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What Are Wisdom Teeth? When Do I Remove Them?

What Are Wisdom Teeth? When Do I Remove Them?

Wisdom teeth are the third and final set of molars that most people get in their late teens or early twenties. The term wisdom teeth is used because they come through at a more mature age. Anthropologists believe that wisdom teeth were evolution’s response to our ancestors’ early diet of rough foods such as roots, nuts, and meats that require serious chewing power. They can be very useful to the mouth when healthy and properly aligned, but more often, they are misaligned and require removal. The jawbone, adjacent teeth and nerves can be damaged by poor alignment of wisdom teeth.

Wisdom teeth can also be impacted. This means that they are implanted within the soft tissue or the jawbone or only partially rupture through the gum. Partially-ruptured wisdom teeth can give bacteria a place to enter the gums and create a place for infections to occur. This may also lead to pain and swelling of the jaw. It is very easy for oral infections to enter the blood stream and affect the entire body.

Impacted wisdom teeth tend to develop cysts (pockets of fluid) around them, which can damage the tooth and neighboring tissues including bone.

REMOVAL OF WISDOM TEETH

The stage of development and the position of the wisdom tooth are factors that determine the ease at which a dentist or oral surgeon can extract them. A wisdom tooth that is fully erupted can be removed as easily as other teeth. However, incision into the gums and then removal of the portion of bone that lies over the tooth is required for wisdom tooth that is implanted in the jawbone.
During the procedure, one of these three types of anesthesia can be used and it’s dependent on the expected complexity of the wisdom tooth extraction. These anesthesias include:

1. Sedation anesthesia:

This is administered through an intravenous (IV) line in the arm. The patient won’t feel any pain and will have little memory of the procedure. The patient might sleep during the procedure and will also receive local anesthesia to numb the gum during the whole procedure.

2. Local anesthesia:

This anesthesia is administered near the site of the extraction. It numbs the gum. The patient remains sedated through the extraction of the tooth.

3. General anesthesia:

The patient will either get drugs through a vein or breathe gas in through a mask. The patient will be asleep the whole time and might not wake up for an hour or so after the surgery.

In the procedure, the dentist makes a cut in the gum to expose the tooth and the bone. He removes the bone that blocks the tooth, removes the tooth and cleans the site of the removed tooth of any debris from the tooth or bone. After cleaning the site then he’ll stitch the wounds so they heal quickly. To soak up blood he may also stuff gauze pads in the mouth of his patient.
After the procedure the patient is taken to the recovery room if sedation anesthesia or general anesthesia was given.

Things that should be done after the extraction are:

  • Gently open and close your mouth to exercise your jaw.
  • Take the drugs prescribed by the dentist to reduce pain or swelling.
  • Eat soft foods.
  • Brushing should be started on the second day and avoid brushing against any blood clot.
  • Visit the dentist if the pain or swelling doesn’t improve.
  • Things to avoid after extraction include:
    1. Avoid eating hard, crunchy, or sticky foods that may scratch your wounds.
    2. Avoid smoke. Smoking as it impedes healing.
    3. Avoid drinking through a straw. Sucking may loosen blood clots.

Considering Wisdom Tooth Surgery?

Book an Appointment With Dr Kenneth Siah Today!

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About the Author

Dr Kenneth Siah’s professional interests lie in the diagnosis and management of cracked teeth, implants and wisdom teeth removal. He credits his love for surgery stemming from the nurturing attitudes of his mentors.

Dr Kenneth Siah

Partner Dental Surgeon, NoFrills Dental

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Dental Implants – Are They Really Worth The Money?

Dental Implants – Are They Really Worth The Money?

What Are They?

Despite improvements in dental care, millions of people still suffer tooth loss either due to tooth decay, periodontal disease, or injury/accidents. For many years, the only treatment options available for people with missing teeth were dental bridges and dentures. But, today, dental implants are available. A dental implant is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge. Dental implants may be an option for people who have lost their teeth due to periodontal disease, an injury, or some other reason. Dental Implants are made of special biomaterials that are surgically placed in the jawbone under your gum line. After a few months the implant becomes anchored to the surrounding bone.

This dental implant can be used to stabilize dentures and bridges, and to replace just one tooth, or to rebuild an entire jaw of missing teeth. The best part is that they look and feel just like natural teeth. Dental implants are the next best thing for a healthy, natural, strong and stable teeth. A dental implant restores a lost tooth so that it looks, feels, fits and functions like a natural tooth when implanted by an experienced implant dentist.

