A procedure to correct the gum shape and contour thus improve the smile line. Gingivoplasty surgery is usually done on the upper front teeth (can be up to the premolar region) where the gums here can be seen when smiling.
Most of these gum defects are usually caused by gum diseases (eg. periodontitis). However, in certain cases, the gum recedes due to over brushing or probably just because the gum itself is thin (thin biotype).
In gingivoplasty, a gum graft can be done where the tissue is taken from the roof of the mouth (this is called a graft) and then stitched into place on either side of the tooth that is recessed.
Here, is a case of a young male presented with receded gum due to over brushing…
He didn’t like his teeth and gum for a few aesthetic
The teeth are uneven
The gums on his left are simply too high!!
We found out that he was a right-handed person, using his toothbrush to brush his left teeth too hard!! That causing the gum to shrink upwards.
Secondly, his gums were thin biotype and the previous dentist had over-filled his abrasion cavity with composite preventing the gum from ‘coming down’
Objectives of treatment:
Correct his over-brushing technique
Modified the over-filled composite restoration
Correct the Shape of his teeth
Gum surgery to thicken his thin biotype gum and bring his gum down at the same time
Want to make an appointment with Dr. Joann in SetiaWalk Branch (using WhatsApp)?
Summary about Dr. Joann
Dr Joann Yong received her dental degree in 2011 and obtained her Membership of Faculty of Dental Surgery from the Royal College of Surgeons of Edinburgh, UK in 2014. She then undertook specialty training in orthodontics at the National University of Malaysia and was awarded Doctor of Clinical Dentistry with Distinction in 2020. Dr Joann had served under the Ministry of Health with working experiences at various specialty clinics and hospitals. She is also actively involved in research and has several publications to her name.
Aligning teeth with confidence, bringing a tidy and beautiful smile to her patients is Dr. Joann’s biggest passion.
Dr Eddy Loo is a dental surgeon who has special interest in Endodontics, Orthodontics and Dental Implantology. He obtained his Doctor of Dental Surgery (DDS) from Universiti Sains Malaysia (USM). He completed his compulsory government service and was previously attached to the Oral Maxillofacial Surgery (OMFS) and Pediatric Dentistry department in Hospital Raja Permaisuri Bainun (HRPB) in Ipoh. As an avid learner, he often attends courses and conferences locally and internationally.
He is currently pursuing a 3 years Orthodontic Programme by Dr Derek Mahony which will qualify for a Postgraduate Diploma in Orthodontics from the University of City London Dental School.
With good knowledge and advance technology, Dr. Eddy believes he can provide the best dental treatment for his patient.
Dr. Tham Ru Yueh received her Bachelor of Dental Surgery(BDS) from International Medical University(IMU) in 2015. She then completed her compulsory government service in Ipoh, Perak.
As a general dentist, she is passionate in all aspects of dental care and has a special interest in Restorative dentistry, Endodontics and Dental aesthetics. She strives to provide a painless dental experience for all her patients.
She is currently undergoing a 2 year training programme in Beethoven’s Damon Master Programme. Dr Tham is also an avid learner and regularly attends Continuing Dental Education courses and workshops.
Dr. Janice Ng is a general dental practitioner with special interest in Orthodontics, Aesthetic Dentistry and Implantology. She obtained her Doctor of Dental Surgery degree (DDS) from the National University of Malaysia on 2010. She had completed 3 years government service with Ministry of Health Malaysia before joining private dental clinic.
She had completed AII – UiTM Dental Implantology Continuum 2014 and currently undergoing Beethoven 2 – years Orthodontic Mini Residency Program 2014/15. Creating a stress-free and high quality of dental treatment for all patients through the gentle touch is her goal of practice.
As a firm believer in providing high quality and exceptional dental treatment, Dr. Janice treats her patient with utmost professionalism.
Dr. S. Y. Chong is a general dental practitioner who received her Bachelor of Dental Surgery or BDS degree from University of Malaya in 2008. She has been working as a dental surgeon for more than 4 years in the government health clinics and private clinic with an emphasis on cosmetic and restorative dentistry.
