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Dentist in sage-green scrubs pointing at a three-dimensional jaw scan on a large screen while explaining it to a patient seated opposite

Biological Dental Treatments

Treatments Your Body Won't Fight Against

Every infection addressed. Every protocol designed to work with your biology — not against it.


Jawbone Findings

Assessed & Treated

Mercury Fillings

Removed Safely

100% Metal-Free

All Our Materials

IAOMT Accredited Biological Dentist • SMART Certified • SDS Advanced Training • Hürzeler-Zuhr Master Clinician • Dawson Academy Trained • 20+ years of experience

  • SMART — Safe Mercury Amalgam Removal Technique (IAOMT)
  • IAOMT — International Academy of Oral Medicine and Toxicology
  • Hürzeler / Zuhr Academy
  • The Dawson Academy
  • SDS Swiss Dental Solutions
  • Spear Education
  • Ghanaati Education

What this training means for your care →

Wide view of a SMART amalgam removal in progress: the dentist in a full-face respirator, the patient under a green rubber dam and nasal mask, air-filtration unit and extraction arm flanking the chair

I want them removed safely

Safe Mercury Filling Removal

Hungary's first SMART-certified clinic — your amalgam fillings release mercury daily.

Those "silver" amalgam fillings are 50% mercury—a known neurotoxin. Every time you chew, brush, or drink hot liquids, they release mercury vapor that your body absorbs.

But there's a safe way to remove them. We're Hungary's first SMART-certified clinic — SMART is the IAOMT's Safe Mercury Amalgam Removal Technique, designed to keep mercury vapor and particles away from you during removal.

Dr. Johanna Malita is SMART-Certified and IAOMT-Accredited.

Conventional removal

  • No rubber dam
  • Standard suction
  • No air supply
  • High-speed drilling
  • No detox support

Result: mercury vapor and particles reach you

SMART protocol

  • Rubber dam isolation
  • High-volume evacuation
  • External air supply
  • Specialized removal
  • Vitamin C & detox support

Result: vapor and particles are kept away from you

6-Step SMART Protocol

Patient reclining in a dental chair, breathing through a nasal mask connected to an oxygen cylinder
1

External Air Supply

You breathe clean air via nasal mask—never inhaling vapor

Dentist in a blue gown and full-face respirator treating a patient whose mouth is isolated with a green rubber dam, a nasal mask supplying clean air; an air-filtration unit and an extraction arm stand behind
2

Rubber Dam Isolation

Seals the tooth completely during removal

Wide high-volume extraction arm positioned at the patient's mouth, capturing vapour at the source
3

High-Volume Evacuation

Captures mercury vapor at the source, before it reaches the room

Glass of activated-charcoal drink with a straw, charcoal capsules beside it
4

Detox Binding

Activated charcoal absorbs mercury particles before procedure

Side by side: fine metal dust from conventional drilling versus a few large amalgam chunks removed in one piece
5

Chunking Method

Removes filling in large sections—minimizes vapor generation

Close-up of a dental handpiece spraying cooling water on a tooth
6

Continuous Cooling

Reduces vapor release during the entire process

"I want mercury out, but I'm scared removal will make me sicker."

This is a valid concern. Improper removal can expose you to a spike of mercury vapor. That's exactly why SMART protocol was developed—to protect you during removal.


Duration: 60-90 minutes per filling Single-visit for 1-2 fillings Multiple fillings scheduled across sessions

Following IAOMT guidance, we do not remove amalgam during pregnancy or breastfeeding.

Still have amalgam fillings? Send us your X-ray and we will tell you what safe removal involves in your case.

Email your X-ray
Black-and-white photograph of a dentist in a white coat pointing at a panoramic X-ray on a wall-mounted light box

Could dental problems be affecting my health?

What Your Previous Dentist Couldn't See

A closed gum is not the same as fully healed bone.

After an extraction the gum can close over the socket while the bone underneath has not fully regenerated. Prof. Shahram Ghanaati calls this a Covered Socket Residuum (CSR). You may have come across the older terms NICO or FDOJ for related jawbone findings — they are not the same diagnosis, and a finding on a scan is not automatically a disease.

Whether it matters is decided with your symptoms, history and examination — never from a picture alone. Some people carry symptoms for years without anyone looking in the jaw.

FDOJ/CSR Disease Pathway

  1. 1

    Jawbone Trauma

    Tooth extraction, infection or injury.

  2. 2

    Incomplete Healing

    The gum closes, but the bone underneath does not fully regenerate.

