FAQ: historical email questions to the dental practicePart 1; see also Part 2

Toothache: tooth or gum origin?
Apicoectomy: possibility of retaining the tooth
Toothache that is difficult to localise
Fillings and pain control: local anaesthesia and modern techniques
Fillings: co-payments and insurance coverage
Gag reflex during dental impressions
Regular check-ups and early treatment can make fillings more conservative
Professional tooth bleaching or is cleaning and polishing enough?
Home bleaching with strips
Pain from exposed tooth necks
Persistent pain after a crown or bridge
Unexplained pain should be diagnosed before definitive prosthetic treatment
Implant healing time and immediate loading
Numbness after anaesthesia or lower-jaw surgery
Severely damaged teeth and complete prosthetic rehabilitation
Ashamed to go to the dentist?
General anaesthesia in children
Can a dental infection become life-threatening?
Root canal treatment - an authentic patient account
Pain after apicoectomy
Pain after a composite filling
Root post for a broken tooth
Labial frenulum
How often can dental X-rays be taken safely?
General anaesthesia during weaning/breastfeeding
Labial-frenulum piercing
Dental or gum cyst
How long can pain last after a filling?
Pain after wisdom-tooth removal
Cyst or tumour?
Filling or crown?
Costs of professional tooth cleaning:
FAQ on dentistry, prosthetics, implants and toothache - part 2

Toothache: tooth or gum origin?
Hello, I have repeatedly had severe but relatively short-lasting pain in the upper left area and cannot tell which tooth it comes from. I also feel the pain in my left temple. All the upper-left teeth have fillings and some have had root-canal treatment. What could be causing this?
Pain triggered by cold, heat, sweets or chewing may suggest a dental problem such as decay, a defective restoration, a crack or pulp inflammation. Spontaneous pain, swelling, mobility or a bad taste may indicate other causes, including periodontal disease. The maxillary sinus, especially during a cold or sinusitis, can also produce pain resembling upper-tooth pain. These clues do not permit a remote diagnosis: clinical examination, vitality tests and, where indicated, radiographs are needed. If the pain returns, worsens or is accompanied by swelling, fever or general symptoms, seek prompt assessment from a practising dentist.

Apicoectomy: preserving the tooth
From the images I understand that an apicoectomy is performed surgically from the bone side. I have several root-treated teeth that cause problems and almost all are crowned. Can the surgery be performed without damaging the existing crowns? Also, does it make sense to perform an apicoectomy on a root-treated tooth when the radiograph does not show a clearly defined inflammatory focus? For more than two years I have had recurrent episodes of pain with long symptom-free periods. Curiously, a clearly visible radiographic lesion causes no trouble, whereas teeth with less distinct shadows sometimes hurt. The episodes often start at the same tooth and then seem to involve other root-treated teeth. Would it make sense to perform apicoectomies on all four teeth to finally stop the problem?
In principle, an apicoectomy can often be performed without removing a crown because surgical access is from the root side. However, if the problem results from incomplete or defective root-canal treatment, endodontic retreatment through the crown may be preferable first, or in selected cases a retrograde filling may be placed during surgery. It is not advisable to operate on several teeth merely because of diffuse pain or unclear radiographic findings. The decision requires precise diagnosis, comparison of radiographs, clinical tests and assessment of retreatment options. Radiographic findings and pain intensity do not always correlate. This type of situation should be assessed directly by a practising dentist or endodontist.

Toothache that is difficult to localise:
I have repeatedly had severe but short-lasting pain in the upper left area and cannot tell which tooth it comes from. I also feel pain in my left temple. All the upper-left teeth have fillings and some have had root-canal treatment. What could be causing this?
Pain triggered by cold, heat, sweets or chewing may indicate decay, a defective filling, a crack or pulp inflammation. Spontaneous pain, mobility, swelling or a bad taste may have other causes, including periodontal disease. Sinusitis can also mimic upper-tooth pain. None of these signs allows a reliable remote diagnosis. If the pain recurs, clinical examination, vitality testing and radiographs where indicated are useful. A practising dentist should assess the problem, especially if swelling, fever or increasing pain develops.

