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Flossing before or after brushing your teeth?

Germany spends a lot of money on … laziness! Because many holes on the teeth could be avoided if we Germans were not so incredibly lazy to use dental floss. We dentists are happy if anyone bothers to go to his bites with the little white thread. But when is the right time? Before or after brushing your teeth?

Generally, we recommend that dentists use the floss BEFORE brushing their teeth. This will remove food scraps and plaque, the toothbrush will set them aside and the fluoride of the toothpaste will cure the clean tooth surface. You should use a new section of the floss at each interdental space in order not to carry off any aggressive germs.

If you have any questions about this or any other topic, ask the Dentists of the Dental Practice Dr. med. Tanja Trapper & Dr. Rüdiger Aplas.

Stay healthy,

Periodontitis and Alzheimer’s

Alzheimer’s disease is currently on everyone’s lips with the death of well-known football manager Rudi Assauer last week. The fact that periodontal disease can promote Alzheimer’s disease has already been suggested in several studies in the past. So one of many studies could present remarkable numbers. Namely, seniors who suffer from periodontitis have a 70 percent risk of contracting Alzheimer’s.

Although no direct link between periodontitis and Alzheimer’s disease could be found until recently, patients who had suffered from chronic periodontitis for ten years or more had a 70 percent higher risk of Alzheimer’s disease than patients without periodontitis.

From their findings, the researchers concluded that small centers of inflammation in the body have a major role in the development of Alzheimer’s. In addition, they once again illustrate the enormous importance of prophylaxis – not only for the teeth but also for the rest of the body.

In a study published in January 2019, an international team of researchers has now been able to provide direct evidence and confirm the earlier suspicions that infection of the brain tissue with the causative agent of tooth and gum disease, Porphyromonas gingivalis, could be a cause of dementia. Thereafter, the enzymes released by these bacteria lead to the death of brain cells. As experiments with mice showed, the pathogens can penetrate from the center of an infection in the mouth to the brain – possibly via cranial nerves or from the blood by crossing the blood-brain barrier.

Further studies on this remain to be seen. If these study results are confirmed in the future, that is very good news. This could be used to target prophylaxis against Alzheimer’s. Because healthy starts in the mouth.

Stay healthy,

Your Dr. Rüdiger Aplas

Unfulfilled desire for children due to dental problems

The number of unintentionally childless couples increases in Germany from year to year. In addition to previously known problems, reproductive medicine now also call teeth as previously underestimated cause.

A small inflammation on the teeth may be enough to prevent a pregnancy from occurring. According to the fifth German oral health study, almost half of Germans suffer from severe gingivitis such as periodontitis. The hometown of this form of inflammation is that you rarely notice them. Only at a more advanced stage does the gum visibly recede, as the underlying jaw bone is broken down. In the end, the teeth lose their hold, loosen and fall out.

Women who suffer from periodontitis significantly reduce the likelihood of pregnancy or it takes several attempts. Sperm quality also suffers from chronic periodontitis in men.

The microorganisms are in trouble in the periodontal pocket, penetrate them relatively easily into the systemic circulation and can have a huge negative impact on your health. In pregnant women, e.g. Untreated periodontitis increases the likelihood of premature birth 8-fold.

But even during pregnancy, you can still treat periodontal disease. In mild cases, a professional tooth cleaning is enough to significantly reduce the harmful micromileau. In later stages, antibiotics can be taken additionally.

After successful treatment, the risk of premature birth decreases in pregnant women, and the chances that the wish to have children will come true are increased in patients with a desire to have children.

If it should have worked out with the pregnancy, please continue to check on the dentist. Because the hormone change in the organism changes the condition of the gums in the negative, which in turn could favor periodontitis.

Ultimately, the teeth are not the sole cause of the lack of baby luck. Nevertheless, if you want to get pregnant, you should have your teeth checked in advance.

If you have any questions about this or any other topic, ask the dentists of the dental practice Dr. med. Tanja Trapper & Dr. Rüdiger Aplas.

Stay healthy,

Your Dr. Rüdiger Aplas

New, old trend: The oil pulling

At the moment, it is literally on everyone’s lips again: pulling the oil. What is this new, old trend and how does it work?

