Removable appliance is an appliance that is not fixed to teeth but can be removed by the patient. It usually contains spring, screws, clasps and acrylic base plate. This appliance is often used in situation whereby simple teeth movement are needed only and it can allow patients to perform better oral hygiene by removing it. However, this appliance requires compliance from the patient to wear it.
Fixed Appliance
Fixed appliance is probably the most common type of orthodontic appliances in use today. They consist of small brackets that are attached onto the front surface of the teeth and a thin wire which is often held in place by elastic loops.This appliance allows multiple tooth movements simultaneously and more effectively as compared to removable appliance. The treatment usually lasts from 6 months to 30 months depending upon the severity of the problem. It is very important to maintain an excellent oral hygiene and dental health throughout the orthodontic treatment
It is recommended that every child has an introductory dental visit within 6 months of eruption of their first tooth. As parents, you might think this is too early- even more so when there is no “problem” with your child’s teeth yet. However, starting dental visits early has many advantages:
We can assess each child’s risk of developing tooth decay.
We can suggest preventive steps that is special to each child’s needs
We can have the opportunity to show your child that dental visits can be fun, hence reducing chances of dental anxiety in the future
Quite often, it is a child’s first visit to the dental clinic but he/she is having pain. We understand that it can be stressful and anxious for both parent and the child. For younger children, parents can be present in the treatment room. For older children, it is best that we can see the child by themselves, but if parents are not comfortable with that, parents can be passive observers- allowing us a chance to interact and explain in simple terms that your child can understand. Many studies have shown that when parents are anxious themselves, their child will also tend to be anxious as well.
Depending on the your child’s reaction to his/her dental visit and what treatment needs to be done, we will try our best to provide your child with the best care possible. It is however important for parents to understand that treatment should not be forced or rushed onto a child. We understand that parents are busy and prefer treatment to be done all in a single visit, but it takes a lot of patience and time for us to build a trusting relationship and bond with your child. This is how dental visits can become stress free and fun for your child.
Our services includes
Standard Cleanings and Check ups
The care we provide is the best we can for each child. This means that the cleaning frequency we recommend can vary from individual to individual. Your child might benefit from cleanings every 3 months, or every 6 months.
What happens during a standard cleaning and check up?
A standard dental examination
Scaling, polishing and flossing
Dental x-rays (if needed)
Fluoride varnish treatment
Fluoride Varnish Treatment
What is Fluoride? Fluoride helps to strengthen teeth and prevent decay. It is also able to remineralise teeth that have early decay (seen as white patches on teeth). Fluoride can be found in fluoridated toothpaste, and are available in various amounts and concentrations.
Fluoride varnish contains a higher than normal amount of fluoride and it comes in the form of a thick sticky paste that adheres to teeth to minimise swallowing. It is very well tolerated as well. Varnish is proven in many ways to slow, stop and even reverse the formation of cavities. Everyone is at risk of developing cavities, from the young infants to young kids to teenagers. Here are some risk factors:
Infants still bottle feeding past one year of age.
Infants sleeping with a bottle containing liquids other than water (eg. milk, juices, sweetened drinks like Milo)
Frequent breastfeeding without proper mouth cleaning afterwards, especially at night
Constant consumption of sugary or starchy foods and beverages
Dental history of cavities
Developmental disabilities
Application of Fluoride Varnish
Fluoride varnish may be unfamiliar to many patients, so here are some information for parents and children:
It will make your child’s teeth look dull and yellowish when leaving the dentist. Their teeth will return to normal as the varnish wears off, usually in 1 day.
In order for the varnish to have the most benefit, it needs to remain adhered to the teeth for as long as possible. For that, your child should not brush or floss until the next morning.
To prevent early removal of the varnish, avoid abrasive or hard foods for the rest of the day. Soft diet is ideal for the day.
Fluoride varnish should be done every 6 months for most children. For children who have a higher risk of cavities, we may recommend 3-monthly application of fluoride varnish.
Tooth coloured fillings
Tooth Colour Fillings
These are white fillings that look beautiful and blend in with the natural color of the tooth. Placement of fillings is fairly quick and easy. First the decayed part of the tooth is cleaned and removed, then the tooth is dried and filled.
Happy Gas
What is Happy Gas? Happy Gas is also known as nitrous oxide/ laughing gas. In our clinic, we use it as a mild analgesic. It works by filling the patient with a feeling of happiness, which helps them feel relaxed and less anxious about dental treatment.
How do we use Happy Gas? We apply the gas through a tube and nose piece that fits over your child’s nose. All he/she has to do is breathe through his/her nose
Why use Happy Gas? Happy Gas is fast acting and wears off quickly. Its effects can be felt within 5 minutes, and when the gas flow stops, those effects wear off within another 5 minutes of breathing oxygen. It is safe, easy to use and can be adjusted easily for your child’s comfort. The only thing that stops it is a stuffy nose. If your child can’t breathe through his/her nose, it won’t work.Children’s Primary Teeth
If you are thinking of straightening out your teeth but not looking forward to having fixed metal braces on your teeth, we can help you achieve that with Invisalign at Prestige Dental Care!