  3. 3

    CSR Formation

    A silent, chronic inflammatory lesion may develop.

  4. 4

    RANTES/CCL5 Overexpression

    The lesion produces extreme levels of inflammatory signals.

  5. 5

    Systemic Impact

    Signals enter the bloodstream, triggering or worsening distant chronic diseases.

Not every CSR follows this path. That is why the next step after a scan is a decision, not automatically surgery.

CSR/NICO/FDOJ: Systemic Disease Hotspots

Jaw health can matter for the health of the whole body.

In some samples of pathological jawbone tissue (chronic jawbone inflammation, FDOJ/BMDJ), researchers found a markedly increased expression of RANTES/CCL5, a messenger of the immune system. Such areas are being investigated as possible local sources of inflammatory signalling with relevance for the whole body. Not every CSR is pathological, and the causal link with systemic diseases is still being researched.

Neuropathic diseases

RANTES/CCL5 is associated with neuroinflammation and may help inflammatory cells cross the blood–brain barrier, a process discussed in conditions such as multiple sclerosis and ALS.

Facial & nerve pain

Atypical facial pain and trigeminal neuralgia are among the complaints most often reported alongside jawbone findings historically labelled NICO. RANTES/CCL5 can influence sensory nerve activity.

Chronic fatigue / burn-out

Persistent cytokine signalling from a chronically inflamed site is discussed as one overlooked contributor to the systemic exhaustion seen in chronic fatigue syndrome.

Immune diseases

Jawbone osteoimmunology is linked to immune dysregulation; RANTES/CCL5 is a key player in inflammatory patterns that can unbalance the immune system.

Internal diseases

Research describes RANTES/CCL5 as a link between local jawbone inflammation and systemic immune interactions that may play a part in various internal diseases.

Tumours & cancers

RANTES/CCL5 signalling is studied in the progression of several cancers. Chronic inflammatory signalling from the jaw is investigated as one possible contributing factor: an association, not a proven cause.

Rheumatic complaints

RANTES/CCL5 is a potent inflammatory mediator found in rheumatic joints. A chronically inflamed jawbone site is investigated as a possible persistent, overlooked source of such signalling.

RANTES is the older name of the chemokine CCL5: one molecule, written RANTES/CCL5. These are reasons to look, not proven causes; systemic associations remain an evolving field of research, and improvement elsewhere is never promised. The concept goes back to the case series of Dr. Johann Lechner (Munich), who first described RANTES/CCL5 overexpression in these jawbone lesions; the 2026 review co-authored by Lechner and Ghanaati places the findings on a broader, more cautious footing.

Sources: Ghanaati et al. 2025 (PubMed) Ghanaati, Heselich, Lechner et al. 2026 (Bioengineering) Lechner & von Baehr 2013 (Int J Gen Med) Lechner & von Baehr 2015 (PubMed) Lechner et al. 2021, jawbone marrow defects (PubMed) Lechner et al. 2021 (PubMed) Lechner & von Baehr 2021 (PubMed) Lechner & Mayer 2010 (Eur J Integr Med) Sekundo et al. 2022, critical systematic review (Oral Diseases)

From scan to healed bone

  1. 1

    Examination

    Clinical examination and history — what you feel, what was done before.

  2. 2

    CBCT

    A three-dimensional scan taken here, when imaging is justified.

  3. 3

    3D analysis

    When clinically indicated: Visiogenics, a patient-specific 3D visualisation and surgical map, reviewed by Prof. Ghanaati's team. Your scan is only sent for external analysis with your written consent.

  4. 4

    Decision

    We decide together: treatment, observation, or no surgery at all. Not every finding needs an operation.

  5. 5

    Follow-up

    The plan is mapped in advance; follow-up runs until healing is verified.

The 3D analysis visualises and maps areas that may need further evaluation; the final diagnosis is the treating clinician's.

If you already have a CaviTAU report, bring it — we will include it.

Multi-Modal Detection Methods

A residual site in the jaw is often symptom-free and invisible on a standard 2D X-ray. We combine four ways of looking before deciding anything.

Dentist in a white coat pointing at a 3D skull reconstruction and CBCT cross-sections on a monitor

CBCT 3D imaging

Shows bone-density changes a 2D X-ray cannot.

Clinician with a stylus pointing at a colour-marked 3D jaw model and cross-section scans on a monitor

Visiogenics 3D analysis

Patient-specific visualisation and surgical map from your CBCT data, reviewed by Prof. Ghanaati's team, when clinically indicated.

