Your questions

Dear Sir/Madam!

Implants can be placed immediately after tooth removal. In the case described, the condition of the injured bone in the affected area must also be determined. If the basic anatomical conditions are satisfactory and the alveolar ridge has not been knocked out or crushed, the procedure can be carried out quickly. Timely treatment helps avoid extensive bone loss after the teeth have been knocked out, which could significantly complicate later placement of dental implants. Price of the procedure:
- EUR 750 (implant) X 2 = EUR 1,500 + EUR 420 (crown on implant) X 2 = EUR 840; total: EUR 2,340. ZZZS does not cover implantology costs (except in cases of congenital defects).

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Dear Sir/Madam!

Approximal caries (decay at the contact between two neighboring teeth) is the pathology in the oral cavity that is most often overlooked. Statistically, almost 30% of these problems are reportedly not detected during a clinical examination, which is why the doctrine recommends occasional imaging using the so-called bitewing technique, or at least a panoramic X-ray. Dental caries can be removed relatively easily and the cavity filled with an amalgam or composite filling.

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Dear Sir/Madam!

I am pleased that we have managed to change the way you think.

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Dear Sir/Madam!

The price of the procedure you are asking about is:
EUR 350 (veneer) X 2 = EUR 700.
The price includes all procedures from the examination to the final product.

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Dear Sir/Madam!

Given that you have a shortened dental arch in the upper right, you have the following treatment options:
-fabrication of a partial denture, which in similar cases most often proves to be an unsuitable solution, because there are still enough chewing units for satisfactory masticatory function, while the denture is, colloquially speaking, too bothersome to justify having to wear it.
-placement of two implants (at the positions of teeth 5 and 6) and fabrication of two artificial dental crowns on those implants.
-placement of one implant (at the position of tooth 6) and fabrication of a bridge from tooth 4 to the implant.
The second option is the most textbook and appropriate solution, and it is the one I recommend, because in practice we try to avoid constructions that are supported simultaneously by a natural tooth and a dental implant.

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Dear Sir/Madam!

Root canal treatment of multi-rooted teeth is often very difficult, and the results can be uncertain despite treatment according to accepted principles. There is little point in trying to determine why the canal in question is not filled to the radiographic foramen (the end of the root), because the reasons may be different and are most often objective and impossible to overcome at the time of treatment. If it were possible to remove the root post, I would recommend repeat root canal treatment, which sometimes gives a positive surprise despite a poor clinical and X-ray appearance. If this is impossible, removal of the tip of the affected root, or apicoectomy, follows. Without prior root canal treatment, the procedure has relatively low reliability and therefore a poor prognosis. Premolarization, or removal of only the affected root, is also on the list of "emergency options". After such a procedure, only one root of the tooth remains as a supporting element for an individual crown or bridge. Ultimately, unfortunately, we often have to decide to extract the tooth and replace it with a dental implant or a conventional bridge. Based on the information you have provided (I have not examined the X-ray or the tooth), I believe the best option would be to remove the tooth and replace it with a dental implant.

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Dear Sir/Madam!

Every patient receives temporary prosthetic restorations, which must be additionally adjusted several times during the period required for osteointegration to match the condition in the mouth, which changes after the procedures.

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Dear Sir/Madam!

Moving the teeth into the correct position with an orthodontic appliance is certainly the best solution. Surgical procedures are only a possible adjunct to orthodontic therapy. If, after moving the teeth into a position with proper contacts, the resulting excess space is suitable for placement of a dental implant with an artificial dental crown, I would also recommend that surgical procedure.

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Dear Sir/Madam!

If the anatomical conditions are not satisfactory (too little bone), we use various regenerative procedures to increase the quantity and/or quality of bone at the site where we want to place the implant. There are different bone substitutes that are not of human origin (completely synthetic substitutes or prepared animal bone), or bone can be transferred from a donor site inside or outside the mouth (rib, hips) to the affected area. Bone augmentation techniques can be combined with splitting of the alveolar ridge or repositioning of the course of a nerve. We also often use immediate implantation after tooth extraction, which helps preserve the dimensions of the alveolar ridge and thus avoid situations long after tooth extraction when the dimensions of the available bone are often no longer sufficient.

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Dear Sir/Madam!

In practice, I have not yet encountered a case in which at least one method of local anesthesia did not have a sufficient effect. The described method of preventing pain during the procedure is certainly the most effective and appropriate.

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