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  • Implantation
  • Surgery
  • Modern and high-quality hardware
  • Individual approach to the client
  • How to properly choose dental implants

    Replacing teeth with implants is a significant step both emotionally and financially. Therefore, people often wonder which manufacturer's implants to choose. Implantologist Julija Katkevica answers this question. Several hundred manufacturers offer implants; however, implants provided by market leaders excel in quality and high rate of integration. These products are certified and their production is based on a large number of scientific studies. Implants from the manufacturers of Switzerland and Germany, as well as Italy, Korea and others are available in Latvia. High quality implants are more expensive than products from less-known manufacturers, but their price is closely linked to the investments made in scientific research, clinical trials and product improvement. The implant is inserted into the jaw bone, it is designed for decades of intensive use, which is why it is extremely important to select the right materials, design and specialist. Implants are made of titanum and zirconium alloys, because these materials are biologically compatible with human tissues and over time they fully integrate into the bone. Integration of implants into the bone occurs in about 98% of cases, which is an outstanding indicator. An important aspect are the properties of the implant surface, which contributes to its successful integration into the jaw bone. Some manufacturers offer implants with a specially treated chemically active surface that facilitates better and faster integration, therefore prosthetics may be safely initiated after three to four weeks after implantation. An implant, which can also be called an artificial tooth root, must be very stable. Therefore, the design depends on the application, the special shape makes them universal and integrable into bone tissues of different density. There are also 4 mm long implants in the market for patients with very small bone size. This is very important because increasing the jaw bone is not always feasible and a minimally invasive approach is a prerequisite for successful implantation. The connection of the implant with the parts of the denture and the design of the denture is very important, as it determines the duration of use of the denture. Doctors believe that you can trust only those manufacturers who carry out regular research. Replacing teeth with implants is a safe and gentle method with an impressive percentage of success. The wide range of products is constantly expanded and refined, which helps to find the optimal solution in any situation. This is the best we can offer our patients. In order to ensure excellent quality, manufacturers constantly keep their implantation system as natural as possible, but implants themselves – durable and safe. An implanted artificial tooth or denture allows you to live to the fullest, as it is with natural teeth. This means that you can eat any food. A beautiful smile brings joy and opens new opportunities. In fact, implants are so comfortable that many people even forget that an artificial tooth is placed in their mouth. There are manufacturers of implants who have been operating for 60 years, which allowed to accumulate a great deal of experience. Another important aspect: a world-renowned implantation system is convenient for people who travel a lot or work abroad. Each system has its own peculiarities and it is good that dentists in other countries work with them as well. So, no matter where you go, there will always be a dentist who works with a world-renowned implant system and can help you. There are many implant manufacturers that appear and disappear from the market in a short period of time, leaving patients without denture parts. That is why experienced dentists always recommend the best implants with a manufacturer's certificate for patients, as well as provide information about the inserted implant. Such practice is optional, but may be useful to the patient. And last but not least, feel free to ask your dentist any questions about implants. It is important for the treatment to be successful and for you to regain a captivating and joyful smile!
  • The hot summer facilitates “explosion” of chronic inflammation of the teeth

    Often in hot weather we experience toothache. Why so? Summer and especially its hottest period is the typical time when chronic inflammations are flaring and progressing rapidly. It might seem like an unpleasant coincidence – toothache right before going on vacation. However, there is a logical connection. This year, especially due to the hot weather, there is a significant increase in the number of people who turn to dentists with toothache and inflammation. How to avoid such unpleasant experience? Julija Katkevica, dentist and implantologist, shares her advice. What to do? All is based on the one truth that we all know, but, unfortunately, tend to forget – care of your teeth must be taken throughout the year and a visit to the dentist should not be postponed until toothache has already occurred. What to do? As J. Katkevica emphasises, one should start with a proper and regular care of teeth. A dental hygienist should be visited once every six months. In addition, one should have the health of his or her teeth checked by a dentist, not a dental hygienist, as is often mistakenly believed. If the dentist discovers caries, teeth must be treated immediately as cavities in the teeth are a favourable environment for microbial reproduction. These infection clusters in the mouth are a threat to healthy teeth.  As the dentist highlights, patients usually do not complain about minor or moderate tooth decay. Often complaints arise only when the infection reaches the tooth nerve. Therefore, do not postpone tooth repair to the moment when the problem starts to interfere with everyday life – timely treatment of teeth is easier, faster and cheaper! The most common mistakes of dental care Many of us believe that they know enough about dental care. However, as observed by the dentist, there are still a lot of mistakes we make when it comes to daily care of our teeth. The most common of these is improper dental cleaning techniques, irregular cleaning of teeth and lack of dental floss. Patients skip teeth cleaning, for example, in the evenings and brush their teeth only in the morning, before going to work. Also, many people do not clean their teeth in the morning and especially after meals. The dentist points out that regular and proper cleaning of the teeth is the most important step in promoting oral health, which cannot be replaced by anything else. By taking care of your teeth on a daily basis and having regular preventive checks, you will save yourself unpleasant moments with neglected teeth problems. The dentist’s Tips for proper care of teeth There are several simple basic principles that will help you take care of your teeth more properly and efficiently, thus allowing for them to stay strong and healthy. Teeth should be cleaned from the gums down with brushing movements, holding the toothbrush at an angle of 45° against the teeth. Biting surfaces must be cleaned with short movements back and forth. These movements should be repeated 10 times for each group of teeth. It is also necessary to clean the tongue as it contains a lot of bacteria. The tongue may be cleaned with a toothbrush or a special tongue cleaner, with continuous movement from the root of the tongue toward the tip. After cleaning, the toothbrush should be rinsed thoroughly. Keep in mind that a toothbrush cannot reach the gaps between teeth. As each tooth has 4 to 5 surfaces, around 45% of a tooth’s surface remain uncleaned. Therefore, after cleaning, teeth should be flossed. Larger gaps can be cleaned with superfloss or interdental toothbrushes. In hard-to-reach places small flat-brush toothbrushes can help maintain hygiene. Remember – after flossing mouth should be rinsed with water or mouthwash intended for daily use. Useful It is recommended to choose a toothbrush with soft bristles, changing it every 3 months. The toothbrush should be kept in a cup with its bristles up. When choosing a toothbrush, pay attention that the head of the toothbrush matches the size of your teeth in order to be able to perform a good cleaning of all surfaces. Dental floss should be selected according to its size – corresponding to the width of teeth gaps, so that cleaning is effective. Remember – toothpastes need to be changed! Each of them has its own good qualities that will promote your dental health. Bleaching and whitening toothpastes should not be used for more than 2 weeks. Teeth should not be cleaned immediately after use of acidic products. It is recommended to rinse your mouth with water and wait. Sugar-free chewing gum can be used after eating for no more than 10 minutes, as chewing helps to develop gastric acid. They help to partially clean the oral cavity from food waste, promote salivation, and help restore pH in the oral cavity. It would be useful for each of us to examine our daily routine and pay attention not only to our dental, but also eating and drinking habits as they have a significant impact on our dental health. There should be no more than 4-5 meals a day, and treats between meals only promote tooth decay. It is advisable to clean your teeth after each meal, but if this is not possible, your teeth should be rinsed or you should at least drink some water. So keep in mind – drinking water is very important for dental health! The Dental Office of Dr. Julija Katkevica has been operating since 2013 and provides acute dental care also at night and on holidays, dental surgery, including sophisticated wisdom tooth extraction surgeries, root resection, dental implantation surgeries, and standard dentistry (check-up, hygiene, bleaching, filling, endodontics, dental prosthetics).
  • AFTER TOOTH IMPLANTATION

