cerec sirona

cerec sirona

Михайленко Валентина

Sirona is the world’s largest manufacturer of dental technology and is the clear innovation leader in dentistry.
As such, Sirona is the preferred partner for dental practices, clinics, dental laboratories and authorized distributors worldwide.
The company develops, manufactures and markets a complete line of dental products, including, CAD/CAM restoration systems (CEREC), digital intra-oral, panoramic and 3D imaging systems, dental treatment centers, hand pieces and hygiene systems.
Restorations with CEREC
Thanks to CEREC, you can provide your patients with inlays, onlays, crowns and veneers in only one appointment.
The CAD/CAM system has been on the market for a good 30 years now and over 250 scientific studies have confirmed the clinical safety of tried and tested CEREC tooth restorations.
Worldwide, more than 30 million tooth restorations have been produced with CEREC.


30 years of CAD/CAM experience
Outstanding initial patient-specific design proposals as a result of analyzing the complete scan (Biojaw)
Excellent grinding results using new algorithms and burs
Simple to operate with the intuitive CEREC Software user interface. Grinding and milling in one machine for a greater variety of materials


Пані Галина

Звернувшись у клiнiку Рома, я отримала якiсну консультацiю, а пiсля того – професiйне лiкування, яким дуже задоволена!



WE MAKE YOUR DREAMS COME TRUE, WE MAKE YOU HAPPIER, SMILE TOGETHER AND ENJOY EVERY MOMENT. Due to diligent work of our team world enjoys few more charming smiles. It is our mission to make this world slightly kinder, warmer and more beautiful by adding more perfect smiles.
Let’s make this world better together)



CLINIC “ROMA” – SUCCESS WE HAVE WORKED TOWARDS FOR YEARS. You will enjoy charming smile throughout your life thanks to our quality work. This is the service that will not leave indifferent even VIP-clients. The atmosphere of
comfort and cosiness, seamless approach to each client, most advanced equipment and what is most important — We love our job and you feel it.



Today there are many modern techniques and technologies of dental treatment and they are constantly improving. It is important to prevent from dental diseases – it is about a thorough oral cavity care and regular check-ups at the dentist and the professional oral cavity hygiene (every 6-8 months).

To save the patient’s teeth is the primary task of every dentist. In modern surgical dentistry is distinguished a complex of surgical interventions to preserve teeth. These are operation of resection of the tooth root apex with obligatory retrograde filling of canal, binding and removal of cysts and paradontological operation, and closing gum recession (gingival recession) and others. In carrying out these surgeries are frequently used bone and plastic materials to fill the bone defects. Particular attention is given to operations with plastics of gums (gingivo plasty) and bone plastics (bone shaping).

Bone shaping is the restoration of bone volume and correction of bone defects. Such operations are reasonable when it comes to implants, particularly in the aesthetic area and area of posterior maxilla (sinus lifting). Today bone shaping is sufficiently effective intervention, although 10 years ago dentists refused to implant due to insufficient bone volume. As the material for bone shaping both the patient’s own bone (so-called gold standard) and animal bone can serve. A synthetic bone is also used as well as tissue from donor bone, but such materials are rarely used.

There are many reasons of tooth loss, such as injuries, removals according to medical grounds and more. However, today there are different ways to solve the problem of restoration of lost teeth. The implantation is the most advanced and most effective of these. The implant is an artificial tooth root made of titanium or zirconium. After being installed into jaw bone in place of the lost tooth, it knits with the bone (osteo-integration) and becomes a sustentation for an artificial tooth or prosthetic construction. Today dental implants are not only an opportunity to preserve the aesthetics of the dental arcade, but the most optimal way to restore lost functions of teeth. Among its main advantages it shall be marked absolute safety, predictability and the complete absence of negative effects of using dental implants. Moreover, in case of implant treatment no age restrictions exist. The only additional requirement is the consultation of relevant experts in case when the patient has certain diseases. Injury during implant surgery usually is not more than a single tooth removal.

