zabiegi chirurgiczny

Surgical procedures

Connective tissue graft CTG – under local anesthesia, we harvest the connective tissue from the hard palate of the donor and place it in a prepared recipient bed, cover with the gingival graft, and secure into position with sutures.

Free gingival graft FGG  a full thickness gingival transplant containing connective tissue and mechanically resistant stratified epithelium. Hard palate mucous membrane graft is transplanted around a tooth affected by recession (lowered gums that expose the root surfaces of teeth) if the loss of stratified epithelium precludes proper gingival attachment and periodontal tissues resistance to mechanical injuries, such as those occurring during chewing or brushing teeth. Moreover, FGG is used during implant treatment if there is a lack of keratinized gingiva in the place of a planned implant. In such cases, FGG ensures firm attachment of the gingiva with an implant, providing more esthetic and durable treatment effect.

Guided bone regeneration GBR – a procedure performed if the quantity and quality of the patient’s bone does not allow for implantation or when bone atrophy leads to tooth instability. The treatment involves transplanting biomaterial particles to replace the missing bone. The material is covered with a membrane, which keeps the material in place and provides proper bone restoration.

Tooth or root extraction – it is a surgical procedure performed under local anesthesia which  involves removing the tooth from the alveolus with a special dental instrument. After the removal, the alveolus is cleaned, covered with a dressing and, if necessary, sutured. The extraction is performed if other methods of treatment have failed.

Hemisection – a procedure in which a multi-rooted tooth is sectioned and the unrestorable root removed. The aim of the hemisection is to save the healthy fragment of a tooth and the tooth crown. Before hemisection, we make sure that the remaining roots are healthy and will not cause inflammatory reactions or other future complications. Hemisection should be considered if one of the roots cannot be treated and it is necessary to save the tooth as an abutment for the prosthetic reasons. Hemisection is sometimes a last resort procedure if a tooth is impossible to repair. Patients feel as comfortable as possible during the whole procedure thanks to modern techniques and local anesthesia. The most common way to reconstruct a hemisected tooth is a crown-root inlay which strengthens the preserved crown tissues and protects against fractures.

3D Bone – we perform a CT scan of the jaw or mandible which lack bone tissue. Based on CT image, a tissue bank prepares an individual bone block. Under local anesthesia, we harvest the gingival tissue and attach the bone block with restorable pins to the patient’s bone, cover it with Bio-Gide or Advanced Platelet Rich Fibrin (patient’s centrifuged plasma) and suture soft tissues. Two weeks after the procedure we remove the stitches and about 2-3 months later we perform a CT scan.

Root resection – a surgical procedure performed after ineffective root canal treatment. The procedure is performed under local anesthesia. The surgeon cuts the mucous membrane by the apex and cuts a small bone window through which damaged root apexes with the surrounding inflammation are removed with a drill. Then, the surgeon fills the bone deficiency with biomaterial and stitches it. In most cases, this procedure saves the tooth from being extracted.

Dental implant  – the procedure is performed under local anesthesia, in which a titanium implant is inserted into a maxillary or mandibular bone bed, which is prepared with a special drill and then sutured so that the implant is not visible in the oral cavity. After 3-6 months, depending on the location of the implant, the implant becomes visible and prosthetic work can be completed.

Lifting of the sinus floor (sinus lift) –  a procedure is performed to rebuild the bone so that implants can be inserted. There are two basic techniques of maxillary sinus lift:

  • closed technique – performed simultaneously with dental implant insertion. The indication for this technique is a necessary bone reconstruction of max. 3-5 mm. During the procedure, special tools, so called osteotomies, are used. After completing the procedure, the sinus is filled with biomaterials or blood platelet.
  • open technique – by lateral approach. Enables much larger bone reconstruction (crestal bone height can be increased by 5-10 mm). Therefore, it is used in cases of significant expansion of the maxillary sinus. Dental implant can be simultaneously inserted (when own bone is at least 3-mm high). The sinus mucous membrane is raised through the access window, and then the space is filled with biomaterial or autogenous bone and covered with a special membrane. The healing period lasts up to 6 months.

Both techniques are performed under local anesthesia.

Corticotomy – a surgical facilitation of orthodontic treatment. Corticotomy involves making several incisions in the outer layer of the cortical bone next to the teeth undergoing orthodontic treatment. The aim of corticotomy is to accelerate the rate of bone metabolism, aiding bone’s intensive rebuilding. The treatment is painless and (to provide its minimal invasiveness and quick healing) performed with a piezo surgery device, which makes this procedure safe and significantly reducing the orthodontic treatment time.

