Tiew Dental Clinic - Your Dental Cosmetic Centre

Patient Library

General	Mom Baby	Cosmetic Dentistry
1. About Tooth	1. About Baby Tooth	1. Dental Implants
2. Gum Disease	2. Baby Bottle Tooth Decay	2. Bridge
3. Root Canal Treatment	3. Fissure Sealant	3. Full Porcelain Bridge
	4. Pulpotomy	4. Veneer
	5. Pregnancy & Dental Tips	5. Tooth Whitening
	6. Pregnancy & Oral Health	6. Immediate Denture

General

1. About Tooth


Tooth Anatomy	Development of Permanent

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2. Gum Disease (Periodontal Disease)

Periodontal disease is an infection of the tissues that support your teeth. Your gum tissue is not attached to the teeth as high as it may seem. There is a very shallow v-shaped crevice called a sulcus between the tooth and gums. Periodontal diseases attack just below the gum line in the sulcus, where they cause the attachment of the tooth and its supporting tissues to break down. As the tissues are damaged, the sulcus develops into a pocket: generally, the more severe the disease, the greater the depth of the pocket.

Periodontal diseases are classified according to the severity of the disease. The two major stages are gingivitis and periodontitis. Gingivitis is a milder and reversible form of periodontal disease that only affects the gums. Gingivitis may lead to more serious, destructive forms of periodontal disease called periodontitis.

Some factors increase the risk of developing periodontal disease :
  - Tobacco smoking or chewing
  - Systemic diseases such as diabetes
  - Some types of medication such as steroids, some types of anti-epilepsy drugs, cancer therapy drugs, some calcium channel
     blockers and oral contraceptives
  - Bridges that no longer fit properly
  - Crooked teeth
  - Fillings that have become defective
  - Pregnancy or use of oral contraceptives

Several warning signs that can signal a problem :
  - Gums that bleed easily
  - Red, swollen, tender gums
  - Gums that have pulled away from the teeth
  - Persistent bad breath or bad taste
  - Permanent teeth that are loose or separating
  - Any change in the way your teeth fit together when you bite
  - Any change in the fit of partial dentures

It is possible to have periodontal disease and have no warning signs. That is one reason why regular dental checkups and periodontal examinations are very important. Treatment methods depend upon the type of disease and how far the condition has progressed. Good oral hygiene at home is essential to help keep periodontal disease from becoming more serious or recurring. You don't have to lose teeth to periodontal disease. Brush, clean between your teeth, eat a balanced diet, and schedule regular dental visits for a lifetime of healthy smiles.

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3. Root Canal Treatment

Do you need a root canal treatment (RCT)?
When the nerve of a tooth becomes inflamed or infected, root canal treatment (RCT) can save the tooth, by removing the offending nerve and cleaning the canals, yet leaving the good tooth behind.

How do you know if you have an inflamed/infected tooth nerve?
Some signs are heat and cold sensitivity, swelling and pain, or a bad taste in your mouth. Or, you may experience no symptoms at all, and not realize that you have a dental problem until your Dentist discovers this before you get symptoms.

Where and what is the root canal in a tooth?
To understand this, we need to look at the anatomy of the tooth. The white outside portion of a tooth is called the enamel. Inside the enamel is another hard layer, the dentin. There's a small chamber at the center of the dentin called the pulp chamber. Inside the pulp chamber is the tooth pulp, a soft tissue made up of nerves, arteries, and veins. The pulp extends from the pulp chamber all the way to the end of the root, through a narrow space called the root canal. This looks like a thin, hollow tube down the centre of a root. In general, teeth in the front of the mouth have only one or two root canals, while teeth in the back have two, three or four root canals.

How does a nerve get inflamed / infected in the root canal?
Deep cavities allow germs to get into the pulp chamber. These germs cause infection, and the pulp dies. The pus from the infection eventually builds up at the root tip and makes a hole in the bone. This is called an abscess. A blow to a tooth may also cause the pulp to die and then become infected. An infected tooth will never heal on its own, and as it gets worse, it will continue to be a source of infection that weakens your immune system. This can affect your entire body. This damage to the bone and the swelling inside the bone can also be excruciatingly painful, and even life-threatening. Years ago, an infected tooth would have to be extracted, but today, we can save the majority of teeth( 6 out of 7) with root canal treatment.

