DENT&CO SRBAC

In the modern world a beautiful smile is an imperative, and that means, primarily, healthy teeth and gums. Besides being healthy, teeth should be nicely shaped, properly spaced and with a satisfactory color so that Your smile would be irresistible. If nature has given You beautiful smile, we are here to help You with advices and professional care so that it would stay like that, but if You are dissatisfied with the look of Your teeth, visit us and with our doctors consider some of the therapy methods that would satisfy your esthetic demands, but wouldn’t endanger Your health.

Teeth whitening

Researches have shown that a large number of people are not satisfied with the color of their teeth. Aside from the structure of our teeth, that was given us by birth, the color of teeth is affected by other factors. Pigments from food and drinks (black wine, coke, coffee, tea, cigarettes), then some drugs, but also some general diseases can have the influence on the color of Your teeth. Also, in the saliva of some persons there are pigmented bacteria which build colony on teeth making them look worse.

Our dentist, with Your help, should determine the reasons of color changing on teeth and find a method of whitening that would give best results in Your case.
It is necessary to make a difference between teeth whitening and polishing. By polishing teeth, they change their color of various shades by using agents for teeth whitening, while by teeth polishing some soft stains from teeth are being removed (color of teeth is changed), that were made by consuming cigarettes, tea, medicines which contain iron in themselves, and by that teeth are not whitened but are given their old color back.

All you need to know about teeth whitening
Teeth whitening is a technique that is used for 25 years and for a goal has achieving perfect smile that we all strive to.
To understand teeth whitening technique, first You must know the origin of the teeth color. In fact, teeth surface (enamel) is transparent, and teeth color comes from deep layers of teeth. Because of that teeth structure we actually don’t bleach tooth, because it is not possible to affect so deep in the teeth with any known agent, but we affect the teeth surface, we reduce its transparency and prevent color from going through deep layers of tooth (dentin color).
Means that are used for teeth whitening are based on hydrogen-peroxide (H2O2) and they all work in the similar way. The main difference is in the concentration and the way of preparation. Means that are used in dentistry offices have concentration of about 40%, while means for home bleaching have from 10% to 20% (bleaching in the office is controlled and it cannot have the effect on surrounding tissues, while home bleaching is not possible to control completely so that there is a possibility of damaging oral mucosa).
Our office gives an opportunity for office or home teeth bleaching, depending on Your oral condition and Your demands, using severely and clinically tested materials, adjusting therapeutic procedure only for You. After this therapeutic procedure, it is necessary to stick to advices of the dentist about maintaining teeth and mouth hygiene and to use recommended solutions and gels in goal to achieve maximum results.

ZOOM! Professional system of whitening

So far, any treatment has shown such effect or has been so fast and efficient as whitening system with Zoom! lamp. Anyone can have completely white smile, without harmful effects. Zoom! lamp works in a way that it bleaches enamel from the influence of coffee, tea, tobacco or black wine without any damages. If the right oral hygiene is applied, teeth that were whitened with Zoom! lamp will never be dark as they were before.
WHAT IS ZOOM! WHITENING?
Zoom! system of teeth whitening will make Your teeth significantly whiter in less than 60 minutes. A procedure is simple. It starts with a short preparation by covering lips and gums, leaving only teeth exposed, then Zoom! gel for bleaching is applied, which was specially designed for use with specially designed Zoom! light.
Light and gel go through teeth gently, removing stains and yellowness. With proper care Your teeth will shine for years.
Use of Zoom! Lamp is completely painless and teeth sensitivity is reduced for 67%. Use of such lamp we had an opportunity to see on television an in the show Extreme Makeover, where dentist bleach teeth of their patients using Zoom! lamp so that they could have more beautiful smile. System of bleaching Zoom! was scientifically promoted, patented procedure of teeth whitening. Zoom! is safe, efficient and fast. In less than one hour your teeth will become shiny.

Teeth whitening (splint method)

Technique of home teeth whitening is a technique that is a little bit slower than teeth whitening in the dentist office, but is as easy and simple. With the technique of home teeth whitening in few days You can beautify Your smile by changing teeth color for several shades.
First is taken an imprint of Your teeth based on which is made gypsum model. Then is formed extremely thin foil on the vacuum device, which clings intimately on surface of Your teeth. Foil is worn an hour daily, or at night, depending on the product for bleaching that is used. If it is worn at night, it doesn’t affect Your sleep.
With home whitening, our dentist will examine You ordinarily at the end of every week so that he could follow effects of the treatment, or any changes on gums, as well.
Accomplished effect lasts for years and can be repeated if needed

Non-vital teeth whitening

Sometimes, after treatment, it is possible for tooth to change color. A cause of this change can be because of blood and its metabolites, that are built in dental canals after the trauma, bacteria and toxins that are built in dental tissue during the infection, and also, some materials that are used in therapy of diseased tooth nerve.
In our office it is possible to bleach those teeth by simple and completely painless method, thereby keeping dental tissues and delaying prosthesis care.

Composite fillings (sandwich technique)

What is a sandwich technique at installing composite filling?
Every tooth is extremely important and thanks to advances in technology, there are available techniques that enable us to keep even those teeth with caries. Sandwich technique of installing composite filling means installing two types of fillings: glass ionomer, which is damp-proof and is put on the bottom of the cleaned cavity, and composite with which is filled a part of cavity above gums and which provides good aesthetics.
What are the benefits of this filling?
We rather always recommend this type of filling to patients because of numerous advantages: glass ionomer makes a better connection with tooth, which gets stronger in time and provides continuance of filling, and composite material contributes to better teeth aesthetics. This method allows us to use best characteristics of both materials and with their combination we almost completely neutralize their flaws by offering efficient and aesthetically effective solution of a problem.

