Procedures performed in Estetica - Conservative dentistry
Conservative dentistry The fear of pain is the basic patients' problem during the visits at the dentist office. In our Centre we apply, on patient's request, anaesthetic prior to conservative treatment of a tooth. We administer infiltration anaesthesia, conduction anaesthesia, surface analgetic prior to injection, anaesthesia with a needle-free syringe.
Composite fillings In our centre we use the latest materials for dental cavities fillings. In case of direct fillings (at the office, during one visit) we use composite materials. These materials imitate the natural colour and translucency of each tooth very precisely. Also a feature of a so called diminished "polymerization shrinkage" proves their modernity, thanks to which we do not show an effect of microleakage, and consequently there are no reasons for re-current caries (on the peripheries of a filling). All materials used by us are ideally polishable and it is one more feature that increases their durability. Hybrid composites also have increased mechanical resistance which secures against abrasion, washing away and fillings' breaking.

We also use the most up-to-date composites for aesthetic, invisible fillings and restorations.

Their main advantages:
  • they give an effect of a natural tooth
  • they are not visible even in ultraviolet rays (eg. at the disco)
We use fillings:
  • MIRIS
  • ESTET-X
  • ENAMEL HFO, FILTEK SUPREME
Inlays and onlays In case of large restorations we make porcelain inlays and onlays which are considered more durable and aesthetic appealing than composites.

Inlay is a type of filling made outside of the oral cavity on a tooth model obtained from an impression thanks to it we achieve an exceptional durability, accuracy, aesthetics and lifelike appearance.

Onlay. When the anatomical crown is extensively damaged, we can save a vital tooth (there is no necessity of root canal treatment), we need a permanent reconstruction and we need to save the preserved, still healthy fragments of the anatomical crown.

In case of major teeth reconstructions we make porcelain inlays and onlays. They are more durable than composites.

When we care about an exceptional durability, and aesthetics is somewhat less crucial we can make a gold inlay.





Endodontic treatment (endodontics) Endodontics is a branch of dentistry specializing in treating dental pulp and periradicular tissues diseases.

Endodontic treatment, that is a root canal treatment allows to liquidate a tooth pain or an abscess forming in the surrounding tissues. It has given dentist a way of saving, in oral cavity, natural a sometimes severely decayed tooth which can be then reconstructed.

Root canal treatment involves the removal of tissue called a pulp from the tooth's interior, the tissue infected with bacteria, dead or infected with gangrene. The pulp fills the pulp chamber and one or more canals inside the roots. Vital pulp contains blood vessels and nerves. When the pulp is diseased we often feel more or less intensified pain. A tooth requires endodontic treatment.

Pulpitis is most often caused by bacterial infection due to the decay cavities formation on the dental crown. That is why an early tooth decay treatment is really important, before it gives rise to an infection of the tooth's pulp, a pain, and then its death. It is often accompanied by an abscess formation at the root tips that damages the bone around the tooth and spreads to soft tissues (swelling of gums and cheeks)

Root canal treatment is a completely painless procedure, carried out under anaesthetic usually during one, although a long visit. It involves cleaning the inside of the canals, and then sealing them tightly (method of lateral condensation of gutta percha with the use of AH PLUS sealant - a method nowadays recognized as one of the best)

In our centre we endeavour to proceed just in this manner. We do not 'poison' your teeth! Devitalisation is a procedure by all means unfavourable, usually not alleviating pain too quickly. Just the contrary, many patients experience troublesome pains for even many hours from placing the devitalisation insert.

A correctly treated tooth will remain in the mouth for many years not giving any trouble. It should only be reconstructed so that there is no fear of fracture. It is advisable to use a crown-root inlay and subsequently a crown or so called endocrown - a special filling made in laboratoriesbut it belongs to other issues of dentistry (see: prosthodontics)

In Estetica Centre we use many modern devices, tools and solutions in the process of endodontic treatment. It prevents from such cases as e.g. breaking a tool inside the tooth, and enables also to treat difficult cases such as e.g. taking out a broken instrument, retreatment that is cleaning and filling root canals that have not healed completely, treating very narrow, curved, partly obliterated (closed) canals. We are not afraid of such cases - acquired knowledge allows us to take up such treatment. We have high success rate although one should remember that medicinal procedures are then extremely complicated and considerably longer.

There are also situations when the pulp inside the tooth dies without any observable complaints. The only sign can be a radiographically visible periapical radiolucency (a granuloma or most often a cyst). Such process affects mainly teeth with large fillings, not reconstructed fractures, deep cervical cavities, visible cracks, deeply abraded teeth, teeth with severe periodontium loss and sometimes also apparently healthy teeth exposed to a long-lasting injury (e.g. habitual pencil biting) or overloaded teeth (incorrectly positioned, protruded, crooked, when the number of teeth is reduced and not replaced). Over time a growing granuloma or a cyst damages the bone and can attain large size (it can grow into the bone maxillary sinus or cause a pathological bone fracture).

When it becomes superinfected a suppurative fistula or an abscess forms. This condition must be treated! Periapical lesion can also emerge after failed root canal treatment, where the dead pulp was not completely removed from canals and the canals were not precisely filled. Such tooth requires canal retreatment. Old filling should be removed, all canals should be filled up, often the obliterated ones and they should be refilled. Precisely conducted retreatment allows for healing and regeneration of the chronic inflammatory changes in bones. Thanks to such proceedings, we do not allow for tooth extraction and a correctly treated tooth root (even with a completely damaged dental crown) is a more valuable post for the future prosthetic crowns than the best implant. Kontrola rtg po 3-6 miesiącach wykazuje, że zmiany w kości o charakterze ziarniniaka czy torbieli X-ray control after 3-6 months shows that changes in the bones such as a granuloma or a cyst subsided or are considerably smaller. When a radiograph shows no improvement, so called apiceoctomy with enucleation and a histopathological examination of the lesion is necessary! (see: Dental surgery)

To be sure that there are no such latent pathological processes in the dentition of our patients, usually at the inception of treatment apart from a thorough clinical examination, we refer a patient to a so called panoramic X-ray - X-ray images gives an overall picture of all your teeth along with bones of both jaws, the contour of bone maxillary sinuses, the nasal cavity and the area of temporomandibular joints. Unfortunately, fairly often we diagnose the above mentioned lesions. It is encouraging though that we can fight them successfully...





Radiovisiography During the root canal treatment we conduct X-rays control by means of a radiovisiography. It allows to check whether no canal was omitted or whether we removed a pulp from the whole length of the canal or whether we do not go beyond the tooth apex with instruments (what causes unnecessary pricking of the adjacent tissues). Method of a digital roentgenodiagnosis allows to evaluate the tooth and periodontium condition in a very precise manner and measure the canal lengths and to control their correct filling. Images are obtained almost instantly on the monitor. It takes ultra short time significantly reducing the radiation dose in comparison to a classic photograph on a film.