The Therapies

Prevention and Care

From the earliest age, prevention is the key to maintaining a healthy mouth. The most effective tools are proper personal oral hygiene and regular dental check-ups, which allow early detection of any disease. Today, there are also additional small measures that can help protect teeth and gums from decay and infections, reducing the need for more invasive treatments.

Hygiene and Fluoride Treatment

Professional oral hygiene is the first and most essential intervention to safeguard oral health and forms the foundation of any prevention strategy. Our mouth is naturally rich in bacteria, in direct contact with the “outside world” and the digestive system, making it easy for inflammatory conditions to arise. Proper oral hygiene helps limit bacterial load and restore an optimal balance.

Through regular, correct dental hygiene, the development of cavities can be prevented; gums are protected from inflammation and bleeding, and the risk of periodontal disease—which could lead to tooth loss—is significantly reduced.

The dental hygienist plays a fundamental role in identifying potential issues and educating the patient on which tools and techniques to use for daily oral hygiene, without which in-office prophylaxis would lose much of its effectiveness. The hygienist is also able to help maintain osseointegrated implants through deep cleaning of the implant abutments, complementing the daily care performed by the patient.

During our hygiene sessions, fluoride treatment is also applied: a concentrated fluoride that can remineralize early enamel demineralization caused by bacteria. In addition to preventing cavities and strengthening enamel, fluoride is applied at the end of the dental cleaning to restore the treated surfaces while simultaneously reducing post-treatment root sensitivity.

Screening for Periodontal Disease (Periodontitis or “Pyorrhea”) and Oral Pathologies

There are cases in which periodontal disease (periodontitis or pyorrhea) appears unusually early, leading to bone loss, gum recession, and ultimately tooth loss.
In DentalBreraClinic è possibile eseguire un test per individuare con largo anticipo l’eventuale predisposizione genetica. Vengono prelevate alcune cellule mucose all’interno della guancia mediante il rotolamento di un cotton fiock. Si raccolgono, inoltre, i campioni batterici presenti nelle tasche gengivali, inviandoli a laboratori specializzati che analizzano i campioni e indicano quale terapia farmacologica è più adatta all’eliminazione batterica.
This approach helps reduce risk factors for disease development and slows its progression. Screening should always be combined with a proper oral hygiene program and gum care.

Gum care: treatments for periodontal disease, recession, and bone regeneration

Commonly known as pyorrhea, periodontal disease affects the supporting tissues of the teeth (bone and gums), with symptoms ranging from bleeding and tooth sensitivity to increased tooth mobility, potentially leading to tooth loss when the support is no longer adequate. Certain treatments can slow or even eliminate the disease.
The main cause of the problem is the presence of bacterial plaque and subgingival tartar. It is therefore essential to establish a targeted preventive therapy through regular hygiene sessions, during which the dental hygienist thoroughly removes the buildup from the gum pockets. The duration and frequency of periodic check-ups must be strictly followed, as failing to do so can lead to a recurrence of the disease.

Cavity Prevention: Occlusal and Interproximal Sealants

One effective technique for preventing cavities is the sealing of the occlusal grooves of the teeth. This method is particularly recommended for children, who may not yet have developed the manual skills or awareness needed for proper oral hygiene. Sealants provide a non-invasive mechanical barrier that hinders cavity formation at a time when risk is high due to sugary diets and complex dental anatomy. The technique involves cleaning the superficial grooves and sealing them with protective coatings that eliminate local anatomical conditions conducive to decay.
This approach can also be applied to adult teeth, particularly in individuals with high bacterial loads, deep grooves, or difficulty maintaining a consistent home hygiene routine, all of which increase the tendency to develop cavities.
There are also interproximal sealants, developed through recent research, which provide effective protection against demineralization between two adjacent teeth. This area is especially vulnerable because it does not benefit from the natural cleaning action of chewing. The only way to remove plaque in these spaces is with dental floss—a tool that is often underused or improperly used.

Teeth whitening and enamel treatments

Those wishing to lighten the color of their teeth can undergo a professional whitening session. At DentalBreraClinic, this procedure is performed by applying a carbamide peroxide-based gel to the enamel surface. If necessary, an additional at-home treatment of one or more weeks can be planned. For this purpose, customized trays are made for daily application of the material, to be worn overnight or for a few hours during the day.
Whitening can also be applied to devitalized teeth from the inside, allowing a single tooth to be lightened and matched to the surrounding dentition.
This technique does not affect teeth covered with ceramic restorations or fillings but poses no risk of damage to the enamel.
The only possible side effect, which is temporary, may be increased sensitivity in the days following treatment; this can be alleviated by using a fluoride mouthwash or applying fluoride directly to the teeth.

Tooth care: fillings and inlays

When, despite care and prevention, a tooth develops decay, the best solution is always the least invasive.
If the bacterial lesion is limited to the enamel, or extends into the dentin but remains at a safe distance from the pulp, it is sufficient to remove the decay and rebuild the tooth using advanced composite materials that mimic the natural color of enamel.
All tooth surfaces can require a filling; however, the interproximal area is the most challenging and difficult to access during treatment. Fillings can also be used to repair abrasions near the gum line caused by improper brushing.
If the cavity is extensive, an inlay is preferred—a small “sculpture” in ceramic or resin that replaces the missing portion of the tooth. The inlay is created as a single piece by a dental technician, based on a traditional or digital impression of the cavity. The dentist then cements the inlay in place, achieving a final aesthetic and functional result that is indistinguishable from the natural tooth.

Root canal treatment (Endodontics)

When decay reaches the pulp—the innermost, nerve-containing part of the tooth—it becomes necessary to perform a root canal treatment. The pulp is removed, the tooth canals are cleaned, and the space is filled with an inert material that seals the canal. This procedure is essential to prevent the bacterial infection from causing more serious and chronic complications, such as granulomas that can form at the tip of the tooth root if a root canal is improperly performed.
Root canal treatment allows the tooth to be preserved, enabling it to continue functioning in its original position as if it were perfectly healthy.

Treatments for worn or eroded teeth

Bruxism, nighttime teeth grinding, highly acidic diets, and acid reflux can all cause abrasion or erosion of the teeth, making them appear worn down as if filed. If detected early, the dentist can identify the problem and help the patient understand its causes.
The negative consequences of dental abrasion are numerous: as the height of the teeth and arches decreases, chewing function can be impaired; exposure of the inner tooth layers can lead to unpleasant sensitivity. Additionally, the thinning of the protective enamel layer due to erosion makes teeth more susceptible to cavities.
Immediate intervention is therefore essential, tailored to the degree of erosion and the patient’s musculoskeletal balance. In simpler cases, material can be directly added and shaped on the prepared teeth. The Table-Top technique involves creating ceramic restorations that are cemented onto the teeth. In more severe cases, a more complex prosthetic rehabilitation may be necessary. In all cases, the aesthetic result is remarkable.
If dental abrasion is caused by bruxism, protecting the teeth with a custom night guard (bite) is crucial. This rigid resin appliance prevents contact between the upper and lower teeth, reducing wear caused by grinding. Over time, the night guard helps relax the masticatory muscles, alleviating many bruxism-related issues such as muscle pain, headaches, and dizziness.