Dental implants are installed in the following cases:

  • – When replacing one lost tooth (it is important that these neighbouring teeth remain intact);
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  • – When replacing several teeth (implants used as support for prosthetic bridge);
  • хірургія
  • – The complete absence of dental arcade (patients do not need to use removable dentures any more).
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Implantation significantly expanded guarantee capabilities of modern dental treatment (it is a lifetime warranty on dental implants, periodic, free professional examination etc.). Dental care became the norm of everyday life of modern dentist.

With the development of implantology, new approaches arose to this seemingly simple intervention like tooth extraction. Since for implantation it is necessary to preserve the bone, then the removal of a tooth should minimize the possibility of injury of gums, bone walls and midradicular septums. In case of removal of multirooted teeth this task is particularly difficult; we cut multirooted tooth and remove each root separately. Normally all roots of tooth are surrounded from all sides by bone tissue. The thickness of this tissue is different, sometimes very thin, less than 1 millimetre. After the tooth bone removal there is formed a hole and it is filled with blood clot. In case of absence of the bone hole walls, it becomes impossible to receive bone volume required for each implant without bone grafting. These factors require atraumatic method of tooth extraction.

Surgeon-dentists, possessing arsenal of modern methods of treatment and using them in daily practice, achieve excellent results of treatment, return to their patients rehabilitation of effective chewing function and provide maximum aesthetic results.

Therapeutic treatment and endodontics

Therapeutic treatment and endodontics

Prior to therapeutic treatment we consult the patient and conduct a preliminary examination of the oral cavity as well as additional inspection and professional hygiene of oral cavity if needed.

Our work is based on individual approach to the client and consideration of the patient’s wishes. Therapeutic treatment is indicated in case of carious lesions, defects of enamel (wedge-shaped), enamel hypoplasia, traumatic injury of the crown part of tooth, hard tissues obliterations, tooth discoloration, replacement of old seals. Availability of a laser machine DIAGNO dent (KaVo) extends the possibility of diagnosing of even hidden cavities in hard-to-reach areas and crowding of teeth.

In complex cases it is possible to prepare plaster models and conduct previous modelling allowing the patient to see the planned result, and the doctor – to perform an indirect restoration with pre-fabricated template.

In our clinic for dental filling adhesive system and restoration with photo composite materials are used. This technique allows to receive a remarkable aesthetic result for a long time, virtually eliminating the occurrence of repeated caries.

Tooth filling is performed using modern composite materials of leading dental manufacturers GRADIA DIRECT, GC (Japan), Estlelite E guick Tokuyma Dental (Japan), CHARISMA Kulzer (Germany) which have sufficient strength to withstand the chewing pressure and which colour and transparency are actually indistinguishable from natural teeth enamel.

During the process of dental fillings it is really important to use cofferdam in order to isolate tooth from the oral cavity, creating conditions for good adhesion and tight contact between the tooth tissues and seals for better retention.

Patients do not always come in time for therapeutic treatment, and often – when there is already a complication of tooth decay and endotontal intervention is needed

Earlier in the treatment of root canal the dentist almost blindly, relying only on his knowledge and experience, attempted to perform the work, on which the further “fate” of the tooth depended. That is why there was large percentage of poorly conducted endotontal treatment.

Today the doctor-endodontist in “ROMA” Clinic uses in his work Dental microscope KAPS (Germany) for the quality of endodontal treatment. Combination of powerful shadowless light and large blowback permits to work accurately and carefully and to remove only infected tissues.

Microscope use makes it possible to reveal the presence of hidden root canals and cracks of their walls, bends, side branches, facilitate the treatment of root canals with atypical structure, extract fragments of tools, to find and close the perforation of channel, treat properly previously treated canals.

Canals of teeth have a complex anatomic structure and diameter, which is calculated in millimeters and the most difficult procedure, performed under a microscope, is removing of the seal from previously filled root canal. This is caused by the fact that the canals were previously filled with cement (phosphate, resorcinol) and their hardness is higher than hardness of tooth tissues. So when you try to remove the seal from the canal, there is a high risk of breakage the tool or perforating the wall of the tooth, the consequence of which is tooth removal.

The decision on whether the tooth can be endodontically treated and if there is an expediency of such treatment becomes possible after learning the detailed anamnesis, collection and a set of additional methods of research around the tooth and dental tissues (Rvg-diagnosis, palpation, perkusil, appearance, EOD).

