BRIDGES:
If there are one or more teeth missing causing gaps between your teeth, I suggest ceramic bridges.

This patient had large gaps in the upper and lower jaw. Because of the high prices in Europe, he had a simple clasp denture. As you can see, the clasps have already damaged a few of his teeth, especially in the cervical area. The patient was afraid of further tooth loss and asked for bridges..

In the Euro Dental Clinic he received perfectly aesthetical bridges made of high quality materials and under the aspects of functional analysis (see Crown production).
He could save more than 75% of the costs compared to his home country.

Prices: (one bridge with two abutment teeth, full ceramic enamel)

Germany:€2500,- - 3000,- (total costs)
Euro Dental Clinic:€720,- (total costs)
You get a bridge with full ceramic enamel made under functional analytical aspects (see crown production). All other costs for injections, fillings, etc. are already included.

TELESCOPE DENTURE :
In case of large gaps or missing teeth in the lateral area of the jaw, a so called free end situation, I suggest telescope dentures.

First primary crowns are fixed on the remaining teeth. The secondary crowns are fixed in the denture.

When the telescope denture is put on the primary crowns, they slide into the secondary crowns,
which are fixed in the denture and fit with high precision, which results in a very stabile retention,
much better than any clasp denture.
We call it a telescope denture because primary and secondary crowns slide in each other like the parts of a telescope. The big advantage is, that the patient will never need a new denture again. In case of tooth loss, we simply put a little amount of acrylic resin in the corresponding secondary crown. Other denture systems require a complete new construction in such a case..

Because of a few unpleasant and painful experiences, this patient had not seen a dentist for years. As he told me later, he lived very lonely and had almost no social contacts, because of his ugly dental situation. As his toothache became more and more unbearable, he had no other choice than getting a dental treatment. He told me, that he only wanted a pain-relief. After the treatment, I suggested a second consultation. Together with my dental technician, we explained the different possibilities of modern dentistry and suggested a telescope denture. I had to promise, that the treatment will be almost painless and finally he agreed.
About two weeks later he had a bright smile again. As he told me later, his life has completely changed and he has become a person full of the joys of life.
For me as a dentist, there is no higher compliment.

Preise: (one telescope denture including four teeth with telescope crowns)

Germany: €6200,- (total costs)
Euro Dental Clinic: €1800,- (total costs)

IMPLANTS:
Implantology is one of the most exciting developments of modern dentistry. For the first time in history it is possible to replace almost any lost tooth with an artificial root.
On the Implant market there are leading companies with decades of experience, high class products and branches all around the world; but unfortunately also producers of cheap low quality implants.
Implants work like a building kit. For example: If you have an implant with a single crown on it and a change of your dental situation should occur afterwards (tooth loss) the same implant can be used even years later to place a bridge or even a telescope denture on it after changing one or two parts of it.
Low quality implants pose two kinds of possible problems:
Sometimes the bone does not heal because of their low quality, which may even cause life endangering infections. Or there are no “spare parts” available, because the company does not exist any longer, which also may lead to massive problems.

I have provided implant surgery for more than 10 years. After a long time of experience and lots of further education, I was awarded with the title “Geprüfter Experte der Implantologie” (examined expert of implantology) by the DGOI (German association for oral implantology) and with the title “Diplomate of Implantology” by the ICOI (International Congress of Oral Implantologists).
I use exclusively high quality implants from leading producers.

Implants are made of titanium. They are inserted in the bone and after a healing period of 6 up to 12 weeks a prosthodontic application (crowns, bridges, dentures) is placed on.
The advantages are that:
      1. In case of a single gap (only one tooth missing) there is no need to drill into the teeth next to the gap.
      2. In case of a free end situation (when the teeth on the left or right posterior part are missing) we can
          avoid a partial denture and
      3. In case of edentia (all teeth are missing), we can extremely improve the retention of a full denture or
          even avoid one.

