We'll tell you exactly what we're going to do

We'll tell you exactly what we're going to do

Treatments

Treatments

Teeth Whitening: Restoring Natural Brilliance

Teeth whitening can effectively reverse distressing tooth discoloration, restoring a natural and appealing appearance to your smile.

The Treatment Process

Discoloration of teeth can arise from factors like age, lifestyle choices, and accidents. Consumption of tea, coffee, heavily pigmented foods, or smoking can lead to external stains. Some discolorations are present from the tooth's formation or could result from accidents. Over time, teeth might naturally appear darker due to wear.

Whitening Methods

When teeth color becomes a concern, whitening can offer a solution. We offer three safe methods:

  1. Lacquer Method: This involves a ready-made home kit with whitening gel that you apply to teeth using a brush. Regular application at home reduces visibility of simple discolorations, especially for single teeth.
  2. Gel Method: A common at-home approach involves a whitening tray and gel. After a thorough oral examination, a custom-made tray is created for you. Wearing this tray for several nights yields optimal results.
  3. Internal Method: Applicable only to a tooth post-root canal treatment. Special bleaching granules are applied within the root, followed by a temporary filling. Refreshing the granules achieves the desired bleaching outcome.

Results and Aftercare

Post-treatment, whether done by us or at home, your teeth will exhibit a rejuvenated, natural appearance. While not all discolorations vanish completely, there's a positive effect in nearly all cases. Mild sensitivity might occur temporarily for about 24 hours after each treatment.

Avoiding foods and beverages that cause staining is advisable for the first 24 hours after whitening, as teeth are most susceptible to discoloration during this period. However, this doesn't apply to internal bleaching.

If prolonged sensitivity or discomfort arises, discontinue treatment and contact us.

Maintenance

In general, the bleaching results remain stable. However, teeth might gradually darken due to exposure to pigmented substances. Periodic touch-up treatments can counteract this effect, ensuring a lasting bright smile.

Cerec Crown: Swift Restoration for Your Smile

When a tooth reaches a point where traditional filling is no longer viable but enough of the tooth structure remains, the Cerec crown emerges as an excellent solution. Crafted and fitted within approximately two hours, the Cerec crown is designed for convenience and efficiency.

In our practice, we offer two types of crowns: the Cerec crown and the crown crafted by a dental technician. The Cerec crown is meticulously created using the CEREC 3D computer system. Instead of traditional impressions, we employ a scan of your teeth. The dentist digitally designs the replacement crown, and a milling device then expertly carves it from a solid porcelain block. This technology enables us to complete the Cerec crown appointment in just two hours.

The Treatment Process

  • Preparation: The treatment begins with an X-ray and anesthesia. Once the anesthesia takes effect, we initiate the tooth reshaping process.
  • 3D Imaging: After drying the tooth and applying a powder to ensure accurate 3D scanning, the computer generates a detailed image on the screen.
  • Crown Creation: The crown is precisely carved from a solid porcelain block using advanced technology. This crafting process typically takes around 15 minutes.
  • Fitting and Finishing: The crown is initially fitted in your mouth and any necessary adjustments are made. Following this, the crown is baked for approximately half an hour and then prepared for bonding.
  • Final Steps: Once the crown is securely bonded, any excess material is removed, and the crown is polished for a smooth finish.

Results and Aftercare

The Cerec crown restoration restores both the shape and functionality of the affected tooth, enhancing both appearance and function.

After Treatment

Following treatment, it's advisable to be cautious with food and beverages during the initial hours. If you find the treated tooth feels slightly elevated the day after the procedure, please don't hesitate to reach out to us.

Maintenance

To maintain the health of your teeth and crown, it's essential to brush and floss daily.

Dental Implants: Restoring Smiles with Precision

When a tooth is missing or requires extraction, a dental implant can be a remarkable solution. An implant, placed by an implantologist or dental surgeon, offers the opportunity to replace the tooth without impacting adjacent teeth. Implants are also utilized to secure dentures, commonly known as click dentures.

Initial Assessment

Before proceeding, a thorough assessment is conducted to determine bone strength and jaw space. If deemed suitable, an appointment is scheduled for implant placement. This procedure typically takes around an hour. Subsequently, a waiting period of approximately three months allows the implant to integrate with the jaw. After successful integration, the treatment plan progresses to crafting the crown or bridge.