Fillings: pain control with anaesthesia, laser, air abrasion or other techniques?
Dear doctors,
I would like to replace some old amalgam fillings and have decay treated. I am very sensitive to pain: which modern systems are used, for example gels, air abrasion, lasers or high-frequency instruments?
For most restorative procedures, properly delivered local anaesthesia remains the most reliable method of pain control. Injection discomfort can be reduced with topical anaesthetic, slow technique and suitable equipment. Lasers, air abrasion and other systems can be useful for selected indications, but they do not universally replace the drill or anaesthesia and their effectiveness depends on the case and device. For very anxious patients, behavioural approaches or professionally supervised sedation may be considered. This historical answer dates from a time when many of these technologies were less developed; current options should be discussed with the treating dentist.
From: Dr Klotz <dental@drklotz.de>
Subject: your answers to patient questions
Date: Friday, 28 January 2000. Historical letter from a colleague pointing out that several dental lasers were already clinically usable and scientifically studied at that time, based on his own professional experience. The letter documents the technical debate of the period.
dental@drklotz.de

Fillings: additional charges and statutory insurance coverage
At my last dental visit I was told that I need treatment for tooth decay. What alternatives to amalgam, apart from composite, are available and what additional charges may apply for someone covered by statutory insurance?
ARules on materials and reimbursement change over time and depend on the insurance system. The old answer described German conditions at the time, when amalgam was often the standard covered restoration and an additional charge could be agreed for composite. Those figures and conditions are no longer reliable today. For a current choice among composite, glass-ionomer cement, ceramic or other materials, the location and size of the defect should be assessed and the dentist and insurer asked what costs are covered.


Gag reflex during dental impressions
How can I control my gag reflex? Today an impression was supposed to be taken for a bridge, but I could not keep the impression tray in my mouth for more than a few seconds. Are there ways to reduce gagging?
It is important to tell the dentist in advance. Slow nasal breathing, keeping the head in a comfortable position, using a correctly sized tray and working efficiently can help. Distraction and relaxation techniques are useful for some people. Today an intraoral digital scan can in many cases avoid a traditional impression with material altogether, although it is not suitable for every situation. In very difficult cases the dentist can discuss further strategies.

Fillings: less invasive through regular check-ups?
I found your address while searching the Internet. I am interested in modern treatment methods, for example lasers and instruments that are less unpleasant and painful. What options are available today?
Dental technology has developed considerably. Lasers, air abrasion, sonic instruments and other systems can be useful for specific indications, but there is no single method that reliably replaces the drill for every type of caries. Good local anaesthesia can make treatment very comfortable. For anxious patients, communication, pauses, topical anaesthesia, selected sedation or other strategies may help. The most conservative way to reduce the extent of treatment remains detecting lesions early through prevention and regular check-ups.

Professional bleaching, tooth whitening, or is air polishing and polishing enough?
I am 22 and have smoked since I was 14. My teeth used to be very white, even until last year, but they are now becoming increasingly yellow. Can they be whitened and what are the options?
First, external staining must be distinguished from the intrinsic colour of the tooth. Stains from tobacco, tea or coffee can often be removed by professional cleaning and polishing, returning the tooth to its natural shade. Bleaching, by contrast, changes intrinsic colour using peroxides. When carried out correctly with suitable products, it can be effective and is generally safe, but it can cause temporary sensitivity and gum irritation. Before bleaching, decay, cracks, gums and restorations should be checked; fillings and crowns do not change colour. Costs and insurance coverage depend on the country and provider. For smokers, general and oral health should also be considered, not only tooth colour.

Whitening teeth at home with strips:
Whitening strips containing peroxide can lighten teeth in some people when used according to instructions. Permitted products and concentrations vary by country. Sensitivity and gum irritation can occur; they should not be used over untreated decay or without considering restorations and gum problems. For predictable results and to rule out contraindications, it is useful to discuss whitening with a dentist first.