For a better understanding, I have asked a few of my patients to describe their experiences with their own words:

Andrea B., 68 years:
I had full dentures in both jaws for a long time without any problems. But in recent years retention became worse and they had to be underlined many times, because my jaw bone was not good anymore. The upper denture still has some retention because of the suction on my palate but the lower one had no retention at all. Even the adherent paste did not help anymore. Before eating, I had to cut my food into small pieces. My dentist suggested implants but my health insurance didn’t want to pay for it, though I could not eat well anymore and had to see my doctor many times because of stomach problems. Because of my small pension I couldn’t afford it. Due to mild weather and low costs, I spend each winter in Thailand and so I decided to get the treatment. I saved more than 50% of the costs, although I even got German implants. The surgery was absolutely painless. A couple of weeks later, I was able to chew again, even a carrot was no problem. My lower denture fits tight and does not move at all. Today I can’t imagine anymore how I could live without it.

Herr Horst M., 62 years:
I had periodontal problems and my lower cheek teeth became loose and had to be extracted. And then the problems started. I could not chew anymore. I even asked for implants, because I had read about them, but my dentist didn’t do implant surgery. He told me, that implants were very painful and not good and would be lost soon. So I got a partial denture, which was fixed on my front teeth with clasps. It was horrible. I was choking all the time and there was always some food sticking under it. Finally I didn’t wear it at all.
Dr. Ramin Yachkaschi inserted two implants in my lower jaw, one in each side. The surgery took only one hour and after one month I got two bridges, which were fixed permanently on one implant and two teeth on each side of my lower jaw. I can’t feel any difference to the teeth I had before, they feel great.

Herr Hans F., 48 years
I always had good teeth; I am almost 50 and have just a few fillings and no crowns. I was very proud about that and always took good care of my teeth. Then it happened: One of these pick up taxis ignored the right of way and I fell from my motor bike directly on the street. I wore one of these helmets, which are open in the front area and so my face was not protected and I lost my upper right lateral incisor tooth. Some dental technician suggested a bridge but I didn’t agree because two of my healthy teeth had to be drilled in this case. Dr. Ramin Yachkaschi told me everything about implants. Just a few days after the accident, the implant was inserted and six weeks later a crown was put on it. In the meantime I had a small denture with a single tooth. And the best is: My new crown looks exactly like the one I had lost and feels like it too. My Thai wife, who witnessed the accident is still wondering, how it could be, that a new tooth grew in her Farangs mouth again.

Preise: (one implant including surgery and one ceramic crown, as for Mr. Hans F. )

Germany: €2200,- up to 2600,- (total costs)
Euro Dental Clinic: €1400,- (total costs)
You will get a high quality implant from a leading producer including all parts and a ceramic crown, which was produced under the aspects of functional analysis (see Crown production).

COMPOSITE FILLINGS:
Composite filling is a high quality as well as very gentle filling therapy, which is more beneficial than amalgam or simple white resin fillings. Composites can be used in the front teeth area as well as in the molar area. They are made in the same colour of your teeth and are very durable.
Often we can avoid much more expensive crowns.

This patient had simple resin fillings in the cervical area of some of her teeth, which did not fit to her tooth colour. The result was more caries around the fillings after just a few years. After we filled them with composites, the massive defects almost disappeared.

Here you can compare an amalgam filling with a composite filling. While the amalgam filling shows cracks between the filling and the tooth, the border between the composite and the tooth is almost invisible.

This customer was discontented with his upper front teeth, because they were worn and had caries in the cervical area. A dental technician had suggested him to get all his teeth crowned, which made him a little suspicious. Hence he came to the Euro Dental Clinic for a second opinion. As you can see, we filled three teeth on his upper right side with composites first. Therefore we had to drill them just for a few seconds which required just a minimal loss of tooth material. In case of crowns we would have had to drill much deeper and the customer would have to pay a much higher price. After the patient was convinced of the high quality and aesthetics of composites, he agreed to get his other teeth filled with composites as well.

Preise:

Germany: €120,- up to 200,- per filling
Euro Dental Clinic: €30,- per filling

CROWN PRODUCTION :
On these pages we would like to describe the production process of crowns. As you will see, there are various ways of producing crowns or any kind of prosthetics, depending on whether you want a cheap product of low quality or a perfect one, manufactured according to modern standards of science, highest level of aesthetics, biocompatibility, precision and durability.
Unfortunately a patient is able to judge the aesthetics of dental work but not the quality of material and precision, because even low quality and imprecise crowns can last a few months or even years, but then it is too late for any sort of recourse.
After studying these pages, you will be able to judge your dental treatment and the production process of your crowns.
Your health is important!

