Tooth preservation in Essen
Thorough caries diagnosis helps assess changes in the hard tooth structure and tailor treatment to individual findings. The guiding principle is to preserve as much healthy tooth structure as possible and treat only as much as necessary.
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Detect changes early
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Assess activity and depth
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Plan appropriate therapy
Diagnostics are tailored to the specific clinical question
Assessment includes examining the teeth and the supporting structures (periodontium). Depending on the situation, interdental X-rays or additional diagnostic findings may be required. During the comprehensive initial examination, Diadentis also employs laser fluorescence-based caries measurement; the results are always evaluated in conjunction with the other clinical findings.
An early-stage lesion does not necessarily require the same treatment as more advanced tooth decay. Key factors include the lesion’s location, extent, and progression.
From preventive care to restorative treatment
For early-stage changes, monitoring, home oral hygiene, fluoride application, and professional preventive care may play a role. If a defect requiring treatment has already developed, restorative options are discussed. The choice of materials and procedures depends on the specific tooth, the mechanical load it bears, and the patient’s individual situation.
Information on regular preventive care can be found under Prevention and Prophylaxis.
Fissure sealing based on individual assessment
Deep grooves on the chewing surfaces can be difficult to clean. Once permanent teeth have erupted, it is therefore worth considering whether fissure sealing is appropriate. The tooth surface and the patient’s personal risk of caries are assessed beforehand.
Metal-free fillings: composite or ceramic?
If caries has caused a defect requiring treatment, the restoration should restore the tooth’s shape and function. Metal-free options include directly placed composite fillings and custom-made ceramic inlays. The most suitable option depends primarily on the size and location of the defect, as well as the load placed on the tooth.
Composite fillings
Composite is a tooth-colored filling material based on resin (plastic) containing inorganic fillers. It is placed directly into the prepared tooth and cured. Composite and all-ceramic materials are therefore not the same thing. Careful processing and a bonding method appropriate for the specific clinical situation are part of the treatment plan.
Ceramic inlays and partial crowns
A ceramic inlay is fabricated outside the mouth and then inserted. For larger defects, a partial crown may be an option. At diadentis, restoration using CEREC is possible in a single appointment in suitable cases. You can find more information under Crowns, bridges, and tooth replacements.
The decision-making process also begins with an examination if a patient wishes to replace an existing filling. Preferences regarding materials, clinical findings, alternatives, and costs are discussed together. For existing amalgam fillings, our page on amalgam removal explains the individual treatment approach.
General patient information from the KZBV: filling materials and inlays.
Frequently asked questions about caries diagnosis
How is the decision made regarding whether treatment is necessary?
The decision is based on a combined assessment of visible findings, supplementary measurements or images, and the progression of the condition to date. The proposed course of action is then explained clearly.
Does every dark spot indicate tooth decay?
Discoloration alone does not allow for a definitive diagnosis. Only a dental examination can determine whether there is a condition requiring treatment.
This information does not replace a personal examination or individual medical advice.
Responsible for clinical content: Dr. Stefan Schmid, dentist.