Biopsy

In Malaysia, 2 persons are diagnosed with oral cancer every day where 75% seek treatment at the later stages and only half of them survives. According to the National Cancer Registry, Ministry of Health, mouth cancer is the third most common cancer among Malaysian Indian community. If cancer is detected earlier, the treatment outcome is more favorable and the chance of survival is definitely much higher. And of course, prevention is better than cure. Biopsy can be performed to detect the abnormalities of the swelling whether it is benign (good) or cancerous.

Tissue sample for biopsy

What is biopsy?

A biopsy is a procedure where a small part of tissue is removed so that it can be looked closely under microscope.

When is it indicated?

  • A sore or lesion on any area of your mouth which lasts for more than 2 weeks.
  • A white or red patch on your mouth.
  • An non-healing ulcer for more than 2 weeks.

What is the purpose of a biopsy?

a. For definitive diagnosis so that correct treatment can be initiated as soon as possible

b. To establish prognosis of a pre-cancerous or cancerous lesion

Types of biopsy

There are few types of biopsy but most commonly used are:

a. Incisional biopsy

  • A small portion of suspicious swelling will be removed and sent to the laboratory for diagnosis purpose.
  • Pathologists will determine the nature of the swelling and staging of swelling if it is found to be cancerous.
  • Often indicated when the swelling is large and has differing charecteristics, so it may need investigation on several areas.

b. Excisional biopsy

  • Whole swelling will be removed for both diagnosis and treatment purpose.
  • Often indicated when the swelling is small, usually less than 2cm.

How is it performed?

Excisional Biopsy

The procedure is painless as it is done under local anesthetic (numbing injection). Dentist will take small piece of the tissue and stitching is often required afterwards. The tissue specimen will then be labeled and stored into container with special solution inside. It will be sent to the laboratory for investigation. The procedure usually takes 15 minutes from start to finish.

So, if you have a persistent swelling inside your mouth, do seek a dentist for consultation. Don’t be panic, not all the swelling are cancerous but it is better to get it check as soon as possible.

3D Guided Implant Surgery

Coming soon

Kids Dentistry

First Visit

It is recommended that every child has an introductory dental visit within 6 months of eruption of their first tooth. As parents, you might think this is too early- even more so when there is no “problem” with your child’s teeth yet. However, starting dental visits early has many advantages:

  • We can assess each child’s risk of developing tooth decay.
  • We can suggest preventive steps that is special to each child’s needs
  • We can have the opportunity to show your child that dental visits can be fun, hence reducing chances of dental anxiety in the future

Quite often, it is a child’s first visit to the dental clinic but he/she is having pain. We understand that it can be stressful and anxious for both parent and the child. For younger children, parents can be present in the treatment room. For older children, it is best that we can see the child by themselves, but if parents are not comfortable with that, parents can be passive observers- allowing us a chance to interact and explain in simple terms that your child can understand. Many studies have shown that when parents are anxious themselves, their child will also tend to be anxious as well.

Depending on the your child’s reaction to his/her dental visit and what treatment needs to be done, we will try our best to provide your child with the best care possible. It is however important for parents to understand that treatment should not be forced or rushed onto a child. We understand that parents are busy and prefer treatment to be done all in a single visit, but it takes a lot of patience and time for us to build a trusting relationship and bond with your child. This is how dental visits can become stress free and fun for your child.

Our services includes

Standard Cleanings and Check ups

The care we provide is the best we can for each child. This means that the cleaning frequency we recommend can vary from individual to individual. Your child might benefit from cleanings every 3 months, or every 6 months.

What happens during a standard cleaning and check up?

  • A standard dental examination
  • Scaling, polishing and flossing
  • Dental x-rays (if needed)
  • Fluoride varnish treatment

Fluoride Varnish Treatment

What is Fluoride? Fluoride helps to strengthen teeth and prevent decay. It is also able to remineralise teeth that have early decay (seen as white patches on teeth). Fluoride can be found in fluoridated toothpaste, and are available in various amounts and concentrations.

