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Simple Routine Check-up

Once your teeth are healthy and any existing conditions have been treated, it is up to you to maintain your dental health: Use interdental brushes, dental floss, and a toothbrush in addition to daily brushing! Use interdental brushes after your last meal or before going to bed, along with your regular brushing!

If you consistently follow this one recommendation, the dream will come true: No more dental treatments – for a lifetime*!

Then, a yearly routine check-up is all that’s needed, and you can sit back and relax. I will ensure your dental health with microscopic precision and check your gums, so you won’t develop new cavities or gum diseases.

*Exceptions: Poor oral hygiene, increased sugar consumption, unforeseen tooth breakage, teeth grinding, calcifications of root canals leading to tooth death, or previously root-treated teeth developing an infection.

Fear-free Treatment

Why do people fear visiting the dentist? Mostly because they have had bad experiences in the past: The dentist “drilled” without explaining what was going to be done, or caused pain without administering anesthesia, or both.

You won’t experience these things with us. During the initial consultation, everything will be discussed with you in advance. You can then go home, consider whether you want to proceed with the treatment, and make an appointment.

You can even watch the treatment and see live what is being done. I always clearly explain how I will proceed and whether it might cause any pain, even for children. Of course, you will always receive anesthesia if you wish. This makes every treatment pain-free. The use of the air abrasion technique in microscopic dentistry eliminates the drilling sound and significantly reduces pain. Naturally, you can also distract yourself from the treatment with our video headset and watch a Netflix series or a movie.

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Professional oral hygiene is performed in our clinic by an experienced specialist using a microscope.

Studies have shown that professional teeth cleaning without magnification can leave up to 40% of tartar around the teeth, which can have serious consequences.

When teeth emerge in childhood, they should be cleaned all around with dental floss EVERY 24 HOURS from that point on. For milk teeth, in addition to brushing, daily flossing is sufficient to prevent cavities. The gums are less important in small children, as the gums are completely renewed with permanent teeth. Later, daily flossing alone is no longer sufficient to prevent gum inflammation in the interdental spaces. Therefore, we recommend using interdental brushes daily, alongside floss, from the age of 16 and into old age. When you come to us for oral hygiene, a personalized “brushing plan” will be created for you. The most important thing: large interdental spaces require large brushes, small spaces need small brushes. If you do not have the time for daily flossing and interdental brushing, we are happy to perform professional cleaning for you daily. Just visit us every day. By the way: Severe gum inflammation can be maximally improved through more frequent oral hygiene sessions, but it cannot be completely prevented. You can only truly prevent gum and bone inflammation by daily use of the right size interdental brushes. (Sorry for the unpleasant, but necessary message.)

Why is the use of interdental brushes so important?

Around each tooth is 1.5 mm of gum before the tooth is anchored in the bone (Fig. 1). This transition zone of 1.5 mm, where the gum only rests against the tooth root but is otherwise loose, like the cuticle, is a perfect home for bacteria. As long as we clean this transition zone with a toothbrush every 24 hours, all bacteria are consistently expelled from their home.

However, there is a design flaw: the interdental space!

Simply put, the gum of one tooth is “doubled” by the adjacent tooth’s gum of 1.5 mm. This causes the gum in the interdental space to be compressed, creating a pocket of 3 mm (Fig. 2). This “pocket” cannot be cleaned with a toothbrush (since it doesn’t reach into the interdental space) nor with dental floss.

I used to think that dental floss would eliminate the bacteria in this 3mm deep pocket. Today, I realize that on the cheek and tongue side (or palate side), patients almost never have deeper pockets (only 1.5 mm, see Fig. 1) because there are no adjacent teeth on these sides, and the gum is always a maximum of 1.5 mm deep. Even adolescents, from age 12, already show pronounced gingivitis (gum inflammation).

Therefore, they should also start using appropriately sized interdental brushes. From the moment two permanent teeth emerge next to each other, bacteria increasingly grow in these pockets over decades, becoming more aggressive.

If not cleaned with interdental brushes, these bacteria can freely cause gum inflammation over decades, which can develop into bone inflammation after some years. The resulting bone loss leads to deeper pockets— a vicious cycle that can be easily and effectively broken by using interdental brushes.

How does a typical oral hygiene session with the microscope go?

In an “oral hygiene initial consultation,” you will be educated on the different brushing techniques (manual or electric toothbrush). Next, your dental plaque will be made visible with a coloring agent, and you can see live—using the video headset or later on the screen—where and how much plaque has accumulated around your teeth.

We will then help you with the practical application of your toothbrush because: only what you have seen and learned practically can you later implement on your own.

Of course, dental floss and interdental brushes will also be explained. Finally, plaque and tartar will be gently and thoroughly removed.

You can only treat properly what you can see. The microscope allows us to precisely examine and treat teeth and gums with up to 20x magnification. We therefore give our patients a 10-year guarantee on microscope-based treatments (except root canals).

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