The Treatment Process

Implant with Crown

  1. Initial Scan: During your first appointment, we scan your teeth using a temporary aid on the implant. The scan is sent to the dental technician. If necessary, we'll determine color and shape preferences at the dental technician's lab or based on a color sample.
  2. Crown Crafting: Approximately two weeks later, the crown is meticulously crafted by the dental technician. For front teeth, an additional appointment might be required to fine-tune color and shape adjustments.
  3. Crown Placement: The crown is fixed onto the implant, often by screwing it securely. We use a combination of Teflon tape and a small filling link to close the screw hole, allowing future inspections.

Results and Aftercare

The implant procedure restores both the form and function of the missing element, delivering a sense of familiarity and comfort.

Post-Treatment Check-Up

A follow-up appointment is essential after a few weeks to monitor how the newly loaded implant responds. We value your feedback and encourage you to share your experience, concerns, or questions.

Maintenance

To reduce the risk of inflammation, we offer tailored guidance on cleaning the implant, recognizing that each situation may vary.

Crowns, Bridges, and Facings: Durable Tooth Restorations

Crowns, bridges, and facings serve as robust restorations for teeth, revitalizing both their form and function.

Crowns: A Protective Cap

A crown, crafted from metal and/or porcelain, is designed to fit precisely over a prepared tooth. This cap is bonded securely to the tooth or molar. We offer two types of crowns. For the crown created using the one-session Cerec method, please refer to the Cerec crown treatment details. Crowns are recommended when there's insufficient support for a filling or if a tooth with a large filling exhibits cracks.

Bridges: Filling the Gap

A bridge is employed to fill the space left after a tooth is lost. It is typically attached to two neighboring teeth, effectively restoring the original function and appearance. Bridges are beneficial if you're missing a tooth, facing chewing difficulties, or aiming to enhance your smile. Moreover, a bridge can prevent adjacent teeth from shifting or misaligning.

Facings: Enhancing Aesthetics

Facings are thin porcelain shields affixed to the front of teeth to restore color and shape. They are recommended for teeth with color discrepancies, missing portions, or undesired shapes. Facings are particularly useful for addressing issues like tooth gaps or misalignment.

The Treatment Process

  1. Initial Steps: An X-ray is taken, and the treatment area is anesthetized. A preliminary mold is crafted while the anesthesia takes effect, serving as a basis for the temporary provision.
  2. Tooth Preparation: Following anesthesia, the tooth or molar is gently reshaped to create space for a crown, bridge, or facing.
  3. Scanning or Impression: A digital scan of your teeth is taken using the 3Shape scanner. In some cases, a precision impression is created with silicone material. The scan is sent to our dental laboratory to fabricate the restoration.
  4. Color Determination: The crown, bridge, or facing is matched to your natural dental color using a color sample. For front-facing restorations, you may consult our dental technician for the perfect color match.

Emergency Provision

A temporary restoration is provided to ensure you leave our clinic with a functional tooth. We fix the temporary provision using temporary cement. If it becomes loose, contact us for reattachment.

Final Placement

Around 14 working days later, the crown, bridge, or facing is ready for placement. If color adjustments are required, you'll visit our dental technician for the final touches.

Results and Aftercare

The temporary restoration is replaced with the permanent crown, bridge, or facing. Once approved, it's bonded to your natural tooth, restoring its shape and function.

Post-Treatment

Take a few hours to ensure everything feels normal and functions well. Once confirmed, treat it as a regular part of your teeth.

Maintenance

Maintain your crown, bridge, or facing as you would your natural teeth. Proper cleaning and normal use extend their lifespan. We'll provide tailored cleaning guidance for your specific case, ensuring lasting satisfaction.

Myobrace Therapy: Correcting Oral Habits for Healthy Development

Incorrect oral habits, especially in children, can lead to issues like crooked teeth, misaligned molars, and an improper jaw position. The Myobrace, a removable silicone aid (BPA-free), can effectively address these habits. It promotes proper nasal breathing, swallowing behavior, and lip closure. While it's ideal for children aged 5 to 12, it can also improve oral habits for adults.

