Fix appliance vs. Removable appliance

Upper Removable Appliance (URA)

Removable appliance is an appliance that is not fixed to teeth but can be removed by the patient. It usually contains spring, screws, clasps and acrylic base plate. This appliance is often used in situation whereby simple teeth movement are needed only and it can allow patients to perform better oral hygiene by removing it. However,  this appliance requires compliance from the patient to wear it.

Fixed Appliance

Fixed appliance is probably the most common type of orthodontic appliances in use today. They consist of small brackets that are attached onto the front surface of the teeth and a thin wire which is often held in place by elastic loops.This appliance allows multiple tooth movements simultaneously and more effectively as compared to removable appliance. The treatment usually lasts from 6 months to 30 months depending upon the severity of the problem. It is very important to maintain an excellent oral hygiene and dental health throughout the orthodontic treatment

Read more

Gingivectomy

This procedure is conducted to remove excess gum tissue that may be overgrown on the teeth to provide a better aesthetic result and a better area to clean the teeth.

Gingiva Overgrowth

Several reasons why there is an overgrowth of gum:

Inflammatory -induced:

  •  biofilm (bacteria) and the host response, resulting in familiar forms of periodontal disease such as gingivitis and periodontitis. Swelling, erythema, and bleeding are signs of these diseases.
  • Usually due to poor oral hygiene, orthodontic appliances 

Some mediation might trigger the growth of the gum tissue, such as:

  • Anticonvulsants (phenytoin, phenobarbital, lamotrigine, vigabatrin, ethosuximide, topiramate, and primidone)
  • Antihypertensives (calcium channel blockers such as nifedipine, amlodipine, and verapamil)
  • Immunosuppressant (cyclosporine)

Systemic diseases such as:

  • Pregnancy or puberty and vitamin deficiencies (mostly vitamin C) are some of the more common causes in this category.
  • Benign neoplasms—such as giant cell granuloma, papillomas, and fibromas—can cause enlargement of the gingiva.
  • Other more serious causes of gingival enlargement include leukemias, malignant neoplasms/carcinomas, as well as many forms of granulomatous diseases.

All these gum overgrowth can be corrected by reduce the cause factors or gum surgery (gingivectomy)

A case of Gingivectomy

A young lady complained that she didn’t have great smile. On examination, we found out that she had a very short teeth. Oral hygiene just moderate.

Using a dental chi gauge, it was confirmed that the patient had a short crown height

Dental scaling was done to improve oral hygiene

After taken radiograh to determain the bone height and biological width, surgical excision of 2mm of gum tissue above the gingiva margin.

Immedate post surgery
2 days after surgery

Read More…

Gingivoplasty

Gingivoplasty

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

reasons:

  • 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

Final Result

Before Treatment
After Treatment
Continue reading Gingivoplasty

Digital Dentistry

Digital dentistry refers to the use of dental technologies or devices that incorporates digital or computer-controlled components to carry out dental procedures rather than using mechanical or electrical tools. The use of digital dentistry can make carrying out dental procedures more accurate, efficient than using mechanical tools, both for restorative as well as for diagnostic purposes.

Digital dentistry can be use for:

  • Fabricating a veneer, crown or bridge in just ONE DAY. So, patient can have a crown done and cemented in his/her mouth on the same day, without the need of 2 visits or multiple injections or temporary prosthesis.
  • Planning of teeth movement in orthodontic patient. After planning, a series of teeth models will be printed out where the vacumme-formed aligners will be fabricate for patient to wear. This aligners will move the teeth as planned and achieve final result.
  • Planning and creating a new smile for patient in digital smile design. By changing the teeth colour and alignment in the computer, both clinician and patient can immediately appreciate the outcome of the smile design. From there, clinician can give several treatment options for the patient to achieve the final result.
  • Surgical guide for implant placement – making implant surgery safe and precise

Digital dentistry basically involved 3 basic steps:

  • data acquisition
  • data manipulation and analysis; and finally
  • output

Data Acquisition

We need to collect data or information from patient to start the outflow in the digital dentistry, for example:

  • Dental and Face images. Good image of the teeth or oral cavity region, patient’s smile or portrait picture of patient are essential data for planning digital smile design (DSD). These information can be obtained using a SLR Camera in the Photo Studio environment.
  • Intra-oral 3D scan. With a Intra-oral scanner (such as 3hape scanner), 3D images of the oral cavity region can be record and save in the computer.
  • CT-scan or 3D image of the teeth and jaw bone of patient mouth. Cone Beam CT (CBCT) is the radiograph unit acquire the data. With CT-scan

Dr. Cheok Chieh How

Dr. Cheok Chieh How

Orthodontist Consultant (Visiting)

DDS (UKM), MFDS RCS( Edinburgh), MSC ORTHO(The Uni of Manchester), MORTH RCS (England)

Dr. Cheok Chieh How’s Duty Roster

MondayTuesdayWednesdayThursdayFridaySaturday
SetiaWalk By AppointmentNot in ClinicNot in ClinicNot in ClinicNot in ClinicNot in Clinic

Want to make an appointment with Dr. Cheok in SetiaWalk Branch (using WhatsApp)?

Summary about Dr. Cheok

Dr. Cheok is a consultant specialist orthodontist. He obtained his basic dentistry degree in 2006 from University Kebangsaan Malaysia. He has found his keen interest in orthodontics after he started working. He was lucky to have secured a government full scholarship in 2010, whereby he pursued his master in orthodontics at the University of Manchester, United Kingdom. In 2013, he has possessed the Membership of orthodontics by Royal College of Surgeons (England). He is very much passionate and dedicated to aligning straight teeth.

Dr. Eddy Loo Si Yi

Dr. Eddy Loo Si Yi

Dental Surgeon

DDS (USM)

Dr. Eddy Loo Si Yi’s Duty Roster

MondayTuesdayWednesdayThursdayFridaySaturday
Bandar PuteriBandar PuteriSetiaWalkBandar PuteriSetiaWalkBandar Puteri

Want to make an appointment with Dr. Eddy in SetiaWalk Branch or Bandar Puteri Branch (using WhatsApp)?

Summary about Dr. Eddy

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.

Dr. Tham Ru Yueh

Dr. Tham Ru Yueh

Dental Surgeon

BDS (IMU)

Dr. Dr. Tham Ru Yueh’s Duty Roster

MondayTuesdayWednesdayThursdayFridaySaturday
Bandar PuteriOff DaySetiaWalkBandar PuteriBandar PuteriBandar Puteri

Want to make an appointment with Dr. Tham in SetiaWalk Branch or Bandar Puteri Branch (using WhatsApp)?

Summary about Dr. Tham

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 Su Chin

Dr. Janice Ng Su Chin

Dental Surgeon

DDS (UKM)

Dr. Janice Ng Su Chin’s Duty Roster

MondayTuesdayWednesdayThursdayFridaySaturday
Off DayBandar PuteriBandar PuteriBandar PuteriOff DayBandar Puteri

Want to make an appointment with Dr. Janice Ng in Bandar Puteri Branch (using WhatsApp)?

Summary about Dr. Janice

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.

Dr. Chong Sum Ying

Dr. Chong Sum Ying

Dental Surgeon

BDS (Malaya)

Dr. Chong Sum Ying’s Duty Roster

MondayTuesdayWednesdayThursdayFridaySaturday
Bandar PuteriBandar PuteriOff DayBandar PuteriSetiaWalkBandar Puteri

Want to make an appointment with Dr. Chong in SetiaWalk Branch or Bandar Puteri Branch (using WhatsApp)?

Summary about Dr. Chong

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.

Dr. Ng Sheue Nee

Dr. Ng Sheue Nee

Dental Surgeon

BDS (Malaya)

Dr. Ng Sheue Nee’s Duty Roster

Monday Tuesday Wednesday Thursday Friday Saturday
SetiaWalk Bandar Puteri Off Day Off Day Bandar Puteri SetiaWalk

Want to make an appointment with Dr. Ng in SetiaWalk Branch or Bandar Puteri Branch (using WhatsApp)?

Summary about Dr. Ng

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.

Specialist Dental Clinic