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Dental Hygienist Germany

 

 

Plaque ist the reason of Gingivitis

Plaque is a term that describes the film of bacteria which is constantly forming on the surface, and between teeth. If left in place, it causes tooth decay and gum disease. When plaque has been present for several days it can combine with calcium from saliva to form tartar, calculus, a hard deposit, which typically forms behind the lower teeth. Tartar can also be hidden deep below the gum. Plaque and Tartar definitely result from insufficient oral hygiene and they also are the most common reason of Gingivitis - and Gingivitis is the reason of periodontital disease. Calculus is mineralized bacterial Plaque, a concretion of bacteria, food residue, saliva, and mucus with Ca and phosphate salts. After a tooth is cleaned, a mucopolysaccharide coating, pellicle, is deposited almost immediately. After about 24 h, bacterial colonization turns the pellicle into plaque. After about 72 h, the plaque starts calcifying, becoming calculus. When present, calculus is deposited most heavily on the lingual inner, or tongue surfaces of the mandibular anterior teeth near the submandibular and sublingual duct orifices, the Wharton's ducts, and on the buccal, cheekside, surfaces of the maxillary molars near the parotid duct orifices, the Stensen's ducts. If you not remove or let remove it professionaly at the BERLIN KLINIK Prophylaxis Dep. you will definitely become gingivitis which may lead into a Parodontitis that needs parodontological treatment!

 

 

 

The Dental Hygienist visit in BERLIN KLINIK

The hygienist will assess your gums and teeth, checking for any swelling or inflammation and for any bleeding. Measurements of where the gum attaches to the tooth, gingival pockets and even periodontal bone pockets may also be taken. The attachment level will be measured out and periodicaly analysed. The hygienist will carefully remove the tartar using manual or specialised ultrasonic instruments and also salt blowing machines. Removing the tartar makes the teeth easier to keep clean, as its rough surface tends to attract more plaque. The hygienist will then polish the teeth leaving them smooth and clean. If there is a lot of tartar, two or more visits may be necessary. If gum disease has become advanced, a special programme for removing deep tartar from the root surface may be required. This is called root planing or debridement and it may be necessary for the dentist or hygienist to anaesthetise the gum to make it comfortable. In some cases a slow-release gel may be prescribed to help stop the harmful bacteria from causing further damage. Recent research has shown that people who regularly see the hygienist experience less dental decay and require less dental work in the long term. Daily dental care is indispensable to maintain a beautiful and healthy smile. Oral hygiene also plays a critical role in the development of various diseases. Unfortunately, it is not always possible to clean interdental spaces effectively and to entirely remove dental plaque. We therefore recommend regular professional dental cleaning. As part of a professional dental cleaning, teeth are closely examined to detect diseases. Dental plaque is then removed from the surfaces of teeth, interdental spaces, and gingival pockets, the teeth are polished and fluoride is applied to their surfaces to harden them and to prevent bacteria from settling

 

 

 

A good oral hygiene routine at home is the most important factor in preventing gum diseases. Your needs will differ as time passes and the mouth and body changes. You will need new oral care techniques during different phases of life. Especially if you have dental fillings, crowns or bridges you should regularly have professional dental prophylaxis. If you have implants professional dental hygiene is a must have! Only with regular visits of a dental hygienist you will have the dentists warranty! The hygienist will monitor your dental and oral health and provide the most appropriate advice for any dental situation and for any prosthetic solution. The Dental Hygienist is also responsible and specially educated for all necessary tooth bleaching and tooth whitening treatments.

