Expectations and Medical Needs of Patients
Most treatment plans are based on the model presented below (scope and sequence of treatments is always adjusted individually to the expectations and medical needs of the patient):
STAGE 1 (4-5 WORKING DAYS):
- Teeth cleaning – professional teeth cleaning by a dental hygienist with the use of ultrasound, sand-blasting, polishing and fluoridation (necessary for patients with periodontal diseases – periodontitis – and before surgical procedures involving implant insertion or bone augmentation)
- Pre-prosthetic treatment involves:
- possibly teeth whitening – at the patient’s request
- extensive digital dental analysis combined with computer simulation of the new appearance of the patient’s teeth – MSD Magnadent Smile Design
- light-cured fillings
- root treatment
- crown reconstruction with crown-root fibre glass inserts after root treatment
- removal of damaged teeth
- insertion of implants, in some cases simultaneous healing ring application
- artificial bone augmentation, sometimes with a sinus lift
- periodontological treatments (periodontitis treatment)
- temporary reconstructions with plastic prosthetics (dentures, crowns, bridges) mounted on impermanent, weak cement
- movable relaxation splints and splints which improve contraction while treating temporomandibular joints
STAGE 2 (5-8 WORKING DAYS):
- Final prosthetic treatment involves the manufacture of final prosthetics such as crowns, bridges, veneers, inlays or dentures – usually all ceramic (e.g. zirconia prosthetics) or ceramic-coated prosthetics on a metal base
In rare cases, usually when booking laboratory dates in advance based on current panoramic X-Ray images submitted by the patient by e-mail or in case of small and simple procedures, the entire treatment with the final prosthetic reconstruction can be completed in one stage. It is also possible in case of longer stays in Kraków (8-14 days). However, it is completely impossible in case of prosthetic treatment performed on an area of a freshly-removed tooth, as the healing process is not finished – in such cases, treatment is divided into two stages by default. Patients are informed about the duration and number of treatment stages before treatment commences; also in case of any changes to the treatment plan introduced for medical reasons, patients are informed straight away.
- The treatment plan remains valid for 6 months if treatment is not commenced straight away or for less than 6 months in case of any significant changes to the patient’s teeth, such as loss or mechanical damage to teeth.
- A traditional scheduled extraction (removal) of a tooth may, in reality, be a surgical extraction (crown fracture and removal of tooth pieces). This requires a longer treatment duration and higher costs. After tooth extraction (removal), if the dental alveolus (empty tooth socket) becomes infected, it may turn into an inflammation, which usually needs to be treated in the patient’s home country at the patient’s cost. The average infection treatment time is about 7-14 days and the treatment is not covered by warranty.
- Scheduled endodontic (root) treatment, expected to be completed in one appointment, in reality may require two, and in rare cases three appointments, which involves a longer treatment duration and higher costs.
- Scheduled simple preventative treatments (insertion of light-cured composite tooth-coloured filling in a live tooth) and prosthetic treatments (application of crowns, bridges, veneers, inlays on live teeth) may require, while working on the tooth or at different times after the treatment, additional endodontic (root) treatment due to dental pulp inflammation, as well as prosthetic reconstruction. It involves a longer treatment duration and higher costs. In such cases dental pulp inflammation may be caused by the depth of the damage and by mechanical irritation of the damaged tooth. Additional dental pulp inflammation treatments are not covered by warranty and their total costs are payable by the patient.
- The amount of biomaterials (e.g. artificial bone) estimated for surgical treatment may change during the procedure, or a surgical procedure initially planned without the use of any biomaterials and specialist procedures, such as controlled bone regeneration (e.g. sinus lift with artificial bone implantation) may in reality require the use of such materials or procedures. This involves a longer treatment duration and higher costs which cannot always be accurately estimated before commencing treatment. However, all patients eligible for surgical treatment who may potentially require the use of biomaterials are informed BEFORE the treatment about estimated costs of any additional treatments. This is due to the practical inability to fully evaluate the condition of the patient’s bone tissue (amount, density, structure etc.) before commencing treatment, even with CT results at our disposal.