Composite fillings

Composite filling considers applying material on front – visible side, front teeth in the first place, because of correction of their color, shape or position (and their mutual relationship). Here is, primarily, a word about cosmetic intervention, that for a final goal has achieving more beautiful look of teeth. That is why for fillings are used aesthetic materials – composites and ceramics. Both materials have advantages and disadvantages. The resulting effect is much better in regard to previous condition of teeth, and with this a completely natural look of teeth can be achieved.
By filling teeth is accomplished aesthetic effect that every patient wants – brighter teeth. Teeth can be corrected by veneering, in sense that they get volume and color, but regarding size of the teeth, that considers applying composite materials sometimes even on cutting edges of front teeth.
Filling with composite materials belongs to a group of direct restorations, which means that they are done in only one visit, directly on teeth. Lasting of composite fillings, with proper maintenance of teeth and mouth hygiene is evaluated from 5 to 7 years. Namely, material is “used up”, especially in places of adhesion in contact with bottom teeth so it is necessary to do occasional corrections of composite fillings.

Ceramic veneers

Whether it is about slightly changed teeth position or changed color, these aesthetic flaws could be recovered by the appliance of ceramic veneers, which give extraordinary results.
According to a model that was obtained from tooth print outpouring of a patient, veneers are made with the help of a computer, which not only provides the most accurate measures possible, but it also injects ceramics and in such a way gives the most possible precision in veneer modeling. Special value of this method is in the fact that its appliance doesn’t require aggressive grinding of teeth, but taking off only very thin layer of tooth enamel. With veneers is actually changed natural teeth enamel, so in that way could be changed teeth color or made a smaller correction of position, size and general look of teeth.

Ceramic fillings – inlays

In cases when caries has exposed teeth crown too much and when, after removing caries, obtained cavity cannot be recovered with classic filling in a satisfying way (whether it was composite or amalgam), then is done a production of inlay.
Inlays are mostly made out of ceramics or metal (but in nowadays rarely). Main difference between inlay and filling is that, besides material that they are made of, inlay is manufactured outside of mouth. Because of that for the manufacture of inlay are necessary at least two visits to the dentist. In first visit tooth decay is removed and tooth gets ready for inlay. Then the print is taken. Based on the print, technician in the laboratory makes an inlay which is, in the second visit, cemented in the mouth of the patient. Depending on the size of inlay, that is from the outspread of cavity that appeared after removing tooth decay, we distinguish two types of these compensations:

- inlays – which take up to two tooth surfaces maximum, and
- onlays – which take three or more surfaces on tooth

Iretrievably lost tooth doesn’t have to mean the end of Your shiny smile. Dental implants represent the most contemporary compensations of tooth in whole. The procedure itself of setting dental implant is very simple and doesn’t require a special post-operative treatment. Time between treatment of setting dental implants and treatment of final production of teeth crowns can be filled with some interim prosthetic solution. Implants are made of plasmated titanium, material that is bio-compatible with our tissue and organism doesn’t see it as a foreign body, which means that there isn’t a possibility of rejecting an implant as a foreign body. Because of its bio-compatibility, implants of new generation integrate with bone tissue. In that manner they give a feeling, looks and functionality of a real tooth. An implant replaces the root of real tooth, and on it is hitched the superstructure which replaces the sanded stump, on which is cemented crown or bridge.Implant can be a solution for lack of one or more teeth.
There are many advantages in which patients enjoy with dental implants. Not one prosthetic compensation can create a feeling and comfort of a natural tooth which gives dental implant. Because of its perfect functionality, nutrition of patients with implants will be completely the same as for those with natural teeth, and by that a patient is completely sure of himself and self confident.

Dental implants

A loss of tooth is a common phenomenon that happens in the middle of trauma (during a strike), caries, gums diseases or aging. Whatever the reason is, a loss of tooth must be compensated – because of aesthetic and functional reasons. Although there are numerous options of teeth restorations such as dentures or bridges, it has been shown that non of them is as functional as implants. In many cases, implants are the only logical choice to make a complete restoration of teeth functionality and supporting structures.
What is the procedure like of the dental implants installation?
Before installing implants, it is necessary to check the health of Your teeth and gums; if there are signs of disease, it is necessary to rehabilitate the condition. The treatment will be planned after X-ray examination with which is evaluated the quality of bones and checked the anatomy of support structure. Your dentist will introduce You with procedure of implant installation, explain You possible risks and complications and introduce You to post-operative treatment. After installing implants, there is a period of healing, osseointegration, in which the bone permeates the implant. It usually takes from 2 to 6 months. After that period, it is possible to do prosthetic restoration on the implant.
Who can embed dental implants?
Everyone who is missing natural teeth and who doesn’t have a natural possibility for chewing, talking or aesthetical looks is a candidate to get his teeth embedded. Implants can be a solution for difficult or completely disabled wearing a dental prosthesis.
It is important that You have enough bone tissue, that a bone is firm enough, and that You don’t have health issues which could endanger healing (uncontrolled diabetes, chemotherapy after tumor or similar).

What are the advantages of implants?

Smaller loss of bone tissue
Improved functionality
Preservation of natural teeth
Aesthetics

Installation of implants with superstructure

Implants that we install consist of two parts. First part is integrated in the bone, and the other one is a superstructure which is screwed by external or internal hexagonal connection in the part which is integrated in the bone.
Superstructure – abutment represents a part on which is cemented metal-ceramics or zirconium – ceramics crown. Superstructure imitates sanded tooth. There are flat and angular superstructures because of needs of the slope of future ceramic covers.

