Front Aesthetic Fillings with Composite Resin
Case 01
The upper right central incisor was chipped due to fall (above) and it was repaired with composite resin (below) 
BlogNEWS AND DENTAL EDUCATION
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Below are some of the digital radiography images taken for assessment and consultation prior to surgery removal of wisdom teeth in our clinic
The difficulty of the surgery to removal wisdom teeth are relied on a few factors:
- the position of the wisdom tooth – deep impaction, horizontal impaction would be more difficult than the forward or backward tilt of the wisdom teeth
- the number of roots – the more root a wisdom tooth has, the more difficult it is going to be
- the morphology of wisdom teeth – if the crown is big than surgery will be easier, but if the roots are long, slender and curve then it will be more difficult to be removed as compared to short and fat roots
- near to nearby structure – if the root lies in or very near to the nerve canal in the jaw bone then surgery to remove it has to be very careful not to damage the nerve.
- Other factors: mouth opening, cooperation, the level of anxiety, age
Vertical Impaction of Lower Wisdom Teeth
Left lower wisdom tooth was in vertical position, 2 separated roots. Surgical difficulty – simple.
Right lower wisdom tooth (red arrow) was tilted backward (distally impaction), with 2 separated roots. The distal root curve 90 degree. Surgical difficulty – moderate to difficult.
Dear valued customer,
Starting 1st of June 2012, we open every WEDNESDAY
THEREFORE, We’ll open EVERYDAY
OUR Working Hours
- Monday – Friday 10.00am – 7.00pm
- Saturday
10.00am – 6.00pm - Sunday
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Realignment of front upper teeth from this….
to this (below) with full porcelain crown…
…
A case of mal-alignment of teeth treated with fix appliance
A case of mal-alignment of teeth treated with fix appliance
18 months after orthodontic treatment (below)….
Why it is important?
- Improper oral hygiene leads to plaque build-up
- Plaque formation can lead to gingivitis, an early form of gum disease
- If left untreated, gingivitis can progress to periodontitis, a more severe form of gum disease
- Recent evidence indicates that periodontitis is associated with certain medical conditions
That is why it is important for your overall health to understand the importance of good oral hygiene.
Plaque
What is plaque?
- A colourless film of harmful bacteria that sticks to your teeth
- It is constantly form on the tooth surface.
- Combination of saliva, food and fluids produce these deposits that collected on teeth and where teeth and gums meet.
Why prevent it?
- Plaque build-up can lead to gum irritation, gingivitis, periodontal disease, cavities, and even lead to tooth loss
- Plaque build-up may also harden into tartar
Tartar
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Tartar trapped between the teeth and gum Tartar or calculus is a crusty deposite that can trap stains on the teeth and cause discolouration.
- It creates a strong bond to the tooth surface, making it difficult to be remove by using dental floss or brushing
- Tartar formation may also make it more difficult to remove new plaque and bacteria
- Tartar can only be removed with dental scaling by a dental professional
Plaque and Tartar will lead to dental problem such as:
Gingivitis
Periodontitis and tooth loss
Dental Caries
Poor Oral Health Could Mean Poor Overall Health
Oral health is integral to general health – from the Surgeon General’s Report on Oral Health, 2000
What is the association?
- The mouth is directly connected to the body by the bloodstream and the digestive system
- Left untreated, plaque and inflammation can lead to gingivitis
- Untreated gingivitis may progress to periodontitis
- Recent evidence suggests that periodontitis is associated with systemic diseases such as heart disease (eg. heart attack, stroke) and diabeties.
Prevention is better than cure
Daily Oral Care: Cleaning In Between
1. Dental Floss
Step One:
Take about 18 inches (50cm) of floss and loosely wrap most of it around each middle finger (wrapping more around one finger then the other) leaving 2 inches (5cm) of floss in between
Step Two:
With your tumb and index fingers holding the floss taut, gently slide it down between your teeth, while being careful not to snap it down on your gums.
