Address

KARUNA dental MVZ Aurich
Erdbeerweg 52, 26605 Aurich, Germany

Phone: 04941/ 9742030
fax: 04941/ 9742031
info@karuna-zahnarztpraxis.de

 

KARUNA dental MVZ Weener
Brombeerenweg 3, 26826 Weener, Germany

Phone: 04953/ 9211690
fax: 04953/ 9211691
teamweener@karuna-zahnarztpraxis.de

Opening hours

Monday 08.00 am - 12.00 pm
2.00 pm - 6.00 pm
Tuesday 08.00 am - 12.00 pm
2.00 pm - 6.00 pm
Wednesday 08.00 am - 12.00 pm
2.00 pm - 5.00 pm
Thursday 08.00 am - 12.00 pm
2.00 pm - 6.00 pm
Friday 08.00 am - 12.00 pm
   

Appointments beyond that by appointment.

Journey

Aurich, Germany

Weener (Near Sanddornweg 2) Blackberry Trail 3

First steps in a dental accident

  • If necessary, stop the bleeding, preferably with a sterile dressing material that you press on the wound.
  • Cool from the outside (e.g. with a wet towel or optimal cooling battery)
  • Locate the tooth or broken tooth. Important: Only touch the tooth at the crown, not at the root.
  • Important: do not clean the tooth!
  • Keep the tooth or fragment as moist as possible.
    It is best to place the tooth in a tooth rescue box (storage period 24 – 48 hours).
    Alternative storage options with significantly shorter storage time (30 min to 2 hours) are: UHT milk, saliva (collected in the container), plastic film, saline solution (pharmacy)
    unsuitable are: water, damp handkerchief, oral cavity, dry storage
  • Visit a dentist or dental clinic as soon as possible. This is also important for possible insurance claims.
Tooth rescue box

The tooth rescue box is a vessel filled with cell nutrient solution in which a knocked out tooth or the fragment of a tooth can be stored for more than 24 hours without the cells of the root surface dying. For schools or sports clubs, a purchase is recommended. The tooth rescue box is available in pharmacies.
Source: German Dental Association www.bzaek.de

further information on the subject of dental accidents
pdf
Zahnunfall-c.pdf pdf Zahnunfall-dgzmk.pdf pdf Zahnunfall-prodente.pdf pdf Zahnunfall-zzo.pdf pdf  

Dental floss


Why are my teeth so important?

Dental floss

Their teeth have different sizes and shapes depending on where they are located in the dentition. These differences allow the teeth to perform different tasks.  Teeth help us chew and grind food. They also help us to speak and correctly emphasize different tones. As another important point, teeth determine the shape of the face. A healthy smile can be a great tool and that's why it's so important to give your teeth the best possible care. 


How do I clean the interdental spaces?


One method to care for the interdental spaces is with dental floss. Flossing removes plaque and food residues between the teeth and under the gum line, i.e. areas that the toothbrush does not reach. Your dentist  or prophylaxis assistant can show you  the correct application.

The following suggestions might be helpful:
  • Take about 40 cm of floss and wrap it around the middle finger Now wrap the remaining floss around the middle finger of the other. When using the silk, this finger absorbs the used silk. 
  • Hold the silk firmly between thumb and index finger with about 3 cm of silk in between under tension. With a gentle back and forth movement, let the silk slide along the teeth.  Do not pull the silk between your teeth by force.
  • When the silk reaches the gum line, bend it into a C shape until a slight resistance is felt.
  • Press the silk against the tooth. Gently move the silk against the tooth surface and away from the gums. 
  • Repeat this on the other side of the tooth         
  • Do not forget the back of the last tooth.
  • If you floss you follow a regular pattern. Start at the top and work your way from left to right, then move to the bottom row of teeth and move from left to right as well.  So they will probably not miss any teeth. 

It is equally important to clean the edges of crowns, bridges or other dentures. With conventional floss this may not be very effective, but there are special dental floss for it. Ask your dentist or prophylaxis assistant which one you should use.  


Can teeth bleed when flossing?


Your gums may be prone to bleeding for the first 5 to 6 days, but if the plaque has been removed, it will be heard again. If the bleeding persists then you should consult the dentist.  The floss may be applied incorrectly. The teeth may also need to undergo professional tooth cleaning.


What can I do if flossing causes problems?


There are also dental floss holders or certain aids for flossing. These cleaning aids can also be medical toothpicks or small brushes for the removal of plaque in the dental spaces. Your dentist or prophylaxis assistant will be happy to explain the application to you.  

Gum disease



What is gum disease?

Gum disease is manifested by swelling and inflammation of the gums. There are two main forms of gum disease, gingivitis and periodontosis. 

What is gingivitis?


With gingivitis, the gums will swell and turn red. Often bleeding gums occur when brushing.

What is periodontosis?


A long-lasting gingivitis can eventually become periodontitis. There are different forms of periodontitis that all affect the gum tissue. As the disease progresses, the teeth lose their grip in the jaw. If they are not treated, they may fall out.

What is the probability that I will get this disease?


