tag:blogger.com,1999:blog-54247726526406574802024-03-15T00:47:18.277+08:00Your journey to a better smile!My dental comments webspace ... just my opinions and information gathered over the many years of working as a Dental Surgeon.Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.comBlogger16125tag:blogger.com,1999:blog-5424772652640657480.post-7779582698845216912013-07-04T14:44:00.000+08:002013-07-04T14:44:46.901+08:00CRACKED TOOTH<div dir="ltr" style="text-align: left;" trbidi="on">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjuSmaxAQLnpff2BRq43-uCiV803vTZ9inxjzx68CdPLL7aIHwo_JF8Dcy2ird7pWdJMs7P8pTEXyCMEJANoP8uP2OoLzANyIcxSkafZYInDo5MyfJGCurTUBVWqVbtlCTrF59Qvg6y-ZU5/s1600/cracked_tooth.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5473354043480927618" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjuSmaxAQLnpff2BRq43-uCiV803vTZ9inxjzx68CdPLL7aIHwo_JF8Dcy2ird7pWdJMs7P8pTEXyCMEJANoP8uP2OoLzANyIcxSkafZYInDo5MyfJGCurTUBVWqVbtlCTrF59Qvg6y-ZU5/s320/cracked_tooth.jpg" style="cursor: pointer; float: left; height: 300px; margin: 0pt 10px 10px 0pt; width: 310px;" /></a>I have been coming across cracked teeth cases very frequently. When a patient presents with a vertical crack line in a otherwise healthy tooth, it is an unfortunate situation because he or she is very likely to lose the tooth.<br />
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< Image courtesy of <a href="http://www.21stcenturydental.com/smith/education/detecting_cracked_tooth_syndrome.htm">www.21stcenturydental.com</a><br />
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<span class="content">Some teeth have cracks that are too small to show up on Xrays. Sometimes the cracks are under the gum. These small cracks are known as "cracked tooth syndrome."</span> <span class="content"> </span><br />
<span class="content">Cracked tooth syndrome is most common in lower back teeth (molars). That's because these teeth absorb most of the forces of chewing.</span><br />
<span class="content"> </span><span class="content"> Some people grind or clench their teeth. These people may be more likely to have cracked tooth syndrome. Sometimes, the way a person's teeth come together can put too much pressure on one tooth. This can cause the teeth to crack.<br />
</span><span class="content"> Teeth with large fillings may be more likely to crack. Teeth that have undergone root canal treatment are weaker than other teeth and also may be more likely to crack. People with one cracked tooth are more likely to have others, either at the same time or in the future. <br />
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<span class="content">The tooth may hurt sometimes when you bite or chew. The sensitivity or pain can be mild or intense. It may be painful only when you eat certain foods or when you bite in a specific way. You will not feel a constant ache, as you would if you had a cavity or <a href="http://www.simplestepsdental.com/SS/ihtSS/r.WSIHW/st.32219/t.25006/pr.3.html">abscess.</a> The tooth may be more sensitive to cold temperatures. </span><span class="content"> </span><br />
<span class="content">If the crack gets bigger, a piece of the tooth can break. You many also develop an infection. This can happen in the gum around the fractured tooth. You may notice a pimple-like bump on the gum near the tooth. This is known as a fistula. </span><br />
<span class="content"> </span><span class="content"> Many people with cracked tooth syndrome have symptoms for months. It is hard to diagnose cracked tooth syndrome because the pain is not predictable. </span><br />
<span class="content">Your mouth and teeth will be examined focusing on the tooth in question. A sharp instrument called an explorer may be used to feel for cracks in the tooth. . You may have X-rays taken. But X-rays often do not show the crack</span><span class="content"></span><span class="content">.<br />A bright light or special stains may be used to detect cracks. Existing restorations may need to be removed to check on crack lines.<br /><br /></span><br />
<span class="content">How long symptoms last depends on how quickly a cracked tooth can be diagnosed. Even after a crack is found, treatment may not completely relieve the symptoms.<br /></span><br />
<span class="content">If you grind or clench your teeth it can increase your risk of cracked tooth syndrome.<br /></span><br />
<span class="content">Treatments for cracked tooth syndrome do not always relieve the symptoms.</span> <span class="content"> </span><br />
<span class="content">Treatment depends on:</span><br />
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<li class="content">How deep it is</li>
<li class="content">How large it is</li>
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<span class="content">Sometimes a crack affects one or more cusps of a tooth. These are the highest points of the tooth. In this case, the tooth may be fixed with a crown. Some cracks affect the pulp: the center of the tooth, where the nerves and blood vessels are. In that case, the tooth will need <a href="http://www.simplestepsdental.com/SS/ihtSS/r.WSIHW/st.31927/t.31927/pr.3.html">root canal</a> treatment.</span><br />
<span class="content"> </span><span class="content"> About 20% of teeth with cracked tooth syndrome will need root canals. After a root canal, the tooth will no longer be sensitive to temperature, but it still will respond to pressure. If you felt pain before the root canal, you may still feel some pain afterward. It probably will not be as intense or as frequent, but it may still occur. <br />
</span> <span class="content"> In some cases, the tooth may need to be removed. Some cracks affect the root of the tooth in the jaw. There's no way to fix this type of crack. If your tooth is removed, you can have it replaced with an <a href="http://www.simplestepsdental.com/SS/ihtSS/r.WSIHW/st.32575/t.32575/pr.3.html">implant</a> or a <a href="http://www.simplestepsdental.com/SS/ihtSS/r.WSIHW/st.31850/t.31912/pr.3.html">bridge</a>.<br />
</span> <span class="content"> A night guard (a plastic bite piece) can be made to prevent you from grinding your teeth. This will relieve the pain from grinding. For some people it can stop tooth sensitivity. The night guard can be worn during sleep. It also can be work at other times if clenching or grinding happens during waking hours as well.<br />
