Frequently Asked Questions


Preventive Care


From what age does fissure sealing make sense?
Fissure sealing makes the most sense right after the permanent molars erupt, usually at primary-school age. It protects the deep grooves of the chewing surfaces, which are often difficult to clean with a toothbrush.

Questions About Our Practice


Do I need a referral to get an appointment?
No. You can also make an appointment with us directly without a referral. However, patients often come to us on the recommendation of their treating dentist or orthodontist, with whom we coordinate closely during treatment.
What services does a joint practice for oral and maxillofacial surgery offer?
The range extends from implantology to dentoalveolar procedures such as surgical tooth extractions and apicoectomies, right through to aesthetic-plastic procedures in the facial area and modern diagnostics.
Are operations performed on an outpatient basis?
We perform most procedures on an outpatient basis, so you can go home the same day. You will receive detailed instructions from us for aftercare following the operation.
Can I be treated without fear?
Yes. For anxious patients, we offer gentle sedation and anaesthesia methods so that even more extensive treatments can proceed in a relaxed way.

Questions About Implantology


How long does it take for an implant to fully heal?
The healing time is usually between eight and twelve weeks and depends on bone quality and the implant region. An implant usually heals somewhat faster in the lower jaw than in the upper jaw.
Does inserting a dental implant hurt?
The procedure itself is performed under local anaesthetic and is generally low in pain. On request, we additionally offer gentle sedation or anaesthesia methods, especially for more extensive treatments.
Can everyone get a dental implant?
In principle, implants are suitable for most patients. Factors such as bone volume, general health and oral hygiene play a role and are checked individually before treatment.
What is the difference between a titanium and a ceramic implant?
Titanium implants are considered particularly proven and versatile. Ceramic implants made of zirconium oxide are metal-free and therefore particularly interesting for patients with a corresponding preference or a sensitive soft tissue situation.
How long does a dental implant last?
With careful care and regular aftercare appointments, implants can last many years to decades. Good oral hygiene and consistent implant prophylaxis are decisive.

Questions About Dentoalveolar Surgery


When does an apicoectomy make sense?
An apicoectomy is an option when inflammation at the root tip does not heal through root canal treatment alone. The affected root tip is then surgically removed, so the tooth can often be preserved.
Is the surgical removal of a wisdom tooth painful?
The procedure is performed under local anaesthetic, on request also with sedation. After the operation, temporary swelling may occur, which can be well managed with appropriate aftercare.
What happens during periodontal surgical treatment?
Depending on the findings, periodontal pockets are cleaned, bone defects are augmented, or recessions are covered. The goal is to stabilise the periodontium and stop further bone loss.
How long does healing take after a dentoalveolar operation?
Wound healing in the soft tissue is usually largely complete after one to two weeks, while complete bony healing can take several months.

Questions About Plastic Surgery


What counts as plastic surgery in the facial area?
This includes both aesthetic treatments against wrinkles and volume loss, as well as functional procedures, such as scar correction or after facial injuries.
Are minimally invasive treatments painful?
Most minimally invasive procedures are well tolerated and are performed with local anaesthetic if needed. Downtime is generally minimal.
How does the consultation before a procedure work?
In a detailed conversation, we discuss your wishes, explain realistic possibilities and plan the treatment path that suits you together with you.
How natural do the results look?
Our goal is to achieve a harmonious, natural-looking result with as little change as possible that suits your individual facial features.

Questions About the Diagnostic Centre


Can I refer patients for CBCT as an external dentist?
Yes. Our diagnostic centre is open to practising colleagues from dentistry, surgery, implantology and orthodontics. You refer your patient and receive the desired image data or planning documents back.
What is the advantage of digital volume tomography over a classic CT scan?
CBCT works with a significantly lower radiation dose than a classic computed tomography scan and usually provides sufficiently precise three-dimensional images for dental and oral and maxillofacial surgery diagnostics.
In what format do I receive the X-ray data?
You can receive the images either in DICOM format for your own planning software or in Sidexis software including a viewer program for assessment and measurement.
Do health insurance companies cover the costs of a CBCT scan?
Cost coverage varies depending on the insurance provider and indication and is often not fully covered. We inform you transparently in advance about the expected costs.

