ASK THE DENTIST: What happens at your child’s first Orthodontic visit?

 

Many parents believe orthodontics begins in the teenage years. In reality, a child’s first orthodontic visit  is recommended around age 7, when baby and adult teeth are both present. At this stage, orthodontists  can identify early concerns and guide healthy growth before problems become more complex. 

The first visit is typically simple and comfortable. The orthodontist will assess your child’s dental  development by: 

• Examining teeth, bite, and jaw alignment  

• Taking X-rays or digital scans (if needed) 

• Checking for early signs of crowding, spacing, or bite issues  

The goal is not always immediate treatment, but early detection and planning. 

Common issues identified early 

Even if teeth appear straight, underlying problems may exist, such as: 

• Lack of space for emergence of adult teeth 

• Protruding upper front teeth – increased risk of dental trauma  

• Overbite – increased vertical overlap between front teeth, with potential trauma to the gums • Anterior open bite – potential difficulties biting foods using the front teeth 

• Other bite anomalies such as underbite or crossbite (“reverse bite”) 

• Delayed or early loss of baby teeth  

• Jaw growth discrepancies 

After evaluation, there are usually three outcomes: no treatment, periodic monitoring, or early  intervention.  

If early intervention is needed, there are multiple appliance types available, with different options  catering to one’s lifestyle preferences and behavioural habits.  

Your orthodontist will make the recommendation on treating timing and appliance type specific to your  child’s needs 

Why early evaluation matters 

Early assessment provides the peace of mind that your child’s dental and jaw development is on track. If  early treatment is indicated, it can minimise the need for more complex treatment later and set the  foundation for a healthy, confident smile.

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Dr Soh Shean Han is an Orthodontist with Specialist Dental Group®. She received her specialty training in Orthodontics from University of Washington-Health Sciences School of Dentistry, USA. She is an Adjunct Senior Lecturer with National University of Singapore and Associate Staff at National University Centre for Oral Health, Singapore. Dr Soh provides orthodontic treatment across all ages, including young kids and adults. She has a special interest in clear aligner treatment and the management of jaw deformities. http://www.specialistdentalgroup.com | (65) 6733 7883

ASK THE DENTIST: Toothache Abroad: When is it Serious?

 

A toothache while travelling or living abroad can be stressful, especially if you're unsure whether it's a minor issue or a sign of a serious dental problem. While some tooth discomfort may resolve on its own, persistent or severe tooth pain should never be ignored.

A mild toothache can occur due to temporary tooth sensitivity, such as from cold drinks, sweets, or minor gum irritation. However, certain symptoms may indicate a dental infection, cavity, or other urgent dental problem that requires professional care.

Signs Your Toothache May Be Serious:

Persistent or severe pain: tooth pain lasting more than one or two days, or pain that becomes intense and throbbing, may indicate tooth decay, infection, or nerve inflammation.

Swelling around the tooth or face: swelling in the gums, jaw, or face may signal a dental abscess, a bacterial infection that requires prompt treatment.

Fever or feeling unwell: a toothache accompanied by fever, fatigue, or swollen lymph nodes may mean the infection is spreading.

Pain when biting or chewing: this could be caused by a cracked tooth, cavity, or infection inside the tooth.

Lingering sensitivity to hot or cold: sensitivity that does not go away may indicate damage to the tooth pulp.

When to See a Dentist?

If you experience any of these symptoms while overseas, seek dental care as soon as possible. Delaying treatment may lead to more complex and costly dental procedures later.

If you're living or working abroad, it's wise to identify a trusted dental clinic near you before problems arise. Early treatment can prevent small dental issues from becoming serious and help you enjoy your time abroad with peace of mind.

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Dr Steven Soo is a Dental Specialist in Prosthodontics with Specialist Dental Group® . He was formerly a Clinical Lecturer at the Eastman Dental Institute and Clinical Teacher at the GKT Dental Institute, both of which are affiliated with the University of London. Dr Soo has a special interest in prosthetic and implant restorative dentistry. He also enjoys seeing children.

www.specialistdentalgroup.com | (65) 6733 7883

Ask the Dentist: Why Is Teeth Grinding (Bruxism) a Problem If You Ignore It?

Living in a fast-paced city like Singapore, many juggle demanding jobs, family responsibilities, and frequent travel. It’s no surprise that stress-related dental issues, especially bruxism, are common.

What exactly is bruxism?

