For tooth extraction, dental implants and all other oral surgical procedures, the surgery has practitioners in specialised dentistry with more than 25 years of expertise in oral surgery.
When a tooth requires extraction, we do our utmost to preserve tooth substance. Our goal is to preserve the bone by implementing different methods, such as using centrifuged growth factors from a patient’s blood or gentle extraction techniques with the aid of elastic bands.
The following treatment options are generally available after tooth loss:
- Replacing the tooth with an artificial tooth root (implant
- Attaching the artificial tooth by grinding down neighbouring teeth (bridge
- Replacing a tooth with removable partial denture that has a plastic baseplate (prosthesis)
- Leaving the gap in the teeth
The advantages and disadvantages of the different options available must be considered for each individual case. In principle, implants are the highest quality solution because they help in maintaining the structure of the neighbouring teeth and bone.
The subtle difference
All ceramic (porcelain) restorations are the newest generation of restoration solutions and they are our personal favourite method. These metal-free restorations are used today as an alternative to gold restorations in many cases. We generally bond all ceramic shells (veneers, lumineers), partial crowns or full dental crowns using a high-density bonding adhesive with light-cured cement. Today posterior teeth can also be restored with a sturdy solution without using metal. These restorations look natural and are even the preferred method for people who grind their teeth.
For bridge restorations, the trend is also clearly moving away from traditional ceramic veneers and bridges reinforced by a metal core to all ceramic reconstructions with zirconium oxide.
Zirconium oxide restorations are constructed on a computer and are best made with a 5-axis dental milling machine.
Metal and ceramic veneered bridges have a stable metal core, which is fused to the ceramic material using a vacuum seal.
Bones – The basis for false teeth
Bone augmentation is necessary for tooth restoration with implants as well as for other reasons, such as periodontitis, tooth loss or bone deficits related to accidents. Bone augmentation, which is often referred to as grafting, involves either extracting some of your own bone from your jaw where there is an ‘excess’ or using tried and tested bone substitutes. A substantial regeneration of the bone occurs in the extraction area. Bone substitute materials are extremely successful for some dental indications, but they are not suitable for all structures.
The most common and most successful construction method is known as the ‘sinus lift’ and is performed in the posterior area of the upper jaw bone (maxilla); here the bone grafting material is placed under the maxillary sinus membrane that has been lifted so that your own bone mass can increase. This way implants can be inserted into the bone which now has a sufficient length to support the implant adequately. Adequate support is especially important for posterior teeth due to their particularly high biting force.
We have been routinely performing the sinus-lift operation successfully since 1995.
The operation is performed using either local or general anaesthesia, depending on the height of the residual bone and the scope of the intervention. In some cases, implants can be placed at the same time as the sinus lift, but it depends upon the height of the residual bone available and the primarily stabilisation of the implant that is possible as a result.
We recommend taking 3D images of the maxillary sinus before and after performing the sinuslift.
Images prior to the operation help clarify the anatomic bone structures where the construction materials are going to be placed (e.g. the entryway to the nasal cavity, which must not be injured) and they clarify whether the existing bone is sufficient for inserting the implants responsible for primarily stability at the same time. These images can save the patient from having another operation. A second image is taken if the implants were not placed during the first operation due to there not being enough residual bone available and have to be inserted during a second surgical procedure. The exact location and structure of the new implant site is analysed with the help of this second image so that the implants can be placed correctly. In France it is considered medical malpractice if 3D images are not taken prior to performing a sinuslift.
Dental implants – experience and teamwork for free
Our more than twenty-five years of experience with the insertion of implants and crown or bridge treatments of implants has convinced us that both steps should be performed by one person or a well-coordinated team in order to achieve the best results.
We use the latest state-of-the-art digital X-ray machines, which produce three-dimensional X-ray images using low levels of radiation, so that the exact position of the implants can be analysed. Customised drilling templates are based on bone models made by laser technology. Risks (to nerve structures, cavities, etc.) are identified early on in the planning phase, which paves the way for the implant treatment being successful.
The collaborated efforts between the implant specialist and the certified dental technician (Meister) when planning the correct position of the dental implant is important for ensuring that the treatment is a success in terms of functionality and aesthetics later on.
We carry out precise analysis and planning together with a certified dental technician (Meister) before the operation is performed. Our analysis and planning is oriented towards the aesthetic, hygienic and prosthetic requirements for the subsequent crown or bridge restorations.
Implanting the implant can be carried out using local aesthesia, laughing gas, sedation or general anaesthesia, depending on the scope of the operation and our patient’s wishes. Naturally you will receive pain medication after the operation in order to minimise your pain from the wound during the few days after the operation. Cooling the area during the first 24-36 hours after the operation will help prevent swelling, which is the main cause of postoperative pain.
Temporary restoration is carried out immediately after dental implant surgery.
The recovery time will depend on the quality of the bone and the number of implants being implanted (usually 4 months). After it heals the implants are exposed and a mould is taken so that the ceramic crown made by the dental technician can be cemented or screwed on properly.
Age alone does not have to lead to limitations when it comes to the healing time for dental implants. For example, our oldest female patient who received a dental implant was 82 years old and our oldest male patient was 92. Both patients have enjoyed their false teeth for several years without having to get prosthesis.
Implants are the best tooth restoration method in terms of quality after a tooth has been extracted because the structure of the neighbouring teeth and the bone can be preserved better than with other types of restoration.
Precision and functional aesthetics – straight from our dental lab
We are particularly proud of the high quality work that our certified dental technicians provide. The fact that our supervising dental technicians (Meister) Mr. Nowak and Ms. Kollmann and their team of highly-qualified dental technicians are in the same building means that we can provide treatments that meet the particular needs of each individual patient.
Lip appearance, tooth enamel and tooth shape, colour and size are all measured electronically on site and are visually reproduced; they can be designed according to a patient’s individual wishes and if need be, they can be touched up after they are completed so that you can feel really good about the results.
Our experience has shown us that we cannot do without the expert opinions of a head dental ceramicist or specialist (Meister).
At our practice, all restorations are produced from high quality German ceramic materials and gold alloy if necessary. They are made using special equipment designed for these materials.
Designing the chewing (occlusal) surface is done according to biodynamic considerations and the measurements of the jaw joint (temporomandibular joint) and jaw function; they are taken using a non-contact method with the help of ultrasound. As a general rule, adjustments to the restorations are checked on second models using a microscope. The more exact image we can get, the longer the restoration will last.
By the way, fusion using conventional cements is ‘out’. Today we attach all dental restorations with dentine adhesives.
Why not? Dental treatments while you sleep
With the assistance of our anaesthesiologist Dr. Thomas Kreutzer, we carry out all types of dental treatments using general anaesthesia on a regular basis.
As an alternative to general anaesthesia, we can also offer you ‘conscious inhalation sedation’ using nitrous oxide, which you will inhale from a mask. While you are breathing in the gas, you will also receive plenty of oxygen; our equipment regulates a level of 30% pure oxygen. This sedation method ensures that you will experience the intervention as though you were looking through rose-coloured glasses. This method also supresses your gaging reflex and the sensation of pain.
General anaesthesia is used for more complicated operations or when normal anaesthetics do not work or the patient is afraid of the dentist. It is also used when the patient does not want to be aware of the dental treatment or if the patient’s willingness to receive treatment is limited (e.g. due to age or disability).