Dental hygiene, Oral medicine, Orthodontics & Dentistry

If the tooth substance is destroyed by caries or external force, it must be repaired. The area destroyed by bacteria is removed in a minimally invasive manner (only as much as necessary) and replaced with tooth-colored filling material. If teeth are broken, they can be repaired either with white filling material or with a crown (see bridges and crowns), depending on the extent. For years, fillings have been successfully placed with metal-free filling material (amalgam-free).

Twinklers and brillies are small gemstones or their imitations that are used as tooth jewelry. Dazzlers are made of gold foil that can also be decorated with stones and other items. To attach the jewelry to the tooth, the tooth enamel is roughened with an acid and then the artificial elements are glued on with white filling material. The jewelry can be removed without causing any permanent damage. It is also possible to fulfill special requests, for example in collaboration with a goldsmith. It is important that this type of procedure is completely reversible.

If several or all teeth are missing, they can be replaced with removable dentures. If there are no teeth left, this is called a full denture. In optimal conditions, these attach to the mucosa by means of a suction effect. If there are still teeth, partial dentures are a good option. These can be anchored to existing teeth or implants using brackets or similar devices. Due to the constant changes in the jawbone, minor modifications to the dentures are the norm after a certain period of wear.

This is a special area of dentistry that deals with infections of the root canal system inside the tooth. Due to deep decay or a deep filling, the nerve of the tooth (the pulp) can become inflamed and later die. This inflammation can cause severe toothache. Sometimes the inside of the tooth can die without any symptoms. Inflammation then develops at the tip of the root. In both cases, the inside of the tooth is removed and the canal system is disinfected. Finally, the canal system is filled with cement and gutta-percha. The crown of the tooth must be stabilised with a filling or a crown after the procedure.

Dark tooth enamel can be a natural characteristic. However, foods and drinks such as fruit juice, tea, red wine and tobacco can also stain teeth on the outside. There is also internal discolouration, which can be caused by medication, malnutrition or the death of the dental pulp. Teeth can be whitened in a single session (power bleaching). Alternatively, custom-made trays with a gel can be used, which can be worn at home, for example overnight. Special cases are discoloured teeth that have undergone root canal treatment. These need to be bleached from the inside, which is a little more complicated.

If the tooth is so badly damaged that it cannot be restored with a filling, a crown will be needed. The tooth is ground down so that the crown can be placed over the tooth as a cap. A bridge is a dental prosthesis supported by neighbouring teeth, tooth roots or dental implants. It can be used to fill gaps between teeth. Bridges are usually permanently fixed. Each crown or bridge is a high-precision, one-of-a-kind piece made by a dental technician. They are usually made from high quality ceramic without the use of metal.

This refers to the misregulation of the structure and function of the jaw joint and its muscles. On the one hand, a malocclusion can lead to tooth wear, muscle hardening, headaches and even tinnitus. On the other hand, an unnatural posture or diet can cause malocclusion. Tooth position and the whole organism influence each other. In addition to bite splints, stretching and relaxation exercises or physiotherapy can help treat jaw problems.

The canton of Zug gives every child from kindergarten to grade 9 a voucher for a check-up, teeth cleaning and fluoride gel. You are welcome to redeem this voucher with us. Bring the voucher with you to the school examination. The canton of Schwyz only offers the examination. You are welcome to redeem this voucher with us as well.

Nitrous oxide is an odourless, colourless gas that reduces anxiety and has a sedative effect. It is administered with a mixture of oxygen. It is very suitable for children undergoing major dental procedures (multiple fillings, extraction of milk teeth, etc.), but adult patients with nausea, dental phobia, fear of needles, etc. can also benefit from nitrous oxide sedation. Let us advise you.

Implants are titanium screws that replace the natural tooth root and are completely anchored in the bone. High-performance ceramic screws have recently become available. The screws are anchored in the bone by a surgical procedure. If there is not enough of the patient's own bone, additional bone volume can be created using either the patient's own bone from a donor site or artificial bone replacement material. Individual crowns, bridges or prosthetic abutments can be attached to these implants.

If teeth are missing in the growing jaw (in children and adolescents), they can be replaced by transplanting a tooth germ. The great advantage of a transplant is that the teeth grow into the new place and continue to grow. In most cases, the tooth remains vital. Wisdom teeth, premolars or milk canines can be used as donor teeth. Tooth transplantation usually requires the cooperation of an orthodontist and is only possible in very selected cases. However, it is a very elegant way of replacing missing teeth in the growing jaw.

Any changes in the oral mucosa should be investigated as soon as possible. Certain conditions may be oral cancer or its precursors. If the change cannot be attributed to a specific disease based on its appearance alone, the change must be removed in whole or in part and sent to a pathologist for examination under a microscope. Treatment of mucosal disease can range from the use of topical medications to systemic medications. Regular monitoring of the affected areas is essential.

