The Dental Hub

General Dentistry
General Dentistry is defined as the evaluation, diagnosis, prevention and/or treatment (nonsurgical, surgical or related
procedures) of diseases, disorders and/or conditions of the oral cavity, maxillofacial area and/or the adjacent and associated structures
and their impact on the human body; provided by a dentist.
Dental Health
When you arrange an appointment with us, you will undergo a thorough and comprehensive examination as follows:
Medical History Update
Your dental health screening begins with a medical history update in which our clinical staff will ask you about any drug allergies or medications that you may have.
Gum Health Assessment
Next, you will receive a thorough checkup on your gums for the presence of ulcers and other gingival diseases that can cause bad breath, tooth loss, loose teeth or pockets between teeth and gums.
Oral Hygiene Instructions
Prevention is better than cure. Following your gum health assessment, you will be given advice on how you can take care of your teeth, prevent tooth decay as well as correct methods of brushing and flossing.
Caries Diagnosis
Not all tooth decay problems necessitate fillings but if left undetected, these caries can lead to abscess and toothaches. After instructing you on oral hygiene, your clinicians will give you a detailed diagnosis on caries.
Treatment Plan & Options
During treatment plan and options, you will be given an explanation on our assessment and all the treatment options available. This will help you make an informed decision whether to proceed with our dental services and which treatment option to choose.
Dietary Advice
Your dentist will also brief you on the types of food and drinks that should be avoided to minimize wear and tear of your teeth.
Dental X-rays
Dental X-Ray examination is needed to detect any possible dental caries or other dental problems that you may have that are not visible to the eyes.
Bite Assessment
Your bite will be assessed next. You dentist will check if your teeth can bite well together and how you can correct your bite to enjoy your food better.
Scaling And
Scaling and polishing is a very common dental treatment which is recommended to be carried out 6 monthly.
This procedure is also known as ‘dental cleaning’ and along with tooth brushing, flossing, mouthwashes can help to reduce the risk of gum disease and tooth decay ensuring that your teeth are clean and healthy as well as having a fresh breath.
Why do you need a ‘scale and polish?
Your teeth come under constant attack from the starches and sugars present in our food which are released as we eat. The acid that is released from dental plaque cannot be easily washed away by saliva and this acid dissolves the mineral that is present on your enamel. Over time the tiny holes gets bigger until one large hole appears and this is what we call a dental cavity.
Dental Plaque and tooth decay are one of the leading causes of bad breath.
This plaque forms on the surface of and between our teeth and can also affect the gum line. If is not removed then it will harden and form calculus or ‘tartar’ – a yellow or brown mineral deposit which causes the teeth to have a rough or ‘crusty’ appearance. This makes it easier for more plaque to form and be trapped creating a Plaque – Tartar cycle . Prolonged exposure to tartar in the gums may lead to more serious periodontal gum diseases.
A scale and polish can remove plaque. This will also prevent bacteria sticking to them (which they are able to on teeth with a rough surface) which can lead to the build up of tartar. And, it will help to prevent gum disease.
Once the tooth structure is destroyed by decay , your dentist will remove the decayed part to prevent further tooth destruction. The “hole” has to be filled depending on the size.
Direct Restoration
Tooth colored restoration like glass ionomer cements and composite resins or amalgam restorations can be used in most of the cases. Your dentist will access and advise accordingly on what type of filling is best for you depending on the size and shape of the cavity.
Indirect restorations
In some cases, the restorations has to be fabricated outside the mouth. A mould of the teeth is taken and send to the dental laboratory for fabrication. Common indirect restorations include inlays and onlays, crowns, bridges, and veneers. The finished restoration is usually bonded permanently with a dental cement. Common indirect restorations are done using gold, metal alloys or ceramics.
Gum Treatment
Patients diagnosed with gum (periodontal) disease will require procedures other than regular scaling and polishing to treat the disease. In the early stages of gum disease, most treatment involves non-surgical procedures; however, in more advanced stages, surgical procedures are often required. The following are detailed descriptions of these procedures.
Non-surgical procedures
Periodontal Disease
Root Planning
Root planing: Root planing is a special cleaning method that removes plaque and tartar (also known as calculus) from under the gumline (in periodontal pockets) and removes toxins on the root surfaces to promote healing.
In some cases, antibiotics or antimicrobials may be used to supplement the effects of scaling and root planing. In most cases of early gum disease, scaling and root planing in addition to good proper home care will achieve a satisfactory result of treating gum disease.
Periodontal maintenance / supportive periodontal therapy: Following a scaling and root planing, specialized deep cleanings can minimize the recurrence or progression of gum disease.
Surgical procedures
Pocket depth reduction procedures: Your dentist will open up the affected gum tissue so that disease-causing bacteria and calculus build-up can be removed. Some cases may require smoothing and recontouring the damaged bone and root surfaces to allow the gum tissue to reattach to healthy bone during healing. The procedure also repositions the gum tissue so that it is easier to keep clean.
Regeneration: Your dentist will treat the affected gum tissue in the same way as in pocket depth reduction procedures, with additional procedures of using membranes and bone grafts to stimulate growth and replace lost periodontal tissues.
Oral Hygiene Instruction
Oral hygiene instruction is helpful and educational information to teach and guide our patients to prevent new cavities, and to maintain healthy teeth and gums. At your initial oral hygiene visit, your hygienist will instruct you on the proper methods of brushing and flossing. Follow up visits will be to further assess your progress in maintaining good oral health, and to help review and reinforce techniques of cleaning at home.