1. Consultation:

This patient had a simple veneer metal crown made of cheap alloy and covered with simple resin on the outside surface on her upper right incisor tooth. She was unhappy with the unnatural colour and the fact that the metal rim of the crown was visible in the cervical area.
Because of the large filling in the second incisor, she asked for two new crowns.

2. Examination:
The insertion of crowns puts an extraordinary stress on teeth. They are drilled, a lot of impressions are taken and they have to tolerate the fixing of temporary and final crowns. And if they are supposed to be abutment teeth for some bridge or other kind of prosthetics the stress level is even higher.
Therefore it is extremely important to clarify in advance, if the affected teeth will survive this procedure and how long they will last afterwards (prognosis) and if there are any other inhibiting factors infections, periodontitis, cysts, etc.)
This is managed by an intraoral inspection and a palpatoric examination with special instruments and by x-ray pictures, which facilitate an examination of the teeth under cariologic, periodontologic, endodontologic and prosthetic aspects.
Under no circumstances should the consultation or even examination be done by an incompetent person. A dental technician or dental assistant may be able to decide, that for example a tooth with an insufficient crown or filling needs a new crown. However, they neither posess the required knowledge based on university studies nor sufficient experience to be qualified for a correct examination of teeth, an exact judgement of x-ray pictures and therefore a reliable prognosis.

3. Preparation:

First we determined the colour and took some impressions for the production of the temporary crowns.

After the injection we removed the old crown. We found a large carious defect and had to put a titanium pin in the tooth for the following filling.

After the drilling of the two teeth, we took a high precision impression and sent it to our dental lab together with several other impressions and bite registrations.

At least we inserted some fluid resin into the first impression and placed it back into the patient’s mouth, where it hardened after a few minutes. After polishing we fixed temporary crowns on the teeth.

4. Lab Production:

The technician uses dental gypsum for the production of casts.

After preparation of the teeth in the cast, the technician produced small caps made of wax, which were transformed into ceramic or high gold alloy.

Afterwards many different layers of ceramic were put on the cap and baked in the ceramic furnace.

Because of the various hues in the different areas of the crown and the use of transparent ceramics in the incisal area, you simply can’t tell these crowns from natural teeth.

Many steps are done under a microscope, to accomplish high precision and therefore long durability, because only a perfect fitting between crown and tooth guarantees, that no bacteria can move under the crown, which would sooner or later lead to loss of the crown or even the whole tooth.
Unnecessary to mention that we use only high class materials for the production of this crown for an optimal biocompatibility

5. Fixing:

Finally the crowns were fixed with a special adhesive. The result speaks for itself.

Functional analysis:
The human jaw is a multifunctional joint, which means it is capable of movements in all directions (lateral, forward and backwards) and not only for opening and closing movements. Normally there is harmony between the joints and surfaces of lower and upper teeth during movements of the upper and lower jaw under tooth contact, for example chewing.
Any disturbance of this harmony, for example caused by teeth malposition or misfit dental prosthetics, can sooner or later lead to a temporomandibular damage with serious consequences like strong head and neck pain or even balance impairment or tinnitus.
Therefore it is extremely important, that dental prosthetics harmonizes with the jaw in any possible movements and not only opening and closing movements. This is only possible, if the prosthetics is produced under functional analytical aspects.
Functional analysis is a registration of all individual parameters of possible jaw movements of the patient, which differ from person to person.

Afterwards these parameters are transferred into an adjustable articulator, which can simulate all jaw movements and in which the prosthetics will be produced, exactly fitting to the individual jaw situation of the patient.

The simple crown:
This crown is produced of cheap alloy with almost no gold or platinum inside and covered with only one layer of resin or ceramic on the outside surface.
After the production of the cast, the technician manufactures a crown of wax, which he transfers into a metal crown made of low gold alloy.

Afterwards one single layer of resin or ceramic is put on the outside surface. The crown is produced in a simple articulator, which is only capable of opening and closing movements but not able to simulate the individual movements of the patient. The lack of the functional analysis will sooner or later lead to temporomandibular damages.

