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Frequently Asked Questions (FAQ)

Dental treatment

Periodontology

Dental surgery

Endodontics-canal treatment

Bonding

Orthodontics

Implantology

Implantoprosthetics

Prosthetic treatment

Osteopathy

Aesthetic medicine

Dental treatment

Is whitening for everyone?

We are all different, we have different characteristics so our teeth are also different. Some teeth do not react or react poorly to the materials used for teeth whitening. It is recommended that you contact your dentist before carrying out any teeth whitening. 

It should be remembered that classic whitening methods are not applicable to dead teeth. However, they can be whitened by other means. Fillings, crowns and bridges do not change their shade. 

The effect will last longer, the higher the quality of the whitening technique. Normally, teeth remain white until one year time. A lot in this regard depends on the patient and whether he or she follows all the recommendations that he or she received from the doctor immediately after the procedure. 

If the teeth are permanently discoloured or if the process affects a single tooth, a porcelain veneer, i.e. a thin sheet of porcelain, can be applied. The veneer is versatile: it can be used to correct the shape of a tooth, correct the alignment of a tooth or reduce gaps between teeth. 

Whitening toothpastes contain abrasives, fluoride oxides or natural extracts and work by mechanically or chemically removing deposits that build up on the surface of the enamel. They may remove fresh plaque, but will not change the colour of the enamel. Neither does the toothpaste help with tartar, which can only be removed by means of a toothpaste that has been specially formulated for this purpose. scaling. 

 

At the Clinic Unident Union, a team of specialists constantly monitors the issue of safety of the teeth whitening procedure. The results of research, tests and numerous interviews with our patients unequivocally prove the lack of negative effects of whitening on tooth enamel. 

 

Periodontology

Why does malocclusion affect the development of periodontitis (periodontitis)?
Malocclusion is one of the important causes of periodontitis, as incorrect tooth alignment increases the risk of inflammation of the gums and periodontium. Abnormal occlusion causes overloading of the teeth, misalignment of the teeth, and the formation of pathological gingival pockets in which bacterial plaque and tartar accumulate. These mechanical factors and the presence of bacteria lead to the destruction of periodontal tissues. At Unident Union, in such situations, we diagnose malocclusion on the basis of bite analysis and digital X-rays, and then implement an integrated treatment combining orthodontics and periodontal therapy. Once the inflammation is under control, we use Dr Iwona Gnach's proprietary methods to eliminate both the symptoms and causes of periodontitis. Orthodontic therapy prevents further development of periodontitis and improves the aesthetics and functionality of the bite. 

Unsupported missing teeth cause adjacent teeth to shift, tilt and become unstable, leading to gingival pockets and inflammation. In such situations the causal therapy will be so orthodontics combined with prosthetic treatment or implantoprosthetic. Also, inappropriate prosthetic work - crowns and bridges that disrupt short-circuiting - often leads to excessive strain on the teeth, shifting and consequently periodontal problems. It is then advisable to replace the prosthetic restorations. Also on the list of culprits are flat fillings, so-called fillings, which alter the distribution of forces in the bite, provoking abrasion and shifting of teeth, which promotes periodontal disease. In such situations, the treatment of inflammation is supported by replacement of fillings on correct. 

Periodontitis and periodontal disease are not just an oral problem - their effects can be felt throughout the body. A diseased periodontium opens the way for bacteria to enter the bloodstream, allowing them to travel to distant organs such as the heart, brain, kidneys or lungs, where they cause dangerous inflammation. 

The most common effects of periodontitis include: 

  • Stroke - bacteria contribute to blood clots and damage to blood vessels. 
  • Pneumonia - particularly dangerous in the elderly and those with weakened immune systems. 
  • Pregnancy problems - caused by periodontal inflammation, can lead to miscarriages or low birth weight babies. 
  • Vascular atherosclerosis - increases the risk of heart attack and stroke. 
  • Arthritis - bacteria can cause inflammation in joints, exacerbating pain. 
  • Diabetes - periodontitis makes diabetes worse by making it more difficult to control blood sugar levels. 

At Unident Union in Wrocław, we explain to patients that periodontal disease can be effectively treated and the development of periodontitis prevented. Ignoring the problem means risking serious consequences for the whole body. Regular visits to the dentist and proper oral hygiene are the basis of prevention.  

Once the treatment of so-called periodontitis has been completed, the key is to maintain the effects of the treatment and prevent recurrence of the condition. Regular tartar removal, i.e. scaling, is fundamental. Hygienization for perio patients is recommended every 6 months, and even more frequently in the case of increased susceptibility to periodontal disease. On a daily basis, it is important to remember to adhere to the following rules: 

  • Soft-bristled (soft) toothbrushes - prevent mechanical irritation of the gums. 
  • Dental irrigators - clean the spaces between the teeth, removing food debris and bacterial plaque without damaging the gums.  
  • A healthy diet - avoiding soft, sticky foods and sweets, which encourage plaque formation. Instead, introduce more raw vegetables and fruit, which promote blood circulation to the gums and help clean the teeth naturally. 
  • Giving up smoking cigarettes. 
  • Taking care to provide vitamins A, B, C and blood vessel strengthening ingredients such as rutin and coenzyme Q10. 
  • Regular health checks, especially glucose levels. 

