Hi everyone, thanks for dropping by this forum. For start, im a certified dentist currently serving at the Kementerian Kesihatan Malaysia. Im a little bored here and i cant find much related to teeth in LYN, so i decided to open up this tread to discuss a little bit of teeth and dentistry

PURPOSE
1) Increase awareness of oral hygiene
2) Debunking some myth about dentistry related stuff
3) Serve as a platform for dentist to gather and give opinion
4) For those who wish to take up dentistry as their career, this is a great place to ask , to know what you are expected to do once you graduate!

' Dentistry is the art and science of preventing, diagnosing and treating diseases, injuries and malformations of the teeth, jaws and mouth'
Above is the definition of dentistry, it is a unique career that require you to master both art and science. What you study theoritically may not make you a good dentist, and you cant do practically without a theory behind, hence the word ART AND SCIENCE. It is very true when you think that a distinction student may not be the best dentist, and vice versa the bad student will not necessary be the worst dentist. You have to put the theory into practice and perfecting it, so i prefer to call ourself PRACTITIONER , because we are and we will be practicing and perfecting our skill and knowledge everyday. Oww...not mentioning the SKILL OF COMMUNICATION, which is a very very very important skill that every good dentist must have!!


*Disclaimer*
World of dentistry is ever changing, there is alot of argument, different school of thought on dentistry. What i write/express is my own opinion, it may differ from one practitioner to another

Reading Zone
Is a blog created not by me, but other dentist in Malaysia, good info there!

Ask.DentistMY


This post has been edited by AskTheDent: Sep 14 2014, 10:34 PM

Top 10 Reasons Why People HATE Dentists

#1 THE PAIN
#2 THE NEEDLE
#3 THE ANXIETY
#4 THE DRILL
#5 THE INVASIVENESS
#6 THE SOUND AND SMELL
#7 THE COST
#8 THE LECTURES
#9 THE POOR SERVICE
#10 THE BAD MEMORIES

This post has been edited by AskTheDent: Sep 10 2014, 11:16 PM

-Reserved-

lemme start.
I haven't done scalling for the past 3 years already.
is that ok?

I want to do crowning, but private dentist too expensive (RM2k above). Is there any cheaper option?

The purpose of scalling is to remove the calcalus deposit that are form through the time and cant be remove by regular brushing. Increase the frequency and by using the correct brushing technique will only make the formation of calcalus much slower, but it will not halt the production of the calcalus.

In normal healthy person ( no shaking teeth, no gum bleeding/swollen ) , it is recommended to do scaling once every 6 months. For those who have shaking teeth, gum bleeding, gum swollen ( Medical term, Periodontitis ) has to do scalling every month until the condition improve, then you can increase the duration to 3 months, and then to 6 monthly.

Hope this helps

This post has been edited by AskTheDent: Sep 9 2014, 04:24 PM

Sorry to said that, there are not alternative for crown. Maybe you can try other material such as metal or porcelain crown, it usually be cheaper then Zirconia crown. Im practising in northern part, what i know is they charge Rm600 per crown here. So i suggest you go to a few a dental clinic and ask for quotation.

Or, you can go to government clinic, but not all clinic can do crown, only a specialist clinic can do

Suppose I have a very small cavity, and I go to the dentist, and he digs and drills, and make a small hole into a much bigger one, and then caps it with filling ...

Or alternately, I diligently brush my teeth immediately after EVERY single meal. Every time I eat anything. And I keep this up for 3 months. And the micro cavity dissapears.

Question, with very very small cavities, do teeth have some limited capability to heal?

Everytime I visited a govt dentist, they did scaling for me for only 10 minutes?

I remember spending more than 10 mins in a private dental clinic.

Is 10 mins enough?

To answer your question, we must know how a tooth cavity is form. The acid in our mouth will de-mineralised the tooth structure, especially the calcium. When the time goes by, the loss of calcium is too much and the tooth collapse and hence , the cavity is there. We can prevent the demineralisation by applying high concentration of calcium on tooth surface ( GC tooth mousse ). BUT this REmineralisation can only be done on early stage, once a cavity is form, the only method is do filling to prevent further caries progression.