Dr. Chong’s vision for the practice is to provide modern and aesthetic dentistry in a friendly environment. Her goal for Prestige Dental Care is total patient satisfaction. With years of extensive experience and skills, Dr. Chong enjoys bringing compassionate and comprehensive dental care to her patients.
Dr. S. N. Ng is a general dental practitioner. She graduated from University of Malaya in 2003 and has more than 15 years of working experience as a dental surgeon. Her previous working experience includes working as a dental officer in government health clinics and private clinics. She mainly specializes in orthodontics treatment, cosmetic dentistry including teeth whitening/bleaching, aesthetic composite filling, crowns and bridges.
Highly recommended by her patients for being gentle and caring, Dr. Ng always make sure the ultimate comfort of her patients while providing dental care.
Dr. H. W. Ng is an oral & maxillofacial surgeon. He obtained his basic degree as a dental surgeon from University of Malaya in 2001 and become the member of the Faculty of Dental Surgery, The Royal College of Surgeons of England in 2006. He passed his master degree, MClinDent (Oral & Maxillofacial Surgery) from University of Malaya in 2009.
Dr. H. W. Ng has more than 5 years of working experience as a general dental practitioner and he worked as a trainee oral & maxillofacial surgeon in a few centres in Klang valley, namely University Hospital, Hospital Tunku Ampuan Rahimah in Klang and Hospital Kuala Lumpur. Currently, he is the visiting Oral & Maxillofacial Surgeon in Columbia Asia Hospital in Bukit Rimau and Puchong, visiting oral surgeon in a few dental clinics in KL and a part-time lecturer in the Oral & Maxillofacial Surgery Department in Dental Faculty, International Medical University (IMU) in Bukit Jalil.
His fields of interest are cosmetic dentistry, oral rehabilitation, dental implant and orthognathic (corrective jaw) surgery.
Tooth loss is a serious oral health problem that can have a significant effect on overall quality of life, making it difficult to chew or embarrassing to smile. Dental implants are a solution for people who have lost one or more teeth due to periodontal disease, trauma or injury, or other reasons. Implants are artificial tooth roots that are placed into the jaw bone and are used to support the crowns.
Traditionally, a dentist will create impressions of a patient’s teeth and gums. X-ray will also be done in order to get an image of the mouth structures before placing the dental implants free hand. These technique require the dentist’s experience and expertise. Computer guided implant surgery represents a giant step forward in the replacement of teeth with dental implants.
What is Computer guided dental implant surgery?
Computer-guided implant surgery is a great advance in dental implant treatment planning. A computer program, cone-beam CT 3D X-ray and intraoral scanner will be used for planning an accurate position of dental implants. The computer program will combine x-ray images, intraoral scans and cone-beam 3D CT images and translate into a 3D model of the jaw. The dentist will be able to plan the placement of dental implants and determine their optimum position with a high degree of accuracy. A surgical guide will be fabricated by our in house 3D printer for use during implant surgery for accurate placement according to computer planning.
Benefit of computer guided implant surgery:
Reduced Risks Computer-guided implant technology makes it possible to see the anatomical structures of the jaw, teeth, and surrounding tissue, thereby reducing the risks of unexpected complications during surgery as well as allowing the dentist to know exactly where the implant should be placed.
Reduced Surgical Time Because a precise surgical guide is created, there is no guesswork with guided implant surgery. This allows the procedure to be completed faster than traditional dental implant surgery so patients can start the recovery process sooner.
Better Patient Education Computer-guided implant technology is based on detailed scans of the oral structures. These images may be used to explain the dental implant procedure as well as to educate patients about their oral health.
Case Example: Patient of ours requesting for dental implant to replace his lower left first molar tooth.
At Prestige Dental, we are fully equipped with Cone Beam 3D CT X ray machine, Intraoral scanner and 3D printer to fabricate the surgical guides
These computers can also be a valuable tool when it comes to our explanation of how exactly your implants will be placed. The patient will be able to look at clear images, as well as ask any questions.
With the help of computer guided surgery, we able to better pinpoint the exact location within your mouth for each implant, considerably simplifying the overall procedure. As our patient, you can look forward to a less invasiveness procedure, safer with less complications, a shorter recovery time, and an overall process that is much smoother from beginning to end.
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
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
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.
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