Cleaning and Gum Treatment / Periodontics

What is the difference you ask?

Scaling and polishing is usually done at regular 6 monthly intervals to remove plaque and tartar from above the gum line and to remove stains from red wine, tea of coffee that have built up over the part few months. The removal of stains and tartar will give you nice white teeth while the removal of the bacteria in plaque can prevent more severe forms of gum disease from occur-ring

Root planing is similar to scaling and polishing in the sense that your dentist will also remove plaque and tartar from your gums. However, in root planing, your dentist will have to go UNDER the gum line (usually with local anaesthesia) to remove the plaque and tartar that have accumu-lated in the gum pockets associated with Periodontitis.

Periodontitis occurs when bacterial plaque, a sticky white film composed of food debris and bac-teria forms on the teeth. If the plaque is not removed, it can turn into a hard substance called calculus or tartar in less than two days. Tartar then acts as a further bacteria trap due to its rough surface.The bacteria in plaque infect the gums, and release toxins that cause redness and irritation. It can cause the bone surrounding the teeth to dissolve. When this happens, the gums separate from the teeth, forming pockets that fill with even more plaque causing even more in-fection. A vicious cycle now ensues. And it leads to shaky teeth and bad breath from the build up of bacteria in the gums.

Dental Crowns & Bridges / Prosthodontics

How do I know if I need a crown?

Crowns are most often used when

  1.  A direct filling (amalgam/composite resin) may not be strong enough to repair the tooth with anymore. Usually the case when the cavity has grown too large and the remaining natural tooth structure too little or too weak to withstand normal biting forces.
  2. To protect a structurally compromised tooth from further wear and tear. This could be due to a very large preexisting filling (Point 1) or perhaps a tooth with history of crack and/or fracture that is starting to break down. This buys time to allow your teeth to live to bite another day!
  3. To cover and re-contour otherwise misshapen or discoloured teeth as a form of aesthetic recovery. A crown can help to restore both form and function in these situations. Yes, sometimes you can have your cake and eat it.
  4. After endodontics (root canal treatment) of a tooth (so as to achieve any or all of Points 1, 2 and 3)
  5. To restore an implant. Again, this helps in both form and function. An implant would be missing a biting and smiling surface and not really complete without a Crown.

Crowns not only come in different shapes and sizes but also materials.

Each material of course comes with inherent benefits and drawbacks. As with most things in life, there is no one size fits all. Your dentist will of course be more than happy to explain each material to you and come to a combined decision with you as to which is the best material to suit your needs.

Crown materials can perhaps be broadly and simplistically classified into

  1. Metallic crowns – Gold alloys and other Metal alloys. Traditionally the more lasting stuff with the obvious trade off being appearance and aesthetics. Subjective of course but not everyone may want a shiny metal tooth.
  2. White crowns – Full Ceramic/Porcelain crowns and Zirconia crowns. The more pretty stuff if you will. With advances in materials research, modern ceramics and zirconias are actually no slouch and may surprise you with their strength and longevity as well.
  3. Combination – Porcelain fused to Metal crowns where porcelain is layered over a metal substructure. A halfway house serving up a combination of both advantages and disadvantages of the metallic and white crowns.

Unlike Crowns, Bridges are more a means of tooth replacement rather than tooth protection, somewhat like the case of a Crown in an implant restoration. A Bridge is in essence two or more Crowns at the ends of a gap or row of missing teeth, joined by other false teeth (also known as Pontics). Sort of like an architectural bridge! See the resemblance now?

Bridges vary in design and complexity and can range from a traditional bridge involving two Crowns linked by a span of Pontics as described above, to something like an Acid-Etched Bridge or Maryland Bridge which involves a Pontic and wings to hug the adjacent teeth without any Crowns to hold onto – often used in the case of a single missing tooth.

Materials used for Bridges are very similar to those of Crowns and again your dentist would be in the ideal position to discuss with you what bridge design and material choice would best satisfy your situation.

Braces / Orthodontics

Types of braces at TP Dental:

There are many different types of braces that are available at TP Dental ranging from removable braces (commonly known as ‘retainers’), expanders, fixed metal braces, fixed clear braces and “invisible” Invisalign braces. To find out more about each brace, please scroll down the page.

Who provides braces at TP Dental?

All orthodontic treatment at TP Dental is carried out by SPECIALISTS in Orthodontics. There are many general dentists who carry out braces treatment in Singapore. However, in our dental surgery, orthodontic treatment is ONLY provided by fully qualified orthodontists who are listed on the Ministry of Health (MOH) Dental Specialist list.

For children or growing adolescence

Removable braces (commonly known as “retainers”)
These are braces that can be removed by the patient him or herself. Majority of removable braces are used for growing children but some are suitable for adults too. Removable braces are used to correct many orthodontic problems including crossbite, expansions and deep bites (to name a few).

