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prevention International magazine for oral health No. 1, 2017

practical prevention | biorepulsivity periodontitis can easily be diagnosed nowadays. Kulka: When I see inflammation or bone loss, I have two options: I can either treat according to the old method or I can find out why it happened in the first place. I have a basic diagnostic schematic that involves taking a holistic patient history. Then the patient is informed about which tests they need or whether a biopsy is necessary. The financial side of things, however, is not taken into account, to be honest. However, we do have a step- by-step plan with a range of options. I spend almost an hour with the patient for diagnostics and therapy suggestions. In order to strengthen communication, we also colour code everything, both before and after the biofilm treatment! So now we have come to biofilm man- agement, a central factor in prophylaxis. This approach relies on a long-lasting treatment strategy with Dentcoat, a SiO2 complex. Dentcoat reduces the patho- genic biofilm so that almost no germs are able to settle. How does that work exactly? Teichmann: Biofilm can be affected by the metabolism—if I can support the good bacteria, I have already achieved a lot. For example, a patient with exposed tooth roots has a very rough surface. Dentcoat is then used as a bio-repulsive structure. “Bio-repulsive” is a term from molecular medicine, meaning that the silica complex is diffused into the deep layers of the dental enamel. This cre- ates a protective layer and reduces the enamel’s acid solubility. This remineralisation requires a plaque-free surface, therefore, the pro- cedure requires a professional cleaning. Remineralisation is only possible when I keep the surface free from plaque, so that bacteria cannot settle on the sur- face. The results are clear: no cavities and no periodontal illness, because it removes the microbiome’s ability to change. This means that we have further expanded Dentcoat’s indication spec- trum. Today, we can use the complex for dental protection, periodontal illness and tooth decay, sensitive teeth or even white spots. And with Implantcoat, we now have a reliable preventive measure for peri-implantitis. Kulka: I’ve been working with Dentcoat for a few years now and I am very hap- py to have this treatment option in my practice. Dentcoat has both therapeutic and preventive qualities. After a profes- sional teeth cleaning, we use Dentcoat to reduce the affected area of the tooth. When used regularly, we can also bal- ance oral flora and whiten the affected tooth. At first, you just see biofilm eve- rywhere, then after a while there is just about 30 per cent and then, at some point, you only see minimal plaque ac- cumulation. Dentcoat helps with prophy- laxis and PA therapy, so it is part of a treatment system. I ask patients to come to the prac- tice every two months if they have heavy staining, so I can clean their teeth and apply Dentcoat. Prophylaxis is not just about having a professional teeth clean- ing twice or four times a year, it is rather about the level of plaque accumulation. When I apply Dentcoat, I see long-lasting results and plaque returns slowly. Dent- coat does not just stabilise periodontal results, but also decreases the risk of tooth decay. Plaque reduction also al- lows teeth to remineralise. With Dentcoat, I can inhibit and reduce inflammation and it also keeps the oral health status stable. 58 issue #1

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