Monitor showing an ultrasound bone-density software screen: a jaw X-ray with a marked region and three colour-coded measurement maps

CaviTAU ultrasound

Ultrasound bone-density measurement. We do not run the device ourselves; bring an existing CaviTAU report and we include it.

Gloved laboratory technician pipetting a blood sample into a tube, a rack of red-filled tubes and a microscope on the bench

Laboratory biomarker analysis

Blood markers that can point to systemic inflammation not visible on an image.

Dr. Johanna Malita follows the protocols developed by Prof. Shahram Ghanaati (Goethe University Frankfurt) for open bone healing and regenerative jawbone surgery.

“This sounds extreme. Do I really need surgery?”

We only recommend surgery when there is clear diagnostic evidence and your symptoms correlate with the finding. Not every old extraction site needs treating, and we never operate “just in case”. When surgery is not indicated, we say so.

Minimally Invasive & Microsurgical Dentistry

Surgery that heals faster, hurts less.

What patients notice

  • Less pain & swelling

    Smaller incisions affect less tissue than standard surgery, irritating fewer nerves and blood vessels, so most patients need minimal pain medication.

  • Faster healing

    Precise closures preserve the blood supply, so tissues heal faster. We typically see good healing progress within the first week.

  • More natural gum contours

    Incisions designed to protect the shape of the gum mean tissues heal back to their original form, keeping natural aesthetics for years.

This approach takes more time and specialised training and equipment, but it is designed to protect your tissues and support predictable healing. Dr. Johanna Malita trained with the Hürzeler/Zuhr Academy.

Smiling woman showing healthy, natural-looking front teeth.

Unwell for years and nobody has looked at your jaw? Send us your X-ray and we will tell you what we can see.

Email your X-ray
Dentist in sage-green scrubs pointing with a pen at a CBCT cross-section of a root-treated tooth on a monitor while a patient listens

Keep it or extract it?

Root Canals: Keep, Retreat, or Replace?

An honest, evidence-based assessment — not a one-size-fits-all answer

Root canal therapy is one of the most debated topics in biological dentistry. Some practitioners remove every root-canal-treated tooth on principle. We don't. Instead, we assess each tooth individually using advanced diagnostics and give you an honest recommendation based on evidence — not ideology.

Where a tooth is infected, medical-grade ozone can be used to disinfect it as part of that assessment — one of the root-canal alternatives we weigh before deciding whether the tooth can be kept.

Comprehensive Assessment First

3D CBCT imaging reveals what standard X-rays miss — hidden fractures, chronic infections at root tips, and bone loss around treated teeth.

Biological Impact Evaluation

We evaluate whether a root-canal-treated tooth is acting as a focal infection — contributing to systemic inflammation, immune burden, or chronic symptoms.

Honest Options — Not Ideology

Some root canals can be monitored. Others need retreatment or extraction. We give you the full picture and let you decide — no pressure, no dogma.

If Extraction Is Best — We Replace Beautifully

Biological extraction with PRF + ozone, followed by a ceramic implant that integrates with your body — not against it.

Our Promise on Root Canals

  • We never extract a tooth that can safely be saved
  • We never keep a tooth that's making you sick
  • We always show you the evidence and explain the options
  • If extraction is needed, we do it biologically — PRF, ozone, microsurgery
  • Ceramic implant replacement available same-day in many cases

Need a ceramic implant? See our implants page

Unsure whether to keep or replace a root-canalled tooth? Send us your X-ray and we will tell you what your options are.

Email your X-ray
Hygienist in loupes and a mask treating a reclined patient with the AIRFLOW handpiece; an AIRFLOW PLUS powder bottle stands on the counter

Bleeding gums, bad breath, or a tooth that feels loose?

Biocompatible Periodontal Therapy

Biocompatible periodontal care for bleeding gums, deep pockets, and loose teeth.

Gum disease is an infection — not simply a cleaning problem. We identify where the disease is active, treat it carefully, and do everything we reasonably can to help you keep your own teeth.

Send us your X-ray — we'll tell you what we see

The elements of our therapy

Seven elements. One goal: control the infection and protect your teeth.

Healthy gums are not about having your teeth polished more often. We use a combination of modern technology, biological support and practical home care — measured, gentle and tailored to you.

Hygienist showing brushing technique on a demonstration jaw model to a patient seen from behind
We show you the right home-care techniques on a model and in your own mouth. The treatment continues at home, between appointments.
EMS AIRFLOW Prophylaxis Master unit in the treatment room, the PIEZON LED and AIRFLOW MAX handpieces resting in their holders
The EMS AIRFLOW® Prophylaxis Master in our treatment room, with the PIEZON® and AIRFLOW® handpieces we work with.
  1. 01

    Guided Biofilm Therapy (GBT)

    See it. Remove it. Be gentle.

