GENERAL DENTISTRY

Scaling & Polishing

Plaque and tartar can cause a variety of dental diseases such as gingivitis, gum disease and dental decay. Plaque can be removed by tooth brushing and flossing, but tartar can only be removed using professional dental instruments. Scaling and polishing routinely once or twice annually improves oral health by removing plaque and tartar from the teeth. Surface stains from coffee, tea, red wine or tobacco use are also cleaned away during polishing.

Scaling is performed using an ultrasonic tip, which vibrates at high frequency to remove tartar below the gum line. A little discomfort may be experienced but it is necessary to prevent gum. After scaling, we will polish off your teeth with a rotating rubber cup (similar to an electric toothbrush) and polishing paste for a clean feel.

Fillings

A filling is a restorative dental treatment used to replace lost tooth structure as a result tooth decay, damaged teeth surfaces or small fractures. A variety of materials such as amalgam, composite resin and glass ionomer cement are available for dental restorations.

Extraction

Tooth extraction is performed when the tooth is unable to be preserved with root canal and crown due to extensive decay, advanced gum disease, deep cracks or root canal failure. Tooth extraction may also be indicated during orthodontic (braces) treatment to create space, allowing alignment of your teeth. Before tooth extraction, our dentist will perform a dental examination. It may be aided with an X-ray to allow our dentist evaluate the internal aspects of the tooth, root and bone surrounding it. Our dentist will then formulate a diagnosis as to whether the tooth should be extracted. Tooth extraction may be performed under local, sedation or general anaesthetic.

Most extractions do not cause much discomfort. Our dentist may prescribe pain killers or antibiotics. Initial healing takes at least 2 weeks but most swelling and bleeding stop within 1-2 days after extraction. If bleeding does not stop, bite firmly on gauze for 15-20 minutes. If this treatment does not stop the bleeding, contact our dentist immediately. You can use ice packs to reduce any swelling and pain and a warm compress if your jaw feels sore and stiff after the swelling subsides. Avoid any vigorous activity, smoking for 2 weeks or using a straw as these will disrupt the blood clot which can cause more bleeding or a dry socket.

Custom Mouth Guard

If you suffer from bruxism (teeth grinding or clenching), our dentist may prescribe a mouth-guard to help you manage the problem. Mouth-guards are custom made and fit over either the upper or lower teeth, preventing the upper and lower teeth from touching and absorbing the impact of the grinding or clenching. Worn while sleeping or during stressful periods in the day, mouth-guards protect your teeth from wearing down and help reduce enamel damage. They also protect your teeth from trauma that can be sustained while playing sports. A good mouth-guard should be of sufficient thickness in the correct areas, resilient, well retained, comfortable, and should not interfere with speaking and breathing.

Dental Bridges

Dental bridge, also known as fixed partial denture, is a series of linked dental crowns used to replace missing teeth. In a conventional dental bridge, the teeth beside the missing teeth (known as abutment) are prepared for dental crowns. The crowns on the abutment teeth are fused to the crown replacing the missing teeth (known as pontic) and cemented on. Dental bridges are less popular nowadays compared to dental implants which do not require preparation of natural teeth (or abutments).

Resin-bonded or Maryland bridges are special types of bridges where the pontic is attached to the neighbouring tooth via an extension made of metal or zirconia (known as “wings”). They are commonly used to replace missing front teeth where the bite is not so heavy.

Dental Crowns

A crown is also known as a “dental cap” that is placed over a tooth to reinforce or strengthen it. A crown can be fabricated from a metal alloy, porcelain over metal, zirconia or lithium disilicate. Indications for a crown include cracked teeth, root canal treated teeth, extensive loss of tooth structure or severely worn down teeth. A crown is fabricated over 2 visits. During the first visit, the tooth is reduced to provide space for the crown to fit over it. An accurate impression is taken and sent to the lab for fabrication. A temporary crown made of a softer acrylic material and cemented with a soft cement. It acts to protect the tooth until the permanent crown is ready to be cemented.

