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Dentistry, Oral Hygiene, Bleaching, Oral Surgery

Ecto Derma Polyclinic - Dental - Medical - Laser  Educational and Research Center

1085. Budapest, József krt.37.  Hungary  Tel.: +36 1 3178175 ; +36 1 2350024
Fax.: +36 1 2350025  Email:  titkarsag@ectoderma.hu recepcios@ectoderma.hu

postheadericon Dentistry, Oral Hygiene, Bleaching, Oral Surgery

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A visit to a laser dentist gives you the opportunity to experience a new and exciting technology. We would like to give you some basic information and perhaps reduce some of your concerns. Dental lasers are a family of instruments. Some lasers are used for surgery. Some to cure restorative materials and enhance tooth bleaching. Others to remove tooth structure for elimination of disease and restoration, or for sterilization of root canals and periodontal pockets. Different lasers for different procedures. All lasers require eye protection. Lasers do not make whining sounds or other annoying noises. You may experience the sound of a rush of air, since air suction is used to keep the area cool and clean. You should be able to relax and be comfortable while the dental laser is in use.

If you have a missing tooth, a Dental Implant is considered to be the best way to replace that tooth. Before a Dental Implant is even considered, you will need to have a Dental examination to determine whether the Dental Implant is the best option for you. During the examination you will have a Dental X-ray to make sure that the jawbone is healthy enough to take the Dental Implant. To receive an implant, your mouth must be hygienically clean before surgery can commence. The Implant Surgeon will then have a Titanium metal Dental Implant surgically placed in your jaw. Once the healing process is complete then the implant post & crown is fitted.

The end result is the closest thing that man can do to mimic a tooth and its natural root. When a tooth is near the front of the mouth, there are cosmetic issues that need to be addressed. Getting the end result to look like a real tooth is a monumental challenge. The teeth next to the implant tooth will have complex color gradients that need to be matched in the false tooth. The gums need to be sculpted in such a way that they look natural. Our specialist Dentist will pay special attention to the placement of the Implant post so that the false tooth has the correct inclination in your mouth.

  • Oral-hygiene treatments, tooth scale removal, tooth whitening
  • Aesthetical fillings, laser tooth treatments
  • Allergy test of dental materials
  • Metal dissolve measurement, microbiological test
  • Laser treatment of paradentium diseases, pyorrhea
  • Treatment of oral affections, gingivitis
  • Porcelain and special prosthetic dentistry

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Crowns

Crowns may be made from several different materials, gold and porcelain being the most common types.

Gold is usually used on the back teeth, as it has several advantages over porcelain teeth.

- Gold is strong in thin section and fewer teeth needs to be drilled away before taking the impression and fitting the crown.

- The lab technician finds it easier to use gold as it shrinks less when cast and is easier to polish. Crowns of porcelain shrink when cast and the technician has to estimate this when making the crown.

Porcelain is usually always used for the front teeth but may be used for the back teeth. This material can be made to appear very natural though several factors affect this and are outlined below;

Some porcelain crowns have metal inside which gives strength and support to the porcelain. This acts as a barrier for light and gives the crown a dull color. On posterior teeth this won't be noticed but in the front of the mouth it can occasionally be a problem as the tooth looks duller than the natural teeth.

A porcelain bridge allows the dentist to replace lost teeth without the use of a denture or dental implant. Basically a false tooth is held in place by being attached to a tooth next door. The disadvantage is that the teeth next to the space have to be prepared in a similar way to a crown in order to accept the bridge. If these teeth already have crowns or big restorations then this is not a problem, the major concern however is when these teeth have small or no restorations (fillings). One compromise is the 'acid etched bridge', with this type a fine ledge is placed on the back of the adjacent teeth.

One disadvantage of a bridge is that the patient should wait three months before placement as the 'gum' shrinks' after a tooth is extracted. If the bridge was fitted early a gap would appear underneath the pontic (the false tooth). At the back of the mouth this may not be a problem, at the front of the mouth however this may appear as a black line along the gum.

Dental Inlays are used when a patient prefers not to have Amalgam fillings and white composite fillings would not be strong enough over a larger surface area. Many clients are now choosing to have their old Amalgam fillings removed to make way for new porcelain dental inlays.

Ever since dentists first started installing Amalgam fillings in patients' teeth there has been an issue as to whether the dose of mercury that is released from them causes health problems.