Bruxism is the involuntary clenching or grinding of teeth. It can happen during:

•  the day (awake bruxism) – often linked to stress, concentration, or anxiety 
• sleep (sleep bruxism) – which occurs unconsciously and is harder to detect

 Many patients don’t realise they grind their teeth until:

• A partner mentions hearing grinding noises at night
• A dentist spots worn-down or flattened teeth during a routine check-up

Is occasional grinding a concern?

Grinding once in a while may not cause major damage. However, when it becomes frequent or forceful, the pressure placed on your teeth and jaw joints can be significant — often stronger than normal chewing forces.

Left untreated, bruxism can cause long-term damage to your teeth, jaw, and overall quality of life, for instance:

• Irreversible severe tooth wear
• Cracked teeth or even tooth loss
• Damage to crowns, veneers, implants, or fillings
• Persistent jaw soreness and facial muscle fatigue
• Problems involving the jaw joint (TMJ disorders)
• Enlargement of jaw muscles, which can subtly change facial shape
• Difficulty chewing comfortably
• Disturbed sleep quality

Early detection through regular dental check-ups is key. Recognising bruxism early can help you take control and prevent serious damage.

If you notice signs of teeth grinding, seeking a dental assessment is simple and can help you avoid more complex problems later.

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Dr Tan Kian Meng is a Dental Specialist in Prosthodontics with Specialist Dental Group®. He is also a Clinical Lecturer at the National University of Singapore and Diplomate with the American Board of Prosthodontics. He was formerly a Consultant at Singapore’s Khoo Teck Puat Hospital and Fellow of Maxillofacial Prosthetics and Oncologic Dentistry Fellowship at the University of Texas MD Anderson Cancer Center. Dr Tan has special interest in prosthetic and implant restorative dentistry.

 http://www.specialistdentalgroup.com | (65) 6733 7883

ASK THE DENTIST: How to keep your smile healthy this festive season?

The festive season is here - bringing family gatherings, late-night catchups, and plenty of delicious treats. While it’s perfectly fine to indulge, our teeth often take the hit without us realising. With a few simple habits, you can enjoy every moment and keep your smile feeling its best.

1. Be Mindful of Sugary Snacks

It’s almost impossible to avoid chocolates, cookies, and sweet treats at this time of year. Enjoy them in moderation. A helpful tip is to have sweets alongside meals rather than grazing throughout the day. This reduces the amount of time your teeth are exposed to sugar.

2. Balance with Water

With festive drinks flowing, don’t forget to sip water regularly. It does more than keep you hydrated — it helps rinse away food particles, neutralise acids, and prevent that dry, sticky feeling in your mouth.

3. Keep Your Routine Going

Busy schedules and late nights can disrupt even the best habits, but brushing and flossing still matter. Stick to brushing twice a day and flossing daily. If you know you’ll be out all day, a small travel toothbrush in your bag can be a lifesaver.

4. Give Your Teeth a Break with Better Snacks

Between indulgences, choose tooth-friendly options such as cheese, fruits, or vegetables. They’re satisfying, nutritious, and kinder to your teeth.

5. Schedule That Dental Visit

If it’s been more than six months since your last check-up, the start of the year is a great time to pop by. A professional cleaning removes plaque and tartar that brushing alone can’t reach.

With a little extra care, your smile can stay bright and healthy all season long. Here’s to good food, great company, and confident smiles!

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Dr Irene Sim is an Endodontist with Specialist Dental Group®. She received her specialty training in Endodontics from the National University of Singapore. Dr Sim has a special interest in dental traumatology, revascularisation, apexification, nonvital bleaching & cracked teeth management.

http://www.specialistdentalgroup.com | (65) 6733 7883

Ask the dentist: Do I need fluoride treatment after dental cleaning?

 

After a routine dental cleaning (scaling and polishing), your dentist may recommend a fluoride treatment to help protect your teeth. Is it necessary? Here’s what you need to know to make an informed decision.

What is fluoride treatment?

Fluoride is a natural mineral that strengthens tooth enamel and helps prevent tooth decay. In dentistry, concentrated fluoride is applied directly to the teeth as a gel, foam, or varnish. This quick procedure offers added protection against decay, making it a valuable addition to your regular oral care routine.

Types of fluoride treatment

Topical fluoride

Applied directly to the teeth and is found in toothpaste and mouthwash with fluoride content, as well as In-clinic gels or foams. These work by strengthening enamel and increasing resistance to acid attacks.

