Patient information by Dentist Dr. Messner
Without bacteria no caries!
A clean tooth won't get ill.
It is well known that bacteria cause caries and teeth and gum diseases. Through focused oral hygiene bacteria are removed. Correctly applied oral hygiene is a requirement for your dental and general health.
Your oral hygiene can be optimized by professional dental cleaning in our practice. Our Prophylaxis assistant loves to to involve her skills and knowledge for you to achieve an optimal result. That's wellness for your masticatory organ.
And if caries is detectable?
Which treatment is right one for me?
Once it's there, complete removal of caries needs mechanical methods. Only this way we can guarantee that the tooth remains clean and free of caries. The resulting defect has to be filled. Now what is the best material for you?
There are several possibilities, however the material needs to withstand the extreme pressure of up to 80kg/mm2 humans can develop in the chewing process.
Amalgam fulfills this criterion as well as the criteria the compulsory health insurances impose: Amalgam is sufficient, functional and cost effective. Should someone want to avoid a dark looking filling, there are alternative materials:
Composite (plastic) is one of those. It is processed directly in the patients mouth and is tooth colored.
Ceramics is another alternative and is significantly harder compared to plastic. The ceramics filling is produced by the dental technician in a specialized lab and will be glued into place next time the patient visits us. Both Composite and Ceramics have in common that they are only applicable if the area to be filled is completely surrounded by intact dental enamel.
Gold Inlays are also produced in the dental technicians lab. Gold is the most well-proven material in dentistry and is well suited to hard mechanical stress in the cheek tooth area. Gold inlays can be combined with ceramic veneers to improve the aesthetic aspects. The result is barely distinguishable from natural teeth. Gold inlays do not depend on surrounding enamel and are thus applicable to most indications.
In case of extensive restorations it is advisable to first treat potential muscle- or temporomandibular joint disorders. There are various intraoral devices to help with these.
If caries has advanced too far for a filling to be applicable, sometimes the nerve of the tooth needs to be treated as well. To prevent spreading of the inflammation into the jaw bone, the nerve is removed and the remaining channels are filled with a special paste. This kind of treatment not only requires great manual skill from the treating person but puts a high strain on his vision as well as the structures dealt with are very tiny and delicate.
A tooth with its root filled, meaning a dead tooth, will change its color over time turning gray. This color change (stain) can be reversed by bleaching the tooth. The modern bleaching agents available these days are innocuous and repeatedly applicable. Alternatively the stained tooth can be covered with ceramic veneers.
In case of tooth gaps, these gaps should be closed by dentures. The modern methods enable us to fulfill nearly all patient wishes. There are so called fixed and removable dentures.
Fixed dentures are crowns and bridges, that stay in the mouth permanently. Removable dentures are dental prosthetics.
If a prosthetic lacks sufficient fixation or the patient refuses removable dentures despite many missing teeth, implants may be the solution of choice.
Last, but not least I'd like to mention periodontal diseases. Periodontosis is a widespread disease these days which doesn't receive enough attention. However the consequences can be quite serious, if left untreated. Periodontosis is an inflammation of the gingiva that get chronic and can then spread into the jaw bone without causing pain. The resulting bone loss will cause loss of teeth after some time.