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Dental check up
Our dental examination includes an evaluation of all the healthy parts of the mouth as well as those with inflammatory changes. We place a special emphasis on gum disease, as more and more recent findings show that toxins from periodontitis pathogens can damage the muscles, tissue and joints, as well as bones and blood vessels.

Cavities and fillings
Cavities represent a very common source of dental problems. Cavity bacteria grows in the plaque on the surface of the tooth, where it settles into nooks and crevices. This is why dental fillings and crowns must be examined for protruding edges. The filling material must be carefully tested on a regular basis as well. Composite fillings become leaky and porous over time, making the tooth vulnerable to cavities. A good dentin protection technique must be chosen to protect the dental nerves from death or damage. Amalgam fillings are the main source of inorganic mercury consumption (WHO 2003) (Link auf WHO) (2003) Elemental Mercury and Inorganic Mercury Compounds: Human Health Aspects, p. 11), and can lead to chronic metal poisoning. When amalgam fillings are placed directly adjacent to gold fillings in the mouth, they cause the gold to corrode at a much higher rate. All metal alloys, but also titanium, corrode constantly. Dissolved metal ions can cause inflammation and trigger allergies or intolerances. Furthermore, metals alloys contain carcinogenic components such as nickel and cadmium.

Cavities and fillings
Cavities represent a very common source of dental problems. Cavity bacteria grows in the plaque on the surface of the tooth, where it settles into nooks and crevices. This is why dental fillings and crowns must be examined for protruding edges.
The filling material must be carefully tested on a regular basis as well.
Composite fillings become leaky and porous over time, making the tooth vulnerable to cavities. A good dentin protection technique must be chosen to protect the dental nerves from death or damage.
Amalgam fillings are the main source of inorganic mercury consumption (WHO 2003) (Link auf WHO) (2003) Elemental Mercury and Inorganic Mercury Compounds: Human Health Aspects, p. 11), and can lead to chronic metal poisoning. When amalgam fillings are placed directly adjacent to gold fillings in the mouth, they cause the gold to corrode at a much higher rate.
All metal alloys, but also titanium, corrode constantly. Dissolved metal ions can cause inflammation and trigger allergies or intolerances. Furthermore, metals alloys contain carcinogenic components such as nickel and cadmium.

Missing teeth
When a tooth has been extracted, the adjacent teeth have a tendency to move into the resulting gap. This can cause difficulties in chewing or closing the jaw. Malocclusion and tooth migration must be taken into consideration during subsequent treatment.

Impacted wisdom teeth
Wisdom teeth often erupt sideways from the jaw or erupt only partially. They often cause chronic inflammation because of the hard-to-clean areas they create in the mouth. This inflammation can spread to adjacent teeth as well.
If other teeth are displaced, the repercussions can be more than aesthetic. The patient's occlusion changes as well, which can cause jaw problems. When wisdom teeth disrupt occlusion, they can impair jaw movement as well.
We use DVT technology to see the position of the teeth and bone as well as their location and distance to the mandibular nerve or the maxillary sinus.

Periodontal status assessment (gum examination)
Left untreated, gum disease can lead to tooth loss. Gum disease caused by bacteria (periodontitis) may be contagious. In these cases, the patient's spouse or partner should be included in the treatment.
A general periodontal status assessment tests for inflammation or infection along the gumline as well as bleeding, plaque and tartar. Gum pockets and tooth mobility are measured as well.
Concrements may occur in the advanced stage of the disease . Abrasion facets are a sign of occlusal interference, which may lead to tooth mobility. When attempting to identify the cause of gum disease, it is important to determine via differential diagnosis whether the inflammation is caused by bacteria in the gingival pocket or toxins inside dental materials.

Examination of the oral mucosa
Swelling and redness of the oral mucous membranes may be a sign of an intolerance or allergy.
Tattoo-like markings in the oral mucosa suggest metal deposits. There is usually chronic bone inflammation beneath these markings. These may be painful or painless. Painful chronic inflammation of the jawbone is known as NICO (Link auf Glossar) (Neuralgia Inducing Cavitational Osteonecrosis). This condition causes non-specific nerve pain (neuralgia) in the head.
Mucosal changes (lichen) may also be a precursor for cancer of the mucous membranes.

Examination of the head sinussis
An examination of the head cavities provides further insight into possible diseases of the jaw and teeth. The examination involves palpating various nerve exits for pressure sensitivity, which may be a sign of inflammation or infection.
Tenderness at the following nerve exits may be a sign of problems:

• Above the eyes - frontal sinusitis
• Under the eyes - maxillary sinusitis
• On the chin -lower jaw inflammation or infection

Swabs samples of the moth, nose and throat are taken in order to detect bacterial or fungal infections (mycoses) in the maxillary and frontal sinuses.

Chronic inflammation following a root canal procedure
Chronically inflamed, endodontically treated or dead teeth have a special diagnostic status. Root canal fillings, can easily lead to inflammation and tissue damage around the root if the inflamed tissue is not removed in its entirety. Toxic and/or carcinogenic substances may then appear at these sites of inflammation.
Digital volume tomography (DVT) or panoramic x-ray can reveal whether the root is completely filled or the filling material is compressed into the bone. These imaging techniques also show chronic inflammation, tissue degeneration, root granulomas and cysts.
The OroTox test is a completely painless procedure that detects the presence of protein decay products in the gingival pocket.
The protein decay products can trigger immune responses. These can be shown with the help of effector cell typing or by the ITT measuring the pro inflammatory cytokine pattern induction.
Another byproduct is the tissue hormone histamine. It is particularly important to determine histamine concentration in patients with intolerances, allergies or gastroenteritis, as these conditions can already lead to high histamine concentrations.
We measure intestinal permeability in these patients using stool or urine samples. In addition we also determine the level of the histamine-degrading enzyme Diaminooxydase (DAO) in the blood to record the histamine tolerance of the body.

Formaldehyde contamination
Our studies have shown that teeth that have undergone a root canal procedure exhibit higher concentrations of formaldehyde that healthy teeth. It is important to test how well patients with dead or endodontically treated teeth can break down formaldehyde.
By determining the effects of formaldehyde on the patient's immune system, we can learn more about how well they tolerate endodontic treatment.

Craniomandibular disorder (CMD)
The following symptoms may indicate a craniomandibular dysfunction (CMD):
• Mouth opening (eccentric movement) is asymmetrical and/or disrupted
• Mouth opening is restricted
• Audible joint sounds (clicking, frictional noise)
• Unusual chewing sounds
• Pain upon palpation of the masticatory muscles

If a follow-up examination becomes necessary, special attention must be paid to the relationship between the temporomandibular joint, cervical spine, back muscles, hip dislocation and ringing in the ears.
Deformities of the cervical spine or the TMJ may cause an increased rate of formation of the highly toxic substance peroxynitrite . This may have a toxic effect on the brain associated with a damaged blood-brain barrier.
The laboratory test for citrulline reveals information about nitrogen formation rate. Damage to the blood-brain barrier can be detected with the s-100 protein test . Today, mitochondrial function can also be analysed with certainty by determining their most important marker molecule, the ATP (mitochondrial damage marker). We examine the patient's bite (occlusion) and mandibular movements (articulation) using custom-made dental casts, a face-bow and an articulator. This helps us detect problematic occlusal interference.