Enhancing nasal breathing, swallowing, and lip closure not only impacts tooth alignment but also influences overall posture. This can prevent potential neck and shoulder discomfort later in life. Incorrect oral habits can disrupt proper teeth development, resulting in irregularities such as crooked teeth and abnormal jaw positions. While braces can address these issues, it's preferable to unlearn these habits during the early stages, around age 6, before permanent teeth emerge. The Myobrace has been developed precisely for this purpose.

The Therapy Process

  1. Initial Appointment: We introduce the Myobrace and provide an exercise booklet during the first visit. Scans and photos of the teeth and face are taken. Your child takes the Myobrace home along with instructions and exercise explanations. If lip strength is inadequate for comfortable Myobrace wear initially, a lip trainer is also provided.
  2. Follow-up Appointments: During subsequent appointments, we discuss the treatment's progress, exercises, and adjustments. We evaluate proper Myobrace usage and address any queries. Periodic photos are taken, and we continue to guide you and your child toward better results.
  3. Gradual Daytime Use: For the first five weeks, the Myobrace is worn during the day to allow the mouth to adjust. We assess readiness to wear it during sleep, as proper growth stimulation occurs during sleep while daytime wear corrects habits.
  4. Exercises and Workbooks: We review exercises integral to the Myobrace and lip trainer treatment, monitoring progress through a workbook. We collaborate with you and your child for optimal results. If Myobrace wear isn't feasible due to specific circumstances, we may refer you to a speech therapist or a specialist.

Results and Aftercare

Myobrace treatment duration varies per child based on growth, adaptability, motivation, exercises, and checks. On average, treatment lasts around two years. Post-treatment, minor or major corrections might require additional orthodontic treatment based on individual needs and wishes.

Maintenance

Unlearning incorrect oral habits stabilizes the oral situation, keeping jaws aligned and teeth properly positioned. No special checks are needed unless old habits resurface, which would be addressed during regular appointments. Extended treatment is an option if desired.

Costs

The costs for a Myobrace placement are €192.24 (G74). A Myobrace combined with a lip trainer costs €224.24 (G74). The separate lip trainer is priced at €162.24 (G74). Multiple Myobraces are used as phases progress successfully. Additionally, study model costs are €94.16 (C013). Check with your insurance provider for potential reimbursement coverage, as these costs include technical expenses. Myobrace control appointments are generally covered by all insurers up to age 18.

Please note that the costs specified above are valid for the year 2023.

T-Scan® Occlusion Analysis System: Achieving Balanced Bites and Improved Oral Health

At our clinic, we proudly utilize the T-Scan® Occlusion Analysis System—a diagnostic tool designed to evaluate your bite and make necessary corrections that can prevent or address issues. The T-Scan offers a comprehensive analysis of bite pressure distribution, helping us identify areas that require adjustments to achieve an optimal bite alignment. Many patients who have experienced this procedure immediately notice its positive impact.

Research demonstrates that a range of complaints can be linked to poor occlusion—how teeth and molars come into contact when biting down. In an ideal scenario, all teeth should meet simultaneously with balanced force. When this balance is absent, an uneven occlusion can lead to various problems. Some examples include:

  • Fractured fillings, crowns, and bridges
  • Broken teeth
  • Receding gums or loose teeth
  • Pain in teeth, muscles, or the temporomandibular joint
  • Nocturnal teeth grinding
  • Increased head and neck discomfort
  • Extensive tooth wear and heightened tooth sensitivity

The Treatment Process

The T-Scan procedure is straightforward and painless. Using digital imaging, it displays your bite pattern. By having you bite onto a thin sensor, the accompanying software captures the sequence and force of each contact point on the teeth. This visual representation highlights early contacts and overloaded molars, offering valuable insights into your bite dynamics. It provides a clear overview of how your bite progresses and evolves during various stages of contact. This analysis reveals problematic areas within your bite.

Successful diagnosis and treatment rely on cutting-edge technology. We employ a digitized occlusion test that precisely measures and objectively evaluates your bite.

Results and Aftercare

The analysis reveals any required adjustments in your bite, which we address in subsequent treatments. The T-Scan enables us to measure the effectiveness of these corrections, allowing us to fine-tune them as needed.

Post-Treatment Considerations

To enhance bite stability, reinforcing your canines may be necessary. Canines play a pivotal role in guiding lateral movement during chewing and absorbing excess forces. As a result, they are naturally thicker than front teeth. Should this treatment be required, your dentist will discuss it with you beforehand. Additionally, we may alleviate heavily loaded portions of teeth through minimal adjustments, while underloaded parts can be raised using restorations.