What is involved with RCT?
Root-canals are cleaned and dressed with antiseptic. Depending on the tooth, this can be done in one visit, but often it takes two or more visits. The difficulty is caused by having to work down very narrow canals, to the ends of the roots. Often patients are unaware of this complexity due to the skills of their Dentist during treatment, which usually involves using X-rays to help measure the root canals involved. Some after-pain is common, but if pain or swelling worsens after treatment, you need to contact your Dentist urgently. RCT has, on average a 6 out of 7 success rate (85%ish), so some teeth may be lost despite everyone's best efforts. Your Dentist or Specialist can give you individual advice.

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Mom Baby

1. About Baby Tooth


Tooth Anatomy	Development of Baby Teeth

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2. Baby Bottle Tooth Decay

Baby Bottle Tooth Decay (BBTD) is caused by prolonged contact with almost any liquid other than water. This can happen from putting her to bed with a bottle of formula, milk, juice, soft drinks, sugar water, sugared drinks, etc. Allowing her to suck on a bottle or breastfeed for longer than a mealtime, either when awake or asleep, can also cause BBTD.

When liquid from a baby bottle builds up in the mouth, the natural or added sugars found in the liquid are changed to acid by germs in the mouth. This acid then starts to dissolve the teeth (mainly the upper front teeth), causing them to decay. Baby Bottle Tooth Decay can lead to severe damage to your child's baby teeth and can also cause dental problems that affect her permanent teeth.

But there are steps you can take to prevent Baby Bottle Tooth Decay. Keep these pointers in mind as you care for your child's teeth :

Never put your child to bed with a bottle. By 7 or 8 months of age, most children no longer need feedings during the night. Children who drink bottles while lying down also may be more prone to getting ear infections.
Only give your baby a bottle during meals. Do not use the bottle as a pacifier; do not allow your child to walk around with it or to drink it for extended periods. These practices not only may lead to BBTD, but children can suffer tooth injuries if they fall while sucking on a bottle.
Teach your child to drink from a cup as soon as possible, usually by 1 year of age. Drinking from a cup does not cause the liquid to collect around the teeth, and a cup cannot be taken to bed. If you are concerned that a cup may be messier than a bottle, especially when you are away from home, use one that has a snap-on lid with a straw or a special valve to prevent spilling.
Keep your baby's mouth clean. This is an important part of preventing tooth decay. After feedings, gently brush your baby's gums and any baby teeth with a soft infant toothbrush.
Use water and a soft child-sized toothbrush for daily cleaning once your child has 7 to 8 teeth.

By the time your toddler is 2 years of age, you should be brushing his teeth once or twice a day, preferably after breakfast and before bedtime. Once you are sure your child will spit, and not swallow, toothpaste, you should begin using a fluoride toothpaste. Use a pea-sized amount of toothpaste to limit the amount he can accidentally swallow.

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3. Fissure Sealant

With the help of your dentist, preventing tooth decay can become even easier. You may already be aware that daily brushing and flossing are the most important weapons against the formation of plaque, the primary cause of cavities. To supplement your regular routine of brushing and flossing, your dentist can apply a coat of plastic material -- called a sealant -- on the top, or biting, surfaces of your teeth. This plastic coating creates a barrier between your teeth and the decay-causing bacteria that live in plaque.

WHAT IS PLAQUE AND WHY DOES IT CAUSE CAVITIES?
As you or your children eat and drink during the day, the food in your mouth combines with bacteria to produce a sticky film called plaque that attaches on and in between tooth surfaces (tooth enamel). Plaque often is found on the chewing surfaces of the back teeth, from which it is difficult to remove by brushing and flossing alone. If plaque is not removed regularly from your teeth, it can produce acids which will attack the tooth enamel and create pits or holes (cavities) in the tooth. This is toot decay.

HOW CAN SEALANTS HELP PREVENT CAVITIES?
Coating your teeth with a slippery plastic material makes it harder for plaque to stick to the tiny grooves on the biting surfaces of the teeth - reducing the risk of forming cavities and tooth decay.

