Dentistry

Team



Dr. Horia - Octavian Manolea is the valedictorian of the Class 2001 of the Faculty of Dentistry of the University of Medicine and Pharmacy of Craiova..

With a vast clinical experience that begun during the faculty and went on beside his mother, Dr. Eugenia-Alexandra Manolea - a practitioner of general dentistry, Dr. Horia-Octavian Manolea is constantly concerned about his professional training and he is nowadays a primary care practitioner of general and prosthetic dentistry, with competence in dental implantology and prosthetic restorations on implant support.

Dr. Horia-Octavian Manolea is a professor in Dental Materials and Prosthesis Technology at the University of Medicine and Pharmacy in Craiova..





Dr. Gabriela Ionela Păsăreanu graduated the Faculty of Dentistry of the University of Medicine and Pharmacy of Craiova , class of 2010 and the Faculty of Physics of the University of Craiova, class of 2000.

She has been working with Professor Horia Octavian Manolea since graduating the faculty, and she is constantly concerned both to keep up on the advances in dentistry and to establish a best doctor-patient relationship.





Dr. Ana-Maria Rîcă graduated the Faculty of Dental Medicine of the University of Medicine and Pharmacy of Craiova, class of 2008.

Dr. Ana-Maria Rica has acquired an important clinical experience as a Specialist in Periodontics, Doctor of Medical Sciences, also with competences in prosthetic restoration with implant support, and now she puts this experience to the service of treating her patients. She participates in congresses in the country and abroad as she seeks at all times to use the latest dental techniques. She is a doctor with whom one can easily communicate as, in her relationship with patients, she offers detailed information about the treatment plan and the best attention in solving their problems.




Dr. Tamara Rahela Ioana is the valedictorian of the Class 2016 of the Faculty of Dentistry of the University of Medicine and Pharmacy of Craiova.. With a clinical experience that begun during the faculty and went on beside Professor Horia Octavian Manolea, Dr. Tamara Rahela Ioana is currently a resident dentist in Orthodontics and Dento-Facial Orthopedics.

Knowing that orthodontic treatment improves both the appearance of the smile and oral health and the fact that straight teeth are easier to clean and less likely to be affected by dental decays, Dr. Tamara-Rahela Ioana is concerned to improve in this field and to offer her patients quality treatment and a lot of seriousness.





Dr. Maria-Roni Anghel graduated the Faculty of Dental Medicine of the University of Medicine and Pharmacy of Craiova class of 2013.

With a clinical experience that begun during the faculty and went on beside her mother Dr. Rodica Ene, Dr.Maria-Roni Anghel works with great pleasure with children and is open to her patients.


Taşcovici Ecaterina - Medical assistant

Niţă Tatiana - Medical assistant

Miu Crina - asistent medical

Stoica Claudia - Medical assistant



Replace your missing teeth!

Înlocuiți dinții care lipsesc!

In the case of single tooth missing, the restoration of this gap (breach) can be made by means of a classical method – the bridge – which involves the reductive preparation of the teeth adjacent to the gap or by means of a bioconservative method – the dental implant.

Apart from the aesthetic and possibly masticatory problems, the loss of a tooth is the starting point of many other problems at the level of the oral cavity. Upon the loss of a tooth an imbalance occurs at the level of the oral cavity, imbalance which will increase over time. Local complications are bone loss, migration and inclinations of the teeth adjacent and opposite to the extracted tooth.

These gum and bone retractions on the level of the adjacent teeth and opposing the extracted tooth combined with the their inclination cause the emergence of retentive spaces which will favor the occurrence of decays and periodontal lesions. To prevent the occurrence of these complications, the replacement of the extracted teeth should be done as soon as possible and the method of replacement can be planned even before carrying out the extraction itself.



