Periodontology is the science that diagnoses, prevents and treats diseases of the gums and tissues that support the teeth. Treatment consists of removing the causes of inflammation (plaque and calculus), adapting the oral environment to prevent new plaque and calculus accumulation (changing unsatisfactory restorations and prostheses), occlusal adjustments to improve the distribution of chewing forces, teaching oral hygiene techniques, in order to obtain better control and prevention of periodontal diseases. The periodontist can also perform periodontal plastic surgery on the gums in order to improve the patient's appearance. The advent of microsurgery, which combines more delicate and precise instruments and materials with visual magnification (magnifying glasses and microscopes) improved the results and prognosis of dental surgeries in terms of aesthetic and post-operative comfort for the patient.
Implant dentistry has radically changed modern dentistry. Think of dental implants as artificial tooth roots, similar in shape to screws. When dental implants are placed in your jawbone, they bond with your natural bone. They become a sturdy base for supporting one or more artificial teeth, called crowns. Today considered a safe and reliable option to replace lost teeth, treatment with implants has a high success rate when performed by a trained and experienced professional.
Cosmetic and restorative dentistry
The smile is an essential part of facial esthetics. A pleasant smile is associated with the symmetry and shape of the lips, teeth and gums and how these elements relate to the face. An integrated treatment, combining the evaluation of all dental specialties, can achieve long-lasting highly satisfactory aesthetic results.
These are surgical procedures usually performed under local anesthesia. They include extraction of wisdom teeth, dental extractions, removal of cysts from the maxillofacial region, biopsies, drainage of abscesses, among others. Extraction of wisdom teeth is the most common oral surgery procedure. They must be removed when there is a risk of generating cysts, resorption of neighboring teeth or infections. Sometimes, there is a need for tooth extraction for reasons such as extensive caries, fractured roots, infectious processes, advanced periodontal disease or as part of orthodontic treatment. Cysts in the maxillofacial region can lead to large bone losses with functional and aesthetic impairment. The correct diagnosis by a biopsy in the initial phase can prevent major surgery in hospital. Biopsy is also important for the differential diagnosis of oral cancer and the oral surgeon plays a key role in detecting the disease at an early stage. The treatment of oral infections at an early stage can also prevent major interventions in hospital. Whatever the reason, it is important that the surgery is performed by a specialized and experienced professional, since the patient's postoperative comfort and the result of the surgery depend on how it was performed. Regular visits to the dental office every 6 months are important to prevent these diseases, as caries, despite being the most common, is not the only one that affects the oral cavity.
Orthognathic surgery is a procedure performed under general anesthesia to correct dento-facial deformities, that is, correction of a large chin or small chin, excessively gingival smile, lack of tooth exposure, cross bite and cases of obstructive sleep apnea that require mandibu-lar correction. It is a functional surgery with esthetic facial enhancement, so proper planning is essential for the final result to be excellent. Dr. André Sakima Serrano became an expert in computer aided virtual planning of such cases with his international training courses. His expertise brings greater predictability in the results.
Zygomatic implants are used when there is a lack of bone in the upper arch. They are an alternative to bone grafts, reducing treatment time and allow immediate loading, that is, delivering a fixed prosthesis over the implants within 3 days after surgery. Drs. André Sakima Serrano and Jan Peter Ilg are co-authors of a modification of the zygomatic implants technique with international recognition and more than 20 years of experience.
Temporomandibular joint disorders (TMDs) can mostly be treated clinically, without surgery. Only a small percentage of cases (about 2%) require surgical treatment. Proper diagnosis and the professional’s experience are the key to successful treatment. Dr. André Sakima Serrano has published book chapters on TMJ surgical treatment, as well as experience in the clinical and surgical treatments of TMDs.
All-on-4 is a revolutionary technique in the treatment of patients who have lost or will lose all teeth and wear dentures. With only 4 implants it is possible to rehabilitate a complete arch with immediate loading, which is, the delivery of a fixed prostheses on the implants within 3 days after surgery. Drs. André Sakima Serrano and Dr Jan Peter Ilg have more than 15 years of experience with this technique and international recognition.