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Treatments

We offer the following treatments:


Braces

If teeth aren’t straight or they’re in a forward position, if there’s too little space or if teeth do not fit together properly, a brace can be the solution. The end result, a radiant smile with straight teeth, gives you more confidence.

But sometimes that’s not the only goal. Some tooth positions can lead to gum damage, facial asymmetry and jaw deformity. In that case it’s important for your health to consider braces.

We offer

  • A lot of personal attention
  • A tailor-made treatment plan, because everyone is unique
  • Extended opening hours, including evenings and the weekend
  • The possibility of invisible braces (Sure Smile)
  • Treatment for both children and adults

The treatment

A brace treatment consists of 6 phases.

Phase 1: the intake
During the intake interview you can ask questions and we discuss the possibilities with you. At the end you will receive a personal, brief treatment plan and a budget of the treatment.

Phase 2: the examination
It is possible to conduct an examination during the intake. This consists of X-rays, an oral examination and impressions for dental models.

Phase 3: the treatment plan
A treatment plan is drawn up for the best end result. Abnormalities are viewed and the dentist checks the most suitable braces for orthodontics. The entire process often takes 1 to 2 years.

Phase 4: the placement
Each type of braces is applied in a different way. There are different types of braces:

  • Invisible braces (Sure Smile)
  • Lock braces (brackets)
  • Plate braces
  • Outer braces
  • Myobrace

Phase 5: check up
After the braces have been placed, you will be checked approximately every 4 to 8 weeks for 12 to 24 months. During these appointments we evaluate the progress and the braces will be adjusted if necessary.

Stage 6: retention
After the treatment, we will place a retention bracket. This ensures that your teeth will not move back to their old position. A retention bracket is available in all shapes and sizes, both fixed and removable.

Rates 2020

In the table below you will find some costs of braces treatment.

CodeTreatmentRate
F121AFirst consultation22,16
F122AFollow-up consultation22,16
F401APlacing braces category 0*121,08
F411APlacing braces category 1*112,68
F421APlacing braces category 2*117,86
F431APlacing braces category 3*135,91
F511AConsultation per month category 6 & 740,75

* Costs for technical work excluded

View all rates

Frequently asked questions

Can I eat anything with braces?
Avoid eating hard food, because the braces can break. Also, avoid eating sticky things, because it is difficult to remove them from the braces.
Can I exercise with my braces on?
Yes, but if you have removable braces such as a block bracket, we recommend taking it out of your mouth during exercise.
Will it be painful?
Your teeth, cheeks and lips can be sensitive for a few days after placement. We recommend you to eat soft foods during that period. You can apply wax to areas that feel sharp. You will receive this from us. If the bracket is adjusted during monthly checks, you may also experience problems for a few days.
How do crooked teeth, molars and jaws arise?
The shape of your teeth, molars and jaws is partly hereditary. This can change due to influences during the growth period (such as tongue pressing and thumb sucking).
My thread is loose. What should I do?
Schedule an appointment with us as soon as possible, so that we can solve it and the braces function optimally as soon as possible.

Facings

With facings we can enhance the appearance of your teeth. A facing is a layer of tooth-colored composite filling material or a porcelain shield that is placed over the tooth. For example, we can fill gaps between teeth, mask crooked teeth and make yellow or brown teeth white again.

Our facings are of high quality. If you want composite facings, we can arrange this after the first consultation. The treatment is completely painless.

Composite vs. porcelain: this is the difference

Facings of composite
Benefits

  • Relatively cheap
  • Placed in 1 treatment (after the consultation)

Cons

  • Faster discoloration
  • Do not last as long as the alternative

Facings of porcelain
Benefits

  • Do not discolour
  • Different color schemes possible
  • Long lifespan
  • Low maintenance

Cons

  • More expensive
  • Multiple treatments required (2, after the consultation)

Treatment of composite facings: within one day
First you choose the color of the composite facings. After that, we will treat your teeth with an etching material and bonding material before applying the composite. The facings are then cured with a special lamp. Finally, the composite facings are cut into the desired shape. After that you can enjoy your new, radiant teeth!

