Services of Dr. Surina Dental Clinic

When is an implant the right choice?

• when one tooth is missing, where the implant is completed with an abutment and a ceramic crown,
• when several teeth are missing and an implant-supported bridge can be made,
• when all teeth in the jaw are missing, where solutions such as All-on-4, a bar-retained denture or locator-retained denture may be suitable,
• when poor denture stability makes normal eating difficult,
• when we want to replace a tooth without grinding down healthy adjacent teeth.

How is the planning carried out?

Before every implant placement, we perform an examination and a 3D scan. This allows us to assess the width, height and quality of the bone, the position of the nerves and to choose the appropriate implant. Based on the scan, we also assess whether artificial bone grafting or sinus floor elevation will be needed during the procedure.

The implant placement process

• the procedure usually takes 30 to 60 minutes, depending on the case,
• dental implants are placed under local anesthesia, so the patient does not feel pain during the procedure,
• swelling and mild pain may occur after the procedure,
• after placement, smoking, alcohol, pressure on the implant site and greater physical effort are not recommended,
• the implant usually integrates with the bone in approximately 3 to 4 months,
• after successful integration, prosthetic restoration, impression taking and fabrication of the final replacement follow.

Possible solutions

• ceramic crowns,
• dental bridges,
• implant-supported restorations – implant prosthetics,
• custom-made dentures,
• aesthetic restoration of damaged teeth.

Dental bridge and crown

The loss of one or more teeth does not only affect confidence, but can also cause the remaining teeth to shift, changes in the bite, more difficult hygiene and a higher risk of oral diseases. A dental bridge is a common prosthetic solution for filling tooth gaps and consists of connected crowns and one or more intermediate units.

At least two healthy and strong teeth next to the gap are used as bridge supports. If only one tooth is missing and the remaining teeth are healthy, a dental implant is often a more suitable solution, because the adjacent teeth do not need to be ground down.

Inlay and onlay

Inlays and onlays are prosthetic restorations for teeth damaged by decay, larger fillings or injuries. They are used as a less invasive alternative to a crown, because only the damaged part of the tooth is removed, while healthy tooth structure is preserved as much as possible.

An inlay is placed between the cusps of the tooth, while an onlay is larger and also covers one or more tooth cusps. They can be made of composite or ceramic, fit the tooth well and have a long lifespan with proper hygiene.

Solutions for an edentulous jaw

• implant-supported denture,
• bar-retained denture,
• fixed All-on-4 or All-on-6 solution,
• individually planned prosthetic rehabilitation.

All-on-4 and All-on-6

All-on-4 or All-on-6 is a fixed solution for replacing all teeth in one or both jaws. The teeth are fixed onto dental implants, which avoids many problems of traditional removable dentures, such as poor stability, slipping and pressure sores.

This solution is suitable for patients who are not satisfied with full dentures, have failing fixed bridges or are not satisfied with the appearance and function of their teeth. From both an aesthetic and functional point of view, it is a very high-quality solution.

Bar-retained or locator-retained denture

In addition to the fixed All-on-4 or All-on-6 solution, a removable implant-supported denture is also possible. With this solution, the denture is attached to and supported by implants, so it is stable, does not move and does not cause pressure, while the patient removes it daily for cleaning.

Before starting whitening

Before professional whitening, decay must be removed and any gum inflammation must be treated. Once the condition of the teeth is suitable, we take impressions and use them to make individual whitening trays.

How does the procedure work?

• first, you arrange an examination and assessment of suitability for whitening,
• before starting, decay and gum inflammation are treated if necessary,
• we take impressions of your teeth,
• we make individual whitening trays,
• with the help of the trays, you apply the whitening gel to your teeth,
• teeth usually whiten over a period of 1 to 3 weeks.

Whitening of a single tooth

A single discolored tooth can also be whitened. In such cases, it is essential to determine the cause of discoloration and adapt the whitening method accordingly. If the cause is poor endodontic treatment, the tooth must first be retreated endodontically before whitening.

Surgical procedures

• wisdom tooth removal,
• surgical tooth removal,
• apicoectomy,
• sinus lift,
• bone preparation for implant treatment.

Tooth and wisdom tooth extraction

Wisdom teeth are most often removed when they are positioned unfavorably, do not have enough space for normal growth, cause recurring pain or inflammation, or when deep decay appears on them. The procedure is almost always performed under local anesthesia, so it is painless, although the patient may feel pressure.

Appropriate techniques and instruments are used during extraction to minimize damage to the surrounding soft tissues and bone. In certain cases, the tooth must be sectioned into several parts and the wound sutured after the procedure.

Apicoectomy, sinus lift and bone augmentation

Apicoectomy is a surgical procedure in which the tip of the root is removed and the inflammation is cleaned. Before performing it, it is necessary to check whether the procedure is feasible based on the position of the sinuses, nasal cavity and nerves, which we assess with CBCT imaging.

A sinus lift is a surgical procedure in which we lift the floor of the maxillary sinus and add bone tissue or a bone substitute to the upper jaw. The procedure provides sufficient bone foundation for implant placement. When there is not enough bone, bone augmentation can also be performed before or during implant placement.

Preventive services

• regular check-ups,
• professional tartar removal,
• gum examination,
• oral hygiene advice,
• fillings,
• recognition of early changes on teeth – decay, periodontal disease...

Tartar and professional cleaning

Tartar forms from soft dental plaque, which turns into hard deposits due to minerals in saliva. Soft plaque can be removed at home with a toothbrush, dental floss and interdental brushes, but tartar cannot be removed at home, so professional cleaning is required.

Tartar, together with soft dental plaque, is one of the main factors in the development of inflamed gums and periodontal disease. We remove it with ultrasonic instruments, and after cleaning, tooth polishing or air-flow cleaning is often recommended to remove soft plaque and discoloration caused by coffee, tea, smoking or other dark-colored drinks.

Periodontal disease

Periodontal disease is a chronic inflammation of the tissues surrounding the teeth, which can begin with bleeding gums during brushing, gum recession and tooth mobility. Today, it can be effectively stopped, but it is much more difficult to cure completely. Patients with periodontal disease usually need check-ups and cleaning every 3 to 6 months.

How does the therapy work?

The aligners are custom-made and allow unrestricted eating and easier oral hygiene maintenance. Regardless of age, proper tooth positioning makes hygiene easier and contributes to better jaw functionality.

Who is it intended for?

Invisible orthodontics is suitable for patients who want a discreet and comfortable solution for straightening their teeth. Therapy is always planned individually based on the bite, tooth position and expected results.

Key advantages

• invisibility: the appliance is practically invisible, ensuring high aesthetics during treatment,
• comfort,
• removability: the aligners can be removed for cleaning and eating, which increases comfort,
• usually shorter therapy compared with fixed orthodontic braces,
• digital impression and the possibility of projecting your smile.