Dental prophylaxis with Dr. Jiří W. Pollak

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Dental prophylaxis with Dr. Jiří W. Pollak


(Adults and children of age 6 or more)
Caries develop when a filmy deposit of bacteria (plaque) in the mouth transforms fermentable carbohydrates (eg. sugar) into acids which attack the hard subtance of the teeth.
For the prevention and remineralisation:

  • Toothpastes and gels (not to confuse with gel concentrates like Elmex Gel) with amine fluoride, sodium fluoride or monofluorphosphate.

  • Herbal toothpastes (with bi-carbonates) have a prophylactic effect. Flavour: Partly bitter to tart!

Desensitization of over-sensitive dental necks

An improper brushing may lead to receding gums and exposed dental necks.

Special toothpastes (RDA 25-55) like for example the green Elmex Sensitive, can help to reduce pain and to prevent further damage to the dental necks.

Intensive fluoride products like Elmex Gel can be applied with your finger tips to the sensitive areas.
Inflammation of the gums (Gingivitis)

Inflammation induced by plaque.

What will help:

  • Toothpastes (RDA 25-75) and dental rinses with antibacterial substances like Triclosan with co-polymer; amine fluoride with stannous fluoride.

  • Herbal toothpastes, among others with arnica, camomile, mint and myrrh.

  • Chlorhexidine (tooth discoloration and taste irritation possible).

Mouth rinses (Triclosan in combination with zinc citrate or with copolymere; amine fluoride with stannous fluoride; cetyl-pyridinium-chloride or iodine solutions) inhibit the formation of plaque.

Homeopathic toothpastes

(Without menthol) Suitable for homeopathic medicine. The effect of homeopathic toothpastes has not always been supported by clinical trials.


Periodontitis leads over years to loosening of the teeth. It usually starts with a gingivitis. Toothpastes (RDA 25-75) and mouth rinses: Triclosan combined with copolymer, amine fluoride with stannous fluoride, zinc, myrrh, allantoin and vitamine A do help.

A must: To regularly see the dentist or the dental hygienist.


Calculus is mineralised plaque, deposited on the tooth for a long time.

Toothpastes (RDA 90-130) with pyro-phosphates as well as compounds of Triclosan with zinc salt or Triclosan with copolymer clean and inhibit the formation of calculus. A total removal of the calculus can be carried out only by the dentist or by the dental hygienist.

Tooth discoloration

The most frequent causes are: Plaque, calculus, caries or deposits (nicotine, coffee or tea).

Abrasive toothpastes (RDA 110-180; 1 to 3 times per week) help remove the discoloration. But: They are very stressful for the teeth.

Ideal: Toothpaste made of volcanic rock (= perlite; first cleaning, then polishing). Preventive: Toothpastes with pyrophosphate.

Children’s toothpaste

(until 6 years old)

Prevention starts with the first deciduous tooth: You have to make sure that the favorite toothpaste of your child contains 250-500 ppm of fluoride. Swallowing is harmless as there cannot be any overdose with the low concentration of fluoride.

Your pharmacy will be glad to advise you on the dental hygiene.

Tips for every day

  • Use a toothbrush with soft bristles. The toothbrush should be directed vertically and be applied gently for about 3 minutes. Electric toothbrushes are also good (automatic regulation of the pressure).

  • For the interdental spaces: Use dental floss, dental sticks or interdental brushes.

  • Mouthrinses and dental chewing gums: Recommended complementary to dental hygiene or as a temporary cleaning. They do never replace the tooth brushing.

  • Nutrition: Be careful with sweet food and drinks. Try sugar-free products.

  • Regular check-ups at the dentist’s and prophylaxis cleaning with the dental hygienist or dentist are necessary.

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