Maxillofacial infections – abscesses

Most of maxillofacial infections have an odontogenic aetiology and they are usually caused by the extension of dental-socket abscesses or by peristefanitis. During the initial states a odontogenic infection is relatively easily manageable.

The treatment of every abscess is based on lifting the cause (endodontic treatment – root canal treatment) or on extracting the responsible tooth, fission-drainage and administration of the appropriate antibiotic treatment.

A dental abscess, if left untreated or if the responsible microbes have an increased infective strength, may extend to the throat and possibly become dangerous for life. When an abscess expands to the face or throat, an oral and maxillofacial surgeon’s contribution is necessary. The role of visceral cranium-throat CT during the diagnosis is determinant. Due to the complicated anatomical structure of the throat, the CT indicates all of the spaces where the abscess extends.

The side-pharynx abscess requires direct treatment. It is described usually by fever, pain, inability to open the mouth. The swelling can be limited. Some extensions of a side-pharynx abscess that may lead to dangerous, for the patient’s life, complications are the extensions to rear-pharynx space and to the mesothorax. For example mesothorax condition (mesothoracitis) has a death rate of 50%.

Holistic dentistry

Holistic medicine is not a separate method of medicine or healing, such as homeopathy or acupuncture, but a different philosophy of approaching health.

The holistic doctor approaches the patient thoroughly, aiming at the healing of both the body, the soul and the spirit. Symptoms are considered to be the expression of the disease, not the illness itself. Symptoms, of course, are evaluated and taken into consideration, but the goal is not only their absence but health itself. In the context of health, the absence of symptoms is important, but not the only thing that should be of concern to the doctor.

The holistic physician has studied classic medicine and considers it very useful and uses it in his daily practice with laboratory, displaying and other examinations, diagnoses and in some cases even with medicines (fortunately, rarely). The main difference with the classic family doctor is that he tries to avoid or delay or restrict the use of chemical drugs, and sees prevention as the most important of the treatment and attaches great importance to it.

 

What is holistic dentistry ?

While traditional dentistry focuses on the area of ​​the oral cavity, holistic dentistry examines the patient as a whole system. It is an alternative concept that focuses on the use of non-toxic repair materials for dental work, non-surgical periodontal procedures for the treatment of gums, low-radiation digital X-rays, and highlights the symptoms of dental infections that most of us are unaware of what impact they have on our health generally.

Stress, nutritional deficiencies, diabetes, and inflammations can appear as gum or jaw diseases. Only a dentist can diagnose the severity of periodontal diseases. Those who suffer from gum disease (gingivitis, periodontitis) are more likely to suffer from myocardial infarction, stroke and pregnant women suffering from gingivitis are seven times more likely to give birth prematurely.

The overall health of an individual affects the strength of his teeth. Proper nutrition is an important factor in the health of our teeth. It is commonly accepted that tooth decay is caused by bacteria in the mouth. Bacteria produce acid that destroys teeth. The lack of calcium in the diet or the dysfunction of the parathyroid gland that regulates the amount of calcium in the body contributes to the destruction of the teeth

The purpose of dentistry is to create materials that look as much as possible with natural teeth, both aesthetically and functionally.

 

What does it mean that Homeopathy is “holistic medicine”?

Holistic is any method of healing that makes the entire body more healthy, mentally and physically. Specifically, when a patient who has 3-4 diseases and symptoms, one independent from the other, goes to the homeopathic physician, he will not receive a separate medication for any disease or symptom (as is usual in classic medicine) but will choose a single drug that is intended to alleviate all the symptoms and illnesses it suffers from

 

Digital x-ray

Replaces obsolete traditional x-ray by reducing patient exposure to radiation and eliminating waste and pollution.

It has 75-90% less radiation and eliminates the need for toxic stabilizing solutions of x-ray and lead films, contributing to environmental management.

Acupuncture General

Acupuncture has been established internationally as an integrated therapeutic system. It lacks side effects and is completely harmless when applied by properly trained doctors who strictly follow its appliance rules. The needles used are disposable or individual and sterilized in a surgical furnace, just like surgical instruments (auxiliary or complementary).