Services


The dental services offered by us are:




Prosthetic Restorations On Implants

Prosthetic Treatments

Periodontal Treatments

Treatment Of Decays

Endodontic Therapy (Root Canal Therapy)

Prophylactic treatments

Radiology








Prosthetic Restorations On Implants

Bredent - Restaurări protetice pe implanturi

A dental implant is a screw that replaces the root of a lost tooth. The role of dental implants is to support dental work (crowns, bridges or dentures). The dental implant is inserted directly into the bone, where osseointegration is achieved, i.e. the merger between the surface of the dental implant and the bone around it. The most commonly used material to manufacture dental implants is titanium.

In our practice we use implants produced by the German company Bredent medical GmbH & Co.KG.

The dental implant can support either one strong and aesthetic porcelain (ceramic) tooth or a dental bridge together with other implants. A bridge on implant is similar to a normal dental bridge, with the difference that it is supported by implants instead of by natural teeth. It is used when you are missing several teeth, similar with a traditional bridge, with the difference that the crowns will be anchored on implants instead of on natural teeth.

The intervention of inserting the dental implants in the bone is done under local anesthesia as if for an extraction. After the installation of the anaesthesia an incision in the gum is carried out in order to grant access to the bone tissue. Subsequently, a hole is drilled in the bone by means of special drills and kits that do not allow heating of the bone during the intervention and reduce local inflammation, making possible that after the anesthesia wears off, the post-operative pain to be even lower than after a tooth extraction. This is where the implant will be inserted, then the incision is sutured and the implant is left in the bone for a 4-6 months period to allow the bone to grow around the implant and to achieve the osseointegration. Bredent - Restaurări protetice pe implanturi

After this period the implant is exposed and a prosthetic abutment is mounted, following the stages of making of a prosthetic crown.

In order to benefit from implant restorations, the patient should have a sufficient bone reserve, in other words, there is sufficient bone in the area where the implant will be inserted. If this quantity is not adequate, an addition of bone may be done.

Dental implants are also used in the absence of 2-3 lateral teeth or when the patient has no molars in the lateral area.

For this type of restorations we can either choose to insert 2-3 implants, each implant to restore the absence of a tooth, or a more advantageous method – namely a dental bridge built on 2 dental implants with an intermediary in the middle./p> Prosthetic Restorations On Implants

When all teeth are lost, a total bridge represents the best definitive solution. Before the implants advent, there was no fixed solution for people who had lost all their teeth. Nowadays it is possible to insert dental implants in the entire jaw and to apply a fixed bridge, being a permanent, stable and an aesthetic solution.

For patients who lost their patience with conventional dentures because they slip, they should be glued with adhesive for dentures, and do not have stability, a prosthesis aggregated on fewer implants can be made. The total overdenture will be fixed on the implants through special systems that improve both its stability and the patient's comfort. The risk of an implant loss is greater in patients with poor oral hygiene. The stagnation of bacterial plaque (food debris) lead to infection of the tissue surrounding the implant and subsequently to its loss, that is why it is important for the patient to report regularly to the dentist for cleaning, but it is mandatory to present a rigorous hygiene at home too.

Dental implants allow us to obtain an additional support and to carry out a wide range of prosthetic works. Do not hesitate to contact us in order to achieve a bespoke assessment according to the local situation of the bone, your needs and your financial possibilities.





Prosthetic Treatments

When tooth decay has destroyed a large part of the tooth, it can no longer be restored by a simple filling. The remaining walls are too thin to withstand the pressure exerted on the tooth during chewing and they can break. That is why it is necessary to protect the healthy walls by covering them with a dental crown. If however, the tooth cannot be saved and it is extracted, the missing space may be filled either by a dental bridge, or with the help of a dental implant.
Dental crowns and bridges are fixed dental prostheses. In the case of a large number of lost teeth, the patient will need a denture, which must be removed daily for cleaning (mobile dental prosthesis).
The ultimate goal is to offer the patients their functional, aesthetic and psychological balance.

