Aesthetic dentistry meets the contemporary requirements for a harmonious smile. This requires the use of all modern methods of planning and execution of treatment, which Bulgaria Medical Travel Partner are here to ensure you get.
Crowns can be: Full porcelain crowns, Porcelain fused to metal crowns, Zirconia crowns and CAD/CAM crowns.
Crowns are an effective method of obtaining high aesthetics combined with increased strength of the tooth structure. A crown fits the remaining part of the tooth precisely, makes it more stable and has the shape of a natural tooth.
Porcelain crowns are a treatment of choice for aesthetic and functional reasons in the following cases:
- Teeth with large restorations or broken teeth.
- Teeth with large discoloured restorations.
- To maintain the strength of the tooth after endodontic treatment.
The all-ceramic bridge replaces missing teeth in the following way: the porcelain tooth (in place of the missing tooth) is connected to one or two adjacent dental crowns. The main issue in not being able to place an all-ceramic bridge would be that it can cause thinning of the healthy hard tissues of the adjacent teeth, and therefore placement of a dental implant is an alternative treatment choice. However, the bridges remain a good option for patients who are not suitable for dental implants or in replacement of the existing bridges.
Constructions of zirconium
Zirconia crowns and bridges are made of a non-metallic material. They are made of a material based on zirconium oxide. Zirconium is subjected to milling (computerised processing) which provides the precise accuracy of the construction.
Because of its strength, zirconium structures are recommended for defects in the molar part, where chewing loads are higher.
The lack of metal edge and “white” skeleton in the zirconium constructions provides the higher aesthetic result as opposed to Porcelain fused to metal crowns.
Advantages of zirconium structures:
- Very high strength and resistance to fracture.
- Outstanding aesthetics.
- Biocompatibility (no allergic reactions as in metals).
- Light in colour.
- Low thermal conductivity.
The optimal combination of strength and aesthetics is achieved when the zirconium skeleton is covered with ceramics – IPS e.max Ceram. Zirconia provides strength while porcelain provides high aesthetics. Тhe restoration matches the natural tooth.
Zirconium Abutments for implants – These are individually made abutments from zirconium. Compared to standard abutments they are highly aesthetic, especially in the front area and help with to better shaping of the gums.
Oral surgery covers full treatment of all surgical diseases of the oral cavity and their associated diseases of the jaw and maxillofacial area. We offer all major surgical procedures that can be performed in an outpatient setting:
- Evulsions of teeth.
- Evulsions of impacted teeth and half-impacted teeth (sages).
- Removal of cysts.
- Apical osteotomy.
- Placement of dental implants – described in detail on our implantology page
- Sinus lifting
- Frenulum correction of the tongue and lips.
- Periodontal surgery.
- Alveolar ridge correction.
Prosthetic dentistry includes treatment the defects of the dental crown, whole and partial edentulism, dental abrasion, and the presence of parafunctions – bruxism and bruxomania.
Generally, prosthetics can be:
Dentures can be made out of various materials:
- Conventional dentures – made of acrylic plastic. The disadvantage is that they are fragile. Also, the plastic is hard for the patient to get used to it and requires a long adjustment period.
- Dentures from Valplast – made of soft plastic and more comfortable for the patient. They can be used by people who have an allergy to any component of the standard pink plastic. They are highly aesthetic and do not use metal hooks which can worsen the aesthetics. Patients adapt more quickly to this type of denture.
- Model cast denturesare skeleton dentures. The metal plate on the palate is thin, provides strength and comfort for the patient and does not interfere with speech.
Bruxomania and Bruxism
Bruxomania is a parafunctional reaction of clenching the teeth in a static position without movement of the jaw. Bruxism is a parafunctional reaction of grinding the teeth, resulting in horizontal and lateral sliding jaw movements, creating tension in the masseter, or chewing muscles.
The injuries caused by these parafunctions are expressed in periodontal changes, pain in jaw joints and masticatory muscles, changes in hard dental tissues (dental abrasion), fractures in ceramic restorations and more.