Invisalign — A custom-fitted aligner
Invisalign is a set of custom-fitted aligners that fit over your teeth that slowly pull all your teeth into alignment. With Invisalign, you will be given a set of custom-made aligner trays that are made of BPA-free thermoplastic material.
They are removable, flexible, smooth and almost invisible- this means that you can remove your aligners while eating, avoid the painful monthly tightening needed for metal braces, and the best yet: you no longer have to put up with having ulcers or metal wires poking into your sensitive mouth tissues, or getting food in your braces and subsequently bad odour from areas that are difficult to be cleaned.
How is it done?
At Prestige Dental Care, we will examine your teeth and take the necessary records needed before starting treatment, such as: photos of your teeth and facial profile and dental X-rays. Our clinic is also equipped with the 3-shape intra-oral scanner. Unlike traditional methods of taking moulds of teeth, we use this intra-oral scanner to take digital pictures of your teeth which gives our dentists a very high definition, 3D image of your smile and teeth. This can then be used to custom make your aligners very accurately.
In interceptive orthodontics , we identify and treat crooked teeth as soon as they are detected. According to the American Academy of Orthodontics, all children should have an orthodontic assessment no later than 7 years old.
How is interceptive orthodontics done?
Every child’s condition is different and treatment will be different too. Treatment can be done with at least ONE or a combination of the following:
Removable appliances (eg. expansion screws, springs, labial bows)
Oromyofunctional therapy ( Myobrace + oral exercises to train good oral posture. Read below for more information on oro-myofunctional therapy)
Braces (Depending on suitability, braces can be started earlier to gain more space for teeth in the jaws hence avoiding the need for pulling teeth out in the future)
1. Upper removable appliances (URA)
As it’s name implies, this treatment typically uses a plastic appliance that can be worn on and removed from the teeth. There are many types of removable appliances available and they are custom made according the child’s teeth. Often, we use springs or expansion screws to move teeth. Below are some examples of removable appliances.
2. Oro-Myofunctional Therapy (OMT)
How does Oro-Myofunctional Therapy (OMT) work? OMT is a pre-braces treatment suitable only for growing children. The treatment aims to improve growing children’s cranial and jaw development by treating the underlying causes of crooked teeth and poor oral posture.
OMT can also improve a child’s general health and prevent Sleep Breathing Disorders.
This treatment involves using a series of removable intra-oral appliances (Myobrace) that are worn for 1-2 hours each day plus overnight while sleeping.
OMT also requires a child to do several oral exercises to train the strength of their lips and tongue and improve their nasal breathing. These exercises are very fun and parents are encouraged to get involved too!
The intra-oral appliance works by correcting poor oral habits that cause negative impacts on the development of face, jaws and teeth, such as mouth breathing, incorrect tongue position, thumb sucking, bottle feeding and swallowing incorrectly.
What Causes Crooked Teeth?
Many Malaysian children are growing up with crooked teeth. This is evidence of poor development of craniofacial structures. Traditional orthodontic treatment such as extractions and braces after waiting for all permanent teeth to come through actually focus on moving teeth without treating the underlying cause for crooked teeth.
Modern research has shown that crowded teeth, incorrect jaw development and other orthodontic problems are not caused by big teeth and small jaws or genetic factors. Rather, it is due to poor myofunctional habits (poor oral habits) like mouth breathing, tongue thrusting, reverse swallowing and thumb sucking that can be evident since the first years of life.
The craniofacial structures develop correctly only when children have the following 4 patterns for straight teeth:
1. Lips together at rest
2. Tongue resting at the roof of the mouth
3. Breathing through the nose (NOT the mouth!)
4. Correct swallowing method (No lip/cheek movement)
Here at Prestige Dental Care, we provide early intervention options for children that improve the underlying cause of crooked teeth with Oro-Myofunctional therapy.
What Oro-Myofunctional therapy does:
Corrects poor oral habits
Develops & aligns the jaws
Straightens the teeth
Optimises facial development
Improves overall health
Promotes healthy eating habits
How does it do this?
By helping the child:
Breathe through the nose
Swallow correctly
Correct his/her tongue posture
Keep lips together
Oro-MyoFunctional Training Exercises
How to wear MyoBrace Appliance/MRC Trainer?
Training 1 (Resting position, Correct Swallow, Breathing awareness)
Training 2 (Drinking, Paces, Remembering game)
Training 3 (Lip training, Continuous drinking, Nose opening)
Valplast® is a type of flexible, nylon resin that is developed for the use in flexible removable denture. Valplast® Flexible Partials were invented in the early 1950’s as an alternative to traditional metal and acrylic removable partial dentures (RPD’s). By using a flexible nylon base, Valplast® eliminates the need for metal frameworks or acrylic resins for the construction of removable partial dentures.
