Why Sanz Pancko Dental is a great option if you are looking for an English Speaking Dentist in Barcelona?
Sanz Pancko Dental owners are Dentists, and dental care is our priority and obsession on top of the profit that we can make.
Our team consists in the best trained dental specialists achieving their specialty degrees in the most recognized universities.
We have English Speaking Dentists.
The initial appointment is free of charge, allowing you to meet the team and the facilities before deciding to start the treatment with us.
Competitive prices considering the quality of the materials used and the level of our dentists.
We can adapt the dental treatment cost payment in different installments depending on your needs and constraints.
Reimbursement Insurance Plans are accepted however we recommend that you check with your individual insurance provider to determine your coverage amount before coming to your dental appointment with us.
The excellent reviews from our patients and the fact that they recommend Sanz Pancko Dental as a great English speaking dentist in Barcelona confirm that this is the way forward.
Dental malposition problems are very common, with more than 20% of the population with some shift in their bite. According to the diagnosis made, our orthodontist will develop a treatment plan for your needs.
At Clínica Dental Barcelona we use the latest technologies for you to enjoy the best of smiles.
Besides traditional metal braces, we also have:
Ceramic brackets: Being the same color as the tooth, they go more unnoticed. The ceramic material holds color during treatment, favoring its aesthetics and discretion.
Tongue brackets: Both the bracket and the wire are hidden on the inner side of the teeth, thus increasing aesthetics and discretion.
Invisalign: No brackets or wires, we use transparent invisible braces to correct the alignment of teeth. Our most discreet technique.
Prosthesis / Teeth adapted to the needs of the patient.
Dental prosthesis
Teeth are lost by various causes, either by decay, gum disease, wear, or trauma.
Its loss has several consequences:
The bone where teeth were housed tends to be reabsorbed.
The teeth neighboring the lost tooth usually move towards the empty space. Alterations in the position of the teeth can cause damage to the jaw joint.
When neighboring teeth move, they are no longer in contact with each other and food accumulates in these parts, thus causing decay in these pieces, or gum inflammation.
Lacking pieces increase the work of the existing ones.
Therefore their replacement by prosthesis is very important.
The prostheses may be unitary (replace a single tooth), partial (replace several teeth), or complete (all teeth).
Besides, prostheses can be:
Removable: skeletal, partial and complete prostheses.
Fixed: the patient cannot remove it: it rests on the remaining teeth (bridges) or on implants
Types of prostheses on implants
There are several ways to replace missing teeth with implants; these implants can be removed by the dentist, but are fixed for the patient.
Unit caps: When only one tooth is missing, the implant replaces the root, placing a metal-ceramic cap on it.
Bridge on implant: In order to replace a section of multiple teeth, fewer implants are placed, joining them with a metal-ceramic (several caps together) or zirconium (more aesthetic) bridge.
Full-arch prosthesis: When all teeth are missing in one arch or in both. The treatment to be performed is a bit more complex because one must replace a number of functional and aesthetic determinants which allow recovering the normal look in a toothless person. Depending on the case, three types of prostheses may rehabilitate the patient:
Ceramic metal o ceromers prostheses: They are used in cases that do not require major lip support.
A hybrid prosthesis is composed of a metal structure as a “soul or skeleton” on which teeth and resin gum will be placed. This type of prosthesis is particularly appropriate when there is resorption of the maxilla or jaw, and it is necessary to give support to the lip. It is also indicated to prevent teeth from looking too long.
Overdentures: They are indicated for those cases when bone atrophy is so important that its replacement does not allow the proper hygiene of the prosthesis. We will use it as well when the number of implants placed will not allow any other solution. This type of prosthesis, unlike previous ones, is removable, and serves to replace all or nearly all the teeth in an arch. Two to 4 implants are placed, and a casting bar is placed on them to help hold the resin denture. At other times, instead of a metal bar, an anchor (attachment) is placed individually on each implant to hold the denture.
Methods of manufacturing the prosthesis on implants
The metal structures that are placed on the implants and which support prostheses are crucial to ensuring their long-term outcome. Structures have to rest on the implants without transmitting stress to them. In order to achieve this goal we are applying CAD / CAM (computer assisted design / computer assisted manufacturing) technologies, allowing us to design and produce the structures with computers, thus securing adjustments that are measured in microns.
Immediate load or teeth-in-one-day
The development of the knowledge in implantology has allowed that, at present, in a lot of unitary and multiple cases, it is possible to place immediate prostheses, in the same day of the intervention. This has obvious advantages for the patient’s comfort, avoiding in this way to go through a period of functional disability and cosmetic problems, thereby achieving high level results.
