The use of an advanced implantological system is extremely significant from a surgical perspective – greatly increasing the number of successful procedures, as well as in reference to prosthetic reconstruction – the used prosthetic solutions allow to attain a durable, beautiful, and natural effect. Current medical research shows that the percentage of successfully received implants is on average 96-98%.
Astra Tech implants are clinically tested and used around the world, thereby we can be certain that, even in many years time, they will still be available on the market and we will not have a problem obtaining prosthetic components. Implantology is not worth saving on, as unduly limited costs result in the use of poorer quality components.
It is worth investing in a good and verified implantological system, as a well integrated implant will remain with us even for life.
IMPLANTS IMPROVE QUALITY OF LIFE, GIVING PATIENTS GREATER COMFORT AND CONFIDENCE, BUT MAINLY GIVING THEM THEIR BEAUTIFUL DREAM SMILE.
An implant is an artificial root which can be inserted in place of one or more missing teeth. An implant is best placed as soon as possible after the loss of the tooth, but also possible are IMMEDIATE IMPLANTS, secured on the day of the tooth extraction. The implant is composed of titanium – a material which is capable of osseointegration, i.e., fusing with bone tissue. The implant has an internal thread on which we can fasten the connector, creating a foundation for the crown. The procedure of placing one implant lasts approx 30 minutes and can be performed in sedation, with the administration of analgesics, sedatives, and anti-oedematous drugs. An anaesthesiologist present during the procedure can also monitor the status of patients who suffer from general ailments, such as hypertension, heart disease, respiratory diseases, etc. Usually, however, sufficient is a local anaesthetic.
Implant osseointegration lasts between 2 and 6 months. After this time we can continue with preparing the prosthetic crown.
Implants are the best way to supplement missing teeth, as there is no need for sanding down the neighbouring teeth, implants function just like natural teeth, allow for very natural-looking crowns, and eliminate the need for using removable dentures, which are very inconvenient for patients.
Indications for implants include one or more missing teeth or the intolerance or poor stability of dentures. Inserting only two implants can already greatly improve the stability of dentures.
Contraindications for implants include:
– incomplete growth of the jaw bones
– patients under the age of 18
– severe general ailments
– endocarditis, prosthetic heart valves, organ transplants, rheumatism
– taking immunosuppressive, antidepressant, anticoagulant medication
– some psychiatric disorders
Other contraindications:
– poor hygiene
– undiagnosed craniofacial pain
– dysfunctions which can excessively burden the implant
– fibroma
– inappropriate bone structure
POST IMPLANT SURGERY RECOMMENDATIONS:
patients should:
– refrain from eating and drinking for 2-3 hours after the procedure, especially avoiding hot meals, as well as maintaining a soft diet for a few days
– avoid intensive physical activity for one week after the procedure, leading an energy-limiting lifestyle
– not smoke or drink alcohol until the completion of the antibiotic treatment
– use a new, soft, post-surgical toothbrush, use a recommended post-surgical mouthwash – e.g. Eludril, but rinse in a delicate manner especially over the first 2-3 days
– not overuse analgesic medication, such as Ibuprofen, as these could cause excessive bleeding. The recommended dose is 500 mg 3 times a day, and if necessary, additionally, Paracetamol 3 times a day
– contact their doctor in case of any worrying symptoms.
Face volumetry is most often performed in patients over 50 years of age.
As a result of aging of the face its certain areas, especially around the temples and cheekbones, are disappearing due to reduction of the amount of supporting tissues, especially adipose tissue. These changes give the appearance of an older face, causing the formation of wrinkles in the lower parts of the face as well as ‘falling’ cheeks.
Volumetric rejuvenation is performed to restore the lost volume and correction of facial contour. Face-modeling procedure not only allows a discrete change in the proportion of the face, but also causes a lifting effect. After the surgery the face seems younger and relaxed. The skin firmness improves as it becomes tighter. Wrinkles are reduced and drooping skin on the face is slightly lifted.