Bridges and dentures on dental implants

Fixed bridge
Before the installation of fixed bridge, there is a thorough analysis of the whole situation and the satisfactory bone condition. After fulfilling wanted conditions, six implants are installed and then on them is fixed a bridge made of 12 members. Sometimes, for fixed reconstructions, it is possible to reduce number of implants, and sometimes it is possible to reach for extra bone regenerations and to increase number of implants.
All-on-4
All-on-4 represents an installation of fixed bridge of a whole jaw anchored on 4 implants. A concept is particularly convenient for those patients who don’t have enough bones for classic implant installation in their side and back parts of jaw. With this way of installation, it is possible to fixedly rehabilitate situation of complete lack of teeth, without any extra procedures of bone regenerations. All-on-4 allows production of fast fixed temporary bridges, with which You can get teeth in one day only.
Hybrid dentures
Fixed rehabilitation is not possible in cases when the bone is significantly reduced. In that case, we make hybrid dentures for patients, which represent foundation for installing four implants and installation of super-constructions for denture stabilization.
This denture is very firm, stable and much smaller in regards to classic mobile denture.
Cover denture on implants
In many cases of complete lack of teeth of lower jaw, patients cannot wear classic mobile denture. We recommend them cover denture: in frontal part of lower jaw, we install two implants and on them are set buckles whose main goal is stabilization of jaw and achievement of its complete functionality.

It is hard to have a beautiful smile when Your teeth are damaged or You are missing one of them. Besides aesthetic flaws, function of the whole orofacial system is compromised. It is difficult to chew, talk, breath and swallow. When some teeth are missing, the other ones could set loose or move to empty space, which compromises the whole system and makes hard prosthetic care that comes later. Long lasting edentulism could cause loss of jawbone, disorder of jaw relationships, and disorders in jaw joint, as well.
By analysis of remaining teeth and their supporting device, bone condition and general health condition of a patient, and by consulting with our team of dentists specialists, we offer You many solutions for Your problem.

Production of metal-ceramic crowns and bridges

Bridges and crowns are fixed prosthetic works, which means that they are cemented on Your remaining teeth and so are fixed. They fulfill the highest aesthetic demands and in the most adequate way they transfer chewing pressure, and completely bring back function to Your jaw. A period of adaption and getting used to this work is short and patients accept them quickly as a component of their organism.
Adequately done dental crown will prolong lifetime of Your tooth in most of the cases, when abilities for repairing with fillings are gone. If some tooth is missing, and there are teeth that would be convenient carriers of prosthesis, a problem could be solved with production of metal-ceramic bridge.
A base of the metal-ceramic crown is a metal skullcap which covers Your sanded stump, and on it is applied high-quality ceramics. Method and technology of production enable resistance in specific conditions of oral cavity and high aesthetic effect for many years, with proper maintenance and regular control.
A patient gets finished work when all of the functional and aesthetic demands are satisfied.
Look at some of our works in the Gallery

Production of non-metal crowns and bridges

By following contemporary flows, we can completely answer to highest world standards of aesthetic dentistry.
Crowns and bridges made out of non-metal ceramics own the transparency of the natural tooth, which is not a case with the other prosthesis. Besides that, unlike the metal-ceramic crowns where the grey line appears in time on the edge of gums due to their receding, with non-metal crowns, this will not happen.
On the contrary, because of the biocompatibility of this material, gingiva will strive to fulfill voids between teeth and Your smile will get youthful appearance, and Your face will shine.

Production of combined prosthesis

Sometimes it is not possible to make a quality fixed work because number and layout of remaining teeth is not convenient. If there are contraindications for the installation of implants, to create conditions for production of fixed work, there is a possibility of making combined prosthesis, which will enable satisfying aesthetics and function, preserving remaining teeth.
Combined work means a bridge fixed on Your teeth and skeleton denture that compensates missing teeth.

Total dentures

A modern dentistry is based on preventive, and the final goal is to keep teeth, their function and aesthetics. Loss of all teeth carries with itself various problems.
Before all, chewing is disabled, and with that normal digestion also, therefore many ailments appear in digestive tract, which affects general health condition. Breathing is, also, difficult. A disorder of interjaw relationships, which is a following symptom of teeth loss, brings changes on jaw joint. Aesthetics of edentulous patients is seriously violated, lower third of face reduces, angle of lips falls down, and nasolabial wrinkles get deeper.
Besides health and aesthetic loss, it is proven that a loss of teeth causes psychological problems as well, from withdrawal to deep depression.

Production of total denture requires knowledge, experience, and before all, devotion of dentists and dental technicians to reconstruct a complete shape and to help patient to get used to this compensation.

Partial plate dentures

A loss of smaller or bigger number of teeth is necessary to compensate. A modern technology offers various solutions, from implants, to fixed or combined prosthesis.
A general health condition, condition of remaining teeth and their support device, and a condition of jawbone, as well, dictate type of prosthesis. Unfortunately, financial situation of a patient can also represent an important factor in planning prosthetic therapy.
If, for any reason, is not possible to make fixed or combined prosthesis, we offer You a possibility of making partial plate dentures, which represent correct functional and aesthetic solution for Your problem. Our dentists recommend partial plate denture as a temporary solution, while conditions for production of fixed or combined prosthesis are gained.
Advantage of this compensation is the fact that it is pretty cheap. If it is correctly done, partial plate denture, as a temporary solution, is necessary for preserving interjaw relationships, it prevents moving or remaining teeth towards empty space, and with good part it gives back function to toothless jaws, and aesthetics is satisfying.

Partial skeleton dentures

Speaking in professional language, partial skeleton denture is maximally reduced mobile prosthesis for a certain type of edentulism. This means that if there are not conditions or indications for the production of prosthesis, this is the most quality choice of the therapy for the solution of the problem of edentulism.
This is a mobile compensation, so it is not fixed on Your teeth, but it is removable, mostly because of maintaining oral hygiene.
It is contained of metal base, which carries acrylic part with artificial teeth and retention elements which hold compensation on the available teeth.

