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.
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.
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 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.
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.