Fluoride varnish

A highly concentrated fluoride coating is painted onto the teeth by a dentist. It is long-lasting and is especially beneficial for children and patients at high risk of decay.

Why is fluoride helpful?

Fluoride helps:

• Remineralise weakened enamel

• Reduce cavity risk

• Decrease tooth sensitivity

• Protect exposed roots in patients with gum recession

• Individuals with dry mouth (xerostomia)

How often is it needed?

Most people get enough fluoride from daily toothpaste and mouthwash. However, high-risk patients may benefit from fluoride varnish every six months or more frequently, as advised by your dentist. Fluoride treatment is a practical, low-effort way to strengthen enamel and prevent decay. If you’re unsure whether you need it, speak to your dentist; they can guide you based on your oral health and risk level.

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Dr Steven Soo is a Dental Specialist in Prosthodontics with Specialist Dental Group®. He was formerly a Clinical Lecturer at the Eastman Dental Institute and Clinical Teacher at the GKT Dental Institute, both of which are affiliated with the University of London. Dr Soo has a special interest in prosthetic and implant restorative dentistry. He also enjoys seeing children.
www.specialistdentalgroup.com | (65) 6733 7883

Ask the Dentist: Braces off? Here’s what to expect next

Congratulations on completing your braces/aligner journey! Now that your teeth are beautifully aligned, the next step is to keep them that way — with retainers.

Why retainers matter: Your teeth need time to stabilize after completing your braces or aligner treatment. Retainers help maintain your teeth in their new positions. Without them, your teeth can gradually shift back, a process known as relapse, which may require another round of braces/aligners. Following the retainer regime prescribed by your orthodontist is hence crucial to maintaining the results that were achieved with braces/aligners.

Types of retainers

• Removable retainers: typically fabricated from clear plastic or hard acrylic with supporting wires. These can be independently removed and inserted by patients.
• Fixed retainers: thin wires glued onto the back of your teeth for constant support. These cannot be removed by patients.

Duration of retainer wear: While every case is different, studies show that some degree of long-term retention is needed to keep your smile straight for life. Some patients may require full-time retainer wear in the first 6 months after completion of braces/aligner treatment or fixed retainers.

Your orthodontist will tailor your retention plan according to your needs.

Care tips for removable retainers: It is normal to experience mild tightness or notice minor speech changes in the beginning. The tightness typically resolves within a few days to a week.

Remember to:

Finally...

Regular check-ups with your orthodontist are still key, even during the retainer phase.

Schedule a follow-up about 1-3 months after getting your retainers, and keep up with your reviews as recommended by your orthodontist. If your retainers are lost or broken, reach out to your clinic immediately, as prompt replacement prevents unwanted tooth movement.

Dr Soh Shean Han is an Orthodontist with Specialist Dental Group®. She received her specialty training in Orthodontics from University of Washington-Health Sciences School of Dentistry, USA. She is an Adjunct Senior Lecturer with National University of Singapore and Associate Staff at National University Centre for Oral Health, Singapore. Dr Soh provides orthodontic treatment across all ages, including young kids and adults. She has a special interest in clear aligner treatment and the management of jaw deformities. www.specialistdentalgroup.com | (65) 6733 7883

Ask the Dentist: How to get rid of bad breath?

 

Bad breath, also known as halitosis, is something almost everyone experiences at some point. It can be embarrassing and affect your confidence in social and professional situations.

Common Causes of Bad Breath

Understanding the root of the problem is the first step. Bad breath can be caused by:

• Poor oral hygiene – leftover food particles and bacteria cause unpleasant odours.
• Dry mouth – saliva helps wash away bacteria; a lack of it leads to odour.
• Food & drinks – onions, garlic, coffee, and alcohol can linger.
• Smoking – not only causes bad breath but also increases oral health risks.
• Medical conditions – gum disease, tooth decay, sinus infections, acid reflux, or other illnesses.