Questions About Our Range of Services


Where can I find clear information about my planned treatment?
In our media library, we present treatment processes clearly. In addition, we are happy to answer any open questions personally in a consultation.
Does the practice regularly offer information events?
Yes, under News and Events we inform you about current dates, to which we warmly invite patients as well as referring colleagues.
Does the practice also publish professional publications?
Yes, in the service area you will find an overview of our professional publications and articles on implantology and oral, maxillofacial and facial surgery.

Questions About Digital Volume Tomography


What is digital volume tomography (CBCT)?
CBCT is an imaging method that creates three-dimensional X-ray images of the jaw. It provides significantly more detailed information than a classic two-dimensional X-ray and is mainly used for implant planning.
Is a CBCT scan associated with more radiation than normal X-ray?
The radiation exposure of a CBCT is significantly lower than that of a classic computed tomography scan, but somewhat higher than a single two-dimensional X-ray. We use CBCT specifically where it offers real diagnostic added value.
When is 3D diagnostics necessary before implantation?
Three-dimensional imaging is particularly useful when bone volume is limited, when nerves are close to the planned implant position, or in more complex anatomical situations, in order to plan the implantation safely.

Questions About Bone Grafting


When is a bone graft necessary before implantation?
A bone graft becomes necessary when the existing jawbone is not sufficient for a stable implant bed, for example after prolonged toothlessness or significant bone loss. Whether and to what extent a graft is necessary is determined in advance with 3D diagnostics.
Is a bone graft painful?
The procedure is performed under local anaesthetic, if needed also with sedation, and is generally well tolerated. Temporary swelling may occur after the procedure.
What is a sinus lift?
During a sinus lift, the floor of the maxillary sinus is raised and filled with bone or bone substitute material. This procedure creates the basis for a safe implantation when bone volume in the upper jaw is limited.

Questions About Immediate Loading


Who is suitable for immediate loading with implants?
Immediate loading is suitable for patients with sufficient bone volume and an inflammation-free starting situation. Whether it is an option in your case is determined individually based on 3D diagnostics.
How quickly do I have fixed teeth again after implantation?
With immediate loading, you receive a provisional, fixed denture on the very day of implantation. The final restoration follows after the healing phase is complete.

Questions About Periodontology


What is the difference between gingivitis and periodontitis?
Gingivitis is a superficial inflammation of the gums and often a precursor to periodontitis. In periodontitis, the deeper periodontium is already affected, which, if left untreated, can lead to bone loss.
Is periodontitis treatment painful?
Cleaning the periodontal pockets is performed under local anaesthetic and is generally well tolerated. Modern, minimally invasive techniques often make it possible to clean even deeper periodontal pockets without a major procedure.
Can bone lost due to periodontitis be rebuilt?
In many cases, yes. Guided tissue regeneration or the use of enamel matrix proteins can specifically promote the rebuilding of the periodontium.

Questions About Preprosthetic Surgery


When is preprosthetic surgery necessary?
It is used when bone edges, ridges or disruptive soft tissue prevent a good denture fit, or when additional bone needs to be built up before implant treatment.
How long does healing take after preprosthetic surgical procedures?
Depending on the extent of the measure, healing time ranges from a few days to several weeks, before the actual prosthetic or implant treatment can take place.

Children


How does braces treatment work for children?
That depends on age. During the transition from baby teeth to permanent teeth (mixed dentition), we take advantage of natural jaw growth. At this stage, treatment usually involves removable braces, such as single plates or gentle appliances like the Bionator.
My child still sucks their thumb – does that damage the teeth?
Yes, persistent thumb sucking or prolonged use of a pacifier are bad habits (so-called "habits") that can lead to an open bite or crossbite. Early treatment during the baby teeth phase helps prevent more severe misalignments later on.
When should I take my child to the orthodontist for the first time?
Initial orthodontic check-ups are usually recommended from the age of 3 to 5 to detect misalignments in the baby teeth early. If there are no abnormalities, the age of 8 to 9 during the tooth change phase (mixed dentition) is ideal for the first examination.
From what age does health insurance cover braces for my child?
Statutory health insurance covers the costs for children and adolescents when there is a medical necessity. This is classified according to the orthodontic indication groups (KIG levels 3 to 5). We check this classification directly during the first examination.
How can dental misalignments in children be prevented?
Some jaw anomalies are genetic and unavoidable. However, many misalignments develop through avoidable habits. To prevent maldevelopment, harmful habits such as thumb sucking, intensive use of pacifiers or feeding bottles should be stopped by the age of three at the latest. Mouth breathing with open lips, incorrect swallowing patterns (where the tongue presses against the teeth), and lip biting should also be addressed early.
Thorough oral hygiene and a tooth-friendly diet protect against premature loss of baby teeth.
Are pacifiers and thumb sucking harmful to the teeth?
Yes, persistent thumb sucking or intensive pacifier use beyond the third year of life damages dental development and can lead to an "open bite" or deformed jawbones. The consequences are often pronounced dental misalignments and associated speech disorders such as lisping.