The Hellenic State, with the decisions of the Ministry of Health, Welfare and Social Insurance “… accepts Acupuncture as a method of treatment which is applied only by doctors …” (Protocol number Y7 /… / 4270 / 25-6-96), and Adds that “… Acupuncture should only be performed by physicians who have experience and have been trained in acupuncture therapy …” (574/Α4/1191/21-2-1980).

These decisions honor the medical world, fully safeguard Greek patients who are addressed to Acupuncture and are in full harmony with the principles and the statute of the Hellenic Medical Association of Acupuncture.

In acupuncture, particularly fine needles are placed in specific parts of the body, known as “acupuncture points”, for the purpose of:

 

 

  • Curing various diseases
  • Relieving the patient from torturous symptoms
  • Preventing the onset of a disease
  • Bboosting and revitalize the organism in general
  • Stoping acute or chronic pain
  • Reducing medicines for a chronic condition
  • Fighting against obesity, smoking, alcoholism
  • Limiting the healing stalemate we often encounter in chronic degenerative diseases

 

Treatment for aphtha-herpes

One of the most impressive Laser applications! Immediate pain elimination and rapid cure of aphtha and herpes injuries, without the patient experiencing any pain during the treatment, considering it is about two diseases that afflict a large percentage of the population, without any essential and conventional form of treatment. Our dental infirmary provides the following services:

 

Direct elimination of aphtha and herpes symptoms using Er: YAG Laser, Nd: YAG Laser, or Laser Diodes.

Systematic treatment with Nd: YAG Laser to gradually reduce the recurrence frequency of cold sore (herpes).

7 tips for apex detection using detectors.

7 tips for apex detection using detectors.

 

Although many companies believe that the apex detectors operate in a wet environment no matter what kind of fluid there is in the root canal (blood, pus, NAOCL, etc.), we all actually get strange indications in some cases. Some tips from my experience are:

  1. Always measure in a dry field. I have seen quite a big difference and in some cases it’s the only way to get the right indication.
  2. Personally, I do not only trust the apex detector and I always conduct an x-ray. The combination, I think, is the best and the most correct.
  3. If the apex detector in a dry field deals with long distances in movements of only a few tenths of a millimeter, change the file to the next bigger size and remeasure it. In many cases, my problem was solved by doing this simple move.
  4. If the detector shows a different indication than the x-ray, a simple way to get a third indication is as follows. Take a cone of paper and push it into the channel (I usually get the size 10 and rarely 15) as much to the edge of the root as possible if there is no apex piercing. The cone will get wet as soon as it passes through the apex and will bend.
    When you take it out measure the dry part of the cone. It’s unbelievable how many times this trick will save you from the dilemma.
  5. If you have a tooth where you have to do a root canal treatment after a trauma and you put the apex detector and it shows that you are off the apex, while you know you are inside, it is likely that there is a fracture at the root.
  6. If you use an apex detector underneath a crown (although many companies claim that indications do not change even if it touches amalgam crowns, etc.), and you get a wrong indication, do something simple. Cut a small piece from the handle’s protective bag or from the intraoral camera’s protective bag and place it around the cavity at the height of the file stopper.
    This has saved me several times so I almost always do it from scratch in such cases.
  7. In upper molars whose roots are close to the sinus, the first indication is more correct because if you go out into the sinus, it is most likely to show you that you are still far from the apex due to its structure.

Radiodiagnostics

Department of Preventive & Diagnostic Dentistry – Radiology Department

X-rays are a useful tool for the dentist and gives us information so that:

We can prevent many pathological conditions of the oral cavity that we have not noticed.

We can diagnose diseases of the oral cavity, from which the teeth and bones of the jaws are usually affected.

In our clinic, we anticipated the construction of an armored radiology room to ensure full radiation protection. At the same time, we have last generation digital equipment to ensure the smallest radiation dose in just 5.5 seconds. In addition, we provide you with a lead radiation protection apron with a collar for thyroid protection or for cases of undiagnosed pregnancy,

 

1. Periapical X-ray

The dentist can get information on the presence of tooth decay, the root morphology and the pulp chamber, the existence and morphology of peri-cortical deformations, the control of the alveolar bone and periodontal tissues, the existence of root or crown fractures, the existence of internal or external root absorption.

