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December 17, 2021 | Edith Wyss-GwerderSamstag nach Vereinbarung
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In addition to German, we also speak English, Spanish, Italian, French and Portuguese.
The Zahnzentrum Bahnhof Zug specializes in oral, and facial surgery and oral surgery.
We also offer general dentistry and additional treatment options (e.g. alternative dentistry).
Jaw pain/wisdom teeth
Jaw pain can occur in anyone - even with completely caries-free teeth - and in some cases there are no obvious causes. First of all, a thorough examination of the teeth, jaw and surrounding tissues should be carried out to clarify whether the pain is coming from this area. In this context, X-ray examinations are of great importance because many structures are not accessible to direct observation (inspection).
Causes and correlations
The disorder may also have been triggered by a purely mechanical problem. For example, a new tooth filling, a crown or an incorrect bite. During sleep, those affected then try to compensate for this "unevenness" by constantly rubbing their teeth - but this only makes the situation worse.
Only those who grind very persistently and firmly end up - untreated - with tooth stumps. On the other hand, teeth grinding and strongly pressing the jaws together puts a strain on the facial muscles, joint capsules and discs as well as the ligaments. Only a minority of grinders experience pain - but this can be severe.
Gnashers do notice the effects of grinding their teeth, mainly at night. Jaw, temporomandibular joint and bone pain, tension and headaches are often the result. In addition, over time, teeth become abraded, sensitive or even loose due to the rubbing and pressure.
Treatment
In the case of a purely mechanical problem caused by a new dental filling, a crown or an incorrect bite, the dentist can also prescribe a bite splint in addition to eliminating the cause. This is a type of plastic skin that is pulled over the teeth to prevent tooth material from being scraped off (protection of the tooth structure). Such splints are usually soft; however, bruxists who bite particularly hard sometimes need harder versions.
The success rate is high, because once the vicious circle of grinding, pain and tension has been broken, the therapy usually also works at night - and finally helps to loosen up the mouth again.
Are wisdom teeth superfluous?
Wisdom teeth, the third large canine teeth, are a recurring cause of emergencies in dental and oral surgery practices. Over 80% of them do not reach the normal chewing plane by the age of 20. These chewing units often deviate from their normal eruption direction, resulting in tooth displacement.
As we no longer eat the highly abrasive food of our ancestors, but mainly soft and purified foods, the front teeth no longer wear against each other as much. This often leads to a lack of space in the area of the wisdom teeth, which is one of the most common reasons for their surgical removal. This can lead to (often recurrent) pericoronitis, the inflammation of the soft tissue surrounding the natural crown of the wisdom tooth. The wisdom teeth and the neighboring teeth in front of them, the second molars, are relatively difficult to clean due to their location at the back of the oral cavity. This is why caries occur more frequently on these teeth, especially if the space between the second and third molars is difficult to access. In addition, an obliquely erupting wisdom tooth can dissolve parts (especially the root) of the tooth in front of it, just as a milk tooth is dissolved by its permanent successor. It is not uncommon for cysts to form around wisdom teeth, so that both these and the "guilty" wisdom tooth should be removed.Before radiation of the jaw area or cytostatic (inhibiting cell proliferation) or immunosuppressive (suppressing the body's immune system) therapy, wisdom tooth removal should also be considered. Some wisdom teeth have to be extracted because they do not meet any teeth in the opposing jaw, which is edentulous at this point, and can therefore irritate the soft tissue there to the point of causing a wound. Complications of the operation such as bleeding, infection and damage to neighboring structures occur more frequently with increasing age, so the advice of a specialist should be sought in good time as to whether the wisdom teeth should be removed.
Tooth fillings
Fillings: Checking helps to prevent
Dentists are often asked whether a filling is still in good condition after a long period of time or at least does not have any significant defects. To be able to assess this, the patient should first be examined using a mirror and probe and, if necessary, X-rays. What characteristics and changes can be expected?
Changes in dental fillings
Plastic fillings, like amalgam fillings, absorb water from the environment over the years. This can cause them to swell, increase in volume and protrude beyond the original defect. Amalgam fillings in particular are also known to put the tooth walls under pressure due to this expansion. This results in enamel cracks, some of which are visible. Sometimes the tooth wall finally breaks off due to the force of the gradually expanding filling. In addition, clinically significant fissures occur as a result of these changes. In these areas, bacteria can interact with sugar and a sufficient exposure time to cause tooth decay in interdental spaces and even under fillings.
If there is pain, it is often too late
As interdental spaces and cavities under fillings can only be cleaned to a limited extent, fillings should be checked regularly. If you are already experiencing discomfort, for example with hot or cold food, the tooth nerve is often irritated. If there is already significant inflammation of this nerve, root canal treatment should be carried out, which is much more complex than a normal filling. In addition, root-treated teeth are less functional and are characterized by a somewhat poorer prognosis than vital chewing units. Nevertheless, in many cases they can help to grind food in the oral cavity for decades and absorb chewing forces that would otherwise have to be absorbed by other teeth, which could contribute to their overloading.
