DENTAL CLINIC PERFECT SMILE GDANSK POLAND

Perfect Smile

tel: +48 58 300 05 88
rejestracja@perfect-smile.pl

Pantomograf digital Morita

You are provided with the most modern diagnostic tools. From today all the necessary research, at each stage of treatment, you will do in our clinic under the supervision of the best specialists. We guarantee to save time and money and the highest quality of service.

Anti-aging systems

Whitening, implants, veneers, ceramic crowns are the most advanced methods to restore health and beauty. Worried about discoloration of enamel? Uneven teeth bother you? Ashamed of missing teeth? It’s the problems that you do not have to contend. Use the services of specialists in our clinic and get a beautiful, white smile!

Clinic

Quality and aesthetics

We would like to offer our dental services in the cozy atmosphere of our dental practices equipped with modern equipment that meets the requirements of global standards.

Dentistry is our passion and thanks to the continuous improvement of our qualifications, further training, participation in numerous lectures as well as conferences and practical courses, we are able to provide expert assistance at the highest level in many areas of dentistry such as implants, conservative and aesthetic dentistry, dental surgery, dental prosthetics and periodontics.

The advantage of our practice lies in the individual approach to each patient. The greatest emphasis is placed on high quality services with particular emphasis on aesthetics, adapted to the individual needs of each patient. Digital radiography that our dental offices are equipped with allows for images with minimal radiation dose. All procedures are performed stress-free and painless. Moreover, the lying position in which the patient is during surgery, air-conditioned offices and quiet music played in the background give a sense of comfort and favour relaxation.

Dentist Marek Markiewicz

The co-owner of the Perfect Smile Dental Clinic a range of treatments: implantology, oral surgery, prosthodontics, non-surgical facial cosmetic. He graduated from the Medical University of Gdansk. In 2005, he graduated from Medicine and Dentistry faculty. In 2012 he received a title of an implantologist of Polish Association of Dental Implantology.

He is an active member of key associations of oral implantology:
Polish Association of Dental Implantology PSI,
Deutsche Gesellschaft für Orale Implantologie DGOI,
International Congress of Oral Implantologists ICOI

He has completed numerous training courses in implantology, oral surgery and prosthetics. Since 2008, he has been running a developing Perfect Smile dental clinic in Gdansk.

Dentist Tomasz Zarański

the co-owner of the Perfect Smile Dental Clinic a range of treatments: implantology, oral surgery, prosthodontics, non-surgical facial cosmetic. He graduated from the Medical University of Gdansk. In 2005, he graduated from Medicine and Dentistry faculty. In 2012 he received a title of an implantologist of Polish Association of Dental Implantology.

He is an active member of key associations of oral implantology:
Polish Association of Dental Implantology PSI,
Deutsche Gesellschaft für Orale Implantologie DGOI,
International Congress of Oral Implantologists ICOI

He has completed numerous training courses in implantology, oral surgery and prosthetics. Since 2008, he has been running a developing Perfect Smile dental clinic in Gdansk.

Tomasz Zaranski

Dental Implants

Dental Implants and Dental Surgery

We guarantee painless performances of all surgical procedures. Thanks to the use of modern, perfectly safe and healthy anesthetics and appropriate techniques of applying anesthesia tooth extractions no longer have to be stressful and painful. An injection preceded with an application of a special gel to the gum is barely perceptible.
Dental implants are the ideal solution for the reconstruction of missing teeth. This applies to both single and multiple missing teeth. If you need a reconstruction of a single missing tooth, a dental implant may be a much better alternative than a prosthetic bridge. This solution allows to avoid the grinding of adjacent teeth. As for multiple missing teeth, thanks to the dental implants, you can avoid the use of removable dentures that cause bone loss, mucous membranes irritation as well as are much less comfortable and aesthetic. In the case of total edentulism, dental implants are the best way of attaching dentures. The implantation of 2-4 implants already provides adequate support for dentures. Thanks to this, you may freely eat and smile with more confidence. Titanium dental implants integrated in the jaw considerably prevent bone loss. Thus helping to maintain healthy bones of the jaw. Thanks to that, the natural features are retained for a long time, the cheeks are full, and the wrinkles do not deepen.
Frequently Asked Questions

