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CAD-CAM (Computer-Aided Design and Computer-Aided Manufacturing) is a computer software used to both designing prototypes and manufacturing products. In dentistry, CAD-CAM System is a modern solution to create dental restorations like crowns, bridges, veneers, inlays and onlays, dentures, and dental implants.
In general terms, this systems works with a two-software technology. CAM software uses the patterns created in CAD software to generate tool paths that drive the machines that transform the models into physical parts. In this case, it is about a milling machine operated by a CNC (Computer Numeric Control) turning center.
Once the dentist takes an impression of the patient’s teeth with the help of a dental putty, this is scanned in a dental laboratory to create a digital impression that is sent to the milling machine where the restoration is carved out from solid blocks of ceramic, composite resins, or even metal alloys.
More than 30 years of CAD-CAM System experience support this simply, quickly and affordable technology that was initially used only in dental laboratories, but nowadays the chairside use of CAD-CAM has increased significantly.
There are conventional and digital 2D and 3D dental panoramic X-ray machines, whose models vary according to the manufacturer brand. All panoramic tomography systems provide an overview of both jaws, show missing teeth and sites where there may be inflammation, what allows versatile diagnostic possibilities for general medicine and for orthodontics.
In America Dental we have a Panoramic and Cephalometric X-Ray machine, model Veraviewpocs 3D F40 by Morita Equipments, thanks to our partnership with Digident, which offers views with class-leading clarity, perfect for endodontics, periodontics, and general dentistry.
X-ray machines like Morita Veraviewpocs 3D use a flat panel detector (FPD) to convert the pattern of strong and weak X-rays into a digital signal, offering a wide dynamic range without image distortion or influence from electromagnetic fields. Finally, high definition 3D images are displayed to plot key points for cephalometric measurements.
In implantology, X-ray machines provide an overview of the patient’s health status in the oral and jaw area to guide the implant into an ideal location. The vital nerves, arteries, sinuses and bone depressions are at the deepest part of bone, so X-ray images guarantee safety and predictability to the procedure.
The American Dental Association (ADA) encourage dentists and patients to discuss dental treatment recommendations using X-ray images to make informed decisions together, and guarantees that radiation exposure associated with dentistry represents a minor contribution to the total exposure from all sources, including natural and man-made.
A sterilization process of reusable dental instruments and devices is essential to an efficient and effective infection control for the safety of patients. Needles, blades, orthodontic wires and glass are single-use sharp instruments, but there are a lot of reusable instruments for productivity reasons.
Once the dental healthcare professional makes sure that all the reusable instruments have gone through a deep cleaning, they are safely transported to the sterilization area all dental offices must have.
There are three types of mechanical sterilization equipment for dental offices. Widely used for decades in hospitals, instrument washers are one the most common devices for sterilization, which use high-speed hot water and a detergent to clean instruments.
Thermal disinfectors may look like the instrument washers but the high temperature of the water and chemical additives clean and disinfect at the same time, and instruments can be more safely handled.
A sterilization equipment that has become very popular is the ultrasonic cleaner, by oscillating bubbles to remove debris from the instruments using sound waves, which are safely outside of the human hearing range.
Scrubbing the instruments with a surfactant or detergent and water is a manual way to remove debris, however, the use of automated equipment like instrument washers, thermal disinfector, and ultrasonic cleaners increase productivity, improve cleaning effectiveness, and decrease work exposure to blood and body fluids.
When it comes to surgeries to treat diseases, injuries and defects in jaws and face we talk about maxillofacial surgery, although this speciality in dentistry, as it is recognized in the United States, is officially known as Oral and Maxillofacial surgery, and its field of action is wider.
The instruments developed by manufacturer brands are used in a wide range of endoscopic, minimally invasive interventions related to maxillofacial surgeries, especially when it comes to maxillary sinus surgery and implantology.
Straight elevators and angular elevators are one of the main instruments in maxillofacial surgeries, used to loosen tooth or root from bony socket prior to placement of tooth and root extraction forceps. Angled and straight root tip picks loosen small root fragments from bony socket.
On the other hand, periosteal elevators detaches the periosteum from bone following an incision, as well as gingival tissues from around the neck of the tooth prior to placement of extraction forceps in most surgical procedures like extractions, gingivoplasty, alveoplasty, and cyst removal. Double ended angular and molt surgical curettes remove tissue or debris from bony sockets.