A back tooth with a large silver amalgam filling may sometimes show as a dark area in your smile.

Whether it is for health or aesthetic reasons, you may want to consider removing the old silver amalgam filling and replacing it with an inlay. White tooth color composite fillings can sometimes be used to replace old Amalgam fillings but porcelain inlays are a better choice when the fillings are too large for composite fillings.

Porcelain inlays require two appointments and local anesthesia. The existing silver filling is removed and the tooth shaped for proper placement. An impression of the involved teeth and the opposing teeth is taken and a temporary restoration is placed. About a week later, after the dental laboratory custom makes the restoration, the temporary filling is removed, the porcelain is fitted and adjusted and is then bonded or cemented in place and finally sealed.

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Dental Procedures for Patient Protection during Amalgam Removal
IAOMT Standards of Care, Preferred Procedure, "Reducing Mercury Vapor Exposure for the Patient during Amalgam Removal." (September 1992)

The IAOMT has currently established the following amalgam removal protocols. If these protocols are followed, the amount of mercury released into the body during amalgam removal is reduced.

  • Place a rubber dam around the tooth to isolate it from the body
  • Provide an alternative source of air to the patient,
  • Place a saliva ejector under the dam to remove mercury vapor that penetrates the latex,
  • Use high volume evacuation with isolate attachment,
  • Section amalgams and remove in as large pieces as possible,
  • Remove and properly dispose of rubber dam and mercury after amalgam removal.

The amalgam removal precautions in addition to the protocols listed above include:

  • Remove no more than two amalgams per appointment,
  • Time amalgam removal appointments at least one month apart,
  • Administer intravenous Vitamin C before removal (Hg has a greater affinity to Vitamin C that is present in the blood than it does for body tissue),
  • Don't remove amalgams from a pregnant woman.

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Permanent, comfortable solutions to loose, ill-fitting dentures.

- Do you have loose, ill-fitting lower dentures that slip when you eat or speak? 
- Do your dentures cause you pain and discomfort as they rub on your gums? 
- Two procedures are now available to return the comfort and security of natural teeth.

Il-fitting dentures and denture pain or discomfort are often a result of an inadequate lower ridge. After teeth are removed, without the roots of the teeth in the jawbone, the jawbone begins to shrink in a process known as "resorbtion" The lower jaw shrinks at about four times the rate of the upper jaw. This process of resorbtion causes lower dentures to need almost constant refitting as the denture appliance becomes loose over the receding bone and gums. When dentures become loose, irritation of the gums increases causing sores, pain, difficult chewing and sometimes even speaking problems.

Clip-on Dentures create a revolutionary way to wear lower dentures. No more messy powders or creams to apply and no more loose dentures or foods you must avoid!  With Clip-on Dentures you will eat and speak more confidently and you will have more than three to four times better chewing stability and comfort with this system. Titanium fixtures are surgically implanted on either side of the lower jaw. Next, dentures are prepared with the associated "sockets" that attach to the bars implanted in your jaw. After appropriate healing has taken place, (usually 8 weeks), just clip your dentures in place for a secure, stable, comfortable fit.

For those who are tired of the hassles associated with removable dentures, and want the ease, comfort, and security of "fixed teeth" again, Permanent Dentures are the solution. In this surgical procedure, anchor posts are implanted below the gum line to hold a permanently affixed bridge containing the dentures.

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Laser dental treatments

  • Tooth drilling by laser
  • Laser treatment of gingival pockets
  • Root canal treatment
  • Groove closure
  • Treatment of epithelial cuff sensitivity
  • Laser tooth whitening
  • Orthodontia - for adults as well
  • Laser surgery treatment of periodontal atrophy

Depending on your treatment needs, your dentist may use the laser for a long period of time or possibly only for brief moments. However, even those procedures that require only a short period of laser usage benefit from the advantages of laser therapy. With laser surgery, there is a reduced need for local anesthesia, bleeding is minimized, swelling is controlled, and there is usually little, if any, postoperative discomfort. Laser energy enhances the effect of tooth bleaching agents for a faster and more effective result. Natural looking restorative materials for teeth are more quickly cured to greater hardness. Lasers that remove tooth decay are fast and seldom require anesthesia. Lasers can sterilize root canals and periodontal pockets with increased patient comfort.