Pain from exposed tooth necks
I have exposed, painful tooth necks. At first I was told it might be due to brushing too hard, and now that tooth position might contribute. Are both possible? What can be done?
The visible crown of a tooth is covered by very hard enamel, whereas an exposed root surface does not have the same protective layer. Gum recession, traumatic brushing, periodontitis, tooth position, wear and acids can contribute to dentine exposure. Dentine contains microscopic tubules that can transmit cold, air, sweet or touch stimuli towards the pulp, causing sensitivity.
Treatment depends on the cause. Desensitising toothpastes or products can reduce sensitivity by partially blocking dentinal tubules. If there is marked loss of tooth structure, an adhesive restoration may be indicated. A soft toothbrush, non-traumatic technique and non-excessively abrasive toothpaste are useful. Gum disease, acid erosion and bruxism should also be assessed. Significant or progressive recession should be examined by a dentist or periodontist.

Persistent pain after a crown or bridge
Unexplained pain should be diagnosed before definitive prosthetic treatment
fI would be very grateful for an opinion. I have received a new bridge in the lower front-tooth region and the adjacent teeth have been prepared for crowns. The previous restoration had caused problems. I still have the provisional now, but the gums continue to hurt, bleed easily when the dentist removes it and I can hardly brush. I feel throbbing around the bridge and crowns and do not know what to do. I am using several gels and rinses. How should this be managed?
A bridge or crown should not be used to mask undiagnosed pain. Before the definitive prosthesis is cemented, the cause of pain, bleeding and inflammation should be clarified. Possible causes include irritating provisional margins, plaque, occlusal trauma, periodontal problems, dental infection or other conditions. Gentle effective hygiene remains important even if the gums bleed, but medicated mouthwashes, antibiotics or other medicines should not be started on the basis of generic Internet advice. The provisional restoration, margins, bite and condition of the teeth and gums should be examined carefully; if the problem does not resolve, a second opinion from a dentist or periodontist may be useful. Systemic deficiencies or general diseases are investigated only where there are clinical indications.
Thank you very much for the quick and detailed reply. At last I have some concrete points to discuss with my dentist. Thank you again.

Implant healing time: when is immediate loading possible?
How long should one wait before loading an implant? Are immediate implants suitable for everyone?
Immediate loading is appropriate only in selected cases. The decision depends on primary stability, bone quality and quantity, number and distribution of implants, occlusion, type of prosthesis, general health and risk factors such as smoking. There is no universal healing time: it may range from several weeks to several months. Techniques such as resonance frequency analysis can help monitor stability, but do not replace clinical judgement. The former practice's old protocols and percentages document experience at the time and are not individual recommendations.

Numbness after anaesthesia or lower-jaw surgery
I am 42 and had my lower wisdom teeth removed four days ago. The left half of my tongue and the tip are still numb; touching it causes tingling and I am afraid of biting my tongue. When should sensation return? Altered tongue sensation after lower-wisdom-tooth removal can result from irritation or injury to the lingual nerve; it can also occur in association with the anaesthetic injection. Many disturbances improve spontaneously over the following weeks or months, but the course depends on the type of injury. It cannot be predicted reliably at a distance. It is important to inform the surgeon/dentist who performed the procedure and have the extent and quality of sensation documented early. If numbness persists, especially without improvement, assessment by an oral/maxillofacial surgeon experienced in nerve injuries may be appropriate; in some situations the timing of assessment matters.

Severely damaged teeth, complete rehabilitation and embarrassment about seeing a dentist
I am under thirty and many of my teeth, especially the back teeth, are badly damaged. I am embarrassed and very afraid to see a dentist. I fear they will all have to be extracted and that I already need dentures. What possibilities are there?.
The real situation is often less hopeless than it feels to the person living with it every day. A dentist should first determine which teeth can be saved and which cannot; options include restorations, periodontal treatment, endodontics, removable dentures, bridges and implants, often in combination. There is no reason to be ashamed: dentists see severely damaged dentitions every day. Historical prices in the old answer are no longer useful and Dr Junk no longer offers examinations or treatment. The first step today is to arrange an appointment with a practising dentist and ask for a staged plan with priorities, alternatives and costs.
Seeking a second opinion can be useful when the plan is complex.

General anaesthesia in children?
Can a dental infection become life-threatening?
Dear team, a question from a worried grandfather:
When should caries in a two-year-old child be treated surgically? What are the anaesthetic risks and what costs may be involved?
Caries in very young children should not be allowed to progress until it becomes an emergency. Decayed primary teeth can cause pain, infection, eating problems and, rarely, spreading infection. Treatment depends on age, number of affected teeth, lesion depth, cooperation and general health. Some children can be treated with conservative techniques and behavioural support; others require sedation or general anaesthesia to complete treatment safely. General anaesthesia carries risks, but when genuinely indicated it is planned by a paediatric/anaesthetic team. A child with facial swelling, fever, difficulty swallowing or breathing needs urgent assessment. Costs and coverage depend on the healthcare system.

