Concepts with a long-term perspective
Let us help you preserve the healthy tooth substance and only treat the flaws!
Our dental practice pursues the goal of preserving natural tooth structures or restoring lost structures with the best prognosis possible along the lines of the ‘Swiss School’ of thought. We strive to utilise the latest scientific knowledge in our surgery. We use certified materials and methods which have been scientifically proven to be effective and superior to current standard procedures. We take our time when it comes to carefully planning and performing your dental treatment so that we can provide you with individualised and high quality dental care. At our practice, you will find that we are not only experts in dentistry, but you will also get the personal support you need to preserve your teeth or to restore your ability to chew, laugh and speak properly.
Get your dental caries (cavities) diagnosed objectively!
The earlier your dental caries are discovered, the more natural tooth substance can be preserved. Early diagnosis means that restorations only have to be done on a small area of the defect and your natural tooth enamel can be preserved. Not every type of discolouration (brown spot) requires treatment. This means that in the interest of preserving your teeth, sometimes it makes more sense to keep a small ‘flaw’ under observation before reaching for the drill. Some lesions do not get worse. In order to determine if the progression of a mini carious lesion has stopped or slowed down, we record the lesion’s different classifications in special documentation.
All of the dentists, prophylaxis assistants, dental hygienists and dental technicians carry out tests, treatments or technical work while wearing magnifying glasses or using a microscope. This approach enables us to achieve an extremely high level of treatment that is gentle on you teeth.
In order to evaluate and detect dental caries early, we use lasers (fluorescence-based method) and LED probes (Göttinger probe) for diagnostics involving transillumination of the teeth with cold light. This enables us to objectively distinguish between dental caries and discolouration, which does not (yet) need to be treated. We will help you with your decision about whether to use intra oral photos for treatment.
Scientific studies show that if the caries bacteria are not dyed, it can still be detected in 70 per cent of treated teeth, where it is concealed inside the dentine of the tooth. Dying the caries causing bacteria, which is concealed inside the dentine makes it visible so that measures can be taken to prevent the tooth from new caries by the bacteria hidden underneath the restoration. As a general rule, we verify that a tooth does not have any tooth decay by using a caries detector prior to sealing the tooth. This ensures your teeth will be free from tooth decay over the long-term.
We are also following quite closely the findings of a few researchers who claim that the progression of tooth decay can be stopped and that it makes more sense for them to be left alone. However there are no standards currently available that clearly specify the extent to which caries can be left underneath restorations or how a treatment’s success can be ensured over the long-term.
Healthy gums – healthy people
Using periodontal treatments not only preserves your teeth, it is also good for your overall heath. For example, it significantly lowers your risk of a heart attack or stroke and it also lowers your risk of having a premature baby. Successful treatment of gum disease (periodontitis, periodontitis/pyorrhea) requires that the key parameters for the cause of the disease are examined and are treated consistently.
The dental hygienists at our practice who have specialised in treating periodontal disease are responsible for carrying out and monitoring periodontal treatments and initiate early intervention if there is a relapse.
The goal is to preserve and regenerate the periodontal ligament fibres that lie between the tooth and bones. If these fibres are lost, it will lead to the loss of bone, gums and eventually the teeth. For this reason, conservative and regenerative treatment methods are a top priority in periodontal therapy.
You can expect to receive treatment according to the following concept:
- Diagnostic tests
- Professional cleaning
- Gentle, deep cleaning of the gums (curettage)
- Examination of the treatment results
- Subsequent treatment of gum pockets that are still inflamed using laser technology
- Operative periodontal treatment of gum pockets with acute and persistent inflammation
- Recall: regular cleaning of the tooth surfaces after treatment
What is Periodontitis?
Periodontitis is the medical term for periodontium loss due to bacterial infections; the periodontium is made up of the bone, connective tissues and gum that surround and support the teeth. The clinical picture of periodontal disease includes the development of gum pockets, which results from bone loss and extends from the gum to the remaining bone. The pockets are measured to determine the severity of the disease.
Gum pockets can lead to abscesses developing and the missing bone structure can lead to a receding gum line (but it doesn’t have to), teeth becoming loose and falling out. Untreated gum pockets results in a situation where the patient has chronic exposure to bacteria, which is now known to have proven effects on vascular structures.
We use the Florida Probe system to make an objective diagnosis. It enables us to take computerized measurements of periodontal pockets and other important periodontitis symptoms. It checks the anchoring of each tooth in the bone and records the inflammation parameters in a chart (bleeding while probing). At subsequent check-ups we will objectively evaluate the results of the treatment and can decide if the treatment was successful, if individual areas still require more treatment and if preserving the teeth offers the patient a good outlook.
The therapy: focused, systematic and uncompromisingly biologic
Treating periodontitis successfully relies on the “knock-out” principle. The treatment depends on the test results and an appropriate antibiotic is prescribed for the specific bacteria as an additional preventative measure. We can offer you two appointments one day after the other so that you can take the antibiotic for a fewer number of days.
We would be happy to inform you about the full-mouth disinfection approach where the periodontal pocket is cleaned and the harmful bacteria are targeted.
After a period of at least two months, the treatment we will check the results of the treatment and draw the necessary conclusions. The individual pockets that are still actively inflamed and the surfaces of dental implants that are very difficult to clean properly by hand will be treated with laser light during photodynamic antimicrobial chemotherapy Special antiseptics are placed in the pockets and activated with a thin probe. This form of treatment is particularly effective for very resistant anaerobic bacteria, which has not been eliminated by other therapies.