 

Dental surgery

Can I have all four eights removed in one visit?

Yes - in Unident Union is a frequent practitionera. Thanks to piezosurgery, precise planning and effective anaesthesia, the procedure to remove all four eights can be carried out in one visit, minimising stress and the recovery period.

No. All procedures are performed under effective local anaesthesia. For patients with high levels of anxiety, we also offer sedation or anaesthesia. The treatment is safe and comfortable. 

Yes - in many cases, immediate implantation, i.e. placement of the implant immediately after extraction, is possible. ConditionI amt good bone quality and no active inflammation. 

 

It's a precise procedure to correct the height of the gums and the exposure of the crowns of the teeth, often combined with orthodontic treatment. W Unident Union we perform it with laser or microsurgery, with no visible scars. 

Yes - in many cases it is possible. The procedure takes about 1 hour and allows for a permanent aesthetic correction of the gums. It is sometimes combined with orthodontics for best results.

 

Yes. In the case of retained teeth, teeth with curved roots or teeth after root canal treatment, we perform a surgical extraction, which requires cutting the gum, stripping the bone and often the use of instruments piezosurgicfrom.  

Laser provides no bleeding, faster healing and less pain, but is not always optimal. The scalpel gives more control in the case of an extensive frenulum. W Unident Union we choose the method individually. 

Most ppatients feel an improvement after only 2-3 days. Full healing of the gums usually takes 7 to 14 days - depending on the extent of the procedure and the individual's predisposition. 

Thanks to the techniques of littleinwasian, piezosurgery, cooling and supplementation, swelling is minimal. Most patients do not experiencea duthat discomfort and quickly return to daily activities.

The standard in Unident Union are peripheral blood testsj, among others. morphology, CRP, lipidogram, ferritin, vitamin D, vitamin B12, and diagnostic imaging - e.g. CBCT.

Yes, provided there is adequate preparation. W Unident Union Every surgical decision is preceded by an analysis of the general state of health and an individual qualification.

 

Yes - we often perform such combined treatments, which makes it possible to skReduce treatment time and accelerate return to full function.

Piezosurgery, micro tools, magnifiers and treatment microscopes, surgical lasers, PRF systems, plasma platelet-rich, biomaterials to promote healing - all standard in our work.

 

It is an ultrasound-based technique that allows precise cutting of bone without damaging the soft tissues. It is safe, less invasive and significantly speeds up healing. 

Not always. In many cases, by using autologous materials (PRF, plasma), antibiotic therapy can be avoided. Everything is decided by the doctor based on the type of procedure and the patient's condition.

 

Yes - bone augmentations, sinus lifts and membrane procedures are performed under local anaesthesia. For patients with more anxiety, sedation is also possible.

On average 15-30 minutes. In the case of retained wisdom teeth, it may be slightly longer, but we always plan a suitable time and a comfortable environment for the patient.

 

In most cases, yes. We plan treatments so that the patient can return to work or social activities as soon as possible - usually the very next day.

 

In most cases, yes. We plan treatments so that the patient can return to work or social activities as soon as possible - usually the very next day.

 

No - in Unident Union surgical treatment is part of a larger plan. We work with an interdisciplinary team of experts in surgery, prosthodontics, orthodontics and implantology, allowing us to plan your treatment holistically and without compromise. 

 

Endodontics-canal treatment

Is root canal treatment painful?

Twenty-first century dentistry is able to ensure that most treatment procedures are pain-free. In an era of effective and safe anaesthetics, root canal treatment need not be painful. Anaesthesia in the form of a mild injection gives a quick and effective result. It is usually used to treat teeth that are painful on their own or that contain a diseased, but still living, pulp. This mainly applies to treatments performed as part of the so-called dental emergency.

The modern techniques used at UNIDENT UNION Clinic allow, in 98% cases, root canal treatment to be completed in a single visit. With the help of new root canal preparation techniques (manual and mechanical) and tools supporting their sterilisation, even "teeth with pus" can be cured in 1-2 visits. Root canal treatment of teeth with dead infected pulp requires sterilisation of the root canals.

When even one is removed and the missing tooth is not replaced within a short period of time, the neighbouring teeth start to lean in and the opposing teeth start to protrude towards the empty space. This can adversely affect chewing ability and lead to loosening or grinding of the remaining teeth, as well as overloading of the temporomandibular joints. 