Types Of Dental Implants

1. Endosteal (in the bone): This is the most commonly used type of implant. The various types include screws, cylinders or blades surgically placed into the jawbone. Each implant holds one or more prosthetic teeth. This type of implant is generally used as an alternative for patients with bridges or removable dentures.

2. Subperiosteal (on the bone): These are placed on top of the jaw with the metal framework’s posts protruding through the gum to hold the prosthesis. These types of implants are used for patients who are unable to wear conventional dentures and who have minimal bone height.

Advantages Of Dental Implants

1. Dental implants are built to last. That makes them the best long-term, cost-effective solution. Traditional, tooth-supported dental bridges only last five to seven years, and with proper care often more than 10 years, but at some point they may need to be replaced.

2. Dental implants allows one to enjoy life without worrying about the teeth. There is no need to stay cooped up at home or feel uncomfortable in public and be embarrassed because smiles might look and feel different.

3. Without teeth, face can sag and appear sunken and sad, but dental implants will come in to help maintain the natural shape of one’s face and smile.

4. Dental implants help protect the healthy bone because leaving empty spaces in the mouth after losing one or more teeth can lead to additional health issues. Therefore these implants help seal the gate for bacteria and infectioncausing organisms.

5. Dental implants protect the healthy bone; Leaving empty spaces in the mouth after losing one or more teeth can lead to additional health issues, therefore these implants help seal the gate for bacteria and infection causing organisms.

6. Cavities cannot occur in an implant-restored tooth or replacement tooth; however, one will have to care for the implants by visiting the dentist as scheduled, cleaning and caring for the implants, the gums and the mouth every day.

7. Dental implants are more predictable than other teeth replacement methods. According to implant dentists, it has a track record of reliable, long-term successful outcomes and is often considered “more predictable” than other teeth replacement methods.

How much do a Dental Implants cost?

Dental Implants at our clinics typically start from $2,500 per implant tooth (Regardless of Upper or Lower). Depending on the type/brand of implant which is used and the complexity of the case, the price of the implant may increase accordingly. Each implanted tooth is Medisave claimable up to a maximum of $1,250 ($900 for Implant Surgery & $350 for Consumables, etc.) as per MOH Guidelines.

At our clinics we use 4 different Brand’s of implants namely, Dentium, Ostemm, Bicon and Straumann. Prices quoted include all disposables & xrays required, implant parts, surgery, dental crowns, and consultations. For flexible payment plans, please contact us to learn more. 

In Summary

Although dental implants may be a more costly option as compared to dental bridges or dentures. The results and benefits attributed with dental implants are a lot more favourable as compared to alternatives. 

Considering Dental Implants?

Book an Appointment With Dr Kenneth Siah Today!

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About the Author

Dr Kenneth Siah’s professional interests lie in the diagnosis and management of cracked teeth, implants and wisdom teeth removal. He credits his love for surgery stemming from the nurturing attitudes of his mentors.

Dr Kenneth Siah

Partner Dental Surgeon, NoFrills Dental

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Invisalign Clear Aligner Treatment

Invisalign Clear Aligner Treatment

What is Invisalign Treatment?

Invisalign treatment is a modern approach to straightening teeth, using a custom-made series of transparent, medical-grade plastic dental braces created for you and only you. The aligners are virtually invisible and fit comfortably over your teeth. Each aligner moves your teeth slightly, moving them horizontally and vertically and even rotating them when required. Changing the next set of aligners make your teeth move into position. It is ideal for image-conscious teens and adults who want straighter teeth but will not consider metal braces. This is because they are transparent and therefore unnoticeable. Virtually no one will notice that you are straightening your teeth. They are strong and comfortable to wear because of their flexibility, and you can easily maintain good oral hygiene while wearing Invisalign clear aligners because they are removable.

The following dental issues can be treated with Invisalign:

Overcrowded

This is when there isn’t enough room within the jaw for all the teeth to fit normally. Overly crowded teeth can cause dental decay, increase the chances of gum disease and can inhibit the normal function of teeth. It can be treated with Invisalign clear aligners over a period of six to eighteen months, or longer depending on individual’s dental condition.

Overbite

This is a situation when the upper teeth overlaps the lower teeth too much. Not only is this a cosmetic issue, but it can lead to health problems later in life. This dental issue can be corrected using Invisalign clear aligners.

Underbite

It is when the lower teeth protrude past the front teeth. It’s usually caused by undergrowth of the upper jaw, overgrowth of the lower jaw, or both. It can lead to tooth wear and also causes painful jaw and joint pain. This disorder can also be corrected using Invisalign clear aligners.