Composite fillings

Composite filling considers applying material on front – visible side, front teeth in the first place, because of correction of their color, shape or position (and their mutual relationship). Here is, primarily, a word about cosmetic intervention, that for a final goal has achieving more beautiful look of teeth. That is why for fillings are used aesthetic materials – composites and ceramics. Both materials have advantages and disadvantages. The resulting effect is much better in regard to previous condition of teeth, and with this a completely natural look of teeth can be achieved.
By filling teeth is accomplished aesthetic effect that every patient wants – brighter teeth. Teeth can be corrected by veneering, in sense that they get volume and color, but regarding size of the teeth, that considers applying composite materials sometimes even on cutting edges of front teeth. Filling with composite materials belongs to a group of direct restorations, which means that they are done in only one visit, directly on teeth. Lasting of composite fillings, with proper maintenance of teeth and mouth hygiene is evaluated from 5 to 7 years. Namely, material is “used up”, especially in places of adhesion in contact with bottom teeth so it is necessary to do occasional corrections of composite fillings.

Ceramic veneers

Whether it is about slightly changed teeth position or changed color, these aesthetic flaws could be recovered by the appliance of ceramic veneers, which give extraordinary results.
According to a model that was obtained from tooth print outpouring of a patient, veneers are made with the help of a computer, which not only provides the most accurate measures possible, but it also injects ceramics and in such a way gives the most possible precision in veneer modeling. Special value of this method is in the fact that its appliance doesn’t require aggressive grinding of teeth, but taking off only very thin layer of tooth enamel. With veneers is actually changed natural teeth enamel, so in that way could be changed teeth color or made a smaller correction of position, size and general look of teeth.

A large number of people suffers from some disease of the supporting apparatus of teeth, called periodontal disease, and many of them don’t even know it. Symptoms include bleeding, bad breath and painful and swollen gums.
An ailment occurs on the edge of gums at first, progressing to deeper tissues – periodontium and jawbone. Between teeth and bones there are spaces which are called periodontal pockets, which get deeper in time, trapping food and making cleaning more difficult, which is convenient for bacteria development, deepening disease. If the disease stays untreated, big defects in bone will cause teeth looseness and falling out. A disease is progressive, it persists with mild symptoms for long time, therefore that is the reason of going late to a dentist. Regular controls and advices of Your dentist, with proper nutrition and oral hygiene can prevent occurrence of this disease, or, if the disease is already there, it is necessary to cure it and stop it by proper treatment.

Conservative therapy of periodontitis

Periodontitis is a disease of the supporting apparatus of teeth. It begins on the gums, spreads over periodontal onto the bone. According to the flow it can be acute and chronic. Acute periodontitis rarely appears as an isolated disease, more often it is a part of some general diseases or syndromes, and as a part of congenital or acquired immunodeficiency, as well. Chronic periodontitis is way more often. The biggest problem with this disease is that so much time goes by without symptoms or with very mild ailments, therefore, it is undiagnosed for very long time, unfortunately. By diagnosis and a therapy begun right on time, stopping of pathological process is accomplished, and by regenerative therapy and maintaining achieved results a complete recovery of structures.
However, untreated periodontitis causes loss of teeth, and the loss of bone, as well, therefore subsequent prosthetic rehabilitation is significantly more difficult.
Periodontitis therapy
Periodontitis cannot be cured, only stopped. Sometimes damages tissues and bones can be renewed, but unfortunately, in the largest number of cases it doesn’t happen. Treating disease can only stop further progress of declension of the supporting apparatus of teeth, but it will better the health of Your teeth and mouth. Therapy is long lasting because periodontitis is a disease that comes back and must be under control. The only solution is – prevention. Treatment that You need depends on how serious the disease is, respectively from the stadium of Your periodontitis. Dentists classify periodontitis as a mild, moderate or difficult.
In the initial phase, when gingivitis occurs, a treatment is very simple because pockets are slight and they don’t need a special treatment. Tartar and dental plaque we remove successfully with special device which uses ultrasound vibrations that rack tartar. After ultrasound treatment, we polish teeth with brushes and rubbers with the addition of special toothpaste until tartar is completely gone. We recommend mouth washing with special solutions, and in some cases we prescribe medical therapy.

Curettage of periodontal pockets

With a clinic examination, a doctor diagnoses periodontitis based on clinic symptoms, and according to the level of their expression, he determines a stadium of diseases:

Swelling and redness of the gums
Bleeding
Presence of periodontal pockets and presence of tartar, suppuration, concrements
Gingival recession
Oscillation and migration of teeth, teeth looseness and falling out

If the periodontal pockets are evident, after basic therapy we approach to elimination or to the important reduction of them. Depending on the localization and other charasteristics of periodontal pockets we take their treatment (curettage) or surgical treatment (flap surgery). The intervention is painless and it is done under local anesthesia.

The treatment of periodontal pockets is a theraupetic intervention that removes all pathologically changed tissues of periodontium. In the processing of periodontal pockets with proper curettes is removed pathologically changed tissue of gingiva, so this procedure is called curettage of periodontal pockets.

Surgical therapy

If a conservative therapy doesn't give wanted results, then it is necessary to approach to surgical methods of treatment. Before any type of a surgery, it is necessary to calm the acute symptoms, to set regular indications and to estimate the risks and the prognosis of the therapy.
We will try to explain You the procedure of the treatment and to enable You top experts from this section.

The most common causes of receding gums around some teeth are:

OCCLUSAL TRAUMA

- during closing the jaws some teeth might get in the contact more than other teeth. This relation of teeth is called traumatic contact because it leads to overload (traumatization) of those teeth. The consequences of the traumatic, that is the early contact are destructive changes on the gums and on the bone tissue. The most common causes of the early contact of teeth are:

Loss of tooth: - Loss of tooth brings leaning of the adjacent teeth and then those teeth are no longer equally burdened. Also, teeth from the opposite jaw „emerge“ on the empty space made of tooth loss and cause the moving of the lower jaw more difficult, and they are the cause of functioning of the mighty forces on some teeth, and they themselves could be exposed to function of mentioned forces.
Orthodontic anomalies of teeth and/or dental strings: - Similar to loss of teeth, various irregularities, before all, of the position of some teeth or group of teeth have for a consequence to make those forces that act in the mouth on those teeth differently than when they are in their normal position and those teeth get overloaded. As a consequence of acting of these forces, comes to receding gums and loss of bones, mostly on one side of the tooth only. Also, these anomalies make selfcleaning and cleaning of oral cavity difficult, which enables easier accumulation of dental plaque, tartar and concrements that for a consequence has the deterioration of the clinical picture.