Adolescents


Is there a completely invisible type of braces?
Yes, the so-called lingual technique offers an aesthetically perfect and virtually invisible alternative to conventional braces. The brackets are custom-made and bonded to the inside of the teeth. The treatment can go completely unnoticed by others in everyday life or at school.
Another alternative are aligners. The transparent, nearly invisible dental aligners are hardly noticed in everyday life and allow for an elegant correction without drawing attention.
How long do aligners need to be worn daily?
The duration of treatment with invisible aligners is individual and depends on the extent of the dental misalignment. For mild to moderate corrections, therapy is usually successfully completed in approximately 9 to 15 months.
For an optimal and fast treatment result, aligners must be worn at least 18 to a maximum of 22 hours per day. The trays should only be removed for eating, drinking sugary or acidic beverages, and for dental care. Consistent wearing shortens the overall treatment time.
Are aligners suitable for adolescents?
Yes. For adolescents who prefer a discreet treatment, aligners can be a suitable alternative to conventional braces. We offer young patients a discreet correction with individually fitted aligners.

Adults


Is orthodontic treatment still possible for adults?
Yes, dental correction is possible at any age without restriction and is absolutely worthwhile in adulthood for health or aesthetic concerns. For adults, discreet and virtually invisible treatment methods such as transparent aligners or lingual braces (invisible braces on the inside of the teeth) are particularly popular.
How often do I need to visit the practice during treatment with transparent aligners?
With aligners, check-up appointments are usually every 6 to 8 weeks.
What are transparent dental aligners?
Aligners are thin, transparent plastic trays that are ideally suited for correcting mild to moderate dental misalignments. The ultra-thin trays fit precisely, are comfortable to wear, and do not interfere with speaking or laughing.
Transparent aligners are particularly suitable for adults and adolescents from around the age of 12.
How often do aligners need to be replaced with a new tray?
Depending on the misalignment and the system used, an aligner tray is usually replaced by the next tray in the treatment plan after two to three weeks. Regular check-up appointments at our practice ensure that tooth movement is progressing as planned.
How many hours a day do aligners need to be worn?
For an optimal and fast treatment result, aligners must be worn at least 18 to a maximum of 22 hours per day. The trays should only be removed for eating, drinking sugary or acidic beverages, and for dental care. Consistent wearing shortens the overall treatment time.
How long does aligner therapy take on average?
The duration of treatment with invisible aligners is individual and depends on the extent of the dental misalignment. For mild to moderate corrections, therapy is usually successfully completed in approximately 9 to 15 months.

Orthodontics


Why is orthodontic treatment beneficial?
Orthodontic treatment corrects misalignments of teeth and jaws to sustainably improve both the aesthetics of your smile and the health of the entire masticatory system. Beyond cosmetic corrections that boost self-confidence, the focus is on functional aspects: straight teeth optimise biting and chewing, which relieves the digestive system.
Complaints such as teeth grinding, jaw clicking, tension headaches, and even postural problems of the spine can be effectively prevented.
How long does orthodontic treatment take?
The active treatment phase usually lasts about two to three years but depends greatly on the individual case. Key factors include the severity of the misalignment, the patient's age, and the type of braces chosen. Since the jaw is still growing in children and adolescents, therapy typically progresses faster than in adults. A precise time estimate is provided after the initial examination. The success and duration also depend significantly on the patient's reliability (compliance) in wearing removable appliances and maintaining oral hygiene.
When is the best time for the first visit to the orthodontist?
An initial orthodontic assessment is already advisable at the age of four to six to detect severe maldevelopments early. Although treatment during the baby teeth phase is rare, in serious cases early treatment with simple preventive appliances (such as space maintainers or vestibular plates) can prevent worse outcomes. The regular and most effective treatment period is usually between the ages of 9 and 11 during the late mixed dentition stage, as natural jaw growth can be optimally utilised at this time. If in doubt, parents should ask their family dentist for an assessment during the six-monthly routine check-up.
How often do I need to visit the practice for check-ups during orthodontic treatment?
The check-up intervals depend on the type of braces: for removable appliances and aligners, appointments are usually every 6 to 8 weeks, while fixed braces need to be checked and adjusted approximately every 3 to 4 weeks.