Actually that depends on how much calculus you have, if you have huge big chuck of calcalus sticking onto your tooth surface, then it will take longer. On the contrast, if your tooth is relatively clean, 10 minute is sufficient.

Another explanation is that the private clinic might be doing deep scaling for you. Deep scaling usually cant be done in government clinic as it need special instrument. Hope this answer your question

Which government clinic in KL/PJ is good for scaling?
Am i able to choose a specific doctor or its assigned randomly?

I think all the gov clinic is the same, haha.
Errrr... Yes and no to your second question. It really depends on the clinic and the doctor. Like my clinic, we have a duty roster, if im working for today, all the patient that come today will be seen by me. So if you want Doctor A, you ask when is the day he duty and you come that day, or simply ask to put your appointment under his/her name. BUT, all clinic have their own system, try ask if you can choose your own doctor. This is common especially for woman patient who want to be treated by woman doctor.

Is there a risk of HIV and Hepatitis during dental treatment?

where is ur clinic?

before we talk about symptoms i believe the best medicine is prevention..

let's start with the basic..

correct way to brush teeth.

doc, please guide us on the correct way to brush teeth

million dollar question, do we need to rinse after brushing?

This post has been edited by nate_nightroad: Sep 9 2014, 11:39 PM

Yes, there is always a risk, either from patient to patient, or dentist to patient. So if you ask how to prevent this, i would say the best way to prevent the transmission is to only visit the clinic that have good sterilization equipment and do the proper sterilization procedure. Just to add a note, infection control in private clinic is COST CONSUMING, it involve alot of money. So sometime it is better to visit the dentist who charge a little bit high, but the clinic is clean



Sorry dude, i prefer stay anomalously. My clinic is at norther part of M'sia



Use soft toothbrush!! Hard toothbrush is use to wash the toilet bowl,haha!! I know how enjoying or 'feel' more clean after brushing with hard toothbrush, but trust me, is the technique that matters, not how hard is the toothbrush.

There is a contrary opinion is rinsing after tooth brushing. Toothpaste has fluoride and other type of material in it. The risk of NOT rinsing is swallowing the toothpaste. High amount of fluoride in our body will lead to fluorosis of the bone and teeth ( if it is consume during tooth formation stage ). Personally, i would recommend to rinse after brushing as the main purpose of brushing is to brush out the food that stuck. Not forgetting regular flossing and gargle with mouthwash twice a week



Brushing method


This post has been edited by AskTheDent: Sep 10 2014, 12:30 PM

very informative doc

but let me embed the video for u

Haha, thanks, i already edited and the youtube is uploaded

how much govt charge ?

Above is the price list for gov clinic, if foreigner is different price

This post has been edited by AskTheDent: Sep 10 2014, 09:02 AM

1. Haven't done scaling for a while, tooth slowly becoming like triangle shape. Wonder if the gum can grow back?

2. Some part of my tooth has become like transparent color. Should I be concerned?

huh? prolong exposure to toothpaste causes fluorosis?? that's something new... then shouldn't we stop using high concentration topical fluoride?

Thanx for opening this thread! great effort here.... have you completed your fido?

1.I believe you meant what we called as 'the black triangular'. It is formed when your bone and gum shrink, and if the process continue down the time, eventually your teeth will be shaking. There are few minor oral surgery that can make the bone and gum regrow, but not everyone is candidate for the surgery, it has to depend on your level of bone. For non-invasive method, i recommend regular scaling to AT LEAST maintain the already shrink-ed gum, rather then let it progressing worsen.



2. Actually our teeth have some amount of transparent, it to make light to pass through and make our teeth nice. It is usually at the edge of our teeth, it is normal. What abnormal is when you notice your teeth has become more and more transparent. It usually due to acidic food, such as orange juice or maybe you have the habit of night grinding ( Bruxism ), which make the teeth thinner.