IS IT DIFFICULT TO APPLY SEALANTS?
No. Your dentist may use a special instrument to apply the plastic sealant on your teeth. Most often, it is a painless treatment that lasts for many months.

WHO SHOULD GET SEALANTS?
Sealants are most effective in reducing cavities in children with newly formed permanent teeth. They are useful in cutting down formation of decay in adult teeth, as well. An application of sealants is a preventive measure to keep teeth healthy. It is an effective way to reduce the need for fillings and more expensive treatment that may be required to repair the damage from cavities, so sealants can also save you money.

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4. Pulpotomy

A deep cavity in your child's baby tooth may go into the nerve or pulp of the tooth. In this case, a pulpotomy is recommended to save the tooth.

A pulpotomy of a baby tooth is similar to a root canal treatment of an adult tooth. It removes all the coronal pulp tissue from the chamber of the tooth. It prevents :

1. Unnecessary loss of teeth.
2. Maintain the space for their adult teeth.
If the tooth is pulled than the space needed for the adult tooth will be lost leading to crowding and future need of braces.

Pulpotomy is recommended when decay has extended deep into the tooth reaching the tooth's nerve possibility causing an abscess or the tooth has fractured exposing the nerve.
During this procedure only the infected tissue in the tooth is removed. A medicated filling is placed inside the tooth and a filling is used to restore your child's tooth. We recommend that this tooth than be protected with a crown so it does not fracture saving your child from more unnecessary pain and tooth loss.

The success of the pulpotomy depends on the severity of the infection and the body's own immune system. If the pulpotomy fails an extraction (removal) of the tooth will be recommended This is only done when every other avenue to save the tooth has been tried. The space left after the extraction will need to be saved to help a permanent tooth come in. A space maintainer appliance will be recommended to save this space.

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5. Pregnancy & Dental Tips

Tips Before Get Pregnant

It's a good idea to visit your dentist to get complete dental examinations before getting pregnant. So that any potential problems can be handled well in advance.

Dental Check-ups

i. Inform your dentist about your pregnancy or if you suspect you're pregnant. Certain drugs, such as tetracycline, can affect the
development of your child's teeth.
ii. It's always a good idea to complete any dental treatment prior to pregnancy.
iii. Visit your dentist for a checkup in your first and second trimesters to control plaque and maintain good oral health.
iv. 4th and 6th months of pregnancy are the most comfortable time for treatment.
v. All non-emergency treatment can be performed safely during pregnancy, however it is advisable to treat after the delivery.

Balance Nutrition

Pregnancy is a very important period in determining a good dentition in your kid's future. This is a period where your baby's dentition starts to develop. Baby's teeth develop during the 2nd and 3rd month of pregnancy, while their permanent teeth develop a few months before birth. Therefore, it is a must for all soon-too-be mothers to get enough nutrition to support baby's dental development.

Diet that is balance and rich in protein, calcium, phosphorus, vitamin A, C, and D are essential for baby's dental development. The table below shows the sources of food for each nutrient and what it does to your baby's dentition :

Nutrient	Source of food	What it does?
Protein	Fish	- Support tissue growth - In dental aspect, it is the major nutrient that support the growth of enamel, dentine, and bone
Calcium	Dairy products, anchovies	Strengthen bone and teeth!!!! Please bear in mind that calcium does not lost from your teeth because your baby is developing.
Phosphorus	Dairy products	Like calcium, it helps to strengthen bone and teeth too.
Vitamin A	Carrot, broccoli	Promotes the growth of enamel
Vitamin C	Orange, grapes	Promotes the growth of dentine and help to prevent scurvy.
Vitamin D		Aids in the absorption of calcium and phosphorus

X-Ray

It's a good idea to avoid them during pregnancy.

Caries

Oral bacteria from mother are passed to her baby during pregnancy. Therefore all decay and caries must be eliminated out from mother's mouth, and the tooth infected should be filled.

Pregnancy gingivitis

This is a condition in which your gum is swollen, red, and easily bleeds during pregnancy. It is cause by hormonal changes, in particular the increasing amount of estrogen and progesterone during second trimester.