The traditional oil pulling comes from the Indian region and is referred to there as Gandusha. Ayurveda doctors have long ago recognized that there is a connection between a healthy mouth and healthy organs throughout the body. Therefore, the motto applies to them: health begins in the mouth! Since our practice is also specialized in environmental dentistry, the extraction of oil is also explained here and recommended and practiced especially for gum diseases. How exactly does this oil pulling work??

It is sufficient to a tablespoon of oil, which you take in the morning on an empty stomach and after brushing your teeth. Constant pulling with the oil removes bacteria and their toxins and binds them in the oil. If you want to gargle or rinse in between, you can spit the oil in between and take a new spoon. This procedure can be done as long as you like, but it should take at least a minute. At the end you spit out the oil and rinse your mouth with warm water again.

Which oil is suitable? It should be sorted, without additives and cold-pressed. Coconut oil is best suited. Palm oil is also good, but should not be bought because of the usually necessary deforestation of rainforests. The positive effect that coconut oil has on our health is attributed to the large amount of lauric acid it contains, which accounts for 45 to 50 percent of the ingredients. Lauric acid and its properties have been researched since the 1960s. Scientifically confirmed is their antimicrobial effect. For example, medium-chain fatty acids manage to override viruses by disrupting and destroying their outer membrane of lipids. The interior is released, and the virus is destroyed by quasi dissolving.

Exactly this effect against viruses, microbes, (yeast) mushrooms, bacteria & Co. makes out the lauric acid. Only in the human body, the lauric acid unfolds its effect, because it is split there into its components. As such, the oil apparently also reduces bacterial resettlement on the tooth surfaces

Recent clinical studies show a significant effect of oil pulling on oral health. For example, it has been shown that volunteers who have included coconut oil in their daily oral hygiene have reduced the number of bacterial plaque and gingivitis by up to 50 percent. The authors write that 50 percent improvement in gingivitis results in similar success rates to chlorhexidine. They speak out for the oil pulling. The usual side effects of prolonged chlorhexidine treatment can be avoided. Such as an influence on the taste sensation or a discoloration of the teeth. The mucous membranes also do not suffer from the treatment, but are also cared for.

Oil pulling with coconut oil is an affordable and simple way to treat gingivitis and maintain good oral health. Therefore, it is clearly recommended.

If you have any questions about this or any other topic, ask the Dentists of the Dental Practice Dr. med. Trapper & Dr. Aplas.

Stay healthy!

Your Dr. Rüdiger Aplas

Amabrush – What can the new super toothbrush?

Many find it difficult to brush their teeth regularly and above all thoroughly. Many think about brushing their teeth: “when is this annoying procedure finally over?” AND that is already the first and decisive mistake in cleaning. One should not have such thoughts, because then on the one hand the time is not over and on the other you clean automatically bad. However, if you concentrate on brushing your teeth, paying close attention to where you‘ve been cleaning all over, and where you still need to clean, you can quickly get around 2-3 minutes without getting annoyed or bored!

But if those 2-3 minutes are still too long, who has dreamed of cleaning clean teeth after 10 seconds for a lifetime, maybe this can be helped now.

For a start-up company founded by the young Austrian Marvin Musialek, prophesied a pending toothbrush revolution. The young entrepreneur asked himself some time ago when brushing his teeth the question: “why are there already self-driving cars, but the teeth still have to be cleaned by hand as always?”

The development of several prototypes began with a team of dentists, biomedical and electrical engineers and a psychologist. Now, three years later, the so-called Amabrush (I’m a brush) is about to be launched. The use should be easy. The mouthpiece is made of antibacterial silicone and is similar to a brace. When pushed into the mouth, the small bristles attached to both sides, which are at a 45-degree angle to the gingival margin, enclose all the teeth. All jaw sizes are compensated by the flexible material.