Tooth Replacement Options
When you’re ready to replace missing teeth, you have a number of potential solutions available, each with its own set of advantages and disadvantages. Replacing your missing teeth is a big decision and it is important to consider several factors.
Comfort
When considering a removable partial denture, many people find the Valplast® Flexible Partials to be the most comfortable option, and the final restoration can be made very quickly. While the cost is often higher than a partial made with visible clasps, the results of the flexible partial are beautiful, and patient satisfaction is very high. The Valplast® Flexible Partials involves only non-invasive procedures, and gives you confidence in your restoration while talking, eating and most importantly: smiling.
Aesthetic
If you can’t bear the thought of visible metal clasps or a series of temporaries that change with each appointment, Valplast® Flexible Partials is an option that looks very natural and will stay beautiful and comfortable for years to come. Even fixed restorations that look good at first could deteriorate over time due to gum recession or changes in your mouth.
Valplast Denture can be flexed
Longevity
Denture acrylics and metal alloys may be prone to breakage and fracture over the course of time. Valplast® Flexible Partials come with a lifetime warranty against breakage and fracture for the denture base under normal use. Valplast® Flexible Partials can also be rebase and have teeth added to it if modifications are necessary over time.
Expense
If cost is your primary consideration, removable restorations are the more affortable solution, Valplast® combines great value with excellent aesthetic that often rival the appearance of more expensive fixed restorations.
Duo:PCH is a Porcelain Composite Hybrid is an entirely new esthetics category, combining the convenience of a composite build-up with the finishing beauty of Cerinate ® porcelain. Formerly known as Lumineers, they are much more simple and affordable as compared with the conventional porcelain veneers.
Porcelain veneers in Duo:PCH ™ comes with different shape and size that allow the dentist to mix and match veneer to patient’s tooth. And finally, the veneers are bonded to the teeth using strong resin composite material.
The set of duoPCH consist of the composite resin bonding part and the porcelain veneer selection part.The porcelain veneer selection partVariety of shape and size for fitting of porcelain veneer to patient month.The Cerinate ® porcelain veneers.The bonding part of Duo:PCH ™ with multiple shade/colour selection.
Our case with Duo:PCH ™
This young lady complaint about her teeth discolouration due to tetracycline staining.
Six veneers were placed over the front surface of the incisors and canine.
End result… The lip at rest and smiling.
Traditional porcelain veneers vs Direct Porcelain Veneer –Duo:PCH ™ (or formerlly known as Lumineers)
Once referred to as Lumineers, Duo:PCH ™ are a special type of veneers that can be applied over teeth to repair small cracks or chips, hide discoloration or correct imperfections. Just like traditional veneers, Duo:PCH ™ can reshape the appearance of your smile. The main difference between Duo:PCH ™ and standard porcelain veneers concerns the material used to create them. Duo:PCH ™ are manufactured from a special porcelain – patented Cerinate porcelain – that is much thinner than the porcelain that is used in the making of traditional veneers. The thickness of Duo:PCH ™ is similar to that of contact lenses. While veneers placement is normally a irreversible procedure, with Duo:PCH ™ the procedure is so less invasive that it may often be reversible.
The main benefit of choosing Duo:PCH ™ is that they require minimal – if any – grinding or shaving so your natural teeth will pretty much be left intact. Traditional veneers require more tooth reduction and many patients are not convinced they want veneers for ever. Duo:PCH ™ are more suitable for patients who only wish to try dental veneers for a short period of time. Patients with serious problems however tend to prefer traditional porcelain veneers. Duo:PCH ™ are a great solution for slightly misaligned, stained, discolored or chipped teeth. Make sure you find an experienced cosmetic dentist who can properly place your Duo:PCH ™. You can easily switch from Duo:PCH ™ to traditional veneers whenever you consider yourself ready for a more permanent solution to your smile problem.
Duo:PCH ™ Gives More Patients the Choice of a New Smile
Not every patient can afford veneers, especially in today’s economy. Until now, there hasn’t been a more affordable solution that you can stand behind clinically. Duo:PCH changes that.
Cerinate ® porcelain
Duo:PCH Porcelain Composite Hybrid is an entirely new esthetics category, combining the convenience of a composite build-up with the finishing beauty of Cerinate ® porcelain.
Periodontium is the tissue that immediately surrounds and supports the teeth. It consists of alveolar bone, periosteum, periodontal ligament, gingival sulcus, and gingiva; each of these components contributes to stabilizing the tooth within the jaws.
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If you have any question, don’t hesitate to contact us, we are more than glad to provide you with the information you need!
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