Ask your dentist for scaling to eliminate plaque and maintain a good oral hygiene to cut out this condition. However this condition will resolve after childbirth.

Gagging

i. Change your toothpaste to a more subtle and bland taste.
ii. Clean your back teeth while breathing slowly, this will help to reduce your nausea.

Vomit

i. Rinse your mouth with water or mouthwash if vomit frequently.
ii. Stomach acids soften tooth surface, therefore you are not allowed to brush your teeth immediately after vomiting. This will
cause your teeth to wear away.

Medication

i. Consult your dentist if you are on any prescription.
ii. Medication with minimal or no side effects will be given.
iii. Tetracycline antibiotic is completely contraindicated during pregnancy, as it will affect the development of your child's teeth.

Dental Emergencies

If you do experience a dental emergency during pregnancy, you can be treated at any time; however, consult your doctor if anesthesia is required or a medication is prescribed to you.

Follow all these tips, as this will give your child a "well-developed and perfect dentition" for them to smile in their life.

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6. Pregnancy & Oral Health

Pregnancy is very special time. You'll want to think about taking good care of yourself and getting your baby's life off to a healthy start. Your oral health is an important part of your overall health, and good oral health habits not only help prevent oral problems during pregnancy, they also affect the health of your unborn child.

Is there a connection between my diet pregnancy and my oral health?
Eating a balanced diet is necessary to provide the correct amounts of nutrients to nourish both you and your child. What you eat during the nine months of pregnancy affects the development of your unborn child -- including teeth. Your baby's teeth begin to develop between the third and sixth month of pregnancy, so it is important that you receive sufficient amounts of nutrients - especially calcium, protein, phosphorous, and vitamins A, C, and D.

Does a woman lose calcium from her teeth during pregnancy?
It is a myth that calcium is lost from the mother's teeth during pregnancy. The calcium your baby needs is provided by your diet, not by your teeth. If dietary calcium is inadequate, however, your body will provide this mineral from stores in your bones. An adequate intake of dairy products - the primary source of calcium - or the supplements your obstetrician may recommend will help ensure that you get all the calcium you need during your pregnancy.

What if I'm hungry between meals?
During pregnancy, many women have the desire to eat between meals. While this is a normal urge, frequent snacking on carbohydrate-containing foods can be an invitation to tooth decay. The decay process begins with plaque, an invisible, sticky layer of harmful bacteria that constantly forms on teeth. The bacteria convert sugar and starch that remain in the mouth to acid that attacks tooth enamel. The longer sugars are retained in your mouth, the longer the acids attack. After repeated attacks, tooth decay can result.

Eat nutritious, well-balanced meals made up of foods from the five major food groups: breads, cereals and other grains; fruits; vegetables; meat, fish, poultry and protein alternates; and milk, yogurt and cheese. Try to resist the urge to snack constantly. When you need a snack, choose foods that are nutritious for you and your baby such as raw fruits and vegetables and dairy products. Following your physician's advice regarding diet is your wisest course.

Does pregnancy affect my gums?
During pregnancy, your body's hormone levels rise considerably. Gingivitis, especially common during the second to eighth months of pregnancy, may cause red, puffy or tender gums that tend to bleed when you brush. This sensitivity is an exaggerated response to plaque and is caused by an increased level of progesterone in your system. Your dentist may recommend more frequent cleanings during your second trimester or early third trimester to help you avoid problems.

What are "pregnancy tumors"?
Occasionally overgrowths of gum tissue, called "pregnancy tumors," appear on the gums during the second trimester. These localized growths or swellings are usually found between the teeth and are believed to be related to excess plaque. They bleed easily and are characterized by a red, raw-looking mulberry-like surface. They are often surgically removed after the baby is born. If you experience pregnancy tumors, see your dentist.

It's especially important, then, to maintain good oral health during pregnancy. Studies indicate that pregnant women who have severe gum disease may be at increased risk for pre-term delivery, which in turn increases the risk of having a low-birth weight baby. If you notice any changes in your mouth during pregnancy, see your dentist.