The shifting of teeth also leads to a collapse of the cheeks and lips and thus to unfavourable changes in the appearance of the face. Plaque build-up is also facilitated, thereby increasing the risk of gum disease and decay, and thus the loss of remaining teeth more quickly. Cost is also an important consideration. 

It is worth remembering that replacing missing teeth, i.e. making dentures, bridges or using implants, is much more expensive than root canal treatment and the possible cost of reconstruction with a single crown. 

The most important thing is to save the natural root, because then an experienced prosthodontist will restore the tooth to full function. 

A tooth that has had to be treated by root canal usually has a very damaged crown, i.e. part of the supragingivalSometimes only the root remains and therefore, in order to prevent cracking and chipping of the tooth walls, the dentist usually performs a prosthetic restoration of the tooth, i.e. an inlay crown-root and prosthetic crown. This action leads to a complete and functional restoration of the tooth. 

Yes. The tooth takes on a darker colour at different intervals due to internal and external discolouration. Internal discolouration predominates, i.e. the discolouration caused by the influence of the root canal and crown filling preparations.

Bonding

What are the contraindications to bonding?

Tooth bonding is a quick and effective way to metamorphose a smile, but there are situations where it is not recommended or requires prior preparation of the patient's dentition.

Bruxism and malocclusion

If you grind your teeth or have a habit of clenching them, bonding, just like your own teeth, can wear down or crack quickly. Therefore, before performing composite veneers, your dentist will carefully check your bite and temporomandibular joints to eliminate this contraindication or apply bruxism therapy in parallel. For orthodontic defects that put composite veneers at risk, we refer patients for orthodontic treatment at Unident Union Wrocław. Thanks to the method Beauty Orthodontics - First Bond Then Ortho We already use working bonding at the braces fitting stage to reproduce the correct height of teeth and occlusal alignment.

Teeth that are too big

It is worth remembering that composite veneers without grinding are not suitable for large teeth. So if your natural teeth are too massive, they may need to be adjusted in advance with stripping to achieve a proportional effect. We analyse the aesthetics of your smile at a consultation, after which a treatment plan is created, often taking into account various aesthetic options and techniques.

Extensive cavities and large fillings

If a tooth is heavily damaged by decay or has large fillings, bonding may not hold. In such cases, it is worth considering other methods of restoration, such as prosthetic crowns, which can be combined with bonding when planning a metamorphosis involving several or more teeth.

Caries and gum disease

Bonding should be performed on healthy teeth. If decay or periodontal disease is present, we will recommend prior dental treatment. This will ensure your health and prepare your teeth for bonding.

Bad habits

Composite veneers are durable as long as the patient does not suffer from harmful habits such as nail biting, pencil chewing or glasses frames. Any such pathological behaviour can damage the composite bonding.

This is one of the most common questions about bonding at Unident Union Wrocław and composite veneers. Composite veneers (bonding) are a solution that in most cases does not require grinding of the teeth (so-called non-prep veneers) or minimal tarnishing. This makes them ideal, for example, for young patients in need of minor aesthetic corrections. Porcelain veneers involve minimal preparation of the enamel, usually around 0.5 mm. This is less than the distance between the smallest graduations on a school ruler. 

Another element of comparison, bonding is more flexible and cheaper than porcelain, but lasts about 5-8 years. Porcelain veneers are more expensive but last up to 10-15 and sometimes 20 years. 

In terms of service and care, composite veneers require regular polishing and refreshing every 12 months. A big plus is that bonding can be repaired if damaged. Porcelain veneers, on the other hand, do not tarnish, are resistant to discolouration and do not require such servicing. However, if they become chipped, they cannot be repaired - replacement with a new one is necessary. 

There is no single answer - the choice depends on the individual needs of the patient. If you want a quick effect, a trial metamorphosis, often without interference with the enamel, bonding will be the optimal solution. However, if your priority is maximum durability and resistance to discolouration, and you expect a permanent metamorphosis, porcelain veneers are worth considering. 

It's also interesting to note that you don't always have to choose. At Unident Union, we can also combine porcelain and composite veneers in one smile. If, for example, some teeth do not need grinding at all, for example in the lower arch and then we place bonding there, i.e. non-prep composite veneers. In the smile zone above, we design porcelain veneers. The combination of both methods is a reduction in the cost of the metamorphosis and, if such a solution is technically and medically possible, we naturally include both bonding and porcelain veneers in one Unident Union Wrocław treatment plan.  

 

ORTHODONICS

Why wear braces?

Wearing braces is a major part of the orthodontic treatment process. The fact that we have braces on our teeth shows our care for our health and appearance. The effect of orthodontic treatment, i.e. the cure of malocclusion, makes it possible to keep the teeth, periodontium, temporomandibular joints and well-being healthy for many years. It also helps to remedy certain speech defects and serves to improve aesthetics.