Maintenance

Over time, teeth can undergo changes due to various factors, such as replacement fillings and wear. Consequently, the occlusion may gradually shift. Therefore, we regularly employ the T-Scan to evaluate the bite after significant adjustments, such as crown placements or as part of preventive maintenance.

Billing Details

For the T-Scan procedure, we bill under code G09 (€32.56). If follow-up examinations or treatments are deemed necessary based on T-Scan results, we utilize code G65 (max €331.61), contingent on treatment duration and follow-up type. This code can be billed once annually, typically at the conclusion of treatment. In cases requiring canine thickening, we use code G33 (€60.29) per canine. We recommend checking with your health insurer to inquire about potential reimbursement coverage for these services.

By employing the T-Scan® Occlusion Analysis System, we aim to provide you with a balanced bite and improved oral well-being.

If part of your tooth or molar has been damaged or lost due to tooth decay, the dentist can restore it with a filling. The filling prevents further pain and restores function. There are several filling materials, the most common of which is composite (white filling).

Treatment filling

Before the dentist starts filling a cavity, he will discuss the treatment with you. If you opt for an anesthetic, it must first take effect. After placing some tools to work dry and clean, he drills away the tooth decay or old filling. After the tooth or molar has been cleaned and dried, the molar or tooth can be filled. If necessary, we use tools to help restore the shape of the lost part. First, the dentist applies a kind of glue in the tooth. This glue is cured with blue (cold) light. The filling material in the form of a paste is then placed in the cleaned hole. This is shaped layer by layer and cured in between with the blue light. After this, the tools are removed and the filling is made to measure with finishing drills. And then polished smooth.

Result

The filling will restore the shape and function of the tooth as well as possible. This makes them almost normal to use again, taking into account the material properties of the filling. The plastic it is made of has less resistance to the forces you can exert. But is strong enough for normal loads such as food and drink.

After treatment

You may experience mild pain for a few days after filling. The complaints will decrease over time. If the complaints worsen or do not go away quickly enough, you must contact us. The filling is probably too high and needs to be ground in. The filling will not wear in on its own. There may also be an inflammation under the filling that is now playing up.

Maintenance

The maintenance of fillings is the same as that of sound teeth; thoroughly clean, brush and clean between the teeth with floss or interdental brushes at least twice a day.

 

Saving Teeth with Root Canal Treatment: Restoring Health from Within

When tooth decay reaches the dental nerve (pulp) or a tooth fractures in a manner requiring intervention, a root canal treatment may be necessary. By meticulously cleaning the interior of the tooth, the inflammation around the root can be resolved, eliminating the need for tooth extraction.

The Treatment Process

Following anesthesia and isolation with a rubber dam, we identify the entrances to the root canals. Employing a series of progressively smaller files, we navigate the root canals, gently widening them while disinfecting with chlorinated water. The tooth's interior and root canals are thoroughly dried before being filled. If deemed necessary, a crown may be placed on the tooth later. In cases of severe inflammation, a temporary filling combined with medication could be placed temporarily until the treatment's conclusion in a subsequent appointment.

Results

The affected portion of the tooth and its pulp are removed, and the pulp chamber is meticulously disinfected. This area, along with the root canals, is then comprehensively filled.

Post-Treatment Period

It's normal to experience discomfort for several days following a root canal treatment. In most cases, this discomfort can be managed with over-the-counter pain relievers like paracetamol. However, if pain persists beyond three days, we advise you to contact our clinic. The complete resolution of any discomfort may take up to a month.

Maintenance

Due to the increased risk of fracture, teeth that have undergone root canal treatment often receive crowns. Promptly addressing any new damage to the tooth is crucial to prevent the need for repeating the entire treatment. A well-protected root canal filling can provide longevity exceeding 20 years.

Through root canal treatment, we not only preserve your natural tooth but also restore its health from within—a testament to modern dentistry's ability to combine science and care.

Other treatments

Strengthening Teeth with Fluoride Treatment: A Shield Against Cavities

Fluoride treatment is a vital component of dental care, starting from the emergence of the first adult molars until approximately 18 years of age. During this crucial developmental period, fluoride plays a pivotal role in enhancing tooth hardness. We recommend that patients under the age of 18 undergo fluoride treatment every six months.

