DENTAL CLINIC "RADIX"

Basic terms

• A dental implant is a structure that is installed into the jaw bone during surgery and replaces the roots of the teeth, and also serves as a support for prosthetics;
• An abutment is a supragingival structure that imitates a tooth stump. It can be integral with the implant (non-separable design) or as a separate structure (demountable design);
• The healing abutment is a supragingival intermediate structure. Essential for creating a beautiful natural gum margin. (in the case where the abutment and implant are a single whole, not used);
• Osseointegration is a direct structural and functional connection between living bone tissue and the surface of the implant implanted into it.

Endodontic Treatment of Molars of the Lower Jaw - Root System of the Tooth

The root system of the tooth and knowledge of its anatomy are an important factor for successful endodontic treatment. The complex anatomy of the canals can significantly complicate treatment.

The main goal of endodontics is complete obturation of the root canal. For successful treatment, it is necessary to clean the canals and tooth cavity from necrotic debris, bacteria and their waste products. We can achieve this through careful mechanical and chemical treatment of the canals.

Persistence of infection due to a missed canal or incomplete treatment of a difficult-to-reach canal can lead to poor results. It is important to study the anatomy of the tooth before treatment to avoid complications.

Anatomy of mandibular molars

In the permanent dentition, the first molars of the mandible have the greatest chewing force and are therefore the most functionally significant. Most mandibular molars are double-rooted with two mesial and one distal canals. But the number of roots and canals may vary.

Additional root

Carabelli was the first to note such a frequent change as an additional root. It is located on the lingual ( radix entomolaris) or buccal ( radix paramolaris ) sides.

Three-rooted mandibular first molars require special attention during endodontics because the accessory root is usually smaller and thinner than the others. Or such a root is partially fused with other roots and is strongly curved.

Identification

To identify additional roots, an x-ray is needed. But sometimes several pictures from different angles are necessary, since one picture may be uninformative.

Rice. 1 - SLOB method allows you to take pictures from different angles.

Rice. 2 – On the radiograph we see the accessory root (Radix Entomolaris) of the first molar of the lower jaw.

Rice. 3 – We see the mouth of the additional canal (Radix Entomolaris), located distally lingually. Asymmetry and deviation from the midline are noticeable.

Implantation can be:

• Direct (performed immediately after tooth extraction);
• Delayed (3 months or more pass after tooth extraction).

Prosthetics can be performed simultaneously with the installation of an implant or also after a certain time (two-stage technique).

The choice of one or another implant or method of operation depends on the patient’s general condition , oral hygiene, the volume and quality of the jaw bone tissue, and the patient’s financial capabilities.

Dental implant materials

Dental implants
Depending on what material the implant is made of, there are:

Metal

Most dental implants are made of titanium and its alloys. The peculiarity of this material is such that the body does not recognize it as something foreign. In this regard, excellent biocompatibility is noted. It is also characterized by high strength and lack of toxic effects.

Ceramic

Ceramics occupies a special place in dentistry in terms of aesthetics. Its color and light transmission allow it to imitate natural teeth as closely as possible. But when it comes to implantation, aesthetics are not so important. Biocompatibility comes first. The interaction between ceramics and bone tissue has not been fully studied. Thus, we cannot say affirmatively and positively about osseointegration. Therefore, the choice of this type of material remains a big question .

Radix-P, dentistry reviews

Your reviews will not go unnoticed!

An official representative of this organization responds to reviews on this site.

I made an appointment for tooth extraction with Alexander Viktorovich Barbashin. On the phone, he told the administrator that the inflamed wisdom tooth needed to be removed, and clarified that Barbashin was definitely engaged in the removal of wisdom teeth, since the website indicated that he was a... Read completely

Perhaps the best dentistry nearby is Radix. I visited Vilezhanina, she removed my wisdom tooth and cured one of my teeth from caries. I liked that there was no imposition of extras. services and there is direct contact between the patient and the doctor, without any. Read completely

Hello! I had a wisdom tooth removed at this clinic on Osennyaya Street. He caused me so much trouble, I endured so much while he was growing up and in vain! All rotten. They helped me get rid of him in no time; I should have done this earlier. I leave it. Read completely

I was very lucky that my mother, a long-time patient of this dentistry on Osennyaya, was afraid of falling into the hands of a bad doctor. But Artyukh O.E. left a very positive impression of herself. I didn’t even hope that the tooth could be saved, but she restored it. Read completely

Unfortunately, I only recently found out about the Radix clinic! After the horrors of free dentistry in Ekaterina Alexandrovna’s chair, I’m mentally resting! She blows away specks of dust from me, very kind and prudent. She said that the tooth that hurt was the same one they were on. Read completely

