Category Archives: Aesthetic Dentistry

Cosmetic dentistry refers to a host of dental treatments designed to enhance the smile and correct chipped, cracked, discolored, and unevenly spaced teeth. From porcelain veneers to tooth-colored fillings, patients can choose from a variety of cosmetic dentistry solutions to restore the health and vitality of their smile.

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

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?

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.

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

Cases of In-office Bleaching (II)

Aesthetic-Dentistry

Teeth whitening with ZOOM! whitening system

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Case 2

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Duo:PCH ™ — Our Cases

Direct Porcelain Veneer –Duo:PCH ™

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Porcelain Composite Hybrid veneers from duoPCH

Duo:PCH is a Porcelain Composite Hybrid is an entirely new esthetics category, combining the convenience of a composite build-up with the finishing beauty of Cerinate ® porcelain. Formerly known as Lumineers, they are much more simple and affordable as compared with the conventional porcelain veneers.

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Porcelain veneers in Duo:PCH ™ comes with different shape and size that allow the dentist to mix and match veneer to patient’s tooth. And finally, the veneers are bonded to the teeth using strong resin composite material.

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The set of duoPCH consist of the composite resin bonding part and the porcelain veneer selection part.
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The porcelain veneer selection part
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Variety of shape and size for fitting of porcelain veneer to patient month.
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The Cerinate ® porcelain veneers.
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The bonding part of Duo:PCH ™ with multiple shade/colour selection.

Our case with Duo:PCH ™

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This young lady complaint about her teeth discolouration due to tetracycline staining.

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Six veneers were placed over the front surface of the incisors and canine.

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End result… The lip at rest and smiling.

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Traditional porcelain veneers vs Direct Porcelain Veneer –Duo:PCH ™ (or formerlly known as Lumineers)

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Once referred to as Lumineers, Duo:PCH ™ are a special type of veneers that can be applied over teeth to repair small cracks or chips, hide discoloration or correct imperfections. Just like traditional veneers, Duo:PCH ™ can reshape the appearance of your smile. The main difference between Duo:PCH ™ and standard porcelain veneers concerns the material used to create them. Duo:PCH ™ are manufactured from a special porcelain – patented Cerinate porcelain – that is much thinner than the porcelain that is used in the making of traditional veneers. The thickness of Duo:PCH ™ is similar to that of contact lenses. While veneers placement is normally a irreversible procedure, with Duo:PCH ™ the procedure is so less invasive that it may often be reversible.

The main benefit of choosing Duo:PCH ™ is that they require minimal – if any – grinding or shaving so your natural teeth will pretty much be left intact. Traditional veneers require more tooth reduction and many patients are not convinced they want veneers for ever. Duo:PCH ™ are more suitable for patients who only wish to try dental veneers for a short period of time. Patients with serious problems however tend to prefer traditional porcelain veneers. Duo:PCH ™ are a great solution for slightly misaligned, stained, discolored or chipped teeth. Make sure you find an experienced cosmetic dentist who can properly place your Duo:PCH ™. You can easily switch from Duo:PCH ™ to traditional veneers whenever you consider yourself ready for a more permanent solution to your smile problem.

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Direct Porcelain Veneer — Duo:PCH ™

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Duo:PCH ™ Gives More Patients the Choice of a New Smile

Not every patient can afford veneers, especially in today’s economy. Until now, there hasn’t been a more affordable solution that you can stand behind clinically.
Duo:PCH changes that.

Cerinate ® porcelain
Cerinate ® porcelain

 

Duo:PCH Porcelain Composite Hybrid is an entirely new esthetics category, combining the convenience of a composite build-up with the finishing beauty of Cerinate ® porcelain.

 

Video on Duo:PCH

Continue reading Direct Porcelain Veneer — Duo:PCH ™

eCligner® — Invisible braces

The Invisible Way to Get

Visibly Beautiful Teeth

A product from Korea

Orthodontics

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« Setting new perspectives for the future »

The eCligner® aligner technology sets a new benchmark in modern orthodontics and enjoys widespread popularity amongst orthodontists, general dentists and patients. It offers many new and exciting possibilities to dentists and patients alike to correct misaligned teeth easily and quickly. This is made possible by using aesthetically high grade aligners that is 100% digitally produced.