Teeth processing – the procedure involves grinding the removed tooth which is subjected to cleaning and buffering, and then used to supplement bone defects. Stem cells from the tooth guarantee better bone regeneration than other replacement materials used in this type of treatment.

protetyka

Prosthetics

Porcelain veneers – a great way to quickly improve your teeth. The application of veneers requires minimal interference in the tooth tissue. Porcelain veneer is glued to the front surface of the tooth. The plate (veneer) is made of porcelain, a very durable translucent material whose color and transparency reflect the natural tooth enamel. By retaining their color and gloss, porcelain veneers give a very good esthetic result.

Dental crowns – allow for the reconstruction of damaged or broken teeth. A great solution if there is no other way to reconstruct the tooth crown. There are several types of dental crowns. The main difference lies in their alloy composition.

Porcelain crowns on a metal base – an ideal way of reconstructing lateral surface of the tooth, but they can also be used to reconstruct the front tooth surface.

Porcelain crowns (all-ceramic) – characterized by high durability, strength, and esthetics as they reflect light in a very natural way. Thanks to their uniform color and translucency we can achieve a beautiful esthetic result.

Porcelain crowns on zirconia (white base under porcelain) – these esthetic and very durable crowns are usually placed over the front and lateral surface of a tooth.

A dental crown can replace a lost tooth. It can also serve as a pillar of the prosthetic bridge, provided that teeth adjacent to the gap are healthy.

A typical prosthetic bridge consists of prosthetic crowns embedded on pillar teeth (or implants) connected to an arch or arches. Traditional dental bridges are cemented on previously ground pillar teeth. We offer porcelain bridges, porcelain bridges on zirconia, and adhesive bridges.

Removable Dental Prostheses are dental restoration that can be removed by the patient. They include partial dentures, full dentures, frame dentures, buckle dentures, and buckle-free dentures.

ONLAY, INLAY – an impression is taken after cavity preparation. Then, the prosthetic laboratory prepares onlay that perfectly fits the cavity. These all-ceramic fillings allow patients to keep their own teeth and improve function and esthetics of the lateral teeth surface.

higienizacje

Oral hygiene

Scaling

We remove dental plaque and calculus which can lead to gingivitis (red, swollen, or bleeding gums), bone atrophy, and gum recession that exposes teeth necks. Ultrasonic scaling can be followed by sandblasting.

CONTRAINDICATIONS:

  •  diabetes mellitus (only antibiotics);
  • I and III trimester of pregnancy;
  • pacemaker;
  • bypass.

Sandblasting

Removes teeth discolorations which frequently appear if people smoke, drink lots of coffee, tea, red wine, or wear braces. Sandblasting is recommended before teeth whitening. Treatment is carried out with dental sandblasting device which streams a strong compressed mixture of water and sodium bicarbonate (sand) to clean the most difficult places.

CONTRAINDICATIONS:

  • allergy to sand components.

REMEMBER, IF YOU HAVE ACTIVE COLD SORE YOU SHOULD RESCHEDULE THE APPOINTMENT

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Endodontics

Root canal treatment (endodontics) – one of the most popular procedures performed in dentistry. This method of treating irreversible pulp inflammation involves mechanical and chemical cleaning of root canals and sealing them with appropriate material. In our Clinic, we perform root canal treatment under radiological control and, if necessary, under an operating microscope.

endodoncja

Orthodontics

Orthodontics – one of the specialized fields of dentistry that deals with correcting and treating malocclusions and other jaw and face abnormalities. In our Clinic we perform orthodontic treatment in all age groups. We particularly encourage you to visit us with children, because the younger the patient is the easier it is to eliminate bad habits that may lead to malocclusion.

It is true that a beautiful smile is all about healthy teeth, but orthodontic treatment gives spectacular esthetic results. Of course, there are cases when orthodontic treatment is a necessity because of practical or health reasons. Properly selected methods and a well-conducted orthodontic treatment can effectively improve your quality of life and facilitate everyday oral hygiene. Orthodontics allows eliminating some speech defects or even pain, which is caused by irregularities of mandible, maxilla or temporomandibular joints.

We use only proven solutions and highest quality materials. We offer both removable and fixed orthodontic braces made of wide range of materials. This means that you can choose the best solution for yourself.

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Dental implants

Many people have problems with missing teeth. Common causes of tooth loss include periodontal disease, bone loss, deep caries covering a significant part of the tooth, or random events leading to mechanical loss. In most cases, teeth can be reconstructed with dental implants.

Dental implants are an excellent alternative for lost teeth. An implant is usually a titanium (or titanium alloy) element placed inside the bone, which serves as a root of the tooth and a support for prosthetic reconstruction. This helps restore the continuity of the dental arch, thus maintaining the chewing function and giving a perfect esthetic outcome.

The implantation procedure is performed under local anesthesia. The insertion of one implant takes about 45-75 minutes. Patients attend follow-up visits about one month after the procedure to check the level of osseointegration. After achieving full integration of the implant with the bone, the implant is exposed during a minimally invasive dental procedure. The doctor makes a small incision in the gum above the implant, removes the closing crew and inserts a larger, healing abutment. This procedure is performed after 3-6 months (depending on the indications). The healing implant abutment shapes the gums for future prosthetic work, which can take place 2 weeks after the implant exposure.