Dental lasers are used for a variety of treatment procedures. Your dentist knows which types of patient care are more patient friendly with a laser than with alternative traditional methods. The dentists using lasers have devoted training time and expense to be able to bring you the many advantages of this exciting new technology.

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Face mandible radiography

  • Panoramic radiography
  • Facial cavity, face and skull imaging
  • Salivary gland fill-up examination

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Orthodontics

  • For children
  • For adults
  • Combined with surgical intervention
  • Combined with prosthetic dentistry

Invisible Braces

Have you ever wanted to get your teeth straightened but did not want to have to go to the trouble of having wire braces? Here at Hungarian Dentists, we have come up with the solution - Invisible braces!

Our specially certified Dentists use a series of tried and tested clear removable aligners to straighten your teeth without metal wires or brackets. You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss.  As you replace each aligner with the next in the series, your teeth will move - little by little, week by week - until they have straightened to the final position your orthodontist or dentist has prescribed. You will visit your orthodontist about once every 6 weeks to ensure that your treatment is progressing as planned. Total treatment time averages 9-15 months and the average number of aligners worn during treatment is between 18 and 30, but both will vary from case to case.  Experienced orthodontists can use this new technology to treat a vast majority of adults and adolescents who want a better smile. It is so easy to get started.  We will arrange for you to visit your orthodontist.  After a consultation which might include several X-rays, a treatment plan will be decided with the help of the orthodontist. The orthodontist will then send away a prescription so that your aligners can be made. After just a few weeks, you will be able to wear your aligners. At the end of your treatment plan, you will have a straight teeth and a beautiful smile. Nothing could be easier.

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Laser tooth whitening

The method offers clients the safety and science of a dentist's office with all the comforts of a spa. First you'll have a complimentary consultation to answer all your questions. If you are interested in moving forward with the treatment, a laser dentist will then examine your teeth and gums to ensure that they're healthy for whitening at that time. Then, while you relax, watch TV, or even nap, our proprietary gel and laser light treatment work to whiten teeth to their optimal brightness.

What does the whole procedure look like?

  1. Your gums and mouth are protected with isolation materials and a "Before" picture is taken
  2. The laser whitening gel is professionally applied and activated by the laser light source.
  3. After three 20-minute applications over a one-hour period, your whitening is completed and your "After" picture is taken
  4. You rinse. You smile. Wow!

Bleaching

The search for more effective options in the treatment of tooth staining is nothing new. Over the centuries, there has been an ongoing interest in seeking solutions for making teeth white. The Romans used to wash their teeth with Portuguese urine. During the 14th century, having your teeth bleached was the most-requested treatment after tooth extraction and was carried out through combined use of metal files and nitric acid. In the late 19th century a combination of H2O2, ether and electricity was used. Later the same ingredients, but with heat rather than electricity. HCl or hydrochloric acid was introduced for teeth whitening in 1916, and in 1966 combined with H2O2. In 1970 it was established that H2O2 is the most effective stain removal agent.

One has to distinguish extrinsic discolorations from intrinsic discolorations. Extrinsic discolorations are superficial and caused by tobacco, wine, coffee, tea and some herbs. They can be easily removed by the use of cleaning pastes and polishing.

Intrinsic discolorations represent stains inside the structure of the tooth (enamel, dentine) and can cause a yellow, brown or grey appearance of the teeth. Reasons for intrinsic discolorations are fluorosis, the use of tetracycline's (antibiotics) at young ages, enamel and dentine malformations or a damaged pulp as sometimes encountered after injury or root canal treatment. This kind of discoloration cannot be removed by conventional cleaning procedures. They are the main target of bleaching techniques.

How does Bleaching work?

Principally bleaching is an oxidation process a special bleaching gel containing a H202 is administered on the surface of the respective teeth and activated by laser light. . When the bleaching agent H202 dissolves, it releases free radicals which split large pigmented molecules responsible for the actual discoloration into smaller light-reflecting molecules. The more reflection there is the lighter the teeth appear.

What different kinds of Bleaching methods are there?