2. Full series of periapical radiographs

It is a complete series of 14 periapical and serves for the examination of tooth and peri-cortical tissues

3. Digital panoramic x-ray of adults and children with further reduced radiation

It has been established in everyday dentistry as a valuable diagnostic tool and is the only technique that allows the dentist to see in one single image all the teeth and adjacent tissues. Diagnosis of the presence of tooth decay, existence of tooth fractures, existence of apex cysts, presence of periodontal disease, existence of pathological condition of the jaw bone and presence of incised teeth is conducted.

It is also used at patients with signs of Temporomandibular Joint Dysfunction, at patients to undergo orthodontic treatment, at implant patients, at patients who are to be placed partial or total dentures or immobilized prostheses, at patients with jaw fractures etc. With our digital orthophotomograph, the process lasts only 5.5 seconds for adults (with the lowest radiation dose) and 4.8 seconds for children (with further irradiation dose reduction).

4. Temporomandibular Joint Structure X-ray (TMJ x-ray)

It is the only method, apart from arthroscopy and open surgery, to illustrate the morphology of the Temporomandibular Joint Structure. It is therefore useful to diagnose any fractures, benign or malignant neoplasms, asymmetry of the lower jaw, hypertrophy or tuber hyperplasia, etc.

5. Bitewing x-ray

It is a valuable diagnostic aid for the discovery of tooth decay of adjacent surfaces, even when they can not be revealed with the detector and are not visible.

6. Occlusal X-Ray

It serves for the radiographic control of the cross section area one half of the upper jaw or the entire palate (for the upper jaw) and for radiographic control of the mental area in one half of the lower jaw or the whole of the mouth and bone of the lower jaw (for the lower jaw). Essentially, it is necessary in cases of existence of pathological conditions in jaw bones, in cases of cleft palates, in lower jaw’s incised teeth that their position, in supernumerary teeth or sperm in the area of ​​the upper jaw, it is essential to control the fractures of the jaw, for the evaluation of malignant jaw damage, sialolithiasis and other rare diseases.

Bruxism Night Guard

A large percentage of people suffers from bruxism and they often do not realize it. Bruxism is the unintentional tooth grinding or tightening which is associated with dynamic lateral movements of the jaws.

The most common cause is anger, tension, stress or frustration, sleep disturbances, missing teeth or teeth that are wrong, an accident. It is usually detected during the night. Do not make your teeth a “receiver” of your anxiety!

Wearing a bruxism night guard helps you with:

  1. stopping the tooth abrasion
  2. improving your breath
  3. relieve from pain in the neck and shoulders
  4. reduction of headaches
  5. reduction of sleep discomfort
  6. reduction of stress in jaw joints
  7.  protection of natural teeth and dental work from damage caused by teeth grinding
  8. reduction of abrasions, fractures, but also excessive tooth decay
  9. any reduction in snoring

 

Common Symptoms:

  1. Pain, tension or intense tightening on the jaws, after breakfast wake up
  2. Headache or ear pain, especially after morning wake
  3. Teeth sensitivity to hot, cold, pressure, sweets
  4. Your partner complains that you are making noise during sleep
  5. When you open your mouth, sounds a strong click
  6. Tooth decay, broken teeth, teeth with cracks are noted in your oral cavity
  7. People who tighten or rub their teeth during the night usually like to bite pencil with their teeth, chew the inside of their cheek or eat their nails

 

Treatment:

1st visit:

  • Receive patient history
  • Clinical oral examination
  • Obtaining fingerprints on an individual diskette with imprints

 

2nd visit:

  • Final application (the patient needs to wear the bruxism night guard daily during sleep)

Periodontology

Periodontitis is an inflammatory disease of the tissues surrounding and supporting the teeth.

