What should I do in case of a tooth injury?

In the case of a broken or knocked out tooth, you should find the broken fragment or whole tooth and place it in a container with physiological saline or milk as soon as possible or put it in the mouth and immediately go to the dentist.

Is fluoride safe?

Fluoride is a toxic element, but only in very large quantities. The doses contained in toothpastes and fluoride varnishes used in accordance with recommendations are completely safe.

Do the deciduous (primary/milk) teeth have nerves?

The deciduous teeth are just as innervated as permanent teeth.

Should milk teeth be treated?

Yes, milk teeth should be treated just like permanent teeth. The consequences of untreated cavities might be dangerous for a child’s health.

Is it possible to carry out an implant treatment in every patient?

We can carry out implant treatment even in very difficult anatomical cases. However, decisions about the appropriateness of treatment in a given case are always based on a medical history and diagnostic examinations.

In the case of diseases such as diabetes, advanced osteoporosis, diseases of the joints or cardiovascular system, additional consultations are recommended. The main contraindication to implant treatment is the lack of appropriate oral hygiene.

How long is the implant warranty?

Dental implants introduced in our Centre are covered by a lifetime guarantee. However, to maintain the warranty systematic check-ups and regular oral cavity hygiene treatments are necessary.

Why do some people need implants? Is there effective prevention?

Correct oral hygiene and regular dental check-ups help to keep your natural teeth in good condition for as long as possible, thus avoiding the need to replace them with implants. In addition, factors independent of us determine the indications for implant treatment, such as accidents or abnormal growth of the maxilla and mandible.

I have heard that implants are a better solution than a removable prosthesis. Is this true?

Definitely. The implant integrates with the bone and replaces the natural tooth root, providing the patient with maximum comfort. Prostheses that are not based on implants are removable, which affects their stability. In addition, the pressure that accompanies chewing is transferred to the prosthesis and then to the gum, which can cause bone atrophy. For better comfort and to avoid bone atrophy, it is worth opting for implants.

Which implants are the best? How are they different?

Implantology is one of the fastest growing fields of dentistry, and therefore many implant systems are available on the market. At the Cichoń Dental Centre, we implant world-class Nobel Biocare implants. They are made of biocompatible titanium. They differ in thickness, length and shape.

Why are implants considered a better solution in the absence of teeth than a removable prosthesis?

Indeed, implants are a better solution than a prosthesis. All the forces accompanying food chewing are transferred to the crowns of our teeth and then to their roots. The implant is screwed into the bone, with which it integrates perfectly, meaning it replaces the natural root 100%. Dentures are far less comfortable. First of all, the prosthesis is mobile and therefore it will never be as stable as implant work.
Advantages of dental implants:
• provide a strong and stable foundation for artificial teeth that look, feel and function like real teeth
• help to provide attractive and aesthetic smile, as well as keep face shape (they stimulate bone tissue and gums)
• help to maintain the healthy condition of neighbouring teeth by eliminating the use of a clamp and the need to file down adjacent teeth for support under the bridge or prosthesis

What is implant-supported prosthetics? What is implant-based prosthetic restoration?

Implant-supported prosthetics is a crown, a bridge or a prosthesis attached to an implant. The implant is a titanium screw inserted into the bone, which replaces the root of the lost tooth. After its introduction, it is necessary to wait some time until the implant integrates with the bone and then the next stage, prosthetic reconstruction, can begin.

Why is it worth choosing implant treatment?

Implants are the best way to replace missing teeth. Implants allow patients to gain a new tooth that allows them to function normally: smile, chew or bite. The implant also fills the gap between healthy teeth, preventing them from moving. In addition, implantological treatment avoids the facial distortion caused by missing teeth.

Is it true that you should fill in a missing tooth as soon as possible?

Yes, it’s true. The place left by the removed tooth is referred to as the “destructive gap”, because at the moment of tooth loss, the distribution of mandibular movement forces along the dental arches gets disturbed. A destructive process begins, which can have irreversible consequences:
– due to the tilting of the teeth in the direction of the gap between the teeth there are breaks – unsightly diastema, which cause inflammation of the gums;
– during the chewing of food, forces that cause the teeth to bend towards the gap are released, which disturbs the symmetry of the smile;
– the bone disappears in the area of the extracted tooth, and the next stage of this process is gum atrophy, which can significantly hinder the performance of aesthetically satisfying prosthetic restoration;
– due to lack of contact with the neighbouring missing tooth, teeth systematically move, which can lead to overloading (dental trauma knot), loosening, and in extreme cases even to the need for further extraction;
– moving of teeth leads to an abnormal occlusion, which may result in changes in the temporomandibular joint.