In anamnesis we are interested whether the tooth was endodontically treated before, for how many times, absence of exacerbations and complaints about pain. In assessing the structural condition around tooth and dental tissues, above all, we pay attention to the size of the defect of crown part of the tooth, restoration size, colour change, absence of visible textures, parodentium status, mobility status.

RVG -diagnostics allows to assess the condition of periapical tissues, bone tissue around the tooth, periodontal gap size, presence of granulomas and bone destruction, the anatomy of the root system and quality of previous endodontic treatment (not well filled root canal, output of seal material on top of root fracture, breakage of endodontic instruments, anchor pins, frakturs, perforation).

Our future orthodontic treatment plan also considers a pressure in future in prosthetic tooth construction. All this makes it possible to decide whether you need repeated endodontic tooth treatment.

We are often asked the question in our practice whether we should treat one more time the tooth, bordering with the zone of implantation and which was endodontically treated before, and which has a good obturation and there are no periapical changes in Rvg – diagnosis?

According to researches it is an axiom that the basis of all periapical changes is the presence of microorganisms and their metabolic products in the root canal. It is also interesting that in case of good root canal obturation in terms of RVG diagnosis and good crown restoration no reliable isolation exists! This means that there can be microflow and risk of reinfection of the root canal and the bone around the tooth.

There is also a reason to consider that many previously treated endo-teeth were treated without following the main principles of the protocol of endodontic treatment (tooth isolation / cofferdam / sufficient irrigation of root canal with disinfectants, instrumental treatment).

To avoid possible complications in the area of implant it is required revision of each tooth root canal, directly bordering with the zone of implantation. Today, protocol of implant treatment demands it. Not taking this into account the percentage of implant complications increases and generally compromises good treatment.

Many people are bothered with the question of forecast of endodontic treatment of tooth. It is important to convey the patient to understand that there is no 100% guarantee for a full recovery even after perfect endodontic treatment.

In case of primary endo-treatment you can expect 95% success rate, while in case of re-endo-treatment this index is much worse – 65% -80%. These data relate to teeth treated in a specialized way. Thus, in case when endodontic treated tooth was treated not according to endo-treatment protocol and without operating microscope this percentage greatly differs.

Dear patients, please note that qualitative therapeutic and endodontic treatment is the key to good health and nice smile!

The professionals of “ROMA” Clinic know how to take care of it.

Professional hygiene

Professional hygiene

Professional hygiene is the prevention of dental diseases. In “ROMA” Clinic we offer to do this procedure also before treatment, since it is an integral part of dentistry cares about his/her health.

A large number of people notice that despite the daily use of home hygienic products for oral cavity (toothpaste, brushes, flosses, rinse) with time plague on the teeth, bleeding of gums and pain, unpleasant smell from mouth appear. The cause of such symptoms is the lack of hygiene in hard-to-reach areas (teeth of “wisdom”, molars, interdental spaces, teeth crowding areas), the presence of harmful habits, diseases of the gastrointestinal tract.

In the oral cavity there is has a large number of microorganisms. Even using the most modern products of hygiene at home it is not possible to clean hard-to-reach areas from food residue. Microorganisms together with food initially form soft plaque that accumulates and provokes inflammation of the gums. Being influenced by minerals and salts contained in saliva a soft plaque becomes hard and forms dental tartar. It happens over and under gums. When dental tartar is under gums the changes in the gums occur: tooth ligament is destroyed, bone around the tooth resolves and it starts moving. To prevent this, we recommend to carry out professional hygiene of oral cavity at least twice a year.

Visit to the hygienist begins with examination of oral cavity, making a diagnosis (if necessary – OPG), hygienic indexes are determined by painting teeth with indicator of teeth plague. Then begins the procedure. Professional hygiene is usually painless, very rarely, in cases of increased tooth sensitivity we may need anaesthesia. However, it is not obligatory, only at the request of the patient.



