Frequently asked Questions

Here you will find answers to questions that are frequently asked in our practice.
Maybe one or two of your questions have already been answered here.

General questions

  • Are telephone appointments with the doctors possible?

    Our doctors can only be reached by phone in emergencies.

    Unfortunately, medical inquiries regarding diagnostics and therapy cannot be answered over the telephone due to the high workload.
    Please arrange a personal meeting in the practice by telephone on 0 70 71 / 97 59 77.

    If you have any questions about billing and cost plans, please contact our administrative assistant Ms. Stefanie Schneider by email: st@dnaesthetics.de

  • Can you reach the doctors personally (email, etc.)?

    Unfortunately, medical inquiries regarding diagnostics and therapy via email cannot be answered due to the high workload.
    Please arrange a personal meeting in the practice by telephone on 0 70 71 / 97 59 77.

  • Can you cancel an appointment by email?

    If you are unable to keep your appointment, please let the practice know by telephone – unfortunately cancellations sent by email cannot be considered. The same applies to scheduling appointments.

  • Does DNA Health & Aesthetics – Center for Biological Dentistry have health insurance approval?

    Yes, DNA Health & Aesthetics – Center for Biological Dentistry has health insurance approval.

  • What is billed through the health insurance company?

    Everything that is possible will of course be billed through the health insurance company. We act entirely in the best interests of our patients.

  • Why are private medical services used?

    If you have any questions about invoicing and cost plans, please use the contact form or call our administration department

    Stefanie Schneider / Elke Lorch
    Telephone: +49 70 71 / 97 59 77 Monday – Wednesday from 15:00-16:00 or by prior appointment.

  • Who can I contact with insurance and invoicing questions?

    If you have any questions about invoicing and cost plans, please use the contact form or call our call our administration department.

    Stefanie Schneider / Elke Lorch
    Telephone: +49 70 71 / 97 59 77 Monday – Wednesday from 15:00-16:00 or by prior appointment.

  • Why a € 200 deposit for the first appointment?

    The deposit serves as confirmation of your reservation.

    The initial examination can take up to 2 hours and is individually structured depending on your personal situation and diagnosis. This comprehensive approach saves you two to three follow-up appointments and allows us to start with the treatment at the next appointment already.

    The following diagnostics and services may be necessary:

    • Examination of the entire oral, jaw and dental system
    • Vitality test of all teeth
    • Parodontal Screening Index / pocket depth measurement
    • Photographic documentation of all teeth
    • Dental impressions for situation models
    • Short functional examination (temporomandibular joint)
    • Discussion of the results and creation of a treatment plan

    If necessary, we will also take a digital volume tomography (DVT).

    The deposit (€ 200 for domestic patients, € 500 for foreign patients) for the initial examination must be received by us immediately after the appointment has been scheduled, otherwise we reserve the right to cancel the appointment.

    The deposit will of course be offset against the invoice for the initial examination.

  • Are there any interim bills during the course of treatment?

    Yes.
    We ask for your understanding that we generally ask for a deposit before each major treatment phase.
    The respective deposit amounts can be found in your treatment plan or will be communicated to you when you make an appointment.

  • How long are the waiting times and how can you get an appointment as quickly as possible?

    The regular waiting times at DNA Health & Aesthetics – Center for Biological Dentistry is currently around 2-3 months. We can offer emergency appointments within 4-6 weeks and, under special circumstances, within 2-3 weeks in individual cases.

    In order to be able to offer you an appointment as quickly as possible, we need a current digital X-ray (OPG/panoramic image) and the completed medical history form in advance. We also need your current vitamin D3 and LDL cholesterol levels. You can have these values determined by your family doctor or alternative practitioner.

    As soon as you have all the necessary documents together, please call the practice. After the conversation, send us your documents in digital form. Once we have received these, we will examine them as quickly as possible and create a preliminary plan for your overall situation.

  • Why are the waiting times so long?

    Due to the very high demand for biological dentistry, immediate implantation with ceramic implants and the speaker activity of Dr. Dominik Nischwitz, patients from all over the world come to DNA Health & Aesthetics – Center for Biological Dentistry.

    We strive to keep waiting times as short as possible. We apologize for any inconvenience.

Medical questions

  • Is the operation also carried out under general anesthesia or in twilight sleep?

    We are trying to be able to offer general anesthesia treatment or, better yet, twilight sleep in the near future. Please ask about this at the first appointment.

  • Is mild pain normal after treatment??

    Yes.
    After surgery, swelling of the cheek, restriction of mouth opening and difficulty swallowing may occur, which usually subside after 3 to 4 days. After a week, the wound healing is largely complete. Temperature increases of up to 38.5°C are possible and normal after the procedure.