What is the best way to replace a missing tooth?

One of the best ways to compensate for missing teeth is with an implant-supported prosthesis in the form of crowns or bridges on implants. The advantage of filling missing teeth with implants is, among others, that there is no need to grind the teeth adjacent to the gap. In addition, implant treatment prevents bone atrophy in the absence of a tooth.

Why should one avoid mouth rinsing for 48 hours after tooth extraction?

The most important thing is not to rinse your teeth vigorously, because this can accidentally remove the natural dressing, or clot, that forms over the wound. Dislodging the clot often leads to so-called dry socket, which causes intense pain due to the inflammation of nerve endings located in the alveolus.

How long does tooth extraction take?

It all depends on the specific case. As a rule, the extraction of molars takes longer than other teeth. Surgical extractions or extraction of impacted teeth also take longer, since they are more complicated procedures. Typically, tooth extraction lasts from 10 minutes (in uncomplicated cases) up to 60 minutes (cases of impacted teeth, teeth lying close to the nerves, etc.)

Can you expect pain after tooth extraction?

The procedure itself is completely painless, due to the applied anaesthesia. After its completion, it is possible to feel pain. If the pain is severe, it is recommended to take a painkiller available in the pharmacy. In the case of pain or discomfort that persists for a long time, please contact your doctor, because it may be due to complications such as a dry socket.

What is the safest way to straighten crooked teeth?

The best solution is a permanent orthodontic appliance. In the present day, such devices are very diverse: from classic models with metal zippers to more aesthetic ones – sapphire or transparent. It should be remembered that fixed appliances require a great deal of self-discipline from the patient, which mainly involves systematic check-ups. It also requires patience, since the effects of treatment are distant in time.
Crowns and veneers offer an alternative to orthodontic appliances. By giving the teeth the desired shape and colour, we can achieve correctly set teeth. The greatest advantage of veneers and crowns is how quickly they are made. The patient can expect a maximum of 14 days for the final effect.

What is the process of preparing the crown / bridge?

After detailed planning and consultation on the treatment, teeth intended for crowns are filed down. At the same visit, intraoral impressions or scans are taken for future prosthetic work. In addition, temporary crowns are made to protect the filed teeth and allow you to enjoy your smile despite the ongoing treatment. After about 10 days, the prosthetic work is ready to be tried on for the first time. At this stage, the correctness of its execution, shape and colour is assessed. Once the aesthetic effect is fully approved, the, prosthetic work is permanently cemented in place.


Is the surgical extraction of “wisdom teeth” a complicated procedure? What is involved?

Surgical extraction of “wisdom tooth” is used in cases when the tooth erupts partially or in an unfavourable position or remains in the bone. The first stage is anaesthesia, after which the surgeon proceeds to extract the tooth. Often, mainly with impacted teeth, it is necessary to cut the gum at the extraction site. At the Cichoń Dental Centre, the surgeon uses the innovative “PIEZOSURGERY” device, which enables atraumatic surgeries within the bones. The surgery is very simple. There is no need to fear it.

How is a veneer different from a crown?

The main difference between a veneer and a crown is size. A veneer is a thin pad that is placed on the outer surface of the tooth. The crown is thicker, and requires the preparation of a larger amount of tooth on its entire surface. It is also worth noting that dental veneers are usually used for healthy teeth, to improve their aesthetic qualities. A crown often complements major deficiencies of the tooth’s own tissue. Most often, the doctor decides which solution is more beneficial to the patient.

Can periodontal disease be treated? How can it be prevented?

Modern dentistry offers a wide range of periodontal treatment methods. It is worth noting that the early stages of the disease can be alleviated and treated with painless and simple procedures in the dental practice. First, dental hygiene treatment is recommended, during which the dental hygienist thoroughly removes deposits of calculus and plaque, thus protecting the teeth against hypersensitivity and the rapid appearance of sediment. In cases of advanced periodontitis, surgical intervention is necessary. These cases require procedures such as curettage, gingivoplasty and controlled regeneration of the lost bone and periodontal tissues.

