X-Ray diagnostics

Among other state-of-the-art machines and instruments, our surgery is equipped with an apical & panorama radiograph – RTG.

A panoramic x-ray of the entire jaw is taken in a special machine. The image created displays the entire jaw, including the areas that cannot be seen in a complete set of x- rays, such as wisdom teeth, sinuses and the joints.

Digital x-ray diagnostic facilities are provided in a separate x-ray room and allow for the immediate viewing of the radiographs in every treatment room.

Beyond the state-of-the-art machinery, we offer our diagnostic excellence and experience. Following a patient referral for a functional diagnosis and case planning, a detailed diagnosis and report file are provided by our staff, which referring doctor may use as a basis for subsequent treatment.

Considering the patient’s general condition, thorough examination of the mouth, teeth, dental socket, bony frame, mucous membrane, masseter and stomatognathic system with an X-Ray and a Panoramic X-Ray is essential, for a corrective therapy can only be selected following the establishment of proper diagnosis.

Cancer screening, biopsy

Cancer can affect any part of the mouth, including the lips and tongue. If the cancer is not detected at an early stage, tumors can grow deep into local tissues and spread to lymph glands in the neck.

Regular dental check-ups, including an examination of the entire mouth, are essential in the early detection of cancerous and pre-cancerous conditions. You may have a very small, but dangerous, oral spot or sore and not be aware of it.

Your dentist will carefully examine all areas of your mouth. In about 10% of patients, the dentist may notice a flat, painless, white or red spot or a small sore. Most of these are harmless; however, harmful oral spots or sores often look identical to those that are harmless – testing can tell them apart. If you have a sore with a likely cause, your dentist may treat it and ask you to return for a check-up.

A thorough, systematic examination of the head and neck takes only a few minutes and can detect these cancers at an early and curable stage. Our goal is to discover oral, head and neck cancers early, before patients manifest a complaint of pain, a mass, bleeding, otalgia or dysphagia. Diagnostic errors are most often due to omission; therefore, the importance of a systematic approach to the oral, head and neck cancer examination cannot be overstated.

Many medical conditions, including all cases of cancer, must be diagnosed by a biopsy, when a sample of tissue is removed for examination by a pathologist. The tissue sample that has been lifted from the patient is sent to the anatomical pathologist who prepares a written report designed to help the primary doctor manage the patient’s condition appropriately.

Tartar may cause gingivitis, gingival bleeding, bone destruction, tooth loss and foul breath, and inflammation caused by tartar can become a focal infection. Tartar removal and gum health are very important for keeping the teeth healthy; therefore, a regular dental hygienic treatment can help in preserving health and improving the patient’s general condition.

Condition preserving treatments

• Aesthetic fillings

  Composite resin fillings are a mixture of powdered glass and plastic resin, and can be made to resemble the appearance of the natural tooth. Most modern composite resins are light-cured photopolymers. Once the composite hardens completely, the filling can then be polished to achieve maximum aesthetic results.

  Inlay

  Inlays and onlays can be made of composite, porcelain or gold. These pieces are bonded to the damaged area of the tooth. An inlay is used inside the cusp tips of the tooth, whereas an onlay extends to replace a cusp.

  Traditionally, gold has been the material of choice for inlays and onlays. In recent years, with advanced technology, ceramic (or porcelain) has become the material of choice for its natural appearance, strength and ability to bond directly to enamel.

  Root canal treatments

  What is root canal treatment?

  Root canal therapy refers to the treatment of the inner aspects of a tooth, specifically the area inside a tooth originally occupied by the tooth’s “pulp tissue”. Most people would probably refer to a tooth’s pulp tissue as its “nerve”. While a tooth’s pulp tissue does contain nerve fibres, it is also composed of arteries, veins, lymph vessels, and connective tissue.

  Where precisely in a tooth is its nerve?