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« Thinner, more transparent… faster »

The future of using an almost invisible dental aligner has begun. The eCligner® aligner system has been around from the beginning and has always enjoyed a small, but important step ahead of other aligner systems. The eCligner® aligner is thinner, more transparent and flexible and, above all, moves teeth faster!

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« Hardly any limitations in handling »

The eCligner® technology is unbeatable when it comes to moving teeth. It is efficient, fast and simple, and it uses nearly invisible plastic aligners with minimal force. It is so easy to handle that both orthodontists as well as general dentists with orthodontic experience can apply it successfully to treat their patients. It is suitable for correction of most misaligned teeth in booth children and adults.

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« Simple, quick and easy handling »

All the dentist needs to do is to take a good dental impression of the patient’s mouth. The rest is quick and easy leading to a set of digitally produced eCligner® aligners for the patient to wear.

« eCligner® is a revolutionary orthodontic system »

The eCligner® principle is easy, simple and fast. Step by step, teeth are moved into the right positions using a state-of-the-art technology that applies a set of very thin, flexible and almost transparent plastic aligners. The eCligner® technology allows the patients to see the possible end result even before the treatment starts. Also, the dentist can make adjustments and corrections at any time during the course of the treatment.

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« Comfortable, aesthetic and quick results »

eCligner® aligners are not only the most comfortable to wear, they are also very aesthetic in appearance due to their extreme flexibility and transparency. They are so efficient, patients can see visible results very quickly – as soon as after approximately 3 weeks of treatment.

 

« eCligner® traetment process flow »

The treatment process is simple and easy, starting from taking the patient’s dental impression to the shipping of the model for 3D scanning and printing to the production of aligner sets. Once the dentist approves the treatment plan, the aligners can be shipped out within 3-4 weeks.

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« One product, many advantages »

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We are proud to inform you that we are the registered doctor for eCligner®

For more info log on to: Malaysia eCligner®

 

IPS e-max for all ceramic restoration

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Lithium disilicate (LS2) glass-ceramic is ideally suitable for the fabrication of monolithic single-tooth restorations. This innovative ceramic provides highly esthetic results and, compared to other glass-ceramics, demonstrates a strength that is 2.5 to 3 times higher. Supported with zirconium oxide, it may also be used for bridges in the posterior area.

The material is used in the dental laboratory in conjunction with either the press or the CAD/CAM technology. Given the high strength of 360-400 MPa, the restorations offer flexible cementation options. Depending on the patient situation, the restorations may be veneered in a highly esthetic manner or, if fabricated as monolithic restorations, stained.

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E-max crowns

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E-max crowns

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E-max Veneers

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E-max Veneers

Even if the preparations demonstrate a dark shade (e.g. as a result of discolouration or titanium abutments), all-ceramic restorations may be fabricated. Inform your laboratory about the die shade and the dental technicians then selects the IPS e.max lithium disilicate material in the required opacity in order to redesign the true-to-nature esthetic appearance.

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E-max press

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Blocks of E-max press

Indications

  • Thin veneers (0.3 mm)
  • Minimally invasive inlays and onlays
  • Partial crowns and crowns
  • Implant superstructures
  • 3-unit anterior/premolar bridges (only IPS e.max Press)
  • 3-unit bridges (zirconium-oxide supported only IPS e.max CAD)

The highlights

  • True-to-nature shade behaviour for highly esthetic solutions
  • Durable restorations due to the high strength
  • Minimally invasive preparation for treatment that is gentle to the tooth structure
  • Versatile use and comprehensive range of indications
  • Lifelike esthetics, irrespective of the shade of the preparation
  • Adhesive, self-adhesive or conventional cementation depending on the indication

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