For cleaning, the mouthpiece is connected to a rotund handpiece containing the technology by means of a magnet. From the handpiece go out the vibrations that make the small brushes vibrate. The use of the toothbrush takes only ten seconds, because all teeth are cleaned at the same time. Ten seconds sounds short, but according to Amabrush should be much more efficient than before. Assuming that someone has all 32 teeth and brushes them for 120 seconds (manual or electric), each of the three freely accessible tooth surfaces will have 1.25 seconds. When used with Amabrush for ten seconds, on the other hand, every tooth surface gets eight times longer. If one brushed each tooth surface just as long with the manual toothbrush, one would need 16 (!) Minutes! Sounds really revolutionary, even for a dentist like me!

The first deliveries are scheduled for December 2017. Only then will the first large, clinical studies of the university hospitals begin to be able to assess the true effectiveness of plastering. Only then will you be able to say for sure if the hype about this new super toothbrush was and is justified, or if it was just a glimmer of hope for all the cleaning people out there. For sure I will try the Amabrush myself and will then report. So it remains exciting!

If you have any questions about this or any other topic, ask the dentists about the dental practice.

Stay healthy,

Your Dr. Rüdiger Aplas

The dentist in collaboration with other specialists

The exchange of knowledge, opinions and experiences among dentists is enormously important and ensures a better treatment of the individual patient. Therefore, we work from the dental community practice with full passion for your perfect treatment!

But what about exchanges with other specialists in everyday working life? Which one is the most involved and with which one does the patient not expect at all? Of course, the dentist works closely with orthodontists and oral surgeons. But that’s not what this article is about.

Of course, the dentist has a lot to do with the family doctor of some patients. Mostly it’s about information about general conditions. Blood disorders and metabolic diseases such as diabetes play a major role there. For example, if the dentist removes a tooth and the patient has poor blood clotting, it can have fatal consequences. It is important in this context, for example, to know whether a patient is currently taking a drug tumor therapy. As a side effect, some of these chemotherapeutic agents prevent extraction wounds from healing and the jawbone from dying off. The family doctor is usually informed exactly about the current medication intake of the patient.

The dentist is the specialist who statistically most often sees patients. And the face is a good cue, because in everyday dealings with patients, one naturally also sees the patient in the face. And there reveal to the dentist but then some skin abnormalities, which require a clarification with the dermatologist. Semi-malignant skin tumors such as the basal cell carcinoma are often first addressed by the treating dentist long before the patient even thought of anything. Even when it comes to clarifying other mucosal abnormalities in the oral cavity, the dermatologist is an important contact person of the dentist.

The physiotherapist is also often involved with the dentist. When it comes to treating TMJ disorders and symptoms, close consultation is essential. Frequently, patients first come to the physiotherapist via the orthopedist and then to the dentist.

Patients also often follow a similar route through a specialist who has almost the most contact with dentistry: the ear, nose and throat doctor. An experienced ENT doctor sends a patient with ear piercing who has no ENT cause to the dentist! Why? Most of these symptoms are caused by teeth pressing or crunching, without the patient even having a small guess. The temporomandibular joint sits directly in front of the bony ear canal and, if overstressed, causes symptoms of pain that are attributed to the ear by the patient. With an adjustable crunch bar, earache is usually no longer an issue.

Also, patients often come to the ENT doctor if they think they have sinusitis because of a recent cold. This is so persistent and would not subsist. It is the ENT specialist who properly explains to patients that the cause of your sinusitis is not the nose, but probably an inflamed molar in the upper jaw. After successful root canal treatment, the symptoms usually resolve quickly.

These were just a few examples of the interdisciplinary connections that today’s dentist has to deal with in everyday life. The exchange of knowledge, opinions and experiences is enormously important, because it benefits the health of the patient!

If you have any questions about this or any other topic, do not hesitate and ask the dentists of the dental practice Dr. med. Trapper & Dr. Aplas.

Stay healthy,

Your Dr. Rüdiger Aplas

Erlanger Bergkirchweih 2017

On the coming Whitsun weekend starts in Erlangen as every year Bavaria’s oldest beer festival! Again, over one million visitors are expected in ten days. Young and old enjoy every year at the numerous attractions. For many adults, the sociable bustle at the beer cellars is in the foreground! The mountain-cooled festival beer tastes best, especially on hot days. Who would have thought that beer could have something to do with your teeth?

