Specialized services

Specialized services

Resin restorations, porcelain veneers, fixed prostheses and more in Cartagena

In Dr. Salvador Insígnares O. We specialize in:

Resin Restorations

When caries is removed from a tooth, there remains a cavity that must be filled or restored with resin or composite. The same happens when an amalgam is removed, in a single appointment it is sealed or filled with resin, obtaining an excellent aesthetic and functional result.
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    We do not put dental amalgam, we do not use mercury. In this way we keep the dental structure to the maximum thanks to the adhesive dentistry, to obtain lasting restorations, aesthetic and without leaks. Amalgam is an excellent material for its hardness and longevity, but its corrosion over the years leads to dental fractures and irreversible pigmentation of the crown of the tooth, is unsightly.


    It should be noted that resin restorations are cheaper than porcelain restorations and also have the advantage of being made in a single appointment.

Veneers or Porcelain Veneers

Also called contact lenses, ceramic or porcelain restorations of high hardness, translucency and aesthetics that only cover the front of your teeth, the visible part.
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    We manufacture them in our dental laboratory with thicknesses of 0.3 mm, which makes them called contact lenses, are adhered to the dental structure simulating a new layer of enamel with the color and brightness you have always wanted.


    Changing the shape, size and color of your teeth in the most conservative way is already possible because regularly you do not have to touch your teeth with strawberry and without anesthesia.


    Porcelain restorations do not change color.

Porcelain Overlays

They are porcelain or ceramic restorations that reconstruct more than 50% of the tooth, require a single appointment. They are adhered to the tooth with a cement based resin, which gives us a perfect seal, without leaks.
Aesthetically they are mimicked in color and shape resembling the natural tooth. This type of restoration in porcelain or ceramic, has more hardness and longevity than those made of resin, the ceramic does not change color.
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    Overlay or porcelain inlays

    They are porcelain or ceramic restorations that reconstruct more than 50% of the tooth, require a single appointment.


    They are adhered with a cement based resin which gives us a perfect seal, without leaks.


    Removal of amalgams and placement of porcelain restorations E.max

Porcelain Crowns

A crown is a unitary prosthesis that is performed on a single tooth, which is made a volumetric wear or reduction to create the space of the future crown.

This restoration can be made in pure porcelain without metal or can be made with a metal structure, covered with porcelain to give it the appearance of a natural tooth.
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    A crown may have a natural tooth or an implant. Indications of placing a crown:

    • Natural tooth widely destroyed by caries or fracture.
    • Protect a weakened tooth.
    • Restore a fractured tooth.
    • Aesthetically restoring a pigmented or irregularly shaped tooth.
    • Restore a tooth that has received root canal treatment.

    Patient to which several metal-porcelain crowns were removed and we placed crowns and veneers or porcelain veneers E.max.


    Note the black area on the collars of some teeth due to the presence of metal, that type of crowns are a little more economical, but do not have the aesthetics of full porcelain or metal-free crowns.

Fixed Prosthesis

When one or several teeth have been lost, it is necessary to replace these teeth to recover the masticatory function, the aesthetic and to avoid that change of position all the remaining teeth.

This can be done with a fixed partial denture, which uses the remaining teeth as abutments or supports. This fixed partial denture (PPF) may be made of porcelain coated metal or may be zirconium.
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    The selection with metal or zirconium, will aesthetically affect because with metal regularly will see the necks of the black crown, while with zirconium will have the color of natural teeth.


    We also find some patients allergic to metals in which it is obligatory to manufacture them without metal, only zirconium plus porcelain.


    The PPF is cemented to the abutment teeth and can not be removed by the patient, its longevity can reach 10 to 25 years and in some patients longer can last.


    To the neighboring teeth to the free space, they are made a slight wear or preparation to create the space of the restorative material, for example: zirconium and porcelain.


    On implants such as abutments, a fixed partial denture can also be made.

Bone Implants

What is a dental implant:
It is a titanium screw with shape and size similar to a dental root and used to replace lost teeth. The placement of an implant requires a surgical procedure to fix it to the jaw bone, is placed with local anesthesia, there is minimal bleeding and little or no postoperative pain and inflammation. Today his treatment can be computer-based based on highly accurate 3D tomographic images and minimal trauma at the surgical site.
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    We have the highest standards of sterilization for your safety, it is not necessary to order antibiotics regularly.


    The implants require a time of osseointegration to be stable and firm in the jaws, taking this between 4 and 6 months to place the final crowns. However, depending on the case, bone quality and patient health can be made implants with immediate loading by placing the implant and crown in a single day.