    Plaque is not always visible, so we disclose the biofilm first and see exactly where it is accumulating. We then remove it with warm water and fine, low-abrasion AIRFLOW® PLUS powder, using PIEZON® ultrasonics where hardened deposits require them and the PERIOFLOW® nozzle in deeper pockets and around implants. The principle is to clean effectively while avoiding unnecessary trauma to the gums — and as your gum health improves, maintenance can often become gentler.

  2. 02 O₃

    Ozone during the cleaning

    Clean, support and stimulate healing.

    Depending on the area being treated, we may use ozone gas, ozonated treatment water and ozonated oil as adjuncts to professional cleaning. The goal is not only to support local microbial control, but also to create conditions that favour healing of the gum tissues. Ozone does not replace mechanical cleaning; we use it alongside it when we believe it adds value.

  3. 03

    Periodontal pathogen testing

    When a pocket keeps coming back, we find out why.

    If a pocket continues to bleed, remains deep or repeatedly becomes inflamed, we may take a small paper-point sample before cleaning and send it to the IMD laboratory in Berlin, which identifies relevant periodontal bacteria and estimates their quantity. This gives us additional information when a site is not responding as expected, and can help guide a more targeted treatment strategy. Testing can be repeated later to help monitor progress.

  4. 04

    Low-level laser therapy

    Support healing. Reduce discomfort.

    Low-level laser therapy, also known as soft-laser therapy, is used for its biostimulatory effect on selected areas after cleaning. It may help reduce discomfort and support the healing response in the gums and surrounding tissues, and can be useful where a site is inflamed, sensitive or prone to bleeding. We use it selectively, when there is a clear reason for it, rather than as a routine add-on.

  5. 05

    Home care, taught properly

    Because what you do at home makes a real difference.

    Periodontal therapy does not end when you leave the treatment room, so our hygienists take the time to teach you exactly how to care for your mouth between appointments: the correct interdental brush size for each space, the right angle and technique, and how to use a water flosser. We show you first on a model, then in your own mouth. You should leave knowing what to do, how to do it, and why it matters.

  6. 06

    Support the conditions for healthy gums

    Look at the bigger picture.

    Some periodontal problems are harder to stabilise than others, so we may also discuss factors such as smoking, blood sugar control and nutrition. Where appropriate, we may recommend supportive products or supplements intended to complement professional periodontal care and daily home hygiene — never a replacement for them.

  7. 07

    Deeper pocket therapy & i-PRF

    When needed, we go further.

    If a pocket remains deep after the first phase of treatment, we reassess the area rather than simply repeating the same cleaning. In selected cases we clean the pocket again and use injectable platelet-rich fibrin (i-PRF), prepared from a small sample of your own blood, with nothing synthetic added. The liquid concentrate is placed locally as an adjunct, to support the healing environment within the treated area.

  • Support at home

    Keep the progress going.

    Where appropriate, we build a home-care routine around your periodontal condition, your anatomy and your response to treatment. It may include ozonated oil, a periodontal toothpaste, a water flosser and interdental brushes — selected and recommended by your hygienist, rather than the same kit for every patient.

  • A gentler experience

    More comfortable over time.

    By identifying biofilm first and treating only where treatment is needed, we aim to reduce unnecessary trauma to the gums and soft tissues. As periodontal health improves, maintenance treatment can often become gentler and more comfortable.

  • Long-term protection

    Our goal is to keep your teeth.

    Periodontal therapy is not about making the teeth look cleaner for a few days. The goal is to control the disease, stabilise the gums, and protect the tissues and bone that support your teeth.

“I have had a scale and polish before. It hurt for days, and my gums still bleed. Why would this be any different?”

Because this is not simply another scale and polish. We first identify where disease is active and disclose the biofilm so we can see it, including plaque that is not visible to the naked eye. We then remove it with warm, low-abrasion AIRFLOW® powder and use instruments where deposits actually require them, so that diseased areas are treated thoroughly while healthy tissues are disturbed as little as possible. We cannot promise that periodontal treatment will always be completely discomfort-free. What we can promise is that we measure, explain, work carefully and adapt the treatment to you.

The goal is not simply cleaner teeth today.

It is keeping your gums stable — and keeping your own teeth for as long as possible.