I think the statement i have put it in a wrong way. It should be if didnt rinse the toothpaste after brushing, there will be increase risk of us swallowing the toothpaste, and it will cause fluorosis of bone. For a teeth to become fluorosis, high amount of floride must be consume at the TEETH FORMATION STAGE, which is before the teeth erupt. The amount of fluoride in typical toothpaste will be 1000ppm to 1500ppm. Even our tap water has fluoride in it , it is below 0.1ppm. Many cases of tooth fluorosis is due to ingestion of these fluoridated water, it has been a debate whether we should put fluoride in our water system or not, but i think the pros wight more than cons

I have completed my fydo, are you a dental officer too??

This post has been edited by AskTheDent: Sep 13 2014, 08:35 PM

How much does it cost for scaling and polishing these days?

Above is the fees recommendation from Malaysia Dental Association. It is written scaling and polishing is Rm100 and above, but it really depends on the clinic setting and location. I heard some place they have Rm25 for scaling too...

Just read about fluoride. Pretty nasty le this toxin. Gonna throw my Colgate toothpaste and start to use non-fluoride toothpaste liao after I get it.

Fluoride somehow is a double edge sword, but as long as you didnt swallow the toothpaste, it actually serve to protect your teeth. I found a phrase from the net and would like to share it here : 'Apart from fluorosis, the only other danger with fluoride is overdose. The lethal dose of fluoride is about 5 mg fluoride for every 2.2 lbs. (1 kilogram) of body weight. If you swallow a little, you'll be OK. But one tube of toothpaste holds enough fluoride to kill a 60-pound (30-kilogram) child if the whole tube was swallowed [source: Fluoride Action Network]. This is why children should be only given a pea-sized amount of toothpaste on their brushes and supervised so they spit out, rather than swallow, after brushing. '

But ultimately, its your choice, is your mouth, your teeth, your body and life. But for me, as a dentist, i will still using fluoridated tooth paste



This post has been edited by AskTheDent: Sep 10 2014, 01:44 PM

oh i see. To be safe, i better use flouride-free tooth paste first.

i got myself plax from johnson johnson, it works like a charm, no more scaling or going to the dentist, i also notice that it makes my teeth visibly more whiter.

Bought it overseas.

I'm an oral surgeon... I din have to serve the government during my time...

Any idea on the triclosan issue that was posted by bloomberg?

Is there a need to remove a wisdom tooth if it does not pose any problem as at now?

Then will there be more problem if a wisdom tooth is removed when you get older (ie when you are in your 30s or 40s)?

The colorless-type resin which they use as a temporary crown for a
few days, prior to fitting the actual crown - I've note that it is quite
tough, durable, and not porous, in contrast to the usual white ceramics
which they use for filling these days. which don't seem to be very hard
nor durable, and seems somewhat porous.

Why don't they use this resin as a filling material instead ?

i've had multiple tooth extraction in the past, and fortunately all of them arent the front teeth so the gaps arent visible. i'm planning to just leave them like that, since i can eat just fine. but will the other teeth get crooked because of the gaps next to them?

where can I get dentist that provide service teeth whitening? area ampang?

Hi Doc, you must be a very senior oral surgeon. You are the Oral Maxillofacial Surgeon? Because i notice some GP they put oral gurgeon too, i dont think they refering to Oral Maxillofacial Surgeon. And why sir dont need to serve last time? Mind take us down the memory lane?

Another debatable topic, im not in a good position to provide you the answer,so i will leave it to the expert to answer your question

FDA on Triclosan


Good question! One of the common headache for people. You can remove wisdom teeth IF
1) Food get stuck between wisdom teeth and second last teeth and find it difficult to clean the area, and eventually caries is form on both the teeth
2) It is not erupting to the place it should be ( it maybe be tilted, rotated, or not fully erupted )
3) Persistent gum swelling and pain
4) If you dont have upper wisdom teeth, there is no point to have lower wisdom teeth. The lower wisdom teeth act as a DECORATION in your mouth and it is a risk for you. The risk is stated in point 1

So, if the wisdom teeth is in a correct position, you manage to clean it, not giving you any problem,you have upper wisdom teeth to bite on i would suggest to keep it. Otherwise, it is advisable to get it remove as young as possible, because the older you are, the bone become less elastic ( more difficult extraction ) and your capability to heal is slow and less compare to younger age.

