Specialized dental care in Turku – Demanding treatments from skilled experts
Dent Å's specialist dentists offer comprehensive specialist dental care services with modern technology in the center of Turku. With us you will find a top expert in every dental care specialty. Whether it is a masticatory muscle problem, difficult root canal treatment, replacing missing teeth with implants, orthodontics, gum or mucosal disease, we have a solution for every need. All treatment is evidence-based, individually planned and implemented with top expertise, with the patient's health and long-term results in mind.
What is specialized dentistry?
Specialized dentistry refers to oral healthcare services that require more extensive expertise, specialized equipment, or special facilities than basic dentistry. These treatments are provided by specialized dentists who have deepened their expertise through 3–6 years of additional training.
Different specializations in Finland include, for example:
- oral and maxillofacial surgery
- cariology and endodontics (prevention of tooth decay and damage and root canal treatment)
- periodontology (gum and periodontal tissue diseases)
- prosthetics and bite physiology (e.g. dentures, crowns, bite problems)
- orthodontics (teeth straightening treatment)
- pedodontics (dental care for children)
- oral radiology (oral imaging)
- oral pathology (oral tissue diseases)
Specialist dentists are used to providing challenging treatments, being a consultant and working closely with the patient's own dentist. The aim is to create holistic treatment plans that combine best practice from different specialties. Where necessary, general dentists will refer more demanding treatments to a specialist dentist to ensure that the specific characteristics of the patient's treatment are taken into account. 3D imaging equipment, digital planning and the use of an operating microscope, among other things, can ensure the best possible outcome.
Why choose Dent Å?
At Dent Å we offer specialised dental treatment with the most modern equipment in the industry in comfortable premises in the centre of Turku. 3D imaging, digital design and the use of microscopes are commonplace at Dent Å. We use only the highest quality materials, from the filling materials onwards, to ensure that the treatment result is as natural, safe and durable as possible. We have also made every effort to give the best possible consideration to patients with anxiety when designing our facilities.
Dent Å's specialist dentists are used to taking over when treatment becomes demanding. Missing teeth, crooked teeth, worn bite surfaces or demanding surgical procedures require specialised expertise. Advanced gum disease, mucosal diseases, dental trauma and bite problems are also treated by a specialist dentist. We focus on evidence-based treatment and long-term results, which is why we only use high-quality, durable materials from well-known manufacturers.
Complex treatments can be lengthy processes, so we do everything we can to ensure a comfortable patient experience. Treatments are considered on an individual basis and according to your life situation. We offer dental care from light pre-medication to anaesthesia. You will always receive a personalised treatment plan and we also offer flexible financing options so you can get the treatment you need, regardless of your financial situation.
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Our specialised dental services
Oral and maxillofacial surgery
Oral and maxillofacial surgery is a speciality combining medicine and dentistry and requires a minimum of five years of training. The speciality includes:
- difficult surgical tooth extractions
- placement of dental implants
- repair of tissue loss in the jaw area, e.g. dental bone graft
- treatment of facial fractures
- treatment of various infections
- treatment of oral mucosal diseases
- treatment of tumours and cysts of the mucous membranes of the jaws and mouth
- dento-facial orthopaedics
- surgical treatment of jaw joints
- surgical treatment of developmental disturbances
Before a surgical procedure, the patient should have a consultation to discuss the following issues
- any underlying medical conditions, recent medications and allergies (bring an up-to-date patient history form to the appointment)
- previous procedures and any problems they may have caused
- a treatment plan so that the patient understands the purpose, course and goal of the upcoming procedure
- the patient's wishes regarding the procedure and its timing; anxiety-relieving medication or general anaesthesia are also possible (see dental treatment under general anaesthesia)
Dental implants
Dental implants can replace one or more missing teeth or provide additional support for an unstable denture. A dental implant, or artificial tooth root, is simply a screw made of titanium that is inserted into the patient's jawbone.
To ensure a good prognosis for the dental implant, it's essential to assess the patient’s individual risk factors and conduct an examination to ensure there is sufficient bone and soft tissue around the planned dental implant. Clinical and radiological examinations are conducted before the procedure. If tissue loss is found, the treatment may involve tissue repair surgery (such as soft tissue or bone grafting), or the issue may be repaired during the placement of a dental implant.