 Tratamente protetice

Dental crown

In simple terms, a dental crown is a coping which covers the tooth to restore its shape, color, size, and strength. Presently the metal-ceramic crown is the standard in restoration with crowns. Patients who want a special aesthetic can get full ceramic crowns without metal support, on zirconium support.

Dental crowns are indicated in the following cases:

  • to protect a tooth whose structure is weakened, e.g. following a root canal treatment
  • for the restoration of a tooth fractured or destroyed by decays beyond the possibility of restoration through fillings
  • for the restoration of a tooth with massive fillings when the dentin walls are very thin and the tooth can break
  • for the aggregation of a dental bridge
  • for the coating of teeth with strong dyschromia or disagreeable shape
  • over a dental implant.

Dental Bridge

A dental bridge is a combination of several crowns done to replace one or more missing teeth. Dental bridges with support on the remaining teeth are fixed dental restorations which can be used for replacing missing teeth, as an alternative to dentures and implants./p>

Puntea dentară

The procedure is not appropriate for all patients, as dental bridges may be used only to replace a range of 1-3 teeth and the natural teeth on each side must be sufficiently anchored to support the dental crowns and bridges.
It is important to know that the work will not be completed in a single session at the dentist. In a first stage, the teeth are prepared so as to provide enough space for the dental reconstruction to be installed. The decision upon what type of dental work is required is made according to the affected area
For a fixed dental bridge the missing tooth is replaced by an artificial tooth by reductive preparation of the teeth adjacent to the empty space..

A fixed bridge serves:

  • to replace missing tooth/teeth
  • to balance a normal bite
  • to protect the edentulous crest from potentially harmful pressures
  • to prevent the migration of the antagonist teeth
  • to prevent the migration and tilting of adjacent teeth
  • to prevent the decay of adjacent teeth
  • to delay the onset of the periodontal disease.

A patient may use the dental bridge about 7 years or more, if they comply with rigorous measures of oral hygiene, but at some point it needs to be replaced. An annual visit for a dental control is recommended, when the dentist can check how the existing restorations are adapted.

Protezele mobilizabile

Removable prostheses

These prostheses are removable dental structures, which mimic the teeth's original shape, color, size, etc. and are useful in patients who lack either a part of or the entire denture. Unlike fixed dentures, the removable ones can and must be removed at least once a day to be cleaned. Removable denture usually contains a metal base prosthesis placed inside the oral cavity, on the mucous membranes and on the bone structures. If the patient still has remaining teeth, the prosthesis will be attached on them with the help of special attachments that provide very good support and stability. If the patient no longer presents supporting teeth, an acrylic complete denture will be built.

Removable partial denture

It represents a middle variant between a fixed prosthesis and a removable total prosthesis.

It comprises a fixed part (a dental bridge on the remaining teeth) and a removable part. The removable part has a metal frame on which the acrylate teeth are placed and which is attached to the fixed part by means of special attachments: staples, slides, telescopic cylinders. The metal part consists of a metal strip of reduced thickness and length positioned in areas with reduced functionality and which doesn't bother the patient at all. For an even easier cleaning, it offers the opportunity to be removed from the oral cavity and brushed just like natural teeth.

Unlike classic dentures, it has a higher resistance due to its metal structure, and it provides stability during speech and mastication as it is anchored to the remaining teeth. It provides a perfect physiognomy due to the special fastening systems that are almost imperceptible to an untrained eye.

Proteza totală acrilică

Advantages:

  • it occupies a less space, the metal strip being 1 mm thick;
  • it adapts more accurately to the remaining teeth and other additional supporting elements (staples, slides) may be attached;
  • the taste sensations are closer to those experienced before wearing the prosthesis;
  • the teeth that support dentures are more protected against stress than in the case of the clamps of classic acrylic prostheses;
  • it does not act as a pliers for a slow extraction of the teeth;
  • it doesn't age as fast as acrylic dentures;
  • it does not retain bacteria because the roughened surface is reduced to the maximum;
  • it offers comfort and enhanced functionality.