What type of filling is the best?

A whole range of materials for filling dental cavities is available on the market. At the Cichoń Dental Centre, we have been using the best of them for many years: GRADIA DIRECT and ENAMEL PLUS, which retain the best aesthetic qualities. These composites are distinguished by their maximum tightness, amazing durability and stunning aesthetic effect.

Is tomographic examination painful?

Tomography is not painful.

How long does a tomographic examination take?

It takes several seconds.

Is tooth inflammation visible in the X-ray picture?

Radiological examination makes it possible to observe chronic inflammation of tissues around the teeth that has existed for at least a dozen or so days. Fresh (several days old) changes will remain invisible, as will inflammatory changes within the pulp of the tooth.

What is a pantomographic picture?

This is a so-called panorama of the teeth, i.e., a photo of the entire teeth. It includes maxilla, mandible, dental arches and tissues surrounding the teeth.

Is root canal treatment painful?

Root canal treatments are carried out using anaesthesia, which means they are painless.

Will root canal treatment take place during one visit?

It depends on many factors, including:
• the number of tooth canals
• inflammation
• whether it is a primary or secondary treatment
Initial treatment lasts about 1 to 2 hours and can be carried out in one visit. However, secondary treatment will probably require additional visits.

Does root canal treatment ensure treatment success and tooth maintenance for many years?

It is estimated that root canal treatment has a 95% success rate. Failure can occur, which usually results from an unusual tooth structure, in particular the roots. Teeth treated endodontically usually have quite heavy losses of their own tissues. In order to strengthen their structure, it is generally advisable to apply an overlay or a porcelain crown on a crown-root insert, which ensures a durability comparable to the strength of a healthy tooth before treatment.

Will I need a crown after canal treatment?

It all depends on how much hard tissue is left after the treatment.
If the amount of tissue is low, a crown will probably be needed. If there is enough, it may be possible to make an overlay or regular filling.

Does the tooth hurt after the root canal treatment?

There may be slight pain after canal treatment, resulting mainly in tenderness of the tooth when biting. This originates from the development of the canals and does not indicate abnormal treatment. The tenderness can last from several hours to several days.

Does a tooth require radiological control after canal treatment?

Yes. After canal treatment, the tooth should be inspected radiologically after 3 months, 6 months and one year.

Will the tooth change colour and become dark after the root canal treatment?

In the past, yes, the treatment caused discolouration of the teeth. However, if the treatment is done properly – if all infected tissues are removed, and the canals filled with brand-new preparation – the tooth should not change colour.

Are there any special recommendations after root canal treatment?

There are usually no specific recommendations or specific contraindications after root canal treatment. Shortly after treatment, however, it is worth limiting consumption of hot food and drinks, and avoiding eating very hard foods or those that require intense chewing.

It turned out that I had a fractured instrument in the canal. Does this mean that I will have to remove the previously endodontically treated tooth?

Fortunately, no, thanks to the endodontic microscope, the doctor is able to remove the broken instrument.

What should be done to avoid the need for root canal treatment in the future?

Regular visits to the dental clinic should be carried out because early caries can be treated with a standard filling.

What is bruxism?

It is involuntary, usually unconscious jaw clenching or teeth grinding at night and/or during the day. It can also take the form of teeth tapping against each other. It is an indicator of improper body functioning or stress.

Why do I grind my teeth?

Bruxism, or teeth grinding, is a common problem. As the grinding takes place mainly at night, patients are often unaware of it. The causes can vary, including pain or injuries around the head, neck muscles, prevertebral muscles or shoulder girdle. Sometimes malocclusion or a poorly chosen prosthesis can lead to overloading of the masticatory system, and consequently to bruxism. Teeth grinding can also have a psychological basis, e.g., in the case of high nervous tension resulting from stress.

Is jaw clenching and teeth grinding harmful?

Jaw clenching and teeth grinding may imply bruxism, leading to changes in temporomandibular joints. Untreated bruxism can be the cause of many health problems, for example: headaches, back pain, hearing or sight problems, and tooth abrasions.