What can I do to keep my mouth healthy during pregnancy?
To help prevent tooth decay and periodontal disease, brush your teeth thoroughly twice a day with a fluoride toothpaste to remove plaque. Be sure to clean between your teeth daily with floss or interdental cleaners. Ask your dentist or hygienist to show you how to brush and floss correctly. When choosing oral care products, look for those that display the American Dental Association's Seal of Acceptance, your assurance that they have met ADA standards of safety and effectiveness.

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Cosmetic Dentistry

1. Dental Implants

Crowns and conventional bridges or dentures may not be your only options when replacing missing teeth. For some people, dental implants offer a smile that looks and feels very natural. Surgically placed below the gums over a series of appointments, implants fuse to the jawbone and serve as a base for individual replacement teeth, bridges or a denture.

Implants offer stability because they fuse to your bone. Integration of the implants into your jaw also helps your replacement teeth feel more natural and some people also find the secure fit more comfortable than conventional substitutes.

Candidates for dental implants need to have health gums and adequate bone to support the implant. A thorough evaluation by your dentist will help determine whether you are a good candidate for dental implants.

Is there another way I can have a tooth replaced other than a bridge?
Yes. Dental implants can provide artificial teeth that look natural and feel secure. Dental implants can also be used to attach full or partial dentures. Implants, however, are not an option for everyone. Because implants require surgery, patients must be in good health, have healthy gums, have adequate bone to support the implant and be committed to meticulous oral hygiene and regular dental visits. If you are considering implants, a thorough evaluation by your dentist will help determine if you would be a good candidate.

What is involved in placing implants?
First, surgery is performed to place the anchor. Surgery can take up to several hours, and up to six months may be required for the bone to grow around the anchor and firmly hold it in place. Some implants require a second surgery in which a post is attached to connect the anchor to the replacement teeth. With other implants, the anchor and post are already attached and are placed at the same time.

After the gums have had several weeks to heal, the next step is begun. The artificial teeth are made and fitted to the post portion of the anchor. Because several fittings may be required, this step can take one to two months to complete.

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2. Bridge

Do you need a bridge?
If there has been tooth-loss, resulting in an unstable bite or unsightly gap, then bridgework could be a possible solution. Placing a bridge after a tooth has been lost can prevent a chain reaction of problems that would affect your entire mouth. Like other things, teeth need each other for support. When one tooth is lost, the biting force changes on the teeth next to the space, and they can begin to shift. When a tooth no longer has anything to chew against, it can erupt and move out of the socket. You can eventually end up losing this tooth too! As your bite changes, it gets harder and harder to chew your food. This can cause further damage to your jaw-joint, making function difficult. It is also much harder to clean teeth that have shifted. Harmful plaque and tartar accumulate in these new hard-to-reach places, which can result in cavities, gum disease, and permanent bone loss. Like other bridges, a dental bridge uses abutments for support to hold it in place. Bridges are custom-crafted in a dental laboratory to precisely fit your teeth. There are many different type of Bridge designs and materials. This is an area that we Specialize in.

Bridgework does involve loosing the outside 1mm of a tooth, to make room for the hollow Crowns that carry the "missing" tooth - whilst any natural tooth loss is not desirable and should be avoided, often the teeth prepared are heavily filled, fractured or worn down excessively, so bridgework can help repair , re-inforce and improve the looks of the supporting teeth, as well as replace a missing tooth by being "fixed-in" all the time. A missing tooth really changes a person's smile, but a bridge is one good way to get your smile back!

There are other ways to replace missing teeth too if treatment is required, such as Implants, Precision Dentures, other types of Bridges or leaving the gap. All options have advantages and disadvantages, as well as different costs and treatment times.

Bridges though do depend on the other teeth being suitable to support and carry other missing teeth. It used to be thought that if other teeth lost 50% of their bone support, under the gums, then they couldn't carry other teeth on bridgework. However, as long as gum disease is treated and monitored regularly, the bite (occlusion) is carefully controlled and advanced technical features are used, many more teeth can now be Bridged than origionally thought possible. Of course, there are other options too, but only a thorough assessment and personal examination can determine what is (or isn't) possible for you!