Porcelain facings treatment: 2 treatments
At the first appointment, we will make an impression of your teeth and, together with the dentist, you determine the color and shape of your facings. Based on the impression, the dental technician makes porcelain facings in our laboratory. At the second appointment, the teeth are first pretreated and provided with an adhesive layer. Then the facings will be placed. After this treatment you can immediately enjoy your radiant teeth.

Aftercare & maintenance
Although your facings feel the same as your normal teeth, you will still need to get used to it for a few days. Especially when the shape of your teeth has changed a lot, talking can become more difficult. Facings do not require special maintenance compared to natural teeth. As with natural teeth, we recommend brushing your teeth twice a day and using dental floss, brushes or distillers to keep them clean.

Costs
To determine the costs of facings, factors such as the material, the number of facings and the way in which the specialist performs the treatment, have to be taken into considoration. Before the facings are placed, we are happy to draw up a personal budget for you. To give you an idea of ​​the costs you will find an indication here:
Facing composite: between € 100 and € 150 per tooth
Facing porcelain: between € 700 and € 900 per tooth

Frequently asked questions

When is it not possible to place facings?
Sometimes we have to sharpen teeth before we can place the facings, to create some space. If your teeth are damaged or have large fillings, there is not enough of your own teeth left to place a facing. In that case crowns offer a solution.
Does the insurance reimburse my facings?
Usually the insurance does not reimburse facings. As an adult, you almost always need additional insurance for this. Not every insurance offers a full reimbursement for facings, so always check your policy or contact your insurance company.
How long do facings last?
On average 5 to 10 years, but they can discolour or damage faster through coffee, tea, smoking, nail biting or teeth grinding. We can always repair or replace a damaged facing. The tooth remains intact.

Implants

An implant is a titanium artificial root that can be used to replace a tooth, to replace your entire set of teeth or to fix so-called click teeth. The implant is accepted by the jaw bone and surrounding gums.

Implants are often used in case of:

  • Loss or impending loss of one or more teeth
  • Teeth or molars that need to be pulled
  • Problems with your dentures
  • A prosthesis that does not feel comfortable

This is the plan for implant placement:

  1. Consult
    During the first consultation, the dental surgeon makes an indication of your health. Your overall health, use of medications, allergies and medical problems or complications from previously performed dental treatments will be discussed.
  2. Diagnosis
    In most cases, we use a CBCT scan for a proper diagnosis. This gives the dental surgeon a three-dimensional image of the teeth and he can see whether an implant is the right solution for you. He especially pays attention to the quantity and quality of the jawbone.
  3. Placement of implants
    An implant is surgically applied under local anesthesia. After this, it is provided with a temporary cap, which we also call a healing cap.
  4. Remove stitches
    After 7 to 10 days you will return to remove the stitches. The dental surgeon also evaluates the healing process.
  5. Apply crown, prosthesis or bridge
    After the healing process, which takes 8 to 12 weeks, we make impressions of your teeth and apply your crown, prosthesis or bridge. The healing process depends on the quality and amount of bone and your medical situation. During the healing process it is very important to clean your teeth well. If you have the crown, prosthesis or bridge, regular check-ups and aftercare are necessary. Your implants will have a longer lifespan.

Reimbursement by the health insurer

In the basic insurance, implants are only reimbursed for a serious developmental or growth disorder. If you have additional insurance, implants are often reimbursed. If in doubt, consult your policy or contact your health insurer.

Rates 2020

The table below shows some rates for implant placement.

CodeTreatmentRate
X22Jaw overview photo for implantology in the toothless jaw69,97
J97Implant overhead costs176,13
J01Initial implantology research64,67
J20Inserting the first implant per jaw*227,33
J33Implant costs*319,50

* Costs for technical work excluded

Does the treatment hurt?
Because you will be sedated during treatment, you do not have to worry about severe pain. With major treatment, complete anesthesia is chosen. There is a chance that it will hurt after the treatment, which is why we prescribe painkillers.
What is important after the treatment?
It is recommended that you minimize the burden on the area where the implants are placed. We also advise you to limit the use of alcohol during the first 2 weeks and to stop smoking permanently.
What is the lifespan of an implant?
On average more than 25 years. Implants in the lower jaw last longer than in the upper jaw. Maintenance has a major impact on the lifespan. It is important that you keep the implants clean and have an annual check-up with the dentist and dental hygienist.
Is it possible that an implant will be rejected?
An implant is a type of titanium screw-shaped artificial root that is placed in the jaw bone. Titanium is almost always accepted by the jaw bone and surrounding gums.