Acrylic Total Prosthesis

This prosthesis has no any other support or anchoring element and it lies directly on the gums and jaw bone. The realization of a prosthesis takes at least 2 weeks and requires several visits to the dentist. Wearing a prosthesis can create the patient a state of discomfort for a few weeks. Minor irritations or soreness might occur, as well as an increase of the salivary flow. All these issues will disappear as the patient gets used to the new prosthesis. For patients who have marked atrophy of bone and gums it is recommended the insertion of mini-implants - small sizes implants which provide a considerable improvement of the stability of the prosthesis.








Periodontal Treatments

Periodontitis is one of the most dangerous dental diseases, which, without a timely treatment, leads to the loss of the teeth! Although periodontal conditions affect approximately 1 in 3 persons, this disease is treated superficially by most patients. Periodontics is the dentistry specialty which deals with the treatment of diseases that appear to the tissues supporting the teeth and to the bone around the teeth.

Periodontal diseases are caused in particular by bacteria, but there are other factors that can influence the progression of the disease:

  • improper oral hygiene;
  • deposits of tartar;
  • genetic predisposition;
  • systemic diseases: diabetes, heart diseases, etc.;
  • smoking;
  • certain medications (steroids, epilepsy medication, oral contraceptives, etc.);
  • inappropriate dental bridges;
  • teeth in malocclusion;
  • abuse of alcohol;
  • stress;
  • other serious conditions (HIV, cancer, etc.);
  • hormonal changes (such as those that occur in pregnancy, puberty, menopause, etc.)
Stadiile bolii paradontale

Types of periodontal diseases:

  • gingivitis (bacterial plaque irritates the gums, making them sensitive and bleeding. This phase is reversible.);
  • periodontitis (if not removed, plaque turns into tartar, leading to the formation of periodontal pockets, located between the tooth and the gum.);
  • advanced periodontitis (periodontal disease) (the disease continues to advance, destroying more bone and periodontal ligament, resulting in loss of the tooth on the arch.)

Periodontitis is often a result of gingivitis left untreated. The frequency and severity of periodontitis causes more tooth extractions than caries in patients over 40 years of age. Periodontitis is mainly caused by the increase of the microbial mass and by the development of more aggressive bacterial species in the dental plaque and in the supra- and sub-gingival tartar..

There are numerous signals that may indicate the beginning of a periodontal disease:

  • gums that bleed after brushing or flossing the teeth;
  • red, swollen or fragile gums;
  • withdrawn or receded gums;
  • bad breath (halitosis) and persistent bad taste;
  • pain during mastication;
  • teeth extremely sensitive to hot or cold;
  • sensitivity and mobility of the teeth;
  • appearance of pus between teeth and gums.

Prevention of periodontal disease is always much easier, less expensive and less painful than its treatment. That is why it is important:

  • to brush your teeth daily, at least twice a day, followed by mouthwash use. It is the easiest and most available way to remove bacteria and prevent caries development;
  • to floss regularly in order to remove food debris between teeth that simple brushing cannot remove;
  • to adopt a balanced diet;
  • a regular check with your dentist;/li>
  • to quit smoking (if applicable).

In the treatment of periodontal disease, the treatment controls the infection and does not allow the disease to advance. There are different types of treatment depending on the stage of the illness. Initially, the doctor will intervene by deep cleaning the teeth and the gingival sulcus through scaling in order to remove the bacterial plaque and tartar. In some cases medication is recommended, and in more serious cases surgery should be performed. The doctor may also suggest changing certain behaviors, such as quitting smoking, as a way to improve the results of the treatment. Regardless of the measures taken, the patient must maintain a very good oral hygiene at home.








Treatment Of Decays

Decays are caused by the accumulation of bacteria which digest the food remaining on the teeth and turns it into acids that attack the teeth. The first affected is the enamel, and then the dentin. Most often decays develop on the masticatory surfaces of the teeth, in the dental pits and fissures, but they sometimes occur in less visible areas, namely at the points of contact between teeth. In early stages, dental caries can only be seen by your dentist. When the presence of decays is notified also by the patient, the lesions are already advanced.