 Traumatology deals with all types of dental accidents. Due to the complexity of the accidents, it may be necessary to use all areas of dentistry to restore chewing ability and aesthetics. Oral surgery training includes the treatment of major dental accidents. If you have a dental accident, please report it immediately to your dentist and/or read on here: Dental Accident Information Brochure    

This is a special form of implantology that uses x-rays and scans of the existing teeth to virtually plan the tooth arrangement before implantation. This planning allows the implants to be placed exactly where they are needed. A template is made for drilling and placing the implant. This method offers greater safety than conventional implantology and significantly reduces the risk of injury to important anatomical structures (nerves or blood vessels).

If the biology around a tooth is threatened by extensive destruction - either from caries or trauma - or if the reconstruction cannot be placed at an appropriate distance from the bone, then tooth preservation surgery is required. This includes crown lengthening. There are two options. Either a small amount of bone is removed from around the root, or the tooth is detached from the gum by a few millimetres and reattached to the new location. Only then can the reconstruction be made and placed.

If you have advanced periodontitis (see periodontology) that cannot be cured with conventional treatment, you may need to have surgery. This involves loosening the gums around the tooth, removing tartar from the root surface and, in some cases, inserting bone replacement material. The aim of this surgery is to prevent further destruction of the bone and periodontal ligament. Close monitoring and professional tooth cleaning are recommended after periodontal surgery.

Jaw cysts are cavities that can form in the jaw bone. There are two types: developmental cysts and inflammatory cysts. Developmental cysts are caused by incorrect programming of the tissue and may be associated with certain syndromes. Inflammatory cysts result from inflammatory changes at the root tip of dead teeth. The treatment for both types of cysts is the same. Depending on the size of the cyst, it may be removed all at once or in two stages. If a tooth is connected to the cyst, it will usually be removed as well.

Similar to periodontitis (see periodontology), gingivitis can develop around implants. In the early stages, this inflammation can be treated by cleaning and disinfection. If the disease has progressed, surgery is required to either improve the cleanability of the implant (resective therapy) or to replace the missing bone tissue (regenerative therapy). If the disease is so advanced that the implant becomes mobile, it must be removed.

Wisdom teeth can cause problems if they do not move into their normal position on their own. These problems can include the destruction of the second tooth from the back, recurrent inflammation, pain, the formation of cysts in the jaw, abscesses or nerve damage (in the lower jaw). If these symptoms are present or can be predicted by early diagnosis, the wisdom teeth should be removed.

If there is inflammation at the root tip that cannot be treated with a root canal, a root tip resection may be a suitable method of saving the tooth. The inflammation is caused by residual bacteria that cannot be removed from the root canal due to the anatomy of the tooth. The bottom part of the root is cut out surgically. A small filling is inserted from underneath. The inflamed tissue is removed and, if necessary, sent to a pathologist to confirm the diagnosis.

Simpler treatments can also be carried out in your home or in a nursing home. For further information please contact the practice number directly.

In collaboration with an external team of anaesthetists, it is possible to carry out dental treatment under general anaesthetic. Treatments are planned in advance and, where possible, the necessary x-rays are taken. This type of treatment is particularly useful for young children, patients with a pronounced fear of dental procedures, and disabled or advanced dementia patients. In addition to the cost of the dental treatment, the anaesthetist will bill you separately for the cost of the anaesthetic.

Similar to photography, X-rays are used to expose a film. In analogue photography, the film is developed using chemicals, as in analogue photography. In digital radiography, instead of film, a storage plate is exposed, which can be read in a special scanner. The main advantage of this method is lower radiation exposure, as the exposure times are shorter. Other advantages: no chemicals, faster development time, reusability of the storage plate, etc.

The panoramic radiograph or orthopantomogram (OPT) is an overview image. It is used to diagnose diseases of the jawbone, temporomandibular joint or tooth roots. The OPT is a standard image in implantology or to determine the position of wisdom teeth. In practice, the OPT is taken digitally, which significantly reduces radiation exposure compared to a conventional image. Referring dentists are welcome to register patients by phone or email.

This form of digital radiology allows sections of the jaw to be displayed in three dimensions. This technology can be used as an additional imaging tool, for example, when the course of the nerve canal in the lower jaw is unclear prior to wisdom tooth surgery, when planning implants, when two-dimensional X-rays are unclear, when there are problems in the maxillary sinus, when there are cysts and other pathological conditions that cannot be adequately visualised with two-dimensional imaging. Colleagues are welcome to register patients via the HIN address.

Ms Mujic, a long-time employee, is responsible for school dental care in the Walchwil community. All children from kindergarten to grade 4 receive regular visits from the school dental nurse. They are shown how to take the best possible care of their teeth and are given basic information about teeth and dental care. All children/adolescents in the canton of Zug receive a voucher each year from kindergarten to ninth grade for an examination, tooth cleaning and fluoride treatment. The voucher can be redeemed at the dentist of their choice.

The whole team, and especially the dentists, regularly attend external training courses. The dental hygienists and prophylaxis assistants also have to attend regular training courses in order to be able to give you the best possible advice. Every year we refresh our specialist knowledge on the subject of emergency situations in the dental practice.

Dr. Nobilis has completed training in ear acupuncture. She successfully uses this technique, especially on patients who suffer from severe nausea. The stimuli can be prevented by specifically activating and deactivating acupuncture points on the ear. We would be happy to advise you personally.