  While teeth are hard calcified objects, they are not completely solid. In the innermost aspect of every tooth lies a hollow space which, when a tooth is healthy, contains the tooth’s nerve tissue. Dentists use the following terms to refer to various portions of this nerve area:

  The pulp chamber is a hollow space that lies more or less in the centre of the tooth.The root canal: The nerve enters each tooth, in generalities, at the tip of its root. From this point the nerve then runs through the centre of the root in a small “root canal”, that subsequently joins up with the tooth’s pulp chamber.

  What are the functions of a tooth’s nerve tissue?

  People in general think that a tooth’s nerve tissue is vitally important to a tooth’s health and function. In fact, a tooth’s nerve tissue plays an important role in the growth and development of the tooth, but once the tooth has erupted through the gums and has finished maturing, the nerve’s only function is sensory (it provides the tooth with the ability to feel hot and cold).

  With respect to the normal day-to-day functioning of our mouths, the sensory information provided by a single tooth is really quite minimal. Dentists realize that on a practical level it is pretty much trivial whether a tooth has a live nerve in it or not: if a tooth’s nerve tissue is present and healthy, wonderful; but, if a tooth has had its nerve tissue removed during root canal treatment that is fine as well, and the patient will never miss it.

Atypical teeth are more difficult to clean and they are under greater strain; therefore, they may become loose and may be lost sooner, causing aesthetic discomfort. Atypicalteeth can be corrected readily in childhood and often in adulthood as well.

Crown and bridge

Crowns cover the discoloured or crumbled teeth and bridges replace the missing ones. These can be made of metal-ceramics or gold ceramics. At the first visitation, the preparation of the teeth is followed by the creation of imprints that become the temporary crown or bridge.

If any surgical treatment is needed, such as extraction, root- apex resection, rootcanal-filling, it must be done before the prosthetic treatment.

A plan is devised after examining the panorama X-ray picture.

Fixed bridge combined with partial prosthetis

When the number of stable teeth remaining is not sufficient for a fixed bridge and implantation is not a possibility, a partial prosthesis created. The prosthesis can join tothe crowns with a clip, patent fastener, slide or telescope-crowns. The treatment time is individual as it depends on the type of prosthesis needed.

If stable teeth do not remain and implants are not possible, removable prosthesis is created.

Implantation

The dental studio is equipped for replacing missing teeth with implants. An implant is a titanium screw fixed into the bone, onto which, after complete healing, a dental prosthetis can be built. The greatest advantage of an implant is, that the patient may be able to receive a fixed bridge instead of a removable prosthesis. In other cases, the implants increase the stability of a prothesis. If only one tooth is missing and an implant is created, the neighbouring teeth do not need to be prepared, and, therefore, remain intact. Based on the panorama X-ray and the state of the mouth, our dental surgeon determines the possiblity of implants. After three months of healing, the new bridge or prosthesis is made. The preparation of a fixed bridge or crown takes one week, and a combined procedure a few days more.

Root-End resection

Root-End Resection is the removal of the root tip and the surrounding infected tissue of an abscessed tooth. This procedure may be necessary when inflammation and infection persists in the area around the root tip after root canal therapy or root canal retreatment.

Step one: Under local anaesthesia, the gum is reflected (lifted) to uncover the underlying bone and the root end of the tooth. The root-end is resected (removed) along with all the surrounding infected tissue.

Step two: A root-end filling is placed to seal the end of the root canal, the gum is repositioned, and a few dissolvable sutures (stitches) are placed to hold the gum tissue back in its place until healing occurs.

After a few months, the bone around the root-end has healed, and all symptoms are gone.

Wisdom-tooth extraction

A wisdom tooth is extracted to correct an actual problem or to prevent problems that may occur in the future. When wisdom teeth come in, a number of problems may arise:

The jaw may not be large enough to accommodate them, and they may become impacted and unable to break through your gums.

The wisdom teeth may break partway through your gums, causing a flap of gum tissue to grow over them. Food and germs can become trapped under the flap and cause your gums to become red, swollen, and painful. These are signs of infection.