 

With the use of selfligating systems at UNIDENT UNION clinic, the treatment time becomes significantly shorter than treatment with conventional braces. In turn, a shorter treatment period means fewer visits and getting a beautiful smile ... faster. Our patients are surprised how quickly, as the treatment time is reduced by up to 6 months and the number of visits is almost halved.

 

Usually not, as the mucous membrane adapts quickly to the appliance, but there are isolated cases where the patient is more sensitive and experiences discomfort. Such discomfort may persist for a long time. In such cases, orthodontic wax/silicone is applied to the dried braces to alleviate the irritation. Wax is used to protect the sharp parts of the appliance so that they do not irritate the oral mucosa. It is not always used, but only in justified cases. If, after inserting the appliance, you feel that certain parts of the appliance are rubbing the mucous membrane (usually around the brackets on teeth which are positioned very incorrectly), it should be used by applying it to those parts of the appliance causing irritation. If the wax rubs off (washes off, eats off) reapply it.

When wearing fixed braces, we are at greater risk of developing cavities. There is also a possibility that previously invisible cavities will reveal themselves during the process of tooth alignment and will require immediate treatment. Therefore, it is very important to observe the timing of check-up visits, which at UNIDENT UNION clinic take place every 6-10 weeks!

The majority of patients treated at UNIDENT UNION with fixed selfligating braces, e.g. DAMON type, practically do not feel any pain. However, there are Patients who do feel it, but this usually lasts up to a week and its intensity is an individual matter for each Patient.

Moving teeth is not a worrying symptom unless it is caused by a sudden trauma and this requires immediate dental consultation. Otherwise, their increased mobility is due to a process associated with the tooth moving, loosening its connections to the alveolus and placing it in its final, correct position.

The doctor who cares for the patient from the beginning has full knowledge of the patient's condition at all stages of treatment, so in the interest of the patient's well-being, it is important to stick to the principles that braces are fitted, checked and removed by the same doctor.

Above all, we should avoid eating hard products (e.g. hard fruit and vegetables - apples, pears, carrots, etc., rusks, hard baked goods, hard sweets, nuts, so-called sweet bars), products that pull and coat the teeth (e.g. chewing gum, toffee, the aforementioned bars), caries-forming products (sweetened fruit juices, sugary fizzy drinks, sweets, etc.).

This is most often the case when biting on hard foods, but it can also happen that the patient only disturbs and weakens the connection between the tooth and the appliance and then, just a slight pressure when biting on even something soft and the bracket detaches. If the bracket has come loose, contact your orthodontist immediately, who will repair the braces as soon as possible.

Unfortunately, yes, and only systematic care for oral hygiene, brushing after every meal and using special rinses that contain fluoride can protect us from bacteria, decalcification and, consequently, decay of our teeth.

It is necessary to take care of the teeth at all times and especially during the treatment with fixed braces, therefore, it is necessary to devote more time to hygiene so that all tooth surfaces and braces components are thoroughly cleaned. Special accessories for taking care of braces and teeth, such as special brushes, interdental brushes, pastes and liquids are used for this purpose. When leaving the UNIDENT UNION dental clinic, the patient is provided with suitable toothpastes, which contain amnofluoride, as well as special toothbrushes and mouthwashes. All these preparations are available at our Clinic and selected pharmacies. Taking care of hygiene at this special time will help to avoid possible complications and contribute to the smooth healing of the orthodontic defect, and by using the appropriate products systematically and as recommended by the orthodontist, we will be less exposed to decaying changes of our teeth.

Unfortunately, yes, and only systematic care for oral hygiene, brushing after every meal and using special rinses that contain fluoride can protect us from bacteria, decalcification and, consequently, decay of our teeth.

The gaps between the teeth are intended to facilitate their alignment. This is one of the stages of treatment that will eventually align the teeth in an even row and at an even height.

After achieving the desired effect at the UNIDENT UNION clinic, it is recommended to use braces in a passive form for another 2-3 months. During this period of an additional couple of weeks, the teeth, which have been set in new places, will better fuse with the bone, also the muscles will adapt to the new bite. This is also a period to observe whether certain changes should still be applied, whether the teeth return to their former places and thus the malocclusion returns.

Teeth remain sensitive to thermal stimuli for a long time after the removal of braces, so we should use suitable toothpastes and rinses containing strengthening substances in the form of fluorine compounds.

Yes, there is such a risk if the patient does not attend appointments, the so-called retention treatment, which consists of checking fixed retention appliances bonded to the lingual and palatal surfaces of the maxillary and mandibular anterior teeth and removable appliances worn at night every six months.

The days of stretching braces are over. At UNIDENT UNION clinic, we use an innovative approach to orthodontics that provides greater comfort throughout the treatment period. This is because, for example, the braces in the Damon System have a unique opening and closing mechanism for effective arch insertion, which allows much weaker forces to be used to move the teeth into the correct positions. This not only makes the treatment shorter, but also painless.

