This also embraces sustainable treatment concepts that will suit you perfectly, and this for a very long period of time. We will show you effective aids that you can largely help yourself with. At the center of it all is the patient. After all, he also has to do most of the prophylactic work, especially proper brushing.
We will show you effective tools with which you can help yourself as far as possible. This includes sustainable treatment concepts that fit you perfectly and for a very long time. If you would like to find out more about this, we would recommend you make a corresponding appointment. My staff and I are looking forward to seeing you, as protecting people from illness is a major part of what we do for them.
Professional teeth cleaning is one of the essential pillars of modern prophylactics. When such a dental cleaning is necessary depends on several factors. These include the individual plaque formation rate, which depends on dietary habits or even smoking, as well as the natural formation of tartar. For patients with gum diseases, such as periodontitis (difficult to reverse bacterial inflammation), gingivitis (reversible bacterial inflammation), periimplantitis (inflammation of the dental bed) and complex prophetic restorations, it is indispensable for the preservation of teeth, implantsand constructions. In addition, regular dental cleaning is particularly important for patients with specific general diseases, such as diabetes, rheumatism, general cardiovascular diseases or immunosuppression. Read more
In a few, predominantly young patients, all parameters together are so favorable that regular systemic PZR recall is not necessary. Nevertheless, checks should be carried out regularly in order to immediately remove smaller deposits that are the basis for increased plaque accumulation.
Unfortunately, this is not the case for the vast majority of patients. With increasing age and the presence of special concomitant diseases, such as diabetes, rheumatoid diseases, cardiovascular diseases, especially if a heart attack or stroke has already occurred, chronic and aggressive periodontal diseases, etc., regular tooth cleaning is an absolute must. This is not just about dental and oral health, but an overall health measure.
Fissure sealing is probably one of the most effective means available for protecting vulnerable areas from tooth decay. Fissures (from the Latin word: fissura = crack, crevice) are the deep recesses on the occlusal surfaces of the molars and the palatal surfaces of the upper anterior teeth. A closed procedure is performed on intact teeth. In the case of pre-existing damage (initial caries and severe demineralization), an open procedure is performed. This means that by minimally grinding the entrance areas, the tooth substance that cannot be permanently preserved is removed. After subsequent etching of the enamel with phosphoric acid, these areas are permanently sealed with a light-curing sealing resin. The transition to the so-called MIFT (minimally invasive filling technique) is fluid. Read more
This is quite comparable with the sealing of a parquet floor. Fissure sealants are only covered by statutory health insurance for children and adolescents aged 6-18 years. For everyone else, it is a private service, but it costs very little.
Human tooth enamel is one of the hardest substances in nature. Its main component is hydroxylapatite, which envelops the dentine in enamel prisms. Despite its extreme hardness, hydroxylapatite is highly vulnerable to acids, which are able to weaken or at worst even dissolve the enamel by demineralization. One of the acids playing an important part in the occurrence of tooth decay is lactic acid. This acid is formed by lactic acid bacteria in the oral cavity when low-molecular carbohydrates such as sugar, flour and starch are metabolized. The lactic acid itself is a relatively weak carbonic acid that will only do any damage if it can work on the enamel for long enough. This primarily happens in unremoved dental plaque, also known as tartar, which particularly likes to accumulate in the interdental spaces and on the tooth necks.
Such demineralization can be recognized by the appearance of whitish areas in the enamel after the plaque has been removed, which is due to the reduction of the translucent (light-transmitting) properties of the enamel. The enamel particles still present there have become soft and brittle due to demineralization, which means that they can also be removed with an incorrect and overly aggressive cleaning technique.
A natural protection against demineralization is provided by saliva, which can neutralize these acids with the help of its bicarbonate buffer system and also carries important minerals that enable remineralization. However, this only works if the local pH value does not fall below 5.5, since above this value more minerals are dissolved out than can be stored again. In this case, enamel caries is present.
Fluoridation can be used to strengthen the enamel again if it has been damaged in this manner. This is done with special fluoride preparations that are applied to the enamel locally or systemically. The fluoride contained in them will then increase and improve the remineralization of the tooth surface with calcium and phosphorous.
In the event of a heightened caries risk, regular systemic fluoridation (once a week) is additionally recommended as part of the caries prophylaxis at home.
Frequent media allegations in recent years that fluoride-containing preparations, which also includes toothpastes and fluoridation gels, are or may be co-responsible for the growth of malignant tumours do not accord with the current medico-scientific state of the art.
An enamel maldevelopment that has become increasingly common in recent years is MIH, which stands for molar incisor hypomineralization, and the cause of which has not yet been clarified. This disease is so called because it primarily affects the large molars and incisors. The extent of the maldevelopment varies greatly, whereby only individual teeth can be slightly affected, but also up to the complete absence of enamel.
Since the nerve cavity of children’s teeth is still too large to be fitted with a protective crown, the primary goal of treatment is to preserve the teeth as long as possible. At a later point in time, at the earliest when the patient is about 18 years old, an appropriate crown restoration can then be made. In most cases, this can be achieved by building up or covering the missing or poorly mineralized and fractured areas with restorative resin and performing intensive fluoridation locally. Furthermore, in addition to perfect oral hygiene, a certain change in diet or nutritional counseling, as well as a close-meshed control system (recall) is often of fundamental importance.