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3. Full Porcelain Bridge

Tooth-coloured bridges used to only be made of porcelain and metal. But with the new technology available today, they can be made entirely of porcelain and stronger ceramics. To have enough strength to withstand biting forces, porcelain bridges used to always be built upon a metal core. The dark metal inside the porcelain/metal bridge could cause a dark blue line to show at the edge of the bridge.

New breakthroughs in adhesives and stronger porcelain materials now make it possible to make bridges entirely out of porcelain with reinforced Ceramic sub- structures, which then can be bonded to the teeth.

All-porcelain/ceramic bridges maintain a translucency that makes them harder to tell from natural teeth. Without metal, any problem of a dark blue line at the edge of the gums is eliminated. This allows your dentist to sometimes place the edge of the bridge above the gum line where needed, which is healthier for your tooth and gums.

When you want to improve your smile, all-porcelain ceramic bridges are a beautiful and natural-looking choice!

Whilst some heavy bites may still require metal reinforced bridges, some of the Ceramic alternatives now make these metal-free bridges an option that patients with high cosmetic needs may wish to try, even those with moderately heavy bites, that may have been previously excluded.

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4. Veneer

What is a Dental Veneer?
A Dental Veneer simply describes a thin outer cosmetic covering for teeth. They are usually Composite, Porcelain or Ceramic, but can be made of other materials too, including Gold. Dental tooth veneers have become more popular as a relatively quick way to cosmetically improve one's smile, just like many film and hollywood stars have done too. However, it is important that this type of work is done expertly and in a way that creates enough improvement in one's smile, to justify the time, expense and the removal of sound tooth substance that even thin Veneers need.

Thus finding out more information about Dental tooth veneers, the pros and cons and alternative choices (including doing nothing) is a worthwhile exercise. One must also not have unrealistic expectations about Dental Veneers or even any Cosmetic Dentistry. A nice Smile is important socially and Veneers are certainly a consideration when one wishes to improve the attractiveness or healthy appearance of your Smile.

What can Porcelain Veneers do?
Veneers can beautify your smile by improving the position, colour and shape of one or more of your teeth. A veneer is often a thin shell of composite, porcelain or ceramic material that's bonded to a tooth, generally covering only its front and top. This process removes less tooth than doing a crown, but depends upon more sound tooth being there as they are not as strong as crowns.
Veneers can be used to close spaces between your teeth, lengthen small or misshapen teeth, or whiten darkened teeth. And if your teeth are chipped or beginning to wear, veneers can protect them from damage and even restore their original looks.
In general, Veneers need to be done before there is much tooth damage or destruction, otherwise you may be better with Crowns etc.

If teeth are really dark, they can be Bleached lighter first, so any Veneers don't suffer from "Dark" shine through!

Are there any Contra-indications?
The Veneer is only as good as the tooth to which it is being bonded. If the underlying tooth is weak or compromised, this is obviously more likely to have problems than a strong, sound underlying tooth. A heavy bite may also fracture a Veneer during use, but this may only be discovered after "functional" chewing usage. Many patients are willing to risk this, knowing they can usually progress to a stronger crown if needed, but not committing to crown preparations with the greater tooth removal, in the first instance. Where many filled teeth are in a heavy bite, then it may be wiser to go for the crowns option.

What is involved with Veneer treatment?
It takes two or more appointments to restore your teeth with veneers. On the first appointment, your teeth are shaped and roughened. From impressions, precise working models are made of your teeth. It's on these models that the veneers are crafted to exactly fit your teeth.

On the second appointment, your prepared teeth are polished and cleaned. Then an adhesive is used to bond the veneers to your teeth.

A harmless high-intensity light hardens the adhesive. Once in place, veneers virtually become part of your teeth. You can use them like you would your own teeth, because the bond is extremely strong. The final result is often a more beautiful and natural looking smile!

How long do Porcelain Veneers last?
This depends on many factors, but 5 to 15 years would be reasonable, if they were fitted in favorable circumstances. However, some fail earlier and may need to be re-bonded or re-prepared as crowns instead. This is where your initial assessment is so important!

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5. Tooth Whitening - Beyond Whitening Accelerator

Beyond Whitening Accelerator is your best choice for quickly and effectively brightening healthy smiles. Developed by Beyond engineering team in California's Silicon Valley.

