Professional tooth cleaning (PZR) is a main component of dental prophylaxis. It is understood to mean the mechanical cleaning of the teeth, which goes far beyond what every person does daily at home.
A coating of food debris and bacteria forms on teeth after 1 to 2 days, known as plaque. This biofilm consists of billions of bacteria that develop a vigorous metabolism, digesting food residues and excreting acids and cell toxins. These aggressive substances cause tooth damage (tooth decay), gum inflammation (gingivitis) or even bone loss (periodontitis). Despite thorough dental care, many patients find it difficult to reach all spaces and niches in the oral cavity and remove these bacteria. The resulting coatings become discolored due to influences such as smoking or through the food contained food coloring turn brown.
1. Examination & Explanation of Treatment, 2. Removal of Hard and Soft Deposits, 3. Cleaning of Teeth and Interdental Spaces, 4. Polishing and Smoothing of Teeth with Fluoride Paste, 5. Application of Fluoride Varnish or Gel, 6. Instruction on Proper Oral Hygiene
Professional tooth cleaning should be carried out regularly every 6 to 12 months. The frequency depends on individual factors. Studies show that hygiene and dietary habits have a decisive influence on oral health. In the case of caries-active teeth or periodontal predisposition, PZR should be carried out at least every 3 to 6 months. In addition, the regular use of fluorides, which harden the tooth enamel, is recommended after each PZR treatment.
Studies as early as the 1980s have shown that regular systematic teeth cleaning can significantly reduce the risk of periodontitis and caries – and thus the likelihood of dental disease. The long-term success of regular systematic caries and periodontitis prophylaxis has been proven.
The PZR is performed by trained professionals. These are Dental Prophylaxis Assistants (ZMP), Dental Assistants (ZMF), or Dental Hygienists (DH). As long as they are clinically visible and accessible, the PZR includes the complete removal of hidden soft and mineralized dental deposits above (tartar) and below (concrete) the gum line. Hand instruments (including special scrapers, fine sandpaper, brushes, or dental floss) and ultrasonic devices are used for this purpose. Discolorations and deposits on tooth surfaces or crowns that may remain can then be removed with a powder jet and polished with a rotating rubber cup and prophylaxis paste. This smooths the tooth surfaces and makes it harder for deposits to adhere again. Finally, to protect the enamel, all tooth surfaces are treated with a special fluoride varnish.