Surgery is required for very deep pockets with a depth of more than 6 mm. The surgery is done depending on the morphology of the defect in the bone; it may involve an enamel matrix protein on its own or combined with additional supporting materials (bone substitute, collagen).
Receding gums (gingival recession) on the outer surfaces of the teeth leads to the neck of the tooth becoming exposed, which makes the tooth more sensitive and susceptible to tooth decay. Receding gums are caused by not having the bony support of the gum. This type of bone loss is usually not caused by bacteria as it is in periodontitis. More often it is a result of having a bone anatomy that is locally too fragile or it caused by exerting too much force on your teeth through grinding or clenching, or by other factors.
When the neck of the tooth becomes exposed, it can be covered using special periodontal techniques involving gum tissue and regenerative preparations in order to prevent further loss of dental structures and to obtain a cosmetic and functional rehabilitation. Studies by Zucchelli show that these periodontal plastic surgeries have a high success rate. We have performed these surgical procedures for many years using microsurgical techniques for sutures and can confirm the findings of Zucchelli’s scientific studies.
Meaningful protection for permanent teeth
It makes sense to apply dental sealants to the biting surfaces of the teeth in children and adolescents between 6 and 18 years old. This involves sealing the fissures on the surfaces of the back (posterior) teeth and in some cases, sealing the little pits on the front teeth. These are areas where the anatomical shape is so awkward that the bacterial plaque cannot be completely removed, even with proper brushing at home. These are the areas where dental caries often develop. Studies have shown that tooth decay can be prevented with a high success rate (90%) by dental sealants over a period of 12 years.
The sealant coating should be checked on a regular basis to see if it is still fully intact or if it has to be reapplied.
The treatment is painless, non-hazardous and is tolerated by children a lot better than drilling is.
Prior to the sealant being applied, it is important that a thorough dental examination be carried out (inspection magnifiers, laser diagnostics, LED cold light diagnostics, dying bacteria) in order to check for caries and they need to be treated thoroughly. The film of bacteria is removed not only with ultrasound and brushes, but the tooth surfaces are radiated as well. We also use dentine adhesive to attach the sealant.
The end result from a root canal treatment is decisive for the overall prognosis of a tooth, regardless of whether it is performed due to a deep caries lesion, nerve inflammation or accident. Anatomical studies have shown how complex the canal system is inside the tooth. Tissue remnants or bacteria within the tooth can lead to painful infections and dental cysts in the jawbone, which can then result in tooth loss and the surrounding bone.
In a study conducted by Naseem (Brit. Dent. J.), it was shown that inflammation in the jaw at the tip of the root can be successfully treated with good root canal treatments in 8 out of 10 teeth. This means that teeth can be preserved without performing endodontic surgery (apicoectomy / root end surgery).
Modern endodontics and root canal treatment requires a great deal of effort to preserve the affected tooth in the long term.
Our specialists Dr. Niklas Umland and Patrick Hoyt are available for providing endodontic treatments for preserving your own teeth. They use binocular dental microscope, special toque-controlled motor, nickel-titanium instruments, electrical dental probes for taking measurements, digital X-ray sensors, thermoplastic filling instruments and a low dose C-arm CT scan that produces a high resolution image of the individual teeth.
Good endodontic results are not only achieved through a having a high level of professional expertise, know-how, patience and high-tech equipment, it also requires a lot of time. That is why we take all the time we need to preserve your teeth.
Dental health for a radiant smile
Our dental practice has its own prophylaxis department where your teeth and gums will be protected professionally from new dental disease by trained dental hygienists using our concept for intensive deep cleaning. Several studies have shown that dental health can be maintained by regular prophylaxis treatment in 99 per cent of patients over a period of 20 years (e.g. Axelsson, Lindhe & Nyström, 1991).
Preserving your teeth and the tissues that surround and support the teeth (periodontium) is particularly important for a person’s quality of life, which is especially important in light of people’s increasing life expectancy. The more stable your teeth are when you get old, the more you will be rewarded with strong teeth and a zest for life.
Not all prophylaxis treatments are the same – time and thoroughness are the decisive aspects for a treatment’s long-lasting success.
You will be able to experience this for yourself at our practice. For over 20 years dental prophylaxis has been a part of our proven concept for tooth preservation. Qualified dental hygienists and prophylaxis assistants will help take care of your dental health while using state-of-the art equipment and methods to diagnose and treat your teeth.
Pearly white teeth and a strong periodontium give you and your surroundings a healthy and positive image – in any phase of life or situation.
Don’t bite down so hard all the time
Many patients have subconscious regulating mechanisms which lead to different forms of biting (masticatory) dysfunction. Teeth grinding (bruxism) is a well-known example. It can lead to pain in the spine, headaches, migraines, etc. via neuromuscular system. Conversely stressful situations (also positive stress) can cause the considerably increased, unphysiological abrasion of the tooth structures and the overuse of the mandibular joint (jaw) and tension in the masticatory muscles.
Dental guards, or night guards, are usually worn at night and they serve to facilitate muscle relaxation as well as to protect the mandibular joint, the teeth and restorations from mechanical strain. Guards are made using a plaster model of your teeth and measurements are taken of your mandibular joint movements and the position of your jaw in your skull. The jaw movements and their dysfunction are recorded electronically with ultrasound. This procedure makes a precise diagnosis and enables us to provide meaningful and individually adapted treatment.
Our guards are produced in our in-house lab and are made from transparent, hypoallergenic (PMMA –free) plastic that is extremely robust and abrasion-resistant plastic. Compared to guards made out of other materials, these guards look hygienic and clean and are colourfast.