The teeth cleaning leaves a gap
Professional teeth cleaning
Professional teeth cleaning
With preventive measures and health-conscious behavior, you can make a decisive contribution to keeping your teeth beautiful and healthy. Preventive measures that are supposed to prevent the development or worsening of diseases are called "prophylaxis" by the specialist. Daily brushing and cleaning of the interdental spaces, but also professional tooth cleaning, or “PZR” for short, are such prophylactic measures.
What prophylactic contribution can you make yourself?
A clean tooth rarely gets sick. With thorough care, tooth decay and periodontal disease are bad cards. You can do a lot for the health of your teeth and gums by brushing your teeth regularly and properly with fluoridated toothpaste after meals, but at least after breakfast and dinner. But you shouldn't forget the spaces between your teeth. They too must be cleaned with dental floss or interdental brushes. Furthermore, regular check-ups in your dental practice are part of optimal preventive care.
Professional teeth cleaning
Despite thorough dental care, plaque often remains in hard-to-reach places between the teeth. That is why the dental practices offer professional teeth cleaning. With it all deposits are removed. This should prevent tooth decay and periodontal diseases.
Professional teeth cleaning starts with a thorough examination of the teeth. Then the plaque on the tooth surfaces, in the interdental spaces and in the gingival pockets are thoroughly cleaned with ultrasound, special hand instruments and dental floss. If there is any discolouration from coffee, tea or cigarettes, these can be removed with a powder jet device. Your teeth are then polished to a high gloss and the tooth surfaces are coated with a fluoride varnish. This protects the teeth from acid attacks. Finally, the practice team will advise you on proper dental care at home.
According to the hedgehog monitor, use is still unclear
PZR is often offered in practices, but its real benefit for dental health has not yet been fully clarified. The Igel-Monitor experts only found one study that could provide reasonably reliable information about what the PZR brings for dental health. “This study showed that even annual guidance on proper dental care without professional teeth cleaning apparently leads to better care of the teeth and less inflammation of the gums. The effect of a single PZR has not been investigated and therefore cannot be conclusively assessed. Whether the teeth are preserved longer by a single PZR is just as little proven as the assertion that professional tooth cleaning has an additional benefit or is even "indispensable". Since, on the other hand, hardly any damage is to be expected, we rate professional teeth cleaning as unclear. " (see hedgehog monitor). Nevertheless, the PZR seems to be useful for patients at high risk of tooth decay and periodontitis (see Techniker Krankenkasse, Dentalmagazin).
Hypersensitive tooth necks according to PZR
After a professional teeth cleaning, the tooth necks can become hypersensitive. But don't worry, this hypersensitivity is almost always for a short time. If necessary, the dentist can also apply a special “desensitizing agent” to the neck of the tooth to reduce or eliminate the hypersensitivity.
Be careful with implants
Since the implant surface consists of the biologically very compatible but comparatively “soft” metal titanium, only instruments made of plastic or special titanium alloys may be used for cleaning implants in professional tooth cleaning. Otherwise, small grooves can appear that make it easier for bacteria to colonize. Cleaning the implants with powder blasting devices or with normal ultrasound devices should also be avoided, as otherwise damage to the implant surface is possible. There are special attachments for ultrasound devices that are suitable for implants.
No cost coverage by the statutory health insurance
For patients of the statutory health insurance companies, the Social Security Code V regulates the scope of the dental treatment to be financed by the health insurance companies. The dental prophylaxis for adults described here is not included in the service catalog (BEMA) of the statutory health insurance companies. The statutory health insurance pays for the removal of tartar once a year, but not for the removal of soft plaque. This means that professional teeth cleaning can only be offered as a private service for patients with statutory health insurance. It is therefore billed according to the fee schedule for dentists (GOZ). The costs are different.
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