FAQs and answers of our patients

When do we speak of sensitive teeth and what causes them?

Teeth become sensitive when soft tooth cervices are exposed. They usually react painfully during teeth brushing, eating, drinking or even breathing. Exposed tooth cervices are sensitive to external stimuli such as cold, warm, sour or sweet taste. Moreover, they also increase the risk of dental caries. Mentioned symptoms appear mainly as the consequence of incorrect cleaning of teeth, due to usage of hard tooth brushes, abrasive tooth paste or incorrect cleaning of teeth with strong pressure. Such activities result in abrading the thin layer of cervical enamel and subsequent exposure of sensitive dentine with dentine canals, which conduct pain.

Does your dental clinic provide teeth cleaning?

Yes, we recommend having dental hygiene performed regularly, at least twice per year. The interval can be shorter in case of more serious conditions, in case of acute difficulties, bleeding or swelling of the gums. Symptoms related to teeth cleaning include the removal of plaque, tartar as well as coloured pigmentation that could have been caused by drinking coffee or tea, or smoking.

What is dental plaque and how do I know I have it?

Dental plaque is a layer of white-yellow colour, which forms on teeth and in interdental spaces. It can be most often recognized by passing the tongue over unwashed teeth, but it can be revealed also with tablets or liquid products for colouring the plaque. The plaque contains large amount of microorganisms (bacteria) that produce acids, damage teeth and are one of the main causes of dental caries. In addition to that they contribute also to diseases of gums. The plaque forms mainly in places where it is hard to get with toothbrush.

What is teeth tartar and how does it affect the health of my teeth?

Dental plaque is the basis for the formation of tartar. If we do not clean our teeth thoroughly, or if we clean them incorrectly, the plaque on teeth becomes denser until it hardens to tartar. It can be recognized very easily; yellow, brown and sometimes even black sediment on teeth is visible by eye. Tartar can without further treatment cause in time bleeding and inflammation of gums. Its final stage can result even in damage of the anchoring apparatus of tooth and fall out of the tooth.

How do you remove dental plaque and tartar?

Ultrasound is most frequently used for the removal of tartar. Remains of tartar are in case of need eliminated manually using manual tools. We remove dental plaque using rotating brushes and special paste (so-called polishing), or also using the sanding method, when plaque and pigments are removed with a flow of sand, air and water. Teeth are after such treatment clean, brighter and whiter.

What are dental caries and how it can be prevented?

Dental caries are caused by bacteria living mainly from sweetened food and drinks. Such bacteria transform sugar and food remains to aggressive acids, create dental plaque and in case of insufficient dental hygiene damage the enamel. The best prevention is to clean your teeth at least twice per day after eating, with tooth paste containing fluorides, or using dental thread or interdental brush.

Which material is best for fillings?

Each material fillings are nowadays made of has, when applied by correct procedure, good assumption of long life. Time-proven amalgam is used most frequently, and it can be also replaced with white variant. The white variant is used mainly for the reconstruction of front teeth where amalgam silver filling is not suitable from aesthetic perspective. Amalgam is on the other hand more suitable for the rear section of teeth where the increased chewing pressure occurs, but also here it can be replaced with white filling.

Is amalgam harmful to my health?

Amalgam a liquid mercury and metal alloy mixture and belongs to one of the oldest materials of the best quality used in dental medicine. Currently used amalgams contain much smaller amount of mercury and do not present any health risk for the patient. Volume of mercury released during hardening of the filling or everyday use is minimum and it was proven that volumes received from food are often much higher.

Can white filling substitute amalgam?

White filling, known also as composite filling, is comparable to amalgam as to endurance and quality. The main advantage of composite filling is especially aesthetic appearance, colour fastness, small necessity to drill the tooth and the fact that it is non-irritating and chemically stable material. However, amalgam is in some cases more suitable than composite, especially in places where the filling cannot be seen. It is more durable and bear better with pressure during food chewing.

What causes bad breath?

Bad breath is most often caused by insufficient oral hygiene. Remains of food are left in the mouth in case of inadequate or irregular cleaning and such food remains then start to decay. Decaying food remains support multiplication of bacteria which only enhance the smell. The most common place of smell in oral cavity is the tongue. The surface of tongue provides favourable conditions for collection of food remains and growing bacteria. Bad breath can be caused also by decayed teeth or gum diseases.

How to take care of teeth and achieve fresh breath?

The best care of teeth is regular oral hygiene – removal of dental plaque, tartar, cleaning of interdental spaces, gums and tongue. It is recommended to visit dentist at least twice per year for the performance of professional dental hygiene.

