AESTHETIC
DENTISTRY

At Elektoralna Dental Clinic we provide everything that is necessary to experience 100% satisfaction and comfort after the completion of dental treatment. We offer you aesthetic medicine treatments with the use of botulinum toxin and hyaluronic acid.

Botulinum toxin, commonly known as Botox, can be used to eliminate mimic wrinkles, treat bruxism and reduce gummy smile.

Hyaluronic acid is used for lip augmentation and lip colour correction, for restoring lost face volume, as well as for mesotherapy.

Gummy smile

Crucial elements of the aesthetic of smile include harmony, symmetry and proportions. It sometimes happens that the muscles participating in the smile actively pull the upper lip, displaying an excessive portion of gums. Adequately administered small dose of botulinum toxin is able to help restore the harmony and symmetry of the smile. As every botulinum toxin procedure, the injection needs to be repeated every 4 to 6 months.

Lip shape and lip colour correction

After comprehensive orthodontic, prosthetic or aesthetic dental treatment, there is the possibility of performing a minimally invasive procedure that enhances lip shape. It consists in an intracutaneous application of hyaluronic acid. The application of hyaluronic acid in dentistry is a significant complementation to any procedures aimed at restoring a beautiful, harmonious and symmetrical smile. The amount of acid administered is so small that changes remain invisible to an untrained eye. Hyaluronic acid, which is naturally produced in our body, restores, moisturises and refreshes the skin. Appropriately applied and administered, it can enhance the contour of lips, moisture them, restore their symmetry and highlight a beautiful and sensual smile.

Bruxism – treating headaches

Excessive teeth grinding and clenching the jaw was classified as a civilization disease. The speed of life and accompanying stress have to be released. This usually takes place at night during sleep. An exhausted body releases accumulated emotions through clenching the jaw with a muscle known as the masseter. Excessive muscle contraction may be the source of significant tension at the surface of the teeth and cause teeth wearing out, overload, cervical cavities, hypersensitivity and even cracks. Treatment with a dental guard usually proves insufficient.

This is where botulinum toxin proves to be salutary. Its task is to weaken the excessively developed muscle. A weaker muscle can no longer clench the jaw with such a force. The relaxation of the muscle relieves tension headaches, ear and temple pain, as well as pain in the mandibular joint. Very often the patient can resign from wearing the dental guard.

Patients who regularly take advantage of these procedures report a significant improvement in sleep quality and reduction of bothersome headaches.

Botulinum toxin injections are administered every 6 to 9 months, depending on the level of bruxism.

Treatment plan

1st visit
DIAGNOSTICS AND THE PREPARATION OF A TREATMENT PLAN
The first appointment is devoted to consultation and performing a panoramic X-ray, which constitutes the basis for drawing up a treatment plan together with a cost estimate. It is established which teeth require dental crowns. One very important stage of diagnostics is a detailed teeth analysis, paying special attention to any previous root canal treatment, and supporting it with the use of a crown-root inlay(see: crown-root inlays).
Root canal treatment is required in case of severely damaged teeth, teeth that have been reconstructed numerous times or teeth that require substantial stripping. This is often difficult to establish during the first appointment, and in the treatment plan this stage is described as “potential” (if the tooth is painful). Following root canal treatment, the teeth need to be fitted with a crown-root post, because as time goes by, such teeth tend to lose flexibility and might break.

2nd visit
STRIPPING THE TOOTH
TAKING AN IMPRESSION
CREATING A TEMPORARY CROWN
During the second appointment, the tooth or an entire group of teeth is stripped to prepare it for the crown. While stripping, it is always necessary to leave an layer of hard dental tissue that covers the pulp. This is achieved through shaping the stripped tooth stump to exactly imitate the original shape of the tooth, albeit in a smaller size. During tooth preparation it might turn out that it is necessary to carry out root canal treatment in order to avoid any potential complications, such asacute inflammation of the pulp, and eventually also of the periapical tissue.

In another step dental impression is then taken. At Elektoralna Dental Clinic we use top quality impression materials that are the only substances on the market characterized by unmatched precision of the reproduction of the tiniest detail in the impression. Based on such detailed impressions, the prosthetic lab can create a perfectly fitting prosthetic (crown, bridge, veneer) characterized by the highest possible marginal tightness.
After preparing the tooth for fitting a crown and taking the impression, which is very important stage of the process is fitting the tooth stump with a temporary crown. A temporary crown performs multiple important functions, but most importantly it protects the stripped tooth from irritating external factors, such as heat or cold etc. It also protects the patient and improves their appearance while they are waiting for the final crown.

