The multidisciplinary approach of our dental treatments allows us to provide integral solutions for patients who have dental pathologies and/or want to improve their dental aesthetics.
In addition, we provide our own on-site services which will save you from having to use external services to take the necessary tests for your diagnosis and treatment.
Orthodontics is a dental specialty which allows us to treat dental and maxilla irregularities in order to achieve correct dental-facial function and aesthetics. Our therapeutic options are determined by age:
Usually, no treatment with appliances is necessary, but habits that are detrimental to the child’s development and occlusal adjustment are reviewed.
Different techniques may be applied to this age group:
Interceptive orthodontics treats malocclusions caused by the transition from primary to permanent teeth, arch size and bad habits.
Dental Facial orthopaedics allows us to correct alterations of maxilla size.
Fixed multi bracket braces Fixed multi bracket braces.
Teeth can be moved at any age in the absence of periodontal illness and/or dental pathology. Therefore we can achieve functional and aesthetic goals tailored to individual patient needs. In order to do so, we use three different fixed appliances:
Metal braces: the latest advances in design and surface treatment have reduced friction during dental movement and have allowed for a drastic reduction in the duration of treatment and improvements in tolerance to the treatment, as the procedure is less intrusive.
Aesthetic braces (transparent): this is a discreet solution with regard to metal braces, making it a highly sought after alternative, especially among adults.
Lingual braces: these are braces placed on the inside of the teeth (invisible) new technologies in this discipline have improved comfort and duration of treatment, thus making them more and more widely accepted.
We combine orthodontics with orthognathic surgery in cases of acute alteration of maxilla size and position.
Implantology allows us to replace missing teeth in the maxilla by means of biocompatible titanium implants which are integrated into the bone and support dental crowns. Thanks to current advances in bone regeneration techniques we now have more options to place implants in areas of maxilla bone atrophy.
An implant is a prefabricated titanium structure, it is shaped like the root of a tooth, and it is placed in the maxilla bone, where there is a tooth missing.
The dental crown, which replaces the missing tooth or a support structure for several crowns in the event of multiple missing teeth, is placed over the implant.
All patients require a general medical assessment and an evaluation of the volume and quality of their bone, gums, remaining teeth, and temporomandibular joint.
In the first phase the implant is placed (a session of 30 minutes). The mucosa is closed and we wait for 4 to 6 months for bone maturation around the implant.
Afterwards, in the second phase, the prosthesis is put in.
At our clinic, we work with the Straumann® Dental Implant System. This is a technique endorsed by a leading company in the fields of implantology, dental restoration, and oral tissue regeneration. This globally unique company provides solutions such as bone augmentation and periodontal regeneration, implants and abutments, dental fillings and crowns, and personalized ceramic bridges. Since its establishment, over 50 years ago, the company has stood out for its passion for innovation, scientific rigor and business vision. This has led it to create clearly innovative solutions which have defined current industrial standards.
The techniques of implant and dental crown placement on the same day have progressed significantly thus increasing the demand from our patients over the last few years. In spite of this, we have to point out that this technique requires special conditions and indications and therefore is not applicable to all cases.
Current regenerative systems (Emdogain, BoneCeramic, Bone Block, Fixation, Bio-oss) allow us to solve one of the main limitations for implant placement, the absence of the proper bone and periodontal support.
With the introduction of the three dimensional image through digital tomography, we can make a virtual model of the maxillar bone anatomy and we can plan precisely the best implant solution for each case. Thereby, we choose the perfect implant for each position and its best placement. With this application, we can accurately provide the best solution for each patient.
In around 2-3% of implant treatments fibre tissue is produced instead of bone tissue. The fibre tissue does not remain firmly embedded in the bone. In most cases, another implant can be placed without any problems after some months of regeneration. This problem’s origin has many different causes and is an open field in the main implantology research groups.
Temporomandibular joint problems are caused by different disorders that upset the health of the masticatory system, its main signs and symptoms are masticatory difficulties, joint noises and pain.
Orofacial pain is a recurrent reason for consultations at our dental clinic. The main causes of teeth pain are dental cavities and periodontal diseases. However, there are other sources of pain, mainly chronic, whose diagnosis require more in-depth knowledge and are found in the different parts of the masticatory system: the temporomandibular joint, orofacial muscles, blood vessels, nerves and glands. Sometimes the painful area does not match the source of the pain, which is what we call referred pain and is usually caused by muscular trigger points.
The significance and treatment of myofascial trigger points in the pain process was set out by Dr. J. G. Travell and Dr. D. G. Simons in their renowned book Myofascial Pain and Dysfunction, which is the current therapeutic decision-making guide. The symptoms related to these disorders can be discovered by carrying out a basic questionnaire:
For a comprehensive treatment of these disorders, the orthodontist needs the collaboration of different medical specialists such as the rehab technician, the otolaryngologist or neurologist, and the physiotherapist and psychologist. There are several treatments for temporomandibular disorders and they should be administered taking into account each patient’s individual needs. The treatments can be grouped according to the source and location of the disorder: muscular, joint, dental, etc. dysfunctions. We apply different therapeutic techniques to each case:
Orthodontic treatments: occlusion means the relationship between the superior and inferior arches. When it is misaligned we use orthodontics in order to achieve a proper chewing balance.
Rehabilitation with prostheses: the absence of teeth leads to an imbalance in the distribution of masticatory forces. Patients may need a dental prosthesis in order to achieve a stable bite and solve a temporomandibular disorder. Prostheses can be fixed, removable, mixed, or placed over implants.
Night guard: to relax masticatory muscles, reduce joint pain, and avoid teeth wear.
