Tell-All Guide on Braces for Teeth Straightening
Saturday, July 4th, 2020, 10:30:00 AM
Ask Dr Hong Ping Pua about:
If you missed the webinar hosted by Dr Pua Hong Ping on 4 Jul 2020, you can check out the highlights here:
- Is it safe to visit the dentist during COVID-19?
- What measures are dental clinics adopting to prevent the spread of COVID-19?
Dr Pua graduated from King's College London in 2011 with a Bachelor of Dental Surgery. He went on to obtain Diploma of Membership of the Joint Dental Faculties at The Royal College of Surgeons in UK and another Diploma in Implant Dentistry.
Dr Pua is an accredited Invisalign provider since 2014 and has done more than 500 Invisalign cases to date. From 2019, Dr Pua was appointed by Align Technology as a trainer for new Invisalign dentists, conducting certification courses and study clubs to share his experience in treating patients with Invisalign.
Dr Pua also trains in different fields of dentistry to ensure he can provide the most comprehensive treatment planning. He takes pride in using simple measures to solve complex problems that patient encounters. He is also well known to be meticulous in his treatment with a genuine intention to help patients improve the way they smile, look and feel about themselves.
What dental treatments do dentists offer now in phase 2 as Singapore eases off the Coronavirus restrictions?
We can pretty much offer all dental treatment required now. Anything that is very elective or optional we will try to wait for a little while because we prioritise all urgent cases and those with essential treatment needs. We are pretty much open for full dental services.
Most of the time, yes. Biting refers to how your upper and lower teeth come together. If you are lucky you can just wear the plastic aligners which are preprogrammed to move your teeth to bite itself nicely. More severe cases might require wearing elastic bands and by being able to wear the band, it provides more treatment opportunities for Invisalign such as correcting the bite. For more severe cases, it might require surgery to shift the entire jaw itself.
Actually, the full eruption of wisdom teeth is less of a concern. It is the non-eruption or partial eruption of a wisdom tooth that is important because they are there but we are unable to see it and they are not straight. So they can be impacted sideways, against the rest of the teeth. All in all, crowded teeth can be caused by so many different factors that this is just one of them. It is important to have it checked out and take an x-ray if needed or advised by your dentist.
So, the removable orthodontic appliance is for kids that can wear and remove. Usually, they are done to correct any sort of movement identified earlier. So, instead of having full-on braces, let's say if you have one tooth that is too far in, we ask you to wear this for maybe a couple of months to get the effect. It is actually similar to Invisalign, so yes it is still in use.
Wisdom teeth usually erupt between 15 to 21 years old. But you don't necessarily have to wait for the wisdom tooth to come out. In fact, before you have your wisdom tooth removed or any sort of teeth removed, or any extensive dental work, and you have the intention of doing braces. I would suggest you go see a dentist first to consult on the braces suitability. It's possible sometimes that we can extract the wisdom tooth or keep it as part of the braces treatment plan.
For metal braces, people can be allergic to metal components such as nickel. However, they do have latex-free elastics for those with an allergy. For aligners, I have not seen anyone with a true allergy, a true allergy means you will be excluded from it and I believe you will be excluded from the clear aligners as well.
Firstly, bad breath can be due to many reasons. And actually the most common cause of bad breath will be dehydration. Not drinking enough water. Secondly, it could be due to food getting stuck in teeth and not getting cleaned out properly when you are brushing. So, does braces help with bad breath? Actually they can make it worse. Because more food can get stuck in them. The exception is that your teeth are so crowded that you have trouble cleaning them properly, then you get braces and you can clean your teeth properly, then yes that helps.
You can, but you can get very tired and it could be quite uncomfortable as you have to deal with pain from extraction and the pain from the bonding of brackets, which is the ulcer and all that. Subsequently, pain from the effect of teeth moving, it's almost having everything all at one go. Some people opt for that as they think that they would just take a few days off work and be done. We also know teenagers can cope with this a lot better, they tend to heal very well. To them, extraction is simpler so the recovery is less painful. It definitely does depend on the individual as well.
What are the indications and contraindications for malocclusion type II and III if I plan to use Invisalign?
Number one, don’t self-diagnose too much, because if you self-diagnose wrongly, you will treat yourself wrongly as well. Ok, so what do the different classes mean? Class I just means that everything is in perfect order class II is where your upper teeth are more in front than your lower teeth class III is reversed, so the lower teeth are in front of the upper teeth. Class I, II, and III can be treated with Invisalign, not a problem.