Step Three:
Curve the floss around each tooth in a “C” shape and gently move it up and down the sides of each tooth, including under the gumline
How to floss your teeth – source Mouth Healthy (ADA)
2. Interdental Brushes and Threading Floss
For people with widely spaced teeth, braces, bridges or implants, they may benefit from an interdental toothbrush.
Daily Oral Care: Brushing Teeth
Video: How to brush your teeth – source Health Education England (NHS)
Twice yearly: To visit a dentist for dental check-up & dental scaling
![Consultation01 [1600x1200]](https://prestige-dental-care.com.my/wp-content/uploads/2011/02/Consultation01-1600x1200.jpg)
More info
- Oral Health Matters
- Gum Anatomy
- Gum Disease: Gingivitis
- Gum Disease: Periodontitis
- Gum Disease: Gum bleeding pregnancy
- Gum disease and diabetic
- Gum disease and heart disease
Treatments of gum disease:
- Scaling and polishing
- Air Polishing – A way to eliminate staining due to smoking, coffee or tea
- Root Planning
- Gum Surgery
- Fear of Dental Treatment? How to overcome it..?
Diabetic patients are more likely to develop periodontal disease, which in turn can increase blood sugar and diabetic complications.
People with diabetes are more likely to have periodontal disease than people without diabetes, probably because diabetics are more susceptible to contracting infections. In fact, periodontal disease is often considered the sixth complication of diabetes. Those people who don’t have their diabetes under control are especially at risk.
A study in the Journal of Periodontology found that poorly controlledtype 2 diabetic patients are more likely to develop periodontal disease than well-controlled diabetics are.
Research has emerged that suggests that the relationship between periodontal disease and diabetes goes both ways – periodontal disease may make it more difficult for people who have diabetes to control their blood sugar.
Severe periodontal disease can increase blood sugar, contributing to increased periods of time when the body functions with a high blood sugar. This puts diabetics at increased risk for diabetic complications. Thus, diabetics who have periodontal disease should be treated to eliminate the periodontal infection.
This recommendation is supported by a study reported in the Journal of Periodontology in 1997 involving 113 Pima Indians with both diabetes and periodontal disease. The study found that when their periodontal infections were treated, the management of their diabetes markedly improved.
-Source: perio.org-
More info
- Oral Health Matters
- Gum Anatomy
- Gum Disease: Gingivitis
- Gum Disease: Periodontitis
- Gum Disease: Gum bleeding pregnancy
- Gum disease and diabetic
- Gum disease and heart disease
Treatments of gum disease:
- Scaling and polishing
- Air Polishing – A way to eliminate staining due to smoking, coffee or tea
- Root Planning
- Gum Surgery
- Fear of Dental Treatment? How to overcome it..?
Researchers have found that people with gum disease are almost twice as likely to suffer from coronary artery disease. – American Academy of Periodontology
Heart Disease
Several theories exist to explain the link between periodontal disease and heart disease. One theory is that oral bacteria can affect the heart when they enter the blood stream, attaching to fatty plaques in the coronary arteries (heart blood vessels) and contributing to clot formation. Coronary artery disease is characterized by a thickening of the walls of the coronary arteries due to the buildup of fatty proteins. Blood clots can obstruct normal blood flow, restricting the amount of nutrients and oxygen required for the heart to function properly. This may lead to heart attacks.
Another possibility is that the inflammation caused by periodontal disease increases plaque build up, which may contribute to swelling of the arteries.
Researchers have found that people with periodontal disease are almost twice as likely to suffer from coronary artery disease as those without periodontal disease.
Periodontal disease can also exacerbate existing heart conditions. Patients at risk for infective endocarditis may require antibiotics prior to dental procedures. Your periodontist and cardiologist will be able to determine if your heart condition requires use of antibiotics prior to dental procedures.
Stroke
Additional studies have pointed to a relationship between periodontal disease and stroke. In one study that looked at the causal relationship of oral infection as a risk factor for stroke, people diagnosed with acute cerebrovascular ischemia were found more likely to have an oral infection when compared to those in the control group.