With conventional braces, orthodontists are often forced to remove teeth to make space for crowded teeth. At UNIDENT UNION clinic, with the use of self-ligating brackets, we use biological forces that work with the natural adaptive processes of the human body to make space naturally without the need for extraction. At UNIDENT UNION clinic, the patient is qualified for extraction in orthodontic procedures only after a direct analysis of the facial profile. In the small number of cases where extraction is required, space is made in order to achieve a balanced facial appearance and improve facial symmetry, thus guaranteeing a natural smile and profile that will last regardless of age.

Implantology

What is a dental implant and what is it made of?

A dental implant is a titanium screw, 8 to 16 mm long and 2.5 to 6 mm thick, consisting mainly of two parts: 

  • titanium screw surgically inserted into the bone (base), 
  • pillar - also made of titanium, which is the base for the restoration of the tooth crown. 

The implant is constructed from titanium, a very strong and resistant material that does not cause allergic reactions and is accepted by the human body, meaning there is no fear of rejection. 

The implant, which consists of two parts: a titanium screw and a pillar, is inserted in two stages: 

  • The first is the insertion of a titanium screw into the maxilla or mandible, followed by a period of healing and fusion of the implant with the bone tissue, known as osteointegration, during which it becomes an integral part of the bone, 
  • In the second stage, after a period of healing, the upper part of the implant is attached to the base, on which the new tooth or teeth are reconstructed to look like natural teeth. 

When starting implant treatment, Phe patient should have a panoramic radiograph and CT scan to give an accurate picture of the condition of the teeth and bones. During the oral examination, the condition of the gums, teeth and bones is checked in detail. The doctor also takes a thorough medical history. ​

Of course, it is possible, but it is conditioned by a number of factors mainly related to the anatomical conditions... and the healthy tissue into which the implant will be placed. However, it is advisable to wait 6-10 weeks so that the bone tissue rebuilds and strengthens and the gums heal. This is very important when the implant is placed and sealed tightly by the gum. ​

Placing an implant is not a painful procedure, in fact, the patient is anaesthetised just as when having a tooth extracted and neither general anaesthesia nor anaesthesia is necessary. Of course, it is not a comfortable procedure and there may be unpleasant sensations due to the vibrations that arise during the procedure. ​

We can speak of two stages of implant treatment: 

  • The surgical stage, i.e. the placement of the implant(s), and the entire healing period last between 3-6 months, 
  • the prosthetic stage, i.e. restoration of the tooth on an integrated implant, depends on the patient's bone condition, i.e. if, due to a bone deficit, surgical procedures are required to restore the lost bone - the treatment time is extended by several months. This is the case, for example, in the case of bone reconstruction in the maxillary sinus regions (SINUS LIFT) or in other areas where, using biomaterials or bone grafts, we first need to secure sufficient bone for implantation. 

Under favourable anatomical conditions, in some cases - adequate quantity and quality of bone - implantation and immediate restoration of the tooth or teeth with provisional restorations is possible. Once the gum has healed, the provisional restoration is replaced by the definitive one. This is known as immediate loading of the implant. 

​

As with other surgical procedures, there are certain contraindications to implant surgery. 

We can divide them into absolute ones, i.e. those that exclude the possibility of implant treatment, and relative ones, i.e. those that we can eliminate and implantation will then be possible. 

  1. Absolute contraindications: 
  • severe mental illness, 
  • systemic diseases, 
  • uncompensated diabetes, 
  • haematological disorders, 
  • total lack of hygiene habits, 
  • extreme cases of atrophy or bone loss. 
  1. Relative contraindications: 
  • the age of the patient - youngsters under 16 cannot undergo implant placement as their skeleton is not yet fully developed, 
  • diabetes - we need to balance our blood sugar levels permanently, 
  • poor oral hygiene - we need to carry out hygienization, 
  • Periodontal disease - periodontal treatments, 
  • bite disorders - orthodontic treatment, 
  • lack of sufficient bone tissue - bone reconstruction procedures, 
  • smoking. 

