Dental hygiene

Dental prophylaxis

Prevention is better than cure!

Optimal oral and dental care is an important cornerstone of whole-body medicine and holistic dentistry. Regular check-ups are important to prevent unnecessary “construction sites” from developing. It is often forgotten that our digestion also begins in the mouth. For example, severe gum or periodontal disease can weaken gastrointestinal health and lead to chronic intestinal inflammation. The reverse is also true; a chronic disease of the gastrointestinal tract can cause inflammation in the mouth. No dental filling, dental prosthesis, dental implant or denture is as resilient and resistant as a healthy tooth. Dental prophylaxis starts with the first milk tooth, as milk teeth are, among other things, placeholders for the permanent teeth that will follow. Take preventive measures to keep your own teeth for as long as possible – through regular professional dental cleaning and, of course, thorough daily cleaning at home.

Teeth and gums

A healthy mouth is full of bacteria – around 10 million per milliliter of saliva. Most of these bacteria are harmless and are important for our immune system.

The harmful minority is normally kept under control by other bacteria and our defenses. However, the harmful bacteria can become dangerous for teeth and gums if they multiply excessively or if a solid coating forms on the teeth. In the event of inflammation, the gums become red and swollen and bleed very quickly. In the long term, bleeding gums can progress to periodontitis (atrophy of the jawbone). This causes the tooth to lose its retaining element. Periodontitis is often the main cause of tooth loss in people over 40. Heavy smokers and immunocompromised people as well as diabetics have an increased risk of developing periodontitis. Professional tooth cleaning The trained prophylaxis assistant removes plaque and tartar gently and carefully. Dental prophylaxis focuses not only on cleaning the teeth, but also on providing information on topics such as nutrition and instructions on various oral hygiene products. Regular professional teeth cleaning is one of the most important measures for protecting and maintaining healthy teeth and for the early detection of tooth decay. Caries (also known as tooth decay) is favored by bacteria in the oral flora. Milk teeth are particularly susceptible to caries.

Determination of oral health using molecular genetic test systems

We develop your individual dental care program

As you have already learned in the first paragraph, the bacterial density in our mouth is around 10 million bacteria per milliliter of saliva. Harmful bacteria are in the minority and meet with appropriate resistance in a healthy mouth. But apart from assessing the condition of the teeth and gums (which is only a snapshot of the effects of bad bacteria on teeth and gums), how can we get an accurate picture of the ratio of bad to good bacteria in the mouth at the moment? Or thinking further: how does the determination of an actual status work, which not only represents the current situation at a bacterial level, but on the basis of which it is also possible to look into the future of your oral health?

So-called molecular genetic test systems, which we use at the Alpstein Clinic, offer us this possibility. They not only provide an accurate picture of the bacterial ratio, but also allow us to develop a treatment plan tailored to your individual needs. The results help to determine medication and plan repeat appointments, and they also have a documentation function, i.e. they show changes in oral health over a longer period of time.

But even before major procedures, such as the insertion of implants, it is possible to check in advance whether the conditions are ideal for implementation and the success of the procedure is not jeopardized by existing bacterial infections. The analysis therefore helps to identify risks before irreversible damage occurs and costly treatments become necessary.

How exactly does this work?

Bad bacteria actively destroy periodontal soft and bone tissue, lead to inflammatory reactions and ultimately to the loss of natural teeth and implants. This is referred to as infection by periodontopathogenic marker germs. A simple swab provides the basis for a so-called marker germ analysis, which is then carried out. This provides information about the occurrence and concentration of several periodontopathogenic species and their affiliation to “bacterial complexes”. Only knowledge of the individual composition and level of the bacterial load enables diagnostically sound treatment and the planning of optimal individual therapy, so the analysis makes a significant contribution to therapeutic success. And last but not least, it helps to reduce the cost of dental prostheses through the main objective of preserving the patient’s own dental material.

The gentle, innovative dental prophylaxis

Guided Biofilm Therapy (GBT)

We would like to introduce you to a new, gentle and painless method of removing biofilm and tartar, “Guided Biofilm Therapy”, or GBT for short. We are convinced that this treatment concept, which is based on the latest scientific findings and technical advances, fits perfectly into the quality and treatment standards of the Alpstein Clinic and generates high added value for you as our patient. We are therefore very pleased to be able to offer you this method in our clinic with immediate effect in the areas of prophylaxis/tooth cleaning and periodontal therapy.