Root canal treatment: authentic account of a long treatment course
I have been undergoing treatment for one tooth since January 2004.
1. Toothache: decay was found and removed. The cavity was very close to the pulp, which still appeared vital, so the tooth was restored with composite.
2. The filling was too high and caused pain at night; after the bite was adjusted the tooth settled down.
3. On Saturday evening, because of severe pressure, the tooth was reopened at a university clinic. The pain decreased, but the tooth continued to throb.
4. On Monday, remaining pulp tissue was removed, medication was placed and the tooth was provisionally sealed.
5. That evening, because of severe pain radiating to the neck, ear and jaw, the tooth was reopened. Afterwards I felt better, but sensitivity and stabbing pain remained.
6. After two weeks another dressing was placed and the tooth sealed again, but pain returned. A radiograph led to discussion of extraction versus
7. apicoectomy for a lesion/cyst at the root.
8. The oral surgeon considered the case difficult but not necessarily hopeless; I am very anxious.
9. The tooth was reopened and further radiographs were taken. I now have to choose between extraction and another attempt to save it. I am concerned about the cost of an implant and the need to prepare neighbouring teeth for a bridge.
10. An appointment for apicoectomy has been arranged; I am very afraid and am taking a prescribed antibiotic.
Questions:
What is the difference between root resection and apicoectomy? Can antibiotics solve the problem? Would a second opinion from another surgeon be useful? Could endodontic retreatment make sense? I am also very afraid of injections and of anaesthesia not working: what can I do?.

Such long and frustrating courses are uncommon but can occur when the pulp or tissues around the root remain inflamed or when root-canal anatomy is complex.
 Antibiotics do not by themselves cure an infection confined within the root-canal system and should not routinely be used for pain alone; they are mainly indicated when there are signs of systemic spread or other specific clinical indications.
Leaving a tooth open for days or using particular dressings is not a general modern rule; the strategy depends on drainage, infection and the ability to disinfect and seal the root-canal system.
In modern endodontic retreatment, canal length, shaping, irrigation and interim medication are selected according to the case; calcium hydroxide may be used as an intracanal dressing in some situations.
The canal is ultimately filled and the tooth sealed when infection is controlled and conditions permit. Timing should be determined by the dentist or endodontist rather than by a fixed schedule.
If correct root-canal retreatment does not resolve a persistent lesion and the tooth is restorable, apicoectomy may be one option. If the prognosis is poor, extraction may be indicated.
Healing is assessed clinically and radiographically over time. A lesion may take months to show meaningful radiographic reduction.
If a lesion decreases, the dentist may continue monitoring and complete treatment according to the case.
If the lesion enlarges or symptoms persist despite adequate endodontic treatment, diagnosis, apicoectomy, extraction or other causes should be reassessed. Immediate implant placement after extraction is possible only in selected cases and is not automatically the next step.
Pain after apicoectomy
Good day, doctor,
 I am from Upper Austria and have a major problem. About five years ago I had an apicoectomy and since then the right side of my mouth has become numb. I had difficulty using a spoon and spitting after brushing, and over time the sensation of a heavy, numb tongue became worse.
Later, swallowing problems also developed. I have seen many doctors without a clear explanation and was told it might be psychological, but I genuinely feel marked alteration of sensation and function.
 Could these problems result from the apicoectomy? I remember that the procedure lasted more than two hours and was very difficult. I feel that something may have been damaged.
 I no longer know what to do and would like to understand which specialist should assess me.
Important branches of the trigeminal nerve run in the lower jaw, but tongue sensation is mainly supplied by the lingual nerve and tongue movement by other cranial nerves.
A deficit persisting for years, especially when associated with swallowing or speech problems, cannot be explained reliably without knowing the exact surgical site and neurological findings. Depending on location, apicoectomy can be close to sensory nerves, but the symptoms described require broader specialist assessment and should not automatically be attributed to one cause.
It is reasonable to obtain an opinion from an oral/maxillofacial surgeon experienced in nerve injuries; for tongue, speech or swallowing problems, neurological or ENT assessment may also be useful. Bring radiographs and operative records if available.