We are what we eat. Amongst other consequences, harmful dietary preferences will also show up in the form of acid damage to the teeth. The demineralization and erosion are attributable to the influence of specific beverages, fruit and a variety of other foods. Apart from the teeth, wrong eating habits will also have systemic effects. Besides internal diseases as evidenced by the ever rising proportion of diabetics, these particularly also tend to affect our immune system. An oversupply of sugar and low-molecular carbohydrates leads to tooth decay, but can also change our intestinal flora. The latter is in turn important for our immune system. A large part of our immune system is found in the wall of the large intestine, i.e. directly next to the intestinal flora. By circuitous routes, a changed intestinal flora will also exert an influence on our eating behaviour, and thus directly on our brain.
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A stress-free, playful atmosphere and plenty of fun will generally ease a child’s introduction to dental care. We make every effort to ensure that the children have a very positive perception of the dental treatments provided. Once the work is done, a little present always awaits them, which the children can choose themselves. To limit possible treatments to minor damage, we recommend regular check-ups in addition to good oral hygiene and a good diet. Our many years of experience have shown that familiarizing children with the premises, and obviously also ourselves, early on can be very helpful. This will ensure a pleasant and relaxed atmosphere for everyone.
As a father of several children, I always keep a watchful eye on their teeth, and naturally also attach special importance to the oral and dental health of my little patients.The first appointment is purely dedicated to becoming acquainted with the child, and the child becoming acquainted with us. What is most important for your child here is to explore and accept the new environment. We will keep an eye on the teeth and growth of your child’s jaws, but what we are primarily after is a deep bond of trust. Nothing is ever done with pressure, but only with the child’s consent. We would love to be your offspring’s “favourite dentist” and/or “favourite doctor’s office” after all.
Prevention programmes For children between the ages of 30 and 72 months, there is already an early detection program (FU 1-3 or FUs) to prevent the development of dental damage at an early stage. In addition, various measures are intended to detect, treat and prevent not only diseases but also developmental disorders in the dental, oral and maxillofacial region in good time.
An initial anamnesis (medical and case history) of the family is designed to discover genetic dispositions and risk factors. This is followed by your child’s own anamnesis. Which may be about possibly provided illnesses, or also pre-treatments of dental relevance.
Next comes the extra- and intra-oral examination of the mouth, jaw and face region, as well as the speech function (muscular malfunctions or developmental disabilities of the tongue, tongue base and labial frenulums) and breathing (oral or nasal respiration).
The first playful manipulations of their tiny teeth follow later, for example with small polishing brushes, which most children find very funny as they tickle a little bit. This is usually attended by much laughter, with no time for fear.
Private and statutory health insurers not only offer prevention programmes/individual prophylactic services (IP 1-5) for children, but also youths aged 6-18. The objective here also resides in preventing the onset of tooth decay by reducing plaque and germs. Besides regular professional teeth cleaning, we will also provide them with needs-oriented information (nutrition counselling, cleaning techniques, domestic fluoridation measures) and education materials. We would be happy to support you in helping your child grow up with healthy teeth.
You and your children are always warmly welcome here!
Seniors are often bewildered and informing them about dental care and treatment well may take a little more attention. We take time. More and more older patients have still retained most of their own teeth, apart from having a markedly higher life expectancy. They also enjoy much better dental care today than in the past, and are more health aware. In keeping with the long retention period, their teeth may suffer from signs of wear and other damage besides old dentures. Older patients thus have a greater need for dental care and treatment.
Just like our younger patients, our seniors require special preventive care and treatment plansdesigned to meet their extended needs. While most other patients between the ages of 30-60 usually present with only very specific problems that can be addressed with conventional treatment modalities, many older patients present with much more complex problems that often require a multidisciplinary treatment approach. Thus, poorly controlled diabetes melitus influences the progression of periodontal diseases, which in turn can be at least partly responsible for the development of cardiovascular diseases. In turn, untreated periodontitis, which is present in about 90% of seniors, also complicates the adjustment of diabetes and thus has other far-reaching systemic consequences.
Furthermore, gastrointestinal disorderscan be the result of a poorly fitting or non-functional denture because adequate comminution of food is not possible. This automatically changes the eating habits, e.g. by primarily only eating food that does not have to be particularly chopped up.
The aim and purpose is therefore to take a holistic view of the patient’s situation and to align the therapy accordingly or to bring the relevant specialist colleagues on board. In addition to an improvement in general health factors, this also automatically results in a higher quality of life.
Depending on the age and overall health of older patients, it is also important to consider other considerations when planning dentures that people may not be comfortable talking about. Thus, from certain points of view, removable restorations – even if fixed restorations would be conditionally possible – are preferable if necessary, since sufficient oral and dental prosthesis hygiene is also ensured by the nursing staff when the nursing case occurs. We will be happy to advise you and your relatives about the preventive and care options available to you.
Book your appointment online – easy and uncomplicated:
Or give us a call:
T +49 30 261 44 21
M +49 151 56 03 78 70
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