Click denture

Sometimes your dentures (or prosthesis) do no longer fit the shape and size of your jaw. The older you get, the more the jaw shrinks. The solution can be a click denture. You will receive 2 to 4 implants on which the click denture is set. Because the implantology is performed by our dental surgeons under anesthesia, you will not experience any pain during the treatment. You can take your click denture in and out at any time.

Our specialists can provide you with a suitable and high-quality click denture. Would you like more information? Please feel free to contact us!


Dental crowns and bridges

Sometimes your teeth are in need of restoration. For example, after a broken tooth or molar and with large holes. If it is no longer possible to solve this with a filling or facing, a porcelain crown is the best solution. This crown has a natural color and cannot be distinguished from a real tooth.

CEREC technology

We use different technologies for crown and bridge work, such as the CEREC technology that only takes 1 session. The dentist makes a 3D image of your tooth or molar and we proceed the following steps:

Roadmap:

  1. The dentist polishes the tooth that needs treatment in the form necessary for the replacement of the tooth. If you are missing a tooth, we will polish the teeth around it in order to place a bridge over it at a later moment.
  2. With the CEREC technology, the dentist scans your mouth, so that a perfect image of your teeth is created. You don’t have to ‘bite’.
  3. Together with your dentist, you view the 3D scan, you discuss the current situation of the teeth and the dentist shows what your teeth will look like in the new situation. You determine the color of the crown together.
  4. The shape of the crown is transmitted to the milling machine. The dentist puts a block of material of the chosen color in the device and mills the crown. This takes about fifteen minutes.
  5. The dentist places the crown in your mouth. The entire treatment takes approximately 1.5 to 2 hours.

Conventional crown

If you have an implant, CEREC technology cannot be used. In that case, we use a ceramic or porcelain crown. This treatment consists of two appointments: during the first appointment, the dentist makes an impression of your teeth and you determine the color of the crown. Then a dental technician will tailor your crown. At the second appointment, the crown is placed permanently.

Bridge work

If you miss a tooth or molar, we make a bridge of several crowns. Thus, the empty space between your teeth is filled. In between the crowns is a dummy, which fills the lost tooth. A small bridge is often made of ceramic; a large one of zirconium. This is a soft material that hardens after heating. Once the base fits, a layer of porcelain is modeled around it. This porcelain resembles your own tooth.

Rates 2020

In the table below you will find the prices of the most common treatments in the field of dental crowns and bridges.

CodeTreatmentRate
R08Single face composite inlay*69,97
R09Two-level composite inlay*134,11
R10Tri-plane composite inlay*174,92

* Costs for technical work excluded

What is a crown?
A crown is a kind of tooth-colored cap that serves as a replacement for an existing tooth or molar. A crown itself is not a complete replacement if you miss teeth or molars, but in combination with an implant it can be a replacement.
What is a bridge?
If several teeth are missing, the dentist places a bridge as a connection between the adjacent existing teeth. They serve as a pillar on which the dentist clicks the bridge.
Is this treatment painful?
You will have a local anesthesia, so you will not feel anything during the treatment. Afterwards, the treated area may be a little sensitive, but it usually disappears after a week.
Is special maintenance required?
The maintenance of a crown or bridge is the same as with your own teeth, so: clean with a soft toothbrush, use toothpicks, brushes or floss and regularly visit the dentist.
How long do crowns and bridges last?
Since crowns and bridges are made of sustainable material, they can last at least ten years. Proper maintenance of your teeth extends the lifespan.

Dentures

Dentures often mean a big change in your appearance. We are specialized in the development of dental prostheses and are happy to provide you with high-quality dentures with a natural appearance.

1 treatment plan, 5 appointments

We have drawn up a treatment plan to ensure that your dentures fit perfectly in your mouth. This plan consists of 5 appointments:

Appointment 1: We will  make an impression of your teeth with alginate (liquid rubber). Based on this, we put together a plaster spoon, which we need for the precision impression.

