Where quality matters most, we invest in high-grade materials – without charging astronomical fees.
To be the best dentist in Manila we need the best dental materials and -instruments.
The best way to describe the need for high-quality bracket systems like Foretadent is by comparing the adjustment forces with geological forces such as when two tectonic plates are scratching against each other along an earthquake-prone fault line. In that case, tension continuously builds up when two bodies press against each other and because there’s no room to move and the surfaces are rough and can’t just slide along each other smoothly, tension builds up and results in tremors and earthquakes.
In orthodontics, the principle is the same: you want a wire that slides along the brackets without any friction and micro-buildups of tension. The smoother the surfaces of these tiny brackets are, the easier the wire can slide along and the less discomfort, pressure or even pain you experience during treatment. It’s like a geological phenomenon but on a micro scale – but just like buildings are ‘sensitive’ to strong tremors, your nerves are susceptive to micro-tensions and forces. In Orthodontics, Dr. Mendoza has seen it all and would not recommend saving on low-cost braces if pain is something that matters to you (which obviously matters to most people).
Together with a good bracket system, no matter if it’s one where you have to come in every 3 weeks for adjustments, or a so-called ‘Self-Ligating’ system, better quality braces are accompanied by quality bonding techniques and thus no white discolorations when the brackets are removed.
If you are a person who doesn’t like the look of metal braces (in Asia many people actually like their appearance with metal braces), you can invest in clear ceramic braces. Here it is even more important to know your materials because many dentists (here) will use low-grade composite brackets and sell them as clear ceramic ones, which are a high-end product. Hopefully we don’t give a dentist a bad idea here, but it’s more important that patients are educated about this problem.
Composite brackets break easier, get deformed easier, take up odors and stain. Avoid them!
Heraeus Charisma is our superior tooth filling material for anterior teeth or even for surfaces of molars.
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It’s important to know that due to its high ceramic filler content it takes a little longer to reduce the material or polish it into final surface-smoothness. But on the other hand, you’ll have a much longer-lasting, more bite-force resistant tooth filling.
Another factor for choosing Heraeus is its relatively low polymerization shrinkage. The benefit is if your composites don’t shrink so much over time (which every composite does when their polymer bonds break down after some time), you’ll have smaller gaps forming between tooth and restoration, and thus less leakage of bacteria and acids will occur through these gaps. Arguably, there are dentists who like placing little ‘time bombs’ in your fillings because they think that it will provide them with future work, but as part of our “do it right”-philosophy, we look for long-lasting materials. We’re not that afraid of running out of work.
INJECTION / ANESTHESIA:
SEPTODONT, France – INIBSA, Spain – THE WAND, USA
With a shockingly high percentage of dentists in the Philippines who do not refrigerate their materials we stand out from the pack by doing something very basic. We keep our drugs cool according to the manufacturer’s specifications. Beyond that, we select high-quality materials and drugs to play safe on the potential-side-effects front.
Once, we helped 3M investigate a product forgery case when we noticed the wrong recommendations on the sticker: “Do not store below[!] 25°C!”. Some dental supplies stores were selling this product and after we have sent samples to the lab in Germany, only few suppliers are selling 3M products.
The dental community will get the materials it deserves, and when nobody reads any information, things are getting pretty shady. This is our suggestion for our colleagues: pay attention to what you actually use on your patients and don’t be afraid to file PDA, FDA or other complaints.
Cross-contamination or cross-infection is the single most important thing to avoid in a medical environment. It is true that in the Philippines, cross-infection control is usually better in dental offices than in restaurants (where it can really make sense to bring your own cutlery if you don’t always want to share the newest and latest in epidemics). But in restaurants you don’t perform surgeries.
We use a complete set of Swiss-made cleaning agents that basically divides up the task logically into 1) surfaces 2) saliva and 3) blood. Surface disinfection is done with a spray bottle of an agent that disinfects more effective than alcohol; the cuspidor, tubes, and regular instruments are disinfected with a solution that is designed especially to break down and deactivate the stuff that dwells in saliva; and lastly, after a surgical procedure or any procedure with some amounts of bleeding, we bathe our instruments in a special liquid that deactivates blood-borne pathogens.
After this added safety procedure is done, we wash and autoclave our instruments.
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