I had all my teeth treated (crowns, fillings, I spent money) with Alexander Viktorovich Barbashin, in general, after 2 years, 4 had a fistula (a purulent sac on the gum, he refused to do anything with the tooth, I had to remove it in another Dentistry and put it in. read in full

Doctor Barbashin Alexander Viktorovich (Kastanaevskaya 9 to 1), disgusting work with patients. Inappropriate and unprofessional attitude. Treating someone like this is to your own detriment! I will write to all authorities against him so that he is punished for such treatment. Read completely

He was treated at the clinic by Dr. Pavlov and by therapist Kurakina. Despite the fact that I was completely satisfied with the final result of the treatment, I was a little annoyed that the doctor was glued to his personal phone and constantly went out somewhere. This was repeated throughout. Read completely

We listened to reviews from friends and made an appointment with you for Air-Flo cleaning. Lyudmila Vasilievna took care of me and the guy! A very good therapist. She pointed out problem teeth, which we also cured for her. We were pleased. The clinic is great! And the prices are quite good. Read completely

Great doctor! I wish this to everyone! This is not the first time he has saved and done it extremely professionally. Thanks for the quality work.

About 10 years ago, a friend advised me to have my tooth treated in Krylatskoye by E. A. Peganova. I was delighted. I have never met such an attentive, caring, balanced, noble doctor. After that, many of my friends thanked me for. Read completely

My entire family has been treating their teeth with the wonderful doctor Ekaterina Alexandrovna Peganova for 8 years. A competent specialist, very responsible for her work, friendly and respectful towards the patient, very calm. Read completely

I visited several times, changed fillings and treated my gums with a vector device. I can’t say that everything is cheap, but I’m very pleased with the result - my gums have finally stopped swelling and bleeding! The fillings are good, you can’t tell them from a tooth, as they should be. Read completely

Source: www.spr.ru

According to the form they are distinguished:

Cylindrical

Thanks to the porous structure, a strong connection with the surrounding bone tissue is ensured. Currently, cylindrical implants are produced dismountable, designed for a two-stage application method.

Screw

In order to have an idea about these implants, let's look at the structure of the jaw bone.

The cortical plate is a kind of shell, the strongest, consisting of 95% mineral salts.

Spongy bone is the main layer of bone tissue, represented by crossbars and septa with many small vessels (capillaries). It is in this section that the roots of the teeth are located.

The basal layer is a continuation of the spongy layer, but the septa are located closer with a small number of vessels. Maximum strength and thickness .

Screw implants have a number of advantages:

• Cone shape;
• They are installed in place of the roots of natural teeth, that is, in the spongy layer. When chewing, they also transfer the load to the surrounding bone tissue, thereby maintaining metabolic processes in it at the proper level. It turns out that this type of implant is the most physiological;
• The presence of threads, which increases the area of ​​contact with bone tissue, and, consequently, faster osseointegration is noted;
• They can be collapsible or non-removable, one- and two-stage, have a smooth, rough surface or a coating of bioactive materials;
• They come in different diameters and lengths, which expands the indications for their use.

One of the main conditions for the use of screw implants is the presence of a sufficient volume of high-quality bone. But even if there is a lack of it, it is possible to establish them with the help of additional operations (sinus lifting, bone grafting, etc.). Only the duration of treatment and recovery will change.

In today's market you can see many implant manufacturers. Let's take a look at the leading representatives.

Endodontic treatment of lower molar (Clinical case)

Rice. 6 – By curvature – 1 type, by overlap – 1 type

Rice. 7 - By curvature - type 2, by overlap - type 2

Rice. 8 - By curvature - type 3, by overlap - type 3

Rice. 9 - By curvature - type 3, by overlap - type 3

Complications of endodontic treatment

Accessory roots of mandibular first molars are a common occurrence. In addition, such roots are often very curved. Therefore, to prevent complications of endodontic treatment, it is necessary to find such roots and study their anatomy. In this case, you cannot do without x-rays.

Source: ohi-s.com

Advantages and features:

• Each implant is covered with a unique TiUnit material, thanks to which the process of osseointegration occurs much faster (in its structure and composition it is very close to bone tissue);
• 3D planning of the operation, which is the key to the accuracy and high aesthetics of the finished structure;
• Due to the design features of the thread and the body of the implants themselves, tissue trauma is minimal;
• A wide range of implants in diameter and length makes it possible to install them even in the most seemingly difficult clinical situations;
• Simplicity, logic and accuracy in the surgical protocol (operation);
• All Nobel implants have identification numbers. Fake is impossible.

The only downside worth noting is the high cost.

ASTRA TECH implants

ASTRA TECH implants
The system was developed by Swedish scientists and is popular in many countries.