We perform the volumetric procedure by using a formulation based on hyaluronic acid, administring it around pateint’s temples, cheekbones and cheeks after prior skin anesthesia with anesthetic cream.
Cheeks augmentation is a very fashionable way of emphasizing cheekbones, popular among models.
The procedure is minimally invasive. We prform it by using the product based on hyaluronic acid skin after prior local anesthesia with anesthetic cream.
The effects can be seen immediately after the urgery and persist for approximately 12 months.
Mouth modeling is not a simple procedure since each mouth is unique. Each requires a different model and emphasis of different parts. Fortunately, an experienced doctor can meet the most sophisticated requirements.
Lip augmentation treatments are performed using preparations based on hyaluronic acid (which is a natural component of the skin) of the world’s leading companies.
Another very favorable activity of preparations for lip augmentation is their moisturizing effect. Lips become fuller, less dry and gain full colour.
Lip augmentation procedure is performed under local dental anesthesia which provides great comfort.
The treatment is recommended for people with narrow lips and in the case of loss of mouth firmness. To some extent you can also model the shape of the lips, correct asymmetry, and lift drooping corners to give the face a cheerful look. Depending on the wishes of the patient we can obtain either a very visible effect or only a fine mouth firming and rejuvenation effect.
]]>Mesotherapy treatment provides the skin with essential nutrients which begin to wane with age. Even after the first treatment the skin becomes more hydrated and firm. Over time, the effects are even better – after a series of treatments the skin is illuminated. It becomes firmer and free from wrinkles, its density increases, the structure improves.
Thanks to the direct administration of preparations into the skin tissue we stimulate them to regeneration and repair. Mesotherapy improves microcirculation in the subcutaneous tissue, improves the functioning and metabolism of cells, speeds up the recovery process and slows down the activity of free radicals. This allows the skin to easily use the substances which we apply. The method is completely natural and allows the surgeon to avoid painful interventions. Its effects can not be compared with cosmetics and beauty treatments that work only on the surface.
In the case of anti-aging treatment the most popular place of applying preparations by injection is the face, especially the eye area, that age quickly. In addition, mesotherapy is used on the neck, shoulders and hands and in the case of hair loss or baldness – on the scalp.
Mesotherapy treatment is preceded by a medical consultation. Doctor of aesthetic medicine, through the evaluation of the condition of the skin, selects the appropriate preparation for the patient and helps to plan the treatment, so that over time it can bring the expected results.
Before the mesotherapy treatment we use a local anesthetic (EMLA skin cream) and then the doctor performs the procedure making a number of punctures and injections of the preparation directly to the skin. The effectiveness and success of needle mesotherapy treatment lies in the injection of active ingredients directly to the skin, as well as the mere fact of puncturing the skin which makes the regeneration easier. It is a significant advantage over the needless mesotherapy.
Depending on the condition of the skin and the type of a preparation, a series of 4 treatments with an interval of 2-4 weeks is recommended. To maintain the effects of mesotherapy it is recommended to perform one treatment every 3 months.
Among many preparations for mesotherapy we particularly recommend:
Up Grade – dedicated to the facial, neck and cleavage mesotherapy
It is a luxurious preparation for revitalization which consists of, among others, hyaluronic acid, nucleotides and vitamins that improve flexibility, brightness and hydration of the skin and achieve a visible anti-wrinkle effect
Princess Rich – dedicated to facial mesotherapy
It is a product described as hyaluronic facial mesotherapy treatment with high concentration of glycerol. Superbly hydrates the skin and gives it a bright look. Glycerin moisturizes and firms the skin, while hyaluronic acid not only moisturizes the skin but also works well as a filler for small wrinkles.