What if you go to the dentist too often for scaling. Is that a bad thing?

Let's say if you go to the dentist every 3 months for scaling. That is like 4 times a year.

actually the temporary crown and the ceramic ( dentally it is call composite ), both are under resin family. Im quite sure the one use for filling are stronger than the temporary crown material. The composite company will market their brand by comparing the strength of their composite to one another, so they have to be strong, moreover, it has to withstand biting force for a very long time in our mouth


Good question. First , we must understand that our teeth are constantly moving ( in a very slow pace ). For left and right,teeth stay in the position because it is control by the force of tongue and our cheek muscle. For front and back, it is control by neighbouring teeth. If the opposing teeth is missing, the teeth will erupt to occupy the missing teeth space.

It may be confusing, but let me give an example. If your front tooth is missing, it will move/tilt forward. If the your back tooth missing, it will move/tilt backward. If you upper tooth is missing, the opposing lower tooth will grow upward occupy the missing tooth.

So the answer to your question is YES, it will get crooked. Some it takes more time to move, some it take shorter period, but it will definitely move

Sorry bro, i dont know ampang area, but most newly establish clinic should have. If not you can visit those franchise clinic, they should have it

Rumour has it that is not good for you to go scaling often, as it will make your teeth thinner. By the way,our teeth is the strongest in our body, even stronger than bone. So it is impossible that scaling will make our teeth thinner. The scaling frequency is actually depend on your gum health and amount of deposit ( calcalus ). If your gum is persistently swelling, bleeding, shaking teeth, then you may have to go for regular check up. I always advice my patient, those who have all those symptom, to come scaling every month, after their condition improve, i will make it every 3 months then progress to every 6 months. So next time you go, try ask your dentist about your gum condition and when is your next appointment

Thanks a lot for your advise.

yes.... I'm way more senior than you... my time is b4 they implemented the compulsory 3 years service for dental graduates.... heard that it's been reduced to 2 years now...

I think you meant gp calling themselves dental surgeons... not oral surgeons.... those with BDS(Bachelor in Dental Surgery) like to be referred as dental surgeons to differentiate themselves from those graduated with Bachelor in Science(Dental)..... in reality, abang adik...

Yeah, its 2 years now. Heard they going to further reduce to 1 year
Sir please, give some opinion and advice too in this thread, your experience is much more compare to me

I've been told that if you scale too often, it'll thin out your gums/enamel
and you'll end up with sensitive gums/teeth over the years.

Isn't the scaling device a powerful ultrasound unit ?

A couple of years ago, out of curiosity, I went around asking many people,
even strangers, how often they went for scaling.

Nine out of ten replied - never.

One of them is my own elder brother. The last time he scaled was
in his schooldays ! He's now ever 60.


Some say scaling, after removing the calculus, actually loosens the tooth.

This vegetarian restaurant owner told me his friend went for scaling ever
so often, not later than 6 months, being a good dental patient.

He said this friend ended up losing most of his teeth.




This post has been edited by Tham: Sep 11 2014, 08:01 PM

Thanks for your question, i think most of the public have the same thinking too.

First of all, the scaler is an ultrasonic device, it act by the action of 'cavitation', which simply means it generate small bubble to break the hard calcalus. Actually i noticed those patient with unhealthy gum ( swelling, bleeding, calculus, shaking ) they will experience the sensitivity during scaling. After a few follow up and scaling, there are noticeable reduce in sensitivity.

If the calculus is formed throughout the years, it will act as a 'cement' and it 'hold' the teeth in position. Once we remove the 'cement', naturally the teeth will be shaking.