Advantages and features:

• Made of the highest class titanium, which has excellent biochemical qualities;
• Modified OsseoSpeed ​​surface, which accelerates the process of osseointegration;
• The connection of the implant to the Conical Seal Design abutment is located below the gum level, which allows for a more even distribution of the chewing load;
• Patented microthread in the upper part of the implant (in the neck area), which also improves the distribution of chewing pressure;
• The company provides a lifetime guarantee.

Among the disadvantages, high cost can be noted.

Root curvature

There are 3 types of Radix Entomolaris based on root curvature:

Type 1: Straight root/root canal

Type 2: Curved entrance to the root canal, the rest of the canal is straight.

Type 3: The canal is curved in the upper and middle third. Moreover, the root deviates towards the buccal side. It is also not uncommon for the apical part of Radix Entomolaris to deviate by 90°.

Overlaying roots on a photo

Classification based on the degree of root overlap (distal-lingual and distal-buccal) on x-ray:

Type 1: Slight overlap

Type 2: Moderate overlap

Type 3: Significant overlap

Rice. 5

Hi-Tec implants

Hi Tec Implants is one of the leading Israeli companies that has been producing a wide range of implants for over 20 years. During this period, the company has established itself as a representative of quality materials at an affordable price .

Advantages and features:

• A wide selection of types of structures, which allows you to choose the optimal one for each specific clinical situation;
• The implants are made of the highest quality titanium;
• Simple surgical protocol (operation progress);
• Having our own full-cycle production allows us to ensure a high level of quality control of dental implants (implants) and a reasonable cost.

Thus, this implantation system combines high quality and reasonable cost. Among mid-level implants, Hi-Tec takes first place.

Lamellar

Plate implants
The intraosseous part is a wide thin plate with a textured surface (macrorelief in the form of a snake or corrugated structure) and holes. Such implants are practically not used, as they have more disadvantages than advantages.

Firstly, they differ in shape from the roots of natural teeth, thus they are not able to withstand and distribute the chewing load in the proper volume. Therefore, the service life is not long.

The only positive thing that can be noted is the low cost.

Planets in radix houses: five rules of traditional astrology

For people who study traditional astrology, I always recommend that they refuse to use ready-made “recipes” that plague many of the works of modern astrologers (“Saturn in Virgo favors this, that…”, “Venus in the 11th house means that... this, that...").
They will not bring any benefit, but they can confuse anyone. Do you remember how the level of high-quality mastery of a foreign language is determined? A person must not only speak and write in it, but also think in a foreign language! It's the same in astrology. One of the signs of a professional astrologer is his ability to competently assess the balance of power in a chart, and independently build a chain of judgments, without resorting to ready-made book formulations.

Applying this approach, you will soon realize that the books mentioned above contain outright nonsense, a set of useless “key” words... After all, in astrology there are no ready-made solutions. And in different horoscopes, a planet, occupying the same house, can (and will!) behave uniquely.

When assessing the influence of a planet in a natal, horary or elective house, it is necessary to simultaneously take into account many factors: its essential strength, accidental status and relationship (reception) with the “owner” of the place in which it is physically located.

I have already spoken about these planetary features more than once in my books and publications on the pages of the site. But there is one more important circumstance that many novice astrologers overlook. We are talking about the position of the planet relative to the top of the astrological house and other planets that find themselves in it.

Have you ever encountered a situation where a nominally strong planet did not show itself at all in the affairs of the house in which it found itself? Or when there is a pest in the house, but its negative influence is not felt? This is exactly the case!

The “technical” nuance described below can often determine the fate of the planetary influence: strengthen it or, conversely, weaken it (and in some cases completely block it).

Combined

The shape and size of such implants are determined strictly individually, depending on the number of lost teeth, the thickness of the jaw bone and other factors.

Highlight:

• Lamellar-root-shaped;
• Disc: for weak, atrophied bone in cases where bone grafting is impossible;
• Transosseous: used for severe atrophy of the jaw bone, installed through an incision in the chin area;
• Ramus-frame dental implants: a fairly extensive design that covers almost the entire jaw. It is used for severe bone atrophy and serves as a support for both removable and fixed prostheses.

Such implants are used only in cases where screw installation is not possible. The operation requires more time, the process is complex and traumatic . The recovery period is much longer, and the service life is short.

Radix

Novosibirsk, Sofiyskaya st., 2B, bldg. 3

“When I saw that one of the teeth began to turn black and there were unpleasant sensations while eating, I immediately decided. »

Possible contraindications, consult a specialist.

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Services and prices

Dentistry

Periodontal tissue diseases, unfortunately, are chronic. Until relatively recently, periodontitis was considered a disease that could not be cured. Today in the arsenal of dentistry there are many tools that allow, if not cure, then at least stop the disease and prolong the period of remission in patients for many years, preventing exacerbation. .

