Can chewing habits correct an asymmetric jaw?

I fully agree with Dr Lee that chewing on one side will do little to help with the problem. In my experience as an aesthetic physician, it is as Dr Lee said, most of us have mild asymmetries, and almost every case of asymmetry has a mixture of BOTH bony and muscular elements. If the asymmetry is bothering you, I would suggest some botox and fillers first to correct it as a temporary measure. I would refer to my dental or orthodontic colleagues to correct teeth alignment and jaw surgery for better functional outcomes and long-lasting results.

What are quick and effective options for teeth whitening in Singapore?

Thank you for your question! (: There are various ways to whiten your teeth. In order of the “efficiency” and “effectiveness” as what you mentioned, I would rank them accordingly as such from fastest to slowest: In office teeth whitening (in the dental clinic)- generally an hour or so Take home teeth whitening kits (from a dentist)- may take days to 2 weeks OTC teeth whitening products- variable effects Teeth whitening effects are generally “quickened” when the concentration is higher.

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Answered By

Dr Joanne Lam

Dentist

Is it normal for bleeding to occur 3 days after wisdom teeth extraction? When should I be concerned?

It is possible to have bleeding after a few days post operatively. There are a few factors which may have caused your bleeding: An unstable blood clot or the clot may have been disturbed due to eg) vigorous rinsing / exercising You experienced a difficult removal, which may cause the surrounding soft tissues or bone to bleed more. If you have high blood pressure If you have a “large” blood vessel in your bone or soft tissue which was traumatized You could try to bite on a gauze for 30 minutes, or apply pressure at the socket site to help stop the bleeding.

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Answered By

Dr Joanne Lam

Dentist

Should children have their milk teeth extracted to prevent permanent teeth from growing crooked?

May I know how old your little girl is? You are absolutely right. In most cases, the adult teeth will cause the milk teeth to be mobile and subsequently lost, making space for the adult teeth. In this photo, it looks like the two side adult teeth are erupted but the two front milk teeth are still present. My advice will be to seek an opinion from an orthodontist to check for the reason why this has happened BEFORE extacting the milk teeth. Sometimes it may be because two lower adult teeth are missing and in this case, you might want to keep the baby teeth for as long as possible.

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Answered By

Dr Sylvia Tan

Orthodontist

Are dental implants the best option to replace a missing tooth?

Thank you for your question. I am sorry to hear about your accident. “What dentistry procedures would you recommend to replace the tooth? Is implant the best option? ” I assume that the teeth in question are your 2 front teeth? The methods that you can consider to replace your front tooth would be: Dental Implant: Most stable and aesthetic if done well, highest longevity if well maintained. However it is costly and there is a need for surgery. (Dental implant costs are Medisave claimable for the surgical component) Bridge: Good aesthetics achievable.

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Answered By

Dr Joanne Lam

Dentist

How do I know if my wisdom tooth needs to be extracted?

In terms of giving you any personable advice, I completely agree with Dr Shiming. It’s really hard for us to comment until we’ve done an examination for yourself. However, I thought I’d share with you some common reasons why wisdom teeth are extracted. If any apply to you or anyone else reading, then maybe you should consider to remove them. Pericoronitis. If the wisdom can’t erupt fully, there may be a flap of loose gum which lies over or around the erupted portion of the wisdom tooth. Food and bacteria can get stuck under this flap and cause a localised gum infection.

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Answered By

Dr Joanne Lam

Dentist

What determines the cost of dental implants in Singapore?

I understand that it can be frustrating when faced with a wide range of fees when trying to find a good dentist for your mom. Many clinics all over the island offer dental implant surgery as a treatment option, from the smaller clinics in the suburbs, to the big group practices in town and finally the government institutions like the National Dental Centre. I have written several articles about dental implants, which you can see on my profile.

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Answered By

Dr Gerald Tan

Dentist

Which doctor performs excision of trauma irritated fibroma in mouth?