Tips to Get Rid of Bad Breath

1. Brush and floss regularly: Brush your teeth morning and night with fluoride toothpaste, and floss
2. daily. Remember to clean your tongue too, since it often harbours bacteria that cause bad breath.
3. Stay hydrated: Drink plenty of water throughout the day. A hydrated mouth produces more saliva, which naturally helps clean away bacteria.
4. Freshen up between meals: Sugar-free gum or mints can stimulate saliva and mask odour.
5. Watch what you eat and drink: Limit foods known to cause odour (like garlic and onions) before important events. Reduce alcohol and coffee intake, both of which dry out the mouth.
6. Quit smoking: Tobacco causes lasting odours in both the mouth and windpipe. Quitting benefits not only your breath but also your overall health.
7. Use mouthwash (the right way): Using an antibacterial mouthwash can help reduce bacteria and freshen your breath, but it should never replace brushing and flossing.
8. Visit your dentist regularly: Persistent bad breath can be a sign of gum disease, cavities, or other
9. conditions. Routine dental visits allow early detection and treatment of underlying issues.

When to see a dentist

Bad breath that doesn’t improve with oral care may be linked to a deeper health problem such as gum diseases or cavities. Consult a dentist if you notice persistent odour, swollen or bleeding gums. With consistent oral hygiene and routine dental visits, you can enjoy a healthier mouth and fresher breath.

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Dr Tan Kian Meng is a Dental Specialist in Prosthodontics with Specialist Dental Group®. He is also a Clinical Lecturer at the National University of Singapore and Diplomate with the American Board of Prosthodontics. He was formerly a Consultant at Singapore’s Khoo Teck Puat Hospital and Fellow of Maxillofacial Prosthetics and Oncologic Dentistry Fellowship at the University of Texas MD Anderson Cancer Center. Dr Tan has special interest in prosthetic and implant restorative dentistry. http://www.specialistdentalgroup.com | (65) 6733 7883

Ask the Dentist: Why are dental X-rays necessary?

 

You may have been surprised when your dentist recommends an X-ray during a routine check-up, especially if you only came in for a cleaning. While it might seem unexpected, dental X-rays are essential for spotting hidden issues that can’t be seen during a visual exam. Modern digital X-rays use very low levels of radiation, far less than traditional film-based methods, and are safe even for children and pregnant women.

What do dental X-rays show? Dental X-rays (radiographs) allow dentists to examine areas beneath the gums, between teeth, and within the jawbone.

They can reveal:

• Cavities between teeth

• Signs of gum disease

• Infections or abscesses

• Bone loss in the jaw

• Buried or impacted teeth

• Cysts, tumors or other abnormalities

For children and teens, X-rays also help monitor tooth and jaw development, detecting potential issues like crowding or misalignment early — often before symptoms show up.

Types of dental X-rays: Common X-ray types include:

• Panoramic: Shows the entire mouth in one image.

• Periapical: Focuses on one or two teeth from root to crown.

• Bitewing: Captures upper and lower back teeth, helpful for spotting decay between teeth.

• Cephalometric: Side profile of the head, often used in orthodontic planning.

• Cone Beam CT: Produces 3D images for complex procedures like dental implants or jaw surgery.

How Often Should I Get an X-ray? 

Ultimately, the need for dental X-rays depends on your individual oral health. Your dentist may recommend one during your initial visit or when symptoms like a toothache or swelling occur.

 DrTan Kian Meng is a Dental Specialist in Prosthodontics with Specialist Dental Group®. He is also a Clinical Lecturer at the National University of Singapore and Diplomate with the American Board of Prosthodontics. He was formerly a Consultant at Singapore’s Khoo Teck Puat Hospital and Fellow of Maxillofacial Prosthetics and Oncologic Dentistry Fellowship at the University of Texas MD Anderson Cancer Center. Dr Tan has special interest in prosthetic and implant restorative dentistry.  

http://www.specialistdentalgroup.com | (65) 6733 7883

Ask the Dentist: Does your child show signs of tongue-tie?

Our tongue plays a crucial role in daily functions such as swallowing, eating, and speaking. Tongue-tie occurs when the lingual frenulum (a band of tissue beneath the tongue) is too tight or short, limiting its range of motion. If unaddressed, this condition may lead to speech challenges over time, especially with pronouncing certain sounds as a child grows. 

Signs of tongue-tie in babies: 

• difficulty latching during breastfeeding 
• producing a clicking sound while breastfeeding or bottle-feeding 

Signs of tongue-tie in older children: 

• a tongue with a heart-shaped tip when extended 
• difficulty stretching the tongue past the lower front teeth 
• challenges in lifting tongue to touch the upper teeth or moving it side to side 
• trouble with clear speech and pronouncing sounds such as d, l, s, t, and th 

What are the treatment options for tongue-tie? 