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<span class="content">Treatment of cracked tooth syndrome is not always successful. We talk with patients about what might happen. In some people, a crown will fix the problem. In others, root canal treatment solves the problem. Some people continue to have occasional symptoms after treatment. They may need to have the tooth taken out.</span></div>
Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com0tag:blogger.com,1999:blog-5424772652640657480.post-69521632643851657242009-08-05T18:23:00.002+08:002009-08-05T18:49:34.217+08:00Back to blogging!It has been hectic the past few months. Thus, the long <span class="blsp-spelling-corrected" id="SPELLING_ERROR_0">absence</span> from <span class="blsp-spelling-error" id="SPELLING_ERROR_1">cyber</span>space! Very often I meet anxious parents who are so worried about their little ones' dental and oral condition. They seek treatment hoping that the problems will solved in one visit and no further episodes of pain and discomfort will occur. Parents need to understand that each child is born with his/her own genetic make and the risk factors for dental decay and gum problems differ accordingly. Maintaining balanced diet and good oral hygiene regime are important factors in combating these problems.<br /><br />Parents often have questions about how to take care of their children's teeth. When should you start brushing? What kind of toothpaste is best? When should you go to the dentist? Knowing the answers to these questions can help you keep your kids' teeth healthy and cavity free.<p> Although you don't necessarily need to brush them yet, you should start cleaning your infant's teeth as soon as he gets his first tooth. At first, you can just use a wash cloth to clean your infant's teeth. As he gets more, you can use a soft children's toothbrush.</p><p> Because there is some danger if your child gets too much fluoride, your choice of toothpaste is important. Keep in mind that most brands of kids' toothpaste are fluoridated. They just have different flavors and popular characters on them to make them more fun for children, but that doesn't make it safe for your children to swallow too much of the toothpaste.</p><p> If using a fluoride toothpaste, use a small, pea-size amount of toothpaste, so that there is little danger of your child getting too much fluoride if he swallows it. And begin to encourage your child to spit out the toothpaste at a young age. The other alternative for younger children is to use a non-fluoridated toothpaste.<br /></p><br />The timing of the first visit to the dentist is a little controversial. The American Academy of Pediatric Dentistry states that children should see a dentist when they get their first tooth and not later than 1 year of age. In contrast, according to the American Academy of Pediatrics, unless your child has risk factors for having problems with his teeth, such as sleeping with a cup or bottle, teeth staining, thumb sucking, etc., the first visit to the dentist should be by around the third birthday.<p> However, an early visit to the dentist is a good way to learn proper oral hygiene at an early age, including avoiding nighttime bottles or cups of formula or juice, proper toothbrushing, and a diet that promotes good dental health. You may also want to see a Pediatric dentist early if your child has a medical condition that puts him at risk of having dental problems, such as Down Syndrome.</p>Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com9tag:blogger.com,1999:blog-5424772652640657480.post-18224829308669882032009-04-19T00:17:00.003+08:002009-04-19T00:25:29.264+08:00Root canal treatment<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjxAMQAijd02gtnScosaa64ekSQAbQFNz0iEM7GvSBWQUUKG6gYV8Y8-eoFoB2agC1nfnI1UDbYy9jDOTPhzGn-mDzg00ZvaOFh4Fv8-0GzL-F18CbGSjnpI9tXhMgKLfBK2yVk96BGu6kS/s1600-h/400px-Root_Canal_Illustration_Molar.svg.png"><img style="margin: 0pt 10px 10px 0pt; float: left; cursor: pointer; width: 320px; height: 128px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjxAMQAijd02gtnScosaa64ekSQAbQFNz0iEM7GvSBWQUUKG6gYV8Y8-eoFoB2agC1nfnI1UDbYy9jDOTPhzGn-mDzg00ZvaOFh4Fv8-0GzL-F18CbGSjnpI9tXhMgKLfBK2yVk96BGu6kS/s320/400px-Root_Canal_Illustration_Molar.svg.png" alt="" id="BLOGGER_PHOTO_ID_5326067646643938802" border="0" /></a><br /><p>Saw a nice picture and writeup on rootcanal in <a href="http://en.wikipedia.org/wiki/Root_canal">Wikipedia</a>. Thought it will be nice to share the info:<br /></p><p>A <b>root canal</b> is the space within the root of a tooth. It is part of a naturally occurring space within a tooth that consists of the pulp chamber (within the coronal part of the tooth), the main canal(s), and more intricate anatomical branches that may connect the root canals to each other or to the surface of the root.<br /></p><p>The smaller branches are most frequently found near the root end (apex) but may be encountered anywhere along the root length. There may be one or two main canals within each root. Some teeth have more variable internal anatomy than others. This space is filled with a highly vascularized, loose connective tissue, the dental pulp. The dental pulp is the tissue which forms the dentin portion of the tooth.<br /></p><p>The formation of secondary teeth (adult teeth) is completed by 1-2 years after eruption into the mouth. Once the tooth has reached its final size and shape, the dental pulp's original function ceases for all practical purposes. It takes on a secondary role as a sensory organ.</p> <p><b>Root canal</b> is also a colloquial term for a dental operation, <a href="http://en.wikipedia.org/wiki/Endodontic_therapy" title="Endodontic therapy">endodontic therapy</a>, wherein the pulp is cleaned out, the space disinfected and then filled.</p>Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com2tag:blogger.com,1999:blog-5424772652640657480.post-25261012017239294142009-03-10T21:56:00.000+08:002009-03-10T21:57:05.758+08:00Wow ... absent for so long!!I have been away from my cyberspace for so long!! Just realised it is almost 1 year and need to celbrate my anniversary of absence!!Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com0tag:blogger.com,1999:blog-5424772652640657480.post-47437061790193600792009-03-10T21:55:00.001+08:002009-03-10T22:03:32.508+08:00Methods of tooth whitening<p>Also take from Wikipedia: <a href="http://en.wikipedia.org/wiki/Tooth_whitening">http://en.wikipedia.org/wiki/Tooth_whitening </a><br /></p><p>There are two main methods of gel bleaching--one performed with high-concentration gel, and another with low-concentration agents. High-concentration bleaching can be accomplished either in the dental office, or at home. Performing the procedure at home is accomplished using high-concentration carbamide peroxide which is readily available online or in dental stores, and therefore is more cost-effective than the in-office procedure by many orders of magnitude. Whitening is performed by applying a high concentration of oxidizing agent to the teeth with thin plastic trays, for a short period of time, which produces quick results. The application trays ideally should be well-fitted to retain the bleaching gel, ensuring even and full tooth exposure to the gel. Trays will typically stay on the teeth for about 15-20 minutes. Trays are then removed and the procedure is repeated up to two more times. Most in-office bleaching procedures use a light-cured protective layer that is carefully painted on the gums and papilla (the tips of the gums between the teeth) in order to reduce the risk of chemical burns to the <a href="http://en.wikipedia.org/wiki/Soft_tissue" title="Soft tissue">soft tissues</a>. The bleaching agent is either <a href="http://en.wikipedia.org/wiki/Carbamide_peroxide" title="Carbamide peroxide">carbamide peroxide</a>, which breaks down in the mouth to form <a href="http://en.wikipedia.org/wiki/Hydrogen_peroxide" title="Hydrogen peroxide">hydrogen peroxide</a>, or hydrogen peroxide itself. The bleaching gel typically contains between 10-30% carbamide peroxide (15% is recommended) which is roughly equivalent to 3-10% hydrogen peroxide concentration.</p> <p>Low-concentration whitening is far less effective, and is generally only performed at home. Low-concentration whitening involves purchasing a thin <a href="http://en.wikipedia.org/wiki/Mouthguard" title="Mouthguard">mouthguard</a> or strip that holds a relatively low concentration of oxidizing agent next to the teeth for as long as several hours a day for a period of 5 to 14 days. Results can vary, depending on which application is chosen, with some people achieving whiter teeth in a few days, and others seeing very little results or no results at all. Whitening is potentially better at a dentist because the strip or mouth-guard does not completely conform to the shape of the teeth, sometimes leaving the tips of the teeth (near the gumline) unbleached. The bleaching agent is typically less than 10% hydrogen peroxide equivalent so irritation to the soft tissue around teeth is minimized. Dentists as well as some dental laboratories can fabricate custom fitted whitening trays that will greatly improve the results achieved with an over-the-counter whitening method.</p> <p>A typical course of bleaching can produce dramatic improvements in the cosmetic appearance of most stained teeth however, some stains do not respond to bleaching. Tetracycline staining may require prolonged bleaching, as it takes longer for the bleach to reach the dentine layer. White-spot decalcifications may also be highlighted and become more noticeable. Bleaching is least effective if teeth have white spots, decay or infected gums. It is also least effective when the original tooth color is grayish. Bleaching is most effective with yellow discolored teeth.</p> <p>Laser bleaching, also known as power bleaching, utilizes light energy to accelerate the process of bleaching in a dental office. Different types of energy can be used in this procedure. The ideal source of energy should be high energy to excite the peroxide molecules without overheating the pulp of the tooth, creating an inflammatory response.<sup id="cite_ref-Grace_1-0" class="reference"><a href="http://en.wikipedia.org/wiki/Tooth_whitening#cite_note-Grace-1" title=""><span>[</span>2<span>]</span></a></sup> The use of an <a href="http://en.wikipedia.org/wiki/Argon_laser" title="Argon laser" class="mw-redirect">argon laser</a> to safely and effectively speed up the whitening process is ideal for laser bleaching. The use of an argon laser is preferred over the use of an arc lamp (the traditional dental method of light-activated bleaching) or infrared laser because it does not exhibit any of the heat or UV ray emissions of the arc lamp.<sup id="cite_ref-Grace_1-1" class="reference"><a href="http://en.wikipedia.org/wiki/Tooth_whitening#cite_note-Grace-1" title=""><span>[</span>2<span>]</span></a></sup> Chemical burns, which are occasionally a side-effect of gel bleaching, or heat-induced sensitivity, are not a factor with argon laser whitening.<sup id="cite_ref-Grace_1-2" class="reference"><a href="http://en.wikipedia.org/wiki/Tooth_whitening#cite_note-Grace-1" title=""><span>[</span>2<span>]</span></a></sup> Most laser teeth whitening treatments can be done in approximately 1 hour, in a single visit to a dental physician, (depending on the condition of a person’s teeth).</p>Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com1tag:blogger.com,1999:blog-5424772652640657480.post-55827285977382982392009-03-10T21:48:00.002+08:002009-03-10T22:02:03.340+08:00Whitening ... your million dollar smile!<p>Teeth whitening is becoming an increasingly popular cosmetic "treatment". Who doesn't want a winning smile? ... here is an interesting article for your reading (taken from Wikipedia):<br /></p><p><a href="http://en.wikipedia.org/wiki/Tooth_whitening">http://en.wikipedia.org/wiki/Tooth_whitening</a></p><p><b><span style="color: rgb(255, 102, 102);">THANK YOU TO WIKIPEDIA FOR SUCH A PRECISED WRITE-UP:</span><br /></b></p><p><b>Dental bleaching</b>, also known as <b>tooth whitening</b>, is a common procedure in <a href="http://en.wikipedia.org/wiki/Dentistry" title="Dentistry">general dentistry</a> but most especially in the field of <a href="http://en.wikipedia.org/wiki/Cosmetic_dentistry" title="Cosmetic dentistry">cosmetic dentistry</a>. A child's <a href="http://en.wikipedia.org/wiki/Deciduous_teeth" title="Deciduous teeth">deciduous teeth</a> are generally whiter than the adult teeth that follow. As a person ages the adult teeth often become darker due to changes in the <a href="http://en.wikipedia.org/wiki/Crystal_structure" title="Crystal structure">mineral structure</a> of the tooth, as the <a href="http://en.wikipedia.org/wiki/Tooth_enamel" title="Tooth enamel">enamel</a> becomes less porous. Teeth can also become stained by bacterial pigments, foodstuffs and tobacco. Certain antibiotic medications (like <a href="http://en.wikipedia.org/wiki/Tetracycline" title="Tetracycline">tetracycline</a>) can also lead to teeth stains or a reduction in the brilliance of the enamel.