Appointment 2: Design a prosthesis. Using the plaster spoon, we make an individual impression, so that the edges and boundaries of the dentures are completely correct. The plaster spoon is provided with a layer of hard wax that indicates muscle adhesion. With a light liquid silicone impression material, we make the final impression, and by imitating the most commonly used mouth movements, we know exactly which design your prosthesis should have.

Appointment 3: Determine bite. With the new plaster models, we make bite plates that are fitted with waxed bags. With this we register the proportions between your lower and upper jaw and we can also determine where your teeth will eventually end up. During this appointment we will also discuss the shape and colour of the teeth in the dentures with you.

Appointment 4: Fitting prosthesis, so we can see if the dentures fit.

Appointment 5: Final prosthesis. If you are satisfied with the result during appointment 4, the dental technician will complete your dentures with the help of plastic. During this last appointment you will receive your new dentures.

Reimbursement by the health insurer

Some health insurers fully reimburse the costs of your dentures, and every 5 years you are entitled to a 75 percent reimbursement from the basic insurance. However, tooth extraction is not always reimbursed. If in doubt, consult your policy or contact your health insurer.

The rates

Below you will find an overview of the prices of our treatments when designing, placing and maintaining dentures. Note: this is only an indication. During your first appointment, a personal treatment plan with accompanying budget will be drawn up, based on the oral examination and your wishes.

CodeTreatmentRate
P21Complete dentures upper jaw*174,92
P25Complete dentures low jaw*233,23
P30Complete dentures upper and lower jaw*379,00
P36Individual print without border construction29,15
P14Individual print with border construction64,14

* Costs for technical work excluded

Do all my teeth (that are leftover) need to be pulled?
If you still have many healthy teeth, you can opt for a partial oral prosthesis. With a complete prosthesis (both the lower and upper jaw) all teeth must be pulled.
Is tooth extraction painful?
Usually not, because it is performed under anesthesia. The dentist first pulls the molars, and a few weeks later the rest of the teeth. During this period, we recommend that you eat soft and liquid foods.
Are dentures painful?
The first few days it can feel a bit painful and you will have to get used to it. The space between your jaws and the dentures is quite small. If painful pressure points arise, we can solve this. Nevertheless, we advise you to wear the dentures as much as possible during the first week. In that way, painful spots can be quickly recognized and adjusted where necessary. It is very important that you do not make any adjustments to your dentures yourself!
Are dentures equal to your original teeth?
Yes, because our dentists base dentures on your current jaw impression. But if you are not satisfied with the position, colour or shape of your original teeth, you can let us know.
Do dentures affect my speech?
It can feel a bit awkward in the first few days because your jaws have to adjust to the shape of your dentures. After a week, talking and articulation will continue to improve, and you will get used to it over time.
Can dentures break?
Yes, dentures are fragile. Your dentures may break or tear, or teeth may break off. Therefore, always be careful with your dentures - especially during the cleaning process. For example, put a towel in the sink before you start cleaning them so that you don't damage your dentures if you accidentally drop them.
My dentures are loose. What should I do now?
What is the best way to clean my dentures and mouth?
Bacteria, tartar and discolouration can occur if you do not rinse your mouth well after every meal (think of coffee, tea, cigarettes and wine) and clean your dentures with a hard brush. Do not use aggressive cleaning agents such as toothpaste, bleach or effervescent tablets, but clean the dentures with warm or hot water and soap. Special liquid cleaning agents are also available. At night you take out your dentures and place them in a bowl of cold water, alternatively with some vinegar. Clean your palate and jaws with a soft mouth massage brush, lukewarm water or toothpaste.

Dental hygiene

Almost all dental problems can be prevented by good dental hygiene. That is why we recommend you visit the dental hygienist regularly. At Kliniek Duin & Dael you can do this without a referral from the dentist.

Prevent dental problems

One of the most important tasks of our dentists, dental hygienists and prevention assistants is to prevent problems with your teeth. We recommend that you schedule a combined appointment with the dentist and dental hygienist twice a year. The dentist checks for dental problems, the dental hygienist cleans your teeth and gums. They also tell you what is the best way to take care of your teeth.

Our dental hygienists perform the following treatments:

  • Cleaning root surfaces benieth the gums
  • Removing tartar, plaque and deposits
  • Applying sealants
  • Polishing fillings
  • Smoothing root surfaces
  • The application of fluoride
  • Giving advice and information about cavities and gum problems

Treatment process

Before the treatment process starts, we will do a DPSI measurement. Your gums are given a score between 0 and 4. Based on this score, the dental hygienist determines your treatment plan.

