Dr. Marco Hahn



Preservative Dentistry

A healthy tooth is better than a sick one. However, it is much better to have a sick tooth than none at all. That is why we always try to save your teeth.

Leaving aside extraction, the dangers for a tooth are mainly these three:

1.) Caries
2.) Endodontic disease
3.) Periodontal disease

1.) Bacteria develops on the surface of the tooth. The acid produced by the bacteria provokes eventual destruction of the tooth – a cavity is formed. If this cavity increases in size, the risk of an inflammation of the alveolar nerve exists.

With prophylaxis the progression of an incipient caries is avoided. To achieve this, periodic controls and the collaboration of the patient is imperative. If, despite all this, a cavity is formed, a filling must be done.

2.) Although it might not appear so, the tooth is a living structure. This will be obvious, at latest, when the alveolar nerve is irritated. Without a root canal treatment, pain will not be appeased and the tooth will have to be extracted.

3.) Undoubtedly you know what the bacterial plaque is. But, what are the pockets? Basically the same, with the only difference that the pockets are formed below the gum. Bacteria is protected by calcareous formations and can freely attack the immune system. Unfortunately, the inflammatory cells react when faced with this stimulus and produce a substance that destroys the bone. If the dentist does not eliminate these pockets, the tooth will end up falling out on its own.


Any cavity detected by the dentist should be filled. To avoid the dark color of the fillings, for some time now amalgams are no longer used. The patient can choose from composite chairside fillings or labside produced inlays. These latter (inlays) are noted for their excellent adaptation and the quality of the materials used. The ceramic inlays cannot be distinguished from the real tooth. Furthermore, ceramic material is better tolerated and specially indicated for sensitive people.

Root canal treatments

Once the alveolar nerve becomes inflamed, it has to be extracted. At the same time, the root canal is cleaned and the bacteria causing the inflammation eliminated. The next step is to close the root canal. The tooth without a nerve becomes weak with time; therefore it will usually be covered by a crown. To increase the stability of the tooth a kind of screw or post is inserted. The tooth can then continue to function well over a long period of time.

Gingival treatments

Blood detected on the toothbrush or dental floss is the first sign of an incipient gingivitis. If these signs are not recognized in time, the inflammation will continue to advance. Voices of alarm are expressed when teeth begin to move. If nothing is done, there is a risk of losing them. Regular check-ups by a dentist will allow early detection and treatment of the periodontal disease.

In gingival treatment the calcified bacterial plaque is eliminated and the root surface cleaned to avoid bacteria harboring. The organism is again capable of overcoming the proliferation of bacteria. Sometimes it is necessary to push the gums aside by flap surgery to see better and be able to clean in the deep.

This enables us to stop the teeth from loosening and, with special procedures, even reverse the destructive process, although within limits.

However, in your particular case we can only judge your periodontal status here in the consultancy (first appointment free of charge).