Pain after a composite filling
I found your practice by email/Internet. Perhaps you can help me understand this problem:
Four years ago I received a composite filling in a molar. After a few days I developed pain on chewing; the filling was remade, but the problem returned. I later received a cement filling and was told that I might react to the bonding system. Last week another tooth was restored with composite using a different bonding technique, but I now again have pain when chewing hard foods. Does such hypersensitivity really exist? What alternatives are there??
Pain after a composite filling can have many causes: a high bite contact, polymerisation stress, very deep dentine, a crack, pulp irritation, bonding problems or, more rarely, hypersensitivity to a material. A ceramic inlay also often requires resin cement, so it is not automatically a solution if a true allergy is suspected.
Modern layered adhesive techniques, correct dentine management, small composite increments and careful bite adjustment have reduced many post-operative problems. If pain occurs mainly when biting hard objects, a high contact or crack should also be excluded. Before changing material, the dentist should identify the cause; true allergy to dental components is possible but much less common than mechanical or pulpal causes.

Root post for a broken tooth
If a tooth is broken very deeply, whether it can be rebuilt depends on how much sound structure remains above and below the gum, the condition of the root, the periodontal support and any root-canal treatment. In some cases a post and core can support a crown, but a post does not magically strengthen a weak root and is not indicated for every tooth. If the fracture or decay extends too far below bone level or the root is compromised, the tooth may not be restorable. Individual clinical and radiographic assessment is required.

Labial frenulum
I found your website while searching online and have a question: my daughter, who is almost 3, fell while playing and tore her upper lip frenulum at its attachment. Her teeth are fine. The frenulum is now hanging down and looks as though she has something between her front teeth. The paediatrician said nothing could be done. Could the torn frenulum cause problems now or later? What function does a lip frenulum have? I am worried, especially as I assume it cannot simply be stitched back. Has my daughter lost something important? I would appreciate an answer.
A torn lip frenulum in a child generally does not mean that an essential structure has been lost. A very low-attaching frenulum can even contribute to a gap between the front teeth and, in selected cases, is surgically corrected. Oral mucosa often heals quickly after trauma. Because this archive cannot examine the child, persistent bleeding, pain, swelling, tooth problems or concerns about healing should be assessed by a paediatric dentist or doctor.

How often can dental X-rays be taken safely?
I found your address while searching online. My question is: how often may dental X-rays be taken? I am 24 and over the past five years I have had at least 15 X-rays in the mouth and jaw area because of dental problems. My dentist now suspects maxillary sinusitis after a prolonged cold and wants another X-ray. I have already had three this year. I worry that this may be too many. However, there seems to be no other way to determine whether there is inflammation; an ultrasound examination by the ENT specialist also showed nothing.
Modern dental X-rays use relatively low radiation doses, but comparing them with a fixed number of flights is not precise enough to decide whether an X-ray is indicated. Every radiographic examination should have a clinical justification and use the lowest dose reasonably necessary. The dentist or radiologist can review previous images and avoid unnecessary repeats; concerns about cumulative exposure should be discussed directly with them.

General anaesthesia during weaning/breastfeeding
My wife needs to have a wisdom tooth removed. She would like the procedure under general anaesthesia. Because she is still breastfeeding our 11-week-old daughter, the dentist was not certain whether this is possible. What are the risks, and can general anaesthesia be performed while breastfeeding?
Many anaesthetic drugs used today are compatible with breastfeeding, and with many modern anaesthetics breastfeeding can be resumed once the mother is awake, stable and alert enough to hold the baby safely. The old blanket rule of pumping and discarding milk for a fixed period is not automatically appropriate. The advice depends on the specific drugs used, the mother's condition and the baby's age. The anaesthetist should therefore be told about breastfeeding before the procedure and give individual guidance.