3rd visit
FITTING AND CEMENTING THE FINAL CROWN
The last appointment is devoted to fitting and cementing the final crown. In our clinic in case of highly complicated and aesthetic reconstructions, fitting is performed during a separate appointment, but the crown is most often prepared properly and can be cemented on the tooth without the need for any corrections.

The most stupid thing a person can do is to give up on their dream.
Margaret Thatcher

Porcelain veneers, also known as all-ceramic aesthetic restorations, are currently the most advanced form of aesthetic restoration of teeth. They can be fitted both in the upper and lower jaw. They make it possible to achieve the effect of beautiful, even and bright teeth which are also significantly more resistant to mechanical damage compared to classical composite. Their  durability is estimated to be around 15 years.

After this period, due to the irreversible process of the ageing of gums and the decrease in the strength of the bonding, it may be necessary to exchange them for new ones.

A classical veneer is a thin shell made out of highly aesthetic dental porcelain cemented to the front side of the tooth. It is from 0.4 to 1.5 mm thick, thanks to which this method is significantly less invasive compared to porcelain crowns.

The condition for this kind of restoration is proper oral hygiene, stable occlusal conditions and a low level of tooth damage.

In case of extensive cavities, fitting a crown is recommended, as the veneer itself is a very delicate restoration and only when it is fixed on a stable basis, can it become an extremely strong filling of enhanced aesthetic value.

Thanks to the technique of multi-layer fusion, it is possible to obtain natural translucency and the depth of porcelain structure, which additionally makes the surface of porcelain resemble natural enamel surface. Due to their photo-optical features, veneers integrate very well into the teeth surface, thanks to which the process of enamel stripping is kept to the minimum.

Indications for veneers include:

• various types of abnormalities in the micro and macrostructure of the enamel,
• tooth shape abnormalities,
• moderate discoloration, which cannot be removed by whitening,
• extensive cervical cavities,
• worn incisal edges.

A typical course of treatment comprises four appointments.

1. During the first appointment, the doctor takes medical history, performs a detailed dental examination, evaluates the aesthetics of the dentition and discusses the patients’ expectations. Thorough photographic documentation and dental impressions are also made.
2. After the proposed computer-visualised teeth shape is prepared and accepted, a technician makes a wax veneer mock-up, which is used during the subsequent appointment to prepare a test work to assess aesthetics, phonetics and functions.
3. If tests are successful, during the third appointment the Patient’s teeth are gently and selectively stripped. Dental impressions are made and temporary veneers are prepared.
4. The last, final appointment finalises the process – ready porcelain veneers are cemented to the Patient’s teeth.

The one who invented teeth whitening deserves a Nobel prize.
Madonna

The stars shine the brightest and that is why every trend starts from them. They know that a beautiful smile makes a stronger impression than perfect make-up, hair style or elaborate outfit. It is said that in their world no career is possible without talent and Hollywood smile. One of the most popular, most fashionable and quickest aesthetic dentistry procedures is teeth whitening. This procedure will make your face take on a new brilliance.

Everything started a long, long time ago in the Roman Empire…It was there, in the 1st century CE that various procedures aimed at lightening dark colours were performed. Later the evolution of this procedure took hundreds of years in many countries up until the 20th century, when specialists developed safe methods of whitening teeth both at dentist’s surgeries and at home. And because everything comes from the stars, similarly the snow-white smile came into fashion and entered the streets. More and more people impress with their Hollywood smile. Don’t we all want to look like stars?

See -> whitening

t’s the teeth, not solutions that should be straight.
Abraham Lincoln

Orthodontic treatment at Villa Nova Dental Clinic draws not only on the scientific bases of orthodontics, but also pays attention to the ART OF ORTHODONTICS.

THE ART AND THE CLINICAL SKILLS OF OUR ORTHODONTISTS PLAY A CRUCIAL ROLE IN ACHIEVING THE DESIRED EFFECTS AND IN MEETING THE NEEDS OF OUR PATIENTS.

Achieving the results of orthodontic treatment that can be described as NORMAL are often not satisfying enough for our adult patients.

THIS IS BECAUSE OUR PATIENTS USUALLY EXPECT MUCH MORE!

Improving the quality of people’s lives by making them look more attractive is the effect of orthodontic treatment and it cannot be overestimated. The new tendency is to bring both facial features and single teeth to perfection, which is the aim of macro- and microaesthetics.