A visible prosthetic structure (crown, bridge or removable denture) is attached to the dental implant. Sometimes, a prosthetic structure can be attached to the implant immediately, but this is usually not done until after the implant has ossified, after 3 to 6 months at the earliest.
With correct indications, carefully implemented surgical and prosthetic phases, proper self-care and professional cleaning, dental implants have a good survival rate. The general recommendation is for dental implant patients to undergo professional dental cleaning at least every six months and have regular dental check-ups. Over time, parts that wear out may also need replacing.
Dental implants as a treatment option can either be simple and quick or very challenging and time-consuming. Each case is unique, which is why the cost and duration of treatment will also vary. When planning the treatment, we will discuss these issues with each patient individually and provide a cost estimate. Please feel free to make an appointment to discuss your wishes regarding missing teeth or poorly fitting dentures.
At Dent Å you can book a free 15 min appointment for an implant consultation at any time.
Prosthodontic treatment (bite rehabilitation and replacement of missing teeth)
Prosthodontics is the field of dentistry that focuses on replacing missing or severely damaged teeth with various prosthetic structures. Missing teeth can be replaced with fixed or removable prosthetics. Sometimes, hybrid structures in between can also be manufactured.
Dental crowns, bridges and laminates
Dental crowns, bridges and veneers are part of fixed prosthetics. A damaged tissue or tooth is replaced with a structure that cannot be removed and is an integral part of the dentition and bite. Dental laminates are made when the shape and colour of a tooth is to be restored or changed. The laminate can be made of ceramic or composite plastic. Nowadays, the aim is to achieve a mini-invasive treatment, where no or minimal grinding of the tooth is done. When a tooth is badly damaged but the root is healthy, a dental crown can be used to try to save the tooth. The crown covers the entire tooth, restoring its shape and function. Dental bridges are used to replace missing teeth by attaching a bridge to adjacent teeth. If your own teeth are missing, a crown or bridge can also be attached to dental implants. Ceramic materials achieve a very natural result. Sometimes, for reasons of functionality and durability of the structure, metal-ceramic solutions have to be used, which are also excellent solutions.
Dentures
Missing teeth can be replaced with removable dentures in addition to fixed prosthetics. Removable prostheses include full dentures, partial dentures, frame dentures (skeletal dentures) and implant-supported full dentures. Removable prostheses are usually used when the tooth loss is so extensive that a fixed prosthesis is no longer a viable option. In addition to teeth, other tissue defects can also be replaced to support the natural appearance of the face.
- The partial denture is made of acrylic plastic and is fixed to the oral mucosa, following the shape of the remaining natural teeth. The partial denture is held in place by pins, or metal hooks, which are attached to the natural teeth.
- A frame denture (skeletal denture) is often the preferred option when considering a partial denture.. Its frame is made of metal, which is supported by its own teeth and secured by metal pins. The prosthesis is more expensive than a partial denture, but its functionality is much better. The advantages of a frame denture are are a slimmer structure, a snugger fit and easier cleaning of the tooth sockets than an all-plastic partial denture. Sometimes, the palate-covering part of the prosthesis, which can irritate the tongue, can be left out out of the prosthesis.
- A full denture is a denture made of acrylic plastic to replace all the missing teeth in the upper or lower jaw. The full denture is supported by the oral mucosa and is fixed in the upper jaw by a tight air seal between the denture and the mucosa. In the lower jaw, the prosthesis is held in place by the lower jaw ridges and gravity.
- An implant-supported full denture is a full denture that attaches to dental implants by means of special snap-on fasteners or a rail structure.
Dentures require daily cleaning, just like your own teeth. Well-maintained dentures and residual dentition, combined with regular dental check-ups, ensure the longevity of the dentures. From time to time, dentures need to be modified due to changes in the teeth and jawbone. Dentures may also need to be repaired if they break, feel loose or uncomfortable.
