Dentalnews (en)

Is it possible for patients to check their dentists?

We say: Yes!

How to reveal an unethical dentist?

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Let´s keep the bad tooth, is he getting bad before, we can use it for the dentures.
Ouch: Teeth are not becoming bad! If the dentist argues that way he has no conception of dentistry-more on this in the video dental anomalies and cavity.

The tooth is bad, it has to be extracted!
Ouch: What does that mean? Either the dental care has not been sufficient, or you are not brushing your teeth adequately. Biological systems aren´t bad per se; concept of cause-effect!
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You are suffering from parodontosis and therefore you need to improve your oral hygiene!
Ouch: It is called: Periodontitis, a slight difference with a major importance. Moreover a periodontitis is not treated with oral hygiene, but with periodontal therapy. However, you can increase the change of successful outcome of the periodontal therapy if you improve your oral hygiene.
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I am making a crown with the material XY, it is more expensive, but better!
Ouch: The crown materials have little to do with  money. Moreover, the materials which are licensed in the respective country are tested biologically and therefore considered as “good”. Use this link to get more informations on the factors of prices!
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Cofferdam is not important and can damage the gums!
Ouch: The cofferdam bracket can irritate the gums though this irritation is reversible. Acid/adhesive techniques (e.g. ceramic inlays, plastic fillings) should not be performed without using a coffer dam, as well as root canal treatments.
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A gold inlay is better than a ceramic inlay!
Ouch: A ceramic inlay, if performed accurately, is “tighter” than a gold inlay. However, a gold inlay can last thirty years or longer. It depends on the material which is more commonly used by the dental technician. An experienced dentist or technician, who have worked with gold inlays for many years would use gold inlays. You can  find your perfect dentist on checkdent.com 🙂
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What qualifies as a reliable dentist?
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You´ll receive a written summary before the first medical call.
After the first medical call you get a summary of data, results, diagnosis (via postal mail, e mail). An offer of sanitation is not usual but welcomed, because of costing! A dentist who has nothing to hide gives you all the information for comparison.
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The doctor takes time for the first call!
Gut feeling is essential. Does the doctor recommend expensive treatments, or he talks about more affordable alternatives? Somebody who presents to you all all the available options is interesetd in medicine, and has your best interest at heart,  not just the benefit part of it!
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How trustworthy does the dentist and the presented information feels like?
All medical phenomena obey the concept of cause-effect!
Medical processes such as diseases refer to a cause, which should be discussed understandingly by reliable doctors. The information should be presented to you in a manner easy for you to comprehend!

How to choose a proper filling material? Pain after dental filling-why? Costs of fillings?!

It is common to develop cavities on the posterior teeth due to several reasons.  The size of the teeth; they are bigger and have deep grooves. Another reason is the lack of proper brushing technique,  or inadequate brushing time. It is also important to floss once a day.  More on this, in the video dental anomalies and brushing techniques.

A Distinction is made between fillings.  Different filling materials change more over the years, regardless of your oral hygiene. –

Amalgam, cements and plastics change their physical compound, therefore these materials will get leak in the course of the years. It is not recommended to use three surface composite fillings on posterior teeth. Frequently patients experience pain after these fillings,  caused by a  chemical irritation of the tooth nerve, which  often results in a root canal  treatment!

Basically these fillings last from 2 to 10 years, which depends on:
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• The shape and size of the filling
• The quality of work
• Your oral hygiene
• Your chewing pressure and eating habits

Every filling replacement causes a loss of the tooth surface, which leads to bigger filling every time. Therefore patients  shall invest in lasting treatments such as:
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• gold inlays/onlays
• ceramic inlays/onlays
• titanium inlays/onlays

These filling materials hardly change, providing that your oral hygiene is good, otherwise the gold inlay may  leak. You can preserve lifelong healthy teeth if you change your brushing habits and one dental investment.
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Inform yourself about the different treatment options, which your dentist usually performs, since the best material is nothing without an appropriate processing!
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How to identify leaking fillings?
If there is a black fissure between the filling and the tooth there is a good possibility the filling might be leaking!

Toothache 3/5

Maybe you don’t have a toothache, but your face kind of hurts, or is this a case of trigeminal neuralgia?!
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The colleague comes to the rescue
The dentist has no idea what to do, most of the teeth have been removed, only some are left, but the pain is still there. The ear, nose and throat specialist was not informed about these goings-on, but is faced with an anxious patient who has lost their faith in the system, and not being able to find a specific cause, takes a crack at a diagnosis – a trigeminal neuralgia.
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A neurologist of course rejects this, and surmises a case of atypical facial pain. And so the patient starts „doctor-hopping“, a plethora of diagnoses, but no end to the pain. Everything is falling apart, you’re turning into a nervous wreck, and maybe even getting depressed?