I do not want to go into the issues of increasing the number of dental accidents during the Erlangen Bergkirchweih or of using beer as a storage medium for lost teeth. Beer has only indirectly something to do with teeth, but something directly with saliva! And saliva is the most important protection mechanism for teeth! On the one hand, many minerals are dissolved in the beer, which harden the tooth surface via the saliva. It’s good! And on the other hand, saliva qualities can be illustrated on the basis of the beer foam. There are different “good” saliva. Proverbs such as “there’s nothing left for you” do not come by accident!

Some of us have a lot of saliva, some very little. Some spit can neutralize carious acids quickly, some only slowly. Some spit is very fluid and glides well, and some is very sticky and foams like beer foam. Foaming spit is not very good for teeth, because the foam comes from lack of wettability to the tooth surface. That is, the saliva does not attach well to the tooth surface but rather rolls off on it. This air is trapped, it creates foam.

If the beer mug or beer glass is dry when pouring it produces a lot of foam. This phenomenon is even stronger when the pitcher is not only dry but also dusty. Due to the dry, possibly dusty surface of the pitcher, the beer can not undergo good wettability to the surface. The beer rolls along the surface, air is trapped, it creates foam! Therefore, the tip for all beer drinkers: Rinse the beer glass with water before pouring! And the tip for all with foaming saliva: chewing dental care chewing gums with cooling xylitol, which improves the wettability.

The subject should not apologize for excessive beer consumption. Do not drink too much at the Erlanger Bergkirchweih. The practice team wishes you a lot of fun at this year’s “Berch”! coziness cheers!

If you have any questions about this or other topics, do not hesitate and ask the dentists of “Beautiful Teeth Erlangen”.

Stay healthy!

Finished with the school and now? We train you!

copyright ulmato

You are interested in people, organization and administration, can express yourself well and are versatile? Then the profession of the dental assistant will suit you.

Your training as a dental assistant is versatile and you get to know different application possibilities, which make this profession so interesting. Billing and office activities are just as much a part of your area of ​​responsibility as full-scale work in the treatment room. The entire training focuses on making you an all-rounder in the dental practice.

The training lasts 3 years, the beginning of training is 01.09.2017. After successfully passing the exam, you have the degree to become a dental assistant.

  • Everything about the activities of dental assistants
  • To organize you and to document your work
  • Everything about in-house information and communication flows
  • Good grasp
  • Fluency in written and oral expression
  • accuracy
  • Skill in dealing with the PC
  • independence
  • responsibility
  • Good manners

We look forward to receiving your application by post or email:
Dental practice

Dr. Tanja Trapper & Dr. Rüdiger Aplas

Mrs. Jasmin Schweigert

periimplantitis

Peri-implantitis is the technical term for the inflammation of the implant bed. The implant bed is the tissue that holds the dental implant in place: the gum and the jawbone. In the course of this form of inflammation, this tissue is lost until the implant is lost. Peri-implantitis is, so to speak, the periodontitis of the implant. 99 percent of all lost implants are caused by peri-implantitis. An implant usually lasts a lifetime. Large-scale studies have shown that 85 percent of all single-tooth implants placed worldwide are still in the mouth. That’s a great percentage when compared to another number, namely the most common alternative: the bridge. A bridge has a statistical residence time of 15-20 years in the mouth. How many bridges are still in the mouth after 30 years? 0-20 percent!

Now 85 percent is a good number, but what makes peri-implantitis exactly that 15 percent of single-tooth implants are lost to her? And 15 percent in Germany currently corresponds to a figure of 150,000 implants per year. Now the problem of peri-implantitis affects the dental profession worldwide and there is still no consistent therapeutic approach, because until today no therapy against it was found. There are only recommendations, but no reliable method to treat peri-implantitis!

What makes peri-implantitis so difficult to treat? Well, as I mentioned a few lines earlier, peri-implantitis is similar to periodontitis on the natural tooth, only on the implant. Both forms of inflammation are caused by bacterial deposits on the implant or on the tooth. The difference between the two forms of inflammation lies in the chances of healing. A periodontitis can be treated well. To do this, you must thoroughly rid the tooth or root surface of stubborn bacterial deposits. If it remains permanently clean on the tooth heals a periodontitis. And here is the difference: on the implant, the bacterial deposits can not be removed. This is because unlike the natural tooth, the implant does not have a smooth surface. It usually has a helical shape with the associated threads. Below the threads you can make very bad clean as a dentist. But that’s not the only thing: there are microscopically small pores in the implant surface so that bone cells can grow in very well during the healing phase. The bacterial deposits in the microscopically small pores can be removed to this day with no method. This in turn means sooner or later the loss of the implant.