Beyond Whitening Accelerator's high-intensity blue light activates its special whitening formula which contains hydrogen peroxide(H2O2) and 20 nanometer silicon dioxide(SiO2), along with other special ingredients. The half-hour procedure rapidly oxidizes the pigmentation of 16 or more teeth through the dentin tube, restoring them to a beautiful white. After the Beyond procedure, teeth score a 5-14 shade improvement on the Vita shade guide. Beyond uses the most advanced blue light at a wavelength of 480-520 nanometers. The light is filtered through over 12,000 fibers with a total length of 1 mile and finally through two optical-lenses, each coated with more than 30 layers, removing infrared and ultraviolet light completely.

Their complete whitening kit includes a specially-formulated whitening compound which reduces the sensitivity of teeth.

Beyond operates at a lower temperature than similar products by using the latest optical techniques to avoid irritation of the nerves of the teeth. The 30-minutes process is very effective for teeth that have been stained by smoking or by substances like coffee or tea. It also whitens teeth discolored by medicine such as tetracycline or speckled by fluoride.

Is it for everyone?
In fact, Beyond gives magical results to anyone who wants to whiten their teeth. This includes people with teeth that have been stained by smoking or by substances like coffee or tea. It also whitens teeth stained by tetracycline, speckled by fluoride or hereditary discoloration. Pregnant women or patients with periodontal disease are discouraged from undergoing this procedure.

How white could my teeth get?
Tests prove that, after whitening with Beyond, teeth score from 5 to 14 points higher on the Vita scale. The results depend on how discolored the teeth were originally, but the end result will be white, shiny teeth.

How long will the whitening last?
This varies from person to person and depends on your diet, but the effects should usually last for at least two years.

Is it safe?
Yes, scientific articles have shown that using hydrogen peroxide to whiten teeth is effective and safe. The dental community has used it in teeth whitening for years. It does not change or damage the structure of teeth; it merely makes them appear whiter and brighter.

How long does treatment take?
In only 30 to 40 minutes, discoloration that has built up over the years will magically disappear. It takes no longer than the time it would for you to have a haircut or a manicure, or have a cup of coffee - it's that simple!

What's the difference between Beyond and other methods of whitening?
This technique whitens your teeth right away and has no side effects. The result is 30% better than home whitening products and comparable technologies.

Will it whiten my existing crowns or veneers?
The whitening treatment in general cannot change the color of porcelain crowns or veneers. We recommend that you discuss your situation with your dentist to determine what you can expect.

Will it hurt?
Most of our customer experience no pain or sensitivity after the treatment. A very small percentage of patients may feel a minor ache in the first twelve hours following the procedure. Taking some analgesic can almost always resolve this symptom. Avoid cold or hot drinks for the first 24 hours if there is any tooth sensitivity.

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6. Immediate Denture

What are immediate dentures?
Put simply, they are Dentures planned and made before extractions.


First Visit : Impression Taken	Second Visit : Tooth Extracted	Second Visit : Denture Fitted

When might this be necessary?
When many of your teeth are loose or painful, they may be beyond saving. This condition is usually caused by advanced periodontal disease. Periodontal disease causes bone to be lost; if it's not caught in time, there's so little support for the teeth that they have to be removed. Removing your teeth and replacing them with a denture may be the best way to eliminate any infection and restore the health of your mouth. When the extractions procedure and denture fitting are completed in one day, it's called an immediate denture.

What is typically involved?
To begin the process, your dentist first takes impressions of your mouth. From these impressions, precise working models of your mouth are made. It's from these models that the dentures are made. When your denture is ready, we'll extract your remaining teeth. You'll be thoroughly numbed before any teeth are removed, and should feel no pain. Naturally, things will feel very different. As soon as your teeth are out, your denture will immediately be placed in your mouth. For the first 24 hours, your new denture will feel tight because your gums are swollen. As your bone heals over the next weeks/month, your gums will shrink and your denture will feel loose. When this happens, we'll use a temporary lining material to tighten the fit. After this period of healing, when the shape of your mouth has stabilized, we'll send your denture back to the lab and have it relined to improve it's fit.

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