Objective

The primary goal of fluoride treatment is to fortify enamel, rendering teeth less susceptible to cavities.

During the procedure, fluoride is meticulously applied between your teeth. Over time, it gradually releases an elevated concentration of fluoride, offering sustained protection. While most toothpastes contain fluoride, our Duraphat treatment boasts a higher concentration than standard toothpaste. However, it's important to note that fluoride can interact with asthma medication. If you or your child have asthma, please inform us so that we can explore alternative methods of administering fluoride.

Results

Fluoride bonds with enamel, creating a shield against rapid enamel dissolution during acid attacks and enabling quicker recovery.

Post-Treatment Guidelines

Following treatment, refrain from eating, drinking, or rinsing for the initial half-hour. Also, avoid flossing on the day of the fluoride treatment.

Sustaining the Benefits

To maximize the benefits, repeat fluoride treatment every six months until the age of 18.

We also advocate fluoride use at home. Fluoride is commonly present in toothpaste formulations. If a toothpaste lacks fluoride, packaging usually clearly indicates this. Ivory Cross provides guidance on fluoride use, including the recommended toothpaste for children. Toddler toothpaste contains lower fluoride levels than adult versions, aligning with safe fluoride intake for children. It's crucial to use toddler toothpaste for children aged 0 to 4, unless otherwise advised by a dentist.

To prevent excessive fluoride ingestion and promote proper brushing habits, monitor toothpaste quantity. A pea-sized amount is sufficient. Assist children with brushing until the age of eight and ensure they spit out toothpaste, not swallow it.

Age-Specific Recommendations

  • 0 and 1 year: Commence brushing once a day using fluoride toddler toothpaste when the first teeth appear.
  • 2, 3, and 4 years: Brush twice daily with fluoride toddler toothpaste.
  • 5 years and older: Brush twice daily with fluoride toothpaste.

For any other forms of fluoride utilization, we encourage our patients to consult with our dental professionals.

Fluoride treatment acts as a stalwart guardian, fortifying teeth against the threat of cavities, and promoting lifelong oral health.

Preserving Healthy Teeth with Sealing: Shielding Against Cavities

Sealing serves as a valuable shield, safeguarding teeth against the threat of cavities. The process of sealing is aptly named, as it involves creating a protective seal over the tooth's vulnerable areas. Molars, in particular, possess deep grooves that can prove challenging to clean thoroughly. These crevices are prone to cavity formation. By applying a plastic layer to seal these grooves, teeth gain essential protection.

Newly emerged molars are particularly susceptible to cavities. Once molars have fully emerged, they become eligible for sealing. Occasionally, this technique extends to milk molars and teeth as well.

The Procedure

Sealing is a completely painless procedure, with the only inconvenience being the need to keep the mouth open for an extended period. Achieving a completely dry tooth surface is imperative for the plastic layer to adhere effectively.

The tooth undergoes meticulous cleaning using a grit blaster and is subsequently dried using an air syringe. Next, the tooth is etched using an acidic solution that enhances its adhesive properties. After the etching process, the tooth is rinsed with a water sprayer and dried using the air sprayer. The sealant, a plastic coating, is then meticulously applied using a small syringe. To set the protective layer, a blue lamp is employed for curing.

Benefits and Maintenance

Sealing provides a substantial advantage as it facilitates more efficient brushing due to the smoother tooth surface. Over time, the protective layer naturally wears down, although gauging its degradation is challenging. During routine check-ups, your dentist will assess the thickness and integrity of the sealant. If necessary, they can reapply the sealant to maintain protection.

Adult molars might also undergo sealing if they are deemed at risk for cavities. However, this practice is not as common.

While sealing offers substantial benefits, it's crucial to continue practicing diligent oral hygiene with fluoride toothpaste. It's important to recognize that even sealed molars can develop cavities in other areas or beneath the sealant.

Preserving the integrity of your teeth requires a multifaceted approach, with sealing serving as a pivotal defense against cavity formation.

Using the 3Shape scanner, we create a precise digital impression of your teeth, eliminating the need for the conventional method of biting into an impression tray. This transition enhances your comfort during the process and streamlines our workflow with the dental laboratory.