This can be prevented by creating special occlusal splints – transparent elastic plates – to be used at night (during sleep) which protect teeth from clenching or grinding.
Improperly aligned teeth are a problem. We can help you gain back your self-confidence, a sense of comfort in the mouth and the desire to smile more. All this is possible thanks to orthodontics. Orthodontics is defined as the branch of science and art of dentistry that deals with the development and positioning of the jaws and teeth by affecting oral health and the aesthetic and psychological state of the patient. The arrangement of the teeth is accomplished by means of bracеs, appliances and other systems. Orthodontic structures are two types:
- Metal bracеs- the most prevalent
- Aesthetic bracеs – Ceramic and Sapphire braces
- “Orapix” system – only suitable for a certain type of orthodontic case.
- Clear Aligner – a series of splints that stick to your teeth. Used for relatively straightforward cases for alignment.
- Lingual plates – preventive and curative used for children and adults.
- Ortho – Т – ready functional orthodontic appliance of silicone.
Endodontics (Root canal treatment) is a non-surgical procedure that eliminates the infected pulp tissue. Pulp tissue is removed, the canal is prepared and isolated from saliva. The root canal treatment removes the etiological factors leading to abscesses and allows bone and tissue around the tooth to regenerate. The root canal treatment usually requires local anaesthesia in order to reduce the discomfort of the procedure and may result in one or more visits depending on the complexity of the necessary treatment.
Periodontology is the speciality of dentistry that studies the supporting structures of teeth, as well as diseases and conditions that affect them. The supporting tissues are known as the periodontium, which includes the gingiva (gums), alveolar bone, cementum, and the periodontal ligament.
What is periodontitis?
Periodontitis is a bacterial infection that affects the surrounding tissues of the tooth. – gingiva, periodontium and bone. Without treatment, there will be a progressive bone loss. The teeth become loose. Periodontitis occurs in approximately 80% of over 35 year olds.
What are the symptoms?
- Red, swollen and sensitive gums.
- The presence of periodontal pockets.
- Bone loss.
- The recession of the gingiva.
- Bad breath.
- Change in occlusion and change in position of the prosthesis.
Treatment of periodontitis
Treatment requires several steps and cooperation by the patient. With proper treatment, the process can be halted, and further bone loss can be prevented.
The goal of treatment is to cure the infection and to reduce the risk factors. The damaged tissues can be repaired only by bone substitute materials. Gums can be reconstructed only by grafts.
Steps in the treatment of periodontal diseases:
- Diagnosis of the disease.
- Proper techniques of oral hygiene.
- Removal of plaque retentive s factors (defective fillings, extracting of teeth with poor prognosis, roots, etc.).
- Removal of supragingival plaque and tartar (ultrasonic or mechanical curettage).
- Polishing teeth with Airflow or toothbrush and toothpaste.
- SRP – scaling and root planing- scaling in quadrants, this procedure creates a smooth, clean and solid root surface. The procedure is performed under local anaesthesia and is completely painless.
Treatment and prevention of decay
What is tooth decay?
Tooth decay is an infectious disease of bacterial origin and causes demineralisation and destruction of hard dental tissues, enamel, dentin, and cement. The cause of decay is the formation of acids during the fermentation of food, which is collected on teeth. If the mineral loss is greater than the remineralization (sources of the minerals needed are saliva and fluorinated toothpastes) the hard tissues of the tooth can be destroyed – there is a the formation of decay, also known as caries lesion, which should be treated immediately. Caries should be excavated and the cavity filled. Today dentists have a large selection of filling materials. The choice depends on the size and stage of decay.
Teeth whitening as a cosmetic procedure is part of modern aesthetic dentistry which has become more popular because white teeth are considered more aesthetically pleasing than others. White teeth are a sign of good health and high social status.
Modern tooth whitening systems come in two types: for use in dental surgery (office whitening) and for home use (home whitening). Depending on the wishes of the patient, the intensity of staining of the teeth, and their sensitivity, either method of dental bleaching may be chosen.