Your Elvira Henney-Wenz
Head dentist at the Alpstein Clinic

WHAT IS A BIOFILM?

Biofilm (also known as plaque or dental plaque) on teeth and gums is the main cause of tooth decay, bleeding gums (gingivitis), gingivitis, periodontitis or even tooth loss. Regular removal of dental plaque and tartar, i.e. biofilm management, is an important contribution to preventing tooth decay, periodontitis and tooth loss.


BIOFILM DOES NOT ONLY DAMAGE THE TEETH

Gum disease is not an isolated disease of the oral cavity, but is interrelated with the entire organism. They can be a trigger, but conversely also an expression of a general disease. By preventing gingivitis (inflammation of the gums) and its long-term consequences, periodontitis (bone loss or loss of the periodontal apparatus), GBT can actively contribute to preventing the spread of harmful bacteria from the oral cavity throughout the entire organism. This is because biofilm not only affects the dental apparatus, but also enters the body via the gum pockets. Current studies show that periodontitis bacteria in particular have multiple effects on the entire body, such as on the cardiovascular system (endocarditis), the intestines and joints. In particular, the germs can exacerbate diabetes!

WAS IST EIN BIOFILM?

Biofilm (auch Plaque oder Zahnbelag genannt) auf Zähnen und Zahnfleisch ist die Hauptursache für Karies, Zahnfleischbluten (Gingivitis), Zahnfleischentzündung, -schwund (Parodontitis) oder gar Zahnverlust. Die regelmäßige Entfernung von Zahnbelägen und Zahnstein, sprich Biofilmmanagement, ist ein wichtiger Beitrag, um Karies, Parodontitis und Zahnverlust vorzubeugen.

BIOFILM SCHADET NICHT NUR DEN ZÄHNEN

Zahnfleischerkrankungen sind keine isolierten Erkrankungen der Mundhöhle, sondern stehen in wechselseitiger Beziehung zum gesamten Organismus. Sie können Auslöser, aber umgekehrt auch Ausdruck einer Allgemeinerkrankung sein. GBT kann durch die Vermeidung einer Gingvitis (Zahnfleischentzündung) und ihrer Spätfolgen, der Parodontitis (Knochenschwund bzw. Verlust des Zahnhalteapperates), aktiv dazu beitragen, die Verbreitung von schädlichen Bakterien aus der Mundhöhle im gesamten Organismus zu unterbinden. Denn Biofilm zeigt seine Auswirkungen nicht nur im Zahnapparat, sondern gelangt über die Zahnfleischtaschen ebenso in den Körper. Heutige Studien belegen, dass insbesondere die Keime der Parodontitis multiple Auswirkungen auf den gesamten Körper haben, wie auf das Herz.-Kreislaufsystem (Endokarditis), den Darm und Gelenke. Die Keime können insbesondere Diabetis verstärken!

Eight steps to perfect teeth cleaning

The new and modern GUIDED BIOFILM THERAPY (GBT) is all about the gentle and complete removal of biofilm, discoloration and tartar using modern and innovative technologies.

The surface of the teeth and the gums are protected. GBT is a clinical protocol that guarantees a uniform and high quality standard for your professional dental cleaning. You can get a brief overview of the topic in the following video.

The Guided Biofilm Therapy (GBT) – Protocol

GBT is based on 8 treatment steps and is the result of years of clinical research by the Swiss company EMS with leading experts. It uses proven methods and the latest cutting-edge technology to remove biofilm in a minimally invasive way. GBT is painless, fast, safe and helps to preserve your teeth. GBT supports your health – for a lifetime.

The benefits of GBT

Making the biofilm visible
The problem with biofilm, apart from its damaging effect, is that it is almost invisible to the naked eye. In order to make the invisible visible, the teeth are stained as a first step in GBT therapy. This not only makes tartar visible, but also any bacterial plaque.
Gentle and painless cleaning without sharp instruments & polishing cup
Previously, teeth were cleaned by curettage of the root surface and the neck of the tooth using hand instruments. This was followed by polishing using a rubber cup and polishing paste.
Consistent quality standard of cleaning
GBT is a clinical protocol which, together with Swiss precision equipment, guarantees a consistently high standard of quality for your professional dental cleaning.
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