Growth or functional braces

These are braces that are used during the adolescent stages to encourage growth of the jaw bone to a more favourable position. Examples of these are:

  • To correct protruding teeth (“bugs bunny” teeth)
  • To improve a smaller jaw
  • Correct reverse bite (protruding lower jaw)
  • Correct asymmetric (“lopsided”) jaw

This type of growth modification treatment can start as early as four years old and as late as 13-14 years old depending on the patient’s growth status. Your orthodontist will decide on a case to case basis to advise you on the best time to start such braces for your child.

Fixed Expander

These are braces that are fixed onto the molar teeth to encourage expansion of the upper jaw. A fixed expander is great for making spaces in crowded mouths and also for correction of crossbites.

Habit Breaker

If you have a child who has a thumb-sucking habit and is finding it difficult to stop, please speak to one of our orthodontists. We have a range of devices that may be used to encourage children to stop this habit. Prolonged thumb-sucking habits may cause:

  • Protrusion of teeth (teeth to “stick out”)
  • Development of a crossbite (one side or both sides)
  • Cause teeth to develop in the wrong position

Fixed braces

These are what majority of people call ‘train-track’ braces. These braces are fixed onto the teeth and can be metal braces or ceramic (aesthetic) braces. Metal braces can be silver (metal) coloured or patients can opt to have them in a variety of other colours ranging from primary colours (blue, green, red) to rainbow colours. Ceramic (aesthetic) braces are tooth-coloured braces that can be paired with tooth-coloured wires to make it less visible.

Fixed Metal Braces - TP Dental
Fixed Metal Braces

Fixed Metal Coloured Braces - TP Dental
Fixed Metal “coloured” braces

Fixed Ceramic Braces - TP Dental
Fixed ceramic braces

Invisalign
Yes, you read it correctly. Invisalign treatment can be used for teenage patients and we offer ‘Invisalign Teens’ for our growing patients. Of course these will be dependent on the child’s compliance and motivation to wear the aligners all the time except during eating and brushing their teeth.

Invisalign Braces for Teens - TP Dental

For Adults
We offer our adult patients a choice of fixed metal braces, ceramic (aesthetic) braces or Invisalign braces depending on their lifestyle choice.

Fixed metal braces

The advantages of fixed metal braces are:

  • Fixed onto the teeth therefore not dependant on patient’s compliance
  • Patient does not need to remove it for eating
  • Pressure on teeth is applied all the time (24hours/day)

Fixed Metal Braces - TP Dental
Fixed Metal Braces

Fixed ceramic (aesthetic) braces

The advantages of fixed ceramic braces are:

  • Better aesthetics (as they are almost tooth-coloured)
  • No difference in functionality as compared to metal braces
  • No difference in duration of treatment, result and degree of discomfort as compared to metal braces

Fixed Ceramic (Aesthetic) Braces - TP Dental
Fixed ceramic braces

InvisalignThe advantages of Invisalign braces are:
  • The most aesthetically pleasing
  • Easier to keep clean as these aligners are removable by the patient
  • Less discomfort – no wire poking

Invisalign Braces for Teens - TP Dental

Teeth Extraction / Oral Surgery

Numbing cream will be given followed by local anaesthesia to make it a comfortable experience for you. The non salvageable tooth will be gently elevated from the tooth socket and you will be discharged for home as soon as the wound has clotted shortly after.

If the tooth is badly broken down or growing out at an awkward angle, it may be necessary for your dentist to recommend surgical excision of your tooth. This means that some bone around the tooth may need to be removed to allow your dentist to get a good grip on the broken pieces so they can be removed from your jaw.

In the case of an impacted wisdom tooth (wisdom tooth growing at an awkward angle), the same process of surgical excision may also be necessary and this may also involve the division of the tooth for clean removal.

At TP Dental, we have the option of having the above mentioned procedures performed under sedation, relative analgesia or general anaesthesia as well.

Teeth Whitening

What is teething whitening?

Teeth whitening is one of the fastest and most conservative ways to brighten up your smile. There are no painful needles or grinding required in teeth whitening procedures. It can be used as a single procedure or in combination with other treatment to achieve the most desirable cosmetic outcome.

Teeth whitening treatment options

In general, there are two treatment options. If you want to get the result fast, you can opt for the in-clinic procedure or “Power Bleaching”. We use state-of-the-art light-activated professional whitening systems where both the whitening formulation and the light source have been tested and licensed for safety and efficacy. However, if you wish to have more control and see how your teeth transform gradually, you can opt for our professionally prescribed and supervised “Home Whitening” system.

Teeth whitening can be fun and easy to use. Before you get started, a thorough consult with our dental team is essential to find out about your exact condition before an appropriate treatment plan can be recommended to you that best suits your needs and expectations.

Your Dream Smile is just a call away!