Occlusion – Bruxism
Improve your rest
Non invasive solutions
If you wake up with a headache, diffuse facial pain or tooth sensitivity you could be one of the large group of people who clench their teeth at night.
Since this phenomenon usually occurs in the hours of sleep most people are unaware of this disorder (called bruxism).
Bruxism can cause problems either directly or indirectly. The teeth can ache and even be mobile. Bruxing people wear their teeth laterally producing flat surfaces and unsupported enamel areas, which can be fractured easily.
There are many emotional and physical factors that contribute to developing this neuromuscular activity. Some of these factors are stress, sleep disorders, unstable bites, dental malpositions, or absence of teeth.
The goal of conservative dentistry is to repair teeth damaged by decay, fractures, trauma, or erosions in all its phases through reconstruction. The treatment is based on the removal of the affected tissue and subsequent reconstruction.
Decay
Decay is a destructive process of the tooth. It doesn’t show symptoms initially, but as it progresses and approaches the nerve, causes sensitivity to cold, later to heat also, and it ends up becoming an actual pain. If the nerve has not been affected, appropriate treatment is filling or reconstruction, depending on the extent of tooth decay.
Root canal therapy
Root canal therapy consists of extracting the nerve (pulp) from the teeth.
The most common reason that causes the need for a root canal is tooth decay, although there may be others such as dental trauma, severe wear, or periodontal infections.
The nerve inflammation (pulpitis) causes pain. If we do not stop the process, the nerve dies and subsequently becomes infected, and the infection reaches also the ligament and bone surrounding the tooth (apical periodontitis).
We perform the whole procedure, from diagnosis to resolution.
With our skills we reduce the number of visits to the clinic.
We minimize postprocedural discomfort.
You will feel in the hands of the best professionals.
Implants
Dental implants are titanium pieces that are placed into the bone with a screw inside, as to fix the pillar that will support the future tooth. They provide a permanent solution to tooth loss; new teeth look and feel like one’s own teeth. Improved self-image, speech, comfort, and ease of eating, compared to other measures such as complete dentures (false).
Advantages of Dental implants
The dental implant replaces the tooth root.
We do not overload or debase (carve) the neighboring teeth in order to place the missing piece (main disadvantage of bridges on natural teeth).
We avoid the teeth of the same arch to “migrate” and bow on the empty tooth space.
We avoid the teeth of the opposing arch to be above the level, and get directed towards the hole.
Depending on the protocol used, the tooth may be placed on this implant at different timepoints, as indicated by the case:
Immediate loading or teeth-in-one-day: the teeth are placed on the same day as the implants.
Delayed load: three to six months, depending on the protocols.
Minimally invasive implant surgery guided by TAC (Nobel Guide)
Discover advances like minimally invasive guided surgery and “teeth-in-one-day”
This new method involves the placement of multiple implants with a minimally invasive technique in a very short time. Thanks to new computer and radiological technologies we can visualize perfectly the maxilla and plan the placement of implants with increased safety and accuracy.
The implants are placed without suturing the gingiva. With this technique we reduce inflammation, and we get that the total time from the start of inserting the implants to the placement of permanent teeth is one hour. The placement of prostheses and implants is performed in the same session, thus reducing significantly the number of visits.
Immediate load or teeth-in-one-day
The evolution of knowledge in implantology has allowed placing immediate prostheses (teeth) the very same day of intervention in many cases. This has obvious advantages for the patient’s comfort.
Maxillofacial surgery
Maxillofacial surgery is the specialty that deals with diagnosis and surgical correction of disorders or diseases of the mouth, jaws, face and neck, correction of dentofacial deformities and reconstruction of the jaws, whether for prosthetic, traumatic, or aesthetic reasons.
Orthognatic surgery
Orthognatic surgery is an interdisciplinary science in which the orthodontist and oral surgeon work together and correct major defects which affect bone and tooth position in the jaw.
In order to have a beautiful smile the aspect of the gums are just as important as the teeth. Although someone can have beautiful teeth, the smile may not appear attractive due to the alteration in the form or contours of the gums.
The aspect of the gum can look deteriorated due to:
Gingival asymmetry: Asymmetrical smiles can occur due to asymmetrical gingival heights or uneven tooth shapes. This lack of harmony can be corrected with orthodontic treatment, porcelain veneers ,with a procedure called crown Lengthening or through a combination of these treatments.
Periodontitis can cause:
Separation of teeth or the fanning out of the upper front teeth.