-Source: perio.org-
When you have heart disease, maintaning goor oral health is important. Remember:
- Make sure your dentist and hygienist know you have a heart problem
- Have regular dental checkups
- Maintain good oral health by brushing and flossing twice a day
- Eat healthily, exercise, and if you smoke, quit
More info
- Oral Health Matters
- Gum Anatomy
- Gum Disease: Gingivitis
- Gum Disease: Periodontitis
- Gum Disease: Gum bleeding pregnancy
- Gum disease and diabetic
- Gum disease and heart disease
Treatments of gum disease:
- Scaling and polishing
- Air Polishing – A way to eliminate staining due to smoking, coffee or tea
- Root Planning
- Gum Surgery
- Fear of Dental Treatment? How to overcome it..?
Dental Anxieties, Dental Fear & Dental Phobias
For many individuals, visiting a dental clinic is the worst fear they are going to face. Partly due to the unknown or unexpected procedure that they are going to face which is usually a painful or uncomfortable. Some people might have previous experiences from childhood dental clinics or traumatic dental treatments have left many patients with underlying dental fears and phobias of the dentist, which in turn leads to missed dental appointments, neglected teeth (dentition) and in worse cases dental toothache / dental pain. Regular dental examinations (check-ups) by your dentist will reduce your need for emergency dental treatment and toothache. If you have any concerns or worries about your teeth and gums, make a dental appointment with our team.
Nervous Patients
We in Prestige Dental Care understand how daunting and nerve wracking a trip to the dentist can be, we aim to take our time with you during your dental appointment and hope to allay those fears. We provide a calming atmosphere starting from your welcoming entry into reception, to the relaxing waiting area, stylish surgeries and friendly staff. Within time you can build up a good relationship with your dentist and feel confident in any dental treatment you may require. During your initial appointment with your dental practitioner, you should use this time to discuss your fears and anxieties regarding dental care. Perhaps a certain treatment or procedure makes you feel uneasy, often once the dental surgeon has explained what they are going to do, you can feel reassured and know what to expect. It is often advantageous to agree a stop signal with your dentist, such as the lift of your hand, so the dental practitioner knows when you need a rest during the treatment appointment. For those among us that have a deep set anxiety in relation to dental treatment we offer conscious dental sedation making dental treatment more acceptable.Conscious Dental Sedation
For some people the word dentist does evoke a deep fear and this unfortunately prevents patients from seeking treatment. For our patients we offer conscious dental sedation which alleviates the anxiety associated with dental treatment making it a more tolerable experience.Introduction: What is conscious dental sedation?
By definition, conscious sedation is:
“A technique in which the use of a drug or drugs produces a state of depression of the central nervous system enabling treatment to be carried out, but during which verbal contact with the patient is maintained throughout the period of sedation. The drugs and techniques used to provide conscious sedation for dental treatment should carry a margin of safety wide enough to render loss of consciousness unlikely.”
Conscious dental sedation is a technique used widely in dentistry to help those patients’ with a fear of the dentist. The sedative drug/gas is introduced through inhalation, orally or via a needle in the back of your hand or in your arm, you will become relax, drowsy and unaware of treatment but will still be able to cooperate with your dentist. The sedative drug will not render you unconscious but it will make you very relaxed and you will still be able to understand and cooperate with your dentist. The sedative drug also has amnesic properties so you may not remember your dental visit. Throughout your dental procedure, your dentist will monitor your pulse and your oxygen saturation levels in your blood, these measurements helps the dentist keep an eye on you and makes sure you are alright.Range of Techniques:
Intravenous sedation with midazolam Inhalation sedation with nitrous oxide and oxygen Oral sedation with benzodiazepines/midazolam The majority of anxious or phobic patients can be treated with these techniques or a combination of them. Others may respond better with alternative techniques such as: Intravenous sedation with more than one drug Intravenous sedation with propofol Transmucosal sedation (nasal, sublingual)Some reasons for prescribing sedation:
To treat anxious or phobic patients who would otherwise be denied access to dentistry. To enable an unpleasant procedure to be carried out without distress to the patient. To avoid general anaesthesiaRead More
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