What are the consequences of missing teeth?
Everyone should be aware that missing even one tooth over time entails the following major consequences. The teeth on either side move to reduce the gap and tilt into the space as well as the tooth above will grow down and as it gets longer it will move. In extreme cases the tooth that has grown down in the gap reaches the gum and is subject to wobble. Losing more teeth, as it is easy to guess, leads to even greater changes such as recurrent occlusion defect, the overload and often fracture of the remaining teeth in the oral cavity. The changes also affect the temporomandibular joints. What is more, other degenerations are present which are manifested by clicking, popping as well as ear and jaw joint pain. Looking old,  sunken cheeks, deeper wrinkles are also the consequences of losing teeth, both the front and the back ones. This all is due to the lack of supporting soft tissues with the teeth as well as the reduced volume of jawbone reduction, which when devoid of teeth gradually disappear.

What are the advantages of implants over  other methods of reconstructing missing teeth?
Reconstruction of missing teeth with dental implants is the most physiologic solution. The graft integrated with the bone prevents its premature decay. An alternative to replacing one missing tooth is the traditional, three-point porcelain bridge applied to the two teeth surrounding the gap. This solution involves a significant injury to the living teeth as they would have to be ground down. This often leads, even after years, to inflammation and the need for root canal treatment of such teeth. In addition, in the place of the gap under the bridge span, the jaw bone is subject to rapid shrinkage. The result is that over the years, even a bigger gap between the span of the bridge rebuilding the missing teeth and the gum is created. Apart from unaesthetic appearance, the gap favors the accumulations of food. Inserting an implant not only allows to avoid the weakening and grinding of adjacent teeth but it also prevents premature bone resorption.
In the case of multiple missing teeth dental implants are often the only way to avoid removable dentures. The total absence of teeth often involves the need of applying full acrylic dentures. Inserting a minimum of two implants in the mandible and four in the maxilla provides a valuable, additional stabilization of the dentures which considerably improves the comfort of life. This also allows us to significantly reduce the range of dentures such as: on the palate, which is often the cause of gag reflex among patients. Implantation of a larger number of dental implants to edentulous, allows to avoid the discomfort associated with removable dentures as well as perform the porcelain reconstruction fixed to dental implants.

How many teeth can a dental implant support?
The principle is that one implant placed into your bone supports one tooth. An attempt to have one implant supporting more than one crown involves a high risk of the body rejecting the dental implant. In the case of implementing two implants on one side it is possible to support three or even four teeth via a dental bridge.

What are the stages of a dental implant treatment?
Each dental implant treatment is preceded by a careful medical examination and an x-ray. On the basis of it, the doctor determines a treatment plan tailored to the needs of an individual patient. Implant treatment takes place in two stages: the first part is defined as the surgery stage, and the second part as the prosthetic stage.
First stage: surgery
After the necessary tests and determining the appropriate treatment plan we proceed to the actual implant treatment. The surgery is carried out under local anesthesia. An implant made of titanium, which is the equivalent of the tooth root is implanted into the bone in the place of the missing tooth. It is followed by a period of healing and integrating the implant with the jawbone, called osseointegration. It leads to the stabilization of the implant that ensures its proper functioning in the future. This process takes from 2 to 6 months. The duration of implant surgery depends on several factors. On average, it lasts from 30 minutes to 1.5 hours.
Stage two: prosthetics
Once the process of osseointegration is over, a post, called a connector, is attached to the implant which is responsible for interconnection with crowns, bridges or dentures. Making the prosthetic restoration on the connector is preceded by taking prosthetic impressions. The color of the new crown or bridge is perfectly matched to the hue of the patient’s natural teeth. The new implant looks and acts the same as the patient’s natural tooth. Making the elements of prosthetic restoration, i.e. crowns or bridges usually takes several weeks. If the patient’s bone conditions are insufficient, bone regeneration treatments may be necessary. In such case, the whole process can be extended by 12 months or longer.

