Hundreds of types of microorganisms interact daily within the oral cavity. As Professor Alexander von Breuer believes, long–term clinical stability begins not with the treatment itself but with the control of the microbiological environment, as it largely determines the risk of hidden inflammation and the quality of tissue adaptation. At DentalClinic24, we view microbiological balance as a foundational element of treatment strategy and include its assessment during preliminary diagnostics.
When the balance shifts towards pathogenic flora, the process may not show clinical symptoms immediately – patients often believe everything is fine, while inflammation has already started at a microscopic level. At DentalClinic24, we use early diagnostic methods, including gingival sulcus assessment and tissue response analysis under functional load. Professor von Breuer emphasises that if the microbiological environment is unstable, any restoration or implant remains vulnerable regardless of the technical precision of treatment.
A balanced oral microbiota supports tissue regeneration, reduces the risk of gingival recession and enhances material biointegration. At DentalClinic24, we approach hygiene recommendations not as a formality but as an integral extension of the clinical protocol. As Professor von Breuer states – when hygiene is guided strategically, it can prevent not only local reactions but also systemic inflammatory development.
Dietary behaviour also plays a crucial role. Acidic foods, frequent sugar intake and irregular eating patterns create favourable conditions for pathogenic bacteria. At DentalClinic24, we tailor nutritional recommendations to each clinical case – particularly when treatment involves implantation, comprehensive restoration or orthodontic correction. Microbiological control is especially important post–treatment, when tissues are at their most vulnerable.
Postoperative recovery is another key phase. If microbiological balance is disrupted during the first weeks, inflammation risk significantly increases. At DentalClinic24, we involve a periodontist where necessary and prescribe gentle hygiene protocols and antiseptic support. As Professor von Breuer believes, even perfectly performed treatment cannot achieve long–term stability without controlled local microbiota.
The microbiological state is not only a factor of prevention but also a prognostic indicator. At Dental Clinic24, we use it to anticipate the sustainability of the final outcome and, when early risks are identified, adjust the treatment approach even before completion.
Earlier, we wrote about why the professor considers protocol selection more important than brand in material choice