</p> <p>There are two methods to whiten teeth: bleaching gel and laser bleaching. Traditionally, at-home whitening is done with bleaching gel which is applied to the teeth using thin guard trays. Oxidizing agents such as <a href="http://en.wikipedia.org/wiki/Hydrogen_peroxide" title="Hydrogen peroxide">hydrogen peroxide</a> or <a href="http://en.wikipedia.org/wiki/Carbamide_peroxide" title="Carbamide peroxide">carbamide peroxide</a> are utilized to lighten the shade of the tooth. The <a href="http://en.wikipedia.org/wiki/Oxidizing_agent" title="Oxidizing agent">oxidizing agent</a> penetrates the porosities in the rod-like crystal structure of <a href="http://en.wikipedia.org/wiki/Tooth_enamel" title="Tooth enamel">enamel</a> and oxidizes interprismatic stain deposits; over a period of time, the <a href="http://en.wikipedia.org/wiki/Dentin" title="Dentin">dentin</a> layer, lying underneath the enamel, is also bleached. Laser bleaching utilizes light energy to accelerate the process of bleaching in a dental office. The effects of bleaching can last for several months, but may vary depending on the lifestyle of the patient. Factors which will decrease whitening include smoking and the ingestion of dark colored liquids like coffee, tea and red wine.</p> Internal staining of dentin can discolor the teeth from inside out. Internal bleaching can remedy this. If heavy staining or tetracycline damage is present on a patient's teeth, and whitening is ineffective, there are other methods of whitening teeth. Bonding, when a thin coating of composite material is applied to the front of a person's teeth and then cured with a laser can be performed to mask the staining. A <a href="http://en.wikipedia.org/wiki/Veneer" title="Veneer">veneer</a> can also mask tooth discolorationDr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com1tag:blogger.com,1999:blog-5424772652640657480.post-10627466248808705022008-04-26T11:16:00.003+08:002008-12-10T03:17:09.873+08:00Your fear of dentists!<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj4Ol9YhK6700LKS770cS43r4WVq9eqmyzJW2UJVGJHuWksSzbvJNTdxvEFoA4U1BekmT6GUZFeeha7boJo3fyFinKxt7tm8_6qnEDmidlYSK_CLeYPKNl18ZdqBKZMwmfqcbzyzCxN8PJQ/s1600-h/Dentfear.jpg"><img id="BLOGGER_PHOTO_ID_5193389767414337362" style="FLOAT: left; MARGIN: 0px 10px 10px 0px; CURSOR: hand" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj4Ol9YhK6700LKS770cS43r4WVq9eqmyzJW2UJVGJHuWksSzbvJNTdxvEFoA4U1BekmT6GUZFeeha7boJo3fyFinKxt7tm8_6qnEDmidlYSK_CLeYPKNl18ZdqBKZMwmfqcbzyzCxN8PJQ/s200/Dentfear.jpg" border="0" /></a> Many people fear going to the dentist, and this is an absolutely real <span class="blsp-spelling-corrected" id="SPELLING_ERROR_0">syndrome</span> with many adults let alone kids!<br /><br />If we examine our past experiences, we remember on those painful visits we had to the dental clinic as a child and that phobia remains alive for a long time. As we can't see the treatment being done inside our mouth it makes the fear even more "justified".<br /><br /><span style="color:#ff6600;"><strong>HOW CAN WE COMBAT FEAR OF DENTAL TREATMENT?</strong></span><br /><br />Firstly, remember that time has changed. We are now in the 21st century with numerous progress in the dental field. Secondly, we have different equipments, treatment methods and also a wide choice of dentists compared to the 1950s when a "Doktor Gigi" down the street may be the only choice.<br /><br /><span style="color:#ff6600;"><strong>WHAT IS DIFFERENT TODAY?</strong></span><br /><ul><li>Equipment today are more sofisticated. For example, even before you start treatment you can view your intra oral image shown on a large tv screen. This gives you a good look and mentally prepare yourself to what is recommended.</li><li>Time taken to do a filling has been shortened due to more efficient cutting tools that don;t really "cut" your teeth instead just grind away the decay. </li><li>Local anasthesia is always available if you need to eliminate the little discomfort that you feel.</li></ul><p><span style="color:#ff6600;"><strong>WHAT CAN YOU DO ADDRESS YOUR FEAR?</strong></span></p><ol><li>Take time to see at least a few dentists in your area and select one whom you find most comoftable to talk to and to trust your teeth with!</li><li>Use the FREE Dental Checkup months (usually every April) to visit several dentists so that you can evaluate your choices.</li><li>When treatment is necessary allocate time to visit a dentist and DO NOT rush between your appointments.</li><li>Ask for inofrmation on potential pain and discomfort.</li><li>Understand the available options before making your chouce of treatment.</li></ol><p><strong><span style="color:#ff6600;">WHAT TEACH YOUR KIDS?</span></strong></p><p>Bring kids for check ups at an early age before they develop serious decay that requires treatment. Do not wait until there is a serious need. Simple check ups give kids an understanding of oral hygiene.</p><p>Early visits also gives them a better perspective during the young age thus preventing unecessary fear when they grow old.</p>Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com0tag:blogger.com,1999:blog-5424772652640657480.post-57607691727700067612008-04-14T11:27:00.006+08:002008-12-10T03:17:10.174+08:00Why go for a dental check up?Our teeth are among the strongest parts of the human body. And yet we sometimes loose a tooth easily to tiny micro sized bacterias that build their colony on our teeth and "grind away" our teeth surface.