Fluoride varnish contains a higher than normal amount of fluoride and it comes in the form of a thick sticky paste that adheres to teeth to minimise swallowing. It is very well tolerated as well. Varnish is proven in many ways to slow, stop and even reverse the formation of cavities. Everyone is at risk of developing cavities, from the young infants to young kids to teenagers. Here are some risk factors:

  • Infants still bottle feeding past one year of age.
  • Infants sleeping with a bottle containing liquids other than water (eg. milk, juices, sweetened drinks like Milo)
  • Frequent breastfeeding without proper mouth cleaning afterwards, especially at night
  • Constant consumption of sugary or starchy foods and beverages
  • Dental history of cavities
  • Developmental disabilities
Application of Fluoride Varnish

Fluoride varnish may be unfamiliar to many patients, so here are some information for parents and children:

  • It will make your child’s teeth look dull and yellowish when leaving the dentist. Their teeth will return to normal as the varnish wears off, usually in 1 day.
  • In order for the varnish to have the most benefit, it needs to remain adhered to the teeth for as long as possible. For that, your child should not brush or floss until the next morning.
  • To prevent early removal of the varnish, avoid abrasive or hard foods for the rest of the day. Soft diet is ideal for the day.
  • Fluoride varnish should be done every 6 months for most children. For children who have a higher risk of cavities, we may recommend 3-monthly application of fluoride varnish.

Tooth coloured fillings

Tooth Colour Fillings

These are white fillings that look beautiful and blend in with the natural color of the tooth. Placement of fillings is fairly quick and easy. First the decayed part of the tooth is cleaned and removed, then the tooth is dried and filled.

Happy Gas

What is Happy Gas? Happy Gas is also known as nitrous oxide/ laughing gas. In our clinic, we use it as a mild analgesic. It works by filling the patient with a feeling of happiness, which helps them feel relaxed and less anxious about dental treatment.

How do we use Happy Gas? We apply the gas through a tube and nose piece that fits over your child’s nose. All he/she has to do is breathe through his/her nose

Why use Happy Gas? Happy Gas is fast acting and wears off quickly. Its effects can be felt within 5 minutes, and when the gas flow stops, those effects wear off within another 5 minutes of breathing oxygen. It is safe, easy to use and can be adjusted easily for your child’s comfort. The only thing that stops it is a stuffy nose. If your child can’t breathe through his/her nose, it won’t work.Children’s Primary Teeth

More Info…

Miller Machine

Coming soon

Digital Smile Design (DSD)

Digital Smile Design

Nowadays, more and more people are concerned about their esthetic. A perfect smile can affect a person’s overall appearance, making them to have more confidence when meeting with people. Recently, Digital Smile Design (DSD) has become more and more popular, providing more predictable results for every patient.

What is Digital Smile Design

DSD is a dental treatment planning tool that helps the dental providers to have improved diagnostic vision, better outcome predictability and improved communication between the providers and patients. With DSD, the dental providers would be able to design a better and beautiful smile customized to every patient and be able to deliver the treatment planning confidently to the patients. With the patients’ complete understanding, they could perform the dental treatments efficiently.

How does DSD work?

When the patients have decided to make their smile look better, the dental providers will communicate with them to understand their expectations and needs from the treatment. Then, the providers will take photos of them and their teeth. Later, all the required photos will be imported into the DSD software.

Then, the software will help the dental provider to analyze the patients’ dental and facial proprotions thoroughly. There are various forms and shapes that can be chosen from the digital library which suits best for the patient. This gives the patients a quick glimpse into what they can expect at the end of the treatment.

Next, the providers will explain to the patients the problem lists. A thorough treatment plan is created based on the problem lists and what dental treatments are needed to achieve the final outcome. The treatment can range from simple restorative procedures, orthodontic treatment to orthognathic surgery.

Case Sample

First, patient is required to take photos of their smile.

Patient with smile
Patient with retracted smile

Next, photos are imported into the DSD software. The providers identify the patient’s smile issues. Then, the software is used to analyze their dental and facial proportion, thus designing a better smile design customized to every patient.

Patient’s smile design
Patient’s close up smile design
Patient’s smile design simulation

Lastly, the final outcome of the smile design is then displayed on the software. Treatment plan based on the design is then discussed with the patient.

What makes DSD unique?

Before and After smile design simulation

Although digital imaging and diagnostic mock-up can show to the patients how will they look like at the end of the treatment, they have their limitations in terms predictability. With DSD, the providers are able to tell the patients exactly what their smile will look like because final outcome of the patient’s smile will be displayed in the software and the accuracy of the the final outcome is high. With these, miscommunication between the patients and providers can be avoided as they will be on the same page.

Who is a best candidate for DSD?

Good news is everyone is a good candidate as long as they want to have a better and beautiful smile.

So, if you have always wanted to do something about your smile, this is the opportunity to bring up your wants and needs.