Eyes Ultra light – dedicated to the eye area mesotherapy
Revitalizing and innovative cocktail that contains hyaluronic acid, ruscus, berry, rosemary, vitamin C and hexapeptides. It is the only unique combination of preparations available on the market that is able to deal with the shadows under the eyes, swelling and wrinkles simultaneously. It improves microcirculation and skin elasticity, reducing the tendency of fluids to accumulate around the eyes.
HAIR + Revitilizing – dedicated to the hairy scalp mesotherapy
It is ready to use revitalizing formula that contains phosphatidylcholine acid, vitamin B2, dismutase peroxide, and amino acid complex. The purpose of these components is a simultaneous stimulation of the hair roots and dealing with different types of hair loss, both male and female. The preparation is also recommended against weakened hair loss after pregnancy and during menopause, hair damaged by UV rays, wrong diet or stress.
CytoCare 532 – dedicated both to fill minor wrinkles all over the face and for facial, neck and cleavage mesotherapy. The formulation is based on hyaluronic acid (32 mg/5ml) supplemented with vitamins, inorganic salts and amino acids. Perfectly smoothes even deeper wrinkles, deeply hydrates the skin and provides its intensive nourishment.
The product won the Pearl of Aesthetic Dermatology 2011 award.
]]>The most important feature of hyaluronic acid is its capacity to absorb unlimited quantities of water, which allows to maintain adequate, natural moisture of the skin, characteristic for young skin. Another special feature is the effect of hyaluronic acid to maintain optimal physiological environment for the proliferation and migration of fibroblasts and synthesis of collagen and other matrix components (creates an environment for the reconstruction of their skin).
Your doctor will gently insert the preparation under the skin to restore volume and smooth out wrinkles and creases and improve the appearance of the mouth. The product is a smooth gel that fills the wrinkles to provide a subtle, natural look. Aesthetic effects can be seen immediately after the treatment.
In Piękna-Dent clinic we use only preparations of the best companies, tested, giving the desired results and, above all, safe.
]]>Btx contains botulinum toxin type A in the form of purified protein that has found its use for medical purposes in the seventies of the twentieth century. Btx was originally used in ophthalmology and neurology as well as treatment of strabismus, blepharospasm, facial spasm, neck torticollis and to remove excess muscle tension in children with cerebral palsy or adults after stroke. Currently, btx is becoming widely used not only in ophthalmology and neurology, but also in aesthetic medicine. It has been successfully used for over 15 years in treatments such as removal of facial wrinkles, especially on the upper third of the face: the forehead, the eyebrows and the area around the eyes called ‘crow’s feet’. Btx is increasingly used in the treatment of persistent, severe, primary underarm hyperhidrosis and prevention of headaches in adult patients with chronic migraine, or in the treatment of bruxism (teeth grinding).
Btx – wrinkles treatment
Btx inhibits the secretion of neurotransmitter of nerve endings called acetylcholine within the neuromuscular junctions. It results in vasodilation and relaxation of muscles responsible for the wrinkles that occur during the aging process. Btx causes relaxation of facial muscles so patients acquire natural and rested appearance. A small amount of preparation is injected into specific muscles of the face where the nerve impulses that cause contraction of these same muscles are ihibited. Because the muscles are relaxed – wrinkles simply do not arise in this area. An experienced doctor will choose the amount of preparation so that the face can keep some mobility and it does not lead to so-called ‘face-mask’ effect.
The procedure itself takes about 15-20 minutes and most people can return to normal activities immediately after the injection. Btx has a very good safety profile. Side effects, if any, are usually mild to moderate and are transient. Within a few days after surgery you should see the effects of botoks which can persist for up to 6 months. Please note that this period is unique for each patient. On subsequent treatment this period may be extended. Surgery can not be performed more frequently than every 4 months.
The treatment of wrinkles can be enjoyed not only by those with already visible wrinkles, but also people whose wrinkles just begin to appear. In these cases an injection of btx will intend to prevent the formation of large, deep facial wrinkles. In the case of deep wrinkles visible in the form of furrows it happens that, in spite of properly chosen dose of btx, the furrows will not disappear.