<br /><br /><p><img id="BLOGGER_PHOTO_ID_5188939209127401890" style="DISPLAY: block; MARGIN: 0px auto 10px; CURSOR: hand; TEXT-ALIGN: center" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgxOz2ICYE0eahHYEUiR4TWt7DcBgRIjVjzWAPY0CE6g8720xIraK_M4SVIWWZ7kbb1zSLl9S_PthBZ04OGupjv8EzSDP0BzwPOs02PxSxuPpQl89x7Vle1D3PbFJAZpcnt49cZ_YefRRqb/s320/mouth_teeth.jpg" border="0" /><br />Is it easy for us to check our teeth ourselves? Yes we can see from the mirror. But it is not possible to see every pit and corner of our entire teeth structure. </p><p>What a dentist can do is to examine our oral health from several aspects: </p><ul><li>The condition of your gums ... localised swellings, infections, signs of decay et</li><li>The condition of your teeth surface</li><li>Potential decay at the early stages</li><li>Condition of existing fillings, crown and other treatment done previously</li><li>X-ray examination of decay or root treatments</li></ul><p>Most clinics now have <a href="http://www.jdc.com.my/pages/ourfacilities.html">intra-oral cameras </a>in addition to the traditional mouth mirrors. So what you get to see is an enlarged image of your oral condition on a 17-inch LCD screen. This makes it easy for you to understand the actual condition.</p><p align="left"><img id="BLOGGER_PHOTO_ID_5188945930751220146" style="DISPLAY: block; MARGIN: 0px auto 10px; CURSOR: hand; TEXT-ALIGN: center" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhPR78uwXPSSOaCUeV1eVnBJZMt6hyFoGtb1TIh3UzQb8Z3B3bmjoylA19ls1bR5PEsaJweRed6hw2Pq9UcwrCul1VRONHvyoTopt7VvTPM6M56Rpu-TfTkS7dd8Bcx9WFFkQmqVOmeGZXZ/s320/Intra_comp1.jpg" border="0" /></p><p><strong>So what do you get out of this check up?</strong></p><p>You will be able to discuss the issues, possible solutions and the costs. Having done that what if you are still "blur" (undecided) about what you should do? Then have the liberty to go to another dentist for a second opinion.</p><p>Once you have a good idea and decided, then opt for the preferred treatment to correct any problems that may have been detected. All this is very much like your car ... you drive till breakdown and call a tow truck OR you can regularly maintain and have comofrtable usage.</p>Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com1tag:blogger.com,1999:blog-5424772652640657480.post-80543878219747618742008-04-14T11:01:00.005+08:002008-12-10T03:17:10.283+08:00Tooth decay in kids<div align="center"><br /></div><div align="left">Tooth decay is the breakdown of the outer enamel layer causing a cavity (hole) to form. In severe cases the hole may enlarge or deepen until it reaches the inner core of the tooth causing damage to the pulp damaging the nerves.<br /><br />Most of us know that decay is caused by bacteria thriving on sugary stuff left on the tooth after eating sweet food. Kids nowadays consume sugary food in many forms. Other than chocolates and candies, many other food like chilly sauce, tomato sauce and the like has sugar as well.<br /><br />Frequent sugar consumption combined with long periods of leaving the food debris in the mouth is a wonderful situation for “bacteria invasion”. So the solution? <strong><span style="color:#ff0000;">Brush regularly!<br /></span></strong><br />Being children, it is difficult to completely stop them from consuming sweet stuff. What can parents do to help? First, bring them for <strong><span style="color:#3333ff;">checkups at least once every 6 months</span></strong>. This is the very first step towards kids understanding importance of dental care and removing their fear of seeing a dentist.<br /><br />Secondly, keep up the discipline of <span style="color:#3333ff;"><strong>brushing at least twice a day</strong></span>. Never ignore brushing before going to bed!<br /><br />Thirdly, for those who wish to the extra mile, you may also want to consider <span style="color:#3333ff;"><strong><a href="http://www.jdc.com.my/pages/PreventiveTreatments.html">fissure sealant treatment</a></strong></span> for permanent teeth. This is not wise spending for milk teeth as they are non-permanent. But as kids begin to have their permanent teeth, it is best to provide protection to avoid early loss of tooth.<br /><br />You may view this pdf file on fissure sealant (courtesy of the Health Ministry of New Zealand):<br /></div><img id="BLOGGER_PHOTO_ID_5188936958564538770" style="DISPLAY: block; MARGIN: 0px auto 10px; CURSOR: hand; TEXT-ALIGN: center" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhR71rXryMoH5DoTN4ywdb36yqoS8SmFOpymnpqjd7gQMjhBffaM3nYSTKH8BG-aQ9MJoL5GLCMeB_XpcOUDyfguuA2nVNwxQrROzsWPpiZWqEPfpaQ45ARrFpv5pkl1VO1ThmvklLq5paq/s320/HE4930.jpg" border="0" /> <p align="center"><a href="http://www.healthed.govt.nz/uploads/docs/HE4930.pdf">http://www.healthed.govt.nz/uploads/docs/HE4930.pdf</a><br /><br />Some reference on fissure sealant may be found on the British Dental Health Foundation site: <a href="http://www.dentalhealth.org.uk/faqs/leafletdetail.php?LeafletID=32">http://www.dentalhealth.org.uk/faqs/leafletdetail.php?LeafletID=32</a></p>Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com0tag:blogger.com,1999:blog-5424772652640657480.post-66221037896404953112008-03-15T22:05:00.005+08:002008-03-15T22:21:02.961+08:00Scaling & PolishingToday I thought of writting something about one of the most basic preventive treatment in dentistry i.e. <strong>SCALING & POLISHING</strong>.<br /><br /><a href="http://www.jdc.com.my/pages/images/preventive_s.jpg"><img style="FLOAT: left; MARGIN: 0px 10px 10px 0px; WIDTH: 85px; CURSOR: hand; HEIGHT: 77px" height="182" alt="" src="http://www.jdc.com.my/pages/images/preventive_s.jpg" border="0" /></a>Scaling is removal of calculus from tooth surface. Why is this important?<br /><br /><br />Calculus builds up on our tooth surface over time and becomes an ideal breeding ground for bacterial colonies. Calculus also "eats" into our gums causing swelling of gums and infection at the gum pockets.<br /><br />Left unattended, these calculus forts on our tooth becomes the starting point of decay and loosening of our tooth from its pockets.<br /><br />Scaling is to remove the excessive build up of calculus and to ensure a healthier tooth-to-gum interface.<br /><br />What about polishing, is this a cosmetic affair? Well no. Polishing removes stains from the surface of the tooth. Tooth is abraded daily by our chewing and munching activities. As the surface becomes overly rough, it becomes more dificult to clean effectively and stains develop easily.<br /><br />Polishing removes the unwanted stains and brightens the tooth surface. Of course it looks and feels a lot better too!Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com0tag:blogger.com,1999:blog-5424772652640657480.post-55476375412448274772008-03-14T22:23:00.010+08:002008-03-14T22:51:57.733+08:00Layman's guide to dental treatmentBefore I go on writting some jargon and twisting tales about your teeth, let me just attach here a very simple layman's guide to dental treatment:<br /><br /><div align="center"><strong><span style="font-size:130%;color:#ff6600;"><span style="color:#ff0000;">A LAYMAN’S GUIDE TO UNDERSTANDING DENTAL TREATMENTS</span><br /></span></strong><a href="http://www,jdc.com.my/">By: Dr Joon</a></div><div align="center"><a href="http://www,jdc.com.my/">KLINIK PERGIGIAN JOON</a><br /><em><span style="color:#000000;">32-1 Jalan USJ 10/1, Taipan Triangle, 47620 Subang Jaya</span></em></div><div align="center"><em> </em></div><div align="center"><em></em></div><div align="center"><em></em></div><div align="center"></div><div align="center"><em><span style="color:#33cc00;"><u>Disclaimer</u>: Information and opinion given here are provided in good faith for educational purposes only. For a specific professional diagnosis and recommended treatment, please consult a dental surgeon. </span></em></div><p align="center"><strong>INTRODUCTION</strong></p>There goes a saying that politicians hate dentists because they will have to keep their mouth open and don’t talk.<br /><br />An Egyptian scribe named Hesy-Re who died in 2600 BC is often referred to as the first “dentist.” After almost 46 centuries, the phobia (or hatred?) towards dental treatments is still very fresh amongst the general public.<br /><br />Maybe this is because it is very clear that even a mummy normally has its teeth intact and what’s so great about visiting a dentist to keep your teeth huh? Egyptian kings never used floss too?<br /><br />Remember, Egyptian kings never used to eat like us too. Today our diet, general lifestyle and environment have changed tremendously. We need a conscious effort to keep our teeth for life to enjoy the kerepek and keropok.<br /><br />Before we talk about the phobia of visiting a dentist, let us ask – do we really understand what a dental check-up can reveal? And do we know what can be done to prevent the loss of a valuable tooth?<br /><br /><div align="left"><br />Are we taking an informed decision or a panic-stricken decision on our dental treatment?<br />This article seeks to reassure readers of the importance of good preventive habits and the options available to keep their teeth for life. We hope that through this article readers will understand dental treatments and their relevance towards making an informed decision. </div><div align="center"><br /><span style="color:#ff0000;"><strong>STEP BY STEP GUIDE TO ASKING THE RIGHT QUESTION, GETTING THE RIGHT ANSWERS AND ‘REPAIRING’ YOUR BAD TEETH</strong><br /></div></span><u><strong><span style="color:#ff6600;"></span></strong></u><br /><br /><u><strong><span style="color:#ff6600;">Step 1: Check, ask & understand</span></strong></u><br />Understand that check-ups are non-intrusive with no pain. Tell your dentist that you need a check-up and a feedback on the status of your oral health … and that’s it for today!<br /><br />You don’t have to reach a dental chair with a definite need to do a treatment. You can choose to find out and leave; to mentally digest the diagnosis.<br /><br />Also understand that you have every right to seek a check-up, get an opinion, get a second opinion if necessary and then make an informed decision before you do anything with your teeth or gums.<br /><br /><strong><u><span style="color:#ff6600;">Step 2: Scaling & polishing</span></u></strong><br />Ask how much it would cost and what you expect to achieve.<br /><br />If you have not heard the word “dentist” since Primary 6; you still think dental chairs look like barber chairs and you are crossing 38, you would probably require scaling and polishing.<br /><br />“Why polish my teeth? … No need for shining teeth lah!” … You are right; polishing removes stains, improves the feel of your breath and makes you smile better. And if you are a lion trainer who needs to spot a seasoned look with obvious stains, then you may not need polishing!<br /><br />“Scaling? You mean our teeth got scales one ah?” Well no – your teeth would have built-up calculus that is the perfect foundation for bacterial colonies to build squatter homes! You have the choice to provide them with ‘Temporary Occupancy Licenses’ until your teeth give way or remove the calculus and deny the bacteria a chance to eat into your teeth.<br /><br />See … with just 30 minutes of time you could take the first step towards knowing how is your oral hygiene, remove calculus and polish your teeth. You can now arrive in style with a better smile.<br /><p align="left">Now what happens if your dentist said that you have a chipped cavity on the front tooth that does not look cute at 38?<br /><br /><strong><u><span style="color:#ff6600;">Step 3: Tooth-coloured filling<br /></span></u></strong>“What can I do” … Options? You can do a filling using tooth-colored composite material. And you thought composites were used only in construction? Your dentist can prepare the tooth and fill the cavity. </p><p align="left">… Isn’t it cute now? </p><p align="left">Tooth-colored filling can be done using several materials ranging from composite resin to glass ionomer. But then what if the tooth is so badly broken and looks like a weathered lighthouse?<br /><br /><strong><u><span style="color:#ff6600;">Step 4: Crown<br /></span></u></strong>If the roots of your teeth are healthy, not mobile and the tooth has some intact structure – we can re-establish the function by using a crown. It is like using a cap to hide balding hairline but with one difference; a crown sits firmly on the tooth and you could start biting almost like the original tooth.<br /><br />Crowns would be made to match your tooth colour and is made of very durable material. You need not smile with a gold tooth shining in the morning sun! </p><p align="left">“My tooth broke when my son hit me with the basketball. Now look like old volcano. Can do crown meh?” … Now you need to plant a “bakau piling” before we pour the cement! This is called “post crown”, where you plant a post and then place a crown on top of the tooth. </p><p align="left">This comes after the root is treated accordingly i.e. root canal treatment – which we shall discuss later.