How long do dental implants last ?
Dental implants have been used for more than 30 years and during all this time the techniques of implantation have been continuingly improved. Choosing the right dental implant as well as using the appropriate treatment minimize the risk of treatment failure. The degree of success of implant treatment is usually 95 – 99%, including the percentage of implantation cases which end up with full integration of the implant with the jawbone. Since the implantation of dental implants, they can last a lifetime depending on how well you look after them.  Like any other restoration, your implant-supported teeth can still be damaged by trauma and affected by gum disease and poor oral hygiene. All scientific studies show that 80% of the loss of implants is associated with lack of proper oral hygiene. The biocompatible materials that dental implants are made of cause that in the contact with living human tissue  the phenomenon of “rejection”, as is the case e.g. organ transplants, is not present.

How much do dental implants cost (kinds of restorations)?
The cost of the treatment consists of several factors such as the number of implants and the assumed need to perform additional procedures prior to the implantation. A doctor who will plan and carry out the treatment will give the best answer to this question. The price also depends on the type implant the patient wants to be used. We can make crowns and bridges on implants which are made of porcelain fused to metal or full-ceramic fused to zirconium. Crowns made on implants are more expensive than crowns made on live teeth that is due to greater costs of making restorations, such as the use of complex elements connecting the crown and the implant. The cost of dentures attached to implants can be estimated accurately after an individual examination of the situation in the patient’s mouth.

Am I a suitable candidate for dental implants? What kind of discomfort after the treatment should I take into account?
Basically, dental implants can be applied to everyone. Only in exceptional cases, the application of implants may be contraindicated. The decision about surgery is highly influenced by overall health. In modern dentistry, dental implant restoration is treated as a method of treatment “by choice”, wherever it is possible and there are no serious contraindications. Implants can not be placed in children and teenagers before the age of 18-20 years of age. This is related to unfinished bone development. On the other hand, there is no major contraindications to place implants in the elderly even after they turn 70. One should remember, however,  that the healing processes in people of such age take more time and the coexistence of certain diseases can affect the result of the treatment. The implant treatment in not typically given to patients suffering from chronic, systemic diseases, such as cancer, AIDS, diabetes, hypertension, osteoporosis and mental illnesses. Implantation should not be placed in addicted smokers, alcoholics, patients with rheumatic disease (due to the long-term steroids use). On the first and second day after the implantation, there is little risk of certain discomforts, such as edema, hematoma formation as well as post-surgical pain. These complications are usually not serious and the whole treatment takes place without major problems as patients are supplied with appropriate analgesics and receive detailed post-surgical instruction. Serious complications, such as infections are rare.

How to take care of dental implants?
Basically, appropriate daily hygienisation is fundamental. Brushing methods and techniques do not differ from those used for natural teeth. For larger work carried out on the implants, sometimes your dentist may recommend the use of a device such as an irrigation. Implants, like natural teeth, require a semi-annual check-up visit at the doctor’s as well as regular scaling. Bad hygiene can also lead to the inflammation of the gums around the implant and adjacent teeth, bone loss and, in consequence, to the exposure of the implant.

What is augmentation?
This is a proven method of the reconstruction of the jawbone. Once the doctor determines that the patient has insufficient bone to implant the implant, the augmentation surgery is recommended. The material used for augmentation may be of organic origin, such as ox bone, or synthetic such as hydroxyapatite and tricalcium phosphate. Sometimes, for better effect, the material around the large bone defects is covered with a special barrier membrane made of collagen. Technically, the procedure is completely painless and involves the exposure of the gum in the place of the bone defect and the placement of the augmentation material there. The procedure supports the formation of a new bone. Usually after about four months, the patient is ready to have the implant placed in the planned place.

What is sinus lift?
The maxillary sinuses consist of two hollow air-filled recesses in the bones of the face, located in the cheeks. The loss of the tooth beneath the sinus leads to bone loss, at the same the sinus cavity tends to draw nearer towards the place of the lost tooth. As a result of this process, the thickness of the alveolar bone may be insufficient for a stable placement and maintenance of the implant. In order to insert an implant in this very site a surgery , called a sinus lift, is necessary. The mucous membrane of the maxillary sinus is lifted through a small window and bone substitute  iomaterial is inserted between the mucous membrane of the maxillary sinus and the remaining bone. The substitute biomaterial after the healing process turns into bone and becomes a stable fundament for the insertion of the implant.?

