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 Everything About Your Gigi, Anything related to teeth or dentistry

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Batusai
post Dec 26 2018, 12:28 PM

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QUOTE(hihihehe @ Oct 15 2018, 09:58 AM)
what is the main reason for gum bleeding?
it bleeds randomly
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Try and get it checked,

It sounds like gum starting of gum /periodontal disease

You can google it.
Batusai
post Dec 26 2018, 12:38 PM

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QUOTE(Kilohertz @ Dec 26 2018, 07:58 AM)
what's the difference between scaling and teeth whitening? is it different and what are the charges like?
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They're totally different.

Scaling is a usual teeth cleaning using a device or instrument called scaler, it can be a manual hand scaler using hand or a ultrasonic scaler that emits vibration.
Why do you do scaling, as we eat, plaque gets formed on our teeth surfaces, like after you eat, you scrape your tooth using fingernails, you get like whitish slimy stuff on your fingernail, thats plaque.
Therefore we brush our teeth to remove the plaque, but most time, we dont brush our teeth with the correct method and dont floss, so these plaque stays on our tooth surface especially near gum line
in 72hours, these plaque will harden to form calculus or tartar, and these tartar cant be brushed off no matter how hard you brush.

so you need to go to a dental clinic to perform scaling which is to remove the tartar.

What happens if you do not remove tartar? they'll harbour bacteria can cause damage to your supporting structure of the tooth eg bone, gums. and eventually cause bone loss and tooth become sensitive and loose. This will not happen in 1 or 2 years, but on a long term basis.

Coming to Whitening.

Basically as the name is. Whitens your teeth.
How its done, a scaling and polishing is needed prior to whitening. Because a chemical will be applied on your tooth to whiten it. So your teeth needs to be absolutely clean before doing it.


Charges varies with clinics,
Scaling can be 80-300
Whitening usually 1k+ due to high demand.

My advise is look for a newly opened clinic, they usually have promotions and offer lower prices as they're just starting. If you feel comfortable with the dentists and the place, eg they're providing you information and being transparent, you've got yourself a great dentist smile.gif

Source: Ayam Dentist
Batusai
post Mar 7 2019, 04:47 PM

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QUOTE(Harry_Bobinski @ Feb 10 2019, 11:51 PM)
user posted image

This is the image of my X-ray. I am looking to extract both my wisdom teeth at my lower jaw. Typically is this complicated or is it commonly seen?
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Having wisdom tooth impacted/stuck is actually very common nowdays. The procedure itself is not complicated, its called a minor oral surgery where dentist will have to open the gums and expose the tooth by removing some bone that's covering the tooth and taking it out by pieces as according to the plan.

What makes it complicated is when a tooth is near the nerve (the 2 white line running below the tooth), when the tooth is near the nerve, it might risk getting injured during the surgery when dentist try to move the tooth out, this usually cause temporary numbness on the associated side of the face and recovers most of the time. This nerve only supplies the sensation meaning you'll still be able to move your mouth, lips, smile etc.
Batusai
post Mar 7 2019, 04:51 PM

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QUOTE(Harry_Bobinski @ Feb 17 2019, 12:43 PM)
In case everyone wondered whatever happened to my tooth, I went to see my childhood dentist back in Seremban. He had let me know that there’s decay only on my molar. So he asked whsts the need to extract both good (wisdom tooth) and bad (2nd molar). So instead of a minor oral surgery, all he did was a simple extraction on my 2nd molar and I feel perfectly fine now. Costed me rm40 instead of thousands
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with that, you'll be having an empty space on that 2 molar position, and the wisdom tooth will not move to fill up that position. It would be better if you can replace that missing space with a prosthesis to recover the function, when there is a spacing, teeth can eventually drift due to improper bite and imbalance. the opposite upper tooth may erupt further because there isnt a pair for it to function.
Batusai
post Mar 7 2019, 04:56 PM

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QUOTE(Bunny.Hitam @ Mar 4 2019, 11:07 AM)
Hi Guys, i got issue with my teeth. Seems like my teeth is so fracture. Last time i ate kambing bakar at seoul garden. Then accidently fracture my front tooth. Went to dentist, got it repaired. But she did warn me to not eat any keras food. My question is do my teeth got Calcium issue ? Right now im taking Caltrate (a calcium supplement) on daily basis.
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Calcium is not the issue for your teeth. Probably something happened during the tooth formation stages that cause weakening of the teeth, improper mineralization etc. If all your teeth are having such problem, you should get it checked out. If its a case of tooth hypomineralization (you can google it), you have various treatment options to prevent further fractures, starting simplest but using a night guard.
Batusai
post Mar 11 2019, 07:07 PM