BAD TECHNIQUE OF BRUSHING TEETH

- using horizontal moves, brush with hard fibers and use of higher pressure than needed during washing teeth is defined as the aggressive brushing teeth.That for a consequence has damaging soft tissues, that is gums, and that is manifested with their receding, and with the appearance of the shallow defects on stripped part of the tooth, that is the root.

HIGH MERGES OF FRENULUM AND BLISTER

- During disorder in the development, merge of frenulum and blister (mucous plications in mouth) can be in close proximity to edge of gingiva. Then during the food chewing, mimicry, teeth washing and similar, through them is transfered traction on gingiva in the middle of which the edge of gums is separated from the teeth and then comes to its moving and to the abrasion of tooth neck.

INADEQUATE PROSTHETICS AND FILLINGS

- too wide crowns, fillings which protrude, prosthetics that are cause of traumatic contact...

Laser therapy

It works very efficiently both on soft and hard tissues of oral cavity.
The effect of a laser on soft tissues provides a less invasive „surgery without blood“, a minimum of post-operative complications and a painless intervention. Surgical indications for the appliance of laser on soft tissues are numerous: gingivectomy, frenulum removal, incision and drainage of apscesses, closing of the fistula, detection of implants, treatment of peri-implantitis...
Nowadays, the use of the laser is an indispensable part of the successful therapy of periodontal diseases because it has anti-inflammatory and bactericidal action. By destroying bacteria in inflammated gums, it comes to healing the gingivits and stopping the progress of periodontitis as the most common disease of oral cavity of the modern man.

Oral surgery deals with surgical treatment and taking care of hard and soft tissues of oral cavity. Considering the fact that it is the most invasive branch of dentistry, it requires special approach, knowledge and devotion, as of the doctors, so of the patients, as well. In the goal of providing the most quality service, dentists of our office make an effort to establish the indications for the surgical treatment by doing the detailed examination, to do necessary pre-surgical preparation and then to provide consultation and a therapy of top experts from this area.

We will try to direct You in the principle and the mode of the surgical treatment, to explain advantages and eventual risks and to try to make Your treatment go by with as little inconvenience and complications as possible.

Teeth extractions (pulling teeth)

This is the most common oral-surgical intervention and it belongs to routine methods of treating. Although we try to keep You from tooth extraction, sometimes, it is really unavoidable. Using modern instruments and careful work, we try to make this ugly experience, for most of the patients, as more pleasant as possible.
If You have any doubts, questions or ailments, contact Your dentist.

Surgical tooth extraction (complicated tooth extraction)

Although a tooth extraction is a routine intervention, a general dentist practitioner does it, it doesn’t last long and it goes by, less or more, without complications, although there are cases when it is necessary to hire the knowledge of a specialized dentist-oral surgeon, as well as the special instruments, to get the tooth out. Whether the tooth extraction is “regular” or “surgical”, it depends, before all, from the tooth itself and from the reason of extraction, then from the position of surrounding anatomic structures, and much less from the knowledge and effort of general dentist. Our doctors try to use all of their skills, knowledge and modern instruments available, but if they estimate that, for Your health, is better that extraction is done by an oral surgeon, in our centre we have top experts from this area.

What does the surgical procedure look like?
Depending on what is the reason of surgical tooth extraction, dentist will plan a way on how to access the tooth, how to remove it and how to take care of the wound. A procedure is done under local anesthesia, the intervention itself is painless but uncomfortable, because, even if You don’t feel the pain, You can feel the pressure. Since the fact that in this procedure is made surgical cut, it is necessary to sew up the tissue. Stitches remain in mouth from 7 to 10 days, and then they are removed. Considering the fact that this is about invasive intervention, it is necessary to stick to the instructions of a dentist about nutrition and a method of maintaining oral hygiene

Apicoectomy and cystectomy

On the end of the tooth root some changes might appear that seem like globular lights on RTG footage. This is about either infective changes-abscesses and granuloma, post-traumatic changes – traumatic cysts, or developing anomalies – developing odontogenic cysts. They are diagnosed mostly by RTG footage, if they are asymptomatic, but very often they give symptoms which involve pain and swelling, so that is the reason for coming to the dentist.
A completely correct diagnosis, to see if it is a cyst or granuloma, can only be shown by histopathological analysis of the tissue. Apicoectomy and cystoectomy are surgical methods of treating periapical changes. It is necessary to remove the change completely from the bone. That is the only reliable way. In the same act is treated the tooth that caused it, the end of the root is shorten and the canal of the root is hermetically closed. If the cystic lesion has seized the larger part of the root, it is necessary to pull out the tooth that has caused it, and to surgically remove the change. An intervention is done under local anesthesia, which is enough for a patient not to feel any pain. Stitches are taken out in a week. A tooth treated like this can stay in the jaw for a very long time and be involved in prosthetic rehabilitation (as one of the carriers of the bridge).

Surgical removal of impacted wisdom teeth

Wisdom teeth (also known as third molar) are teeth that appear on the edge of the mouth between the age of 18 and 25. They are the last to grow of the permanent teeth.
A big part of the population doesn’t have enough space in their mouth for these teeth and they end up with their extraction. If they grow and they are set normally in the dental arch, they can be very useful. If You wash them properly, they can last for a lifetime.

Because they are last to grow, very often there isn’t enough space in jaws for them, sometimes they appear in the mouth only a half or aren’t seen at all. Then, we call them impacted teeth.

Why impacted teeth represent a problem?