These possible changes in fillings and the surrounding tooth structure should be a reason to have them examined by a specialist at least once a year so that any damage can be detected early on.Dental implants
Dental implants - helpful in edentulous jaw sections
After tooth loss, implants make it possible to anchor dentures without grinding down other teeth or overloading them with retaining elements. Millions of implants are inserted worldwide every year. As many of these procedures were carried out more than ten years ago and a large proportion of them can be regarded as successful from today's perspective, we can now speak of a routinely used, proven treatment method.
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Indications/possible applications
Three situations have initially emerged in which implants bring the greatest improvement in quality of life for the patient at relatively low cost:
1. single tooth replacement with completely caries-free adjacent teeth (e.g. after an accident)
2. unilaterally shortened row of teeth in the lower jaw
3. significant improvement in denture retention in the edentulous lower jaw
Of course, there are numerous other possible applications for this form of treatment. In these cases, individual consideration must be given to whether implant-supported restorations are superior to other solutions.
Assembly
The implanted prosthesis has three components:
1. the implant in the narrower sense, i.e. the artificial tooth root (usually made of titanium, more rarely of other materials, e.g. zirconium oxide)
2. the abutment (abutment, connecting piece)
3. the superstructure (artificial dental crown, bridge or prosthesis)
Procedure: Examination and orientation of the patient, bone augmentation if necessary, insertion of the artificial tooth roots. After the healing period (usually approx. 2-3 months), the planned prosthesis is completed.
Aftercare is important
Functional, aesthetic and social reasons often speak in favor of the use of implants. However, patients occasionally want to seek advice about further treatment or complications after implants have been inserted in other places. Avoidable incorrect loading can lead to inadequate function, loosening or breakage of implants or their abutments. Implants should therefore be thoroughly checked at least once a year
.Anesthesia/anxiety
Dental treatment under anesthesia
Since one of the pioneers of anesthesia, the dentist William Thomas Green Morton, painlessly removed the "guilty" chewing unit from an adult man with severe toothache with the help of ether on September 30, 1846, numerous patients have asked whether their teeth could be restored while eliminating pain and consciousness
.In the meantime, new, more advanced anesthetics enable better tolerability. This means that the active ingredients are excreted more quickly and there are far fewer side effects (e.g. vomiting). The risk of anesthesia in healthy people is therefore significantly lower than it used to be, and this treatment method can certainly be considered as an alternative to local anesthesia in suitable cases. The decisive factor here is optimal cooperation between the dentist and anesthetist in a well-coordinated team.
In many cases, dental treatment under anesthesia is the only possible form of treatment. This is particularly true for children, the mentally ill and the physically or mentally disabled who cannot be treated in any other way. However, if it seems promising, an attempt at treatment under local anaesthetic should also be considered beforehand in these cases.Patients with pronounced dental anxiety often ask for complete loss of consciousness during treatment. First of all, a detailed discussion should be held with these patients in which the various anesthetic and treatment options are discussed. It is often possible to try a relatively minor dental procedure to see whether treatment without anesthesia is possible. Once the necessary trust has been established between the patient and the dentist, further treatment steps are often completed under local anesthesia, using sedatives if necessary.The aim of all these efforts should be to carry out treatments with the least intrusive procedures possible to eliminate pain. In particular, great importance should be attached to regular dental check-ups (recall) and dental hygiene prevention, so that significant dental damage is avoided.
Afraid of dental treatment - what to do?
A visit to the dentist is associated with a feeling of anxiety for around 70% of the population. Around 20% are highly anxious and 5% try everything to avoid going to the dentist altogether. They suffer from a so-called dental phobia and only allow themselves to be treated if they are in extreme pain, some even only under anesthesia.
How can dental anxiety be countered? First of all, the patient should be examined thoroughly, but as pain-free as possible. Today, X-ray images can provide important information without causing pain, which in the past could only be obtained by examining the patient directly, sometimes painfully. The patient must then be informed calmly and in detail about the findings and the various treatment options. The patient must then decide on the type of treatment after being sufficiently informed by the dentist. In this way, the patient is involved and feels less at the mercy of the dentist. During therapy, local anaesthesia will ultimately make it possible to be largely pain-free. However, the most important thing is that the dentist always has an open ear for the patient's concerns.Total schlechte Beratung, schlechte Arbeit.. Und vor allem wird die Arbeit nicht fertig gemacht... Viel zu Teuer.. Für 2 Std. Über 8000 Fr.... Würde diese Praxis niemandem Empfehlen.
December 17, 2021 | Edith Wyss-Gwerder