MACROAESTHETICS

At Villa Nova Dental Clinic we offer adult orthodontics and its strategy includes elements that prevent the negative effects of ageing. The knowledge of the nature of the soft tissue ageing process has a significant impact on the orthodontic treatment plan, as well as the facial appearance in the short and long term.

Treatment plan at VNDC involves elements of the assessment of facial outlines, such as: the position of the chin, lips and the degree of convexity of the facial profile. These are the essential components of so-called MACROAESTHETICS, the study of which will enable to plan orthodontic treatment in such a way that the final facial appearance most desired by our Patients is achieved. In many cases it will also restore YOUNGER LOOK.

At Villa Nova Dental Clinic we apply new concepts of aesthetic classification, as well as “smile design” concepts, which

ENABLE TO ACHIEVE HIGHER THAN STANDARD EFFECTS OF ORTHODONTIC TREATMENT!

MICROAESTHETICS

MICROAESTHETICS involves components related to the shape, proportions and the alignment of single teeth, as well as groups of teeth.

THE SHAPE AND PROPORTION OF TEETH OR HOW TO ACHIEVE A MORE BEAUTIFUL SMILE?

Following orthodontic treatment, it might turn out that the structure of single teeth is not perfect. Their shape, which changed due to many years of occlusal abnormality, often requires correction, i.e. recontouring.

Not all our Patients want or can have fixed porcelain veneers, which offer a spectacular aesthetic effect for many years (see-> PORCELAIN VENEERS)

At Villa Nova Dental Clinic we also offer a wide range of procedures applied at the final stage of orthodontic treatment in order for our Patients to achieve a better smile. The basic procedures include:

1. Remodelling of approximal surfaces that allows for the dental black triangles to be eliminated.
2. The change of convexity of the labial surface of the teeth – the correction of the convexity helps to achieve a more aesthetic appearance of the labial surface of the teeth.
3. Contouring of the gingival margins with a laser in order to achieve a better white and red aesthetics (teeth and gums). It includes:
   • elimination of gummy smile,
   • elimination of a large disproportions in the height of gingival margins along the teeth,
   • elimination of unfavourable gingival hypertrophy or single hypertrophic warts.

1. Can anyone whiten their teeth?

Teeth whitening methods used at Villa Nova Dental Clinic are highly safe, even though there are certain limitations to their use:

• they should not be used in pregnant and breastfeeding women, as there are no studies confirming their impact on the foetus;
• children under 14 years old, as well as people with diagnosed allergy to peroxides and resins should not have their teeth whitened.

2. Can all teeth be whitened?

In a vast majority of cases – yes. The best candidates for teeth whitening include patients with naturally dark coloration, discoloration caused by coffee, strong tea or cigarettes, as well as patients with genetic changes. However, no whitening method can guarantee full success. There are cases of very strong discolorations that are resistant to whitening treatments e.g. extensive staining caused by antibiotics. This however does not mean that these patients have no other option. The perfect solution could be ceramic veneers or prosthetic crowns that ensure a perfect aesthetic effect.

3. Do whitening products cause damage to teeth?

Numerous scientific studies show that teeth whitening methods are completely harmless to the enamel. It does not affect the structure of the hard dental tissue nor increase susceptibility to dental caries.

4. Are there any side effects associated with teeth whitening?

Sometimes a slight hypersensitivity to thermal stimuli, e.g. hot or cold and gum redness, can occur. However, applying special products can permanently remedy this ailment.

5. What should be avoided in case of teeth whitening?

The following activities should be avoided as they may have negative impact on the process of treatment:

• smoking cigarettes;
• drinking coffee, strong tea, red wine, coloured drinks, citrus fruit, fruit juices and medications against stomach acid disorders;
• using other whitening products at the same time;
• drinking and consuming food when the splints are fitted.

6. Do unaesthetic fillings need to be removed before teeth whitening?

Whitening products do not work on all composite fillings or prosthetic crowns. Therefore the removal of unaesthetic fillings before the whitening process is not always sensible. In some cases, we replace fillings before whitening. Each case is treated individually and the decision regarding the sequence of procedures is made by the doctor. The best moment to do it, including the matching of the teeth with the new colour, is around 2 weeks after the whitening process is completed and the final treatment effect is established. Before the treatment, it is necessary to:

• remove sediment and tartar from the teeth;
• fill carious cavities with temporary material;
• replace leaking fillings (temporary material);
• check that your periodontium is in good condition.