Sometimes there is a need to use two or three treatments in 4-6 months intervals to smooth a deep wrinkle. On other occasions btx is combined with the use of hyaluronic acid in order to fill the furrow.
Btx – treatment of primary underam hyperhidrosis
Sweating is normal physiology but excessive sweating is very embarrassing, causing discomfort for patients and their environment. Fortunately, medicine has found a solution – blocking the activity of sweat glands using botulinum toxin.
Mechanism of action of btx consists in blocking of the nerves that supply the eccrine sweat glands, and thus the secretion of sweat is inhibited. It is given intradermally in the armpit area. The effect is visible after a few days and the effect persists for approximately 7-12 months, then must be repeated. The procedure is performed on both sides to reduce the pain associated with injections in this area. A local anesthetic EMLA cream is also used.
It is recommended to conduct an interview and clinical examination, as well as additional specific tests, to rule out potential causes of secondary hyperhidrosis (eg. hyperthyroidism, pheochromocytoma).
Btx – prevention of migraine headaches
Chronic migraine is one of the most severe forms of headache. Migraine concerns mainly women aged between 25 and 50 years of age and often runs in families. The main symptom is paroxysmal, throbbing headache, usually unilateral, which runs from 4 to 72 hours. Migraine pain is often accompanied by other symptoms as nausea, vomiting, photophobia, excessive sensitivity to smells and sounds. Sometimes, before a migraine attack, a so-called ‘aura’ can occur – a set of symptoms in the form of sensory disturbances (paresis and hypoesthesia, tingling and numbness in the hands and feet), visual disturbances.
Btx is one of the methods of treatment of headache in patients suffering from chronic migraine. Preparation in the appropriate dose is administered into certain muscles around the forehead, temples, the back of the head and the neck. Paralyzed muscles relax and abolish the pressure on the nerves involved in the formation of a migraine. Pain communication to the brain also becomes disordered. The mechanism of action of btx lies in the blockage of neurotransmitter release of pain. Preclinical and clinical pharmacodynamic studies indicate that the supposed mechanism of prevention of a headache lies in blocking the peripheral signals to the central nervous system which inhibits central sensitization.
After administration of btx, the blockadge of the nerve endings of the muscles responsible for the formation of a migraine lasts for about 4 to 6 months. After this period the procedure should be repeated. Btx is effective in treating migraine headaches in 80% of cases. A complete disappearance of seizures can be observed in more than a half of the patients. Among the remaining patients – a significant reduction in migraine attacks. It should be noted that the headaches of migraine-like character may be caused by various diseases, so there has to be prior medical diagnostics. Btx is used only in patients with a diagnosis of a migraine-based headache.
Btx – treatment of bruxism (teeth grinding)
Bruxism is the involuntary overactivity of masseter muscle that leads to clenching teeth and grinding them. Condition applies to most young people, the prevalence of bruxism is estimated at 8-20% of the population.
Bruxism can cause tooth pain, teeth grinding (eating), breaking the tooth crowns, tooth loss, and may lead to pathological changes in the temporomandibular joint in the form of clicking and poping. It changes the appearance of the facial muscles through masseter muscle and temporal muscles hypertrophy, which causes the face look ‘square’. The use of btx in the treatment of bruxism can be treated as a method of supporting the use of relaxation (transparent overlay) put on the teeth or when the patient does not accept to be treated with the relaxation rails.
Btx is injected into the hypertrophic masseter and temporal muscles in the correct dose. The procedure is minimally invasive and not painful. After 3 days of administration, the patient is relieved, muscle tension and pain are reduced. The treatment is repeated every 6 months. Based on 6 years of experience of experts in the field, after 2 years of treatment (the use of relaxing overlays and botox simultaneously) further treatment may be stopped. Usually after such period, the habit of teeth grinding disappears and gnashing muscles are reduced. The face ceases to look ‘square’ and it becomes leaner, rejuvenated and simply prettier.
