Experience and tradition passed on from generation to generation, ensuring and promoting the proper development and successful health of our patients: we have provided expert dental care since 1991.
Our advantages: experience, professionalism and stability in providing assistance continuously and effectively. Our doctors began and continue their careers in our clinic, focusing their efforts on the quality of their performance and the needs of our patients.
With 35 years of experience working in the field of dental implants and a dozen inventions and patents, I would like to share a few words about the evolution of this advanced technology, and its pitfalls in Lithuania. Together with Prof. S. Čepulis, Dr. O. Surovas and Dr. V.Vaitkus, I had the opportunity to develop original implants and instruments, and began my dental implant practice in Lithuania back in 1981. I defended my first dissertation on dental implants in Lithuania in 1988. I have performed several thousand implant operations and improved prosthesis on implants, and in 2007 I began lecturing on dental surgery and prosthesis implantation to dental students in the training facilities of our clinic.
Based on my inventions and consulting, the German company KOHLER Medizintechnik has begun to manufacture several types of instruments. We also provide suggestions for dental implant innovations to the Swiss company Thommen Medical.
I often analyse the results of dental implants, optimise technologies and evaluate the suitability of implants in terms of durability and quality. I now have made a conclusion that at least 10 years of high-quality implant functioning is a positive result, meanwhile, failures are mostly attributed to insufficient health testing for the patient and flawed surgery approaches. In particular, it is important to assess the anatomical parameters of jaws, changes due to age, the condition of the teeth, mucous membrane and gums, and bone structure (using X-ray). It is also important to preserve nerves and blood vessels during implantation, and to achieve initial implant stability. Before implantation, any pockets of infection in the teeth and jaws must heal. It is necessary to wait at least 4 months after a tooth extraction until the bone has formed completely. Healing of the implant (osseointegration) in the upper jaw takes 3-4 months, in the lower, 2-3 months. Unfortunately, proponents of quick implantation face the risk of complications, up to the loss of the implant. Compliance with the healing duration time (proven by long-term clinical observations) corresponds to biological processes in the bones and soft tissues, without attempting to cheat nature.
When designing a prosthetic implant, doctors should leave a clearance space between the gums and the prosthesis for hygienic cleaning.
Despite the distractions of changing trends, dentists adhering to strictly classical bio-based implant principles are more cautious and objectively achieve more favourable long-term results (20-30 years). By learning both implantation and prosthetic dentistry, a surgeon becomes superior to his colleagues specialising in a single field, because he can design a better treatment plan, select implants and prosthetic techniques, and sometimes offer a good alternative treatment. We invite more students to study oral implantology.
Based on theoretical analysis and my own clinical practice, I have chosen the implants made by the Swiss company (operating since 1980) which avoids aggressive advertising. Their advantages over other popular implants include the advanced connection between the outer ring and the head, optimising load distribution during chewing, flexibility of the thinnest anchor screw, reducing the risk of fracture, and the original system of drill guides and other prosthetic instruments.
Today, representatives of implant manufacturers are engaged in aggressive advertising in Lithuania, and implantation is becoming a widespread trend. The number of “implantation centres”, even “clusters” and “groups” is growing uncontrollably, allegedly based on innovation and EU aid, although the apparent purpose is profit maximisation and market monopolisation. The profession of mobile implanters is emerging, geared at servicing several or even several dozen dental offices, leading to the narrow approach of hasty implantation. Artisan dentists do not have a thorough understanding of rational implantation, and often are easily tempted by the promises of quick success of “implanters”. Their websites immodestly boast about their excellence, although in fact they are beginners in the field of oral implants.
Some implant manufacturers claim that their products are the only scientifically verified ones on the market.
This statement is considered to be purely promotional (and false), because most developers of implants test their products and technology from the expert and clinical point of view before patenting them.
The promotional promises made by “implanters” are questionable and often confusing:
These misdeeds are detrimental to the development of dental implants, confusing to patients and non-compliant with safe treatment principles, frequently leading to many problems and complications.
I have been working in the field of endodontics for thirty years. In my daily practice I face both simple cases and complications (root perforation, foreign bodies in the root canal, crown and root cracks, breaks and fractures); I also deal with patients having expressed nausea reflex, limited mouth opening, anxiety and fear. I have to perform medical procedures under general anaesthesia, procedures for children and patients with mental and physical disabilities.
By treating dental root canals, we not only treat a specific tooth, but also protect the patient’s body from the spread of the tooth’s infection through the blood to vital organs (e.g. the heart muscle and valves). Delaying treatment or re-treatment of infected tooth root canals worsen the prognosis of the tooth’s life because extended inflammation makes it increasingly difficult to cure. Therefore, treatment should not be postponed due to a belief that it will lead to self-recovery.
Some dentists (especially supporters of aggressive, unjustified implantation) have a perception that it isn’t worthwhile to cure or re-treat root canals. They say it is ostensibly better to extract and implant such teeth.
Our experience has shown that with good, quality treatment of root canals and restoring the tooth crown, it can last and function for ten, twenty or more years, usually longer than a dental implant.
Today, dental technological innovations are used for root canal treatments (dental microscopes, ultrasonic instruments, bio-ceramic materials, etc.), allowing us to achieve long-lasting results.
When it comes to dental services, most often we hear two terms: aesthetics and implantation.
You certainly have heard some of the advertising slogans: “Implantation within one hour, with a lifetime guarantee”, “Aesthetic fillings, fast and beautiful, a perfect smile within an hour.”
Even among doctors and professional businesses, you constantly hear about “aesthetic dentistry”, “aesthetic restoration”, “aesthetic conferences”, “aesthetic academies and clubs”, “aesthetic restorations lectures and courses”, etc. One might think aesthetic restoration of the teeth is easy and simple, perhaps even the key task of the doctor.
However, one should not agree with such statements, as such narrowing of treatment goals is not justified. When a patient comes in with a problem and the doctor has to fix it by restoring a tooth or an entire row of teeth, usually aesthetics play but a small part of a wide range of targets to be achieved. After all, it’s incredibly important to restore the anatomy of the tooth crown, its biomechanical strength, and to restore tooth function by selecting the appropriate restorative materials and techniques, in order to make the restoration last while being durable and hygienic.
Since I have the opportunity to monitor and compare the various restorations I’ve carried out using many different materials and techniques for more than twenty years, I can state with confidence that simple and rapid methods do not guarantee good results in the long term.
Indirect restoration methods, using glass ceramics, is significantly superior to the immediate restoration with composite fillings. Glass-ceramic restorations and micro preparation preserve tooth tissue and vitality, restore the lost anatomy and strength of the crown of the tooth, are functional and, eventually, aesthetically pleasing. These restorations are durable and long-term, they do not change in shape, colour, gloss and transparency during their lifetime; meanwhile, composite restorations (fillings) often change colour because of food pigments, and lose their sheen and transparency, wear out quickly, and are not biologically durable and hygienic. Most patients that I have seen in our clinic are quickly disappointed by so-called “aesthetic restoration”, and are looking for different solutions. The only option available to such patients is to replace composite ceramic fillings with glass-ceramic micro restorations (individually manufactured veneers, inlays, onlays or partial crowns).
However, one should admit that the work with digitally-produced, indirect glass-ceramic restorations requires the doctor to be knowledgeable and trained on the matter, a large number of additional instruments (the optical magnification, ultrasonic preparation instruments, a laser) and high precision from the very first step (micro preparation) to the final one (adhesive bonding). However, efforts pay off in the long-term, yielding aesthetically pleasing results.