Many of public they didnt notice the importance of scaling. Ok lar, generally, 9/10 people will visit dentist ONLY they have pain. So many they wont bother to come for regular check up. Gum disease is A VERY SLOW disease, it take up years for the calculus to 'eat' away your bone and gum, leading to shaking teeth. Once your teeth starting to shake, im afraid is a bit too late. So think of scaling as prophylaxis, you wont feel any different after scaling, but it long term, it helps.

General health also related to gum, people like uncontrolled diabetes usually have poor gum , same goes to those who take some medication. Some patient the calcalus grow very fast, some is slow. There are alot of factor into it, i dont want to go into detail. I take me myself for example, i notice my calcalus started to grow after 2 weeks, but at home i scale myself ( by facing the mirror ), haha

Hope this clear some of your doubt!

i need to do fillings.
any recommended good dentist around subang/sunway?
with reasonable price and not slow poke?

Sorry bro, i dont familiar with Selangor/KL area.

Just a quick survey, what is your acceptable price for a filling. And will you pay extra like Rm30 for a faster filling. ( Due to advance technology, we dentist actually can speed up the filling process, but it require newer technology, which require $$ )

and sometime slow is good, because the dentist is doing your teeth very carefully.

Dr Dentist,

do you change the cups for every patient?

AskTheDent,

is there a proper way for flossing?

Yeah, i did

1)Use enough floss. Break off a piece about 15cm long. That sounds like a lot, but you want enough to keep a clean segment in place as you move from tooth to tooth. Wrap most of the floss around either the middle finger or the index finger of one hand, whichever you prefer, and a small amount onto the middle or index finger of the other hand. (Using the middle finger leaves your index finger free to maniuplate the floss.)
2)Slide between teeth. Gently slide the floss between the teeth in a zigzag motion and be careful not to let the floss snap or “pop” between teeth.
3)Form a “C”. Make a C shape with the floss as you wrap it around the tooth. Then carefully pull the floss upward from the gum line to the top of the tooth.
4)Roll along. As you move from one tooth to the next, unroll a fresh section of floss from the finger of one hand while rolling the used floss onto the finger of the other hand. Use your thumb as a guide.
5)Reach both sides. Don’t forget to floss the back side of each tooth.

Dear Doctor,

I never drink coffee and didn't smoke but my teeth naturally got black stain. I go to dentist almost every 6 months to wash my mouth and try different dentist but the black stain will come back again around in 3 months time. All doctor also do not know why how come I got black stain. Some say it is cause by my saliva.

May I know do you have long term solution for this?

Thanks.

AskTheDent

Hi, first of all, good idea for making this thread! i'll be reading it from time to time

i have a question, i am now wearing braces from private orthodontist, I feel like going for scaling but it's kinda pricey to do it at a private clinic (like around RM800), therefore is it possible to do scaling & whitening with braces on at a gov dentistry?

Hi AskTheDent,

What does it mean when your gums bleed when you brush but you don't feel anything?

Thanks.

Hi, first of all I would like to tell that there are staining of teeth is basically multifactorial. The causes of staining are divided into extrinsic and intrinsic stains. Intrinsic stains are usually caused by some diseases like blood diseases, inherited diseases while extrinsic stains are more common among the community. For your case, the reason of staining might NOT ONLY be coffee. It may be due to other food stains like tea, wine, curry, soft drink etc. Furthermore, some people are prone to stains naturally due to chromogenic bacteria. Well, basically these bacteria will only be present due to plaque accumulation. So you have to maintain your oral health by brushing your teeth twice a day and flossing daily. Also, I would suggest you to rinse your mouth after every meal.
How to reduce teeth staining:
1. Rinse your mouth after every meal
2. Use a straw to drink
3. Chewing gums are good sometimes but beware of the sugar contents
4. Brush your teeth twice daily with fluoridated toothpaste
5. Regular visit to your dentist (at least in 6 months interval)
For the treatment wise, there are plenty of ways to treat tooth staining.
1. Polishing of teeth (I suppose your dentist would have done it for you)
2. Bleaching gels (Effective but need long term follow up as well)
3. Fixing a porcelain veneer or crown (Porcelain is the best material as it does not stain BUT we need to excessively remove the tooth structure to fix the restoration and it is very costly)
Discuss with your dentist about your problems and he will evaluate your conditions and provide a suitable treatment for you.