 

 

You can find Oral hygiene special topics under:

Oral hygiene and gum diseases

Professional preventing of gum diseases

Prophylaxis for Dental Implants and Periimplantitis

Dental Hygienist and tooth whitening

Britesmile safety and effectiveness studies

BERLIN KLINIK Prophylaxis BriteSmile Technology

Caries and Prophylaxis

Defects in tooth color

Defects in tooth enamel

Diagnostic digital x-ray

 

Oral hygiene and gum diseases

Gum disease is defined as inflammation of the tissues that support the teeth.The effect of this inflammation, over a period of time, is to cause the gums to recede. Recession occurs not only on the outside but also invisibly on the inside where the gum meets the tooth. In this way recession can cause pockets to develop between the teeth and gums. Bacteria accumulates inside pockets and accelerates the disease process. Diseased or inflamed gums bleed when they are brushed or flossed, but healthy gums do not bleed. Gum problems usually begin without any initial symptoms that's why it's important to have both your teeth and gums regularly checked. Once problems start they can progress at an increased rate, with damage occurring over a relatively short period of time. When gum disease is in the early stages it is called gingivitis. The more advanced form, when inflammation reaches the bone, is called periodontitis, which, if untreated can eventually result in tooth loss and also in the loss of dental implants! Gum diseases are a public illness: Almost everybody has some gum inflammation but we all react differently to the presence of plaque and tartar on the teeth.This means that some of us suffer quite badly from gum recession even though there is little plaque or tartar present. Generally, the cleaner your teeth are and the less plaque and tartar you have, the less gum disease you will have. Factors such as smoking, use of prescription medication or poor health can cause an increased risk of gum problems. Your dentist or hygienist will be able to advise you about this.

 

 

Professional preventing of gum diseases

Healthy gums are the support for healthy teeth. Lifelong protection for both teeth and gums starts with regular dental examinations and hygiene visits. 80% of adults have gum disease to some degree and everybody needs advice on oral healthcare. Incorrect tooth brushing can also damage the teeth and cause seriouse recession of the gums.The BERLIN KLINIK International Dental Clinic Hygienist is trained to spot the telltale signs of incorrect brushing and to help you correct the daily routine. Thorough tooth cleaning each day will prevent plaque from building up in sufficient amounts to cause damage to teeth and gums. Brushing can remove plaque on the front and back surfaces of the teeth and aids such as floss, tape or interdental brushes can remove plaque from between the teeth.The hygienist will demonstrate brushing techniques, the use of floss and other devices and will help choose the right products. Once tartar has formed, it can only be removed by a hygienist or dentist.

 

 

Prophylaxis for Dental Implants and Periimplantitis

The only secure way to stop periodontal diseases, periodontitis, periimplantitis and the following bone loss is a serious and defined analysis and diagnostics of the causes of each case and the commitment to consistent individual dental prophylaxis and optimized oral hygiene at home. The different bacteria in dental plaque and dental calculus are surrounding your teeth and dental implants the whole day. They eat and destroy the bone and the periodont which fixes the teeth in your bone. They also destroy the bone which surrounds a dental implant. The residue of bacteria causes inflammation, which in turn results in further bone loss. Jaw bone loss is not reversible! However, a serious and consistent treatment at BERLIN KLINIK International Dental Clinic Parodontology and BERLIN KLINIK Prophylaxis can stop the process. The treatment starts with an intensive individual prophylaxis and goes on with deep cleanings and /or root planning at individual recall intervals. This can potentially avoid periodontal surgery. The interval varies on a case by case basis, but is usually every 3-6 months. In cases of a much more difficult to treat periimplantitis compared to a periodontitis intervalls may be shorter. There is no set time period for hygiene treatment as every patient has different needs. BERLIN KLINIK Prophylaxis-Recall frequencies are tailored to your individual personal requirements. For example, in the case of advanced gum disease you may need a course of treatment consisting of four visits over the same number of weeks, followed by once a month for a year. Alternatively, if you have a healthy mouth, the recommended recall period could range from three to twelve monthly intervals. As written before the difficult to treat Periimplantitis often needs closer intervalls and a stricter regimen.