<br /><br />What can make a difference in price when making a crown? The main subject is the type of material eg. Acrylic, pure porcelain, porcelain bonded to metal (non-precious, semi-precious, precious metals) or full metal. </p><p align="left">In a post crown, the material of the post can be stainless steel, gold-plated metal, titanium or carbon fiber. </p><p align="left">Do ask about the pros & cons; durability, applicability to your case and of course, the price indication. </p><p align="left">When all else fails, are there any last choices before abandoning the rescue mission? What if the tooth has infected root?<br /><br /><strong><u><span style="color:#ff6600;">Step 5: Root canal treatment</span></u></strong><br />Given the right ‘environment’, the dentist can attempt root canal treatment to restore an infected root to restore its function before doing a crown. </p><p align="left">“If the tooth can goyang also can treat ah?” … If the tooth is too mobile, of course it has to be extracted and thrown away (Oopps!). </p><p align="left">“Then what happens?” … Then we can keep the tooth in a jar of oil or donate to a university for research!! Oh man! Then we have reached the last frontier … lost tooth.<br />Now there are not many choices except to find a way to put in a artificial ‘solution.’<br /><br /><strong><u><span style="color:#ff6600;">Step 6: Bridge</span></u></strong><br />If there are some adjacent good teeth available (like two banks of a river!) then we can build a bridge in between. If the contractor is good and the concrete is strong, a bridge can last very long … same principle here – if the adjacent teeth are not mobile, they can form a good anchor for the bridge. </p><p align="left">With the two anchors, we can restore the few lost teeth in between. And you know what? This gives you a very natural look, natural bite and original feeling! </p><p align="left">“Like this sure expensive one!” … Well depends on what is meant as expensive. After messing with the teeth to the extent of losing it completely and then to put it back to almost it’s original shape cannot be the price of a Coke!<br /><br />The usual material used for a bridge is porcelain fused to metal (non-precious, semi-precious or precious metal). </p><p align="left">“Got any cheaper solution or not?” … Oh yes! Cheapest is to live with it and count on the savings made on the food bill! Next is making a denture.<br /><br /><strong><u><span style="color:#ff6600;">Step 7: Dentures</span></u></strong><br />Just before we talk of dentures – there is one treatment called “implants.” This is where artificial ‘roots’ are surgically planted and crowns built on top of it. This is a slightly more expensive treatment compared with dentures. </p><p align="left">Partial dentures replace one or more missing teeth while full dentures are made when no teeth is present in the patient’s mouth.<br /><br />“But denture very leceh lah! Must open, soak and clean. Sometime break, very susah!” … Naturally removable appliances will have to be ‘maintained’ properly since there are ample gaps and crevices where dirt and foodstuff can get trapped causing infection and decay on remaining teeth. </p><p align="left">Dentures made with a chrome-cobalt base would be costlier than a plastic base. Again choice is based on preference, affordability and application. </p><p align="center"><strong><span style="color:#ff0000;">WHY ARE PRICES SO DIFFERENT FROM CLINIC TO CLINIC? </span></strong></p><p align="left">Even pisang goreng can have a range of price from stall to stall. But the easy part is we can judge by taste. Dental treatments have several factors that are relevant when considering price: </p><ol><li><div align="left">The type of materials used (affecting durability, aesthetics & application) </div></li><li><div align="left">The quality of materials used (whether they are from tested & proven manufacturers) </div></li><li><div align="left">The dentist (whether the dentist exercises skill in handling patient anxiety, pain, discomfort and takes an informed approach to the diagnosis & treatment)</div></li><li><div align="left">The technology used in treatment (right equipments for the right job; proper sterilization, right choice of finishing tools) </div></li><li><div align="left">The quality of examination and diagnosis (whether all factors have been fairly considered when making a diagnosis & recommendation) </div></li></ol><p align="left">Therefore, it is not easy to compare equally between two clinics. However, the onus is on the patient to ask for an explanation or consider a second opinion if in doubt. </p><p align="center"><strong><span style="color:#ff0000;">DO SENIOR CITIZENS OR CHILDREN GET PREFERRED RATES? </span></strong></p><p align="left">There are no rules on this subject. Treatments costs are not related to body weight or age! So there would be a base cost to work from and there are clinics that offer special rates at their own discretion. </p><p align="left">The golden rule is - ask.<br /><br />As even machines are out on preventive maintenance programmes to prevent undue breakdown; so are our teeth. If you stick to a regular check-up habit; many problems would be detected early and can be addressed well before it hits the critical zone. </p><p align="left">Dentists are just as human as any other professional and the “Code of Professional Conduct” set by the Malaysian Dental Council governs their practice. </p><p align="left">Do not wait until the pain is unbearable before seeking help. Get a professional opinon. </p>Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com0tag:blogger.com,1999:blog-5424772652640657480.post-59110029018843641842008-03-14T15:31:00.003+08:002008-03-14T22:16:38.212+08:00What can be revealed in a Dental check up?By doing a check up, just like a blood test, we get a summary of the condition of your oral hygiene.<br /><br />Main areas covered are:<br /><ul><li>Overall oral "map" i.e. existing tooth, missing tooth, decayed tooth, loose tooth, calculus level etc</li><li>Any abnormal conditions such as chipped tooth, crooked tooth, growth, gum condition etc</li></ul><p>After mapping the condition, then you normally get a "report card" with options</p><ul><li>Whether you need cleaning (i.e. <a href="http://www.jdc.com.my/pages/PreventiveTreatments.html">scaling and polishing</a>) that will remove calculus and stain</li><li>Whether the decayed tooth (if any) can be treated. If yes, options to do <a href="http://www.jdc.com.my/pages/RestorativeTreatments.html">filling or root canal or crown or post crown</a> etc</li><li>Missing tooth - can it be rectified by a <a href="http://www.jdc.com.my/pages/RestorativeTreatments.html">simple denture or bridge</a></li><li>Do you have redundant tooth causing infection of gums? If yes, should it be removed?