Lip-frenulum piercing.
I am searching online because I would like to have a lip-frenulum piercing, but only if it does not cause health problems. Are you familiar with these piercings? Would you advise against one because of possible gum damage? I would be grateful for a professional opinion.
Oral piercings can cause chronic irritation, gum recession, tooth wear or fractures, infection and other problems depending on their position and jewellery. Before a frenulum piercing, it is sensible to have the anatomy, gums and teeth checked by a dentist and to make sure the piercer follows appropriate hygiene standards. If the jewellery rubs against teeth or gums, it should be reassessed or removed.

Dental or gum cyst
Five and a half years ago I had a crown placed on tooth 5 in the lower right jaw. The crown has now been removed because, after severe pain and a swollen cheek, the dentist found that the tooth could no longer be saved and that a large cyst had formed between the roots.
 The cyst and affected tissue were removed. In two months, once everything has healed, I will receive a bridge. I am already worried that another cyst might form beneath the bridge. How does a cyst develop? I have read that it is often associated with a dead tooth that has not been root-filled, or not completely, and represents a reaction of the body. What if my body reacts in the same way again in a year?
What can be done to prevent further cysts from developing beneath the bridge?
Odontogenic cysts can have different causes. Many radicular cysts are associated with infection of the pulp or root; other lesions may be periodontal in origin or have a different diagnosis. They are not prevented simply by using an oral irrigator. After removal, appropriate histological diagnosis when indicated, good oral hygiene and the clinical or radiographic follow-up recommended by the dentist or oral surgeon are important.

How long does pain last after a filling?
Last Monday I had a small amount of extensive dental work done. I had not been to the dentist for a few years, so my old amalgam fillings were removed and several cavities filled. As the fillings and cavities were not very large, everything was done without anaesthesia. Since then I have had tooth pain mainly when chewing, although it subsides again after eating. I would like to know what may cause this, what can be done and how long it may last. Note: three days later, before receiving an answer, the problem had almost resolved; I only feel slight discomfort when biting.

Pain after wisdom-tooth removal
On Monday my lower left wisdom tooth was removed. The dentist created access and removed the tooth, which was already partly exposed, using an elevator. I still have very severe pain. The dentist checked it on Wednesday and said everything looked fine. I have taken a lot of pain medication, but the pain does not go away; I have been off work all week, can hardly eat and sleep badly. Ibuprofen helps only a little. The cheek and muscles seem fine. What should be done?
Severe or increasing pain several days after wisdom-tooth removal should be reassessed by the dentist or oral surgeon. Possible causes include dry socket, infection, retained material or other problems. Treatment depends on the diagnosis and may include local cleaning or dressing and appropriate pain relief; antibiotics are not routinely required and are used when there are clinical signs of bacterial infection. Fever, increasing swelling or difficulty swallowing or breathing requires urgent assessment. See also: Aftercare following oral surgery


Dental cyst or cancer?
Hello! My mother went to a new dentist and he found a few dental cysts. He frightened her a lot and said that she absolutely needs to be examined at a dental clinic, without explaining why. Could it be cancer?
A cyst is a pathological cavity that can enlarge and displace surrounding structures, but it is not automatically a malignant tumour. Jaw lesions can have similar appearances on X-rays and need a proper diagnosis. Depending on size and appearance, the dentist or maxillofacial surgeon may recommend further imaging, removal or biopsy and subsequent follow-up. Only clinical, radiographic and, where appropriate, histological assessment can establish what the lesion is.
There is no reason to panic, but it is important to complete the recommended assessment.

Filling or crown?
A few weeks ago I developed severe toothache and the nerve had to be removed. The tooth currently has a temporary restoration, but my dentist strongly recommends a full crown. It is the upper right fourth tooth. Is a full crown always necessary on a root-treated tooth? Are there sensible alternatives?
After root-canal treatment a tooth may be more prone to fracture, especially when substantial tooth structure has been lost. For posterior teeth, a restoration that protects the cusps is often recommended, such as a crown, onlay or suitable bonded restoration. Not every root-treated tooth automatically needs a crown; the choice depends on remaining tooth structure, tooth position, biting forces and the prognosis of the root treatment. The treating dentist can assess which option best preserves the tooth in the individual case.

Costs of professional tooth cleaning:
As I currently do not have a dentist in Munich, I would like information about the services that were formerly offered in your practice. What did a professional dental cleaning cost at the time?