Teeth whitening

A dentist is responsible not only for the oral cavity health, or even the whole body but also for the quality of their patient’s life. This is the reason why we want our dental practice become a symbol of your new approach to the concept of the aesthetics of the mouth. Using dental materials of the highest standards as well as advanced technologies of producing prosthetic fillings we are able to make every smile beautiful and fresh.
We offer our patients a range of solutions to improve the aesthetics, depending on an individual preference. The choice of every single strategy is preceded by a thorough dental examination. This information is the foundation to establish the patient’s individual plan. Teeth whitening or making new prosthetic fillings allow our patients to discover what a beautiful smile is.

Depending on the clinical conditions, we offer:

  • the latest techniques of lamp teeth whitening. Even within an hour you can achieve satisfying results of white teeth. As a stabilization of the whitening, we recommend custom-made teeth whitening trays with a special gel that one can apply to the teeth. The tray method is used by the patient at home, however, it can also be used without the preceding lamp whitening as a separate method of teeth whitening.
  • A wide selection of dental jewelry. It is becoming increasingly fashionable. Simply and without harming the tooth enamel, the jewelry can be removed at any time.
  • All the latest prosthetic fillings :

Porcelain veneers
Applied on the front teeth will in a gentle manner allow live teeth to achieve a superb aesthetic effect. They will also remove stains caused by enamel hypoplasia, taking antibiotics in childhood, as well as old, accumulating fillings.

Crowns and full ceramic bridges made in CERCON and PROCERA systems.
Thanks to the most advanced technological processes used in their production, these fillings are of the highest aesthetic standards, on the market, as well as of the perfect marginal seal.

Crowns and porcelain bridges
In a traditional technique, i.e. firing porcelain on steel. Even if you choose this economical option, our doctors are able to achieve clinical success. In the front area, finishing such types of restorations in the subgingival area only with porcelain and without steel allows to avoid the effect of blue gums.

Flexible aesthetic clasps free porcelain dentures
They are attached to the cemented crowns with the use of special locks or bolts that are hidden inside the restoration.

Acetal shell dentures
New on the market. The clasps are made in pink (the gingival color). This allows the prosthesis be very aesthetic, and thanks to its lightness, it is also convenient.

Periodontology

In dentistry, apart from conservative treatment, dental prevention plays an equally important role in being healthy. It begins at the stage of oral hygiene instructions and appropriately motivating the patient. You will learn from the doctor about the principles of oral hygiene, how to choose the right toothbrush and toothpaste, the proper brushing method as well as such hygiene products as mouthwash, floss and irrigators. Such knowledge enables you to focus on the prevention every day at home, and the professional prevention will be an addition when you visit a dentist.

As for prevention, we offer the following treatments:

  • teeth varnishing, fluoridation
  • dental sealants
  • Scaling and sandblasting

Fluoridation is a procedure performed on permanent teeth and it involves strengthening dental enamel by covering it with fluoride-based varnish. Enriched with more fluoride ions enamel is more resistant to decay.
Fluoridation is also performed in order to reduce hypersensitivity, for example by varnishing the exposed surface of the root. Fluoride application is completely painless and does not cause the discoloration of teeth.

Dental sealants are placed on children’s permanent molars. Their role is to prevent bacterial colonization and the development of decay in dental grooves and fissures. A liquid sealant is applied on the dry and clean surface of the tooth and it is later hardened by blue spectrum natural light. Periodic dental inspection of the tightness of the sealant  is recommended as there are heavy pressures effected on teeth during chewing every day.

Scaling and sandblasting are treatments aimed at removing dental deposits. Scaling is performed using ultrasonic instruments. The resulting vibrations at the tip of the scaler break both the supragingival and subgingival tartar.

Sandblasting is another method of cleaning teeth. The mixture of air, water and sodium bicarbonate applied under pressure quickly and effectively removes the deposits and stains on the teeth. In the field of periodontics, we offer prevention treatment as well as healing periodontal diseases and oral mucosa.