    If the pain is severe, please call the practice immediately for an appointment: 07071/975977

  • When can I eat again after treatment?

    Usually when the anesthesia has worn off.

    Ceramic implants must not be subjected to any load during the healing phase (3 months). If you have a temporary restoration on your implant, it is only for aesthetics, not function. Please adhere to the information in the information sheet “Immediate implantation with ceramic implants”

  • Why is it so important not to put any strain on the ceramic implants during the healing phase?

    For an immediate implantation there is only one attempt that leads to a perfect result. This depends on your optimal cooperation. Under no circumstances should the implants be subjected to stress during the healing phase (3 months).

    If you get a temporary restoration straight away, it is only for aesthetic purposes, not for function and must not be subject to any load.

    If it is still loaded, the implant will not heal into the bone.

    Despite careful action and adherence to precautionary measures, it can happen that an implant does not heal bony in individual cases.
    If the bone situation permits, the implantation will be carried out again in the same session. If this is not the case, then approx. 6-8 weeks later.

  • Is immediate implantation with ceramic implants always possible?

    In the area of single-rooted teeth, especially the incisors, immediate implantation is 99% possible. In the posterior tooth area, it can only be decided during the procedure whether immediate implantation is possible.

Questions about nutrition and nutritional supplements

  • Why is my vitamin D3 level important and how high should it be?

    Optimized vitamin D3 levels are crucial for bone healing, especially after surgical procedures such as tooth extractions, implant placement or treatment of cavitations (FDOK/NICO). Among many other important functions in the body, vitamin D3 plays a key role in calcium metabolism, which in turn is crucial for bone health and healing.

    It is best to have your vitamin D3 level measured before your first visit to our practice so that we can raise it if necessary with the correct dosage of supplementation in the event of a planned surgery.

    Ideally, the vitamin D3 level (25-OH-D3) should be in the upper range of the norm (between 60-80 ng/ml) at the time of surgery. The test result should be as up-to-date as possible – please have it checked approx. 1 week before your surgery appointment and increase the dose of supplementation if the level is not optimal.

  • Can you also take vitamin D3 (Dekristol 20000) if you have a known peanut allergy?

    No. Ideally, you should use a different vitamin D3 product, e.g. one based on MCT oil. It is best to consult your doctor or pharmacist for a safe recommendation. Please make sure you take a combined supplement (vitamin D3 + K2).

  • I cannot supplement with vitamin D3 due to an allergy or a medical condition. What can I do?

    If the vitamin D3 level is not in the optimal range and no vitamin D3 supplementation is possible, we ask you to get to the bottom of the cause as a first step (if you have not already done so). Sun exposure, a targeted diet and support through increased intake of other nutrients such as K2, magnesium, zinc and omega-3 fatty acids can strengthen your health before the operation. However, individual advice from a doctor is crucial in this case in order to find the safest course of action.

  • How high should my LDL cholesterol levels be and why is this important?

    Especially in preparation for your treatment with us, it is particularly important to have healthy LDL cholesterol levels, as these have a direct impact on your healing and the risk of inflammation. In biological dentistry, the body is viewed holistically, and a healthy cardiovascular system plays a crucial role.

    LDL (Low Density Lipoprotein): Please keep this value between 120-160 mg/dl through a good and balanced diet.

    If you have elevated values (not family-related), the Bone Healing Protocol and the Food Design developed by Dr. Nischwitz are of particular importance. Further information on the Food Design Concept and Lifestyle can be found here: Lifestyle & Nutrition

    Please have your values checked again approx. 1 week before the treatment, e.g. at your family doctor’s practice. A higher dose of omega-3 fatty acids can also help to optimize your values shortly before the surgery.

  • My cholesterol levels are permanently high due to a genetic predisposition – can I still be treated?

    Yes, even if you have a family history of permanently high cholesterol levels, treatment is generally possible with us. However, there are some important points that should be taken into account to ensure that your recovery is optimal and complications are avoided. With the right preparation and special biological dentistry techniques such as PRF membranes and ozone therapy, the healing process can be optimally supported. However, it is important to work closely with your doctor and us.

    For more information on nutrition and lifestyle in biological dentistry, visit: Lifestyle & Nutrition

Questions about biological dentistry

  • Why is the tooth so biologically important?

    Just like the liver, stomach or intestines, teeth are also organs with their own blood and nerve supply. If you get very specific, they are even part of a cranial nerve (trigeminal nerve) with its own autonomic nervous system, blood and lymph supply. They are the organs that are anatomically closest to the brain.

  • Why is amalgam removal under maximum protective measures an important element of biological dentistry?

    Amalgam consists of 50% of the highly toxic ingredient mercury, which has been banned in other countries for more than a decade. Mercury is the most toxic, non-radioactive element.