This innovative digital tool not only enhances convenience but also facilitates the treatment planning discussions. We can present and review the scan of your teeth together, allowing for a more comprehensive understanding of your treatment plan.

Extra information

Following a surgical procedure, adhering to specific instructions is crucial to facilitate a swift recovery. It's important to note that the described symptoms may not always manifest simultaneously or with the same intensity.

Eating, Drinking, Smoking, and Alcohol: Avoid consuming very hot or cold beverages for the initial 6 hours after the procedure. For a few days following the procedure, abstain from consuming hard foods, smoking, and alcohol, as they can hinder the healing process.

Oral Hygiene: Allow the wound to heal properly by letting blood clot. Avoid rinsing the wound on the first day post-surgery. From the second day onward, you can brush your teeth gently with a soft toothbrush, avoiding the wound area. If brushing is difficult due to a restricted mouth opening, you can rinse your mouth after meals using a solution of half a teaspoon of table salt in a glass of lukewarm water or a chlorhexidine rinse, available on prescription. After a few days, your mouth's opening should return to normal.

Pain Relief: Pain is a common occurrence after surgery and can last up to five days. Over-the-counter pain relievers like paracetamol or ibuprofen can help manage pain. If needed, your dentist might prescribe a different painkiller. It's advisable to take pain relievers before the local anesthetic wears off completely.

Swelling: Expect some swelling and discoloration (blue-yellow) of the cheek, which should diminish within 3 to 5 days. If swelling persists or worsens, consider reaching out to your dentist or the evening and weekend service.

Fever: A mild fever (up to 39°C) is normal during the initial days. However, sudden high fever above 39°C or a persistent fever above 38.5°C for more than 5 days should prompt you to contact your dentist or the evening and weekend service.

Bleeding: During the first few days, blood clots may cause your saliva to appear red. This should not be mistaken for bleeding. True bleeding involves more blood than saliva. In the case of bleeding, bite down on a folded gauze or cloth for half an hour. If bleeding doesn't cease, repeat the process and contact your dentist if necessary.

Stitches: Stitches usually dissolve within one to two weeks. Rinsing with a prescribed chlorhexidine rinse should be done until the sutures are completely dissolved. If a suture loosens early, reapplication is usually unnecessary.

Anesthesia: Although anesthesia may not directly affect your ability to drive, it's wise to avoid active participation in traffic until you feel sufficiently recovered. Lingering numbness in the lower lip after anesthesia, especially with lower jaw treatments, should be reported to the practice. Normal sensation generally returns within 2 to 8 weeks.

Prescribed Medications: Follow the prescribed painkiller regimen, beginning one hour post-treatment and repeating every 8 hours for three days. If necessary, this can be extended. The painkiller also aids in reducing inflammation and promoting wound healing as long as it's used as directed. The day after the procedure, start using the prescribed mouthwash twice daily. Discontinue once the sutures are dissolved or, if the wound wasn't sutured, continue use for another week.

For children, the prospect of visiting the dentist can often be quite nerve-wracking. To help children become accustomed to this new experience, we offer them the opportunity to undergo a practice treatment.

Children have a different way of functioning and thinking compared to adults. They may not fully understand the necessity of treatment until they're older. Children also tend to rely heavily on their intuition. For instance, phrases like "that doesn't hurt!" can actually be interpreted by children as potentially painful. This can lead to a situation feeling unsettling, causing their initial trust to transform into fear.

To prepare children for the actual treatment, we arrange a practice treatment in advance. During the practice treatment, one of our assistants works with the child to familiarize them with the different procedures that will occur in their mouth. This helps create a positive experience, allowing the dentist to proceed with the real treatment more smoothly with a relatively relaxed young patient.

To ensure the practice treatment goes well, we kindly ask parents not to communicate with their child during this process. Also, we advise against making promises of rewards or punishments. Parents are present in the treatment room as observers, as we take responsibility for acclimating the child to the treatment. If the initial practice treatment doesn't yield the desired outcome, we can schedule additional practice treatments.

If a child seems to struggle during a 'real' treatment session, we'll finish the treatment and then arrange another appointment for a practice treatment. Our primary goal is to prevent the development of dental fear in children.

It's important to note that these practice treatments are covered by health insurance.

Should you have any questions or comments regarding the practice treatment, please feel free to reach out to us.