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QUOTE(frontierzone @ Mar 9 2019, 11:46 AM)
If maxillary wisdoms are extracted, will it correct an overjet problem without orthodontics? will all the maxillary teeth slowly drift backwards to fill the space where the wisdoms were?
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Overjet can be due to various reasons, could be your front teeth tilted more frontally, or your lower teeth tilted backwards, or you have a long upper jaw, or short lower jaw, or combo of the above.

Teeth do not naturally drift by itself, if you want the teeth to move, it has to have something acting force on it by pulling or pushing. Orthodontic does it by having an anchor (usually your first molar) to move your teeth.
If you extract a tooth say your 1st molar. you will have a gap and as you start using ur teeth to eat and bite everyday, the forces will move other teeth into that empty space.

heres a short video to explain

https://youtu.be/xd-ESkkwt94?t=50

So back to your question, wisdom teeth is the most back teeth if all the teeth infront is intact, it will be in a stable occlusion, so with daily use, the bite is stabilized and no movement will happen.




Batusai
post Mar 28 2019, 03:36 PM

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QUOTE(fookhing @ Mar 22 2019, 04:01 PM)
Wisdom is behind it. But there is a slight gap there because that wisdom is somewhat horizontally partial erupted.

On the other side, my previous dentist did a filling that joins the horizontal wisdom surface to the 2nd molar in front, so it closes up the gap. And I find that pretty good so far.
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like what Murv90 mentioned, better to get a xray done and checked out. Alot of times, it might look nice on the surface but deep down it cant be unless an x ray or a gum check is done.

Overhanging can cause food stuck, eventually causing decay and gum problems.

Wisdom teeth like wise not growing properly can cause decay and gum problems which can affect neighbouring teeth eventually.

Do update if you have done and you can always request to take a pic of the x-ray as you paid for it.
Batusai
post Mar 28 2019, 03:38 PM

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QUOTE(Lada Putih @ Mar 28 2019, 10:33 AM)
I just came out from the dental office
The doc told I have 2 choices
Take it out or root canal
She's charging me 700 for the root canal

It was an old temporary  filling from all the way back Jun last year which I'm supposed to have it replaced

She had given antibiotics and painkillers
I'll be going back on Monday to do the root canal
As she can't do anything atm since my teeth are too sensitive to work on
It had effected the inside of the teeth
If she were to administer and then put a filling over it
It will reinfect again she said since the remnants won't have place to go
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Which means the decay have gone into the pulp of the teeth where it caused an infection which lead to your symptoms.

A root canal will solve your problem smile.gif
Batusai
post Mar 28 2019, 05:26 PM

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QUOTE(Lada Putih @ Mar 28 2019, 03:44 PM)
Would a root canal cause my tooth to look dead?
Would crown be advised?
I may consider to get one latrr since most of my teeth structure are still in tact
My brother in law had his root canal done in the US and it costed him 800 USD
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Yes & No.

Root canal basically removed all the blood vessels and nerve supply of the tooth, so you tooth will be 'dead' but the body remains.

It will not discolor suddenly. but overtime it may look different from other teeth. due to lack of blood supply.

A root canal teeth will also become brittle overtime that is why most dentist prefer to crown the tooth after root canal, that is for back teeth where we use to bite everyday.

For a front teeth, depending on your bite, if its well relieved from heavy biting forces, a crown may not be necessary.

If its the color you're concerned, can always do a veneer to cover the front part to make it look natural.

And Yes, Malaysia actually has one of the cheapest dental treatment rate in the world.
Batusai
post Mar 28 2019, 09:29 PM

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QUOTE(iammasivers @ Mar 28 2019, 05:55 PM)
just got involved in car accident yesterday. Long story short my mouth is injured and one of my front teeth (central incisor) is slightly pushed inward. Not so obvious from the front but you can see it's crooked from the side when I'm smiling. Is there anything that the dentist can do to my teeth so that they become even again?
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is it shaky? or slight movable? if it is means there might be a fracture on the bone holding the tooth, could be complete or incomplete,

if its movable, you can should go to a dental clinic straight away and get the teeth pushed back into position and the dentist can use wires to support that tooth back in proper position and allow it to heal that way.

but chances a proper x-ray should be taken to see the extent of the injury.
Batusai
post Mar 28 2019, 09:37 PM

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QUOTE(iammasivers @ Mar 28 2019, 09:32 PM)
It's shaky. So got chance to put it back in place? How much would it cost approximately?
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Yes, you can still move it back in place. then dentist can bond the tooth with other tooth using wires to hold it in place. Some like casting your arm or leg to allow it to heal at the right place.