Whitening

Whitening - Dental Bleaching
Whitening or better called "Dental Clearance" is a relatively innocuous procedure if it is carried out with professionalism, ethics and using the chemical agents suitable for the clinical case. After undergoing a clinical evaluation in which the presence of caries, defective restorations, gum disease, pulp conditions, presence of dental sensitivity, poor hygiene, smoking, gastric reflux, excessive consumption of citrus are ruled out; The dentist decides which method to use.
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    Tooth Whitening in 1 hour

    Whitening or dental clearance can be done in one hour with systems catalyzed by UV or laser light.


    First, we isolated the teeth, then applied a gel specially formulated for bleaching, this gel is applied in 3 sessions, each 15 minutes.


    To complete the procedure, a desensitization treatment is applied, from start to finish, the procedure takes approximately one hour.


    Dental Whitening in 7 days

    In this technique, impressions are taken from your jaws and you get some models that will be made in our dental lab, latex sleeves, personalized (they do not serve someone else), then they will be given easy-to-use instructions and Simple, "every night at home for 3 hours". We supply the soft, slow and controlled whitening gel with which the results will be obtained after 7 days. It is the most effective system to rinse your teeth in approximately 8 shades, without sensitivity, or pain or discomfort in the gums, results will last for 2 or 3 years depending on your diet, habits and dental hygiene.


    The teeth with root canal treatment over time become dark, yellowish and the most effective method to clarify their color is the internal bleaching, inside the pulp chamber, which is combined with external or conventional whitening to obtain these results.

Endodontics

Endodontics or root canal treatment:
When a tooth has been affected by deep cavities, there is intense pain or toothache due to pulpal infection, the pulp of the tooth must be removed, the aseptic canal must be removed and disinfected with antibacterial irrigators, and then the root canal A special medicated paste. This type of treatment is performed in our clinic by a specialist in Endodontics.
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    The TCR of each tooth takes about 1 hour to do so and then the area destroyed by caries will be restored with porcelain or resin to restore that tooth its function, anatomy and aesthetics.


    Not only because of caries affection of a tooth is ordered TCR, it is also necessary when the tooth has suffered a coronary fracture that compromises the dental pulp and in some exceptional cases TCR is ordered before being a pillar of a prosthesis.

Facial Pain - Headaches

The masticatory system consists of many anatomical components, but trying to simplify this information we will refer to the 3 most important components that are: The right and left temporomandibular joints (TMJs), the dental component and the neuromuscular system.

ATMs: The condyles of our mandible join to the skull forming the temporomandibular joint or TMJ, which is in front of the ear. When we have a painful alteration in one or both TMJs, this pain can radiate to the ear, the eyes and the temple, giving us a painful symptom referred to or resembling a headache. In addition, TMJs may present alterations in the location and shape of their articular disc, which may generate internal cracks that are sometimes very painful and permanent and may prevent normal oral opening.

When you look at yourself in front of a mirror you can see that as you open and close your mouth, your jaw is deflected to the side, there may be no pain, but this indicates the presence of a TMJ disorder.

TMJ pain is a symptom of internal structures such as nerves, blood vessels, or soft tissues not being able to support load being compressed.

These untreated alterations can lead to osteoarthritis.
  • Temporomandibular joint or TMJ

    The mandible joins or articulates the skull through the temporomandibular joint (TMJ), one left and one right, both of which function or move at the same time, although each may have different movement than the other.


    The masticatory system consists of many anatomical components but trying to simplify this information we will refer to the 3 most important components that are: TMJs, the dental component and the neuromuscular system.


    Tooth component:


    A complete dentition consists of 32 teeth, the loss of teeth that are not restored leads to movements and poor dental positions.


    The dental pain is easily identified and the most common, the loss of molars overloads and damages the TMJs.


    Neuromuscular component: It is responsible for all mandibular movements, this component is very important in patients suffering from bruxism or tightening of teeth by stress. The pain of muscles of chewing is very frequent, in the morning when you wake up you may have difficulty opening your mouth and intense pain with tiredness and muscle fatigue, bad mood all this referred to as headache, earache, pain in the eyes. It should be remembered that in many cases the neck and back muscles are also compromised.

  • Risk Factors :

    Bruxism, dental malposition, eating chiclets, sleeping on the stomach, watching TV or studying in bed, etc.

    The pain present in TMJs and / or masticatory muscles, if left untreated, can last for years, deteriorating the quality of life of the patient, ruining his marriage and work life by frequent episodes of pain and are referred to as headache . They never stop taking painkillers that do not lead to the cure of this disease. They resort to the doctor and he will explore looking for tumors or aneurysms, arterial hypertension and who knows that another disease distant from the reality of the patient.


    Treatments for temporomandibular disorders, masticatory muscles and dental alterations are part of our daily consultation.


    For more information request an appointment.

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