The procedure itself involves several steps: removal of dental hard layings using ultrasonic scaling, which effects destructively on bacteria. To make full removal of plague from spaces under gums and hard-to-reach areas are used hand tools. The next step is to remove soft plaque and pigmented plague. For such a procedure we use Air-Flow machine (its action includes supply of water, special powder, and air). After the two previous stages starts the final one – tooth polishing with using of silicone discs and special pastes of different abrasivity that polish tooth surface to shine and saturate it with fluorine (against carious effect) .Polish of teeth provides lasting protection – the smooth surface postpones the formation of plague, resulting the longer formation period for tartar. The teeth become whiter by 2-3 tones, smooth and very pleasant by touch. Also, after the necessary preventive hygiene teeth can be covered with a special varnish that contains the essential elements to strengthen the teeth.

Using implants is a modern method of restoring of dental arcade. The main condition for the stability and durability of implants is a thorough cleaning of plaque. Hygiene in this situation is somewhat different from the usual procedure. At home, patients must not only use a toothbrush, but also special brushes and dental floss (superfloss). The obligatory part of professional hygiene is use of currets with titanium coating that does not damage the surface of the implant.

After the procedure, which lasts in average 1.5-2 hours, hygienist makes recommendations on the selection of products of hygiene necessary for you, and will teach how to use them at home.

In “ROMA” Clinic we make composed an individual prophylaxis schedule based on the state of the tooth-jaw system and rhythm of your life.

Dear patients, it shall be remembered that prevention is always cheaper than treatment, and studies show that probability of formation of caries is reduced by 40-50% in case of regular professional hygiene.

Prosthetic dentistry

Prosthetic dentistry

Prosthetic dentistry (denture treatment) is a section of dentistry aimed at restoration of previously lost tooth or part of a tooth or teeth or dental arcade.

The tooth loss is usually caused by dental diseases and their complications as well as injuries.

The loss of teeth, especially in a young age, not only leads to aesthetic defection of the dental arcade integrity, but in case of untimely visit to dentist, to different functional complications. As it is known, during prolonged absence of teeth the chewing function is broken, present teeth in mouth are overloaded that can lead to early loss, there occurs deformation of face (breaking of symmetry and proportions), muscles atrophy and changes in TMJ (pain, stiffness, crunch).

All this as well as unsatisfactory aesthetic appearance makes the patient seek for advice with a dentist-orthopaedist.

In “ROMA” Dental Clinic prosthetic dentistry differs with a comprehensive approach to each individual clinical situation.

The patient is usually most interested in how will look and operate his teeth after treatment. To answer this question it is necessary to conduct detailed planning of the future prosthesis. Therefore, prior to manipulation, we conduct functional diagnosis of tooth-jaw system, X-ray examination, photographs of clinical case and focus our attention on the wishes of the patient.

Having received all the data we analyse it in detail (for this we involve all necessary subspecialists of the clinic) make a diagnoses and draw up an individual plan of recommended dental treatment adjusting wishes of the patient, which in our opinion is the most optimal for the prognosis and duration of the treatment process. Also we consider alternatives that are possible in each case.

Concordance of the treatment plan with the patient is one of the most crucial task, since the chosen treatment option will determine the final result, the way how the teeth will look and operate.

In difficult clinical cases, we conduct pre-clinical wax modelling and make surgical templates for implantation {для клієнта – незакінчене речення в оригіналі}.

Taking into consideration the philosophy of maximum preservation of tooth we prefer implanting instead of “sawing off” a healthy teeth.

Only a team approach and coordinated work of all professionals is key to success.

Today, thanks to modern technology and materials, we are able to perform any type of prosthetic restoration on a high professional level.

According to way of fixing dentures are divided into removable and non-removable.

The group of non-removable dentures are:

  • – Inlays (only) – used for the replacement of the part of destroyed tooth and are made of composite or ceramic in the technical laboratory. Aesthetically and functionally it is stronger than a simple seal, especially in cases significant defects of the crown part of tooth;
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  • – Veneers (covering made from ceramic materials 0,5-0,7mm thickness which are fixed on the vestibular wall of the tooth. They are made in cases of changing of the colour, shape or position of the tooth and are used to improve the aesthetics of the front teeth, creating the effect of “Hollywood smile”
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  • – Crowns (metal-ceramic, pressed-ceramic, zirconium) – repeat anatomical build and shape of the tooth and are made in cases of significant defects of crown part of tooth, change of colours after an endodontic treatment or after the installation of the implant;
  • IMG_4415


