Spain’s National Health System has a dense network of health centres and hospitals throughout the country.
The health centres provide basic care (family medicine, paediatricians and nurses as well as midwives, physiotherapists and social workers). If necessary, medical care is also provided at the patient’s home.
In the countryside and in small towns there are doctor’s surgeries where the doctors of the area hold regular consultation hours.
The hospitals are responsible for specialist medical care. The primary care physicians issue the referral. There is also an emergency service in hospitals and certain health centres.
ImplantologyCostsThe prices depend on the initial situation, e.g. bone quality, numbers of implants to be inserted and type of prosthesis. Bone-regenerating measures increase the total price. Binding information can only be given on the basis of examination results. A rewarding investment: conventional dentures are not always the cheapest solution on a long term perspective. Although the financial effort of implantological solutions is bigger in the moment of intervention, it usually pays off during long years of perfect usage. The costs of such implantation processes vary according to the individual case.
Mario (39) is the lucky winner of “The Biggest Loser” 2019. At the decisive weighing of the 10th anniversary relay he even set a new record with a starting weight of 196.1 kilos: With 101.4 kilos lost, the Saxon is the candidate who lost the most pounds in the Sat.1 show in all squadrons. In an interview with the news agency spot on news, he reveals how last year’s winner Saki (weight loss: 94.5 kilos) helped him to victory, why he thought of stopping at camp in the meantime and whether he is satisfied with his body now.
Co-authors of the 2 European Workshop’s Position Papers†
Summary of the
Tobacco consumption has been identified as a major risk factor for pathological changes in the oral area, e.g. periodontal disease and cancer. Exiting tobacco offers the possibility of a reduction in cancer precursors, improved long-term success of periodontal treatment and improved periodontal status compared to patients who continue to smoke. Providing help to stop smoking is thus partly the responsibility of dental professionals and the dental profession in general. Tobacco cessation should consist of supporting a change in behaviour. Accompanied by medicinal measures, the probability of success becomes even higher. It is generally accepted that appropriate remuneration for smoking counselling would provide dental professionals with a greater incentive to offer these measures. Therefore, it should be possible for dental professionals to obtain remuneration for smoking counselling and it should be in proportion to other treatments. International and national institutions for dental professionals are urged to promote all efforts to prevent and eliminate smoking among the population, communities and personal contacts, including the integration of these measures into pre-clinical and clinical education. To facilitate acceptance of weaning strategies by dental professionals, we propose a step-by-step care model: 1) basic care: a brief survey of all patients in the practice to assess smoking status, willingness to quit, and permission to ask for it during further visits to the dentist; 2) middle care: (short) surveys on current motivation to drop out, tools to support this behavioural change, including medication, and 3) advanced care: intensive care to develop a detailed drop-out plan, including the use of appropriate medication. To ensure that the effective use of smoking cessation becomes a generally accepted standard, training and refresher courses should be organised and regularly offered to all dental professionals.
BILD clarifies questions about the dental bonus booklet
The year is coming to an end and the Christmas stress is drowning many things that have to be done this year. Among other things also whether one had already the dental control for the bonus booklet in this year. Because who forgets once the stamp, starts again from the beginning.
BILD and dental expert Kai Fortelka from the Federal Association of Statutory Health Insurance Dentists clarifies the most important questions about the bonus booklet.
What is a dental bonus booklet?
Insured persons in the statutory health insurance must pay a not inconsiderable part of their dental prosthesis themselves. This includes bridges, crowns, implants and prostheses. If you want to reduce your own costs, you must regularly keep a bonus booklet. This means having your teeth checked regularly. Because if gums and teeth are treated in good time, dental prostheses can often be avoided.
For most of my teaching career, I taught fifth or sixth grade. Sometimes I gave more than two hours of homework. Kids complained a lot, though parents rarely did, at least not to my face. I think parents mostly felt the same way I did: that homework was the best way to practice new skills, that it teaches responsibility and helps to develop a strong work ethic, and that it’s an opportunity to reflect on new learning.
But most of all, my students’ parents and I were more than a little afraid that our kids would fall behind – behind their classmates in the next classroom, behind the kids in a neighboring school, behind the kids in other countries. Homework was considered one of many ways to prevent that from happening.
Selective caries removal: After a short time, the 7-year-old boy no longer cooperated and considerable proportions of the carious tooth substance had to be left.
For readers in a hurry
When excavating, the pulp should not be opened if possible.
Softened dentin may be left near the pulp (selective excavation), contraindication is irreversible pulpitis.
If there is no cooperation, carious tooth substance can even be left completely and sealed with steel crowns (Hall technique).
Contraindications here are caries profunda, irreversible pulpitis or periodontal involvement.
If the crown pulp is opened during excavation, direct capping or pulpotomies are promising.
Milk teeth, not least molars, should be preserved until the change of teeth. There are several promising methods, some of which do not require excavation at all.
There is a growing consensus that excavation to probe clashing unnecessarily endangers the survival of symptom-free teeth . In the case of deep caries, the pulp is opened too often. In these cases, caries-softened dentin should only be completely removed in the area of the cavity margin and the enamel-cement interface (selective excavation) . In the case of less advanced caries up to the middle dentine penetration agent, on the other hand, complete excavation continues – for a good prognosis of the restoration .
Cough prevention means avoiding conditions that cause a cough. Coughing as a symptom can be attributed to a whole range of causes. It may be a reaction to irritation in the airways, infection or environmental factors such as cigarette smoke.
The key to cough prevention is a healthy immune system
Your body has a natural defense system that helps it fight bacterial and viral infections and resist the harmful effects of environmental irritants. A balanced diet, sufficient exercise and sleep as well as a healthy lifestyle keep the immune system functioning.
Our long-standing team would like to make your visit to us as pleasant as possible. Due to our empathetic nature and a relaxed atmosphere, we are especially focused on the treatment of anxiety patients.
1977Abitur in Osnabrück (Carolinum)
1977 – 1982Study of dentistry in Cologne
1983Doctorate as Dr. med. dent.
1983 to 1985Assistant in Ibbenbüren
1985Opening of the dental practice in Wallenhorst-Hollage
2017Extension to supra-local group practice with Dr. Tobias Sandmann in Osnabrück-Haste