The following are helpful recommendations:
1. Flossing is the foundation for healthy gums, so floss your teeth once a day. Dental floss will get into areas between your teeth and under your gums that your toothbrush cannot. Slide the floss between your teeth and wrap it into a “C” shape around the base of the tooth and gently under the gum line. Wipe the tooth from base to tip two or three times. Be sure to floss both sides of every tooth.
2. Brush your teeth twice a day, and make sure to brush your teeth after you floss, as this is a more effective method of cleaning your teeth. Use a soft bristled tooth brush (safer on your gums) and a circular motion that moves the brush bristles ‘away’* from the gums ( *on the top arch, this would mean you are brushing in a circular direction which is top-down; on the bottom arch, you would be brushing in a bottom-to-top circular motion. Use care to not speed through brushing, taking at least 2-3 minutes to do a thorough job.
3. Eat a well balanced diet, avoiding excessive snacking between meals, especially sticky, sugary foods.
4. Use either a fluoride or antiseptic rinse as directed by the dentist or hygienist.
5. Avoid smoking
Brushing twice a day and regular flossing is excellent for maintenance between office visits, but a healthy mouth and beautiful smile require routine general and preventive care to stay that way. Our practice offers hygiene care that includes regular oral examinations and cleanings. Our preventive hygiene services include fluoride, professional breath control, and periodontal (gum disease) treatments designed to help you maintain your smile’s health and beauty. Keep your teeth and gums strong and disease-free. Contact our office today to schedule a cleaning or consultation.
Wisdom Tooth Surgery
Wisdom Tooth Surgery
Wisdom teeth are the third last permanent molars. Most people have four wisdom teeth, two in the upper jaw and two in the lower jaw. These teeth usually erupt between the ages of 16 to 21 years old.
Problems associated with impacted wisdom teeth includes cysts, crowding, infection of the soft tissues and damage to the neighboring tooth. More serious problems such as the formulation of cysts or tumours around an impacted tooth can occur, leading to destruction of the surrounding jawbone and neighbouring teeth. As problems can develop silently without your knowledge, routine dental check-ups are advisable.
Wisdom tooth surgery is a minor surgical procedure whereby a small incision is made to raise up the gums to access the tooth and bone. The tooth is sectioned , removed and stitches are placed to aid the healing.
After surgery, some minor bleeding from the wound can be expected, which can be controlled by biting on a piece of gauze over the operated area for about half an hour. Facial swelling and slight bruising can be expected for the next 2 to 3 days.
Painkillers, antibiotics and an antiseptic mouthwash are usually prescribed after the surgery. You will be advised to keep a soft diet for a few days following surgery.
Wisdom teeth are the third and final set of molars that erupt in the back corners of the upper and lower normal adult mouth. Unfortunately, most people experience problems from wisdom teeth; in most cases, this is because the teeth erupt too close to existing permanent teeth, causing crowding, improper bites, and other problems.
If wisdom teeth are causing a problem and are not pulled, they can sometimes become impacted. Impacted wisdom teeth can be extremely painful, as well as harmful to your oral health. Symptoms are easy to spot: pain, inflammation, and some kinds of infections.
Many people need to have their wisdom teeth extracted to avoid future serious problems. In general, the lack of the four wisdom teeth does not hamper one’s ability to properly bite down, speak or eat.
Night Guards / Sports Guards
Night Guards
Night guards are customised teeth protectors usually worn on upper arch to treat bruxism (teeth grinding) and clenching. Symptoms associated with grinding include chipped and sensitive teeth.
Lost of vertical lower face height, tension headache, stress, anxiety, ear aches, and jaw joint pain. Many individual are unaware that they grind or clench their teeth at night. Most of the damage goes on without any signs or symptoms until the damage is into the advanced stage.
Night guards can help reduce enamel damage and wear, jaw joint inflammation, and reprograms the musculature. Overall, most night guard wearers report they have less pain and sleep better.
During the initial visit, your dentist will access the severity of the case by doing an extensive oral examination. The dentist then takes a bite record and makes an impression of the patient’s teeth. These will be used to create a customised night guard that allows for proper teeth alignment. During the second appointment, the patient is taught the correct way of using the night guard as well as its proper care.
Sports Guards
Sports guards should be used when playing contact sports such as football, rugby, hockey etc. However, even those participating in non-contact sports (for example, gymnastics) and any recreational activity (for example, skateboarding, mountain biking) that might pose a risk of injury to the mouth would benefit from wearing a protective mouth guard.
Accidents can happen during any physical activity, the advantage of using a mouth guard during sports is that it can help limit the risk of damage to the teeth, alveolar bone or surrounding soft tissues in the event of an accident.
When restorative procedures such as root canal treatment, crowns, or fillings are not enough to save a tooth, extractions may be indicated. Tooth extraction procedures today are far less painful than ever before, thanks to powerful anesthetics and sedatives. In many cases, a patient who has tooth pulled experiences little or no discomfort, and only minor bleeding.
Before a tooth is extracted, the area surrounding the tooth is numbed with a topical gel and local anesthetic. Patients with extracted teeth sometimes need to take an antibiotic, and at the very least, take precautions following the procedure to ensure that infection does not occur.
Smoking, vigorous brushing and rinsing, and drinking liquids through straws are discouraged during the post-operative period because they hinder healing and may cause the wound to open. Cold compress applied to the cheek near the extraction site can help to reduce any swelling and promote faster healing.