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Aesthetics x bite balance + prevention

The Toranomon Dental Practice (TTDP) is a dental clinic offering personal care, with a reservation-only system and a completely private space where you can receive any treatment you require. The clinic Director is personally in charge of both treatment and check-ups, and the clinic only takes a few patients a day.

Every individual is different, but insurance-based treatments require the same examinations and treatment to be carried out for any given symptoms, and treatment to be completed in the shortest possible time, making it difficult to carry out appropriate examinations and treatments suited to the situation and needs of each individual.

Because we can offer whatever treatment is appropriate, we provide
- time-consuming treatments extending to the finer details, which can make a big difference later
- the examinations needed for your symptoms
- treatment tailor-made for you
- preventative care suited to you

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Our clinic will change the image and the conception you have had of dentists until now, with state-of-the-art, tailored and gentle treatments, and service with the sort of attention to detail that only women can provide. Please give us a try.

Dental treatment is about to go through a major period of change.
It is a good opportunity to rethink how you interact with your dentist, and your perception and value criteria about the inside of your mouth and your teeth.
Boost your perception of your teeth and their value, be clear-sighted in choosing your dentist, and raise your dental knowledge level.
In doing this you will not only attain the beauty and confidence that comes from world-leading standards of dental knowledge, but also receive treatment you are happy with and which leaves you without regrets,
and enables you to experience the major benefits your teeth can bring to your life.
To help you with this, we are disseminating accurate information about teeth and their importance, and we want you to receive the examinations you need, and treatment that suits you.

 

We are the clinic for people who are have serious concerns about their teeth, for people who are really hoping to make a change,
and for people who are afraid of going to the dentist!

The Toranomon Dental Practice
Clinic Director, Hiroko Nagasaka

Treatment in an environment where total privacy is maintained

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All treatment at Toranomon Dental Practice is reservation-only, unrestricted treatment.

Your first session consists of listening to your needs and counselling with a focus on dialogue, CT scans, an oral inspection and photography, so no treatment takes place during this first visit (apart from any emergency treatment needed to relieve pain etc.)

First session ¥ 9,000 + tax, 90 minutes

We hold a discussion with you in a time and a space dedicated entirely to you, and we allow plenty of time for questions and explanations.
We would love you to experience the detailed level of service you only get with a female clinic Director, and our comfortable space.

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All treatments are aesthetic

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Whatever the treatment, we treat you to look good as a matter of course.
When we carry out treatments we manage your gums to make your teeth look better, and we consider the overall balance, including your lips and facial muscles.

We work directly with a specialist dental technician to make ceramic caps, zirconia crowns and laminate veneers, paying great attention to detail, so that we can achieve a more natural beauty, and create the teeth patients are looking for.Our aim is natural beauty rather than artificial beauty, and a high level of precision.

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In cases of tooth decay, missing teeth, or silver fillings, we use the direct bonding dental technique to minimise the loss of tooth material as far as possible! This bonding technique requires a rubber dam for moisture control, and uses durable user-friendly materials. This treatment takes skill, so the result is long-lasting beauty.

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Partial orthodontics
If a tooth is just slightly wobbly or misaligned and there is no problem with the bone structure, we can improve the look and recover the bite function by simply returning the affected tooth to its correct position, without any need for major orthodontic work or filing down the tooth. Our clinic uses mini ceramic brackets and white aesthetic wires to match the colour of each individual patient’s teeth and be as unnoticeable as possible.

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We use white aesthetic wire
http://www.tpoj.co.jp/invu.html

For orthodontics using Invisalign mouthpieces and associated treatment, and for correction of tongue position, we will introduce you to a trusted specialist with whom we have an arrangement. If requested, we will also attend the sessions.

 

Close relationships with dental technicians

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Crowns (made of ceramic and zirconium) that are beautiful and maintain their function are perfected through close relationships with dental technicians who understand aesthetics (looks) and bite balance (function), as well as having strong technical abilities.

We manufacture them with a view to quite detailed considerations including the part that will touch the gums, the shape of the gap between teeth, the angle of the teeth as the bite closes, etc.

We take great pains to polish the surface of our crowns to a perfect high shine, and because we make them carefully to suit each individual patient, plaque builds up less easily in places where food tends to get trapped, but tends to come off instead.
The teeth are easy to brush, and resistant to gum disease, making regular cleaning quick and easy. These are the characteristics created by our clinic’s highly trustworthy dental technician.

We also share with the technician the data from our jaw function examination (which produces pictures of and quantifies the movements of the jaw and the shapes and angles of the surfaces where the teeth meet), so that the crowns are made on the basis of detailed data, enabling them to be completed to a higher degree of accuracy.

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Measurement with a jaw function examination machine
(ARCUS Digma II)

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Data are shared with the technician,
who uses the measurements
to recreate the teeth on an articulator

Predictive treatment that avoids recurrences

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Exposed to a variety of foods and bite forces In the harsh and ever-changing environment of the oral cavity, tooth crowns and fillings, and a well-balanced bite, do not normally retain their function for ten years without problems.

This is why we carry out our dental treatments in a thoroughly hygienic environment, ensure that insertions will not be knocked out, fall out or corrode, create a harmonious bite that fits the patient’s jaw movements, and regularly check our work.