  • – prosthetic bridges are the most popular constructions that restore small defects of dental arcade associated with loss of teeth. The main feature of these prostheses is that their attachment must have at least two poles, which can be both patients own teeth and artificial implants.
  • IMG_5198


The group of removable dentures are:

  • – Partial or full blade dentures are made in the absence of a large number or a complete loss of teeth. It restore mainly aesthetic and partially functionality of the teeth. Removable dentures as alternative of the implantation improved considerably and often comprise alternative solution in difficult cases;
  • IMG_5201

  • – bugel prosthesis are complex of orthopaedic structures, which are fixed on teeth and gums using special fasteners and locks. It is very important for abutment teeth to be healthy because they have to withstand heavy chewing load;
  • IMG_5202

  • – conditionally removable bugel prosthesis with the sustentation on implants comprise an alternative for non-removable and removable dentures. They differ from non-removable ones with their lower price, since for their fixation are needed several fixing implants (2-4), even of total restoration of the dental arcade.
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  • – conditionally removable dentures are often used to replace the entire dental arcade with patients with significant bone loss when the location of more implants requires surgery, a long recovery, and significant financial costs.

The advantage of the removable prosthesis ensures reliable fixation and ability to eat any food.


Paediatric dentistry

In Ukraine paediatric dentistry has not yet achieved such popularity as it has for example, in Europe or USA. In developed countries, it plays an exclusive important role, since general dentist cannot provide treatment adjusting specific children’s needs.

The profession of children’s dentist requires lots of qualities, i.e., sensitivity, prudency, patience, ability to find common ground and inspire confidence of children being the most demanding patients.

Children’s attendance differs significantly from the treatment of adult patients. First of all the treatment is associated with use of dental tools and materials designed specifically for children’s dentistry.

Normal growth and development of children largely depends on good nutrition and digestion of food depends on the condition of the teeth and their position. Healthy teeth embellish a child’s face while sick and located incorrectly ones distort it. Compliance with all rules of hygiene protects the child’s teeth from caries, but not from the dentist.

The problem of high occurrence of caries is one of the most pressing one in paediatric dentistry today. Features of anatomical structure of hard tissues with children contributes to the rapid spread of infection, development of complications in shallow lesion of cavity.

Parents can make first visit to the doctor by themselves, when the baby’s first teeth erupted, and get recommendations for baby’s oral cavity care.

With the emergence of all 20 milk teeth (about 2.5 – 3 years old) parents should bring the child to the initial examination of the doctor.




First visit is always an acquaintance and building of future trust relationship between the doctor and the small patient in the form of a game. The first impression of a child is imprinted in memory for a long time and if it is positive, the kid will gladly visit the children’s dentist again. Specialist will examine oral cavity, give advice on the selection of hygiene means and show how to use them, teach your child about home dental care and offer professional oral hygiene. To prevent tooth decay in the clinic there can be carried out mineral teeth enamel sealing with sealant. This is how both milk and permanent teeth can be treated. Milk teeth are often affected by caries shortly after their emergence. Sometimes it can effect separate teeth only still more often group of teeth is affected. This common procedure is painless and is performed by sealing natural holes of the tooth (fissure), where the food is often collected, with special material (sealant) saturating tooth with all the necessary micronutrients. This prevent from development of caries and its complications. Afterwards preventive examinations should be performed every 3-6 months.




It is important that the examination was conducted by a specialist to whom the child is already accustomed. The atmosphere will be familiar for the child and the kid will trust the doctor without any problems.

If your child has already got tooth decay, you should not panic. Psychological preparation of the child for taking to a doctor should begin even at home. Parents should show by example how to care about mouth, inspect the teeth, adjust and encourage the child to visit the dentist, without using the word “pain”, “fear”.

Somehow a belief that the milk teeth with small children cannot generally be treated and that such treatment is not even required is widespread among parents. Teeth affected with caries ache and facilitate spread of infection throughout the body, causing disease of stomach, joints and kidneys. Milk teeth treatment and sealing is a must at any age.

Teeth affected by caries should be treated, but not removed, because on a place of milk tooth at a certain time permanent teeth erupt. And that is why, in case of early removal of the milk tooth, the child will have difficulty with chewing food, broken diction, and what is extremely important, the wrong shaped permanent bite.

