Prevention is not only essential for good oral hygiene and a successful treatment in the long term, but also for general health.
Regularly monitoring oral health is important in order to timely observe changes or problems within the mouth. This allows us to act preventatively or to limit potential damage and complications. The frequency of the regular check-up depends on the status of your oral health. For every treatment, it is important for us to be aware of your general condition and use of medication. Please provide us with a list of the medication you are using. If you have specific problems such as gingivitis or aesthetic problems, an addition examination may prove necessary.
Preventing cavities and gingivitis, but also dental erosion, forms the basis of every treatment. Without an efficient approach of the root cause, damage will return continuously. This cycle must be broken in order to achieve good oral health once more. This benefits the longevity of restorations and will reduce cost. This is why we pay a lot of attention to providing information and instructions. Good dental hygiene involves more than just brushing your teeth twice a day. Cleaning between the teeth and molars is also essential. The oral hygienist or preventative dentist will recommend products to use to achieve optimum oral hygiene. Good oral health contributes to good health in general.
Using dental composites is one of the largest advances made in dentistry in the last few decades. Dental composite can be used to restore parts of the teeth using white, plastic materials. The advantage is that hardly any healthy tooth material needs to be ground away. This gives the tooth or molar more internal strength, reducing the risk of fracturing. This enables us to make aesthetically pleasing restorations. It is also possible to replace a lost tooth, using a gluing method. Working with composite requires good materials and the proper techniques. Using glued-on composite materials also reduces the need for crown restorations. Mondzorgpraktijk Kuijl has been working with Filtek Supreme from 3M for years. Composite is a high-quality material, with both mechanically and aesthetically beneficial characteristics. We are highly experienced in working with it and have become fascinated by the boundless possibilities and beautiful results which composite enables. Restoring the shape and colour of teeth and giving anyone a beautiful smile using this material is wonderful and is a genuine art form.
Porcelain can be used to make strong and beautiful restorations. These dental restorations are crafted in a dental lab, which makes them considerably more costly. Crowns are mainly made for teeth which have undergone a root canal treatment, and which have been considerably weakened. We can usually make completely ceramic crowns without requiring a metal substructure. These crowns consist of a ceramic cap, which porcelain is then baked onto. It is also possible to have complete ceramic bridge constructed to replace a missing tooth or molar. Porcelain shields can be used to improve the appearance of teeth.
Whether you should choose composite or porcelain depends on many factors, and in many cases both options are possible. In practice, we usually principally use composite as a restoration material, since this allows us to reduce cost. The patient can then assess the results (composite works well for making any corrections) and you can flexibly still decide you wish to see additional restorations made using porcelain. The advantage of porcelain is the strength of the material and its excellent aesthetic properties, which enables us to make restorations with a long longevity, which will retain their beauty.
Dental erosion can have various causes. The wrong brushing technique, combined with a hard toothbrush, can cause erosion on the root surface. Tooth grinding and/or jaw clenching can lead to considerable dental erosion, especially if it occurs at night. Frequent use of food and drink containing high levels of food acid can also cause dental erosion. All of these factors can already cause dental erosion at a young age. Advanced dental erosion may impair chewing as well as teeth beauty. Treatment will firstly focus on preventing further damage by providing information and protecting the teeth by using e.g. an occlusal splint. If there is extensive loss of dental tissue, this will have to be restored in order to improve chewing and to ensure teeth beauty. We almost always use composite restorations for this, because this allows us to restore teeth or molars without causing any further damage.
The smile is an important element of the face and a beautiful smile in harmony with the lips and the face determines the appearance and one’s own perception of it. Aesthetic dentistry is a combination of scientific principles and artistic talents. We always strive to use techniques which spare the existing tissue, in order to achieve a beautiful, natural smile which befits the individual patient.
Gingivitis can sometimes spread to the supporting tissue of a tooth or molar. We call this inflammatory condition periodontal disease or gum disease. Its appearance may depend on genetics of the patient, bacterium types, smoking, stress and general health. It is becoming increasingly clear that there’s a relationship between gum infections and general health, such as cardiovascular diseases and premature births. The first step in treatment is additional examination of the gums, usually in combination with X-rays and potentially with bacteriological analysis. During the first phase, the treatment consists of a thorough cleaning of the affected teeth and/or molars. This is done after a local anaesthetic has been applied and focuses on removing harmful bacteria (the biofilm) from the root surface. In some cases, this needs to be supplemented with antibiotic treatment. After three months, we will reassess the situation. In the event of deep defects and hard-to-reach defects such as between the roots of molars, it is sometimes impossible to remove harmful bacteria and the infection may continue to exist. These sites will then need to be treated by means of flap surgery, in order to restore a healthy situation. After every gum treatment, aftercare is needed to ensure the infection does not return.
In the last 30 years, implants or artificial tooth roots have made a valuable contribution in the field of dentistry. These primarily serve to support a loose prosthetic, enabling dentists to provide patients who have a reduced jaw volume with a sturdy prosthetic, but also to replace one or more missing teeth or molars. Implants provide a solid basis for dental functioning, when too many teeth and molars are missing. Using implants also avoids having to grind healthy neighbouring teeth or molar in order to install a bridge. For the placement of implants, we have worked with our colleague Wismeijer from the Verwijspraktijk voor Implantologie in Dieren for over 20 years: www.tandartsenpraktijkwilhelminaweg.nl.
For orthodontic treatments, we have a good cooperation with the orthodontic practice in Zutphen and Holten.
The orthodontists who work there: C.J.M. Brugman, J.C. Faure and F.D.H. Pelser are registered with the Nederlands Specialisten Register (Dutch Specialists’ Register). www.orthodontistenzutphen.nl
Tandheelkundig Centrum Holten, Orthodontics Department (Orthosmile). The orthodontists who work there: B. de Bondt and M.W. Joosten. www.tandartsenholten.tandartsennet.nl
For more complex surgical procedures, we work with the Dental, Oral and Maxillo-Facial Surgery Department of Slingeland Hospital in Doetinchem and Zutphen.
Doetinchem Hospital: www.slingeland.nl
Dental, Oral and Maxillo-Facial Surgeons Zutphen: www.mka-chirurgen.nl