One or more of the wisdom teeth may come in at an awkward angle, with the top of the tooth facing forward, backward, or to either side.

Impacted teeth

Teeth are described as impacted when there is not enough space for them at the back of the mouth. Impacted wisdom teeth can cause pain, swelling, infection or damage to the teeth next to them. If the gum around the wisdom tooth is swollen, the jaw may become stiff and sore. Infection at the back of the mouth can cause bad breath and a bad taste.

The surgical removal of one or more wisdom teeth can relieve these problems; however, removing the wisdom teeth does not usually improve crookedness or crowding in other teeth.

People who have problems such as infection, cysts or tumours, tooth decay, or gum disease around a wisdom tooth should think about having it removed. People who have impacted wisdom teeth that are not causing problems do not need to have them removed.

Post-operative Instructions

Please read the instructions here.

A sole orthodontic treatment to compensate for the malposition of the upper and lower jaw due to developmental disorders is not always sufficient.

Therefore, in order to achieve an aesthetic and functional result, a surgical approach is necessary.

In these cases, after detailed analysis and consulting with the orthodontist, the treatment starts with the surgical procedure.

The following steps of the treatment depend on the individual needs of the patient.

The orthognathic surgery is done under general anesthesia followed by a hospitalisation for 2-3 days in the Szent Imre hospital.

We provide guarantee for the treatments as follows:

• Implantation: 2 years
• Implant “product only”: 8 years
• Removable restorations: partial detures 2 years; full dentures 2 years
• Fixed restorations: bridges, crowns, inlay 3 years
• Fillings: 3 years

The temporaries are not included in the guarantee.

The guarantee does not cover travelling costs and it is only valid for remedial dental work.

The guarantee of the implants is valid only if the OralStudio will complete the full work such as placing the implants, the crowns/bridges, denture and removing the stitches as well.

The guarantee will be reduced or invalidated if:

• Oral hygiene is neglected
• Dentist’s instructions are not followed
• Removable restoration (e.g. partial or full dentures) are not kept and maintained properly
• The gum tissue or teeth bone is naturally declining
• If the patient does not visit the dentist for a routine check-up at least once a year
• Accidental damage e.g. dropping dentures
• In case of a general desease occuring that has negative effects on dental condition

3D Imaging Benefits

• Expert diagnoses- Both general practitioners ans specialists can diagnose faster and with greater confidence
• Greater capabilities – Can be used to identify impacted and supernumerary teeth, for molar removal, root canal treatment, pre-surgical planning and more
  -True –to-life vision – See anatomical situation from any angle, without distortion, overlap or misinterpretation
• Better communication – Easier for patients to see, understand, and accept their diagnoses
• Fast appointments – Reduce waiting time for patients, as well as number of appointments
• Quick payoff – Easy-to-understand images and confident diagnosis result in increased treatment plan acceptance

3D Applications in Otrhodontics

• 3D understanding of the spatial relationships of the teeth
• Evaluation of impacted, supernumeraries and ectopic teeth
• Assessment of growth
• Planning and placement of (TAD) temporary anchorage devices
• Design of custom appliances
• Assessment of alveolar ridge shape and volume limitations
• Scan stone models/ impressions to create digital model

Low Dose Imaging
3D images at a lower dose than panoramic images

• Drastically reduce dose and scanning time while maintaining diagnostic image quality
• Dose reduction between 87% and 92% as compared to standard mode
• Covers multiple applications:
  • implant planning
  • follow-up exams
  • pediatric examinations
  • analyze of skeletal symmetry
  • impactions/supernumerary evaluations

Implant Planning

• Prosthetic-driven planning approach
• Combines 3D X-ray, digital impression, virtual crown and 3D implant planning
• Reduces treatment steps and appointments through a fully digital, model-free workflow
• Enhances communication, resulting in increased treatment acceptance
• Compatible with dual scan protocol