If the teeth are not in such a bad condition, the modern techniques allow to cure them painless and even without using a drill. Treatment without drill is performed in new alternative way of air-abrasive preparation – Sandman Futura. (Denmark). The advantage of this technique is that we should not do make anaesthesia (injection), there is no vibration and noise during manipulation.




Sandman Futura system works in a way that microscopic particles of aluminium oxide under pressure of air are put from the machine and gently remove all infected tissue, without damaging healthy tissue of the tooth. After application of Sandman Futura plaque on teeth is formed much more slowly. The walls of tooth have uneven surface that improves adhesion to tooth fillings and reduces the risk of secondary caries. Dental treatment using the Sandman Futura machine is absolutely safe and painless for both children and adults prone to allergic reactions to anaesthetics, as well as the elderly and pregnant women.

In our clinic, dentists have a comprehensive approach to the treatment of your child and this makes it possible to detect orthodontic pathology on time. Only qualified orthodontist will tell you about malocclusion and uneven teeth, as well as the teeth that can not erupt. He will appoint a child miohimnastics, and using braces or non-removable mean (brackets), orthodontic treatment will help your child to get rid of bad habits.

The main thing is not to miss the time! Straight healthy teeth is a guarantee of your child’s sweet and charming smile.

Thus, the main task of modern dentistry and skilled personnel of clinics is to make sure that children are not afraid to visit the dentist.



Orthodontics (Greek. – orthos-straight- lat.dens- tooth) – part of dentistry dealing with prevention and treatment of anomalies in dentition and occlusion.

Occlusion is a closure of the dental arcade during a fixed (usual) position of the mandible in relation to the superior jaw.

There are physiological (correct, neutral) and pathological types of occlusion featured with anomalous position of certain teeth and denture deformities.

There are known the following main types of abnormal occlusion:

  1. 1) prognathic or distal (excessive growth and development in the superior jaw)
  2. 2) anterior or medial (prevails mandible in growth)
  3. 3) open (teeth do not contact with each other)
  4. 4) deep (excessive overlapping of teeth of superior jaw over the teeth of mandible)
  5. 5) asymmetrical or cross-bite (shift of jaws to one or both sides).
  6. 6) neutral (right) occlusion with an abnormal position of individual teeth.

Each type of abnormal occlusion has number of possible options.

Pathological types of occlusion often are formed within children who are bottle-fed.

Anatomic feature of the structure of the foreface in the childhood has its own differences. The mandible is always smaller than the superior jaw. Aligning the size of the jaws happens during the first year of life while breastfeeding (child is forced to protrude the mandible for sucking milk). During the process of bottle feeding instead of sucking the baby had to swallow milk quickly (mismatch of the sizes of feeding nipple or too big a hole in it) the mandible does not work and its size continues to lag behind in growth of superior jaw.

In a later age child is also reluctant to eat solid food, chews it sluggish and this can lead to distorted and incorrectly located teeth.

The formation of malocclusion can be affected by the baby forced head position during sleep or feeding, the habit of sleeping in one position (on the side, resting the hands under his head) facilitates narrowing or shift of mandible.

Particular attention parents should pay to bad habits: sucking of feeding nipple longer than 2 years, thumb sucking, biting of cheeks, pen or pencil, mouth breathing. In many cases, abnormalities of the jaws developments are hereditary.

For the first acquaintance and check-up of the child should be brought to the orthodontist after the eruption of all milk dentitions. The doctor will examine and give advice on what to do to establish and maintain proper occlusion. Particular attention should be paid to the treatment of milk dentitions to prevent decay and early tooth loss, because in place of each milk tooth cuts out at a certain time a permanent one.

You should visit orthodontist once a year for proper growth of teeth until the formation of permanent occlusion. For as we know, it is better to prevent anomaly rather than to treat it later.

Why the pathology of occlusion should be treated in case of presence?

First of all, malocclusion leads to increased pressure on the teeth when chewing. Eventually, you will begin to notice that your teeth are moving, their necks are exposed, there are gaps between the teeth, the enamel wears away.