​

Implant treatment makes it possible to replace teeth lost for various reasons in a way that mimics nature as much as possible. This restoration is a long-term solution that improves appearance and quality of life. With implants, we also solve the problems associated with classic prosthetics. It is an alternative to traditional bridges, which require grinding of the patient's own teeth, and to removable dentures, which, however well and carefully made, are not a comfortable solution for the patient. In the case of complete toothlessness, implant treatment allows us to stabilise the prosthesis or even replace it with a restoration permanently fixed to the implants. ​

The tremendous development of dental implantology has nowadays made this treatment highly predictable and safe for the Ppatient. If we talk about the risks associated with the implantation procedure itself, it is a safer procedure for the organism than, for example, the extraction of a decayed tooth, where bacteria are shed into the bloodstream during the procedure. Implantation carried out under aseptic conditions and, if necessary, under antibiotic cover, is a safe procedure with a very low 0.5% complication rate. ​

Failure of the implant to integrate with the bone is rare. Statistically, it is approximately 4%, i.e. 100 implants placed, four fail to fuse with the bone. The reasons for these failures vary. The reason can be poor bone condition, infection or an error in the technique of the procedure itself. It is often difficult to determine what caused the implant to separate. In no case, however, is it an allergic or autoimmune reaction. ​

Unfortunately, it may be the case that, for reasons that are difficult to ascertain, you find yourself in a small percentage of the Ppatients in whom no osteointegrationThis means that the implant has not fused with the bone. In this case, it must be removed and then sterilised and sent back to the manufacturer for testing. After about two months, the patient will undergo a second implant procedure. A new implant received from the manufacturer under guarantee is placed in the same place. The patient pays only the cost of the repeat procedure. ​

If the treatment implantoprosthetics has been performed correctly and the patient maintains good oral hygiene and attends regular follow-up appointments, the results of the treatment are certain to be long-lasting. We can speak of an average implant survival rate of 15-20 years. However, we must realise that the trouble-free functioning of implant-supported restorations depends to the greatest extent on Ppatient. Perfectly maintained oral hygiene and care of one's own teeth and gums result in a very long lifespan for implants and restored to nothing.​

Implantoprosthetics

Does the implant also include a prosthetic crown?

No. An implant is a titanium (or zirconium) screw that replaces the root of a tooth and is implanted into the bone. Crown The prosthetic, i.e. the visible part of the tooth, is a separate part that is performed after the implant has been integrated into the bone. The two parts - the implant and the crown - are separate procedures and are billed separately.

W Unident Union we use all-ceramic crowns, porcelain crowns on a metal substructure and zirconia crowns. The choice of material depends on aesthetics, function, location of the tooth and the patient's expectations.

The best crowns are those that meet the needs of the individual patient. Aesthetically and biologically, all-ceramic and zirconia crowns perform best, especially in the anterior section. In the lateral sections, porcelain crowns on a metal substructure also perform excellently due to their durability.

Not always one crown = one implant. For larger missing teeth, it is possible to make a bridge on two implants (e.g. reconstruction of three teeth on two implants). With edentulous teeth, full prosthetic arches based on several implants are performed (see question 11).

No. In our clinic, we do not perform prosthetic work that connects a natural tooth to an implant. Differences in mobility can lead to complications. We only use solutions based on implants or on your own teeth - never in combination.

Once the implant has been placed, it takes three to six months for the implant to integrate into the bone. After this time, if the implant is stable, the final prosthetic crown can be made.

It is a temporary crown that restores aesthetics and function for the duration of healing. Temporary crowns are lightweight, non-functional or limiting masticatory forces, but allow normal function during integration of the implant into the bone.

A temporary crown is a temporary solution, usually made of composite material. The definitive crown is made of a durable material (ceramic, zirconia), reproduces the anatomy of the tooth and has a full chewing and aesthetic function.

In the aesthetic section (front teeth), definitely yes - it ensures aesthetic continuity. In lateral sections, it is not always necessary, but is often recommended for tissue stabilisation and patient comfort.

An average of 3 to 9 months, depending on bone conditions, the presence of inflammation, any augmentations and the individual treatment plan.

Yes - in Unident Union patients with edentulous teeth can receive temporary teeth on the very day the implants are placed. The All-on-4, All-on-5, All-on-6 systems consist of restoring the entire dental arch (upper or lower) with 4, 5 or 6 implants respectively. These are solutions for patients who are missing teeth or need to have teeth removed. After healing, a final, aesthetic and permanent restoration is performed. The patient is not left toothless at any stage of treatment.

Prosthetic treatment

Is it always necessary to replace missing teeth?

Missing teeth, even single teeth, should be replaced as soon as possible after tooth loss. The loss of even a single tooth can lead to adverse consequences for the entire of the masticatory system. There can be wandering of adjacent teeth (tilting, rotating) and "elongation" of opposing teeth striving for contact. All this can lead to the loss of further teeth. Other complications include: changes in the temporomandibular joints, manifested by morning pain in the facial muscles and headaches in the temporal area, as well as disorders of the gastrointestinal tract. A separate problem is aesthetic disorders: incomplete smile, shortening of the lower face, collapse of the siThe formation of wrinkles around the lips or the increased formation of wrinkles around the mouth (see Dental Face Lifting®) 

The selection of a prosthetic restoration that is suitable for a particular patient depends on a number of factors: 

  • the number of missing teeth, 
  • the quantity and quality of the remaining teeth, 
  • the location of the missing tooth, 
  • the condition of the underlying bone, gums and mucosa, 
  • forms of occlusion, 
  • the age of the patient, 
  • patient preferences, 
  • the patient's financial capabilities. 