Open Bite

This is when the teeth is abnormally spaced and very far apart, while this might just seem unattractive, spacing issues in teeth can also cause some periodontal diseases. It can also be corrected with Invisalign clear aligners.

TREATMENT PROCESS:

The patient has to meet with several experienced dentists to find the one he is most comfortable with. During consultation, the dentist will discuss the patients’ needs and evaluate whether Invisalign treatment is right for him/her. After that the dentist will use a scanner to create fast, precise 3D digital images of the patient’s teeth. In some cases, dentists take physical impression.

Then the dentist will map out a treatment plan that includes the movement of teeth and how long the treatment will be.

Custom-made clear aligners will then be made & delivered to the clinic in about 4 weeks time from the date of treatment plan confirmation. Patients are advised to wear their Invisalign clear aligners for 20 to 22 hours a day for the best results, removing them only to eat and to brush and floss. Through the progression of each aligner that patients wear. Patients’ teeth will gently and gradually shift into place. At every stage, patients will be able to see notice some progress.

Living with Invisalign clear aligners has a minimal impact on the patient’s day-to-day life. The patient can simply brush and rinse the Invisalign in lukewarm water. Patients can easily remove the clear aligner during meals. This means they can continue to eat all the foods they love without any restrictions or worrying about food getting stuck in their wires and brackets. They can go about their daily activities without the worry of sharp brackets cutting their mouth and causing pain.

Considering Invisalign Treatment?

Book an Appointment With Dr Kenneth Siah Today!

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About the Author

Dr Kenneth Siah’s professional interests lie in the diagnosis and management of cracked teeth, implants and wisdom teeth removal. He credits his love for surgery stemming from the nurturing attitudes of his mentors.

Dr Kenneth Siah

Partner Dental Surgeon, NoFrills Dental

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101 Of Teeth Whitening Treatment – Everything You’ll Need To Know

101 Of Teeth Whitening Treatment – Everything You’ll Need To Know

The Importance of Smiling

Smiling is an important social asset. An attractive smile makes a person more appealing to members of the opposite sex. Some people feel an unattractive smile can hinder a person’s career opportunity. In our society today, many people suffer from dental discolouration to varying degrees. Even those with good oral hygiene are not spared from dental discolouration.

Just as there are several ways to lighten or brighten teeth, there are also many different ways for teeth to be discoloured. The main causes of dental discolouration are genetics, antibiotics, and certain foods, plus teeth tend to darken as we age.

Teeth whitening is suitable for a wide range of patients because it is a low-risk process. Many people want to achieve a sparkling smile but the process can’t be performed on some patients. There are certain factors that impede patients from being good candidates for treatment.

These factors include:

  • Patients with severe tooth sensitivity: It is not advisable to perform a teeth whitening treatment on a patient with severe tooth sensitivity because whitening may infuriate these conditions.
  • Patients with internal stains: internal stains (intrinsic stains)are discolouration that results from a “dead” tooth. Internal stains affect the underlying layers of the tooth. For this reason, teeth whitening is most effective on teeth with external stains.
  • Patients with restorations: Restorative material does not respond to bleaching agents. A patient that wears restoration will need to replace his or her restoration if he or she wants teeth whitening. When starting any dental treatment, a patient has to consult his or her dentist to decide whether teeth whitening will be effective on him or her. The dentist starts with the examination of the patient’s teeth and gum and the patient has to discuss his or her lifestyle, likely outcome, goals, budget and lifestyle. With this information, the dentist can help his patient decide the type of teeth whitening that is right for him. Finally, the dentist is expected to perform shade analysis.

When in search of a way to brighten your smile, there are several options to pick from which includes: 

IN OFFICE TEETH WHITENING – In-office care usually offers the most dramatic results. It is the preferred whitening method because even though stronger agents are applied, the rest of the mouth is protected from these materials. The patient’s teeth can indisputably brighten up to 10 shades in about an hour. The dentist uses whitening gel with a much stronger concentration of peroxide. Many dentists use specially formatted lights to achieve superlative results. These specially formatted lights activate the gel, allowing the oxygen to penetrate the teeth.

AT-HOME TEETH WHITENING SYSTEM – This type of teeth whitening system is quite affordable, making it an excellent investment in your smile. The gel used has a lower concentration of peroxide than in-office treatment. Therefore, the process will stand little risk for gum sensitivity. The patient is given a custom made whitening tray after choosing this method. He or she is expected to wear the trays for 30 minutes to several hours every day, depending on the dentist’s instructions and the whitening method.

