Not every man has by nature good and healthy teeth. When the ground substance of the teeth is bad, the teeth can be so good care of them just in time to be getting worse. Often the problem lies on the tooth neck. For many people who have dental problems, the gum has already gone quite far back, so that the tooth necks are exposed and now there arises the dreaded dental caries. Alternatively, the enamel is very soft and therefore very susceptible to decay.

The dentistry is already well advanced and there is the possibility of a dental restoration. First, the dental restoration is used in patients who are regarded as toothless. That means in the x-ray can be seen only root remnants. Here, the dentist can only remove all the inflamed tooth roots and radicals.

In a second group of patients, the dentist finds oral inflammation throughout the mouth and often have to move the teeth. Here, all teeth are extracted and waiting for the healing of the inflammation. Another group of patients is that in which the teeth are affected only by the absence of caries and other infections. The teeth, which are destroyed to the root and can not recover, will be removed. The rest of the teeth will continue to receive.

Patients who have very good teeth usually only go to the dentist to control. These are supplied then the teeth to be treated and tartar removed. It is important for any good oral hygiene and regular dental visits. You could also pay once a year a thorough dental cleaning to prevent something worse.

Many people still think that it is in orthodontics using braces or surgery to be purely cosmetic measures. This is wrong: a Orthodontics is primarily even a medical procedure because only teeth that are the best set of teeth to each other and attack each other perfectly when closing the mouth, can also achieve an ideal Beißleistung.

But not just the digests food here is in the foreground, but also the development of the dentition on the life cycle. Missing an upper tooth, for example, have settled down partner, this tooth bites into the void. This lack of the opposing results in the tooth slowly moving further and further down until finally he has not sufficient support in the jaw or very wrong to grow.

Therefore, dental corrections and dental surgery for the further health of the teeth are very important and desirable not only from the cosmetic point of view.

The Orthodontics usually begins during adolescence, when the final bite is out. In Indealfall the tooth correction is completed as well as reaching adulthood. However, there are now also methods, an effective and retroactive Orthodontics yet to be implemented in adult when she was missed in childhood, or by shifts occurring only later becomes necessary. In adulthood, the tooth for aesthetic correction of teeth takes a little longer, but can be just as effective.

The correction usually takes place via a dental braces. It is firmly seated braces, which are up for a firmly anchored in the mouth two years. These require a high level of care and health expenses () against gum disease and are perceived by their makers usually unpleasant. Removable braces have the advantage that they can clean themselves better and waiting. They act in the mouth but still more like a foreign body and can be very annoying.

About 50% of the malocclusions in children and adolescents are genetic, while the rest of misaligned teeth and crooked teeth caused by wrong habits like thumb sucking permanent, long-term pacifier use, or have constant mouth breathing.

When the diagnosis is established by means of plaster casts and radiographs, if only a malocclusion is present or a jaw deformity. The diagnosis should be made early as possible if, for example, can be observed even in the primary dentition malocclusions to.

At the latest after the change to permanent teeth an orthodontist should be consulted when misaligned teeth, because the sooner an individual treatment plan in dental surgery can be created and implemented, the shorter the treatment time and the chance for an optimal result increases.

If a treatment is necessary with orthodontic appliances such as braces, then one does it within the growth of children and young people to bring the jaw and teeth into the correct position. Although in adults a correction possible, but this takes much longer and can lead to increased jaw pain.

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Plaque is the term for the mixture of food particles, saliva and bacteria, which can then be put up and down between his teeth that he is wegzubringen by simply brushing your teeth anymore. If the plaque hardens completely, it is called tartar, which can remove only the dentist.

Under the plaque acid attacks the tooth enamel. It does not work overnight, but over a longer period through the teeth and gums can be so damaged that tooth loss may even be the result. First, only the enamel is attacked, but in consequence of the necks of the teeth, which are very susceptible to decay.

Plaque can also be the reason for periodontitis, gum disease to be so. If ignition of the gums and it’s back, the teeth can lose their grip.

Of course, caries and periodontal disease can have other causes. Thus, a nutrient deficiency, the use of certain medications may also be a disease or the reason that caused problems with teeth and gums. But plaque is in most cases the main reason. So you should do everything possible to regularly clean the teeth as long as possible and get healthy.