For many years, a commonly used prosthetic restoration in this situation has been a full denture. The advantages of this solution are its availability and low cost, as well as its satisfactory aesthetic effect. Its disadvantages, however, are the low comfort of use and the permanently atrophied bone base under the prosthesis. This prosthesis only slightly recreates the lost chewing function and, due to the large area of palate covered by the plate, impairs the perception of the taste of the food being eaten. Implant-based restorations are an alternative solution that is far more effective and impressive in reproducing missing teeth. We can mention here: 

  • overdentures supported on 2-4 implants in the maxilla and mandible, 
  • Bridges - based on a minimum of 6 implants in the maxilla and 5 implants in the mandible. 

In order to maximise the "lifespan" of fixed prostheses, it is necessary to implement special hygienic procedures with the use of additional hygienic utensils (in addition to a toothbrush). Particular attention is required in the gingival area of crowns and bridges due to the tendency to build up plaque and difficulties in cleaning. Recommended utensils are: 

  • super-floss - rigid dental floss with a spongy section; the rigid part of the floss is pulled under the item to be cleaned and then cleaned with the spongy part, 
  • irrigator (water pick, hydropulper, muntdusche) - a device that works on the principle of a water whip; the jet of liquid massages the gums and cleans hard-to-reach spaces. 

When using removable dentures, in addition to conventional care of the remaining teeth, special attention should be paid to the denture itself. A removable denture should be cleaned after every meal (at least twice a day). After removal from the mouth, it is cleaned thoroughly with a soft toothbrush containing toothpaste, liquid soap or special cleaning agents. It is best to use a two-sided denture brush which, thanks to its appropriately shaped bristles, makes it possible to clean all denture surfaces. hard-to-reach areas of the denture. Various cleaning agents in the form of powders or lozenges are also available on the market, which, when dissolved in water, chemically clean the denture. Their use is particularly recommended for people who are ill and physically incapacitated. 

The diet of patients using fixed prostheses is virtually unchanged. The situation is different when using removable prostheses. Patients starting to use removable dentures (especially complete dentures) should initially consume liquid and semi-liquid foods and gradually become accustomed to foods with a harder consistency. Eat smaller bites, spread the food when chewing bilaterally (chewing bilaterally), bite bites with the side of the denture, not the front, avoid bard foodsso hard and tough. 

Self-repair or correction of prostheses by the patient is not permitted. Doing so may damage the denture and injure the oral tissues. If the denture disturbs you in any way, you should immediately visit a prosthodontist. 

No, preparation of a tooth for a prosthetic crown is not painful, as it is performed under local anaesthesia. In the case of teeth after root canal treatment (dead teeth), anaesthesia is not even necessary. 

OSTEOPATHY

What is bruxism and what are its main causes?

Bruxism is the uncontrollable clenching and grinding of teeth, most often at night. Main causes bruxism are stress, abnormal occlusion, sleep disorders, as well as certain medications. It is worth noting that the reasons bruxism can vary from patient to patient, so individual diagnosis is important. 

Techniques osteopathic focus on relaxing the muscles of the jaw and face, improving the mobility of the temporomandibular joint and reducing tension in the neck and shoulder area. This can significantly reduce the symptoms of bruxism and bring relief from pain. 

Among the most effective methods and techniques osteopathic in the treatment of this condition include: manipulation of the temporomandibular joint, facial and neck muscle relaxation techniques, deep tissue massage, cervical spine mobilisation and diaphragm work techniques. 

Yes, physiotherapy can be very effective in the treatment of bruxism. A physiotherapist can help by using manual techniques, exercises to relax the jaw muscles and educating the patient. Physiotherapy is often combined with osteopathy to create a comprehensive approach to treating this condition. 

Typical symptoms include: jaw pain, wear and tear on the teeth, headaches, especially in the temporal area, ear pain, muscle tension in the face and neck, and sleep problems. In some cases, patients may also experience back pain or difficulty chewing. 

Dentist plays a key role in diagnosis and treatment bruxism. He or she may recommend wearing a special protective splint on your teeth at night, correct an abnormal bite, and suggest dental treatment to repair damaged teeth. The dentist often works in partnership with osteopath or physiotherapist to provide comprehensive treatment. 

Recommended relaxation exercises include breathing techniques, progressive muscle relaxation, meditation and yoga. Exercises that focus on relaxing the facial and jaw muscles are particularly effective. Performing these exercises regularly can reduce muscle tension and alleviate the symptoms of this condition. 

In most cases, treatment bruxism methods osteopathic brings positive results. However, the effectiveness of the therapy depends on individual factors, such as the severity of the problem or the root cause. It is important that therapy is tailored to the needs of the individual patient and combined with other treatments if necessary. 

