At Klinica Perio Implantológica Rainha D. Leonor, hygiene and sterilisation are extremely demanding and are in accordance with the latest European standards, in order to protect our patients.


Your safety is guaranteed through the following points:


- The Clinic has implemented a strict Hygiene Plan, with daily Control and Check Sheets.


- All the used cleaning and disinfection products are regularly subject to the most demanding quality and effectiveness control tests.


- The Clinic's hygiene and sterilisation is ensured by the application of disinfectants tested according to the European Disinfection Standards (AFNOR NF EN1276, AFNOR NF EN1040 and AFNOR NF EN 1275).


- The biodegradability of the used products is ensured, thus contributing to a continuous Environmental Preservation.



Interview Dr. Susana Perdigoto on Implantology

Chronicle DMT Modernity Disease

Article Oral Health in Children





Which are, in your opinion, the main innovations in the area of Implantology over the last few years?

There have been many innovations in the area of Implantology. In my opinion, the main innovations are related to the implants' surfaces which are responsible for a quicker osseointegration, the new implant designs with anti-rotational grooves and micro-spirals in the cervical area of the implant and the morse taper.


Many advances have been introduced in the area of biomaterials, which facilitates the implant placement surgeries. At the moment, many of the cases which implied a surgery to collect bone for graft can be performed without the morbidity of a secondary surgery.


In your opinion, what is the difference between a good and a bad implant? What would the perfect implant be like?

In my opinion, the difference between a good and a bad implant is the type of titanium used in their manufacture, the surface treatment, as well as the quality of the prosthetic elements.


To me, the perfect implant would have a slight antibacterial neck, so that there would not exist bacterial aggregation, micro-coils in the first 2 mm and the remaining coils would be self-tapping.


The implant would be practically cylindrical, with anti-rotational grooves, rounded apex and morse taper. The surface treatment should result in an osteoinductive implant. The perfect implant should also have many prosthetic solutions, in order to be able to manage rehabilitations similar to the natural tooth.




Oral Health in Children




THEME: Pediatric Dentistry

AUTHOR: Dr. Joana Carmo - (Medical dentist in Klinica PerioImplantológica Rainha D. Leonor) with collaboration of Dr. Susana Perdigoto

– Caldas da Rainha/ Turquel

CLINICAL DIRECTOR: Dr. Susana Perdigoto



When to start the care of children's oral health and how often?


The 1st oral health consultation must be held between 2 and 3 years old when the child has already completed the dentition of milk / temporary.

This should be a pleasant experience, in order to create favorable habits to dental care throughout life.

Ideally, when there is a good oral health the child should be seen every 6 months. In situations of high caries risk, these ranges go to 3 months.


What is the importance of milk / temporary teething?


Milk teeth have several functions for normal development of children, such as proper chewing of food, aesthetics, maintenance space for the permanent teeth, breath, phonetics, without forgetting the influence on the correct growth of the face.

We can not forget that a healthy mouth in adulthood will depend on the care that is established since childhood.


What to do when the baby teeth begin to erupt?


On average, the eruption of the 1st teeth occurs between 6-8 months of age and continues up to 3 years. When the child should have 20 teeth in the oral cavity.

During tooth eruption, the child getting very sensitive gums is frequent, anxious, with loss of appetite and difficulty sleeping. Cleaning the mouth 2-3 times a day with a wet gaze or using gels or biting objects can help in reducing symptoms.

However, if the child has fever, vomiting and diarrhea is best to contact your doctor to help and prevent any other problem.


What are the baby bottle teeth cavities and how to avoid them?


Also called early childhood cavities are cavities caused by frequent and lengthy exposure of teeth to sugary liquids, such as milk (including breast), paps and fruit juices.

Thus, sugary liquids allow the adhesion of bacteria to the tooth surface, depositing and remain there long periods of time while the baby sleeps, leading to the formation of caries. Many of the bacteria in the mouth of children are maternal contamination.

To prevent injury, do not put liquid sugar in the bottle or the pacifier, only milk or water that should give the child only during the day, and never when going to bed to sleep. It is essential to promote prolonged breastfeeding to 4-6 months and at the appearance of the first teeth, clean the gums and teeth with gauze or soft brush.


Should milk teeth be treated?


Early childhood caries must be treated, because you should avoid the pain when it affects the nervous tissue and besides caries are an infectious disease that can affect the formation of permanent teeth and overall health.


What is the importance of food in the oral health of children?


A balanced diet is necessary for the child to develop strong and healthy teeth.

Meals can be the greatest enemy of oral health. Sugars and carbohydrates found in soft drinks, biscuits, gums, pastries and chips combine with plaque leading to formation of acids. These attack the enamel, leading to dental caries. Offer the child healthy snacks like bread and fruit.

The feeding of the child should include plenty of calcium, phosphorous, and proper levels of fluoride. Fluoride is one of the best ways to prevent cavities. Initially the child should use a brush without paste to learn to spit, then brushing with a paste without fluoride and from 24 months old to use a paste adapted to children with adequate fluoride content. The correct use of a fluoridated toothpaste strengthens the enamel being a great protection in the oral health of children.


Is thumb sucking / pacifier a problem?


Yes, non-nutritive sucking habits can cause problems with jaw growth, positioning of the teeth and breath. They should be abandoned until about 30 months of age, given the possibility of self-correction of the inharmonies in the maxillaries.


What is the best way to take care of the child's oral health?

Correct oral hygiene should be taught to children as soon as possible as they are an investment in the health of children with visible results in the future.

You must help them to brush their teeth 2x a day, watch brushing up to 12 years of age, use toothpaste with the proper amount of fluoride, use floss from 4 years old, make a balanced diet and visit the dentist regularly.

Health and children's smiles depend on their parents, they are the ones that should transmit and instill good oral hygiene habits.









THEME: Temporomandibular Dysfunction

AUTHOR: Dr. João Adriano in collaboration with Dr. Susana Perdigoto






Did you know that your headaches, face, neck, ears can be symptoms, among others, of a health problem?


TMD the disease of modernity! What is TMD (temporomandibular dysfunction)?


TMD is the set of changes associated with the joint that allows to open and close the mouth and all structures and functions that influence this movement. What I feel if suffering from this condition?


If you have this condition you may experience pain in the face and mouth, headache, pain in the cervical spine, pain and ringing in the ears and difficulty opening and closing the mouth with or without crackles. It may also be associated with grinding of teeth and clenching of teeth (bruxism) and stress and depression.


Whom should I contact when I have these pains?


Treatment for this condition involves the multifactorial intervention of several health professionals, preferably working in a multidisciplinary team. The dentist trained in temporomandibular dysfunction, physical therapist with training and experience in the field, psychologist and if necessary the intervention of the maxillofacial surgeon are the reference professionals. In the west area you find the specialized treatment of this condition in klinicas Périoimplantológicas Rainha D. Leonor in Caldas da Rainha and Turquel (Alcobaça). Know that 70-80% of patients with TMD suffer from headaches (headaches) Vs 20% of the population without TMD.

Oral Health in a care and

cozy environment

Klinica Perio - Clínicas Dentárias
(Nossa Senhora do Pópulo, Coto e São Gregório)
Caldas da Rainha - Biosafety and Interesting facts

Praça 5 Outubro 15-A
( Nossa Senhora do Pópulo, Coto e São Gregório )
262 240 965