Occlusal physiotherapy
Bite physiology is the study of the function of the bite, the jaw joints and the muscles of the bite and the treatment of related pain and disorders. Jaw joint problems can include clicking or locking of the joints. Other symptoms may include jaw fatigue and pain when opening the mouth or biting. There may be aching in the bite muscles, localised in the head area or as reflex pain elsewhere. Extra or abnormal activity in the bite muscles is called parafunction. Typical parafunctions include teeth grinding (bruxism), tight clenching of teeth, and chewing of the cheeks, lips, tongue or objects. These can cause, among other things, tension and pain in the muscles of mastication, jaw joint problems, headaches, tooth wear or toothache.
The prognosis for the treatment of dentofacial conditions is good. Treatments are mostly conservative and safe. The goals of treatment are to reduce pain, reduce strain on muscles and joints and restore normal function. In addition to good patient information and self-care instructions, the primary treatment consists of massage of the muscles of the bite, physiotherapy, analgesia and bite splint therapy.
Informing and motivating the patient is central to bite physiology treatment and must be taken into account at every stage of treatment. Self-care and lifestyle changes are often the most important step in successful treatment.
- Cold therapy helps in inflammatory conditions.
- Heat therapy reduces pain and muscle tension and improves jaw function.
- Muscle manipulation and range of motion exercises help relieve pain and muscle strain and reduce functional impairment.
- Relaxation exercises reduce pain and improve jaw function.
- Awareness of harmful parafunctions is aimed at avoiding the strain they place on the bite.
You can find printable patient guidelines for current care in Here.
TMD physiotherapy focuses not just on the jaw, but on the whole functional system, which makes it effective. The treatment is gentle, personalised and often helps to quickly reduce tension and pain. Physiotherapy goes through the background of the symptoms, treats tense structures and provides easy exercises to help you take control of the situation. The aim is to reduce pain, improve jaw function and make everyday life easier. Book an appointment for physiotherapy Here.
The bite splint is used to treat disorders of the bite system, such as masticatory muscle and jaw joint disorders, as well as grinding or bruxism. It also protects the teeth, prosthetic structures in the mouth and jaw joints from wear and tear. The bite guard is made of a transparent plastic material suitable for the mouth, shaped in the form of an upper or lower dental arch. Bite splint treatment is started after an examination and diagnosis by a dentist. The dentist reproduces the teeth using either a 3D scanner or traditional reproduction materials. The models are sent to the dental laboratory where the splint is made. At the next visit, the splint is shaped to fit the mouth. Follow-up visits are scheduled as needed to assess the treatment outcome.
The use of botulinum toxin (botox) has increased in the treatment of masticatory disorders, but there is little evidence of its effectiveness in the field of bite physiology. In carefully selected patients, this treatment may be of benefit.
To ensure a balanced bite, bite refinement and any prosthetic or orthodontic treatment can be carried out at a later stage of treatment.
Root canals
Inside the hard shell of the tooth is the tooth's core, where nerves and blood vessels pass. Root canal treatment can result from trauma or a deep cavity that has damaged the tooth's core. Signs of damage to the core may include temperature sensitivity, tenderness when biting, throbbing pain or aching. In some cases, the tooth may be completely asymptomatic and the damage may be found by chance on an X-ray.
Root canal treatment has a bad reputation, mainly because it is often performed on an emergency basis on an acutely aching tooth. Infection makes the anaesthetic less effective. With the right anaesthetic, tooth after tooth can be numbed and the root canal treatment is completely painless. In some cases, anaesthesia is not even necessary. Root canal treatment usually requires several visits. The root canal treatment involves cleaning and disinfecting the core cavity of the tooth. Finally, the root canals are filled with root filling. More complex root canal treatments are often carried out under high magnification with an operating microscope by a specialist dentist or a dentist who is familiar with its use. If the tooth has already been root canaled, in some cases a re-root canal may be considered.
A root-treated tooth is always weaker than a pristine tooth. This is why a ceramic filling or crown is often recommended for a root canal treated tooth to prevent the tooth from chipping or cracking.