Can there be a connection between abnormalities in the temporomandibular joint and recurrent headaches?

Yes, headaches can be caused by disorders of the jaw joints and muscle cramps around the neck and head. They can also be the result of malocclusion or bruxism. In order to rule out a connection between headaches and the temporomandibular joint, one should visit the dentist who, combining medical history with a series of tests, will be able to determine whether the cause of the ailment is gnathological.

Is there effective treatment for bruxism?

For teeth grinding caused by psychosomatic factors, it is recommended to rest and avoid stress. Bruxism is treated using a special relaxation mouth guard – plastic trays put on at night, which prevent the teeth from grinding.

My jaw pops and clicks with a loud crack. Should I worry?

The clicks you hear may be due to changes in occlusion (e.g., related to erupting wisdom teeth) or a complication of bruxism. To determine the cause, consult a dentist. Relaxation mouth guards may be enough to solve the problem.

How do temporomandibular joint disorders occur?

Temporomandibular joint disorders are affected by such factors as: stress, grinding of teeth, malocclusion or missing teeth.

Is gum chewing harmful to temporomandibular joints?

Yes, frequent gum chewing may lead to temporomandibular joint disorders. If you start to have frequent headaches, popping and clicking when opening your mouth wide or pain when yawning, we recommend reducing chewing gum to a few minutes a day, limited to refreshing and restoring the proper pH in the mouth.

How can a laser help with root canal treatment?

The laser allows you to reach hard-to-reach areas of the extensive system of root canals, unavailable by means of traditional chemical-mechanical methods. In an efficient and accurate way, it reduces microorganisms (it sterilises), and also has a positive effect on the process of periapical tissue healing.

Are there any contraindications to using laser therapy?

The use of the laser is completely safe and its contraindications do not differ from those mentioned in the case of other treatments. What is more, the laser can be used as an alternative for patients who due to health problems (e.g. ulcers, antibiotic allergy, and damaged kidneys) should not use pharmacological treatment.

How does the laser accelerate the healing of wounds?

Laser causes local release of lymphokines and interleukins, growth factors that support tissue regeneration.

Is it true that laser therapy can cure tooth sensitivity?

Indeed, one-time laser beam application is sufficient to free the patient from severe pain. We close the external outlets with the laser and reduce the diameter of the dentinal tubules so that the sensation of hypersensitivity will no longer be perceived. Laser therapy is currently the most effective method of combating tooth hypersensitivity.

Are there any special recommendations that should be followed after bone reconstruction?

The patient should bite the surgical dressing for an hour after the procedure. In case of pain, it is worth taking painkillers, and cold compresses may also be helpful. After the treatment, you should avoid hard or hot meals and reduce physical activity for a few days. For the first three days, please avoid the area of the implant when brushing teeth to prevent irritation.

Is it always possible to rebuild the bone?

Bone regeneration is not always possible. After examining and studying the results of the diagnostic tests, the dentist assesses whether the patient qualifies for surgery.

Is bone reconstruction surgery always connected with implant treatment?

Depending on the severity of the bone atrophy in the patient, bone regeneration can be performed during a separate procedure before the introduction of the implants or during the actual placing of an implant. If bone loss is significant, controlled bone regeneration is performed a few months before implant surgery.



Are biomaterials safe?

The biomaterials used in our clinic are completely safe. Numerous scientific publications prove that such materials are perfectly tolerated by the human body. Their reliability is confirmed by the fact that 3.5 million people have already benefited from them.

Is orthodontic treatment painful?

Minor pain may occur when correcting defects with fixed and removable appliances, lasting no more than 2-3 days after the visit. In most cases the feeling is not painful enough to require a painkiller, although it should be remembered that pain sensation is an individual matter.

Does wearing a fixed appliance cause a speech impediment?

The device is a foreign body in the mouth, therefore, for the first days after its application, patients may have trouble speaking clearly. When the patient gets used to it, everything goes back to normal.

How long does it take to put on a fixed appliance?

The application takes about an hour for one arc to one and a half hours for two arcs.

Do the correction results last a lifetime?

There is no risk of the defect recurring, although it is possible that a slight displacement of the teeth, not affecting the aesthetic effect, may occur. To prevent potential relapse, special retainers are used.

How should one brush their teeth?