Physiotherapy: physiotherapy corrects the proper tonicity of muscular groups and joints; it restores the postural balance of the head-neck-shoulders-back chain. It also reduces pain and inflammation by relaxing the muscles and increasing mandibular movements. TENS, ultrasounds, and soft laser equipment help to enhance recovery.
Injections: likewise, intra-articular injections using restorative substances for the cartilage of the temporomandibular joint, such as hyaluronic acid, can help to treat arthritis or arthrosis in this joint. Intramuscular injections with local anaesthetic or botulinum toxin may be a very useful method for treating some types of temporomandibular joint pain.
Tension control techniques: : daily stress implies an increase of the muscular activity that overloads dental and joint surfaces as well as the muscles themselves. Relaxation techniques and biofeedback help the patients to learn how to control their muscular tension.
Surgery: surgery is rarely used, it can generally be avoided if temporomandibular dysfunctions are diagnosed and treated in time. It is only recommended in cases where conservative treatment does not produce satisfactory results, which only happens in a minority of patients.
Nowadays, an extremely precise correction of teeth size, colour, and shape within the smile’s frame is possible through whitening, modelling, or restoration techniques using the latest generation composites or ceramic restorations.
Strictly speaking, we shouldn’t use the term “whitening” even though it is referred to as such because the colour of the teeth is not altered but lightened.
The colour of a tooth is determined from birth by the dentine shade and the tooth enamel’s transparency and light refraction capacity. The dentine colour does not change over time, but the enamel is stained due to staining substances such as tobacco, lipstick, coffee, tea, tomato, chemical pigments, cola drinks, some drugs, etc.
Consequently, dental whitening is the removal of all the particles that alter the original enamel colour by means of chemical substances.
The efficiency of the treatment is proportional to the amount of dental stains as teeth become discoloured over the years due to staining substances. The treatment may be less effective, even futile, in teeth discoloured by intrinsic disorders, such as the consumption of tetracyclines during childhood, congenital enamel dysfunctions, etc.
How long the whitening effect lasts really depends on the food the patient eats. Thus, for a smoker who regularly drinks wine or coffee the whitening effect will not last as long.
These are thin ceramic layers which are placed over the front surface of the teeth. They do not wear down over time; do not lose their brightness and their colour remains intact. They are firmly bonded onto the teeth using a special adhesive.
They are mainly used to cover discoloured teeth that cannot be treated by means of conventional whitening. They are also used to conceal alterations in teeth size or shape, giving the teeth a more natural aspect.
Latest generation resins mark a great advancement as their mechanical and aesthetic properties are being improved every day. They are made with the same material used to make dental fillings but have been optimised to achieve better aesthetics. They have the advantages of being cheaper, they keep the enamel intact, and they are placed in just one session.
Sometimes, when the patient suffers a severe impact on the mouth or bites into something tough, the veneer can break or come uncemented. If it comes uncemented, and the veneer is intact, it is put back in place. If it is broken, we just make another in a few days. Whilst we are making it, a provisional composite veneer is placed.
Periodontics is the specialty that studies and treats illnesses affecting the gums and the bone that surround and support the teeth, particularly gingivitis and periodontitis. They are caused by bacterial plaque on the dental surface when teeth are not brushed regularly. A painless loss of the bone surrounding the teeth takes place which can lead to tooth loss if not treated in time.
The periodontist, as a specialised dentist in this field, provides a solution to these problems in accordance to the degree of deterioration. These treatments always begin with oral hygiene instructions; these are of vital importance because if the patient does not collaborate the results will not last long.
The periodontist will remove bacteria on superficial zones (supragingival scaling) and deeper zones (scaling and root planning) using mechanical methods, and will perform routine check-ups over time. In complex cases, periodontal surgery is needed, its objective is to clean the root under visual control, remove recesses that increase the risk of infection, remove inflammation, improve the regeneration of periodontal tissues, remove diseased tissues, and create a physiological and aesthetic periodontal architecture.
In short, techniques are applied not only to avoid teeth loss but also to regenerate missing supporting tissues.
The importance of early dental care is the guarantee to a correct future development, which is why we consider this specialty to be a priority for our team. We do our very best to take special care of those patients who suffer from anxiety, fear, or other pathologies.
Children have temporary teeth, which fall out over the course of a few years, but dental caries or these teeth falling out prematurely may lead to an infection or loss of space which will result in problems during the transition from primary to permanent teeth and therefore conditioning the masticatory function.
Prevention is the foundation for good oral health:
Anxiety or fear caused by a trip to the dentist is eliminated by conscious sedation. The patient enters a phase of deep relaxation and sleepiness without losing the capacity to follow the dentist’s orders as it is not a general anaesthetic.
The presence of an anaesthetist who performs conscious sedation is the most comfortable and safest way to receive your dental treatment, both for the patient and the dentist. It is administered through a vein in the hand which is found at the beginning of the session. Once the session is over, other drugs quickly eliminate the effects of the sedation so the patient is perfectly able to go home, accompanied by a relative or friend.
It is recommended to people with fear or phobia of the dentist, for anxious patients and for all those who want a more comfortable trip to the dentist. It is particularly recommended during treatments which take a long time, such as a single session lasting several hours, because thanks to this method, the patient has a greater tolerance to the treatment.
Our radiology room is fitted with modern radiology equipment which enables us to take the following images:
Next generation dental digital scanner, also defined as 3D Radiology, that means real imaging from radiology analysis. Radiology techniques together with the software provide the virtual image of the oral anatomy. The software allows the diagnosis of pathologies and to plan, design, and simulate implant, surgery, and orthodontic treatments.