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You’re willing to try just about anything, even homeopathic treatment and other types of “alternative” medicine – with no guarantee of success!

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You can no longer tell where exactly the pain is coming from, maybe there are still a few teeth left, maybe your mother and grandmother also had problems with their teeth, so what’s to stop that from happening to you?!

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Stay tuned for: Once upon a time there was the tooth IV

What does the sentence „ I have bad teeth“have to do with the current care problem?

At first view not much, but on further view a lot! There is less care staff in Europe, too much care recipients therefore the governments focus on jobs related to provide care. Is this really useful? The answer is No!
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Chronically ill people bring money!
A system, which earns money with chronically ill people will need more care staff. No one who is working in the economy likes to have healthy diabetics or suddenly normotensive hypertonics! Chronically ill people pull in sales! 

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Everything which grows-volume-is good or bad?
There’s only one thing in evolution which grows constantly-we call it tumor. And at the end the tumor is killing the host. Therefore, the answer of this question is”bad”.
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What does this knowledge tell us about bad teeth?
We notice a similar progress in dentistry. It would be much easier to tell people, that we rarely have bad teeth. All teeth have so called tooth anomalies. There are other reasons for having more fillings on posterior areas -more on this in the video dental cleaning. 

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We observe and experience!
We always forget that we are coffers, economy, consumer and producers –all in one person. Sorrow creates sorrow, good creates good. Thus it would be cheaper and more efficient to clarify and conduct better prophylaxis!
„Alibi treatments“such as medical checkups don’t contribute, they just silence the conscience. Imagine we are taught at school how to eat correctly. We would come back to the roots of agriculture and would consummate local products. Imagine we have a lasting effect on resources -probably there would be no diabetics, adipose people, circulatory disorders and bad teeth! We could forget the care!
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World peace?
Maybe…if we would use the money which we use for unnecessary medical care, money which is used for weapons of war and military.
Everybody is able to start with themselves! So, please inform yourself about your health, your teeth. Live consciously! 

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Toothache 1/5

This week we would like to show you how it all began, just like one of those cartoon documentaries on evolution – except that we’re doing the evolution of the tooth!

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You know how some stories are long and need to be told in parts. Well, this is going to be a five-part series, which we personally think is long enough!
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Here is a short preview of all of this week’s episodes

1. Getting my fillings replaced was a good idea, so why do I still have a toothache!
2. One root canal after the other, but the toothache won’t go away?!
3. Maybe you don’t have a toothache, but your face kind of hurts, is this a case of trigeminal neuralgia?!
4. Teeth gone, toothache and desperation still around!
5. The journey’s over, now you’ve made it to this article!

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Getting my fillings replaced was a good idea, so why do I still have a toothache!
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The sun is shining.
You’re finally making money on your own, you have long since left your parents’ house, and you may even have a family of your own. You have everything anybody could ever want – there’s a nice car in the driveway in front of your house, your four children are happily playing in the garden. You and your partner have achieved all your goals, you got your college degree, and then embarked on a great career – you’ve spent 15 years abroad and speak 4 languages.
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We are parents, lovers, adventures and friends in one, the only thing we always forget about is our teeth, until one fine day we decide to replace our old amalgamate fillings by something newer, whiter and more natural, composite fillings (white fillings). For a small sum, say 50-150€ we get our spanking new white fillings.
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Clouds on the horizon
You’re already on your way home when you start feeling pain after getting your fillings – one or more of your teeth start to ache! And when you bite down on something you get some kind of unpleasant „feeling“. Some of us are lucky, and it takes days, weeks, months, or even years until you start having problems with your teeth. Many of us only have problems for a short while but years later they come back in full force, and you have a bumpy ride ahead.
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Toothache – what now – what happened?
Plastics fillings consist of little building blocks, called monomers – kind of like legos. Once the dentist points the strange lamp at the fillings, these  monomers turn to polymers. The light puts the legos together – and the plastic hardens, a process called polymerisation.
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But the plastic can only harden thoroughly if moisture is kept away from the tooth, and this can only be done using a cofferdam. Moreover, the plastic should be applied in thin layers and allowed to harden immediately, otherwise the bottom layers will stay soft. Done properly, this may take up to an hour!
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These fillings should not be used on chewing surfaces either, as the polymers are unstable and monomers can start breaking out of the structure.
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Depending on how the procedure was performed (moist, without layering, deep fillings) loose monomers may be present from the very beginning, and start to break away eventually. These monomers are also “poison” to the dental nerve, which gets damaged and gives you a toothache. This may happen right away, or it might take days, weeks, or months, depending on the depth of the filling, how well the filling was made and the quality of the materials used. Your judgement may also be influenced by your sensitivity to pain.

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Stay tuned for: Once upon a time there was the tooth II