    In Norway (2008) and Sweden (2009) there has been an absolute ban on mercury for some time, which of course also applies to dental fillings. Amalgam was completely abolished in Russia at the end of the 1970s. In contrast, the Federal Dental Association (BZÄK) demands that amalgam be used as a filling material. In practice, amalgam has to be disposed of as highly toxic hazardous waste after removal – this fact alone should give cause for thought. Amalgam consists of 50% mercury (Hg), which, contrary to popular opinion, is not firmly bound in the filling after mixing.

  • Why are root-treated teeth called “dead teeth”?

    Root-treated teeth can represent chronic inflammatory foci that can lead to chronic problems both locally and usually elsewhere in the body. Weston Price coined the term focal infection over 100 years ago. Without blood, nerve and lymph supply, the tooth is just dead organic tissue without function, which due to its anatomy represents the perfect cavity for pathogenic microorganisms and makes your body very susceptible to them.

  • What do teeth have to do with chronic inflammation in the body?

    Unnoticed by conventional X-rays, chronic inflammation in the jawbone often occurs, usually as a result of old, not optimally healed tooth extraction wounds, dental systems or foreign bodies. Similar to root-treated teeth, toxins and inflammatory mediators form here, which can cause a variety of symptoms elsewhere in the body – neurological (NICO) or joint problems, chronic fatigue or intestinal problems (FDOK) are particularly common. If suspected, these can be easily diagnosed using three-dimensional digital volume tomography (DVT). Despite numerous scientific publications, the FDOK/NICO is not yet accepted in conventional medicine.

  • What should I as a patient consider before treatment with biological dentists?

    In the days – or preferably weeks – before the surgical procedure, all harmful nutritional influences should be eliminated. This means avoiding coffee, alcohol, tobacco, table sugar, sweeteners, trans fatty acids, gluten and cow’s milk products. Water, healthy fats, protein, vegetables and salads in all variations as well as a healthy lifestyle with lots of sleep, exercise and sun have a positive stimulating effect. Please adhere to the information in the nutritional design.

Questions about NICO/FDOK

  • What does NICO/FDOK stand for?

    NICO stands for “Neuralgia Inducing Cavitational Osteonecrosis”. The correct clinical diagnosis is FDOK, which stands for fatty degenerative osteonecrosis of the jawbone. This refers to chronically inflammatory areas in the jawbone, which are also referred to as interference areas. Chronic activation of the immune system and increased release of the immune cytokine RANTES/CCL5 can often lead to systemic effects.

  • How are NICOs/FDOK treated?

    The treatment of NICO/FDOK consists of the complete, minimally invasive surgical removal (piezosurgery) of these inflammatory areas and subsequent disinfection with ozone and neural therapy. Ozone only kills bacteria, viruses and fungi, but not the body’s own cells. This treatment is often referred to as interference field remediation.

  • How can I find out if I have a NICO/FDOK?

    These osteolysis in the jawbone can be easily diagnosed using three-dimensional, digital volume tomography (DVT). We offer this tomography in our practice.

  • I have never had wisdom teeth or had wisdom teeth extracted, why could I still have NICO/FDOK in that area?

    10,000 years ago, most people had 2 pairs of wisdom teeth. It is very rare these days that these actually have space or are fully developed.
    However, many people still have the tooth germ created. This is tissue that, if it does not form into a tooth, degenerates and can also lead to fatty degenerative osteonecrosis (FDOK).

  • What are the consequences of a NICO/FDOK?

    The metabolism changes, fungi, viruses and other microorganisms colonize. Similar to root-treated teeth, toxins and inflammatory messengers (RANTES/CCL5) form here, which can cause a variety of symptoms elsewhere in the body. These toxins can be transported to the brain via the trigeminal nerve and from there throughout the body (retrograde axonal transport).

  • Who should definitely get checked for NICO/FDOK?

    Patients with chronic fatigue (CFS), skin and intestinal problems, as well as joint pain and immobility without a clear cause should always suspect dental lesions. Diagnosis of these areas can also be useful preventatively in the sense of optimizing health, especially if the body is still chronically stressed despite all the measures (such as lifestyle changes, etc.), the cause can often lie in the oral cavity. In a study by Lechner and Baehr from 2014, NICO is already discussed as a trigger for chronically inflamed breast tissue and even the development of breast cancer.

  • Where does this chronic inflammation in the jawbone come from?

    These areas of inflammation usually result from old tooth extraction wounds that have not healed optimally (such as removed wisdom teeth), dental attachments or foreign bodies.

  • What should I as a patient consider before treatment?