</li><li>Any tooth that requires <a href="http://www.jdc.com.my/pages/SurgicalProcedures.html">extraction</a>? If yes, is it expected to be a <a href="http://www.jdc.com.my/pages/SurgicalProcedures.html">simple extraction </a>or requires a <a href="http://www.jdc.com.my/pages/SurgicalProcedures.html">minor oral surgery</a>.</li></ul><p>The list of items can go on and on. But the bottom line is after you understand what is required, the next question is COST. How much it may cost? Always get an estimate. If it is within your budget, well and fine. If you feel you are not convinced - there are always other clinics around for you to get another opinion and estimate!</p><p>As a patient, you have to exercise your prudence in asking for the options available.</p>Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com0tag:blogger.com,1999:blog-5424772652640657480.post-12114851597147404332008-03-14T15:06:00.005+08:002008-12-10T03:17:10.532+08:00FREE Dental Check up<div align="center"><strong>Make a note in your calendar: <span style="color:#ff0000;">1st - 30th April 2008</span></strong></div><div align="center"><strong><span style="color:#ff0000;">FREE DENTAL CHECK UP</span></strong></div><div align="center"><span style="color:#000000;"><strong>Organised by the Malaysian Dental Association with Colgate Palmolive.</strong></span></div><div align="center"> </div><img id="BLOGGER_PHOTO_ID_5177598263814270562" style="DISPLAY: block; MARGIN: 0px auto 10px; CURSOR: hand; TEXT-ALIGN: center" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiprKHANjGtW47wKukEyn2tKZ6pwFj_wl9teC-vL_iwyc9US4bRviJJhr20VodvUwvafdG4SJQ2qzNGyWE-71aKfFYNUZC1RRbPsUuiQjjAxR7mPxQz8Usu6Ec32TQFfQFGckfZ_oRsM0JN/s320/FRee_check.jpg" border="0" /><br />BE TRUTHFUL TO YOUR TEETH and make it a point to <span style="color:#3333ff;">go to the nearest participating clinic</span> to have your free check.<br /><br />This is organised by <a href="http://www.mda.org.my/">MDA </a>and sponsored by Colgate for the benefit of all. So <span style="color:#3333ff;">DO NOT start thinking that this is a business gimmick to get you to undertake expensive treatments!!</span> We Malaysians are always vary of marketing gimmicks where we are frequently taken in for some hidden spending.<br /><br />This campaign is to raise the public's awareness and is entirely FREE (for a full check up excluding X-rays). After you hear the "story about your teeth" and the possible issues; you can always choose to have a 2nd opinion.<br /><br />Prudence is to be with you to check options available before agreeing to any treatment.<br /><br />So stop ignoring your valuable teeth and check them out. You won't know what is hidden in between waiting to "explode"!Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com1tag:blogger.com,1999:blog-5424772652640657480.post-28200590993525557152008-03-14T14:54:00.002+08:002008-03-14T15:06:05.287+08:00Thank you to my mentorsBefore I go on writting my comments, I certainly wish to thank all those mentors in my career who contributed one way or another in broadening my perspective in my profession.<br /><br />My first few drops of knowdlege was from my government posting in the Johor Bahru Dental Clinic. Under the supervision of Dato Tan Nam Ho (a maxilo-facial surgeon) and Dr Chen Swee Lian (an Oral Surgeon) my days at the clinic was filled with challenging experience and I must say I gathered an ocean of practical exposure to various dental treatments.<br /><br />The JB clinic was one of the busiest with many many emergency cases each night when we are on standby. And that also means that we end up treating many cases.<br /><br />Next was my posting to the Tangkak Dental Clinic as the Dental Surgeon in Charge. I had an excellent DSA (Dental Surgery Assistant) called Navamani who was a senior person and had an ocean of information to learn from.<br /><br />I must say I had a good time working with the many staff of the Tangkak Dental Clinic before I moved on to the private sector. The government days were an eye opener, contrary to popular believe, government clinics actually have among the best equipment and medication.<br /><br />My private practise experience reached a stage where I figured I should run my own clinic and here I am in <a href="http://www.jdc.com.my/">Klinik Pergigian Joon</a>.Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com0tag:blogger.com,1999:blog-5424772652640657480.post-54352692679096542752008-03-14T14:50:00.002+08:002008-03-14T14:54:42.100+08:00My cyberspace of dental informationI created this blog as my own cyberspace of dental information. In Malaysia, we do not find a high level of awareness on dental (oral) health. I say this because every year we have FREE dental check up campaigns organised by the Malaysian Dental Association, which is not heavily patronised.<br /><br />Many Malaysians do not see regular monitoring of oral hygiene as a means of maintaining a good set of teeth and healthy gums for life.<br /><br />Our teeth is among the strongest parts of our body. Yet we frequently allow tiny bacteria to attach and crash our "defense"! If we understand the logic behind regular dental check up we will realise that it will help us spend much less to upkeep what we already have.<br /><br />So in this blog, I hope to write some of my experience and the knowledge I gained over the many years of being in this field for the benefit of interested browsers.Dr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com0tag:blogger.com,1999:blog-5424772652640657480.post-84092985935312958352008-03-14T09:17:00.002+08:002008-03-14T22:44:25.102+08:00Welcome to my dental forumWELCOME TO MY DENTAL BLOG!<br /><br />As the cyberspace community is growing I too decided to join in and contribute my small bit of opinion and information.<br /><br />Hope you enjoy my blog!<br /><br />Dr. Joon<br /><a href="http://www.jdc.com.my/">KLINIK PERGIGIAN JOON</a><br />USJ 10, SUBANG JAYADr. Joonhttp://www.blogger.com/profile/12834419979372872129noreply@blogger.com0