Hi, it is advisable to do scaling during your orthodontic treatment. And for whitening, i would advice you to do it after you completed your treatment, this is because ( I assume you wearing the metal braces) if you do whitening, the teeth surface below the bracket will not expose to the the whitening treatment.

Gov clinic only have scaling for Rm2, but whitening have to go to private clinic

Hi, bleeding gums is a very common problem and even though there is no pain, it does not mean you should stop treating it!
Let me explain what is 'bleeding gums'. It is a sign of inflammation (A response from our body to protect us from infection or harmful stimulus) in your mouth. It is usually due to gum diseases which initiate from the bacteria in the plaque. Our body's defence tries to 'fight' with the bacteria and in the early stage, you will see just redness and probably mild swelling of your gums. If the plaque is not removed (by brushing/ scaling), the bacteria accumulates and infection becomes persistent, now the pain may gradually get worse. If it is still not resolved, the pain might be severe and simultaneously, you will have serious infection of your gums.
So, please do not ignore any sign that your body is telling. Visit a dentist as early as possible once you encounter any problems regarding oral health.

Hi there,

Nice thread and information, Keep it up

Thanks, please ask here if you have any doubt

Hope you can help me here. I know that I am just taking a chance with my vague question here.

My niece (19 years old, in another town) has tooth/gum pain for some 3 months now. She has seen 3 dentists already and still no full recovery yet. X ray taken etc. The pain is at the back end of the mouth (molar region).

If you need more infor, let me know and I can ask her.

Is there a growing up gum/teeth problem for young adults and the unlucky ones will really suffer?

Many thanks.

P/S For myself, my wife "complains" of my bad breath. I did not have that problem until about a year ago. I brush 2-3 times a day, rinse with Listerine twice a day. I don't think it is due to my teeth. Due to ulcer decaying food? Saw some video on Youtube on this. Tried it and cannot find any yellow solids there either.

Based on your info, i guess it is from 3rd molar/ wisdom teeth. People around this age usually have this kind of problem. The wisdom teeth is erupting, and it will be uncomfortable. If it is due to wisdom teeth, i will usually ask the patient to bear with the pain and let it erupt, the pain can be control by taking pain killer, and also to take care the oral hygiene by gargling with water after each meal. Note that there is a chance the tooth is tilted and no chance for it to erupt, if the tilted wisdom teeth giving pain, extraction is the only way.

Impacted 3rd molar


For bad breath, try
1) Brush your tongue
2) Avoid strong smell food, like garlic and onion
3) If your teeth have cavity, food may get stuck inside and hard to get out, hence the smell
4) Drink lot of water
5) Do flossing and interdental brushing, sometime food may get stuck in between teeth and its hard to get it out by brushing alone
6) Chew sugar-free gum ( temporarily measure )
7) Go for dental check up, maybe you have abscess that you didnt notice, or its time for you to do scaling. A thick calculus can often produce unpleasant smell

Hope this help


Interdental brush :

Noted and many thanks Doc!

Will inform my niece.

1) Do that some times
3) Did my checkup about 6 months ago, no cavity, did minor descaling.
4) Guilty!
5) Do flossing when I cannot dislodge the food stuck in between teeth

Cheerio.

This post has been edited by plumberly: Sep 13 2014, 03:49 PM

I see, cuz it happened 1 day after my braces were removed and they take dental impression but before my retainers were issued, also when I was re-learning to talk without braces Dentist advise brushing after meals and after few days it's okay

Do update here if you have any improvement

I think it was alright, congratulation on finally removed your braces, i know you feel. I wore my braces for 4 and half year, haha

"The wisdom teeth is erupting, and it will be uncomfortable."