Gum disease treatment
Gingivitis is a common condition in adults that manifests itself as bleeding gums, for example when brushing your teeth. If left untreated, gingivitis can progress to a chronic inflammation of the tissues that hold teeth together, called periodontitis. Periodontitis can lead to tooth loss and plays a role in the treatment balance of conditions such as diabetes and rheumatism.
The key to treating gum disease is good home care, including regular brushing of your teeth in the morning and evening. In addition, the interdental spaces should be cleaned regularly, for example with interdental brushes or floss. During the appointment, bacterial plaque and its supporting factors, such as tartar and plaque build-up, are removed from the tooth surfaces. If necessary, antimicrobial therapy is used to support treatment. The aim of the treatment is to stop the progression of dental tissue loss and gingivitis. Smoking and general diseases such as diabetes affect the response to treatment and are risk factors for periodontal disease.
Advanced gum disease should be treated by a dentist and more severe cases by a specialist dentist. Dental implants are also highly susceptible to gum disease, or peri-implantitis, and should be treated by a dentist. Treatment of gum disease is carried out in collaboration between the oral hygienist, the dentist and, if necessary, a specialist dentist. Post-treatment maintenance care, i.e. cleaning visits and follow-up, is an important part of the overall management of periodontal disease.
Orthodontic treatment
Orthodontic treatment can improve the function of the bite and the appearance of the teeth at all ages. The reason for seeking orthodontic treatment may be, for example, a malocclusion, crowding of teeth or aesthetic problems. Orthodontic treatment can also be part of a broader bite rehabilitation, for example, correcting the position of the teeth before prosthetic treatment.
We offer a comprehensive range of orthodontic treatment options:
- Fixed orthodontic appliances
Fixed orthodontic appliances, or traditional braces, are suitable for larger tooth movements and more demanding bite corrections. They allow for controlled and precise tooth movement to achieve optimal bite. There are now many aesthetically unnoticeable options for fixed orthodontic treatment, such as tooth-colored ceramic brackets.
- Removable orthodontic appliances
Removable appliances are used especially in growing children to guide jaw growth and early treatment of malocclusions. They allow for gradual progression of treatment and support balanced jaw development.
- Clear aligner treatment
Clear aligner treatment is carried out using custom-made, transparent plastic aligners that move the teeth gradually according to a predetermined treatment plan. The aligners are discreet and removable, making them a convenient and comfortable option for everyday life. They are suitable for correcting individual misalignments as well as mild to moderate bite issues.
We use the most modern methods. Digital 3D planning enables precise pre-planning of treatment and visualization of the progress of treatment even before treatment begins. This makes treatment predictable, precise and individually tailored.
The mouth and teeth must be healthy before starting orthodontic treatment, and a good level of self-care is also a prerequisite for orthodontic treatment.
The duration of treatment is individual. Correcting the position of a single tooth can be successful in a few months, but more extensive treatment may require two to three years. The price of treatment is determined by the complexity and duration of the treatment.
During your consultation, your dentist will go over the different orthodontic treatment options, stages, duration, and provide you with a cost estimate. We also offer the option of paying in installments. Book an appointment here.
For orthodontic treatment of children and adolescents, as well as for more demanding bite problems, we recommend booking a consultation directly with an orthodontist.
Dental treatment under general anaesthesia
If dental treatment is frightening, it can also be done with sedative medication or under general anaesthesia, if the patient's health permits. Anaesthesia may also be an option if the patient has a particularly sensitive pharynx and dental treatment is therefore difficult. If you wish to have dental treatment under anaesthesia, please make an appointment for a dental consultation. Before treatment, a clinical and radiological examination will be carried out, and a treatment plan and cost estimate will be drawn up. Before the anaesthesia, you should not eat or drink for at least 6 hours. Your own medicines will be taken as prescribed by your doctor with a small drop of water. The necessary procedures will be done in one go and you will be discharged home after 1 to 2 hours of observation after waking up.
Sleep apnea
Treating sleep apnea typically involves lifestyle changes, such as weight loss, quitting smoking and increasing physical activity. If lifestyle changes aren’t enough, CPAP is the most effective treatment. In milder cases, a mouth guard can also be used to treat sleep apnea. The mouth guard is custom-made by a specialist dentist at the dental clinic.