    Ideally, you should start changing your lifestyle according to the nutritional plan 4-6 weeks before the surgical procedure. You should eliminate all harmful dietary influences. This means avoiding coffee, alcohol, tobacco, table sugar, sweeteners, trans fatty acids, gluten and cow’s milk products (red table). Water, healthy fats, protein, vegetables and salads in all variations (green table) as well as a healthy lifestyle with lots of sleep, exercise in the fresh air, sport and lots of sun have a positive stimulating effect.

Questions about ceramic implants

  • What material is used for ceramic implants?

    We use the latest implants from Swiss Dental Solutions (SDS), which were developed from a material that has remained stable, neutral and compatible for decades: the high-performance ceramic zirconium (di) oxide. Zirconium oxide meets the highest standards in terms of compatibility, health and aesthetics. It is completely metal-free and 100% biocompatible.

  • What advantages do ceramic implants offer me in everyday life?

    Because ceramic allows completely new and effective surface structures, the formation of bacteria or plaque and thus the risk of gum inflammation is significantly reduced – the risk of inflammation is even lower than with your own teeth. And your smile is at least as beautiful.

  • Do ceramic implants look like real, natural teeth?

    The ceramic implants from SDS are completely white and come very close to the natural tooth color. Even if the covering gum tissue is thin or receding in some areas, the implant remains completely white – ideal for use in the area of the front teeth.

  • Is immediate implantation with ceramic implants always possible?

    In the area of single-rooted teeth, especially the incisors, immediate implantation is 99% possible. In the posterior tooth area, it can only be decided during the procedure whether immediate implantation is possible. In general, immediate implantation is aimed for in all areas in order to preserve as much bone and soft tissue as possible. The implant serves as a guide rail (tent pole) for tissue growth. They are also called bone growing implants. The aim of the treatment is not the implant, but rather your optimal health. If all areas have been thoroughly cleaned and disinfected and there is still enough bone left to support a stable implant, then an immediate ceramic implant is the ideal solution.

  • When can I eat normally again after an implantation?

    Ceramic implants must not be subjected to any load during the healing phase (3 months). If you have a temporary restoration on your implant, it is only for aesthetics, not function. Please adhere to the information in the information sheet “Immediate implantation with ceramic implants”. Soft foods are generally recommended, but that doesn’t mean you can only eat soups and smoothies. Soft meat, fish, eggs or steamed vegetables are also possible. Broths (free-range chicken, grass-fed beef – please note, not vegan) are particularly recommended, as they contain a lot of collagen due to the long boiling of the bones.

  • Why is it so important not to put any strain on the ceramic implants during the healing phase?

    For an immediate implantation there is only one attempt that leads to a perfect result. This depends on your optimal cooperation. Under no circumstances should the implants be subjected to stress during the healing phase (3 months).

    If you get a temporary restoration straight away, it is only for aesthetic purposes, not for function and must not be put under any strain.

    If put under any strain, the implant will not heal into the bone.

Questions about amalgam fillings

  • Are old amalgam fillings dangerous?

    Dental amalgam contains 50% elemental mercury. Each filling releases around 2-3mcg of mercury vapor every day, which can be inhaled and absorbed into the lungs. Mercury is the most toxic non-radioactive element and in practice amalgam must be disposed of as highly toxic hazardous waste once removed. Although it is a great material, amalgam should be viewed critically from a health perspective.

  • Can mercury leak from amalgam fillings?

    Yes, mercury can escape from amalgam fillings in the form of mercury vapor. This is odorless and colorless and passes through any barrier, including latex gloves, unhindered. These fumes are highly toxic, which is why we remove amalgam using the highest safety measures for our patients as well as for the dentist and assistants in the course of biological dentistry.

  • Is it dangerous to remove amalgam fillings?

    Not if the amalgam filling is removed using maximum protective measures (rubber dam, clean-up vacuum cleaner, IQAir, nasal tube, chlorella insert, careful drilling, water cooling, lifting out large parts of the filling). Traditional drilling releases much more mercury vapor and filling particles than wearing the filling. It is therefore important to only have amalgam removed by a trained, biological dentist under maximum protective measures. If all protective measures are adhered to, ingestion of toxic mercury vapors is 99% avoidable and not dangerous to health.

  • How much does it cost to remove amalgam fillings?

    The cost of removing an old amalgam filling and replacing it with natural, non-toxic fillers can vary.

  • Can amalgam fillings cause headaches?

    Heavy metal exposure (e.g. mercury from amalgam dental fillings) is often identified as a possible cause of chronic symptoms such as persistent fatigue, headaches and migraines. Involvement in the development of neurological diseases is discussed from an environmental medicine perspective.

  • What should the amalgam filling be replaced with?

    Depending on the state of health, the teeth are permanently restored (ceramic or composite) or temporarily filled with cement (glass ionomer cement filling).