How long will that normally take?

Days, weeks or months?

Thanks.

Well, it depends on each individual's tooth eruption rate. For wisdom teeth, it varies from person to person. Some wisdom teeth might not fully erupt or covered by a layer of gum tissues.



Some might erupt in place or slightly tilted like the x-ray image I showed in the previous thread but some might not be out AT ALL. It may be due to many reasons like lack of space to erupt or the tooth beside prevents it from erupting.
So what you can do currently is to maintain the oral health by brushing properly, flossing and using mouthwash. If the pain is unbearable, take some painkiller and visit the dentist. There may be some infections underneath the gums or some diseases related to the tooth. And one more important thing is to rest well!

This post has been edited by AskTheDent: Sep 13 2014, 09:12 PM

im experiencing really sharp pain on my broken tooth for the past week and really pain until cant sleep for 2 days now. im planning to see the doctor today afternoon. any tips to reduce the pain.

im taking ponston meds to reduce the pain but it does not seem to reduce lol.

today is Sunday... family day lah.....

haha. just did my tooth in klinik pergigian alam permai near equine
damn good and cheap. really recommend this place.

luckily no need root canal. just tampal only. no more pain.. hahaha

I have seen his work before. His work is definitely one of the best you can find when it comes to endodontics in Malaysia.

This is why you should brush your teeth every day and avoid sugary and overly acidic/alkaline food

Hi, sorry for late reply and glad to hear your plan relieve. BUT , i still want to prepare you for worst case. If you experiencing throbbing pain during sleeping, it means the infection has already gone into the bone. The best treatment is root canal treatment. But the pain can also be relieve with normal filling, with the chance of the pain coming back, so when the pain has come back, you know that this teeth is beyond normal filling, root canal treatment or extraction is the treatment.

thanks for your reply

the doctor gave me the option. Root Canal or pull the tooth. i chose root canal. he already jab my gums with GA.
during the doctor was cleaning the teeth preparing for the root canal. suddenly he said no need to do root canal
it is close to the nerve but have not hit it. so he proceed with normal filling.

as of now. the pain is still there when eating which i think is normal as it requires a few days of healing.
will update here if the pain comes back(hopefully it do not)

Yeah, hopefully is ok...Do update here

no... it's not gonna be ok... you know that... I know that.....

Yeah, I already told him the worst case scenario so he know what to do when it is pain next time

Yeah, I already told him the worst case scenario so he know what to do when it is pain next time

Hi doc. Any recommendation Mouthwash products for people with braces? I am currently using Listerine original flavour. But the sting feeling is very strong. Thank you. 😂

This post has been edited by rannworld: Sep 15 2014, 06:09 PM

Try this, is not so strong...but it is not easily find as listerine

My dentist removed 4 pre-molars of mine for braces purpose. My question is, will the extraction sites resorp and once the other teeth are aligned to the extraction site will the tooth loose due to bone loss? And gum recession too?

seriously???

No it wont cause your teeth to be shaking. Im a live example of your question

Yeah, whats wrong with that?

Since brushing played an important role in preserving our teeth and not many people are brushing pure teeth in correct way, do u thinking using electronic tooth brush will overcome this problem? Or using our conventional tooth brush is better? Is there any side effect if using electronic tooth brush?
My dentist is not suggesting me to us mouth rinse Bcs she told that mouth rinse can cause staining on our tooth.....is it true? What mouth rinse u suggest?

chlorhexidine mouth rinse(oradex, bactidol, etc) will cause severe staining especially
if used for more than a week and having braces.... definitely a no no for this case....

I have yellowish teeth. But I brush my teeth twice a day and didn't even skip once. What is the reason then?

Does scaling helps to whiten my teeth?

Hi,

Anyone can share a good orthodontic in Alor Setar/Jitra/Changloon area?