Inflammation extends deeply into the tissues and gradually removes the gum from the teeth and damages the bone that supports the teeth roots. If not treated directly, teeth initially show intense mobility and are eventually lost.

Periodontitis is considered the most common cause of tooth loss in adults, and its frequency of appearance is very high in age over 45 years. Periodontal disease can be diagnosed by the periodontist expert or by the dentist at an early stage.

The patient usually realizes the disease at a very advanced stage. Periodontitis, depending on the loss of adhesion, is distinguished in early, intermediate or advanced and depending on its extent in localized or generalized.

 

The symptoms commonly associated with periodontal disease are:

  • Bleeding of the gums in brushing or on their own
  • Red, swollen or sensitive gums
  • Gums that have subsided (gum recession)
  • Tooth mobility (sometimes small and sometimes large)
  • Gums detached from the tooth
  • Immigration (moving) of teeth
  • Persistent stench
  • Puss between tooth and gums

 

Agents predisposing periodontitis:

  • Insufficient removal of the dental plaque from the teeth
  • Smoking
  • Uncontrolled diabetes
  • Inheritance
  • Anxiety
  • Systematic diseases
  • Diseases that affect the immune system (eg aids)
  • Hormonal disorders
  • Traumatic occlusion
  • Poor oral hygiene
  • Drug intake

 

Treatment:

1. Conservative treatment:

With special tools, plaque, microbes and toxins are removed from the root, painlessly with local anesthesia. The patient does not feel pain either during the procedure or after going home. The disadvantage is that this treatment has finite abilities to fully resolve the periodontal problem, with the result that the destruction continues at a slower pace. Usually 4-6 visits are required.

Oral hygiene instructions are given to the patient (correct tooth brushing, interdental brushes and sometimes oral solution and / or gel). The ideal time to evaluate the effects of conservative periodontal treatment is 3 months.

2. Surgical treatment:

In some cases, where periodontal disease has gone far enough, it is necessary, after the conservative treatment, to take a surgical arrangement at selected points of the mouth. Surgical treatment, when required, always follows the conservative one.

A cut is made (the gums are opened locally with microsurgical methods) the tissues are settled and then they are stitched. The advantages are the regeneration of lost periodontal tissues, sometimes the reduction of periodontal sockets, easier access to the root surface of the tooth with tartar deposition, more accurate prognosis.

The patient feels pain after surgery. The drawback is that teeth cold and hot sensitivities are present after surgery and until healing.

 

3. Conservative laser therapy:

Additional use of laser in conservative treatment greatly reduces the likelihood of requiring periodontal surgeries. In conjunction with conservative treatment, periodontal laser therapy (LPT) is effective allowing the patient to stay healthy and live comfortably, controlling the disease.

Periodontal laser therapy (LPT) is a safe and absolutely painless treatment. At the same time, there is no sensitivity to the teeth and it is particularly indicated for patients with health problems such as diabetes, heart diseases, patients with allergies to antibiotics, haemophilia, HIV, periodontitis with socket depth etc.

The laser energy is transferred to the periodontal pouch to remove the infected gum tissue and disinfect the micro-environment of the pouch by killing the bacteria and by inactivating the toxins on the surface of the tooth root and the gum tissue, leading to the activation of the healing process.

Orthodontics

Orthodontics

The orthodontic services provided to children, teenagers and adults are executed easily and quickly with modern methods, whether it concerns a preliminary (mobile mechanisms) or a main orthodontic treatment (fixed mechanisms – braces, brackets). Fixed mechanisms have the ability to have the color of the tooth – white in cases of patients who want an aesthetic image.

 

The treatment that will be followed is determined after a detailed study of the oral and x-ray molds, and the progress of each case is reviewed with new molds and photographs at different stages of treatment until the end of it.

 

Special programs of combined surgery and orthodontic treatment are applied to patients with problems of skeletal nature with the jaw. There is also the possibility of placing orthodontic implants, which are support units used to achieve faster and more effective tooth movement.

Orthodontics without using braces

Do you want straight teeth without braces?