Hemostats are used to securely hold small items, clamp blood vessels, and remove small pieces of tooth or bone. Needle holders hold suture needle. Scalpels are surgical knifes that cut soft tissues, while scalpel blade removers are used to safely remove blade from scalpel handle.
Rongeurs cut and contour bone, removes sharp edges of alveolar crest after extractions for better contour of alveolar ridge, and remove exostoses, as well as bone chisel and mallet does.
Tissue scissors cut and remove excess or diseased soft tissue, and also cut sutures after knots are tied during suture placement. Towel clamps are used to secure surgical drapes and to secure plastic and rubber tubing to drapes. Tissue retractors deflect and retract the periosteum from bone following an incision.
Mouth props keep mouth open with extensive procedures, sedated or disabled patients. Surgical aspirating tips serve to maintain a clear working field by removing saliva, blood and debris.
Tissue pliers and tissue forceps grasp and stabilize soft tissue flaps during suturing and reconstructive procedures such as gingival grafting. Extraction forceps remove teeth from bony socket.
Surgical handpiece places implants, remove bone, and section teeth. Endosseous implant fixtures provide a root form for replacement of missing teeth. Surgical implant site preparation kit removes and shapes bone for placement of implant fixtures. Implant wrench places implant screw or healing abutment on implant fixture.
The exposition of molecular mechanisms of ozone benefits practical function in dental treatments. Ozone therapy follow minimally invasive and conservative application that lessens the treatment time and eradicates the bacterial count.
Ozone activates cellular and immune system, enhances blood flow, eliminates pathogens, increases circulation, kills 99% of bacteria in cavities, and can whiten discoloured cavities. Ozone therapy is excellent for nervous and anxious patients. Furthermore, it reduces inflammation and pain sensation.
In America Dental we have a high technology ozone equipment ideal for ozone applications that require a different air source than ambient air. Our 1000BT-12 ozone generator for laboratory by Enaly is fed with pure oxygen from an oxygen tank or an oxygen concentrator.
This ozone equipment uses high output corona discharge ozone tube, together with a high flow ball bearing cooling fan (48 CFM) to ensure steady and high ozone output (up to 1000mg/hr by oxygen). The ozone output regulating dial allows precise ozone output adjustments (0-100%).
The International Academy of Oral Medicine and Toxicology (IAOMT) explains how ozone therapy works. When introduce into the living system, oxygen/ozone creates what is called a “transient oxidative burst”. The infective microorganisms have no natural defenses against the reaction, and, as a result, are overstressed and die. Thus, ozone disinfects the area treated, both safely and effectively.
By placing ozone directly into infected gum pockets, periodontal disease can be arrested without the use of pharmaceutical drugs and associated side effects. Tooth decay and caries can also be arrested almost immediately upon proper exposure to ozone therapy because it sterilizes all aspects of the tooth, even into the smallest canals and tubules.
Treatments with our ozone equipment are totally painless and increase the patients’ tolerability and fulfilment with minimal adverse effects. It does not damage human body cells because of their major antioxidative ability. Ozone is very efficient in antibiotics resistant strains.
For dental surgeries more than surgical instruments are needed. Dental chairs, air compressors, suction units, X-ray equipment and generators, vacuum autoclaves, sterilization equipment, water distillers, curing lights, endodontic motors, dental implant surgical motors, dental handpieces, ultrasonic scalers, capsule mixing units, apex locators, and handpiece oilers are the main surgical equipments that all professionals need to provide dental treatment.
No one relishes the idea of surgery; however, America Dental shares some facts everybody should know prior to an upcoming procedure. Tooth extractions, restorations, dental implants, impacted wisdom teeth, removal of amalgam, sinus lift, biopsies, and jaw related injuries and diseases are some of the most common types of dental surgeries.
When it comes to specific instruments needed for dental procedures, surgical equipment includes a wide variety of tools sorted out according to their use. Dental explorers, straight probes, periodontal probes, and mirrors are needed for examination stage.
There are different kind of retractors like mouth prop, cheek retractor, tongue retractor and lip retractor. For restorative purposes exists a variety of excavators like spoon excavator, half hollenbach, and chisels.
Extraction stage requires the use of a wide variety of elevators and dental forceps. We must also take into account the use of curettes, pluggers, burnishers, dental laser, dental torque wrenches, dental burs, and a variety of orthodontic, endodontic and prosthodontic instruments.