  Most people suffer from some form of gum disease and this is also the reason for the loss of teeth in adults. However, the disease develops quite slowly in most people, and it can be burned by the daily removal of plaque so that most teeth are preserved for a lifetime. 

What is the cause of gum disease?


All dental diseases are caused by plaque or dental plaque. Plaque is a film of bacteria that form on the surface of the teeth  daily. Many of the bacteria in the plaque are completely harmless, but there are also those that are the main cause of gum disease. To avoid gum disease, she should remove the plaque daily.   This is done by brushing as well as flossing.

What happens if gum disease is not treated?


Unfortunately, gum disease progresses largely  without pain and therefore it is often noticed too late what damage has been done. Sometimes, however, the bacteria are more active, which manifests itself in inflammation. This can also develop into an abscess and pus formation. Over a longer period of time, the adhesion in the jaw is lost and teeth fall out. If the disease remains untreated for a longer period of time, successful treatment can be quite difficult.  

How do I know if I have gum disease?


The first signs of blood when brushing or rinsing indicate this. The gums may also start bleeding when eating, leaving an unpleasant taste in the mouth. Bad breath can also develop in this way.  

What is the best thing to do if I think I have gum disease?


It is best to have your teeth and gums thoroughly examined by your dentist. The dentist can measure how far the gums have already retracted and can determine whether there are signs of periodontitis on both sides.  X-rays provide information about whether the jaw is already damaged  These examinations are necessary to determine the most promising therapy possible.

What treatment is necessary?


Your dentist will prescribe a general cleaning of your teeth. You will be shown how plaque can be removed as well as possible and all areas of the teeth cleaned.  This often requires several sessions.

What else is needed?


When your teeth are cleaned, the dentist may decide to clean the roots as well to make sure that all bacteria have been removed from the gingival pockets.

What is the probability of suffering from periodontitis again?


Periodontal disease is never cured. But as long as you keep up the home care you have been taught, any further loss of bone will be very slow and it may stop altogether. However, you must make sure you remove plaque every day, and go for regular check ups by the dentist and hygienist.  

zahnfleischerkrankungen1 zahnfleischerkrankungen2 zahnfleischerkrankungen3

Tooth removal

Most people can still remember their first tooth losses: The milk teeth almost came off on their own, were somehow "wobbled out" and presented to the parents radiantly.

In contrast, many people are afraid to have teeth removed by the dentist. Permanent teeth are no longer so easy to remove. The tooth roots are longer and the posterior molars are broadly anchored in the bone. Usually, the dentist tries to preserve all teeth for as long as possible. However, tooth removal (extraction) is necessary when the tooth can no longer be saved. Untreated caries or advanced periodontitis often require tooth extraction.

In children with milk teeth, the teeth usually fall out on their own, thus creating space for new teeth. Sometimes, however, it can happen that you have to pull milk teeth so that you prevent a later misalignment of the other teeth. Even with very severely damaged milk teeth due to caries or recurring inflammations, it may sometimes be necessary to pull a milk tooth.

Course of treatment
Wound stilling with gauze after tooth removal

In most cases, local anesthesia is sufficient for the procedure. For very sensitive patients, the procedure can also be performed under general anesthesia. First, the affected tooth is loosened and then removed from the jawbone using forceps or other instruments. If necessary, the tooth is also crushed for better removal. After that, the area is cleaned and the overlying mucous membrane is sewn shut. In general, very close attention should be paid to oral hygiene after the procedure, as bacteria and germs can easily settle in a wound. Wound healing takes about a week, but varies from person to person depending on the type of procedure.
After that, depending on whether you get a bridge, prosthesis or an implant-supported denture, different procedures will continue. As a rule, the gap should not remain open for long in order to avoid subsequent problems such as bone loss and impairment of the masticatory system.

further information about tooth removal
pdf
Zahnentfernung-c.pdf pdf Zahnentfernung-Kieferorthopaedie-dgzmk.pdf pdf Zahnentfernung-Nachblutung-dgzmk.pdf  

Closing tooth gaps

 
Filling tooth gap with plastic

The Diastema

Diastema is a gap between the middle incisors, usually in the upper jaw, rarely also in the lower jaw, which is also called trema (from ancient Greek τρῆμα trēma "hole").

A distinction is made between:

1) real diastema

The true diastema is hereditary. It is characterized by a too low lip ribbon on the inside of the upper and lower lip (Frenulum labii superioris or inferioris). Diastema can be treated well by plastic surgery of the lip band or surgical removal of the tissue between the teeth by an oral and maxillofacial surgeon and subsequent orthodontic measures. The most favorable time for treatment is after the eruption of the permanent lateral incisors, i.e. around the age of 7 to 9 years.

2) Fake diastema

Here the cause is a non-attachment or atrophy of one or both lateral incisors. The treatment is carried out by widening the middle incisors with composite material, veneers (veneer-like veneer), crowns or an all-ceramic bridge.

3) Medial diastema

The gap between the middle upper incisors is caused by a too large dental arch and / or too small incisors or by a too low set lip band. The treatment corresponds to that of the fake diastema.

More Articles ...

  1. Teeth
  2. Root tip removal
  3. Root canal treatment
  4. Wisdom tooth removal
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