If you suspect your newborn is suffering from a possible tongue-tie, it is best to consult a paediatrician for a thorough examination to determine if intervention is necessary. In addition, seeking guidance from a lactation specialist may provide valuable breastfeeding support and advice. 

When tongue-tie surgery is recommended, it is typically treated with a frenectomy — a minor procedure performed by an oral surgeon. This can be done under local anesthesia or general anesthesia. 

The oral surgeon carefully removes the lingual frenum (the soft tissue restricting tongue movement) using a surgical blade, electric knife, or laser during the procedure. The entire process generally takes between 30 and 60 minutes. If your child is experiencing any of the tongue-tie symptoms mentioned above, get a professional diagnosis today. 

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Dr Ho Kok Sen is an Oral & Maxillofacial Surgeon with Specialist Dental Group®. Dr Ho is a mentor, lecturer, and examiner to students in the Graduate Diploma in Dental Implantology course at the National University of Singapore. Dr Ho is a fellow of the Royal Australasian College of Dental Surgeons and the Academy of Medicine Singapore. He has a special interest in dental implants, jaw surgery, bone grafting, and complex extractions. www.specialistdentalgroup.com | (65) 6733 7883 

Ask the Dentist: Is charcoal toothpaste a whitening hack or a risky trend?

 

Charcoal toothpaste has gained popularity for its promise of a whiter smile. Made with activated charcoal, it is believed to absorb stains and plaque, helping to brighten teeth. However, is it truly safe?

Activated charcoal is a porous substance used in various products. Charcoal toothpaste works by scrubbing away surface stains. The American Dental Association (ADA) states that there is insufficient evidence to prove its safety or effectiveness in whitening teeth.

Charcoal toothpaste can be abrasive. It removes stains by wearing away the outer enamel — a process that can cause long-term damage.

Risks of Charcoal Toothpaste

While it may temporarily whiten teeth, charcoal toothpaste comes with significant risks:

• Abrasiveness – It can wear down enamel, leading to sensitivity and a higher risk of cavities. Note that enamel loss is irreversible.
• Lack of fluoride protection – Most charcoal toothpastes do not contain fluoride, which is essential for cavity prevention and enamel protection.
• Gum irritation – The rough texture can cause gum inflammation, bleeding, and even recession.
• Stains on restorations – Crowns, veneers, and fillings may absorb charcoal particles, causing discolouration over time.

Due to these risks, charcoal toothpaste is not recommended for daily use. Safer alternatives include:

• Professional whitening – Consult your dentist for safe and effective whitening treatments.
• Regular cleanings – Routine dental check-ups help maintain a bright smile without damaging enamel.

Before trying new dental products, consult your dentist to ensure it's safe for your oral health.

************

Dr Steven Soo is a Dental Specialist in Prosthodontics with Specialist Dental Group®. He was formerly a Clinical Lecturer at the Eastman Dental Institute  and Clinical Teacher at the GKT Dental Institute, both of which are affiliated  with the University of London. Dr Soo has a special interest in prosthetic and  implant restorative dentistry. He also enjoys seeing children.

www.specialistdentalgroup.com | (65) 6733 7883 

Ask the Dentist: Can stress and anxiety impact my oral health?

 

It may come as a surprise, but stress, anxiety, and depression can have a direct impact on how you care for your teeth and gums, often leading to unintended consequences for your smile. Studies have revealed a strong connection between mental health and oral health as part of overall well-being.

When your mental well-being takes a hit, it is common for oral hygiene routines to be neglected. skipping your daily brushing and flossing routine due to fatigue or lack of motivation can lead to plaque build-up, cavities, and gum disease. In addition, stress can increase the likelihood of clenching or grinding your teeth (a condition known as bruxism), which may cause cracked tooth, jaw pain, and headaches. Stress, anxiety and depression can also cause dry mouth, as the body produces less saliva under pressure. Saliva is essential to neutralise harmful acids in the mouth and moisten food for easy swallowing. Medications for anxiety and depression are known to worsen dry mouth conditions. Mental health issues can also influence dietary habits. Some may turn to sugary snacks for comfort, increasing tooth decay risk.

The connection between mental and oral health works both ways. Poor oral health can lower self-esteem and lead to social anxiety, further amplifying mental health challenges.