Bleeding gums or a tooth that feels loose? Send us your X-ray and a few words, and we will tell you whether a gum assessment is the right first step.

Email your X-ray
Biocompatibility laboratory bench: a technician preparing a patient's blood sample for material-sensitivity testing, racked tubes and a microscope beside her

Will my body react to dental materials?

Stop Guessing. Start Testing.

We test how YOUR immune system responds to materials before placement

When we say a material is "biocompatible for most people", we are admitting that some patients develop chronic inflammation from materials their body rejects. Your question should be: "Am I one of them?" Our answer: "Let's find out before we place anything in your mouth."

1

Blood Sample Collection

Your blood is drawn in our office, or a kit is sent to you for collection at your local lab. Simple, quick.

2

Laboratory Analysis

Specialised labs test your blood against 90+ dental materials: composite resins, ceramics, bonding agents, cements and temporaries.

3

Results Review

Results show which materials YOUR immune system accepts and which trigger reactions. Green/yellow/red classification. Clear guidance for treatment planning.

4

Personalised Treatment Plan

We select only materials your body tested green for. No compromises. Only confirmed biocompatible materials for YOUR biology.

Blood sample tubes labelled and racked for laboratory analysis

Available Tests

Metals and Alloys Sensitivity Screening (Recommended)

Blood test for common problem materials: gold, nickel, palladium, mercury, chromium, cobalt, platinum, copper, silver, tin, plus dental plastics (HEMA, TEGDMA, BISGMA, MMA). Best starting point for most patients.

Titanium Compatibility Evaluation

For patients with existing titanium implants who have complications or unexplained symptoms. Shows whether titanium intolerance may be involved.

Particularly relevant with: autoimmune conditions, chronic inflammation, peri-implantitis, implant failure

Your Exact Materials

Send us the specific products your dentist plans to use - we test those exact materials with your blood. No guessing.

Investment: see the test prices

Timeline: 2-3 weeks for results

Worth noting: Testing beforehand helps you avoid work your body would reject later.

Worried your body may react to a dental material? Send us your X-ray and we will tell you whether testing makes sense for you.

Email your X-ray
Tube of blood being lowered into the rotor of a small tabletop centrifuge

I want natural recovery, not just antibiotics

Biological Healing Therapies

Advanced protocols that support your body's natural healing capacity

Surgery is only half the work. How we prepare for it and support the healing that follows is the other half.

Conventional approach

“Here's an antibiotic and a painkiller. Call if problems develop.”

  • Antibiotic prescription (10–14 days)
  • Pain medication
  • “Keep the area clean”
  • Wait and see how it heals
  • React to complications if they occur

Biological approach

“Your body already has what it needs to heal — we support those natural processes.”

  • PRF from your own blood
  • Ozone disinfection instead of routine antibiotics
  • Vitamin C infusion for immune support
  • Laser therapy for tissue recovery
  • Minimally invasive technique that preserves healthy tissue

This does not mean we never prescribe antibiotics: where they are genuinely needed, we do. It means we work hard not to over-prescribe them, and this is how we do it.

PRF — your own growth factors

A small sample of your blood is spun down and the platelet-rich fibrin is placed straight into the surgical site.

Used for: Extractions, implant placement, bone grafting, gum surgery, cavitation treatment.

Ozone — natural disinfection

Medical-grade ozone disinfects the tissue on contact, then converts back to plain oxygen and leaves no residue.

Used for: Extraction sockets, periodontal pockets, implant sites, infected bone.

Vitamin C infusion

High-dose intravenous vitamin C supports immune function and collagen formation around a procedure, including after safe amalgam removal.

Used for: Before and after surgery, mercury-removal recovery, longer treatment days.

Laser therapy (photobiomodulation)

Low-level light applied to the treated area to support cellular recovery and comfort in the days after surgery.

Used for: Post-surgical healing, swelling and discomfort, soft-tissue recovery.

Detailed pages on each therapy are coming.

Treatment Transformations

Real, documented cases — see them in our gallery.

FREE · 5 MINUTES · FROM HOME

Send us your X-ray and tell us your situation

We'll review your case personally and reply within 3 working days with what we see, what's likely possible, and honest next steps — even if that means we're not the right fit.

What to send

  • Panoramic X-ray or CBCT scan (digital file or photo)
  • A few sentences about your situation and goals (in any language)

See the full journey — from first email to treatment in Budapest →

No commitment at any stage. You decide if and when to take each step.

Prefer to call? +36-1-701-2900 info@johannadental.com