A simple toothbrush and toothpaste usually not sufficient to completely remove the plaque from the teeth. Just when the teeth have grown crooked, and you can reach with a toothbrush, not all places, one should additionally use dental floss, with which one can also remove food particles that have taken root between the teeth. Has proven to antibacterial mouthwash, which you should rinse your mouth regularly. A formation of plaque on the smooth and thoroughly cleaned teeth is so difficult.

In addition to daily hygiene of their patients, dentists recommend a professional dental cleaning at least every 6 months.

Some Statutory health insurance pay an annual professional cleanings. Are the teeth or gums already damaged, should this additional dental care more often (in the quarter of a year) once done.

Good dental hygiene is usually rewarded with well-preserved teeth.

For tooth whitening, there are three different methods that can be carried out by dentists, the “Home bleaching” the “in-office bleaching” and the “walking bleach” technique.

The “Home Bleaching” is the most commonly used form. In this case, the dentist creates a unique impression of the jaw, and draw up a rail, which is filled with whitening gel. The splint is then worn by the patient for between one and eight hours. With the home bleaching can always brighten up the entire row of teeth, but any crowns or bridges are not cleared up with, so here is an additional correction is necessary.

The “In-office bleaching” are used more concentrated preparations are applied directly to the tooth. After 15-30 minutes they are removed and can not at a satisfactory outcome then be re-used.

The walking bleach technique is used only in dead teeth. Here, the crown is opened and the bleaching agent is injected into the tooth. There, the funds will remain for several days.

In addition to the options at the dentist directly, there are also several products that can purchased in supermarkets or drugstores. These are suitable, depending on the product more or less well for lightening. However, this can not substitute for the dentist, because the causes of discoloration should be eliminated first.

At the root canal treatment the tooth is drilled in order to the inflamed dental pulp to arrive. Subsequently, the pulp with a small spiral-shaped instrument, reamers, cleaning solutions, ultrasonic or laser in a so-called pulpectomy from inside the tooth root is removed and cleaned the root canals. The edges of the root canal will be processed and smoothed, then filled with a soft material and hermetically sealed bubble, and so that no more bacteria to settle and multiply in the root canal. The rubbery material remains in the root canal and is additionally sealed with dental cement.

The pulp treatment of the tooth can be saved, will receive the tooth structure and prepare for a large restorations. Is not enough tooth structure for a necessary tooth structure exists, can be inserted into the root canal plastic or metal pins that provide the structural support adjacent tooth structure.

Formerly it was customary to extract teeth with a damaged or decayed tooth marks. Today, the goal of the dental pulp or root canal treatment is the preservation of the tooth. Is that the tooth Wurzelinnere highly branched, it may be that the root canals are not using modern methods can be completely cleaned and little remains of the inflamed dental pulp to remain in the root canal. Remaining residues are not always in the final inspection to detect X-rays and can have a pathogenic influence upon the organism. In this case, a complete extraction of the tooth or an apicoectomy is needed in the surgically separated at the root tip and thus also the remains of the inflamed dental pulp are removed.

After the extraction of the dental pulp of the tooth is considered to be dead, but is supplied via the periodontal ligament continue with nutrients. After the dental pulp of the tooth extraction, however, can no longer respond to cold and heat stimuli, sweet or sour foods. Teeth without tooth marks tend to become brittle over time. That is why, after a treatment of dental pulp to weigh whether the tooth should be sealed only by a filling or a crown is used.

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Such oscillations have high support in addition to the cleaning effect or positive effects on the gums, while passing by “cell activation” of the ion exchange agents. Also, the toothpaste foam is due to the high vibrations better in inaccessible places – such as penetrate between the teeth – can.

As a further side effects are described by the manufacturer:

• Significant reduction of bacteria, plaque and gingivitis with regular use
• Excellent removal of stains from food and beverages (eg coffee, tobacco, red wine, tea) at low abrasiveness
• Tests on cleaning robot of the University of Munster were unable to demonstrate that faster is better, says the Pharmacy Magazine “Senior Advisor”. Sonic brush should be less aggressive, because with strong impress the vibrations diminish. “Too little pressure, but the bristles can be more swing, then damage is also possible here,” Dr. Markus Kaup criticized by the Department of Operative Dentistry in Munster. However, the manufacturer of alleged effect of the fluid flows in the mouth and thereby create reach hard to reach spaces between teeth, was not occupied.

regular or electric toothbrush?