Thank you for your question. Oral fibromas are benign growths (consisting of scar tissue) in the mouth that usually appear following repeated trauma (usually from rubbing of your teeth or dentures/braces against the inner lining of your mouth or from accidental lip biting). The inner cheek area (buccal mucosa) would be most common.

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Answered By

Dr Eng Cern Gan

ENT Doctor

Does enamel microabrasion help to remove fluorosis stains?

Hi denticonomist! Stains of the enamel surfaces can definitely be treated by microabrasion but this would not be my first line of treatment for a couple of reasons: 1) It is an irreversible procedure. In microabrasion, a very strong acid is applied to the enamel surface and scrubbed in to lift off the surface enamel that contains the defect. Even though this enamel removal is microscopic, your tooth will never be quite the same as an intact virgin tooth.

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Answered By

Dr Jaclyn Toh

Dentist

Should I have an extraction or filling for a toothache and hole in my tooth?

Thank you for your question. Firstly, we would have to do a clinical exam and take an xray of the tooth, to find out the cause of your pain. The pain can be due to different factors, the common ones being: 1. Dental decay 2. Gum disease 3. Cracked tooth. Dental Decay Depending on the extent of the decay, the treatment can be a simple filling, or a root canal treatment if the bacteria from the decay has infected the nerves within the tooth. Fillings are generally about $100+ on average whereas root canal treatment, which generally ranges from about $500-1500 depending on which tooth it is.

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Answered By

Dr Joanne Lam

Dentist

Will a night time mouth guard help with daytime jaw pain?

Pain around the jaw area can be caused by a few things. I’ll discuss the most common causes: Teeth grinding. As Dr Shiming mentioned above, if you’re grinding your teeth during the night, it can cause jaw pain and headaches. Grinding your teeth for prolonged periods of time can also cause flattening of the teeth leading to sensitivity and possible tooth fractures. A mouth guard will help protect your teeth and in some cases can alleviate grinding. TMD (temporomandibular joint disorder). This can be pain of muscular origin or pain of the jaw joint/ligament itself.

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Answered By

Dr Joanne Lam

Dentist

Who are some recommended endodontists in Singapore for root canal treatment?

I usually refer to TwinCity Clinic in Ngee Ann City, Orchard. Usually Dr Kimmy sees my cases and I’ve met Dr Richard Ang at conferences – really nice guy. Feedback from my patients has been great and they’ve never had difficulty in getting an appointment. You can consider seeing a general dentist too as they’ll be able help ease your pain until you can get an appointment with a specialist 🙂 Hope your toothache settles down!

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Answered By

Dr Joanne Lam

Dentist

Which procedures do I need at routine dental checkups?

Thank you for your question. Firstly, it is wonderful that you are asking about routine dental check ups because most people do not even know that it is advisable to have one done every 6 months! As for procedures, a mandatory clinical examination should be able to highlight what your treatment needs are. Often, x-rays may also be necessary to check on areas that are not readily visible to the naked eye such as between back teeth or under old fillings. Very often, scaling and polishing is also done during the 6 monthly check up.

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Answered By

Dr Shiming Huang

Dentist

How do mini dental implants differ from traditional dental implants?

“What are mini implants? ” Mini dental implants, as its name suggests, are generally of a smaller diameter (<3mm), thus they are thinner than that of normal implants. They normally come with the abutment and the implant as a piece, whereas for conventional dental implants the pieces are separated. You could picture the mini implants as nail screws and traditional implants as bolt and cap nuts. “How does it differ from traditional dental implants?

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Answered By

Dr Joanne Lam

Dentist

How can I confirm if there is a hole in my dental crown?

I would advise you to see a dentist so they can assess your crown for you. It would be very difficult, if not impossible, to accurately measure the thickness of the crown once it has been cemented. It’s possible that the dent you can see is part of the design of the crown (to mimic tooth morphology/shape) and this area may also have a different texture/feel/colour due to the adjustment your dentist provided. However for peace of mind, I would recommend you see a dentist as there is also a possibility that the crown was over trimmed. Hope this helps!

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Answered By

Dr Joanne Lam

Dentist

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