Ortodonzia Bologna - Poliambulatorio San Felice

Dott.ssa Silvia Marchionni: medico chirurgo specialista in odontostomatologia

Performances:

La nostra struttura è in grado di fornire le cure odontoiatriche di cui un paziente potrebbe necessitare, oltre a conservativa endodonzia forniamo:

Dental performances

At last we have succeeded in satisfying our patients’ requests for treatments offering specialist performances from oral hygiene to root canal treatment to whitening.

DENTAL root canal treatment


fig. 1

fig. 2

When dental decay reaches the pulp, its infection causes pulpitis. If not treated, the diseased pulp sick faces necrosis, meaning that it dies.

If the tooth does not undergo root canal treatment all the toxins within the pulp may lead to a GRANULOMA, a chronic infection of the bone tissue around the tooth’s root (Figure 1).

In these cases the mandatory therapy consists in root canal treatment, also called endodontic treatment.

The X-rays below it is possible to observe the healing of granulomi following a new treatment of the bottom premolars (figures 1 and 2).

 

 

Oral hygiene

Oral hygiene is fundamental for the correct oral health and for the prevention of possible dental and gingival anomalies that without being properly surveyed could go unnoticed because they do not cause pain in the initial phases (decay, parodontal pockets, bone pockets, parodontal abscesses).

During the session the hygienist verifies the absence of anomalies and, if present, suggests the necessary treatments.

Impianti dentali

The implant is inserted in the place of the lost tooth. During the healing phase, the implant is covered by the gum. The patient carries a temporary prosthesis.

After the plant is uncovered and the impression has been taken, the crown produced at the prosthodontic lab is cemented over the implant.

Replacement of the mandibular molars with bridges over implants



Periodontology

Normal bone level

Periodontology

Periodontology is concerned with the diagnosis and treatment of diseases affecting the periodontal apparatus, consisting of the gum, the alveolar bone, periodontal ligaments and radicular cement.


These inflammatory and degenerative pathologies, commonly referred to as pyorrhoea or parodontosis, if untreated lead to the subsequent destruction of the tissue surrounding the teeth and cause their loss.

It is calculated that at least 10 million of Italians suffer from these diseases after turning 30;  periodontal diseases cause the loss of "grip" (epithelial grip , which really is not lost but displaces apically, moving away from the tooth towards the root) and alveolar bone. These periodontal anatomic changes are a consequence of the disease and lead to two possible clinical manifestations:

  1. gingival recession (a lowered gum that is highlighted by a longer tooth)
  2. periodontal pocket (the gum is in the correct location but the bone and apically along the root, thus forming an empty space called periodontal pocket.


DENTAL prothesis

fig. 3
fig. 4

A tooth that has been killed due to the loss of dental substance caused by decay and by the endodontic treatment itself; it also loses all the hydration coming from the pulpal tissue therefore the remaining structure is weaker and less resistant.

These conditions can often cause cracks that, in time, lead to a fracture of one of the remaining dental walls.

In order to avoid this damage, in many cases, the cuspidal covering of the tooth is recommended. Today the crowns are made in materials that are entirely aesthetic. These are made in the same colour of the teeth, and they there is no metal.

In the photographs we observe killed teeth, reconstructed with pins in fibre and filed (Figure 3). In Figure 4 the crowns were cemented.

 

Tooth whitening

Tooth whitening is a painless treatment that acts on the teeth's structure making them whiter without affecting the enamel and causing no damage to the fillings.

before
after

It is indicated when the tooth’s white enamel has been altered due to many factors: smoking, some drugs, root canal work, coffee, tea, licorice, and so on. Of course, the results of the whitening process also depends on the colour that the teeth had before being treated and is more effective if preceded by an oral hygiene session in order to prevent that tartar and plaque interfere with the action on the dental surface. Above all the duration of the final result depends on the patient’s habits.


Sealing

The molars are subject more frequently to tooth decay than other teeth. This is due to the fact that the treated area presents grooves and cracks where dental plaque stagnates easier.

The first molars (age 6 tooth) and the second molar (age 12 tooth) have the highest risk of developing tooth decay due to their position at the back of the oral cavity and to the high consumption of sugary food during childhood. A correct oral hygiene is often overlooked and this leads to decay processes causing early root canal work  on the teeth.
To avoid these unpleasant inconveniences it is recommended to seal the grooves and slits of these teeth as soon as the first and second permanent molars come out in order to prevent the outbreak of decay.

Sealing involves applying a fluid resin that is flowed within grooves and slits and is then solidified using halogen lamps. This manoeuvre is painless and aims at the formation of a mechanic barrier on the tooth’s groves and slits in order to avoid the stagnation of food and plaque by preventing the decaying processes. The sealing lasts several years and must be applied again once the resin has worn