For mild periodontitis, it is enough to have your teeth professionally cleaned and rinse the gum pockets where germs accumulate with medications. Antibacterial therapy in this case is carried out using the same methods and drugs as in the case of gingivitis. .

Priority today is given to the most gentle methods of therapy

. In order to preserve for a long time not only a beautiful, but also a natural smile for our patients, today we use new technologies that combine the highest technical capabilities, simplicity, safety and comfort.

When treating caries, dentists use the latest technologies that allow minimal preparation of the tooth cavity.

Mainly in pediatric dentistry, as well as for the treatment of superficial caries in adults, the air-kinetic method is successfully used. Its technology consists of supplying a stream of air and quartz sand under high pressure. .

Until recently, dentists were mainly engaged only in repairs and replacement of “parts,” but today doctors are required to do more delicate, almost jewelry work. Aesthetic dentistry includes dental restoration, whitening and cosmetic decoration. .

Features of artistic dental restoration

The point is that teeth restored by this method undergo minimal preparation, that is, only non-viable tissue in the area of ​​the defect is removed.

Today, it is possible to restore a tooth even if only the root remains. .

Prosthetics, orthopedic dentistry

Modern orthopedics

very different from what existed a few years ago. Today, the accuracy of the fit of crowns is checked under a microscope, which ensures the leveling of the boundary between the insert element and the tooth, and also allows you to avoid spaces between them where food can get in and cause caries and inflammation of the gums. .

Fixed dentures

practically no different from “native” teeth.
They come in several types and are divided into microprostheses
(veneers, inlays, half-crowns), crowns and bridges.

For partial prosthetics, there is a special technique for manufacturing fixed dentures

.
By resorting to this type of technology, specialists achieve maximum effect, that is, an artificial tooth is no different from a natural one. This is an imitation of either individual parts and surfaces of a tooth or its complete replacement. Such structures are secured using adjacent healthy teeth or on the jaw itself. Wearing a fixed prosthesis
implies a permanent form of use. .

Crown

will help in situations where the tooth is pulpless or destroyed. It can be all-ceramic and metal-ceramic (with a gold-containing alloy, an alloy based on cobalt - chromium, nickel - chromium or titanium).

The former are best suited for the front teeth of the upper jaw. It is not recommended to make all-ceramic crowns for lower crowns. The reserve forces of the crowns are not enough to cope with the chewing pressure of the opposite jaw, and after 1-2 years they will fail. For the lower front and lateral teeth, it is more advisable to make ceramic crowns on a metal frame that better withstand chewing loads. From an aesthetic point of view, metal ceramics are in no way inferior to solid ceramics, and their strength is an order of magnitude higher. .

Pin tab

(solid metal structure) allows you to restore a tooth from which only the root remains. It consists of a pin for fixation in the root canal, the inlay itself and a stump processed for a crown, on which it is placed.

Pin tabs

called a gentle procedure for restoring teeth.
This technique is used if the crown is severely damaged, the pulp has been removed, or if problems arise with the root system of the teeth. Pins
are used if the surface of the crown is fairly well preserved and the patency inside the root canals is good.
Pin screws
are screwed into the tooth itself, using additional fasteners: cement, covering with a crown. .

Basal

Such implants are installed in the basal layer of the jaw bone tissue. It is denser than the spongy layer. This ensures good primary stabilization. Prosthetics can be performed 3-5 days after the operation.

The intraosseous part and the abutment are a single unit. Therefore, it is impossible to correct the supragingival part after installing the implant. There are many cases of loss of aesthetics - dentures look unnatural and do not adhere well to the periodontal tissues.

The process of installing basal implants is not very complicated and traumatic, but basal implants have more “cons” than advantages.

Firstly, this is not titanium (after installing this type of implant, the orthopedic doctor simply bends them with forceps, creating parallelism), but it is titanium that has the property of “fusing” with the bone.

Secondly, with Basal implantation, osseointegration does not occur and it is rather the denture that holds the implants in the bone, and not vice versa.

Thus, at first glance, there are more advantages of basal implants, but the disadvantages are so significant that their use is questionable.

How do planets influence the houses of radix?

To determine the degree of involvement and strength of influence of the planet on the affairs of the house, you need to adhere to the following rules:

RULE ONE : the closer, the stronger

The closer a planet is located to the apex of an astrological house, the stronger its influence on the affairs of the house. This rule is especially relevant if the house turns out to be very large and the planet is located in its last third. In this case, the influence of the planet decreases to a significant extent, and sometimes can be completely neutralized by stronger factors.

RULE TWO : the sign matters

A planet has a significantly greater influence on the affairs of a house if it occupies the same zodiac sign as its vertex. For example, if the cusp of the 11th house is in the sign of Leo and there are two planets in it, the first of which is also in Leo, and the second in Virgo, the influence of the “lion” planet on the affairs of the 11th house will be more significant.