Like shaving – wet or dry – there are also two “Weltanschaungen. Basically, with proper technique and can be achieved with the corresponding period two tools equal results.
More recently, with oscillating-rotating brushes seem characteristic of the manual toothbrushes to be superior in long-term studies.
However, “forgive” the electric rather an incorrect brushing technique, since it much automatically make “by itself”. Especially people who have been incorrectly cleaned, will do better with a tram. And you forgot one thing: learn the correct brushing technique is one thing to maintain that but also in the long run is another.

Children and young people are (almost) always prefer an electric – and older people take off the electric movements, which they often can not perform even more – and the same applies to disabled persons.

Under cost aspects, the manual toothbrushes are clearly in front, although even here the price – if one disregards the basic purchase, – converge more and more. Not that the replacement heads of the electric would be much cheaper – new manual toothbrush models casually reach the price of the electric bristle heads.

In patients with periodontal disease was found in a longitudinal study over 16 months, no difference between the two systems – provided it was cleaned in the manual toothbrush with the right technique.

Both systems – no matter which technique and stamina applied – but one can not: the tooth at any point completely clean. For this purpose, additional resources must be applied (see below) and often can eliminate only a professional teeth cleaning (PZR) at certain intervals that shortcoming.

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To contradict a lay-heresy: Such coverings are not calculus, but (harmless) stains, its removal does not belong to the service catalog of the health insurance!

“-Whitening toothpastes,” or whatever they call themselves magic pastes, are mostly ineffective, or if they contain strong Schmirgelstoffe or acids, which attack the teeth and damage the gums. Steer clear of them! – A professional teeth cleaning (PZR) (see below) is cheaper in the long run.

A study by the University of Zurich holds herstellerempfohlene applied to the “whitening agents” Cleanic dent ®, Rembrandt ® original, and Settima ® defensible, but warns of continuous use!

About some success in the removal home is the sound of toothbrushes (as reported).

Remove air abrasion equipment – Air-Flow “or with a similar name – used in a dental practice, the pads in hidden corners of reliable and gentle, but are usually by the statutory health insurance does not pay (for details in the dictionary part)

An even better long-term results will be achieved through a professional dental cleaning (see below), since this is still taking place, an additional polishing of the tooth surface – and on smooth surfaces, coatings adhere very much harder.

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• Circular (circular), cleaning, modified according to Bass
• The Charters Method in gum disease
• Vertical (from red to white “) or plaster, modified according to Stillman

Together these techniques is that they are relatively difficult to learn and perform properly on time. Therefore, it is now increasingly recommended the use of electric toothbrushes. Even more important than an appropriate technique is the use of regular toothbrush. To ensure that all districts are well cleaned tooth should always be followed a similar pattern:

It starts in the upper right side of the back molars, then clean the outside of the incisors and molars of the other side, then carry on this practice in the same way in the mandible. According to the same classification are then cleaned the inside surfaces of the teeth. Finally, a cleaning of all the chewing surfaces of molars is carried out, are allowed with an exception as “scrubbing” motions. For the analysis of Corol cleaners should be now and then stain the teeth after the cleaning to find out as weaknesses in the Z..

The KAI-method:

Not just for kids KAI is also the method recommended. There are first brushed the occlusal surfaces, after which the outer surfaces and inner surfaces of the teeth cleaned thoroughly. The teeth should be cleaned with a small, circular motions. To clean the outer surfaces of the teeth are biting each other.

With proper method and technique are 2x daily for 2-3 minutes enough – after dinner of course. Longer Putzbemühungen can more harm than good, and they bring forth from the cleaning effect, no more. Too many children and adults is a Zahnputzuhr (eg an hourglass; recommend available in pharmacies) much, because the sense of time in the bathroom like haywire.

Brushing visually explains: Video: Dental Care () with Toothbrushing

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