 

 

Dental Hygienist and tooth whitening

A professional dental cleaning can be combined with tooth bleaching or tooth sealing. After the treatment we can advise you on the right home care for your teeth and, if you desire, even design your individual dental care concept including a follow-up visit. Different tooth Whitening Procedures are 1.) In office whitening/in office bleaching done by a Dental Hygienist in BERLIN KLINIK Prophylaxis Department. Concentrated hydrogen peroxide is applied to teeth, which is exposed to a light or laser. It is very effective up to 8 shades and long lasting depending on individual lifestyle. Becaus of its efficiencie and strengt gums and tissues are protected by a fluid rubber skin while procedure. 2.) General ingredients of a Home bleaching traysare: 6% carbamide peroxide - becomes 3% hydrogen peroxide when applied - and a thickening agent containing copolymers of acrylic acid cross-linked with a polyalkenyl polyether are added to a custom-made tray. Very effective but also very dangerous for all soft and hard tissues as well as oral as the throat! 3.) Patient OTC products: Commercial whitening strips composed of carbamide peroxide. These are not to use for a perfect result. 4.) Whitening toothpaste and Smokers toothpaste usually contain carbamide or hydrogen peroxide. They are moderately effective but also abrasive and not for daily use! And last and also least 5.) Paint-on whitening. Usually composed of titanium dioxide. Which may be useful on a theatre stage but not serious for real life. By the way not effective

 

 

Britesmile safety and effectiveness studies

BERLIN KLINIK Prophylaxis Department trusts tooth bleaching systems and tooth whitening systems from Britesmile. Britesmile bleaching is safe and efficient. Independent safety studies, conducted by the University of Medicine and Dentistry of New Jersey and confirmed by senior researchers at New York University, prove the BriteSmile Professional Teeth Whitening Treatment is safe. A pre-clinical study on the effect of BriteSmile upon hardness of tooth enamel and composite was conducted by the University of Medicine and Dentistry of New Jersey. The Study concluded that the results of this study indicate that the BriteSmile Tooth Whitening system will not cause softening of enamel and composite materials tested. The findings of the pre-clinical study were confirmed by a SEM Scanning Electron Microscopic, study. The study's conclusions stated that the data indicates that the BriteSmile Whitening System did not cause structural or morphological changes of enamel, and it is therefore concluded that the procedures involved are not caustic or corrosive.  Senior researchers at New York University reviewed the data from the SEM and pre-clinical hardness studies. The review confirmed the findings of the University of Medicine and Dentistry of New Jersey researchers. Finding no change in surface morphology and hardness of the BriteSmile treated specimens when compared with untreated controls. The study concluded that the results indicate that BriteSmile treatment is safe towards enamel and is not corrosive or caustic.  A clinical study was conducted by BriteSmile and investigators associated with the University of Medicine and Dentistry of New Jersey to evaluate the clinical safety and efficacy of the BriteSmile system. Fifty healthy subjects were selected to participate in the multi-center study. The clinical study showed all soft and hard tissues were within normal limits. A study by the prestigious Forsyth Institute confirmed that BriteSmile is completely safe for young adults aged over 14, paving the way for BriteSmile to become the method of choice for removing tooth stains associated with orthodontic treatment.

 

 

BERLIN KLINIK Prophylaxis BriteSmile Technology

The BriteSmile Whitening System - BriteSmile has revolutionized tooth whitening with state-of-the-art technology that is safe and effective. BriteSmile is gentle. There's no laser, no heat, and no scraping. Our whitening system uses only two simple elements: gel and light. The patented BriteSmile light is not a laser. It's a specially designed lamp that shines a gentle, blue light on your teeth. It works in tandem with our proprietary whitening gel to accelerate the whitening process. This light has been clinically proven safe for tooth enamel as well as skin, gums, and other soft tissues. It emits virtually no heat and no harmful UV (ultraviolet) light. Our lamps are uniquely shaped to illuminate and whiten all "smile line" teeth (top and bottom) at the same time, ensuring natural and uniform results. The BriteSmile light is used in combination with our patented whitening gel, which has been optimized for patient safety and maximum results. While other whitening gels contain as much as 35%-50% hydrogen peroxide, BriteSmile's proprietary gel contains only 15% peroxide and is buffered at a near-neutral pH value that is compatible with tooth enamel. The gel also contains other ingredients such as glycerin and highly purified water to prevent tooth dehydration and to further ensure safety. The gel is specifically engineered to respond to the blue wavelengths of our light system. When the light illuminates the gel, it activates and safely accelerates the whitening process, achieving amazing results in just one hour. The BriteSmile teeth-whitening system is protected by numerous patents and therefore only available at the dental offices of trained BriteSmile professionals.