DPSIDescription
0Your gums are healthy, a pink color, close to the teeth and do not bleed
1Your gums are bleeding and inflamed. You suffer from gingivitis *
2In addition to gingivitis, you also suffer from tartar
3There is early periodontal disease *
3+You suffer from advanced periodontitis: there is bone breakdown and the tooth roots are partially exposed
4Periodontitis spreads towards the root point. The bone loss can lead to losing your teeth

* Gingivitis means that plaque causes inflammation at the edge of the gums. If the inflammation spreads to the jaw bone, it’s called periodontal disease.

Make an appointment with our dental hygienists for the following complaints:

  • You suffer from loose teeth or molars
  • You quickly suffer from tartar
  • Your gums bleed when you brush
  • You have bad breath
  • You suffer from receding gums
  • Your gums are swollen and red
  • You regularly have holes

Dental hygienist vs. prevention assistant: this is the difference

In our practice we have both dental hygienists and prevention assistants. A prevention assistant provides information about the prevention of cavities and gum infections. In addition, a prevention assistant treats clients with simple dental disorders.

A dental hygienist continues where the prevention assistant ends. Our dental hygienists are college educated and are constantly tested for quality requirements. A dental hygienist also focuses primarily on prevention, but also treats complicated gum diseases such as gingivitis and periodontitis.

Reimbursement by the health insurer

The costs for treatment by a dental hygienist are not covered by the basic insurance. Do you have additional insurance for the dentist? In most cases, the costs of treatment will then be reimbursed. If in doubt, consult your policy or contact your health insurer.

Treatment for children under the age of 18 is often covered by the basic insurance and is therefore often reimbursed. It is not necessary for children under the age of 18 to have additional insurance.

Do I need a referral from a dentist for an appointment?
No, you do not need a referral from a dentist. You can make an appointment yourself.
How often should I see the dental hygienist?
We recommend that you schedule a combined appointment with the dentist and dental hygienist twice a year.
Which is better: an electric toothbrush or a standard/manual toothbrush?
We recommend an electric toothbrush. Research has shown that electric brushing is more effective than brushing with a manual toothbrush and removes more plaque. An electric toothbrush makes the brushing move for you, so you only need to focus on placing the brush. With a manual toothbrush, more pressure is applied during brushing, which can cause damage to the gums.
What does healthy gums look like?
Your gums are healthy when it is pink and tight around the teeth.
How can gums become inflamed?
Gums become inflamed by bacteria in the plaque. Plaque can calcify into tartar that is firmly attached to the teeth. A new layer of plaque is formed on this.
Is tartar removal painful?
Tartar removal can be sensitive. In most cases, this feeling is gone after treatment. Always report it if you experience pain. Cleaning can be done with local anesthesia.
Does polishing teeth hurt?
No, polishing teeth does not hurt but sometimes it can give an itchy feeling.
What do you mean by sealing?
Molars can sometimes have deep grooves and pits in the chewing surface, which are difficult to clean with a toothbrush. Holes can easily arise there. The dental hygienist may therefore decide to close these grooves and pits. This sealing is done by applying a layer of plastic lacquer. Such a layer protects your molars against bacteria that can lead to cavities.
Which beverages and foods are bad for my teeth?
All foods with added sugars are bad for your teeth. Therefore, use as little soda, candy, cookies and pastries as possible.
Will I always be treated by the same dental hygienist?
Our dental hygienists circulate, so your teeth will be looked at with 'fresh' eyes. Do you prefer not to? Then you can ask for your favorite dental hygienist when making the appointment. With a so-called parrot trajectory, you can stay with the same dental hygienist.

Teeth whitening

We all want radiant white teeth. Due to our lifestyle, smoking and what we eat or drink, our teeth can discolour. Therefore more and more people decide to have their teeth bleached. We have all the expertise in-house to whiten your teeth at home quickly, effectively and safely.