Teeth should be brushed for at least 3 minutes. If possible, brushing after each meal and after consumption of sweetened beverages is recommended. It is worth remembering that interdental spaces should also be cleaned using dental floss, toothpicks and irrigators. It is worth consulting a doctor or hygienist about brushing techniques during an appointment.

What affects the development of periodontal disease?

The main cause of periodontal disease is inadequate and incorrect oral hygiene.
There are also circumstances conducive to the occurrence of periodontal disease. These include:

– rheumatoid diseases
– diabetes
– vitamin deficiencies
– genetic factors
– crowded teeth

Smokers, people who consume large amounts of alcohol and older people are at increased risk of periodontal disease.

Are there any contraindications to sandblasting teeth?

Almost everyone can undergo this procedure without fear.

The exceptions are those:
– with soda allergy or allergies to other ingredients involved
– with wounds in the mouth
– with gum and mouth inflammation
– suffering from asthma or pneumoconiosis
After conducting a medical interview, the dentist assesses whether sandblasting is recommended for a given patient.

What colour are healthy gums?

Healthy gums should have a bright pink colour. Gums that are too pale may indicate anaemia or another systemic disease. Similarly, redness of the gums, especially connected with bleeding or itching, may be a symptom of inflammation.

How does the HealOzone device work?

The device uses pure oxygen and ozone to kill bacteria and viruses and prevent the formation of caries.

Is ozone treatment completely safe?

Yes, during ozone therapy the maximum ozone concentration in the oral cavity is 0.01 ppm.

Is there effective prevention in the case of Sinus Lift?

People who have had a tooth removed should replace the missing root with a dental implant as soon as possible, thus eliminating the risk of bone loss.

How long after Sinus Lift will the implants be introduced?

Implants are usually placed from 3 to 9 months after the Sinus Lift treatment, because this is how long full bone regeneration lasts. Sometimes, to avoid two operations, if the conditions are right, implants are already introduced during the Sinus Lift procedure.

Is the Sinus Lift surgery under anaesthesia?

Sinus Lift does not require anaesthesia or hospitalisation.

Does every patient planning implant-supported treatment have to undergo the maxillary sinus floor augmentation procedure?

Sinus Lift treatment is necessary for approximately one in five people deciding to introduce an implant. During the visit, the dentist will assess whether the procedure is necessary and whether it can be performed.

Does the orthodontic appliance make it difficult to speak?

Immediately after inserting the appliance, you may experience problems with smooth, clear speech. However, these inconveniences quickly disappear as you become familiar with the appliance.

Are there any limits regarding the age of the patient when setting up the appliance?

No, there are no age limits. However, one should bear in mind that adult orthodontic treatment may take longer.

Does the appliance make eating difficult?

For the first few days after inserting the appliance, we advise you to choose soft, easy to chew dishes. We advise against consuming crunchy, hard products (apples, carrots, bread crusts) and chewy products (fudge, chewing gum) throughout the period of wearing the orthodontic appliance.

What happens when a bracket detaches from the tooth?

Sometimes it happens that a bracket or ligature will peel off (for example after eating something chewy or hard). Usually, this is not a situation that requires an immediate visit to an orthodontist (unless the patient complains of pain or discomfort). If the bracket has not come fully loose, leave it. If it has peeled off, make an appointment and take it with you.

What if ligatures fall out?

In this situation, please contact the dental practice. You will probably need a dentist to intervene.

Is it true that it is not possible to perform dental hygiene treatment when wearing an appliance?

Absolutely not! In the case of wearing the appliance, dental hygiene treatment is recommended as often as every 3 months. Patients who opt for orthodontic treatment should remember that when using an orthodontic appliance proper oral hygiene is of great importance and can contribute to the success of the treatment.

At what age should a child have their first appointment at the dental practice?

Milk teeth appear early in a baby’s mouth, so even before its first birthday, it is worth visiting a dentist who will check if the teeth are erupting properly. The doctor will also assess the condition of the gums and the oral mucosa. During the visit, parents will also learn how to properly care for the child’s teeth.

Is it worth using coloured filling?

Of course. Coloured fillings are an additional incentive for children to brush their teeth, and they also release a large number of fluoride and zinc ions, with bacteriostatic and anti-caries properties. Fillings are clearly visible, so the parent can immediately notice if they are missing and visit the dentist with the child.