Tips to maintain both your mental and dental health:

• Try to stay consistent with your oral hygiene

• Visit your dentist every six months for a routine check-up

• Seek professional help if you're feeling overwhelmed

Remember, your mental and dental health are closely connected. Hence, nurturing both is essential for a happier, healthier you!

Dr Tan Kian Meng is a Dental Specialist in Prosthodontics with Specialist Dental Group®. He is also a Clinical Lecturer at the National University of Singapore and Diplomate with the American Board of Prosthodontics. He was formerly a Consultant at Singapore’s Khoo Teck Puat Hospital and Fellow of Maxillofacial Prosthetics and Oncologic Dentistry Fellowship at the University of Texas MD Anderson Cancer Center. Dr Tan has special interest in prosthetic and implant restorative dentistry.

Ask the Dentist: Is your child at risk of tooth decay?

 

Tooth decay, or early childhood caries (ECC), is the most common chronic disease among children—and it’s largely preventable. Yet, the statistics are alarming. According to the National Dental Center of Singapore, about one in two children in Singapore suffers from tooth decay before entering kindergarten.

Early signs of decay are often overlooked, as many parents assume that baby teeth do not require significant care because they will eventually fall out. However, healthy baby teeth play a critical role in nutrition, speech development, and guiding the alignment of permanent teeth. When tooth decay is left untreated, it can lead to pain, infections, disrupted sleep, and even developmental delays.

What causes tooth decay in children? 

It results from a combination of factors:

• Bacteria that produce acid, damaging teeth

• Frequent consumption of sugary foods, milk, or juice

• Allowing a child to fall asleep with a bottle containing sweet liquids

• Poor oral hygiene habits 

Early prevention is crucial. Experts recommend starting oral hygiene even before the first tooth erupts. Introducing a toothbrush when the first tooth appears can help establish healthy habits. Ideally, children should visit the dentist between six to twelve months of age to address risks before problems arise. 

How to prevent tooth decay in children? 

Start with good oral hygiene and healthy habits:

• Limit sugary snacks and drinks.

• Ensure effective brushing from an early age.

• Schedule regular dental visits when your child turns one year old. 

By prioritising oral health early, you can protect your children from unnecessary pain and set the foundation for a lifetime of healthy smiles. Don't wait for cavities to form—start preventive care today!

***********

Dr Steven Soo is a Dental Specialist in Prosthodontics with Specialist Dental Group®. He was formerly a Clinical Lecturer at the Eastman Dental Institute and Clinical Teacher at the GKT Dental Institute, both of which are affiliated with the University of London. Dr Soo has a special interest in prosthetic and implant restorative dentistry. He also enjoys seeing children. 

http://www.specialistdentalgroup.com | (65) 6733 7883

What are the treatment options for a child with a missing tooth?

 

If your child lost a tooth from a fall or injury, it's important to act quickly. Timely dental care is essential for the long-term health of an injured tooth. In fact, getting treatment within the first few hours can often determine whether the tooth can be saved or not. 

Tooth loss due to trauma is common in active children. Fortunately, there are treatment options to replace missing teeth. 

• For baby teeth: No immediate treatment is usually required if a baby tooth is lost. The adult tooth will usually develop on its own, but regular dental check-ups can ensure your child's teeth are developing properly. 
• For permanent teeth: If a permanent tooth is lost, the treatment options will depend on your child's age and how developed their jaw is. 
• A space maintainer helps to keep the gap open for the adult tooth to grow in later or in preparation for future treatments, such as braces. 
• A dental bridge involves placing a false tooth in the gap until your child is old enough for a more permanent solution, like a dental implant. 
• A removable partial denture is a non-invasive option. It's a temporary false tooth that your child can take out, offering a practical solution for both eating and appearance. 

As your child’s jaw fully matures, a dental implant might become an option. Implants are a permanent solution for missing teeth, but are typically recommended after teenage years, when jaw development is complete. 

The best treatment option will depend on your child's age, jaw development, and overall oral health. Consulting with your dentist is crucial to determine the most appropriate solution for your child's needs.

Dr Tan Kian Meng is a Dental Specialist in Prosthodontics with Specialist Dental Group®. He is also a Clinical Lecturer at the National University of Singapore and Diplomate with the American Board of Prosthodontics. He was formerly a Consultant at Singapore’s Khoo Teck Puat Hospital and Fellow of Maxillofacial Prosthetics and Oncologic Dentistry Fellowship at the University of Texas MD Anderson Cancer Center. Dr Tan has special interest in prosthetic and implant restorative dentistry. 