We assess and predict future risks, and go the extra mile to ensure that these are considered in our treatment. We work to provide treatment that brings long-lasting stability, with no recurrence of problems.

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Facebow transfer
(measuring the correct position of the lower jaw)

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We use Kavo articulators

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CT scan analysis

To avoid any recurrence of problems, we always use a rubber dam, we protect neighboring teeth so that they are not damaged or dirtied, and we completely remove any plaque or excess cement before setting any implants

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Rubber dam moisture control

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Root canal treatment

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Neighboring teeth protected
with Teflon film

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Air abrasion
(removes impurities to improve adhesive power before attaching caps)

TTDP’s “Trinity” approach to preventative dentistry
「A new era with preventative care for the bite balance too」

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Oral cavity care, Bite balance care, Gum disease care
(Special cleaning & examination, Adjustment & laser treatment)

A Trinity of Preventative Care (TPC) for true preventative dentistry!

Prevention to avoid recurrence〜Prevention to avoid treatment

We aim to provide preventative dentistry for a new era.
If any element is missing, it is not real preventative dentistry.

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Trinity of Preventative Care
(TPC)

Most of the various problems people have in their mouths (pain when biting, tingling, wobbly teeth etc.) either arise from, or are exacerbated by, an unbalanced bite or a too powerful bite.
In an era without caries, if these bite-related risks are responded to in advance, healthy teeth can be retained to any age.

That is why we are now moving into an era of preventative care for the bite balance too

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Special cleaning set

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Articulators used to examine bite balance

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Carbon dioxide laser

More precise examination and data analysis

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More accurate diagnosis using 3-D analysis

We can choose the area to be photographed as necessary -
Teeth, root canals, gums, bone structure, wisdom teeth, implants, jaw joint, respiratory tract, orthodontic cephalogram etc.
We use ultra-low dose X-Ray photography to minimise effects on patients.

3D CT scan/ dental X-ray (6 images)/cephalogram/jaw function examination/bite examination

The data we obtain from our array of examination equipment is used in our treatments

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Implant simulation

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Jaw function examination (ARCUS Digma Ⅱ)

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Analysis of balance of bone structure, teeth and face using a cephalogram

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CT 3D analysis (seen from the jaw)

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Examination with articulators

Dental units that are easy on the body
Gentle treatment with little pain and discomfort
Low-invasive, metal-free

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Our dental unit, developed by the German company Kavo, has been ergonomically designed to put no strain on the body, with a comfortable snugness.
The water used during treatment is warmed slightly to minimise any pain.

Our treatments enable you to keep your teeth indefinitely and avoid removing the tooth nerves.

Free of metals and chemical stimulants
Because it’s inside your mouth that we are using them,
we only use safe and worry-free materials
We also supply non-chemical toothpaste.

Intravenous anaesthetic (intravenous tranquiliser) for stress-free, relaxed dental treatment

For people who want their teeth treated, but are worried or afraid about the treatment, or who want if possible to complete it in one session For people who want to undergo treatment in comfort without any unpleasant noises or pain, we offer a highly-effective and satisfying intravenous anaesthetic, allowing treatment to be completed while you sleep!

The facts about integrated (comprehensive) treatment

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↑The photograph above shows teeth with serious attrition. Even this degree of attrition can be treated without removing the tooth nerves. Attrition requires treatment covering both the aesthetics and the bite balance.

Integrated (comprehensive) treatment is treatment that does not involve major filing down of the teeth or removal of the nerve.
It means looking at the bone structure that forms the base for the teeth, and at the face as a whole,
and achieving a balance of looks (aesthetics) and bite balance (function).
That’s integrated comprehensive treatment!

We get everything ready first by correcting any distortions in the bone structure or misalignment in the bite, and easing any tension in the muscles, and then we start the detailed treatment of individual teeth.

This enables us to proceed with the the treatment of individual teeth (caries, root canal treatment, implants, orthodontic treatment, prosthetics such as caps etc.) while recovering functionality!
Our objective is treatment with long-lasting results both aesthetically and functionally.

For those who have already had a great deal of dental treatment or those whose teeth are affected by attrition or acid erosion, partial treatment is going to be unable to solve the underlying problem. You need integrated (comprehensive) treatment that addresses the bigger picture, which may involve the bone framework, jaw movement etc.

Importance of re-evaiation

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It is important to evaluate each step as we proceed, by making the treatment visible!

We need to do this to take responsibility for the treatment and to achieve long-term stability in the bite balance and beauty.
We review whether the position and movements of the jaw are correct, and their balance with the teeth.

Evaluation using various types of examination machine
See “More precise examination and data analysis”

The ultimate objectives of treatment are:
a. for patients to have a comfortable and smooth bite
b. for the jaw joint position to be within the ideal range
c. for the muscles to function in a relaxed way
d. for the back and front teeth to function in a well-balanced way
e. for the shape and colour of the teeth to enhance the face,
and achieve a beautiful balance with the lips

Before finalising the treatment we confirm and review all of a-e.
Continued assessment of function
and aesthetics remains important after treatment.

Caps that break or fall off within 1-2 years after treatment are evidence that the post-treatment review has not been done properly.
In other words, there was a problem in the position of the jaw and teeth after treatment
If harmony has been achieved between the jaw movements, the teeth and the muscles, caps will not easily break or fall off in 1-2 years.

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