The narthex system (aligners) is quite effective in many cases requiring orthodontic treatment. Transparent, thin, invisible narthexes for upper and lower teeth bring new data to orthodontics. It is about computer aided orthodontic treatment. They are produced abroad, especially for your own teeth and gradually straighten your teeth. The companies that prepare the treatment and manufacture the transparent narthexes are three:

  • Invisalign
  • Clear Aligner
  • OrthoCaps

 

The certified dentist – orthodontist, according to his knowledge and experience in this method (orthodontic treatment with transparent narthexes) will suggest the ideal treatment as each of the companies mentioned above has specific capabilities of orthodontic treatment.

 

Our dental clinic is certified by all three companies mentioned above.

 

Benefits:

  • They are suitable for adults, especially for those who do not want to wear braces
  • It is an invisible, transparent, comfortable device
  • They give you the ability to smile without fear
  • It is an absolutely painless process
  • The duration of treatment, depending on the manufacturing company, is approximately 5 – 20 months
  • Fixes tooth crowding, gaps between teeth, slightly crooked teeth, rotating teeth, teeth inclined forwards or backwards, teeth whose middle upper line does not coincide with the middle lower line
  • They are made of hypoallergenic material, flexible, easy to clean with toothpaste and soft toothbrush
  • They can be removed from the mouth by the patient himself
  • They allow easy brushing of teeth and gums, resulting in an effective maintenance of oral hygiene
  • They can be used in patients with periodontitis, as they provide the choice of thickness of the narthex, a necessary condition for periodontal patients
  • It is a suitable treatment for pregnant women

 

Procedure:

  • During your first visit, the orthodontist will suggest the most appropriate treatment for you. If the aligners are the treatment of choice, the certified physician will get upper and lower jaw marks which along with your panoramic x-ray and photos of the oral cavity will be sent to a specialist laboratory abroad.
  • In 8 – 15 days and after a special digital study we will have the final answer from the lab, that is, if your case can be treated with the aligner method
  • After agreeing with the aligners treatment plan, the certified physician proceeds to the ordering of the narthexes and within 1 to 5 weeks you receive the first narthexes. A cure for the front teeth lasts about 5 months
  • Apply aligner narthexes 18 – 20 hours per day, except when you eat or brush your teeth. Every 3-4 weeks, visit your orthodontist to monitor the progress of treatment and deliver you the next narthexes. The difference will be visible over time.

 

The aligners system is suitable for:

  1. Tooth crowding: makes it harder for oral hygiene, and there is an increased risk of tooth decay appearance and gum diseases
  2. Gaps between the teeth (sparse teeth): an aesthetic problem that may call into question the efficiency of chewing
  3. Median line correction: is an indication of incorrect bite that can lead to pain as well as other malfunctions
  4. Teeth inclined forwards or backwards: shifting other teeth and gradually causing crowding or even wrong biting
  5. Teeth with counterclockwise or clockwise rotation: makes it difficult to have good oral hygiene resulting in tooth corrosion
  6. Teeth with immersion or emergence: compromising chewing and causing corrosion to teeth “competitors”

Paedodontics

In order to achieve better protection of teeth (neonatal and permanent) from tooth decay, and thus prevent their destruction, fluoridation of the teeth and coatings of sealants are performed.

Fluoride allows for the strengthening of the outer layer of the tooth (enamel), making it more resistant to acids produced by oral bacteria. The sealants make the chewing surfaces of the molars smooth and as a result food leftovers and dental plaque are more easily removed.

Our services are provided in the framework of preventive treatment as well as all other paedodontic activities such as blockage and root canal treatments of neonatal and new permanent teeth, extractions, etc.

Everything is done with modern child-friendly methods. In cases where patient co-operation is not possible (children at a very young age, children who do not cooperate with doctors, children and adults with special needs), special methods are applied that allow the completion of dental work without causing traumatic experience for the patient.

 

Our goal is to have little patients who will happily come to the dentist and become adults without phobias.

 

CONTROL

At regular intervals – implementation of age-based prevention programs

 

FLUORIDATION

Special fluoridation programs

 

SEALANTS

Blockage of holes and slits

 

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