Historical information: in the former practice, the cost was approximately EUR 40 to 100 depending on the time required. This is not a current offer or price.

FAQ: historical e-mails Archived questions to our former dental practice, part 1; also read part 2

click the pictures of our female dentists and dentists

Click the images
telephone contact of the former practice - Mon-Fri 7:30 a.m.-6 p.m. (historical hours)

Historical phone: +49 (0)89 431 12 12

Dentists: Richard Forster and Johanna Egger
private and all statutory health insurance schemes
Baumkirchner Str. 18
81673 Munich Berg am Laim Trudering

Historical practice email address; Dr. Junk no longer makes appointments.
At the former practice, patients were asked to cancel appointments by phone in good time so the slot could be used for other patients.

Urgent appointments, historically on the same day

Dental prosthesis repairs historically: please register by 9:30 a.m.

Historically, the form could be completed and printed at home to save time.

with all information pages of the former Munich practice

click the humorous practice video

Specialists for:

Minimally invasive, low-pain dental implants in Munich

Dental prosthetics - aesthetic fillings - Geriatric dentistry - Periodontology - root canal treatment

At the former practice, attractive teeth were created with high-tech dentistry and in-house dental laboratory equipment - all under one roof
The former dental practice on the market square in Berg am Laim was also easy to reach from Trudering, Waldtrudering and Bogenhausen.

The former practice combined services and expertise that were often hard to find elsewhere.

Historical range of services

This archive documents a long-established dental practice in Berg am Laim/Trudering that was refurbished after around 50 years of activity and employed 5 dentists, 4 dental technicians and about 20 staff members in 400 m². The different dental specialties were available on weekdays throughout the year, including holiday periods and Friday afternoons, with early opening from 7:30 a.m. The team looked after patients' dental problems and preventive care.

The former practice's in-house dental laboratory provided follow-up service for dental prosthetics. Rapid denture repair: Dental prosthesis repairs could almost always be completed within a few hours.

Better than guessing: modern 3D imaging: directly at the former dental practice.

Aesthetic, metal-free, implant-supported high-tech restorations full-contour zirconia crowns:(lower risk of chipping).

custom titanium abutments: these were produced with modern milling equipment for optimal adaptation of implant crowns to the gingival contour.

The former team aimed to preserve healthy teeth; in the event of tooth loss it was possible to replace the tooth root immediately with immediate implant placement. The minimally invasive technique aimed to reduce pain. One advantage was that minimally invasive implant procedures could often avoid expensive bone augmentation. Patients were also given advance information about implant prices(from a German manufacturer), including 3D imaging (CBCT)formerly from EUR 1,150; each additional implanthistorically from EUR 950. Exact costs were provided before treatment. To help prevent dental problems, the prophylaxis team cleaned teeth with a gentle powder jet and polishing brush. On request there was a recall service to keep gums healthy and protect valuable restorations, even if they had been made elsewhere. The former practice had dentists and specialists for prevention, cleaning, fillings, crowns, extractions, removable dentures and minimally invasive implant treatment. practice These treatments were provided in the former Munich practice. The dental team of the former practice was the point of contact.
The former in-house dental laboratory provided modern methods to adjust, repair or clean dental prostheses quickly. Three dental technicians looked after restorations. Detailed advice was provided on both medical aspects and costs. Because of the team structure, work could often be organised efficiently and therefore at lower cost at lower cost, saving time and sometimes money. At the time, patients could request a non-binding second opinion; advice was usually free of charge.

Web reference page

This archive was created to answer many questions about dentistry through multimedia material and clinical examples. During the active-practice years, the content was often used at the Munich practice to explain procedures. Patients could review the information at home and better understand decisions about their teeth. The images are deliberately realistic; anyone who does not want to see real photographs of the mouth should avoid the relevant galleries. A realistic image can explain more than many polished logos. Many patients reviewed the information before or after an appointment. questions historically sent to praxis@de-junk.de to the author and later collected in the FAQ The archived answers may still be useful for checking whether others have had similar problems. Today the site is solely for reading information about prosthetics, geriatric dentistry, dental aesthetics, gum problems and toothache The information does not replace an examination by your own dentist. The illustrated reference can be browsed using the navigation bar with historical clinical examples from the former practice. - low-pain and affordable -