How should a child be prepared to visit the dentist?

First of all, do not raise fear in your child. You should explain to them what the dentist does and why they are visiting them. It is worth warning the child that during treatment they may feel slight discomfort. It is important that the child knows that a visit is necessary if they want to enjoy healthy teeth and not feel pain in the future.

Is it worth treating milk teeth?

Yes, because how permanent teeth set depends on them. Milk teeth with carious developments are also a source of bacterial infections not only for the oral cavity, but for the whole body of the child. Under no circumstances should they be neglected.
The idea that milk teeth should not be treated because they will fall out anyway is false and very harmful to the proper development of early dentition. Good oral hygiene from an early age protects against dental caries and other oral diseases.
Untreated cavities in milk teeth may result in bacterial infections and malocclusion, leading to the need to begin orthodontic treatment.

My teeth are yellow, there are numerous discolourations. What can I do?

It’s worth beginning with sandblasting and brushing your teeth with whitening pastes. For people over sixteen years old, a good solution is teeth whitening, which effectively changes the colour of the enamel to a lighter shade.

I do not like the shape of my teeth. What can be done about this?

One solution is the use of correction treatment, involving improving the shape of the teeth by filing them down with a diamond burs, an eraser and abrasive material. This method is called contouring and is completely safe: the patient need not fear damage to the teeth. An alternative solution may be to apply crowns or dental veneers.

Can one get infected with caries?

Yes, caries is caused by bacteria, which can move. Therefore, it is important not to share toothbrushes with other people.

How do you recognise caries?

Caries can be seen. When tooth decay is small, it appears as white or dark spot on the surface of the enamel. Advanced caries is perceived as “holes” in the tooth. Disturbing symptoms are: hypersensitivity to heat and cold or acid and sweet flavours, as well as pain during biting.

Do sweets cause tooth decay?

Yes, sweets have a major impact on the formation of caries, because the simple sugars contained in them contribute to the formation of bacteria inside the mouth.

For what purpose is fluoride treatment applied?

Fluoride strengthens teeth and makes them immune to damage from acids and simple sugars. In addition, it remineralises enamel, reduces the possibility of tooth decay and prevents it from developing.

What does a full oral cavity hygiene treatment involve?

The first stage of the procedure is scaling or calculus/tartar removal using ultrasound. The next stage is sandblasting to remove sediment and discolouration from the facial, occlusal surfaces and interdental spaces. The final, indispensable, stage is polishing with special polishing pastes. Effective polishing reduces the size of plaque deposits and makes them less likely to remain on teeth.

Is dental hygiene treatment painful?

No. The treatment should not cause pain, although it depends on the individual sensitivity of the patient. In cases of hypersensitivity, it is possible to ask for the procedure under anaesthesia.

How often should dental hygiene treatment be performed?

Oral cavity hygiene treatment should be performed at least every 6 months, and for orthodontic patients once every 3 months. The frequency of dental hygiene treatment is an individual matter. The hygienist will always inform you how often it should take place, in order to avoid gum recession or other diseases related to the periodontium.

How do I check if I clean my teeth thoroughly?

One method is using a fuchsin tablet.
After completing dental hygiene treatment at the Cichoń Dental Centre, the patient receives a tablet to check the correctness of brushing and flossing. After thoroughly chewing and spreading the tablet on the tongue, the old dental plaque will be stained an appropriate colour, informing you of any insufficient tooth brushing.

How does one take care for the hygiene of prosthetic restorations – crowns, bridges and works on implants?

It is recommended to perform oral cavity hygiene at least once every six months. Professional oral hygiene is performed with the help of special tips that allow you to safely and thoroughly clean the area of prosthetic elements. In addition, low granularity and mildly abrasive sand is used, which protects the crowns from damage.

What are the recommendations after tooth whitening?

In the first few days after the procedure the teeth are particularly exposed to discolouration. The most important thing is to use a so-called “white diet” for at least 7 days after whitening, because the colour stabilisation lasts about 14 days. This means that the patient should completely give up products that could colour the teeth. You should refrain from consuming: coffee, tea, red wine, beetroot, fruit juice, cola etc. It is also forbidden to smoke cigarettes for at least two days. Teeth may be slightly more sensitive than usual, so be especially careful when consuming hot and cold foods and beverages.