In some patients, anatomical conditions allow shorter treatment duration.

We use several implant systems, but they are always tailored individually to each patient based on their bone condition and needs.

stomatologia zachowawcza

Conservative dentistry

Conservative dentistry – a branch of dentistry that deals with the prevention and treatment of tooth decay, which is the most frequent a disease for all patients.

Bacteria found in the oral cavity may lead to a number of unpleasant consequences, such as caries or periodontal and gum diseases. Ignoring first symptoms of tooth decay can have very serious consequences that may even lead to internal organs diseases (of the heart or kidneys).

Regular dental check-ups are extremely important because they allow taking appropriate preventive and, if necessary, treatment measures. Regular visits guarantee a beautiful smile. Quick identification and proper recognition of the problem are the basis for effective treatment. Our specialists will take all necessary steps to quickly and effectively solve your problems. As part of conservative dentistry, we offer:

  • dental check-ups;
  • prophylaxis;
  • treatment of tooth decay;

In conservative dentistry, we primarily focus on our patients’ welfare. Treatments are carried out in a pleasant and stress-free atmosphere, and thanks to the system of computer anesthesia (Wand), are completely painless. We use only highest-quality materials, and our skills and experience deliver great results in terms of practicality and esthetics.

Periodontology

Periodontology – deals with gums and, more specifically, with the prevention, diagnosis and treatment of periodontal diseases and other structures that provide support for teeth. Since periodontium surrounds and supports the teeth, it is the foundation for healthy teeth and a beautiful smile.

Periodontal diseases are caused by bacterial infections and usually painless at the beginning. Therefore, regular dental check-ups are very important as they allow our specialist to quickly identify any abnormalities and take appropriate steps to effectively remove dental problems. Symptoms associated with periodontal diseases that require consultation with a doctor include unpleasant smell from the mouth, bleeding gums, exposed teeth necks, or tooth loosening.

If we diagnose periodontal disease, our specialists will thoroughly explain the problem and offer a comprehensive and individual treatment that will give you the best results. The treatment of periodontal disease includes removing dental plaque and calculus, closed and open curettage and, in more advanced cases, reconstruction of the lost bone or prosthetic treatment.

zdrowe zęby

Pedodontics - pediatric dentistry

Pediatric dentistry (also known as pedodontics) – is a separate dental specialization due to differences in the structure of teeth and dental system between children and adults.

In duo-MED we (among others) deal with:

  • teething and its disturbances;
  • prophylaxis and treatment of caries disease in children (deciduous and permanent teeth);
  • prophylaxis and treatment of mucosal diseases in children;
  • prophylaxis and treatment of malocclusions.

However, we suggest bringing your child for the first visit as early as possible – before even pain and other problems occur. We invite our little patients and their parents for an adaptation appointment, which is the first meeting with the dental office and a dentist during which children get to know the new place, equipment and trust the doctor. In this way, we build positive associations, which give great results during following visits.

We do everything we can (not only during the adaptation visit) to provide a nice, warm and stress-free atmosphere. Our professional approach to little patients, numerous facilities available in the offices, and modern methods of treatment allow for completely painless and effective treatment.
We always care about the comfort and well-being of our adult patients. The same rules apply the children. We make every effort to ensure that visits in our Clinic always create positive associations and bring smile on their faces.

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Anesthesia in dentistry

A visit to the dentist’s office can be a nerve-wracking experience. Fear of pain and anxiety that accompanies dental appointments can be paralyzing. Thanks to the modern methods of anesthesia dental treatment is painless, but there are still some patients who suffer panic attack every time they see a syringe. Patients’ welfare and comfort are the most important so we make every effort to ensure that visits in duo-MED are pleasant and stress-free. We listen to our patients and do everything we can to satisfy their needs. For this reason, we offer them treatment under general anesthesia.

Dental treatment under general anesthesia is gaining its popularity. However, before such treatment you need to consult a designated dentist and talk to an anesthesiologist who will ensure safety of the procedure. If there are no contraindications and dental treatment is performed in the clinic equipped with full anesthetic facilities, this method is very safe both for children and adults.

Before the planned treatment under general anesthesia each patient receives a set of documents to read and sign. Below you will find templates of such documents. Our younger patients need to provide consent of their parents or legal guardians.

chirurgia

Diagnostics

Kontakt

DUO-MED Stomatologia
ul. Inowrocławska 21A, 53-653 Wrocław

tel.: +48 71 355 00 71,
kom.: +48 504 005 883

E-mail:  duomed@duomed.pl

godziny pracy: pn-pt- 8-20,
sobota – do uzgodnienia

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