Stadiile cariei dentare

Waiting is not recommended in case of toothaches! Ignoring the decays after the tooth no longer hurts can lead to severe infections!

Normally it is necessary to see your dentist for a regular check twice a year. Only in this way carious lesions can be revealed in early stage. The sooner the caries is revealed, the less sacrifice is for the teeth, and the simpler and the less expensive the treatment is and in fewer sessions.

At the beginning, the decay manifests as a simple brown staining of the tooth. Later a cavity appears, which continues to increase. Without specialized treatment, the dental pulp is finally affected and the pain in the tooth occurs, which is often so intense that it becomes unbearable until the visit to a dentist.

Treatment of caries purposes:

  • the strict removal of the affected enamel and dentine, on the principle of minimally invasive preparations;
  • the protection of healthy tissues;
  • filling the decays with physiological materials as close as possible to the color of the affected tooth.

Dental caries can be prevented by brushing and flossing regularly, through periodic dental checks, by professional brushing and by avoiding foods high in sugar. The patient and the dentist decide the next steps of the treatment.








Endodontic Therapy (Root Canal Therapy)

Endodontics is the dental specialty concerned with the dental root canal treatment. Root canal therapy is a complex and time-consuming process which may involve several visits to your dentist, according to the initial condition of the tooth, and to the difficulty of the treatment. Fortunately, in spite of its complexity, the process is not a painful one as it is performed under local anesthesia. Root canal treatment is carried out in order to remove the inflamed tissues (the dental pulp or nerve) due to some local infection or some trauma.

Tratamente endodontice

SSymptoms that indicate the need for a root canal treatment consist of:

  • sensitivity of the tooth in case of consumption of food too hot or too cold;
  • pain at mastication.

The adequate therapy on the root canals of the teeth is essential for maintaining the teeth on the arch.

The intervention begins after the local anesthesia is installed. The doctor will remove the diseased tissue from the root canals, then he will clean and prepare the area for filling. In some cases an antibiotic will be applied and a temporary filling will be made, and leave it for a few days so that any trace of infection disappears. To complete the treatment of the canal, the dentist will fill the root canals and the tooth with a special material that ensures the sealing of the area. This intervention is necessary to avoid the formation of an abscess, an inflamed area, in which pus is collected and which can cause swelling of the tissues around the tooth. If no action is taken, the infection will spread, which can ultimately lead to tooth extraction and replacement with an implant or dental bridge.

It is important to know for all the patients that a tooth once subjected to a canal treatment, loses some of its natural resistance. This is mainly due to caries or cracks that have led to damaging the dental pulp. To avoid further fracture of the dental crown structure, it is essential that the tooth is reconstituted using dental crowns that provide long-term protection.








Prophylactic treatments

Prophylactic treatments

Prophylaxis represents the prevention of dental disorders, yet also the prevention of complications in case of already existing diseases.

Early detection is the key to avoiding complicated and expensive treatments.

Dental prophylaxis consists in a series of measures that result in a balance that is beneficial for the maintenance of oro-dental health:

- Oral hygiene guidance: Acquisition of correct brushing techniques, use of dental floss, use of inter-dental brushes

- Detection of bacterial plaque by using plaque markers

- Fluoridation : a form of prophylactic treatment that is of major importance in maintaining the health of the teeth, through the enamel strengthening. It is also indicated for people showing a high degree of dental sensitivity, eliminating the discomfort caused by tooth exposure to higher or lower temperatures. This can be done both by the dentist, by applying professional products, and by the patient at home, by using fluorine-based toothpaste or mouthwash.