Prevention of dental and periodontal diseases:
• Fluoride Varnish to prevent tooth decay.
• Removing tartar using an ultrasonic scaler and sanding of the teeth.
The most popular form of professional fluoride prevention is polishing the treated teeth using fluoride varnish such as Fluor Protector or Duraphat – recommended especially for children. It is widely used both in prevention of all teeth as well as selected areas. Coatings are characterized by a large viscosity, which provides their good adhesion to the tooth enamel, longer retention on the surface and slow release of fluoride. With these characteristics, these preparations provide decay reduction of up to 40%. The treatment should be repeated 2-4 times a year depending on the patient’s susceptibility to caries.
Tartar is the most serious cause of periodontal disease. During the therapy, it is very important to remove plaque (so-called scaling), thus inhibiting the disease in most cases.
According to all available research, scaling should be performed prophylactically on patients who do not have problems with periodontal disease, to prevent them.. The effect of this activity is practical elimination of paradontosis hazards from tartar deposition. Patients who had tartar fully removed at least once understand that this short and painless procedure helps to greatly reduce tooth decay and is critical for healthy gums. After professional cleaning, laying fluoride polish is recommended, which reduces tooth sensitivity and the risk of caries.
Sandblasting is used in order to thoroughly remove dental deposits, resulting from drinking coffee, tea, smoking cigarettes, which are difficult to remove by other means.
Sandblasting is the most common addition to teeth scaling procedure (the removal of tartar). However, it may also be a separate procedure, if there is no tartar on the teeth but the sediment only.
After removing the deposit the teeth regain their former lighter color and shine. Special powder ejected at high pressure enables special ‘sand’ to easily reach every part of the surface of the tooth, thus ensuring excellent cleaning effect.
The causes of bruxism may be different, both local and systemic. Stress is a dominant factor among the systemic causes of bruxism, therefore, it often concerns people in leadership positions and is an expression of experienced stress. Bruxism can be also caused by local factors such as chewing gum or chewing on one side. Other causes include: poorly shaped tooth filling, badly shaped surfaces of crowns, bridges or dentures and missing teeth. Symptoms of bruxism can be difficult to notice for a long time. Usually when patients suffer form different types of pain, sleep disturbances, poorer daytime function and chronic fatigue they will seek advice from the doctors of other specialties, usually a neurologist, laryngologist, psychiatrist or an ophthalmologist. Eventually, however, they will find their way to the dentist.
Pain caused by bruxism is often dull, deep and radiating. Headaches, shoulder girdle and arm aches as well as paresthesias may suggest neurological problems. Temple aches may suggest sinuses disease, and pain in the partoid area – ear diseases. Often a group of teeth ache and the patient is unable to tell which tooth specifically is causing the pain. Sometimes the patient says all his teeth hurt.
There are many treatments of bruxism ranging from psychotherapy to surgery. The appropriate treatment of bruxism depends on what is causing the problem. Based on several years of experience bruxism is currently treated using relaxation rails (transparent overlays for teeth) and btx (simultaneously). The overlay (relaxation rail) is made by a dentist to exactly match the teeth. It is slid on the teeth overnight and protects them from friction. Although effective in preventing the consequences of bruxism it does not cure the cause of the problem.
Btx is injected into the hypertrophic masseter and temporal muscles in the correct dose. The procedure is minimally invasive and not painful. Three days after the administration, the patient is relieved, muscle tension and pain are reduced. The treatment is repeated every 6 months. Based on 6 years of experience of experts in the field, after 2 years of treatment (the use of relaxing overlays and btx simultaneously) further treatment may be stopped. Usually after such period, the habit of teeth grinding disappears and gnashing muscles are reduced. The face ceases to look ‘square’ and it becomes leaner, rejuvenated and simply prettier.
This type of treatment is also performed at Piękna-Dent clinic.
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