Patients with bruxism often report complaints such as tooth, jaw and facial pain, headaches, temporomandibular joint problems, tooth enamel wear and even trismus. There may also be problems with chewing and speaking and tooth sensitivity. 

A key element of therapy osteopathic in treatment bruxism is massage of the jaw and facial muscles. Temporomandibular joint relaxation techniques, cervical spine mobilisation and fascial therapy are also used. In some cases, physiotherapists also use the technique of dry needlingwhich helps to reduce tension in muscle trigger points. 

The duration of treatment depends on the individual case and the severity of the problem. Usually Patients experience improvement after just a few sessions, but full treatment can take several weeks to several months. It is important to attend therapy sessions regularly and to follow the recommendations of the osteopaths on relaxation exercises and techniques at home. 

Osteopathy can significantly alleviate symptoms bruxism and help control the problem, but a complete cure depends on many factors. It is important to work on the root cause in parallel bruxismsuch as stress or abnormal occlusion. A comprehensive approach, combining osteopathy with other treatment methods, gives the best chance of long-term improvement. 

AESTHETIC MEDICINE

Can I undergo aesthetic medicine if I am taking blood-thinning medication?

Taking anticoagulants can increase the risk of complications such as excessive bleeding or bruising. He recommends consultation with a general practitioner and aesthetic medical specialist prior to the planned procedure.

Yes, the use of antibiotics or steroids can affect the healing process and increase the risk of infection. It is advisable to wait at least two weeks after treatment before proceeding.

Aesthetic medicine treatments are contraindicated during pregnancy and breastfeeding due to the lack of studies confirming their safety in these conditions.

Those with a tendency to herpes should inform their specialist before the procedure. Prophylactic antiviral medication is often recommended before and after surgery to minimise the risk of recurrent infection.

It is recommended to wait at least 14 days after the application of hyaluronidase before re-filling the lips with hyaluronic acid to ensure full dissolution of the previous preparation and to avoid complications.

Normally, 1 ml of hyaluronic acid is used during one lip augmentation procedure. In exceptional cases, depending on the individual needs of the patient, this amount can be adjusted.

Yes, botulinum toxin is safe when administered by a qualified professional in the correct doses. A detailed consultation is carried out before treatment to rule out contraindications.

The effects of Botox usually last between 3 and 6 months. It is recommended to repeat the treatment every 4-6 months or so to maintain the desired effect.

Lip augmentation is recommended no more than once every 6-12 months, depending on the patient's hyaluronic acid metabolism rate and the desired effect.

Yes, it is usually recommended to first apply Botox to relax the facial muscles and then, after about 2 weeks, to perform volumetric treatments.

The first effects of Botox are noticeable 3-5 days after treatment, with the full effect developing within 10-14 days.

Many treatments can be combined for better results, such as botox with chemical peels or volumetric treatments with mesotherapy. However, the combination of treatments should always be consulted with a specialist.

Yes, some aesthetic medicine treatments can be performed alongside orthodontic treatment. However, it is advisable to consult an orthodontist and an aesthetic medicine specialist to determine the optimal treatment plan.

People with diabetes should consult their doctor before undergoing aesthetic medicine. Uncontrolled diabetes can increase the risk of complications and delay the healing process.

Autoimmune diseases may be a contraindication to certain treatments. Consultation with your general practitioner and an aesthetic medicine specialist to assess the risks is necessary.

No. An active skin infection is a contraindication for aesthetic medicine treatment. The lesion should be treated first and only after complete healing and evaluation of the skin condition should the treatment be resumed.

Yes, but the right procedures must be chosen. We avoid deep peels and laser therapy during periods of high UV exposure. It is absolutely advisable to use photoprotection SPF 50+.

Yes - some herbs (e.g. St John's wort, calendula) have a photosensitising effect or affect blood clotting, so their use should be reported during the consultation. 

No. For at least 10-14 days after treatment, do not expose yourself to intense heat, UV radiation, use a solarium or sauna. 

For volumetric or plasma treatments, we recommend waiting 24-48 hours before flying to minimise the risk of swelling and circulatory disorders.

  • pregnancy and breastfeeding 
  • infections 
  • active herpes 
  • unregulated chronic diseases 
  • tendency to scarring 
  • allergies to the ingredients of the preparation
  • pregnancy and breastfeeding 
  • neurological diseases (e.g. myasthenia gravis) 
  • infections 
  • active autoimmune diseases (some) 
  • allergy to botulinum toxin or auxiliary proteins 

Yes. Increasingly, Botox is being used preventively in younger patients to reduce the formation of fixed facial wrinkles. 

  • do not consume alcohol 24 hours before the treatment 
  • do not use blood thinners (if not necessary) 
  • do not exercise intensively before and after the procedure 
  • report any illnesses, medications and supplements 
     

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