sigilarea suprafetelor dentare

- Sealing: tooth surfaces can present fissures or small cracks where bacteria accumulate, which in time lead to the formation of dental caries, which affects even very young children. Therefore, sealing is recommended to be made immediately after the development of permanent teeth (after the age of 6). Given that it is a measure of prevention, it does not involve anesthesia or the use of drills and it is not painful. Dental sealing involves a prior cleansing of the tooth, followed by the application of a transparent or opaque liquid to the tooth surface. The sealant will penetrate the existing pits and fissures, will harden and will no longer allow food debris or bacteria to penetrate. Protection of sealing is maintained for about 2 years.

detartrajul

- Scaling. Tartar ( dental calculus) is an organo-mineral complex adherent to the dental surface as a result of the mineralization of the bacterial plaque. Irritating and rich in germs, tartar deposited on teeth can affect their health over time. Unfortunately, the removal of tartar deposits cannot be solved at home, simply by brushing, but only by the dentist by scaling. Modern ultrasonic technique does not affect tooth enamel, being a very effective method of prophylaxis.

Scaling consists in removing the hardened deposit by using an ultrasound device and then polishing the cleaned surfaces.

Contrary to the general opinion of patients, scaling does not affect dental enamel, and the dental calculus does not improve the teeth stability, but it favors the occurrence of periodontal disease. It is recommended a dental scaling every 4 to12 months according to the patient's needs.

- Professional brushing: it is part of the preventive measures and it is recommended to be done at least once every 6 months, especially for smokers. Its role is to remove bacteria deposited on the dental surface, to remove stains and superficial deposits of tartar which, untreated in time, lead to much more serious problems.

gutiera bruxism

Although tooth brushing home twice a day is absolutely necessary, this is not enough. Professional brushing is done with professional equipment and a special paste that provides deeper cleansing and complements home brushing, removing bacterial plaque also from areas less accessible to regular dental brushing

- Bruxism mouth-guards. Bruxism is an involuntary act which is manifested by the teeth grinding and the clenching of the jaws. This happens most often during sleep, causing facial pain, headaches, dentin sensitivity and even teeth mobilization.

Untreated, this disorder does not allow you to rest properly and leads to tooth damage over time. Bruxism occurs in both children and adults, but it is more common in people aged between 25-44 years.

The most suitable treatment method is the wearing of a mouth-guard, a mold made of soft rubber, which can be worn at night, but also during the day, depending on the case. The mouth-guard has the function of preventing teeth grinding against each other, thus preventing further wear.

- Periodic dental consultation. Periodic dental consultation is designed to evaluate changes that have occurred in the teeth and gums since the last dental session. Periodic dental consultation is the equivalent of the MOT test for cars and underpins long-term oral health. Its recommended frequency depends on the oral and general health status and it varies between 4 and 12 months.








Radiology

Radiological investigation represents an important aid to the dentist. A correct and complete diagnosis can be determined only after the examination of the x-rays. In our radiological practice we use the most commonly used type of digital dental radiography, namely the digital retroalveolar radiography and it involves a small size film which can show 3-4 teeth.

Dental radiography is an image of the teeth and jaws obtained by exposure to X-rays. X-rays show the presence of caries, their severity or age, and also the correctness of some treatments. Depending on the information obtained during the clinical examination and those provided by x-rays, the diagnosis is established and the most appropriate treatment is chosen. In order to take x-rays images, specialists use a radiology equipment that emits a very low dose of radiation. For the protection of the patient a lead apron is used so that the irradiation to be minimal. The apron is provided with a collar to protect the thyroid gland. The x-rays imagery is done by specialized personnel.

radiologie dentara

Processing a digital x-ray film is automatic and it takes less than 1 minute. Retroalveolar radiography is indicated in:

  • the detection of periapical infections or inflammation;
  • the assessment of the periodontal status;
  • post dento-alveolar traumas;
  • unerupted teeth or in the course of eruption;
  • the visualization of the root morphology before extraction;
  • post endodontic treatments;
  • pre and post apical resections;
  • the postoperative evaluation of implants;
  • apical cysts or other lesions in the alveolar bone.