Caries
Infection
Cysts
Fracture of the lower jaw

Frenectomy

Frenulum is a mucous membrane fold which contains muscle and connective tissues.
In the oral cavity, frenulum is the most prominent on the junction of upper lip and alveolar ridge of upper jaw, set between upper central incisors. Also, frenulum exists on the junction of lower lip and alveolar ridge of lower jaw. The lingual frenulum is located on the junction of tongue and floor of the mouth. All people have frenulums, less or more expressed.

If their dimensions are big or if they are located so that they endanger the teeth and their supporting apparatus, or if they interfere with the function of the orofacial system, it is necessary to surgically remove them. Removal of the frenulum or moving its solder is called frenectomy.
It is done under local anesthesia, it is painless and doesn’t last long. The occurrence of complications is very rare, and if they do appear, they have a mild character. Frenulum can also be a cause of the occurrence of recession on teeth which are near to its solder.
By removing it in an early period of life, we can prevent their occurrence, but also, therapy of recession is pointless without the removal of the frenulum. If it is expressed, lingual frenulum might endanger moves of the tongue, therefore it interferes with the chewing, swallowing and talking.
Expressed frenulum endangers stability of prosthesis, so in that case, it is removed from the prosthetic indications.

The plastic closure of oro-antral communications

Trauma of the maxillary sinus
This complication can happen during extraction of any lateral tooth in upper jaw. Besides all precautions that are taken, sometimes this complication, practically, is unavoidable because of the size and position of maxillary sinus. Treating a complication of sinus opening depends on many factors. If it is possible (small hole, no infection), the hole closes with a simple pressure on the ends of the wound. If the hole is too big, then the surgical closing of the wound is done. When it is about injecting a part or a whole root, then the sinus gets open, a suppressed root is removed and the sinus is closed.

Circumcision

If there is a partially erupted tooth in Your mouth, You will notice a piece of gum tissue (operculum) over it, under which gets food and bacteria. That space is unapproachable for cleaning, and also for self-cleaning mechanisms, therefore it often leads to inflammation (pericoronitis).
In most of the cases, a tooth like that should be removed because it could lead to serious problems, but sometimes, it is necessary to remove only the soft tissue that bothers.
It is necessary to go to the dentist who will, based on the clinic examination and on the analysis of RTG footage, estimate which therapeutic procedure will adequately solve the issue. This is about simple surgical procedure that serves as a therapy for pericoronitis (inflammation of dental tissue above unerupted tooth). This is done under local anesthesia, it lasts for about 20 minutes and, mostly, it goes by without, or with very mild ailments. Pain and swelling will reduce themselves in few days, and the tooth will erupt when the time comes.
Stick to advices of Your dentist, maintain oral hygiene.

Pre-prosthetic surgery

A large number of people owns and wears mobile prosthesis. But, smaller percent of them isn’t satisfied with their dentures for many reasons. Modern pre-prosthetic surgery is capable to solve large number of these cases with various operative procedures on surrounding soft and bone tissues, by changing anatomic relations of the denture tray area and in such a way to enable production of functionally satisfying and aesthetically acceptable prosthesis.
By detailed analysis of Your problem, we will offer You the most constructive solutions.

Orthodontic surgery

Sometimes, within the orthodontic therapy of some malocclusions, it is necessary to do smaller surgical procedures so that the primary therapy would be enabled or improved.
While planning this intervention, collaboration and cooperation of the team is necessary, and that includes an orthodontist, oral or maxillofacial surgeon, periodontist if needed, but also You dentist who will follow the course of the therapy and control Your teeth and gums. In our team there are top experts from this area who will lead You through the whole procedure, so that the complete therapy would go by as much pleasant and without complications as possible.

Therapy of alveolitis

A healing disorder that is known in literature as a “dry socket” (dry alveolus).
Frequency of this complication is somewhere from 1,2 to 2,0%. It usually occurs after extraction of gangrenous pulpitis teeth. It occurs more often in the lower than in the upper jaw, also it is more often with men than women, and in the spring rather than in the other seasons.

Gingivectomy – Gummy smile

A correction of gummy smile means prolongation of clinic crown of teeth. This correction is performed routinely, and there are two methods:

using laser if a smaller correction is necessary.
classic surgical – periodontal method if bigger corrections are necessary.

Also, these two methods could be combined.
Which method will be used depends on the condition in Your mouth, which is determined by the dentist examination by the oral surgeon. A time needed for the intervention itself depends on the number of teeth that are going to be corrected. Average time is around 30 or 40 minutes.

Composite fillings – White fillings

White fillings, that is fillings that imitate a color of tooth represent confident materials that we can rely on, and to give a patient beauty and continuance. Continuous work on the improvement and development of aesthetic (white) fillings has almost completely repressed the so-called black or amalgam fillings.

Composite restoration (white filling)
A preparation of cavity and application of restoration represents one of the most common medical interventions, and the reason for that is a large presence of tooth decay. A process contains from removing carious tooth tissue with mechanical dental instruments, and after that setting adequate restoration in the cavity.

Restoration of treated teeth with composite build ups

When the tooth is treated, it is much more weak than vital teeth so it could easily crack. The reason of the tooth weakness is a lack of dental tissue, which is damaged by tooth decay or trauma, but also because by getting the nerve out, metabolism got disturbed, so the remained tissue becomes lean.
We make an effort to strengthen the treated tooth with adequate methods, and by the appliance of aesthetic restorations to replace the dental hard tissue that is missing, so that the tooth gets back its function, taking care of maximum aesthetics.

Endodontic tooth treatment (dental treatment)

If there is an inflammation of tissue inside the tooth (dental nerve) in the middle of infection, trauma or tooth decay, the tooth needs a treatment. Usually the symptom that shows that something is not okay is the pain, and if it lasts it brings a patient to a dentist. Treating teeth demands dedication of a dentist, but also of a patient, because it is necessary to visit the office more times.
A policy of our office is to do everything so that the nerve disease doesn’t happen, but if it happens anyway, we will try to keep the tooth with minimum number of visits, using contemporary knowledge, materials and technology in the combination with the experience of leading experts from this area of dentistry.