FEES

Fees

Please refer to our Fee Schedule, Payment Modes and Schemes page for more information.

FREQUENTLY ASKED QUESTIONS

DENTAL BRIDGES

Your teeth next to the missing teeth must be in good health and you have healthy gums. If healthy adjacent teeth are not available, a dental implant may be a better alternative. Sometimes, root canal treatment may be recommended when there is extensive tooth decay.
It usually takes 2 visits to complete this procedure. During your first visit, our dentist will assess if the teeth next to the missing teeth are in good health. About 1 mm of tooth structure is removed from the supporting teeth and an impression of the teeth is taken to fabricate the bridge. While the bridge is being fabricated, a temporary bridge is cemented to the adjacent teeth to protect the supporting teeth. During your second visit, the temporary bridge is removed and the bridge is cemented permanently to the natural teeth either side of the space left by the missing tooth and a pontic (false tooth) replaces the lost tooth. The whole procedure can be completed between 3 to 7 days.
You can resume normal daily activities within a few hours.
Local anaesthesia is used to numb the gum before the procedure to minimize painful sensations. After the procedure, you should not feel any pain or discomfort. You may experience mild sensitivity to extreme hot or cold temperatures in the mouth for a few weeks after the bridge is attached.
Careful daily brushing and flossing all areas around the bridge are essential. It is necessary to use a special type of floss called “Superfloss” to go underneath the pontic and keep the gum tissue healthy. Maintain regular dental check-ups every 6 months.
With proper care, bridges can last at least 8 to 10 years.
Leaving gaps untreated can lead to further deterioration of your oral health. Gum disease and tooth decay are more likely to occur. In addition, empty spaces may cause the teeth to shift out of their proper position. Some people may have difficulty in chewing and speaking when they have missing teeth. These can be overcome with a bridge.
Unlike a denture which you can remove to clean, bridges are cemented to your teeth and cannot be removed.

DENTAL CROWNS

It usually takes 2 visits to complete this procedure, assuming that root canal treatment is not required. At the first visit, the dentist will assess if you need to have a root canal treatment on the tooth. Root canal treatment is recommended where there is extensive decay or risk of infection or injury to the tooth’s pulp. About 1mm of the tooth is trimmed to make space for the final crown. An impression is taken along with a record of the tooth shade for fabrication in the laboratory. A temporary crown is placed on the prepared tooth. On the second visit, the temporary crown is removed and the final crown is tried to ensure excellent fit and aesthetic. After the try-in, the final crown is cemented onto the tooth permanently.
You can resume normal daily activities within 2 hours. Normal eating can be resumed almost immediately.
Local anaesthesia is used to numb the gum before we start work on the tooth. This should minimize painful sensations. You should not feel any pain or discomfort after the procedure. However, if your tooth has not undergone root canal treatment, you may experience some mild sensitivity. It is crucial to take the prescribed medication.
With proper daily home care and regular dental check-up, crowns can last between 8 to 12 years. Clean between your crowns and teeth and floss to remove plaque from the crown area where the gum meets the tooth.
Crowns are indicated when there is a need to strengthen teeth that are mechanically weakened. If a tooth has part of its structure damaged by decay or fracture, crowns are the best treatment as they can restore teeth to their normal shape and size. If a tooth is cracked, the crown holds the tooth together. Veneers are thin porcelain coverings that are bonded onto the tooth exterior. Both crowns and veneers may be used for modifying colours or position of teeth. The gums around the teeth must be good health before crowns and veneer treatments. Crowns or veneers cannot treat gum problems. Consult a dentist to assess whether crowns or veneers are suitable for you and whether you need to address any existing gum problems.
Temporary dental crowns are used as a short-term fix until a permanent crown is ready to be fitted on the tooth. When you have a temporary crown, avoid sticky, chewy and hard food which could dislodge or break the crown. Minimize use of the side of your mouth with the temporary crown. Try to chew more on the other side of your mouth.
In the past, metal was the main material used to make crowns and this often shows through, creating a dark edge. Now, crowns are made of high quality porcelain which blends seamlessly with your natural teeth.

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