Dentistry

Non-prep & minimally invasive veneers

Maximum precision · Minimal preparation: we preserve as much healthy tooth structure as possible. Where alignment, enamel, bite, and proportions allow, we design veneers additively without drilling; otherwise as minimally invasively as needed. More on veneers and the treatment philosophy is available at 109FIFTY. With shortened teeth and loss of vertical dimension, we often plan together with bite raising in an abraded dentition. If a lot of gum shows when smiling, we clarify the cause before veneer planning — ceramics change tooth form, not the gum line.

Veneers in Hamburg → · 109FIFTY: Non-prep veneers → · Bite raising in abraded dentition → · Knowledge: limits of veneers with a gummy smile →

Prevention, dental hygiene & tooth preservation

Dental hygienist Anja Förster combines professional prophylaxis with personal prevention and oral-hygiene counselling. Care is tailored to teeth, gums, implants, existing restorations, and personal disease risk. After treated periodontitis, dental hygiene can contribute to structured aftercare within dentist-planned supportive periodontal therapy. Before veneers, crowns, bridges, or implant-supported restorations she helps prepare teeth and gums carefully for the planned care. Findings and course are documented and coordinated directly with the treating dentist.

More on dental hygiene & prevention →

Bleaching

Professional flash bleaching lightens discoloured teeth under controlled conditions. Anja Förster also performs bleaching — matched to gums, baseline shade, and existing restorations so the result looks natural in the face.

Aligner therapy

Clear aligners move teeth in planned steps. A digital analysis shows which movements are realistic and whether additional measures are needed for function and stability. We often combine aligners with veneers — for maximum aesthetics and to minimise preparation-related tooth damage. Where front teeth are elongated, tooth position can be part of the question of visible gum; that is assessed separately beforehand.

Gummy smile and gingival proportions

From the dental side we assess crown lengths, gum course, and bite. Gingivectomy, gingival contouring, and surgical crown lengthening are distinct procedures — not the same operation. When findings fit we offer gingivectomy or gingival contouring and surgical crown lengthening, also tooth by tooth and especially before veneer and full-mouth ceramics. Bone level and attached gingiva decide whether a purely soft-tissue correction is biologically sensible. Causes and further measures: Knowledge, gummy smile.

Knowledge: gummy smile → · OMFS: gingival and skeletal causes → · Face: upper-lip movement →

Bite raising in abraded dentition

When abrasion has markedly shortened teeth and vertical dimension is lost, a functionally planned bite raise can restore form, proportion, and load capacity. In complex veneer restorations we analyse jaw relation, musculature, tooth structure, and aesthetics, simulate the new bite digitally, and when needed test it first with a mock-up or provisional. The aim is a substance-preserving full rehabilitation with a harmonious smile and stable function.

TMD, occlusal splints & bruxism

For temporomandibular joint and masticatory muscle complaints or tooth grinding, we examine bite, movement patterns, musculature, and tooth structure. An individually made occlusal splint can unload joints and teeth and reduce nocturnal overload. In marked masseter hyperactivity, botulinum toxin may be discussed after medical diagnosis as a complementary, possibly off-label option. Findings, benefit–risk balance, and a coordinated overall concept always come first.

Full-mouth rehabilitation — from loose to fixed

With severely damaged teeth, non-viable restorations, or edentulism, we plan rehabilitation of the entire dentition. Tooth preservation, removal of non-restorable teeth, implantology, bite regulation, and definitive prosthetics are coordinated in a diagnostically justified sequence. When bone, soft tissue, general health, and load allow, a fixed implant- or tooth-supported restoration may be the goal. A blanket same-day or fixed solution can only be judged seriously after examination. In a full rehabilitation, the relationship of lip, gum, and tooth length belongs to the planning basis — otherwise the definitive form is planned for a situation that will still change.

Knowledge: sequence with visible gums →

Extensive treatment under general anaesthesia

Extensive surgical steps can, with appropriate indication, also be performed under general anaesthesia. Prerequisites are individual medical and anaesthetic assessment, a suitable treatment concept, and clear planning of the procedure, provisional, and aftercare. Not every prosthetic step requires or suits general anaesthesia.

Implants, immediate placement, and short implants

At MEDIKUSS, implants, immediate placement, and short implants belong professionally to oral and maxillofacial surgery — not to purely dental oral surgery. In the dentistry spectrum this is a pointer only: indication, limits, and planning are under OMFS & surgery.

OMFS: Dental implants → · OMFS: Immediate implantation → · OMFS: Short implants → · KUS · Short implants →

Dental prosthetics on tooth and implant

Crowns, bridges, and extensive restorations on natural teeth, implants, or combinations. At MEDIKUSS, prosthetics and laboratory are not separate: planning, coordination, and delivery run chairside as one unit — with a stable bite, good cleanability, and natural harmony of tooth form, function, and face.

Chairside high-end master practice laboratory

Dental chair and laboratory bench form the same workflow. Dental technology assesses bite, function, tooth form, surface, and colour directly on the patient — not only on models. Dentist, master technician, and patient develop the restoration together and adjust it immediately. Especially in complex full-mouth prosthetics, this reduces information loss between practice and laboratory.

End-to-end digital workflow

Intraoral scan, digital photography, three-dimensional diagnostics, virtual bite and design planning, and computer-aided manufacturing run in the same dataset — shared by treatment and laboratory. Planning steps remain traceable, provisionals precise, and results checkable before definitive delivery.