Incorrect dental occlusion of teeth or their or partial absence leads to pathologies of TMJ (temporo-mandibular joint). Signs of joint dysfunction are well known: headaches, tinnitus, dizziness, crunch when opening the mouth, pain and stiffness in the muscles.

Also pathology of occlusion leads to aesthetic disorders: changing proportions and profile of face, disorder of pronunciation, not beautiful smile with crooked spaced teeth, which are difficult for hygienic care, which in turn leads to the emergence of cavities that are a hard subjected for quality therapeutic treatment (sealing). Very often in areas where there are crooked teeth accumulate plaque, food debris and this leads to the emergence of secondary decay that destroys teeth.

All of the above mentioned, in our point of view, is a weighty argument in order to find the time and the opportunity to consult a doctor orthodontist. If after consultation it is necessary to begin orthodontic treatment, correct diagnosis should be made. To conduct this we make indentations of the superior jaw and mandible for the manufacture cast model of the teeth, orthopantomography, teleroentgenography, computed tomography (if indicated), orthodontic photos. After orthodontist carefully analyzes cast models and additional methods of examination is made up an orthodontic treatment plan that is adjusted with the patient or the child’s parents and is chosen the device which will be used for further treatment.

Oral cavity should be respected (treated teeth) and should be performed professional hygiene procedure.

There are a lot of orthodontic devices, but they all are divided into two categories: removable and non-removable.

Removable Devices patients put on by themselves and have to wear them during a certain number of hours a day, but most importantly, that they should be “worn” in your mouth, not in your pocket, because then there will be no benefits. The most effective are both-jaws devices used in children with milk and interchangable occlusion. However, after such treatment teeth cannot be set perfectly aligned and fully compensate the pathology of the bite. The advantage of this technology is the ability to begin treatment in the early stages of occlusion, correct pathology, help your child to cope with addictions that deprave the bite. Treatment with removable devices is appropriate till the formation of permanent occlusion (12-14 years).

Fixed equipment – bracket system, the most advanced technique in the alignment of teeth in orthodontics.

Today there is a large number of bracket systems, which differ depending on the material from which they are made (metal, plastic, ceramic, sapphire, gold) and construction (ligature and self-ligatured).

Classic ligature brackets are fixed on the teeth, an arch is attached to them (which actually aligns teeth) using ligatures (elastic or metal). During the treatment arcs and ligatures are changed, brackets are activated, you need to visit orthodontist an average of 1 time per month, the average duration of treatment with such system is 2-2.5 years.

Brackets without ligatures (self-ligatured) have some differences in their structure and principle. The very bracket is a clasp which is fixed on the tooth, inside of it is set an arc that is closed by bracket (ligature absent). An arc is fixed by brackets. Our experience of work with self-ligatured bracket system “Damon” is more than 8 years. Using of these brackets is a way to improve the quality of orthodontic treatment.

“Damon” system is a combination of passive self-regulated braces and highly technological arches. It enables the use of brackets with different options of torque (tilt) depending on the specific diagnosis and clinical case that affects the treatment time.

Brackets system “Damon” allows to treat without extractions of teeth cases which are “hopeless” according to traditional ways of treatments and even with a deficit of place inside dental arcade both with children and adult patients. This enables to improve the proportions of the face, predict the patient’s age profile and provide aesthetic smile.

Thanks to passive self-medication (constant action of the weak force) there is virtually no discomfort and pain during the treatment, treatment time is reduced by an average of 25-30%, the number of visits (visits 10-12) for the whole time of treatment, the time between visits is increased (1 per 8-10 weeks), which is convenient for patients who live in other cities or abroad.

Do the brackets “Damon” have disadvantages?

They are fixed on the vestibular surface of the tooth and therefore are visible when wearing them. If this is a disadvantage, it is the only one.

After completion of orthodontic treatment not less important period of retention begins (retention of the achieved results). Usually the non-removable retainers are fixed on oral surface of the tooth and there are made special mouth guards for night use. It should be noted that in case of children the retention period lasts twice as long as apparatus one while in case of adults it can be even life-long.

Choosing orthodontic treatment in “ROMA” Clinic you choose modern treatment ensuring not only beautiful but flawless smile!

The result will surpass your wildest dreams!