Two different ways of bleaching can be distinguished: Home Bleaching and In-Office Bleaching. During Home Bleaching specially adapted splints are used to apply a low-dose H202- gel (approx. 3%) to the patient's teeth for several hours a day or over night. The actual bleaching routine is done by the patient over a period of 3 - 4 weeks. Yet the exaggerated and prolonged use by the patient can lead to harmful side effects such as irritation of the gingival and damage to the enamel. In-Office Bleaching is a short time treatment performed by the dentist who uses a high percentage H202-gel sometimes in combination with an activator such as the plasma or halogen lamp in order to speed up the bleaching process. These techniques still need a considerable amount of bleaching sessions to obtain the desired outcome. Only moderate discolorations can be treated.

What is Laser bleaching?

The latest, "in-office bleaching'' method which is in use since 1996 is Laser bleaching providing fast, predictable and long-lasting results. In the course of the procedure the bleaching gel containing high percentage H202 and a special absorber which prevents any adverse heat effects to the pulp is activated by laser irradiation and the actual bleaching process is thereby accelerated.
The bleaching procedure takes place under medical supervision and satisfying results can be achieved in a very short period of time (approx. 1 hour). Only severe staining needs more than one in office treatment session with a laser. Even the very severe discolorations caused by antibiotics (tetracyclines) can be treated by laser bleaching. Intrinsic discolorations can cause a yellow, brown, grey or blue-grey appearance of the teeth, eventually with banding. The first is the easiest to bleach, the last the hardest one. Home bleaching can only deal with the first, yellow one, and it takes a considerable amount of time. The persistent use of home bleach gel can cause side effects in the body.

Generally asked questions and answers


What is the procedure/treatment?
A: Laser bleaching is a tooth whitening system using a laser.
How long does it take?
A: Usually one hour
How long does it last?
A: Assuming you look after your teeth normally, experience indicates that the benefits of laser bleach teeth whitening lasts for years. 
How many treatments do I need?
A: The vast majority of people need only one treatment. Certain special types of staining, for example antibiotic staining may need two or even three sessions. 
Can you show me the improvement I can aspect?
A: yes, we can show you on a shade-guide.
Where can I have the treatment done?
A: At a laser bleach approved dentist. 
Does it hurt?
A: No.
Do I need anesthesia?
A: No.
Do I have sensitive teeth afterwards?
A: Some teeth may be a bit more sensitive just for one or two days.
Can I do it myself?
A: No. 
Why is the laser bleach system better than the others?
A: It works! Laser bleach is more effective and longer lasting than any alternative method of whitening natural teeth. The laser bleach system has been researched and developed over six years. It has been trailed and proven to be safe and effective in Universities in Europe. 
Are lasers dangerous?
A: No danger when used by trained professionals.
Are the people who do it qualified? How?
A: They are university qualified dentists who have been selected and trained in laser bleaching.
Does it work on false teeth?
A: No
I have "capped" teeth, amalgam fillings, porcelain veneers...will they be affected?
A: They will remain the same. They will not bleach. Laser bleach only works on natural teeth.
I've tried several "bleaching" methods, they don't last. Is laser bleach similar?
A: Laser bleach is not only more effective, it lasts longer.
Does laser bleach make my teeth stronger (healthier, cleaner)?
A: A secondary effect of the laser is that it reduces tooth decay.
Does the treatment affect my gums?
A: No. In fact, gums are protected during the treatment.
How much is the treatment?
A: The recommended price varies from country to country, and from city to city. Private health plans generally do not pay for teeth whitening procedures.

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Laser surgery of paradental atrophy

Diseases of the periodontal tissues are the most frequent reason for tooth loss after the age of 35. These infectious diseases are quite epidemic all over the world.

How do you catch a periodontal infection?

Minutes after you cleaned your teeth colonization of the tooth surface with in the first instance harmless bacteria starts, plaque is formed. Under advantageous conditions the ''enemy'' proliferates enormously and recruits aggressive partners. This Armada manages to break through the borders your body builds up against those invaders, they reach the deeper spheres of the periodontal tissues and keep on damaging their host. The periodontal pocket is now established, filled with inflamed, infected tissue. Therapy is urgently needed.

So, what are the aims of periodontal therapy regimens?

  • removal of plaque/calculus
  • bacterial reduction
  • removal of infected tissue
  • elimination of inflammation
  • prevention of further plaque formation
  • regeneration of periodontium

How Laser is assisted periodontal therapy carried out?