Invisalign

If you are thinking of straightening out your teeth but not looking forward to having fixed metal braces on your teeth, we can help you achieve that with Invisalign at Prestige Dental Care!

Invisalign — A custom-fitted aligner

Invisalign is a set of custom-fitted aligners that fit over your teeth that slowly pull all your teeth into alignment. With Invisalign, you will be given a set of custom-made aligner trays that are made of BPA-free thermoplastic material.

They are removable, flexible, smooth and almost invisible- this means that you can remove your aligners while eating, avoid the painful monthly tightening needed for metal braces, and the best yet: you no longer have to put up with having ulcers or metal wires poking into your sensitive mouth tissues, or getting food in your braces and subsequently bad odour from areas that are difficult to be cleaned.

How is it done?

At Prestige Dental Care, we will examine your teeth and take the necessary records needed before starting treatment, such as: photos of your teeth and facial profile and dental X-rays. Our clinic is also equipped with the 3-shape intra-oral scanner. Unlike traditional methods of taking moulds of teeth, we use this intra-oral scanner to take digital pictures of your teeth which gives our dentists a very high definition, 3D image of your smile and teeth. This can then be used to custom make your aligners very accurately.

Interceptive orthodontics

What is interceptive orthodontics?

In interceptive orthodontics , we identify and treat crooked teeth as soon as they are detected. According to the American Academy of Orthodontics, all children should have an orthodontic assessment no later than 7 years old.

How is interceptive orthodontics done?

Every child’s condition is different and treatment will be different too. Treatment can be done with at least ONE or a combination of the following:

  1. Removable appliances (eg. expansion screws, springs, labial bows)
  2. Oromyofunctional therapy ( Myobrace + oral exercises to train good oral posture. Read below for more information on oro-myofunctional therapy)
  3. Braces (Depending on suitability, braces can be started earlier to gain more space for teeth in the jaws hence avoiding the need for pulling teeth out in the future)

1. Removable appliances

As it’s name implies, this treatment typically uses a plastic appliance that can be worn on and removed from the teeth. There are many types of removable appliances available and they are custom made according the child’s teeth. Often, we use springs or expansion screws to move teeth. Below are some examples of removable appliances.

2. Oro-Myofunctional Therapy (OMT)

How does Oro-Myofunctional Therapy (OMT) work?
OMT is a pre-braces treatment suitable only for growing children. The treatment aims to improve growing children’s cranial and jaw development by treating the underlying causes of crooked teeth and poor oral posture.

OMT can also improve a child’s general health and prevent Sleep Breathing Disorders.

This treatment involves using a series of removable intra-oral appliances (Myobrace) that are worn for 1-2 hours each day plus overnight while sleeping.

OMT also requires a child to do several oral exercises to train the strength of their lips and tongue and improve their nasal breathing. These exercises are very fun and parents are encouraged to get involved too!

The intra-oral appliance works by correcting poor oral habits that cause negative impacts on the development of face, jaws and teeth, such as mouth breathing, incorrect tongue position, thumb sucking, bottle feeding and swallowing incorrectly.

What Causes Crooked Teeth?

Many Malaysian children are growing up with crooked teeth. This is evidence of poor development of craniofacial structures. Traditional orthodontic treatment such as extractions and braces after waiting for all permanent teeth to come through actually focus on moving teeth without treating the underlying cause for crooked teeth.

Modern research has shown that crowded teeth, incorrect jaw development and other orthodontic problems are not caused by big teeth and small jaws or genetic factors. Rather, it is due to poor myofunctional habits (poor oral habits) like mouth breathing, tongue thrusting, reverse swallowing and thumb sucking that can be evident since the first years of life.

The craniofacial structures develop correctly only when children have the following 4 patterns for straight teeth:

1. Lips together at rest

2. Tongue resting at the roof of the mouth

3. Breathing through the nose (NOT the mouth!)

4. Correct swallowing method (No lip/cheek movement)

Here at Prestige Dental Care, we provide early intervention options for children that improve the underlying cause of crooked teeth with Oro-Myofunctional therapy.

What Oro-Myofunctional therapy does:

Corrects poor oral habits

Develops & aligns the jaws

Straightens the teeth

Optimises facial development

Improves overall health

Promotes healthy eating habits

How does it do this?

