The current emergency service for Munich and the surrounding area can be obtained from the KZVB (Kassen-Zahnärztliche Vereinigung Bayern) online at www.KZVB.de or www.notdienst-zahn.de or by telephone on 089-723 30 93.
Balanced meals, regular oral hygiene, which means brushing your teeth after every meal and using dental floss or interdental brushes in the evening, and fluoride-containing mouthwash can help re-mineralize lesions of enamel and stop beginning tooth decay. Enamel which is damaged by bacterial acids can be significantly repaired by using a re-mineralizating mouthwash containing aminofluoride twice a day. This effect has been proven in a double-blind study at the university dental hospital of Freiburg.
Source: dentalreport DFZ 11.2009
Causes of bad breath
Bad breath is also referred to as halitosis. Bad breath can be measured by using a halimeter.
- In most cases (90 per cent) the reasons originate in the mouth itself
- poor oral hygiene, tongue coating
- bad dental condition (dental caries)
- alkohol consumption
- dry mouth (very common in people whos jobs require them to talk constantly)
- inflammations of the periodontium (gingivitis, periodontitis)
- General diseases, e.g. Diabetes mellitus, acute or chronic renal failure, cirrhosis of the liver
- sulphur-containing medicaments
Possible external causes:
- oral breathing
- insufficient fluid intake
- dry mouth
How can I get rid of bad breath?
- use special tongue cleaners
- brush your teeth and tongue after every meal
- have regular dental cleanings at your dentist
- see your dentist for individual prophylaxis (oral hygiene advice, correct brushing etc.)
- mouthwashes which contain chlorhexidine or special mouthwashes combating bad breath
Please feel free to contact us for more information.
Alexandra Beau & team
As you might know, the dental care billing procedure is based upon the dentists‘ fee schedule (GOZ - Gebührenordnung für Zahnärzte). The dentist’s allowance is composed of the treatment charge and expenses, e.g. for dental laboratory services. The dentist determines the treatment fee that may be between 1.0 and 3.5 charge rates considering the complexity and the time invested as well as the entire treatment situation.
The single (1.0) charge rate is not equivalent to the insurance fund charge fee as many patients believe. For instance, the insurance fund and social welfare rates are currently equivalent to 2.3 GOZ-charge rates. Having a one-root tooth extracted costs 3.93 € according to the single charge rate, while a social health insurance patient has to pay about 9.00 €, or 2.3 charge rates. If the extracting procedure is more complicated, the dentist can require a higher compensation. Additional costs have to be explained and documented.
However, to our private patients, virtually all treatments are available. In order to receive a good or a very good service, especially in estetic dentistry, the patients often have to pay more than 3.5 charge rates. For these reasons, article 2 of the dentists‘ fee schedule specifically refers to „other charges“. This regulations is gaining in importance. In March 2011, The German Constitutional Court requested the dentists to use the „structuring options offered by the GOZ“. If a charge fee beyond 3.5 charge rates is necessary, I will inform you in advance so that we can agree upon the payment procedure together.
The GOZ also considers the development of new treatment methods. In case of such treatments, art. 6 „Analogue billing procedure“ has to be applied. Qualified service always requires adequate compensation which means that dentists and patients have to make an agreement according to art. 2 of the GOZ. Even if your insurance fund promises you 100 per cent coverage, you should reckon with additional payments.
Alexandra Beau & team
After a tooth extraction
Eating Do not eat anything until you can feel the numbed site again. On the surgery day and the next few days, please eat only soft foods. Do not strain the treated site while chewing. The first week after surgery, do not smoke or drink alcohol.
Pain When the numbness subsides, the wound may start to hurt. In emergency, you can take painkillers such as Ibuprofen or Paracetamol. However, if strong pain arises 1-3 days after, please contact us.
Rinsing Frequent rinsing or sucking on the treated site is bad for the wound. Rinse your mouth with boiled water only after meals, you can add some salt or chamomile solution.
Teeth Brush your teeth regularly (three times a day), treat the wound site very carefully.