Ultrasound removal of concrements (tooth decay) and pigmentations

Ultrasound removal of concrements and pigmentations is a painless method that is necessary to do at least once in 6 months. After that is done polishing with the high abrasive polish tooth paste and the rotating tooth brush so that the formation of tooth decay would slow down.

Sandblasting for teeth

A professional teeth cleaning represents selective removal of soft and hard dental deposits and pigmentations from the teeth, whereby a special attention is given to those surfaces which are usually neglected during the cleaning by patient.

Hard dental deposits (tartar) is removed with the ultrasound device.
Soft dental deposits, pigmentation, stains from wine, coffee, tea, cigarettes, are removed by the system AIR-FLOW in modern dentistry.

Most often, we find pigmentations on smokers’ and on teeth of those who drink lots of colored beverages such as coffee and tea. They are very hard to remove with a brush and classic ultrasound technique of removing tartar on teeth. They appear as dark brown to black stains on the teeth surface, most intensively on gums and on those places which are hard to reach for maintaining hygiene. A procedure is called sandblasting for teeth. This is, practically, a detox therapy of the whole lower oral cavity, it is done with a special device designed to throw out, under strong pressure, gas particles (sodium bicarbonate with different tastes, lemon, strawberry…) and water on surface and between every tooth.
Treatment that is painless, pleasant and harmless for a patient and its teeth. After this procedure, teeth get smoother, brighter, cleaner, and their color is whiter for one shade. In our office we recommend this procedure to everyone who wants to make their breath fresher.

Removal of periodontal pockets

With constant destruction of tissue between teeth and gums, are created the so-called pockets, in which piles up pus and deposits a special type of tartar. These pockets are the cause of further destruction of tissue around teeth so that in the age of 30 or 40, begins teeth oscillation.
A sign that the disease has made progress is looseness and a change of position of teeth in the jaw. Teeth get crooked or moved apart. When teeth are loose enough, usually they fall our spontaneously, and some of them must be pulled. Bad hygiene of mouth and teeth is another factor that helps the development of periodontitis.
Periodontitis can be prevented by proper hygiene of mouth and teeth. Washing teeth means brush that lasts for 3 minutes with a quality brush in the direction of teething. Also, removal of tartar is very important.
In the treatment of periodontitis, the most important thing is the removal of periodontal pockets. Removal is done with surgical or nonsurgical procedures, and within those procedures, today, are used artificial bone implants that are called artificial bone.
Patients endure these operations very well, even better than teeth extractions. A result of the treatment, with a good part, depends on the patient who maintains the result of a surgery with proper hygiene of mouth and teeth.

It is never too early to bring Your child with You to meet us. Our approach to children includes a wide plan range of various techniques so that we could solve any problem or prevent its consequences. Before all, we make an effort to free the children of fear and to teach them, that with our and the help of parents, they take care of their teeth.
We dedicate our special attention to the prevention in children age, because we have proven that, with a small effort, it is possible to keep teeth completely healthy and to prevent the highest number of orthodontic irregularities. Examinations and all preventive measures are completely painless, child will relax, and in a friendly environment will learn to trust the dentist. By regular controls all problems could be detected in time, so that the eventual interventions would be minimal, and the child would except them without difficulties.
We will teach Your child together to take care of health, which is a guarantee of beautiful and healthy smile for a lifetime.

Motivation and training course for maintaining oral hygiene

Regular teeth washing
Regular and proper teeth washing represents a basic measure of oral hygiene and this is a necessary condition for prevention of occurrence of tooth decay and gum diseases. Besides that, only a small number of adults uses proper technique of teeth washing. Washing teeth requires minimum 3 to 5 minutes, within which with regular moves of a brush is removed food, plaque and bacteria from the surface of teeth and tongue.

Fluoridation

Fluoridation of teeth is done twice a year with a procedure that is simple, painless and interesting for children. Highly concentrated fluorine in the gel shape is applied on rubber spoons and applied in the mouth of a patient. This procedure lasts for 5 minutes.

Milk tooth extraction (pulling milk teeth)

Oscillation and falling out of milk tooth is a physiological phenomenon, so, it is completely natural and the nature made an effort to make it go by, mostly, without problems.
Root of a milk tooth reabsorbs and tooth begins to oscillate until it falls out. Since the oscillation is painless or has very mild ailments, children usually find it interesting to move the tooth with their tongue or fingers.
Extraction of milk tooth, before or after a period of time that is predicted for that, could lead to certain complications, so it wouldn’t be a bad idea to visit a dentist before it comes to that and to consult with him about upcoming shift of teeth of Your child. That is a nice opportunity for a child to visit a dentist on a short examination, without fear of any intervention and to relax in the office. Extraction of milk teeth represents an easy surgical intervention, especially if it is about physiological shift and advanced resorption. It is necessary to have a specially careful approach to a child, with the understanding and patience so that the negative experience or the presence of fear would be avoided. Oral – surgical procedures with children are best to do in morning hours when the kids are rested and fresh. It would be good for children to have a meal and satisfied physiological needs from 1.5 to 2 hours before the intervention.
To prevent complications after extraction of teeth, we give parents instructions about child’s behavior after tooth extraction:

Do not rinse the mouth
Do not chew the lips and cheeks (because painful wounds can occur after anesthesia stops working)
To take mushy and warm food

Fixing children’s teeth

Tooth decay of milk teeth – Circular tooth decay
Circular tooth decay is the most serious form of tooth decay on milk teeth. It is also known as BABY SYNDROME – CHILDREN’ BOTTLES. Tooth decay process makes a fast progress and it occurs usually on incisors of the upper jaw – these teeth are the first ones to erupt, and they are exposed for the long time to various sweetened drinks that are given to children in children’s bottles. While the child is sucking or drinking from the bottle, lower teeth are protected with the tongue so that this tooth decay is rarely localized on them.