Electronic and manual is very subjective, i tried both and i still prefer the manual. I dont think there is any side effect of electronic tooth brush other than its more expensive

Should I use mouthwash?
Yes, using a mouthwash that contains fluoride can help prevent tooth decay and help get rid of any last bits of bacteria or leftover food that you might have missed with your toothbrush.

However, don't use mouthwash straight after brushing your teeth. Choose a separate time, such as after lunch. And don't eat or drink for 30 minutes after using a fluoride mouthwash.

Many mouthwashes contain alcohol, so they're not suitable for children, as they could swallow them accidentally. If you use a mouthwash with alcohol, you may get a very dry mouth and dry, cracked lips due to the drying effect of the alcohol. You can avoid this by using an alcohol-free version.

Some mouthwash contain chlorhexidine ( refer the reply by Dr.Barbarian below ) and it will stain the teeth

I quote from internet:
Chlorhexidine staining
'active ingredient of Chlorhexidine gluconate (CG for short). Now this stuff, has got a VERY good track record on treating active gum disease. What this stuff does is actually stick to your teeth, gums, tongue and inhibit bacteria. Its fancy scientific classification is… “ a cationic bisbiguanide.” The CG opens up bacterial cell walls and kills them, less bacteria in the mouth, less inflammation, less gum disease. Thats the basics of it.

However, there are side effects, these include discoluration of fillings and teeth, staining of your tongue, altered taste sensation, metallic taste and increased calculus/tartar formation. This is not a good thing.'

I used Colgate Plax and Listerine before, i prefer Colgate Plax because is cause no burning sensation. Listerine is too strong for me

Oh ya, now i recall back. Once i have a patient with chlorhexidine staining, but he finish the whole small bottle in a week. The chlorhexidine stain can be removed by scaling right.Anyway, thanks for tips doc

Yellowish due to tobacco and food stain usually can be whiten back by scaling, because the stain is superficial. But if the yellowish staining is due to thinning of teeth layer ( Our teeth have 2 layers, the outer layer is whiter, and inner layer is yellowish. As time goes by, the outer layer become thinner thus the teeth become more and more yellowish ), then it whitening cant be done by scaling.

In short, scaling can be helpful for stain that is superficial. Other than that, bleaching is the other option, but the effect is not permanent.


I asked one of my friend, in Jitra, Dr Yeoh doing. Whereas in Alor Setar, Klinik Selesa in Simpang Kuala and another clinic opposite Star Parade. Im not sure how is their work, only know they providing the service

I think I have this yellowish teeth since I was small. I don't smoke tho. What is the reason causes thinning of teeth layer ?

Btw, I am a dental student to be. Going to start my course next month in Manipal India.

Some is just congenital and genetic. If you notice, Indian society has a much whiter teeth, one of the reason is the contrast of their skin color to teeth, making it whiter. But if you just look at the teeth itself, it also appear whiter than other races. Thinning of teeth by by daily wear and tear, or acid attack in some individual.

Good to heard that, i have a few colegue also grad from Manipal, Salem and Chennai. You going for twinning or 5 years there? Must be quite excited ya...

Then I shall try to do scaling to see whether it helps to whiten my teeth or not haha.
Another 2 weeks more I m going to depart already. Mine is twinning. 2years India campus and 3 years in Melaka campus

Hi everybody here.......
i didn't go for any dentist before..
few days ago.... my wisdom teeth is giving me headache,ache over night... .
And...Now im sudah xle tahan the wisdom teeth...nak pigi cabut semua gigi yg x gune sekali gus...
Any fair price dentist for recommend nearby Cheras?...

Hi dentist dentist sekalian....
Here's the picture of my GIGIs sekalian...
wish can get a little advice kat sini before going for a dentist, x nak kena con..



This post has been edited by *-a|i3n-*: Sep 18 2014, 01:28 PM

All the best ya...Enjoy your stay in India

From the picture, your wisdom teeth is erupting. You either bear with the pain and let it grow , or you can choose to extract it. And the extraction is going to be a little bit complicated, so the dentist might have to charge you higher.

Thanks! Any advices for me as a senior? Hehe

good luck and have fun....