Bleeding If postoperative bleeding occurs, place a gauze bandade or a clean cloth on the wound and bite on it. Do not lay down. Stay upright until the bleeding stops. However, if it doesn’t stop after half an hour, contact our practice or the emergency service found in the daily paper. Do not spit out or rinse!
Swelling Cool the wound site for a few hours applying a moist cloth to your cheek.
Do not warm the treated area!
Driving Please consider that you are not fit enough to drive a vehicle especially if you took some medicine.
Swab If your dentist placed a swab on the wound, bite on it for about one hour. Then, remove or spit it out.
1. After local anaesthetics and the strains of the surgical operation, your ability to respond might decrease for several hours. That is why you should not drive a vehicle after surgery. Let someone bring you home. Please do not eat or drink hot liquids until the numbness subsides. risk of injury!
2. To protect the wound and provide an unhindered blood clotting, bite on the swab placed by your dentist for about one hour. Then, remove or split it out. If you received a pressure bandage (uncommonly), please follow the instructions of your dentist. In case of secondary bleeding, bite down on a clean, moist cloth for half an hour. When in doubt, please call your dental practice.
3. To reduce swellings after surgery, cold packs can be very helpful. Please do not put ice packs directly on your skin. Due to the anaesthetics, you might not feel if you get frostbite. If you would like to rest at home, please use a thick pillow and try not to lie flat.
4. Please do not smoke today! Smoking may cause bleeding and impede the healing process. For the first few days after surgery, you shouldn’t have a sauna as well.
5. When the effects of the anaesthesia subside, you should start with soft foods for a couple of days. Avoid milk products and soups which may lead to film build-up. While chewing, do not strain the treated side.
6. If you have problems to open your mouth completely after surgery, don’t be alarmed. However, if you have lockjaw, sensation disorders or if pain becomes stronger, please contact us or the closest emergency.
7. Avoid any physical stress for the next few weeks after surgery. This applies in particular if your dentist gave you a certificate of incapacity for work. Please note that no separate recovery certificate is necessary.
8. Brush your teeth and prostheses regularly. Do not brush the treated site and rinse your mouth very gently. You can use electric tooth brushes around the site treated but please do not use oral irrigators until the wound has healed.
9. If a medication has been prescribed, please follow the intake order precisely and note the maximum permissible dose which is especially importatn in case of painkillers. Do not take additional medicines.
10. Please keep the next control appointment even if you feel much better.
you decided to receive dentures based on dental implants. Previously, we have already advised you of how the implants are placed, how long the procedure takes and which risks are connected with it. Now, we would like to briefly remind you of the most important aspects.
You are planned to receive an artificial tooth root, or an implant. Dental implants are normally made out of titanium which has a large osseointegration potential. You should be aware of typical risks and consequences of the surgery before giving your consent.
Conditions and procedure
A good oral hygiene is absolutely essential for receiving an implant. In smokers, risk of failure is increased. In the planning stage, some comprehensive examinations have to be done. Sometimes it makes sense to improve the bone structure by using bone substance or other materials.
The surgery itself is done under local anaesthetics. If desired or if the procedure requires more time and effort, in cooperation with an anaesthesiologist, general anaesthesia is possible, too. The dentist makes a small cut in mucosa and uncovers the bone. Then, a hole is bored into the bone, the implant is placed into the hole and mucosa is sutured. After 3-6 months, we can start with manufacturing and attaching of the denture.
After receiving a dental implant
During the healing phase, the implant should not be loaded. After surgery, clean the wound site with rinsing solution. Do not smoke! Cool the cheek and the treated site, clean your mouth very carefully and keep the examination appointments.
General risks: pain and slight swellings, postoperative bleedings are possible. If so, you can either apply a pressure bandage by yourself or contact us for further steps. Please take the medication prescripted according to the instruction.
The implant may become loose as a result of false loading or rejection, then it has to be removed. After a certain period of time, it is sometimes possible to try again. In spite of careful surgical work, inflammations, healing disorders, damages to the adjacent teeth, and nerve damages may occur. In rare cases, taste disorders or numbness of the treated area are possible.
Please feel free to contact me and my team for further informations.
We wish you good luck and a speedy recovery.