When is the right time to take the child to the first dental examination?

The time when a child should visit the dentist for the first time is not exactly specified, but it is usually at age when all child’s temporary teeth are erupted (20 teeth). However, parents can come to visit us for advice already at very young age of their child how to clean child’s teeth properly and what nutrition should be used for the support of dental health.

Can dental procedure be performed painlessly?

Yes, almost every dental procedure can be made almost painlessly today. Especially local anaesthetics applied by spray or injection or quality diamond drills which reduce the pain and shorten the duration of procedure are used to achieve such purpose.

Should I worry that anaesthetic will not work for me?

Anaesthesia of the place of procedure is in majority of cases absolutely without problems. Complications can occur with patients who postponed the visit of the dentist until they swelled up or who have significant suppurative abscess, in which case more complicated methods for administration of anaesthesia must be chosen and thus the whole treatment becomes more unpleasant for the patient.

What are the causes of gingivitis – inflammation of gums?

Gingivitis represents one of the most frequently occurring human diseases. It is often induced by dental plaque or tartar. The disease is caused by insufficient or incorrectly performed oral hygiene. Gingivitis can be recognized by a simple look during common examination by the dentist.

What happens in case of untreated inflammation of gums (gingivitis)?

This disease can end in loss of teeth, often healthy ones. If the inflammation of gums is not treated early, gums recede, tooth cervices become exposed and subsequently teeth start to become loose. As a result, the bone level of teeth is destroyed and teeth fall out. The danger of this disease is also in the fact that it usually runs its course painlessly.

I have crooked teeth or teeth too close to each other, what should I do?

Crooked or too close teeth can be corrected today by several methods. Fixed braces, ceramic crowns or extension from composite resin or so-called facets (which are thin ceramic slices glued directly to teeth) are most frequently used.

Can be teeth sensitive to cold after treatment of deeper caries?

Increased sensitivity to cold can occur after treatment of deeper caries. It is normal and only transitional condition, which can last for several days until teeth form a sufficient barrier of protective dentine.

Is it possible to have old or ugly fillings cleaned or replaced?

That depends on the condition of the filling. If the filling is in order, it is sufficient to polish it. Otherwise the unfit filling is replaced with a new material in the colour of teeth or with porcelain inlay, which belongs to the most durable and at the same time the most aesthetic. In case of bigger loss of a tooth part it is possible to cover the whole tooth with a crown, which is used also for dead teeth.

What should I do with cracked, broken or kicked out teeth?

The foremost thing to do is to visit the dentist as soon as possible. If the tooth breaks, it is best to rinse the mouth with lukewarm water and to try to clean the affected place gently. If the whole tooth is out, take it immediately and wash it with water and gently clean it, but leave the tissue on. If possible, place it back to the tooth bed in original position and seek the dentist immediately.

How are broken pieces of teeth repaired?

Broken part of tooth can be completed with many materials. The most frequently used materials include photo composite white materials, amalgam, ceramics or gold. If the damage is more extensive, it’s turn for tooth crwn of facet.

I miss one or more teeth, can they be replaced?

A missing tooth can be commonly replaced today with removable dentures, fixed bridges or implants. Implants are actually “screws” fixed into the jaw bone. They are made of quality titanium alloy and can replace individual teeth, groups of teeth or even the whole set of teeth. They have been used with success in dental medicine for several decades.

When it is not recommended to use dental implants?

Tooth implants should not be used in case of acute and especially chronic inflammation in the oral cavity. The inflammation of tissue supporting teeth (periodontitis), teeth loose in their bed, suppurative pockets around roots or neglected hygiene all prevent usage of implants.

What is the durability of dental implants?

Dental implants can with proper “maintenance” last for the whole life. Long life is in addition to quality made implantation facilitated also by correct dental hygiene and regular control of implants by the dentist, as well as visits to dental hygiene in the dental clinic at least twice per year.

What benefits does ozone therapy have in removal of dental caries?

The ozone therapy is used for the removal of smaller dental caries. The main benefit is the painlessness of the whole procedure, which uses radiation with ozone instead of drilling. Ozone destroys 99.9 % of bacterial flora in caries which is the cause of initiation of the caries process. Dental tissues treated in this way remineralize.

What is X-ray used for in the dental clinic?

X-ray is used in dental medicine for displaying details of bones and teeth or for the examination of soft tissues. This technology enables us to see places not normally visible. It can for instance reveal starting caries (hidden caries) in the interdental space. Traditional X-ray is currently gradually replaced with digital radiodiagnostics which displays the image directly on the computer monitor. The advantage of such imagining is speed, minimum radiation dose and option to further process the image.

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