Therapy
Therapy of tooth decay on milk teeth is COMPLEX
Parents should be convinced to CHANGE BAD HABITS IN THE CHILD’S NUTRITION, that have caused tooth decay. It is of crucial importance to REGULARLY AND PROPERLY MAINTAIN ORAL HYGIENE, something that parents are informed and educated about when a child is 12 months old.
In partnership with pediatrician, FLUORINE PREPARATIONS should be given to a child, for endogenous and exogenous application. Doses are determined by dentist who gives instruction for use to a parent. Success of a therapy of the tooth decay is better if a little patient comes in the early phase of the disease. Because of that are necessary THREE-MONTH AND SIX-MONTH CONTROLS AT THE DENTIST’S. In the Centre for aesthetic dentistry Simic DENT there is a possibility of remediation of tooth decay of milk teeth under local anesthesia and filling them with composite materials of different colors (pink, green, orange and so on), which represents an extra stimulation for children for the remediation of tooth decay processes.
Untreated tooth decayed milk teeth or prematurely extracted milk teeth damage:

normal function of chewing food
regular phonics
aesthetics
they cause various orthodontic teeth anomalies

Covering pits and fissures

An indispensable part of the prevention program is a prophylactic procedure of covering, that is protecting pits and fissures of biting surfaces of teeth from the cariogenic factors in the mouth. This procedure is one of the most efficient methods in the prevention from caries. Primarily are protected first permanent molars that are indubitably the most important teeth for the development and function of organs for chewing. This simple, painless and safe measure is intended for just erupted teeth, but also for every tooth that is valuated to have a high risk of getting caries. These are minimally invasive dentist procedures that children accept easily, and they contribute to preservation and advancement of health and mouth.

Professional teeth cleaning

Maintaining Your mouth clean is one of the most important things You can do to keep Your smile healthy. Regular controls and cleaning at the dentist’s are very important. This means professional removal of soft and hard deposits off the teeth, such as tartar, concrements, pigmentations and dental plaque, with the use of the ultrasound and rotating brushes and rubbers for polishing. Tooth pastes and solutions that are use in that process are adjusted to Your needs.

Making splints and mouth guards

Making of the dental guards
Teeth injuries are a common reason for visiting a dentist.
Force that acts, whether it was directly on a tooth or through soft tissues and cheeks and lips, could lead to serious injuries of hard dental tissues and dental nerve. These injuries can happen in every life situation, but there are professions and hobbies that carry higher risk of getting hurt. If You are doing contact sports, professionally or for recreation, we offer You the making of the individual guard for teeth and their supporting apparatus, that will neutralize action of weaker, and significantly mitigate damaging effects of stronger forces. Made by the print of You teeth, it is produced from special transparent rubber, without taste and smell, it is pleasant for wearing, it doesn’t impede You while doing sports, and it can prevent serious injuries.
Making of the splints for bruxism
Bruxism is a parafunctional, unconscious and purposeless action of teeth grinding and gnashing.
Mostly it occurs during the sleep, we are not aware of it, but told by close people or a dentist during the examination. Besides ruining hard dental tissues, dental nerve is also threatened, because constant irritation leads to changes on it. Bruxism that lasts for many years will unavoidably cause loss of teeth and changes on the jaw joint. An individual splint for bruxism will prevent wasting of hard dental tissues and mitigate changes on the nerve and supporting apparatus. It will not cure the bruxism, but it will significantly alleviate its consequences. If You wear Your splint every night, maintain and change it properly, when it’s damages, then in time new reflex pathways will be created, therefore these moves will get weaker until they are completely gone.

A mechanism of correcting teeth is founded on possibilities of moving teeth with orthodontic devices without any damaging consequences for the tooth, and before all, possibility of the bone to adjust on the influences of various forces, that is to react on pressure by degradation, an on the pulling by creation of a new bone.

Mobile orthodontic apparatus

Mobile or movable plate orthodontic apparatus represents the most common aspect of orthodontic apparatus for patients. These apparatuses, in a big percent, are efficient for correcting almost all types of malocclusions, while the procedure of their making is pretty simple and doesn’t represent a big load for a patient. The fact that most of the patients, that these apparatuses are made for, are children is very important because with this is prevented the hostility of children towards these apparatuses.
Mobile plate apparatuses move teeth by making pressure on the tooth crown. They do it through their active elements (hooks, springs, screws and so on). Some of those elements act automatically (hooks and springs), while some must be activated (screws). These orthodontic apparatuses must be worn at night during the sleep, and also MINIMALLY 4 to 5 hours during the day.

Fixed orthodontic apparatuses

Fixed orthodontic apparatuses are, as their name says, set on teeth and in that way only therapist can set them and remove them. Fixing is usually done by special parts, that is through attachments and locks.

A therapy with fixed orthodontic apparatuses is individual and can last from six months to over a year.
However, the orthodontic therapy doesn’t end with taking the fixed apparatus off. It can be considered done only if after the cessation of wearing this apparatus, a new position of teeth is not changed.
From the experience is known that changed teeth, after the cessation of wearing the apparatus, have a tendency to go back to their first position. To prevent this, after taking the fixed apparatus off, are set, so called, retentive apparatuses. They can also be fixed, but more often they are mobile and by their look they are similar to mobile plate apparatuses (dentures for children). Duration of wearing these dentures depends on, before all, the malocclusion that was treated. Depending on that, these apparatuses are worn from one to several months.
In our office You can choose a fixed orthodontic apparatus with metal or ceramic locks.

Teeth correction with foil – Invisalign

Transparent foils have a remarkable functional effect and they are aesthetically the most acceptable method for getting teeth in the regular position.
Most often, front teeth are moved and the treatment is contained from getting teeth prints and making several thin transparent foils that are worn at night. Foils, gradually, make pressure on teeth and get them to a wanted position. Treatment usually lasts for several months, and first results are seen very soon. Besides extremely easy maintenance of hygiene, the advantage of this method regarding to classic metal locks, is also in the aesthetic looks.

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