjusting the teeth and jaw. They may have the colour of metal or white like the teeth.
At Marfil Smiles we offer invisible orthodontic treatments. With the Invisalign method one does not have to carry permanent brackets to align the teeth. Invisible aligners are highly aesthetic and comfortable and can improve appearance and oral function without interfering in the daily activities. They are removable, so that they can be taken off when eating or during partaking in a social event, thus also providing optimal oral hygiene. Being translucent, they blend in with the color of the teeth. The whole treatment is planned using the computer program ClinCheck®. Starting from the initial situation of your mouth, we can carefully chose which teeth to move and the exact degree of displacement, obtaining a final simulation which also allows estimating the duration of the treatment.
Periodontitis is severely advanced gingivitis caused by bacterial infection in the gap between the tooth and gum. This bacterial coating (plaque) grows down toward the root tip and leads to gradual reduction of the tooths attatchment to the jaw. If this is not properly taken care of and the plaque removed, the process will continue until the tooth becomes loose and eventually falls out.
Periodontitis starts most often in red and slightly swollen gums that bleed easily when brushing, flossing or using a toothpick. A simple gingivitis does not necessarily have to evolve (gingivitis), but often this process will continue in depth with the result of attachment loss.
Gingivitis can be treated without causing permanent damage. Periodontitis can be prevented or halted. Since the disease is caused by bacteria in the plaque, the cause-oriented prevention or treatment consists of removing all coating around the teeth. The patient's task is to regularly use toothbrush, dental floss, toothpicks and interdental brushes to remove the plaque above the gum line. The dentist or dental hygienist's work in the treatment of periodontitis is to remove coating in the pocket between the gum and tooth. Often the bacterial coating is calcified which will result in tartar. Tartar must be removed by the dentist/dental hygienist through mechanical removal often in combination with ultrasound.
Surgical periodontal treatment might be appropriate if the tooth pocket along the tooth is too deep. It consists of the dentist either cutting away a part of the gum (reduces tooth pocket) or detaching a part of the gum from the tooth for easier access to the bacterial coating. The main principle of surgical periodontal treatment remains the same as for non-surgical treatment: a total removal of the coating.
The main reason for carrying out a root canal is the formation of large wholes that have reached the nerve of the tooth. Penetrating bacteria lead to permanent damage and a strong pain.
At other times a root canal is done in teeth with chronic pulp involvement, ie teeth where the nerve has already been lost by an infection and does not cause pain.
However, there are also other causes for inflammation of the nerve. Teeth with deep fillings sometimes need a root canal. The deeper the filling, the greater chance there is that the nerve can be damaged. In these cases, a fistula sometimes occurs, in the form of a small lump which manifests about 10 mm above the crown of the tooth.
It also happens that very sensitive teeth and teeth with cracks are subjects to root canals. A hard blow to the teeth may damage the nerve and a later invasion of bacteria would then call for the need of a root canal. In some cases root canals are done before a crown or a bridge is to be mounted.
Marfil Smiles performs all kind of endodontic treatments and use only the most cutting edge technologies. Our specialist in this field also takes care of the most complicated cases, such as redoing a root canal after it was poorly executed the last time by another dentist. He also performs root canals in molars with specially curved and complex roots.
Prosthetics rehabilitate the masticatory and aesthetic functions of the mouth, returning the smile to our patients with the ability to bite and chew. They can be either fixed bridges or dentures that can be removed partially or completely.
Crowns exclusively made of porcelain is preferable when the requirement for aesthetics are important. When dealing with bright translucent incisors whole porcelain crowns a preferable due to their natural appearance. These crowns are rarely used for molars.
If a tooth is badly damaged and much of the tooth structure lost, it can be difficult to repair it satisfactorily with a regular filling. It may then be necessary to make a crown. The tooth needs first to be partially filed down. Then the dentist takes an impression which is used by the prosthetic technician to make a model of the tooth and finally the crown is prepared. When the crown is complete, it can be attached to the tooth using a thin layer of dental cement. There also exist a newer technique which consists of gluing the crown to the base using a plastic cement after a certain etching of the tooth surface is done.
Lost teeth can often be replaced by a bridge. Bridges are typically prepared in metal-porcelain. There are limits to how many teeth a bridge can replace. The more teeth that have been lost, the more natural teeth must be used to carry the bridge that will replace them. A bridge which is glued to one's own teeth will soon feel like a natural part of your mouth.
Aesthetic or cosmetic dentistry has become one of most demanded treatments that we offer. A healthy mouth can also be a beautiful mouth. We smile with more confidence which gives us more confidence in our daily life. Dental aesthetics range from teeth whitening to rebuilding aesthetic anomalies.
Porcelain veneers are very thin shells of porcelain that are bonded to the front of teethThis is mainly considered a cosmetic procedure that aims to improve the appearance of teeth. Since veneers are individually designed for each patient, it is very difficult to see the difference between the laminate and the original teeth. Dental Veneers are often used if one have discoloured, cracked, crooked, misshapen or severely worn teeth and any holes or uneven spacing between teeth. The treatment is not recommended for patients who have gum disease or are grinding teeth. An impression made of the teeth is sent to a laboratory where the porcelain veneers are prepared and sendt back to us for mounting here at the clinic.
Important to have in mind
People who have veneers are advised not to chew on hard things, such as ice or pencils and are asked to avoid biting their nails. Because veneer applications require a conversion of the teeth and removal of the enamel, the process is not reversible. If veneers should become dislodged or damaged, it most be replaced with a new one.
Clinical tooth whitening
Clinical whitening of teeth is carried out using strong bleaches and ultraviolet light to increase the effect. In half an hour you´ll have a lovely and whiter smile. For some, bleaching may cause pain if the bleach enters «holes» in the teeth or is applied to bare teeth necks. For others, the bleach will not work on dental restorations such as fillings, crowns or veneers. The dentist will be able to provide further information and advice in these matters.
Dental care for children
Children are a key part of our consultation
It is recommended that children begin receiving dental care from an early age. Prevention is fundamental for good oral health throughout life. Premature loss of teeth, for instance, can cause alterations in the eruption of permanent teeth, which subsequently require correction with more complex treatments like extractions and/or orthodontics.
As a specialist in paediatric dentistry, we offer not only the diagnostics and the correct treatment in regard of children´s oral health, but also psychological support that allows for the child to go to the dentist in a natural way and without fear.
The consultation is always completely free. We hope to promote to families that visiting the dentist should be something as common as a visit to the hairdresser or a paediatrician.Early diagnosis is without doubt key when it comes to successful treatment.