Bleaching at home

For optimal results, we recommend that you whiten your teeth at home. This requires 2 appointments: during the first appointment, impressions of your teeth are taken, so that a dental technician can make special whitening spoons for the upper and lower jaw. After a week you can pick up the whitening spoons. In these spoons you can apply the whitening gel with a syringe and after that you wear them for 4 to 10 nights. Of course we will provide extensive instruction.

Rates 2020

Here are the prices of the most common treatments when it comes to teeth whitening.

Can anyone bleach their teeth?
This bleaching method is suitable for everyone, except for children and teenagers, pregnant and breastfeeding women and if you are undergoing radiotherapy.
How do I keep my teeth as white as possible after treatment?
Even after treatment, you should take your consumption behavior serious as much as possible. Too much smoking and too much coffee can affect the colour of your teeth.
How often can the treatment be repeated?
Several times, because it is not harmful and your teeth are not affected. Depending on your consumption behavior and the maintenance of the teeth, we advise you to repeat the treatment regularly.
Will fillings and crowns also be bleached?
No, teeth whitening only works on natural teeth. The colour of your filling, crown or facing does not change.
What should I pay attention to before the treatment?
Make sure you eat something, because that is not allowed for several hours after the treatment.
What should I pay attention to after the treatment?
In the first 2 to 3 hours, you should not drink or eat anything (except for non-sparkling water and milk) or smoke. For the rest of the treatment, you should not consume products like red wine, cola, coffee or tea, and do not smoke.

Invisible braces Sure Smile

Treatment with the invisible braces Sure Smile is one of the most innovative ways to get nice and straight teeth. Using 3D technology, the dentist for orthodontics makes several invisible bits, which we call aligners. You wear each aligner for about two weeks before replacing it with the next invisible one. This way your teeth are pushed a little further towards the predetermined end position.

The benefits of Sure Smile

  • Thanks to the unique 3D technology, the end result can be previewed
  • The braces are completely transparent, so no one sees you wearing one
  • The aligners are removable and easy to clean
  • You can eat everything and keep exercising: Sure Smile corrects your teeth with a minimal impact
  • The aligners are very comfortable and gradually correct, so you don’t have the pulling feeling you have with regular braces

A Sure Smile treatment consists of 6 phases

1. Intake interview
During the intake interview we discuss your wishes and expectations, we look at the situation in your mouth and check how Sure Smile can help you to get beautiful and straight teeth again.

2. Treatment plan
Based on the intake interview, a personal treatment plan will follow, describing how often you must come back for a check-up, how long you will have to wear the invisible braces and what the entire process will cost. You will also receive a simulation. In that way you can see exactly how your teeth will move and eventually become beautiful and straight.

3. Make invisible braces
If you agree with the treatment plan, the dentist for orthodontics will make an impression of your teeth with an impression tray or with a modern mouth scanner. Based on the print, you get multiple aligners, which change approximately every two weeks.

4. Placement of the braces
As soon as all aligners have been produced, you will visit us. We check whether the braces fit properly, show you how to click them in and out and how to clean them.

5. Periodic checks
After that, you will visit us every month for a periodic check, during which we view the progress and can correct any pressure points.

6. After the treatment
After the treatment you have beautiful, straight teeth. Because we would like this to remain, we place a retainer behind your teeth. This keeps all teeth in place. All costs for this retainer are included in the price.

Rates 2020

The costs of a treatment with Sure Smile are between € 1.800,- and € 2.400,-, but the final costs depend on your personal situation and the treatment plan based on it. Health insurers almost always see Sure Smile as a cosmetic choice and therefore do not offer any reimbursement. An additional insurance for orthodontics can ensure that you will be reimbursed for the consultation costs. A few insurence companies will reimburse Sure Smile treatment for medical reasons. If in doubt, consult your policy or contact your health insurer.

Can I eat everything during the treatment?
Yes. Because you can remove the braces, unlike traditional braces, there are no restrictions.
How often do I need to wear the aligners?
We recommend wearing your Sure Smile braces for at least 22 hours a day. The more you wear them, the faster the end result will be achieved.
Is the treatment painful?
You may experience an oppressive feeling after changing an aligner. This will pass by and is normal. It is just a sign that Sure Smile is doing its job!
How long does the treatment take?
This depends on the initial situation and the desired end result, but comparable to that of a traditional brace. Our dentist for orthodontics will tell you more about it.