At first glance the result is quite acceptable but can’t be compared to the full ceramic crowns.
The use of low quality materials may lead to discoloration and to irritations of the gum and sense of taste. Besides these crowns are not manufactured under the same precision techniques like the high quality ceramic crowns, which reduces the durability and may require a new treatment after a few years.

EURO DENTAL CLINIC and ROFI DENTAL LABORATORY:
As you can read in the other chapters of this website, the Euro Dental Clinic and the Rofi Dental Laboratory exclusively use most modern equipment, instruments and materials, which were entirely imported from Germany. Our products are of the same quality standards as in the best clinics and dental labs in Europe and the USA.

PROPHYLAXIS:
99% of all adults suffer from caries or periodontitis.
Therefore in Germany every year more than 70 Million teeth are filled, 13 Million are crowned and 15 Million are extracted, because they couldn’t be saved.
It is amazing how easily we can take, that a tooth is filled or even extracted. With no other part of our body we would accept, that it is rotten and replaced with plastic or metal for the most part, before reaching half of one’s life expectancy.

Caries and periodontitis are infectious diseases caused by bacteria:
The oral cavity is populated with countless bacteria, which stick on the surface of the teeth and produce the dental plaque. In some areas the plaque hardens and cannot be removed by simple tooth brushing.
The excretes of these bacteria are acids and toxins, which attack the teeth, the gum and the jaw bone and result in caries (tooth decay), gum bleeding and periodontitis (loose teeth).

Today we know, that tooth brushing, twice a day, is not enough to avoid caries and periodontitis.
Clinical experience of the last years has proven, that patients who get an individual prophylaxis treatment regularly can keep their teeth healthy up to an old age.
Individual prophylaxis is an individually adjusted care system to avoid caries and periodontitis.
If caries and periodontitis are caused by known bacteria, why do we need an individual care system?
Because the reasons why teeth are infested with bacteria differ from patient to patient and depend on genetic handicaps, dental malposition, insufficient fillings or prosthesis, composition of saliva, ineffective cleaning technique, nutrition and even sleeping habits.

The objective of the individual prophylaxis is to determine individual risk of the patient to suffer from caries and periodontitis and to eradicate them.

First we have a talk with the patient and analyze his nutrition and dental hygiene habits. Later we examine the mouth cavity and teach the optimal dental hygiene technique.

The most important part of the individual prophylaxis is the PTC, the professional tooth cleaning.
As already mentioned, tooth brushing twice a day and tartar scaling twice a year are not sufficient to avoid caries and periodontitis, because there are various kinds of plaque, caused by coffee, tea, tobacco and food colours, which stick on the surface of teeth and support the growth of bacterial populations. These kinds of plaque cannot be removed by normal tooth brushing. Besides there are areas with a higher risk of decay, because they cannot be reached by a tooth brush, like crowding of teeth, interdental space or insufficient fillings or crowns.
Through professional tooth cleaning all areas of every single tooth are completely cleaned, polished and fluoridated by different instruments and material

Lower front teeth with tartar and plaque



after simple tartar scaling



and after a complete professional tooth cleaning

A clean tooth does not get sick!
Please don't forget:
Caries and periodontitis are not healable!
A hole in a tooth can only be filled by artificial materials.
A loose tooth can only be extracted.

Certainly you have had some fillings, crowns or even tooth extractions already.
To avoid this for the future, we will free your mouth of bacteria, because:
Caries and periodontitis are infectious diseases caused by bacteria.
A consistently carried out prophylaxis is the only successful method to avoid caries and periodontitis permanently.

Unnecessary to mention that the examination and treatment should be done by experienced personnel with modern equipment.s

The PTC starts with cleaning of tartar with an ultrasonic hand-piece.
It is important that only equipment from leading companies are used, which is serviced regularly. Low quality instruments could destroy the dental enamel, if they are not serviced and the vibration is not adjusted by qualified personnel.
Later the rest of the tartar is removed by small scaling curettes and files. These curettes must be sharpened regularly, otherwise they could damage the teeth.
Afterwards the plaque and discolouring are removed by an air flow hand-piece. The use of only high quality equipment and materials is indispensable, otherwise it may lead to damage of teeth or gum.
The finishing polish is done with special polishing pastes.

Prices:

Germany: €80,-
Euro Dental Clinic: €30,-