But do it like first thing in the morning tmr if possible.. bone around tooth heal very fast and once its fixed.. its gonna be hard to move it back

I think somewhere around 250 would be a fair price. Future checks x ray etc may cost more.

Be do note that a tooth subject to trauma like that, theres a chance it may die, may discolor, might need a root canal in future.
Batusai
post Mar 28 2019, 09:44 PM

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QUOTE(iammasivers @ Mar 28 2019, 09:42 PM)
Noted. Will go to dentist tomorrow. Thank you very much  rclxms.gif
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Most welcome smile.gif

please do update us tmr biggrin.gif
Batusai
post Mar 29 2019, 04:29 PM

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QUOTE(iammasivers @ Mar 29 2019, 04:18 PM)
Just met the dentist today. The dentist did an xray and found that there is no crack so that's good. He then adjusted my teeth back into its place. Also advised me to see him again next month for follow up.
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Thats good news smile.gif

So they did some wires to hold the teeth in place yeah?
Batusai
post Mar 30 2019, 06:26 PM

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QUOTE(kcl1918 @ Mar 30 2019, 02:49 PM)
I had pain that lasted more than 10 minutes a few months ago from drinking hot water. After taking painkiller, the pain went off and no pain for a few months.

Then few months ago, I had excruciating pain after eating sweets and my gum was swollen. Pain killer didn't help. I couldn't sleep with the pain.

The next morning I went to a dentist. The dentist checked and said the tooth need a root canal treatment. She also said that I have receding gums and advised me to do deep cleaning on that day. As my gum was already swollen & in pain, I asked her whether this can be done when I'm in so much pain. She said will give injection and the deep cleaning will help my recovery. As I was in pain, I just agreed to the deep cleaning.

The dentist gave me antibiotics, meds to reduce swelling & pain killers. After the LA wore off, I had pain for 2 days.

May I know whether deep cleaning is advisable when the patient is in pain & the gum is swollen.
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your pain that you had was actually a sign that the tooth had already gotten an infection and the pulp is slowly dying which eventually will lead to a root canal.

Well the swelling from you gum could be caused by the tooth that needed Root canal or by infection on the gums.

I'm not sure what is the source of the swelling, if its from the gum, yes the dentist did right to give you a deep cleaning, if its from the tooth that needed RCT, a root canal would solve your problem.

Anyhow, it is normal to help sort of mild pain after the treatment be it deep cleaning or root canal. Its part of the healing process as bacteria is being get rid from the body.

short answer to your question: yes it is if the pain and swelling source was from bad gums.






Batusai
post Apr 3 2019, 01:12 PM

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QUOTE(wenzhenzhen @ Apr 3 2019, 01:03 PM)
Hi all, my gum pain since 29/4/19 and i thought my body is heaty (as per chinese said). However, the pain doesnt go after few days compared to last time. So, I visit dentist on 2/4/19. The dentist told me that my gum is swollen due to inflammation because wisdom tooth had been erupted. She suggested to perform surgery once swollen had go away.

She told me that wisdom teeth removal is around RM800-rm1000, excluding medication. I had made appointment with them that I will had surgery with them on 10/4/2019.

Now, I have 2nd thought. I am thinking want to visit another dentist to obtain 2nd opinion. Should I cancel the existing dental surgery appointment and get 2nd opinion from another dentist? Appreciate if someone can assist. Thanks
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Yes you can always cancel the appointment and seek a 2nd opinion first. Its your choice and rights.

Did the dentist take any xrays to show you how your tooth looks like? and any medication to reduce the swelling?

In the mean time, you can gargle with salt water to help with the healing.