Or loss of gum tissue between teeth which leads to the appearance of a unaesthetic black triangles.
Gum Recession: the recession of gums can be cause by aggressive brushing techniques, orthodontic treatment, periodontal disease or by periodontal treatment . Recession of the gums make the teeth look larger, creates gingival asymmetries, causes the root of the tooth to become exposed which causes tooth sensitivity, increased incidence of cavities and is an area which is much more yellow in color.
Gummy smile: a harmonious smile to all of the teeth and only 0,5-1,5mm of gun tissue. In some cases patients show much more gum tissue than they should.A gummy smile can be caused by a defect in tooth eruption (altered passive eruption)or medicine that causes the gums to grow in a uncontrolled way or gum inflammation by using improper brushing techniques, orthodontic treatment or mouth breathing.
Missing teeth and loss of gum surrounding the tooth. Gum tissue has a characteristic scalloped appearance and volume that is in harmony with the crown of the tooth. When a tooth is extracted, over half of the volume of the bone and gum that surrounds.The tooth is lost in less than one year. This loss in volume destroys the aesthetic symmetry and natural beauty of the smile.
The treatment of gingival aesthetics is done using regenerative techniques (addition) or resective techniques (elimination).In order to treat a case where there is a gingival excess, it is necessary to do a procedure called crown lengthening in which the gingivae is reshaped and gently removed in order to create a harmonious symmetrical smile. In order to treat gum asymmetry or gum recession, it is necessary to use soft tissue grafts. Not all cases will benefit from this type of treatment. Therefore it is necessary to do an exhaustive study of the case and know what the objectives of treatment are.
Periodontics is a dental specialty dedicated to the health of gums and the surrounding tissues.
The periodontium refers to the structures that support the teeth, that being the periodontal ligament bone and gums. Healthy Gums that surround the teeth allow the mouth to do is function. Completely healthy gums are characterized by being coral pink in color, covers completely the root of the tooth, and does not bleed with brushing .
Inflamed gums or painful gums can indicate the presence of gum disease such as gingivitis or periodontitis. Both are caused by the accumulation of bacterial plaque in the area where the gum meets the tooth.
Bacterial plaque is formed when bacteria accumulates due to a poor brushing technique. With time, bacteria and saliva form deposits or calculus. Bacterial plaque is the principal cause of the gum disease. Other factors include tobacco, genes, heart disease, arthritis, Diabetes, Stress, Certain medicines, Poor nutrition, And obesity.
Gingivitis is the inflammation and bleeding of the gums where the bone has not yet been affected.
Periodontitis occurs when there is a loss of bone and gum that supports the teeth . It occurs in 50 % of the population older then 30 years old. If it is not treated in time, it could lead to the loss of teeth.
COMMON SIGNS AND SYMPTOMS OF PERIODONTAL DISEASE
Teeth mobility: when there is a great deal of bone loss, teeth begin to move and can be lost.
Inflamed and red gingiva: It is one of the most frequent signs of periodontal disease.
Bleeding gums: Inflamed gums bleed. Food, toothbrush or dental floss touching the gum tissue may activate the bleeding of gums.
Sensitive teeth: periodontal disease may expose the roots causing sensitive teeth.
Swelling of the gums: The areas of the gums with the greatest amount of periodontal disease can become infected in a severe way leading to the development of buccalswellings in the mouth. The swellings of the gums always occur in the molar area. These swellings are always very painful and require urgent treatment
Painful gums. In general,periodontal disease does not hurt but there is one type of periodontal disease which is called necrotizing gingivitis which is extremely painful and causes abundant bleeding of the gums.
Bad taste in the mouth or bad breath. Bad breath can result from eating certain types of food, from the teeth or from the gums, but is normally associated with the bacteria that live in the back part of the tongue.
Gum recession causing teeth to look larger. It occurs due to the loss of bone that supports the gum and normally is associated with an increase in dental sensitivity.
Opening up spaces between the teeth or loss of gum tissue between teeth. This normally occurs in the upper front teeth leading to the appearance of unaesthetic Spaces That appears as black triangles..
Black or green stains where the tooth meets the gums. It is plaque or calculus that always accumulates in this area.
In order to determine the diagnosis of periodontal disease it is necessary to perform an exhaustive evaluation of Each case. The American Academy of periodontics recommends exploring a series of parameters in order to establish a precise diagnosis.