OVER THE COUNTER (OTC) – Over-the-counter methods are the cheapest form of whitening. These methods can include use of toothpastes, gel, rinses, strips and pre-made whitening trays. 

The benefits of teeth whitening are these; patients achieve a whiter smile that looks natural, enhancing their overall facial aesthetic. It brings about high self-esteem. It makes the patient look attractive after the treatment.

Considering Teeth Whitening?

Book an Appointment With Dr Kenneth Siah Today!

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About the Author
Dr Kenneth Siah’s professional interests lie in the diagnosis and management of cracked teeth, implants and wisdom teeth removal. He credits his love for surgery stemming from the nurturing attitudes of his mentors.
Dr Kenneth Siah

Partner Dental Surgeon, NoFrills Dental

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What is Cosmetic Dentistry? Is it Really Worth It?

What is Cosmetic Dentistry? Is it Really Worth It?

What is Cosmetic Dentistry?

Some people still believe dentistry is just a case of filling and taking out teeth. In our society today, many people turn to cosmetic dentistry or aesthetic dentistry as a way of improving their appearance. Cosmetic dentistry is dentistry aimed at creating a positive change to your teeth and to your smile. Cosmetic  treatments can be used to straighten, brighten, reshape and repair teeth. It must complement the overall general and oral health of the patient.

Cosmetic dentistry is not a recognised specialty within the dental profession, it takes years of extensive study and training to be able to perform the many cosmetic dental procedures now available to the highest standards. A cosmetic dentist must have a good eye, a thorough understanding of dental anatomy and a mastery of dental materials. Cosmetic dentistry focuses on improving the appearance of the teeth, mouth and smile and it may also provide restorative benefits.

All cosmetic dentistry treatments enhance  the look of an individual’s teeth. Cosmetic dentistry treatments include:

Teeth whitening

Discolouration takes place in the enamel and can be caused by medication, coffee, tea and cigarettes. It can also discolour as we advance in age. Teeth whitening is a way to lighten up a discoloured teeth and can be performed by the dentist in the office under dental supervision or by using a whitening kit at home.

Bonding

A tooth-coloured material used to fill in gaps or change the colour of teeth. Broken, discoloured or decayed teeth may be repaired or have their appearance corrected using this procedure.It requires very little preparation of the tooth. It can be used to cover the entire outside surface of a tooth to change its colour and shape.

Porcelain Crown

Crowns are also known as caps cover a tooth to restore it to its normal shape and appearance. Crowns have the longest life span of all cosmetic restorations, but are the most time-consuming.

Dental Veneers

They are  thin pieces of porcelain or plastic placed over the front teeth to change the colour or shape of your teeth. They are designed to substitute for tooth enamel and are used to treat some of the same problems as bonding. Veneers have a longer life span and colour stability than bonding.

Tooth Contouring and Reshaping

This procedure is ideal for individuals with normal, healthy teeth but who want subtle changes to their smile. An x-ray is used to evaluate the size and location of the pulp of each tooth to ensure that there’s enough bone between the teeth to support them.

In choosing a cosmetic dentist, the patient should verify that the dentist has taken education courses to keep up with the latest techniques in clinical cosmetic dentistry. The patient has the rights to demand for a ‘before and after’ photos of the treatments the doctor has executed before.

These photos will allow the patient to examine the results of other patients being treated by the dentist to make sure his or her work fits his or her dental needs. The dentist should be able to answer the questions a patient has about the techniques.

Considering Cosmetic Dentistry?

Book an Appointment With Dr Kenneth Siah Today!

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About the Author

Dr Kenneth Siah’s professional interests lie in the diagnosis and management of cracked teeth, implants and wisdom teeth removal. He credits his love for surgery stemming from the nurturing attitudes of his mentors.

Dr Kenneth Siah

Partner Dental Surgeon, NoFrills Dental

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Why do I need a filling? Fillings are treatment for dental decay. When your tooth is decayed, you have a hole inside the tooth which is full of bacteria. This area needs to be cleaned out and filled with a material which stops food from getting in. This in turn stops...

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Preventing Tooth Decay Previously we talked about the formation of dental decay, in this article, let’s look at how we can prevent decay before it even happens. The first big issue here is the sweeties. Don’t the adults always say “too much sweeties will give you bad...

Root Canal Treatment – The Magic Within The Tooth

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Root Canal Treatments Explained: You may have heard about root canal treatment, or nerve treatment. It sounds like a complicated and daunting treatment to have, but is it actually? Root canal treatment may be the most intricate treatment that is almost like working a...