Does whitening weaken teeth?

Whitening, if it is done in a professional dental office, will not negatively affect the condition of the teeth. There are numerous studies and publications proving that this procedure is completely safe for enamel.

Is it possible to whiten artificial teeth?

No, only natural teeth can be whitened. When choosing natural whitening, it is also a good idea to replace existing artificial teeth with new, brighter ones, so that their colour does not clash with the colour of newly whitened natural teeth.

Why shouldn’t under-16s whiten their teeth?

Since the process of tooth mineralisation continues until age 16, whitening is not recommended beforehand.

Can anyone undergo the Beyond Polus whitening treatment?

Beyond Polus is designed for every patient. It is most effective in patients whose discolouration was caused by eating coloured food and smoking cigarettes. This treatment is also effective for teeth with tetracycline and fluorosis discolourations and discolouration resulting from the patient’s age.

How much whiter will my teeth be after whitening?

The effect of whitening is an individual matter, depending largely on the intensity and source of discolouration. The final colour is fixed 7-14 days after the procedure, while the effect depends on following the post-treatment instructions.
We start whitening by checking the initial colour of the teeth. Using the SpectroShade device, we take several pictures of the teeth, so that we can then compare their colour before and after the procedure. Fillings, veneers and prosthetic crowns are not bleached and retain their colour. Therefore, old fillings or crowns should be replaced 2 weeks after tooth whitening.

I have one very dark tooth. It is dead. How can I whiten it?

After canal treatment, whitening dead teeth requires a separate procedure. Discolourations in such teeth are formed by the penetration of blood dyes, dead pulp (nerves) of the tooth and material filling of the older generation canal into the dentine. This process takes place inside the tooth, and so it should be treated with a bleaching agent from the inside. Bleaching such a tooth involves accessing its chamber and inserting a bleaching preparation. This insert is replaced every few days. Treatment includes 2 to 4 visits depending on the degree of discolouration of the crown. On the last visit, a colour-adapted composite filling is inserted.

Are there any contraindications for whitening?

Unfortunately, not all patients can benefit from tooth whitening.

The following groups should avoid whitening:

• pregnant and breast-feeding women
• people with epilepsy or Parkinson’s disease
• people with very intense dental hypersensitivity
• opeople who are under 16 years old
• people with allergies or hypersensitivity to oxidants, glycerol and polyacrylic resin

Before the whitening procedure, it is important to treat the following:

  • carious cavities
  • inflammatory conditions within the oral cavity

Is it necessary to conduct an oral cavity hygiene treatment before whitening?

Definitely yes. Performing full oral hygiene treatment helps guarantee the success of whitening, because teeth with impurities on them will not whiten.

Are there any contraindications for inhalation sedation?

Yes, the most common contraindication is a cold, hypertrophy of the tonsils, or acute sinusitis, and thus the obstruction of the upper respiratory tract. Sedation should also not be used in patients in the first trimester of pregnancy. Other contraindications for sedation are: mental illness, multiple sclerosis, porphyria, myasthenia gravis, bronchial bronchiectasis, emphysema, otitis media, cochlear implant or alcoholism.

How long does inhalation sedation last?

The administration of nitrous oxide may last as long as required by the given procedure. The gas remains in operation for approx. 15 minutes after the end of administration. After this time, the patient regains full consciousness.

Who developed the DSD method?

The creator of the Digital Smile Design method is a Brazilian technician and dentist – Christian Coachman. His intention was to strengthen treatment diagnosis and improve communication between doctor and patient.

How long does the first visit take?

The first meeting takes around 90 minutes. During this time, photographic documentation is created, and the patient undergoes a detailed interview about their ideas for their new smile.

What is the buccal wax-up diagnostic?

The buccal diagnostic wax-up is a ‘design’ of a new tooth shape performed by a dental technician on a plaster cast of a patient’s teeth. In the DSD process, the wax-up is also used to prepare a silicone tooth model, which the patient can try on and see the predicted effect of aesthetic treatment.

What is the silicone index?

The silicone index (mock-up) is a prototype of a new smile that takes the form of a tooth provisional overlay. The patient tries it on to see the predicted effects of treatment and to accept the shape of the prosthetic work.