Professional tooth cleaning, info about costs and procedure

Professional tooth cleaning, info about costs and procedure

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Professional tooth cleaning, called PZR for short, frees your teeth from all deposits. The causes of the accumulation mostly consist of the eating habits and are due to the consumption of tea, coffee or nicotine. Special attention is paid to the interdental spaces when cleaning, because conventional toothbrushes do not come here. The teeth are cleaned to the last crack and annoying discoloration is removed. As a mechanical cleaning, the PZR offers a useful addition to daily dental care at home. Even if you brush your teeth very carefully, conventional toothbrushes are not enough to remove stubborn deposits. The result is complaints that develop "invisibly" for a relatively long time because the bacteria responsible are not deprived of the nutrient medium. The result: tooth decay, periodontitis and discoloration of the tooth enamel.

We inform you here about the functionality, the process and the costs of professional tooth cleaning.


Professional tooth cleaning (in short: PZR) tackles the dangerous coverings and leaves you with a "deep pores" feeling of cleanliness. Tooth surfaces and interdental spaces are thoroughly cleaned with special hand tools. In addition to the medically proven necessity, professional tooth cleaning also has an aesthetic aspect: the removal of stains on the tooth enamel, such as those caused by the consumption of coffee, tea or tobacco. This treatment makes sense for every patient – including you – because a good third of the entire tooth surface is very difficult to reach, despite relatively good tools such as dental floss and a brush & Co. It is precisely at these points that bacteria accumulate which, in the long term, endanger dental and oral health. A regular PZR can prevent this development.

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Professional tooth cleaning consists of the following technical processes:

  • Removal of deposits on exposed tooth roots and on tooth enamel
  • Careful cleaning of the interdental spaces
  • Removal of microbial deposits (plaque)
  • Polish the tooth surfaces
  • For sustainable protection: fluoridation of the teeth
  • Professional advice on dental health, dental nutrition and oral hygiene at home


Under certain conditions, plaque develops painful gum inflammation (gingivitis). Consistent cleaning and hygiene behavior can often stop this, but the acid-producing bacteria multiply and store minerals – tartar is formed. If this is not removed, periodontitis can develop on various teeth, which in the most serious case leads to the loss of teeth.


The treatment is usually carried out by specially trained prophylaxis assistants (dental hygienists) and consists of several steps. In combination with teeth, mouth, gums and interdental spaces, the PZR takes several measures to keep each area healthy.

As a rule, professional tooth cleaning begins with the coloring of the teeth. The special stain adheres to the plaque – the harmful plaque. This step is a first "inventory" of how oral hygiene actually works. This is also important information for the patient himself, at which points he should proceed even more carefully at home so that dental plaque can no longer form in the future.

In the second step of the PZR, the tartar is removed. Dental hygienists orientate themselves on the thorough cleaning of your teeth, possibly existing crown margins and fillings. Now both soft and hard plaque are removed and discoloration is removed using an ultrasound device. Tartar (calcified plaque) must also be removed accurately in order to consistently remove bacteria from any nutrient medium and not to promote gingivitis in the future. However, tartar cannot be removed with normal toothbrushes.

Since special instruments are used in a PZR, even hard-to-reach areas can be thoroughly maintained and cleaned. Wherever harmful plaque can build up, such as in the gum pockets or behind the last molars, the dental hygienist destroys the existing coating – from every conceivable angle.

Finally, the entire mouth is rinsed with water and dried (blower). After that, all teeth are given a thorough polish, which is primarily to prevent the bacteria from settling again. The smoother the surface, the lower the adhesion – and this also applies to fillings, bridges, crowns or inlays. Finally, a very important part of tooth cleaning is done: fluoridation. The fluoride prevents the minerals from the tooth enamel from being lost through superficial plaque or caries. This makes the enamel more resistant to acids and a disease in the mouth or on the teeth is less likely.

After that

In general, a PZR can be repeated at any time, but should take place at least twice a year. How often additional follow-up treatment should be planned from a dental point of view depends on the patient and is very different. However, repeated follow-up appointments offer the opportunity to prevent tartar build-up, acid-forming germs and harmful plaque at an early stage so that your oral cavity can remain largely inflammation-free.


The costs incurred for professional tooth cleaning depend on the degree of difficulty and the time required, so that the costs are always individual according to the effort. Ask your dentist for advice.


The grants for professional tooth cleaning are based on an annual quota. A 100% takeover statutory health insurers are usually only able to do this once a year. However, this is not a fixed regulation – depending on the policy, patients are still often given lump sums that they can deduct from their own contribution.

A treatment session, including initial advice and information, as well as professional tooth cleaning, fluoride varnish and polishing, takes approximately one hour. Thanks to the extensive care, this delays tooth decay and loss considerably. If patients place special value on their appearance, the dentist complements the treatment with a powder jet device to whiten the teeth, which is particularly useful after heavy tea, coffee and nicotine consumption.

The rule is once every six months. Anyone who tends to develop tartar or loosen teeth should have a PZR performed every three months. In addition to brushing your teeth daily, oral hygiene is one of the best ways to support the preservation of your own tooth structure.

Coverings, bacteria and food residues – they are largely responsible for the fact that periodontitis and caries spread. The deposits often settle into the finest pores and become so hard that they can no longer be removed with a conventional toothbrush. Professional tooth cleaning is the only way to prevent tooth decay and to protect natural teeth for as long as possible.

Do you have any questions about professional tooth cleaning? We would be happy to answer them for you.

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