By helping the child:

  • Breathe through the nose
  • Swallow correctly
  • Correct his/her tongue posture
  • Keep lips together

Oro-MyoFunctional Training Exercises

How to wear MyoBrace Appliance/MRC Trainer?
Training 1 – Resting Position, Correct Swallow, Breathing Awareness
Training 2 – Drinking, Paces, Remembering game
Training 3 – Lip training, Continuous drinking, Nose opening
Training 4 – Yawning, Water seal, Tongue clicks
Training 5 – Squirt water bottle, Skinny Tongue
Training 6 – Kick, Gargling, Straw drinking

Selamat Hari Raya

Selamat Hari Raya to all of our Muslim families, friends and our customers.

We close from 14th June (Thursday) till 18th June (Monday) due to Hari Raya festival.

We will resume business as usual on 19th June 2018 (Tuesday).

MBrace® aligners

MBrace Clear Aligners

 

What is Mbrace®?

MBrace is a clear aligner used to correct misaligned teeth with ease and comfort. It is clear and removable which makes it almost unnoticeable by others and convenient to use. The aligners are custom-made digitally and fabricated individually to ensure a perfect and accurate fit for your teeth.

how does MBrace® work?

MBrace aligner is designed in a way that it does not require any wires or attachments to align your teeth. Just simply wear a series of aligners to exert gradual force against the teeth at different treatment stages to slowly move the teeth towards the final tooth position.

Patients are advised to wear every set of aligners for 2 weeks, at least 22 hours a day before moving to the next aligners.

treatment duration

A more severe teeth condition will take longer time to treat, as more aligners are required over the entire course of treatment.

Typically, MBrace treatment vary from anywhere between 6 to 24 months. Below illustrate the average treatment period based on the severity of the case.

 

What We Can Treat

MBrace® can help with the following conditions:

Overcrowded teeth

When there is insufficient space between teeth, teeth can overlap and get worse over time. Brushing and flossing can be less effective-leading to plaque build-up, tooth decay or even gum disease.

 

Gaps Between Teeth

Besides aesthetic considerations, gaps between teeth can result in gum disease when food is stuck.

 

Overbite

When the upper teeth overlap deeply into lower teeth, it is called an overbite. Depending on the extent of the overbite, the lower chin can appear weak and undefined, affecting the facial profile. A deep overbite can cause irritation to gums, chewing problems , jaw pains and other issues that can worsen over time.

 

Underbite

When the lower teeth overlap the upper teeth, and the lower jaw protrudes, this will impair the normal function of the front teeth resulting in bite problems and wear of teeth.

 

Overbite

One or more upper teeth are covered by the lower teeth, which can cause chewing problems, worn down teeth, gum disease and a whole host of other mouth, jaw joints, and neck related issues.

 

Increased Overjet

The condition of buck teeth is characterized by increased overjet, or horizontal distance, between the upper front teeth and lower front teeth. Some may find this aesthetically unpleasing and the functionality of the front teeth is compromised.

 

Before & After

Before

After

Before

After

 *Pictures are taken from mbracealigner.com

 

Treatment Process

 

Go For Consultation

Your doctor will take an impression, photos and x-rays of your teeth for treatment planning

 

View Your Treatment

You will find out the duration of your treatment and view a before and after video of your teeth.

 

Wear Your Aligners

Wear each set of aligners for 2 weeks, at least 22 hours a day and remove them during meals.

 

Monitor Your Progress

Visit your doctor periodically to ensure that your treatment is progressing as planned.

 

Completed Your Treatment

Show off that new smile

Frequently Asked Questions

Where can I get MBrace®?

We provide MBrace Clear Aligner treatment. You can make an appointment with us for an assessment and consultation.

How much does treatment cost?

It depends on your condition. Usually it is around RM12,000 (Full sets).

How long does treatment take?

The average MBrace® case ranges from about 6–18 months, depending on the complexity of the case.

Is extraction necessary?

It depends on your individual dental condition. Your doctor will be able to advise you on whether you require extraction.

Will my speech be affected?

Your speech may be slightly affected but this will resolve within a few days.

Is treatment painful?

Mild discomfort is to be expected each time you change to a new set of aligners. This is due to the pressure exerted by the aligner material to move your teeth.

Why use MBrace® over fixed braces?

MBrace® is clinically proven to straighten teeth as well. It is less noticeable, and allows you to maintain better oral hygiene and continue to enjoy your favourite foods!

 

Taken from http://mbracealigner.com

 

Happy Chinese New Year

We will close on Friday, 15th February till 20th of February 2018 due to this festival. Business will resume as usual on 21st February (Wednesday).

Wish everyone a PROSPEROUS NEW YEAR
GOOD HEALTH

 

Merry Christmas 2017