First concernments in the periodontal pocket have to be removed in the conventional manor with curettes and scalars to enable the transportation of the laser light into the deep pockets. Now laser light can be used to eradicate the bacterial flora in the affected tissues. This sort of light manages to penetrate tissues to a depth that can never been reached by usual rinsing and disinfecting methods. Even bacteria that withstand UV-light and sterilization with intensive chemicals are destroyed by lasers without further harm for the dental tissues.

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Can Lasers support surgical periodontal therapy?

If the periodontal pockets have reached a certain depth your dentist will suggest surgical therapy. After preparation of the periodontium and manual removal of the infected granulation tissue lasers are used for the same reasons as in conservative treatment. They eradicate the remaining bacteria to prevent an exacerbation of the disease.

How can you keep the sanity of your periodontal tissues and avoid re-infection?


Following a successful therapy you will be asked to join in a recall program at your dentists. Three times a year you should have a session with a professional dental hygienist. He/she will evaluate the state of your periodontal tissues and so give you the chance to react on the first signs of upcoming disease.

Dental and Oral surgery

Your dentist has told you, that your dental problem can only be solved by performing an operation? After the first moment of fear you have now to decide where to go?

You want to know what benefits you would get from consulting a surgeon using Lasers?

Principally the operations done with laser assistance follow the same procedure as conventional executed operations but there are some great advantages of laser surgery:

  • Nearly bloodless operation
  • Therefore the surgeon has an excellent overview during the whole procedure, which shortens the operation time. Having open wounds for a shorter time means
  • Reduction of infection-risk, infections being one of the most frequent complications after surgical procedures.
  • No occurrence of bleeding means no or less postoperative haematoma and swelling, once more the risk of infection is minimized.
  • Nearly all patients report no or less pain after laser surgery compared to patients suffering from the same disease, but having conventional surgery performed.
  • Intra-oral sutures mean a lot of discomfort for the patient. Very often there is no need for sutures after laser surgery, thereby increasing the patients comfort to a large extent.
  • Of utmost importance, especially in plastic operations is the obvious inhabitancy of scaring. No or nearly undetectable scars are the result of Laser surgery.

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Still many patients ask about the risks of laser surgery, lasers having the image of extremely strong, dangerous light. How can a light beam able to cut steel be used without risks to patients benefit?

Surgeons working with lasers will strictly follow the guidelines for laser safety and the gold standards for laser applications, developed in numerous scientific studies all over the world.

Nowadays the "laser scalpel'' can be used as safe and accurate as the steel scalpel.

Laser surgery is no longer an experimental field of surgery, but an established completion of the supply innovative surgery provides for you. Nowadays the "laser scalpel'' can be used as safe and accurate as the steel scalpel. Laser surgery is no longer an experimental field of surgery, but an established completion of the supply innovative surgery provides for you.

Periodontal pockets

Attachment formation after the laser treatment

New attachment formation

  1. The main goal of periodontal therapy is:
    -to reduce inflammation
    -to form a new connective tissue or epithelial attachment
  2. Biocompatibility of root surface plays an important role of periodontal regeneration.
  3. The root surface interferes with migration, attachment, proliferation and differentiation of periodontal ligament cells.
  4. The ligament cells are responsible for new attachment formation.

Periodontics Laser treatments

  1. Calculus detection
  2. Scaling and calculus removal
  3. Root surface alterations
  4. Reduction of level of bacteria
  5. Ablation and recontouring of alveolar bone
  6. New attachment formation
  7. Periodontal plastic surgery

Periodontal plastic laser surgery

  • Gingivectomy
  • Hyperplasias
  • Orthodontically induced hyperplasia
  • Epulis

Periodontal pocket treatment method with laser
First ultrasonic subgingival scaling, after 980 nm Diode Laser subgingival bacterial decontamination 3W,  0,01 sec pulse- 0,01 interval - 4 times inside 1 pocket (AmDent 2030 + Smilepro)

Suggested method

  • Lidocain spray anesthesia
  • Ultrasonic treatment and 980 nm diode laser application in one session (300 µm fiber, 3W, 0,01 sec; 0,01 sec) 4 times 1 pocket under Panoramic X ray control
  • 2nd week diode laser  treatment again
  • 3rd week diode laser  treatment again
  • 2 times a week soft laser therapy

Advantages of the diode laser periodontal pocket treatment:

  • Not necessary infiltration Anastasia
  • 3 sessions - weekly is very effective
  • 25-50 sec/teeth lasing is effective
  • Minimal pain or painless

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