Batusai
post Apr 3 2019, 02:24 PM

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QUOTE(wenzhenzhen @ Apr 3 2019, 01:27 PM)
The dentist didnt take any x-ray on me to show how the tooth look like. However, they not only inject the medicine on swelling part, they also provide painkillers and antibiotic too.
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I see.. usually the dentist would do an x-ray to see how the tooth position and plan on the surgery to remove it.

Is the wisdom tooth out or partially out or still under the gums?

And they probably just cleaned the area for you with some solution instead of injecting the swelling part?


Batusai
post Apr 3 2019, 02:40 PM

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QUOTE(wenzhenzhen @ Apr 3 2019, 02:29 PM)
My wisdom tooth is partially out of my gum and I can feel it using my tongue before it has inflammation. Actually my wisdom was out few years ago, just I lazy go and remove it since there's not pain.

As for swelling part, the dentist helped me to inject that swelling part after she did scalling and cleaning that swelling area.

I had sleepless nights and stress bcos wisdom tooth eruption sad.gif
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I see.. if its partially out, it could be stuck due to its position and most probably due to a pocket space that is hard to clean and maintain causing bacterial stay there and cause the infection and inflammation.

In this case its advised to get it removed. eventually your gum will heal in place.

Perhaps the dentist will take the x-ray before removal. An x-ray is almost mandatory is wisdom tooth surgery cases cause the dentist has to see how the root looks like so he can plan the surgery and predict the outcome better.
Batusai
post Apr 5 2019, 11:00 AM

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QUOTE(frontierzone @ Apr 4 2019, 08:43 PM)
Government dentists practises both amalgam and composite filling?
Was told by the clerk that if molar they will use amalgam and front teeth they use composite, not sure how valid or knowledgeable she is.
So does government dentists decide amalgam or composite based on tooth position?
Can patients decide what they want?

2nd. Do all government dentists use ultrasonic scalars? Or they use manual tools to dig out tartar?
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Yes. certain gov clinic still uses Amalgam.

It also depends on the cavity size and all. Usually the dentist will decide.

And yes patient can always decide what kind of filling they need, but then in gov, it depends on ur luck whether the dentist would like to comply to your request.
Batusai
post Apr 5 2019, 11:05 AM

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QUOTE(cactuscch2 @ Apr 4 2019, 09:01 PM)
I went to a dentist because my lower jaw 1st molar feels a bit numb. He checked twice (without X-ray) and found nothing's wrong and commented my gum is healthy (no swelling, no exposed gum). Since I was at the dentist, also done the teeth scaling/ polishing. Was given 2 tubes of Colgate sensitive toothpaste as he suspected my teeth is sensitive.

After using the toothpaste for 3 weeks, the numb is still there, slightly improved, but the numb is still there. I have a "Periodontal Sickle Scaler" I put it in between the 1st & 2nd molar, at a certain angle I can feel the numbness came from 1st molar.

I even try to eat popsicle, and purposely bite using that sensitive tooth, but no obvious pain/ numbness, just noticed that part is slightly "more numb" the other parts.

What could be wrong?
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Numb is a weird sensation. Comparing your left and right side, on light touch, does its have the same feeling?

usually if numbness, its from the nerve itself, there is a nerve that runs below the lower molar and premolars called Inferior Alveolar Nerve

For your case, a detailed history would be needed to help with the diagnosis.

perhaps you should get a 2nd opinion and x-ray would help to see if there is any problem with the tooth itself or the nerve.
Batusai
post Apr 5 2019, 01:20 PM

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QUOTE(cactuscch2 @ Apr 5 2019, 11:50 AM)
Thanks for your professional opinion.

The very slight numb started weeks after Chinese New Year, last for about 3 weeks before I scheduled an appointment with a dentist. The numb is so slight that I tend to forget about it.

Comparing left/ right side, the feeling is the same unless I purposely use dental instrument to dig it, at certain angle I can feel the numb again, & the slight numbness will persist for few hours, then I tend to forgot about the numb. In short, I can 'reproduce' the numb feeling by digging it using a dental tool, but hot/ cold foods or biting hard foods don't cause the numb. So weird.

The dentist said my oral hygiene and gum health is okay, he thought that my last scaling was 6 months ago based on how bad the tartar is but in fact the last scaling was 3-4 years ago.
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My pleasure.

When you dig it, does it get stuck at some point or hooked onto something? Perhaps you can try flossing the area more often to keep it clean and see if it gets better.

Well it means you are doing a great job in brushing and taking care of your oral hygiene! Kudos.

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