Emergence

bacteria + sugar + time = loss of tooth mineral and subsequent cavity formation

Prophlaxis

• reduction of bacterial plaque by using brush AND interdental cleaning
• reduction of sugar or consequent xylit supply deprive bacteria of substrate to produce acids
• fluoride protects enamel against acids
• beneficial bacterial strains push back pathogenic strains

Emergence

• carbohydrates + bacteria + week buffering effect of saliva soften the roots. Even unvisibly below gingiva level. Xerostomia massively accelerates the process.

Prophlaxis

• match brushes and interdental devices to recessions and larger interproximal spaces.
• enhance saliva function by mouthrinses or gels.
• xylit supply or beneficial bacterial strains push back pathogenic strains

Emergence

Longtime ineffective interdental cleaning promotes bacteria strains producing toxins leading to bone loss.

Prophylaxis

• effective interdental cleaning
• less or no nicotine and perfect blood glucose level.
• checking levels of longtime glucose marker HbA1c, vitamin D und essential fatty acids
• mental stress reduction
• elimination of nightly gnawing
• restauration of occlusion in cases of excessive abrasion

Often only indirectly detectable by

• muscle tenseness
• headaches
• spontaneaus biting into tongue or cheek
• teeth or restoration fractures
• tinnitus
• short survival of dental restorations

Emergence

• normal chewing cycles do not lead to abrasion because contact with force only last millisecond.
• several minutes of nightly gnawing with maximal forces or constant clenching during daytime slowly, but accelerating, detoriate muscles, joints, ligaments, teeth and restaurations.

Treatment

• A transparent occlusal splint is effective if the correct jaw position has has been identified by measurement previously..
• Correction of daytime clenching needs feedback from other people or technical devices.
• Occlusal adjustments can be necessary.

In Switzerland biting onto a foreign object in the food in seldom cases qualifies for insurance benefits.

Prophylaxis

Everyone knows that ice hockey players use mouthguars. This can be wise during other activities, too.

When caries develops despite effective hygiene, healthy nutrition and regular checkups saliva malfunction is the probable culprit. After only 3 months of eg sedative medication effects could be seen on nearly every tooth! Nictoine and cannabis

Emergence

We do not know why this happenes in healthy individuals. Medications and radiation therapy are common causes.

Prophylaxis

Only seldom medications may be modified. Otherwise desinfectant, remineraizing or recolonizing agents are necessary.

Unerkannte Zahn- oder Kieferentzündungen und gestörte Kaufunktion können Schmerzen am ganzen Kopf hervorrufen.
Manchmal wird die Ursache ganz woanders gesucht und jahrelang nicht gefunden.
Vor invasiven medizinischen Untersuchungen ist eine gründliche Untersuchung von Zähnen, Kiefern, Zusammenbiss und Kaumuskulatur deshalb immer ratsam.

Manual toothbrush

The bacteria live in the small spaces between gum and tooth and between teeth.
The bristles penetrate this space only when

• 45 degree angle with respect to tooth axis AND
• minmal pressure AND
• minute movements are observed.
  Do not forget oral surfaces!

Electric toothbrush

It does not save a lot of time, but it is really much more effective.

Special brushes for nested, crowded, or tilted teeth:

d

Interdental devices

Airfloss (produced only by Philips): Air/Water-Jet much better than other water jet devices https://www.youtube.com/watch?v=xqD6YymY9mI

It is a valuable adjunct for especially for upper molar teeth.

Interdental brushesbrushes

Modern plastic-coated wires reach nearly every space.

View use at https://www.youtube.com/watch?v=2LC7YKwJEqQ

Dental floss

Longtime seen as the "gold standard" nowadays only recommended where interdental brushes do not fit.

Ready mounted dental floss

Helpfull when everything else is found to difficult. Eg

Wooden or plastic sticks

VERY seldom of value...

50% of all bacteria in the mouth live on the tongue. It can be easily cleaned by common toothbrush or by using special devices: https://en.wikipedia.org/wiki/Tongue_cleaner

Welches ist das richtige für mich? Angesichts der grossen Anzahl Wirkstoffe und der Preisunterschiede ist eine Beratung bei uns SEHR sinnvoll.

Everybody brushing effectively will produce a harmless notch on at least one of the teeth. But exessive forces and/or wrong technique can lead to deep grooves which need restauration. I will check for this problem on any examination.

Please follow these rules:

• Use abrasive toothpastes ("Anti-discoloration" "whitening" ) only two times a week.
• Limit brush force to 50 gramms: If your bristles are bent at the end of the month you exeeded this value.

Sugars