 

 

Caries and Prophylaxis

Caries tooth decay first appears as defects in the tooth enamel. Caries then appears as white spots, later becoming brown. In this stage it is absolutely necessary to regularly see the Oral Hygienist or the BERLIN KLINIK Prophylaxis dep. to prevent the teeth surface from being invasively destroyed! Attrition by wearing of biting surfaces, can result from chewing abrasive foods or tobacco or from the wear that accompanies aging, but it usually indicates bruxism. Another common cause is abrasion of a porcelain crown occluding against opposing enamel, because porcelain is considerably harder than enamel. Attrition makes chewing less effective and causes noncarious teeth to become painful when the eroding enamel exposes the underlying dentin. Dentin is sensitive to touch and to temperature changes. A dentist can desensitize such teeth or restore the dental anatomy by placing crowns or onlays over badly worn teeth. In minor cases of root sensitivity, the exposed root may be desensitized by fluoride application or dentin-bonding agents.

 

 

Defects in tooth color

must be differentiated from the darkening or yellowing that is caused by food pigments, aging, and, most prominently, smoking. A tooth may appear gray because of pulpal necrosis, usually due to extensive caries penetrating the pulp or because of hemosiderin deposited in the dentin after trauma, with or without pulpal necrosis. Children's teeth darken appreciably and permanently after even short-term use of tetracyclines by the mother during the 2nd half of pregnancy or by the child during odontogenesis (tooth development), specifically calcification of the crowns, which lasts until age 9. Tetracyclines rarely cause permanent discoloration of fully formed teeth in adults.

 

 

Defects in tooth enamel

may be caused by rickets, which results in a rough, irregular band in the enamel. Any prolonged febrile illness during odontogenesis can cause a permanent narrow zone of chalky, pitted enamel or simply white discoloration visible after the tooth erupts. Thus, the age at which the disease occurred and its duration can be estimated from the location and height of the band. Amelogenesis imperfecta, an autosomal dominant disease, causes severe enamel hypoplasia. Chronic vomiting and esophageal reflux can decalcify the dental crowns, primarily the lingual surfaces of the maxillary anterior teeth. Chronic snorting of cocaine can result in widespread decalcification of teeth, because the drug dissociates in saliva into a base and HCl. Chronic use of methamphetamines markedly increases dental caries ("meth mouth").Swimmers who spend a lot of time in overchlorinated pools may lose enamel from the outer facial/buccal side of the teeth, especially the maxillary incisors, canines, and 1st premolars. If Na carbonate has been added to the pool water to correct pH, then brown calculus develops but can be removed by a dental cleaning. Fluorosis is mottled enamel that may develop in children who drink water containing > 1 ppm of fluoride during tooth development. Fluorosis depends on the amount of fluoride ingested. Enamel changes range from irregular whitish opaque areas to severe brown discoloration of the entire crown with a roughened surface. Such teeth are highly resistant to dental caries. Ithe colour defect is not to remove in any case but the teeth are healthy the best to save them good looking are ceramic veneers.

 

 

Diagnostic digital x-ray

For a new patient or for someone who requires extensive care, the dentist sometimes takes a full mouth x-ray series. This series consists of 14 to 16 periapical films to show the roots and bone plus 4 bite-wing films to detect early caries between posterior teeth. Modern techniques reduce radiation exposure to a near-negligible level. Patients at high risk of caries, those who have had caries detected during the clinical examination, have many restorations, or have recurrent caries on teeth previously restored, should undergo bite-wing x-rays every 12 month. Otherwise, bite-wings are indicated every 2 to 3 years. In BERLIN KLINIK Radiology we use digital low-radiation panoramic x-ray system of the most modern and save technique. One overall picture has not more radiation for you than a innereuropean Airplane flight! A diagnostic x-ray today is a diagnostic must because it defintely the most useful information about tooth development, cysts or tumors of the jaws, supernumerary or congenitally absent teeth, 3rd molar impaction, the seldom Eagle's syndrome, carotid plaques and much more...no fear. Diogital x-ray radiation will not harm you in any way.