Dr Sanz is the dental clinic’s specialist in periodontics and as an active member of the American Academy of a Periodontics. He treats his periodontal patients by following the guidelines set forth by this association. In order to accurately evaluate a patients periodontal status, it is necessary to look at the teeth, the quantity and quality of bacterial plaque, the gums, the bite, bone structure and risk factors. For that it is necessary to have:
Radiographs: radiographic series
Periodontogram or diagnostic probing
Plaque and gingival index
Periodontal treatment has various phases:
Oral hygiene instruction in which the patient learns to correctly brush and care for their teeth. Using a correct brushing technique, patients are able to control the accumulation of bacterial plaque.
Scaling and root planing by quadrants. It consists of the mechanical removal of bacterial plaque and deposits. The objective of quadrant root planing and scaling is to reduce gingival inflammation. It is done in various sessions.
Periodontal surgery or gum surgery. Its objective is to reduce the amount of bacterial plaque, to improve hygiene and to regenerate supporting tissues using biomaterials.
Invisalign orthodontics is an alternative to conventional treatment which allows teeth to be straightened without the use of brackets. It consists of a series of practically invisible removable trays which are changed every two weeks in order to slowly straighten teeth.
There exist many systems of clear trays to straighten teeth in the market. However the system of invisalign that we use in our clinic in Barcelona is the original and most predictable system available in the market. Already invisalign has treated more than 1.9 million cases in the world. In order to offer this Invisalign ® system, the orthodontist is required to take a certified program and continuing education courses in order to offer the Invisalign ® System. All of our invisible orthodontic treatments come with a certificate from invisalign to guarantee the use of the system. (http://www.invisalign.es).
Esthetic Orthodontics
Ortodoncia estética y/o rápida con brackets estéticos y/o brackets autoligables. Los brackets transparentes o brackets de zafiro nos dan la estética siempre deseada en un tratamiento de ortodoncia. La tecnología con brackets autoligables nos permite el desplazamiento de los dientes más rápidamente y con menos ajustes. Uno de los sistemas autoligables utilizados en la clínica es la ortodoncia Damon® mediante el uso de brackets Damon® (http://www.damonbraces.es)
Dental fillings and aesthetic Reconstructions/ Composite veneers.
We use the highest nanotechnology Tetric EvoCeram®. It forms an esthetic fillings made by a universal composite, light curable and nanohybrid in order to create high-quality fillings in the front and the back of the mouth. (www.ivoclarvivadent.es)
For the aesthetic dental crowns, we use zirconium crowns. They are made with ceramic biocompatible materials that can be safely used in the mouth. Since zirconium crowns are highly transparent, they can be stained to completely match adjacent teeth. This allows us to create completely natural, balanced and sthetic tooth. Due to the complete clear color of zirconium crowns, the black shadow seen in metal-ceramic crowns at the gingival margin due to recesion is avoided.
The technology of dental cad cam allows for the fabrication of zirconium prosthetics where the prosthetic preparations are scanned, processed and made by a computerized mechanical process.
According to the necessity of the cases two systems of cad-cam Used in the clinic are:
Porcelain veneers are restorations that cover the front part of a tooth in order to change its shape or color. It is typically used in the front part of the mouth in order to create an aestheticically perfect smile. Porcelain veneers are personalized treatments which are created specifically for each patient by prosthetic laboratories. The human and artistic factor is key to achieve a natural smile, for these reasons we colaborate with prestigious and experienced lab prosthodontic technicians.
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Gingival asymmetry: Asymmetrical smiles can occur due to asymmetrical gingival heights or uneven tooth shapes. This lack of harmony can be corrected with orthodontic treatment, porcelain veneers ,with a procedure called crown Lengthening or through a combination of these treatments.
Periodontitis can cause:
Gum Recession: the recession of gums can be cause by aggressive brushing techniques, orthodontic treatment, periodontal disease or by periodontal treatment . Recession of the gums make the teeth look larger, creates gingival asymmetries, causes the root of the tooth to become exposed which causes tooth sensitivity, increased incidence of cavities and is an area which is much more yellow in color.
Gummy smile: a harmonious smile to all of the teeth and only 0,5-1,5mm of gun tissue. In some cases patients show much more gum tissue than they should.A gummy smile can be caused by a defect in tooth eruption (altered passive eruption)or medicine that causes the gums to grow in a uncontrolled way or gum inflammation by using improper brushing techniques, orthodontic treatment or mouth breathing.
Missing teeth and loss of gum surrounding the tooth. Gum tissue has a characteristic scalloped appearance and volume that is in harmony with the crown of the tooth. When a tooth is extracted, over half of the volume of the bone and gum that surrounds.The tooth is lost in less than one year. This loss in volume destroys the aesthetic symmetry and natural beauty of the smile.
