When Dr Liliya Dodovska opened her dental clinic, Dent Leaders, in 2018, she wanted to create a space where professionalism and latest technologies meet with friendly attitude to all patients, big and small.
She has succeeded. Dent Leaders is a clinic when you can get full treatment, from prophylaxis to implants to advanced laser treatment by experienced and dedicated professionals. We meet Dr Dodovska and Dr Dayana Ilova to learn more on what makes Dent Leaders special.
What is specific when working with children?
Dr Dayana Ilova: Children are a very particular group of patients. They lack experience and are very emotional. They pick up very easily adults' negative attitudes, if they hear them talking about going to the dentist as something unpleasant and painful. This asks for specific approach from the dentist, one that is tailored to the particular child and their case. We begin with a friendly chat. Sometimes we tell a fairy tale so that we ease the little patients and make them more relaxed. We introduce them to the atmosphere, show them how we dress and what the dental office looks like. Most of them, especially ones over 3-4 years of age, are still scared. But there is a way to make every child feel more comfortable. You just need to know how.
Why caries in children should not be underestimated?
Dr Ilova: Sadly, the common notion is that deciduous teeth should not be treated as they will eventually fall. But caries is an infectious disease that can cause a lot of damage and pain if left untreated. When a child has only deciduous teeth, a caries will start to grow, cause pain and will eventually lead to swelling and, ultimately, abscess. In children who already have permanent teeth, an untreated caries on a deciduous tooth can infect it. Pulpitis of milk teeth can also cause an infection of the bone and the permanent tooth that is still hidden inside it. If this problem is neglected, the active infection on the decidous tooth can cause serious problems in the child's permanent teeth in the future. Early loss of milk teeth can also lead to orthodontic problems.
Many parents decide against taking their children to the dentist as they do not want to stress them. But there comes a moment when, after skipping so many prophylactic visits, they arrive with a grave problem. This makes things harder for both the patient and for us. The fact that deciduous teeth are not permanent does not mean that they should not be treated.
Dr Dodovska, you are the first dentist in Bulgaria to introduce in their work the low-level energy blue laser Fona Aquamarine. Why did you choose blue laser?
Dr Liliya Dodovska: When I was creating Dent Leaders I was positive that I wanted a laser in my practice. Lasers have a wide range of applications, like surgery and cosmetic procedures. In our practice we use them mainly in treatment and prophylaxis of periodontal conditions, which are very common in Bulgaria. We use low-level energy diode laser that is exclusively and only for treatment of soft tissues. When I was choosing what laser to buy, I was convinced by blue light laser with a wavelength of 445 nanometers. This wavelength allows contact-less work and makes the laser more sparing to the surrounding tissues, causing less pain. Consequently, the patient's post-surgery discomfort is significantly reduced.
Treatment is faster, more focused on the affected areas and comfortable for the patient. The result is a minimised thermal damage and increased efficiency.
At the moment this is the latest, most advanced and effective laser method for treatment of periodontal conditions.
What should we know if we have prostheses?
Dr Dodovska: Prostheses are a more affordable option for replacing missing teeth and the materials we use to make them are of excellent quality. But in the best case scenario prostheses can restore up to 60% of patient's chewing abilities. Constant care should be taken for the prostheses. They should be replaced regularly as even the best of materials will not last forever. It deforms with time, it collects microorganisms, it changes colour. The bone it is attached to also changes, loosing volume. Gradually, the prosthesis becomes unstable and even the best specialised glues cannot keep it properly in place.
When should we opt for implants?
Dr Dodovska: Young patients should consider implants by all means. Teeth function restoration with implants is more effective and reliable. Having implants feels as if you are still having your natural teeth. Of course, it is more expensive than prostheses, but when an implant has been placed properly it is a much more durable, and hence economically better, alternative.
Implants are also more sparing to the other teeth. Unlike prostheses, they can be placed between two perfectly healthy teeth without damaging these two "neighbours." Implants are always the better solution.
There is a caveat. Implants will work for years only when the patient takes proper care of them. When we place implants in the office, we do our best. After leaving the office it is the patient's responsibility to take good everyday care of their implants. Much too often we see patients who loose their implants due to lack of basic hygiene, and then blame the implant for that.
Having a healthy smile at an optimised cost is possible only when prophylaxis is a priority. It is the most important factor. A visit to the dentist each 6 months can save a lot of problems and money.
This is also true for children. When they learn from an early age how dentists and their offices looks, what they do and that they are not scary at all, they will become adults who are responsible to their own health. This is where parents play the most important role: they have to teach their children, including by personal example, that they should take timely care of their dental health.
Sofia, 163 A Zaychar ST
Mon-Fri: 9 am – 8 pm
phone: +359 877 349 964