    Cotton rolls which are placed on a wound should be kept there for 30 – 40 minutes. On the first and second day after tooth implantation put cold to the localized area (do not put an ice directly on the skin!) for 5 – 10 minutes every 2 – 3 hours. In a case of bleeding: tightly hold a cotton roll between teeth for 30 minutes + a piece of ice on your skin in the area of the bleeding wound for 10 minutes (do not put an ice directly on the skin!), limit physical activities, check and prevent high blood pressure (if it appears during the bleeding). Medication: Antibacterial drug - Augmentin 1 capsule twice* a day for 7 days Against swelling – Claritin 1 tablet a day for 5 days Painkiller – Ketanov 1 tablet when it is necessary (maximum 4 tablets in twenty-four hours) You may not eat or drink for 2 hours after the operation, for 2 days do not consume anything hot or hard, and for 1 week chew the food on the opposite side. You have to start to rinsing your mouth with a salt water 6 hours after the operation – every 2 – 3 hours, with an antibacterial mouth wash (Corsodyl, Octinidol or Eludril) twice a day. Continue mouth rinsing for 7 days. Avoid draught, air conditioning, sauna for 2 weeks. Do not use alcoholic drinks for 2 weeks. Sutures are removed after 1 week. Special attention must be paid to mouth hygiene! ADEQUATE REACTION AFTER THE OPERATION Swelling is a normal reaction after the operation for 7 – 10 days Body temperature may raise up to 38 degrees C. Mouth opening and swallowing difficulties may occur for +/- 1 week Stiffening of the jaw area may occur for a month Commissure redness or wetness may appear +/- one week on the operated side Hematoma (bruise) of the skin on the operated side for about a week ATTENTION! If the bleeding becomes stronger, swelling persists for a long time or becomes bigger, you are having prolonged and strong pain –contact and ask for help from the Doctor.
  • What should you know and do after a tooth extraction?

    The cotton roll which is placed on a wound after a tooth extraction should be kept on the wound for 30 – 40 minutes. Drinking and eating is allowed 2 – 3 hours after the tooth extraction. You may not use any hot or hard food after a tooth extraction for 2 – 3 days. Use ”Ibumetin”, ”Ibuprofen”, ”Irfen” ( if you do not have serious stomach illnesses and only after eating) for pain release. Pregnant may use only “Paracetamol”. 6 – 7 hours after a tooth extraction the mouth has to be rinsed with salt water ( 1 teaspoon salt per one glass of water) every 3 – 4 hours for 7 days. Additionally you have to wash your mouth twice a day with a mouthwash which contains Chlorhexidine for 1 week. During 24 – 48 hours after a tooth extraction swelling may appear in the place of the extracted tooth. Swelling disappears in 7 – 10 days. Mouth opening may be limited but it becomes normal in 2 weeks. You must not use any sparkling or fermented drinks after a tooth extraction for 2 weeks – like beer, kvass, wine, champagne etc. Avoid draught, air conditioning, saunas and head washing after a tooth extraction. In a case of bleeding: tightly hold a cotton roll between teeth for 30 minutes and a piece of ice against your skin in the area of the bleeding wound for 10 minutes (do not put an ice directly on the skin!), limit physical activities, check and prevent high blood pressure (if it appears during the bleeding). If there are any other questions or concerns regarding a tooth extraction, please call Dr. Jūlija Katkeviča, phone number: +371 6557021.