Orthodontic Prophylaxis


What should I pay attention to regarding dental care with braces?
Thorough oral hygiene is essential throughout the entire orthodontic treatment. Especially with fixed braces, plaque quickly builds up around the brackets and wires. Interdental brushes and dental floss help with precise cleaning of the gaps. The additional use of fluoride gels strengthens the tooth enamel. Supplementary professional prophylaxis measures at our practice offer the best protection against cavities.
Why do I need to go to the practice for prophylaxis?
The special advantage of professional dental cleaning at a specialist orthodontic practice is that all orthodontic appliances that would hinder a thorough cleaning are removed. Only this way can a comprehensive cleaning be ensured. Afterwards, the appliances are reinserted and optimally readjusted.
How often do I need to come to the practice for prophylaxis?
For most orthodontic patients, it is sufficient to have a professional dental cleaning carried out every three to six months. In special cases, professional cleaning at shorter intervals may be necessary.

Need for Treatment


How can I tell whether orthodontic treatment is necessary?
Typical signs include visible misalignment of teeth or jaws, an incorrect bite, difficulty biting or chewing, and recurring discomfort in the jaw joint. An orthodontic examination provides clarity on whether treatment is advisable and to what extent.
Can untreated misalignments lead to further problems?
Misalignments can create areas that are difficult to clean, which may increase the risk of tooth decay and gum disease. Pronounced misalignments are also sometimes associated with tension in the jaw, neck and back. Whether this applies in your individual case is something we clarify together with you.
Is orthodontic treatment only relevant for aesthetic reasons?
No. Alongside the aesthetic wishes many patients have, functional aspects such as chewing, speech and breathing also play an important role. We discuss with you which medical and personal reasons apply in your specific case.

Treatment Planning


How does orthodontic treatment planning work?
The basis is a thorough examination including digital X-rays, facial photographs and a plaster model of the jaws. Using these records, we work out the right treatment path together with you.
What is a model analysis and what is it used for?
For the model analysis, we take impressions of the upper and lower jaw and use them to create a plaster model. This allows precise measurement of the teeth and jaws and forms an important basis for individual treatment planning.
Does planning also take growth and tooth eruption into account?
Yes. Especially in children and adolescents, current jaw growth and the stage of tooth eruption are factored into the planning so that treatment can be well matched to individual development.

3D Diagnostics


What is digital volume tomography (DVT/CBCT) and when is it used?
DVT is a low-radiation, three-dimensional X-ray procedure. We use it particularly for more complex misalignments, for example in cases of disturbed tooth eruption, impacted or displaced teeth, or unusual bone structures.
Does 3D diagnostics involve a high radiation dose?
Compared with conventional CT scans, digital volume tomography is considered low-radiation. We use it selectively, only when the additional diagnostic benefit meaningfully complements conventional X-ray diagnostics.
What advantage does 3D diagnostics offer for treatment planning?
The high-resolution, three-dimensional images show the structures of the jaw in detail and without distortion. This supports us in precise planning as well as in monitoring the course of treatment.

DentalMonitoring App


What is the DentalMonitoring app and what is it used for?
The DentalMonitoring app allows the progress of your orthodontic treatment to be followed digitally. Using regular scans taken with the app and the corresponding scan box, interim steps of the treatment can be made visible.
What do I need to use DentalMonitoring?
You only need a smartphone with the DentalMonitoring app and a DentalMonitoring scan box. Our team will explain how to use it in detail; no special prior knowledge is required.
Does the app replace regular check-up appointments at the practice?
No. DentalMonitoring complements personal care but does not replace the necessary check-up appointments at the practice. If anything unusual appears in the scans, we will contact you additionally if needed.