Professional teeth cleaning procedure

introduction

A so-called Professional tooth cleaning (short: PZR) is one of the standard measures in the course of treatment for various diseases of the tooth support system. In addition, professional teeth cleaning can also be carried out in the sense of prevention (prophylaxis) of Gingivitis or one periodontitis respectively. Professional tooth cleaning is primarily used for soft (plaque) and hard (tartar) Remove deposits on the tooth surface. Plaque is one biofilm, that both from leftovers and from Waste products of the bacterial metabolism consists.

These deposits remain over a long period of time on the tooth surface without being removed thoroughly, so it can expand into areas below the gum line come. As a result, some deep ones form there Gingival pockets, the one ideal breeding cities for bacteria and others in the oral cavity occurring pathogens.

The organism responds to stimuli emanating from these pathogens with the Release of various inflammatory mediators and one Increased blood flow to the tissue. It should also be noted that plaque after some time hardens to solid tartar. The consequence of these processes is in most cases the development of inflammatory processes in the area of the gums (Gingivitis) which, if not properly treated, will sooner or later affect the jawbone and other structures of the tooth retention apparatus can pass over.

In the worst case, this leads to the decline in bone substance and the loss of actually completely healthy teeth.
The entire process of professional tooth cleaning is generally not covered by the statutory health insurance companies, which means that the patient has to pay for at least a portion of the costs independently. The cost of professional teeth cleaning is approximately depending on the design and effort 35 to 150 Euro.

procedure

A Professional tooth cleaning can be done either by the dentist himself or by trained specialists (Hygienist; Dental specialist assistance; ZMF; Dental Hygienist; DH) be performed. Before the actual tooth cleaning, the treatment process begins with Staining of teeth. Special solutions or tablets are used for this purpose plaque, the during the brushing not removed correctly, make visible.

Most dyes are also able to choose between fresh (younger than 48 hours) and older (older than 48 hours) Differentiate between plaque. Most of the products used in dental surgeries have a bluish dye to show older deposits and a red dye to make new plaque visible. This measure makes sense because based on the stained areas a individually on the respective patient coordinated tooth brushing technology can be trained.
Especially patients who are under pronounced Malocclusions or very narrow interdental spaces usually have areas that are difficult to access.

These spots can be from a bristle toothbrush hardly or not at all. For this reason, dentists recommend at least once a day Interdental brush (Interdental brush) or to floss to grab. After learning adequate oral hygiene, the second part of the treatment process is professional tooth cleaning.
In this step, the actual tooth cleaning begins. The treating dentist or the responsible dental specialist assistant cleans all tooth surfaces with the help of a flexible, rotating cleaning attachment.

Coarse deposits can be effectively removed from the tooth surface during this subunit. This is followed by so-called scaler, ground, sterilizable hand instruments for use. With the help of these scalers, food remnants and dental plaque that are in the area between the teeth (Interdental spaces) or sit near the gum line, be completely removed. In addition, hardened dental plaque, so-called tartar, above the gum line with the scalers and below the gum line with the help of curettes remove relatively easily.

During this step in the professional dental cleaning treatment process, various of these sterilizable hand instruments are used. The individual curettes and scalers differ in the individual cut of their ends, which makes it possible to optimally clean a specific tooth surface. Alternatively, professional teeth cleaning can also be done using a Ultrasonic- or Air scaler device be performed.
In the next part of the treatment process for professional tooth cleaning, the Discoloration removal with the help of rotating equipment or one powder radiator.

Read more on the topic: scaler

Patients who already suffered from a disease of the tooth support system must follow this treatment procedure periodically repeat. Most dental practices tie the affected patients into so-called Recall-Systems where something every 3 to 6 months professional teeth cleaning is carried out. Depending on the jaw situation and the patient’s own efforts in terms of the thoroughness of daily oral hygiene, the intervals between the cleaning appointments become shorter or longer.

How long does a PZR last??

The duration of a professional tooth cleaning (PZR) depends on the Number of teeth to be treated as well as from the individual mouth situation of the patient (type and amount of dental plaque, inflamed gum pockets, etc.). According to this Selection of the required instruments. Treatment in adults usually takes between 45 and 70 minutes.

Teeth cleaning is painful?

With healthy teeth is professional teeth cleaning not painful. Patients under exposed tooth necks or inflammatory gum pockets sufferers often perceive the treatment as unpleasant. Thorough cleaning can also make light to moderate bleeding occur. To make professional tooth cleaning more pleasant for the patient, the dentist has special gels available that numb the surface (e.g. Oraqix Paradontal Gel). These are applied to the affected areas before the start of treatment and ensure painless cleaning of the teeth and gum pockets.

How often should you have a PZR done??

Usually enough one to two professional tooth cleaning per year completely out. The frequency mainly depends on disease risk of the patient with regard to tooth decay and periodontitis (inflammation of the tooth bed). The taking medication, general diseases such as. Diabetes (diabetes) or stress can they Negatively affect oral health and thus increase the risk of caries. Repeated treatment is necessary and sensible for these patients. The dentist decides how often professional teeth cleaning should be carried out based on the individual mouth situation of the patient.

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Additional information

Professional tooth cleaning
Buying a dental care set – sensible?
toothpaste
toothbrush
mouthwash
irrigator

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