Since no reliable method has ever been found to treat peri-implantitis, the problem is currently the number one research and conference topic worldwide. Currently, it is to take preventive measures so as not to cause any peri-implantitis. As a preventive measure, the patient can contribute himself to good or very good oral hygiene. The implant dentist has to have a lot of expertise to prevent the disease. Because it determines significantly how high the risk of the individual is to contract this form of inflammation. It starts with not wanting to implant on every patient. Patients with poor oral hygiene, with existing periodontitis, with unregulated systemic diseases or heavy smokers are not suitable for implants. The likelihood of these groups developing peri-implantitis after implant placement is high. But also the skills of the oral surgeon or the implantologist are needed to avoid peri-implantitis. Placing the implants incorrectly in the jawbone may lead to inflammation of the implant due to lack of protection of the gums. Even if the implant is provided with a crown, overlooked cement remains can lead to a disease on the implant.

For patients, it is therefore very important to look for the right implantologist who is informed about the problem.

If you have any questions about this or any other topic, do not hesitate to ask the dentists of the dental practice Dr. med. Trapper & Dr. Aplas.

Stay healthy,

Your Dr. Rüdiger Aplas.

The digitalization of dentistry

Of course, the digitization of the world over the last 25 years did not stop at dentistry. The dentists and especially the patients benefit enormously. There are and there will be but also “losers” of this development.

Let’s start with the dental administration. As in other industries too, a lot of paper has been replaced in practice by digital media. Our practice is also a “paperless” one. The index card of each patient exists only digitally. This can be called in fractions of a second. Administrative and accounting tasks are solved faster and more efficiently. However, it is important that backup files are created regularly in case the data is lost. The only disadvantage compared to earlier: should the computer system fail or not be functional, the entire practice operation is disturbed. You do not know which patients are ordered at what time and what is to be done at all.

From a business perspective, digitization and the benefits of the Internet have become essential to dental practice. Just like any private person, the dental office is also looking for the lowest price for one and the same product. Also in the dental trade, there are price comparison sites on the Internet, looking for the cheapest provider. The price war between dental depots has led to sharply falling prices in recent years. The sufferers of this development are the dental depots, but above all the company representatives. The Internet price is usually much cheaper than the company representative.

The imaging in the dental practice and thus the diagnostics has benefited tremendously through digitization. Starting with intraoral digital photos, which simplifies the understanding of the individual patient for dental disease, to the modern, much radiation-reduced, digital X-ray images. Where previously analogue X-ray images were developed on small, low-detail X-ray films, detailed and larger images are now possible. These can be post-processed on the PC, so that further insights are possible. It is also possible to create digital, three-dimensional X-ray images of jaw operations that represent every anatomical event before the procedure. Thus, whole procedures can be played through virtually, before one starts with the actual work.

At the moment, dentistry is experiencing the greatest upheaval in dental digitization. Where once many dental technicians with more experience and dexterity were necessary, today it requires less manpower through modern, digital methods. It can not be ruled out that in several decades this profession will unfortunately disappear altogether. More and more manufacturing processes in dental technology are being digitized. Where, for example, the dental technician used to laboriously design an elaborate wax model for a crown, nowadays a precision scanner optically scans the patient’s impression. From this, a virtual patient model is created on which the technician designs the dentures digitally. The data set is then processed by a milling machine and the finished dentures are milled from the full ceramic block. In the future, the precision of direct, digital impression in the patient’s mouth will continue to increase. The intraoral scan will completely replace the classic impression. The 3d printer will be added to the existing digital milling processes. The dentist of tomorrow will become more and more independent of the classical dental technician.

The development of recent years has been exciting and will remain exciting.

If you have any questions about this or any other topic, ask the Dentists of the Dental Practice Dr. med. Tanja Trapper & Dr. Rüdiger Aplas.

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