Prosthodontics

Contemporary Prosthodontics allows to restore the occlusion after losing teeth or after a significant damage done to them. Dentures are used to replace missing teeth and they can be divided into fixed (permanently cemented in the mouth), removable (removable from the mouth) and combined ( removable dentures connected fived dentures with metal clamps, clips and  telescopic crowns).  We offer dentures such as removable: acrylic dentures, metal-based frame dentures, nylon dentures,  acetal dentures as well as fixed dental ceramic crowns and bridges (metal-based and metal-free), crown-root inlays, onlays and veneers.
In each clinical situation, after a thorough dental examination, the doctor is able to present the patient with several variants of prosthetic solutions.

Fixed dentures:
1. Classic porcelain crowns and bridges

This is ceramics fused to metal. Nowadays such kinds of dentures are made where ceramics is fused to nickel-free metal, which minimizes the risk of allergies. Thanks to our cooperation with the best dental laboratories, when we perform even a single crown, we can reach the “chameleon effect”. In more complicated situations, the patient is sent directly to the laboratory for a color adjustment or individual painting. It results in minor stains on ceramics that gives an indication of the characteristics of the adjacent tooth. With the use of the porcelain degree of color matching in such dentures together with an adequate atraumatic tooth preparation a doctor can avoid  the staining of gum tissue.

2. Full-ceramic crowns and bridges
They are performed in the Empress technology as well as they are compatible with CERCON and PROCERA systems. These are the most cosmetic crowns available on the market. Ceramics has no metal framework, thus it is distinguished by impeccable aesthetics. The above-mentioned CERCON and PROCERA systems determine the creation of the inner layer of the crown ( the so called “ zirconium cap”) on the basis of a computer scan by a milling machine. The technological advancement of this procedure allows to achieve an aesthetically and mechanically perfect crown.

3.  Crown-root inlays
This group can include the standard inlays made of glass fiber to reinforce the tooth after root canal treatment or as a part of the reconstruction of the fractured tooth crown. There are also inlays made of steel and gold alloys. These are custom made inlays prepared for patients in the laboratory. They make the prosthetic reconstruction of even the most damaged vital teeth (even using only the roots) possible.

4. Crown, ceramic and composite inlays
They make the reconstruction of damaged tooth crowns, both the live and dead, possible. In some clinical situations they are a good alternative for porcelain crowns .

5. Porcelain veneers
They are applied to live teeth, in most cases to the front ones in order to improve their aesthetics. Only the front side of the teeth is ground to a minimal extent. Protecting the tissues of the tooth while preparing the application of veneers is a priority in order to prevent the occurrence of inflammation.

6. Glass Abutment System ZX27
Is an element of porcelain bridges. It is very often a good alternative to implants. Masticatory pressure is redistributed over all teeth. In many situations, the system allows our doctors to perform fixed prosthetic work which is in many cases more comfortable that some removable prosthetic work.

Removable dentures:
Acrylic full and partial dentures  They are an economical alternative to implants for edentulous patients and those with many missing teeth. Thanks to our cooperation with an experienced laboratory performing this type of work, our doctors are always sure that the dentures they apply are always optimal.

Frame dentures
They fill up the spaces created by lost teeth with the use of metal clasps and hooks applied to the residual dentition of the patient. This makes the redistribution of forces more physiological unlike in the case of settling dentures.

Acetal and Nylon dentures
They are new on the market. In many clinical situations the clasps can be manufactured in the color of gums or teeth. They are also relatively light, so that the patient’s adaptation to the new denture is much faster.

Clasps-free dentures in combined works.
They are a combination of crowns or bridges and a removable denture. In many cases such reconstruction is the best prosthetic solution. The denture is connected to the crowns with special retention elements. These are, among others, locks, latches, bolts,(zamki, zasuwy, rygle) etc. contained within the filling in the invisible to the eye area. This ensures perfect stabilization, cosmetics and comfort.

  • Polskie Stowarzyszenie Implantologów
  • ICOI
  • DGOI