Ask the Dentist: How to treat gummy smiles?

 

A “gummy smile” refers to individuals who reveal a larger portion of their gums when they smile, making their teeth seem shorter in relation to their gums. 

Even though individuals with gummy smiles may have healthy teeth and gums, they might feel self conscious about their smiles, which can affect their confidence. Fortunately, there are treatments available to address this concern. 

Gummy smiles may arise due to: 

• Excessive display of gums due to the abnormal teeth eruption 

• Hyperactive lip muscles which cause the upper lip to rise higher than usual when smiling, showing more gum tissue 

• Prominent upper jaw 

• Prominent position of upper front teeth 

• Severely worn teeth, resulting in the teeth looking shorter relative to the gums.

There are a few treatment options, such as: 

1. Crown lengthening (gum surgery) reshapes excess gum tissue and underlying bone. Crowns or veneers may be used afterwards to achieve the desired aesthetic look. The process takes about an hour, followed by the removal of stitches after a week or two. 

2. Orthodontics (alignment of the teeth), crowns, and/or jaw surgery may be required if the gummy smile is caused by the front teeth positioned too far forward. 

3. Protein injections can treat the upper lips’ hyperactive muscles. The 10-minute procedure consists of a few tiny injections. 

If you require dental crowns, there is a waiting period of about 1-3 months before the final crowns are placed. If braces and/or jaw surgery are required, the treatment timeline may be extended. However, rest assured that you will consistently have a complete smile throughout the entire treatment duration. 

With meticulous planning and execution, the results of gum surgery can last for years.

 Professional follow-up will be essential for successful long-term treatment outcomes, ensuring your smile is well cared for. 

********************

Dr Daylene Leong is a Dental Specialist in Periodontics with Specialist Dental Group® She received her training in the specialty area of Periodontology from the University of Michigan, USA. Dr Leong is a Diplomate of the American Board of Periodontology and a Fellow of the Academy of Medicine, Singapore. She has a special interest in periodontal regeneration, gingival aesthetic and plastic surgery, and dental implants. www.specialistdentalgroup.com | (65) 6733 7883

Ask the Dentist: What Happens When You Take a Break from Wearing Your Clear Aligners?

 

Clear aligners (such as Invisalign) offer a comfortable and modern approach to straightening teeth, without traditional braces. Typically worn 20 to 22 hours a day, these custom-made trays gradually align your teeth. They need to be changed according to the interval stipulated by your orthodontist, usually 7-14 days, as your teeth move closer to their desired positions. What happens if you take a break from wearing them?

Taking a break from wearing aligners, even briefly, can significantly affect your treatment progress. Clear aligners work by applying consistent pressure to gently move your teeth. When you stop wearing them, even for a day or two, your teeth may begin to shift back to their original positions. Also known as a dental relapse, this regression can undo some of the progress you've made. You might have to wear your current aligners longer before moving on to the next one.

Longer breaks can lead to even more noticeable setbacks. If you stop wearing your aligners for a week or more, your teeth could shift enough that your current aligners no longer fit. In such circumstances, you may need to revert to a previous set of aligners or even have a new series made, significantly extending your treatment time and possibly increasing the overall treatment fee.

It's also worth noting that taking breaks can cause discomfort when you start wearing your aligners again. Your teeth may have shifted slightly, making the aligners feel tighter and more uncomfortable than before.

In summary, consistency is critical to the success of your aligner treatment. To achieve the best results, it's crucial to wear your aligners as advised by your orthodontist, minimising breaks to ensure steady progress and a smoother journey toward your perfect smile!

Dr Soh Shean Han is an Orthodontist with Specialist Dental Group®. She received her specialty training in Orthodontics from University of Washington-Health Sciences School of Dentistry, USA. She is an Adjunct Senior Lecturer with National University of Singapore and a Visiting Associate Consultant at National University Centre for Oral Health, Singapore. Dr Soh provides orthodontic treatment across all ages, including young kids and adults. She has a special interest in clear aligner treatment and the management of jaw deformities. vwww.specialistdentalgroup.com | (65) 6733 7883

Ask the Dentist: Do oral piercings put your oral health at risk?

Numerous individuals opt for oral piercings as a means of self-expression, and the popularity of these has risen in recent years. That being said, not many individuals seek advice from a dentist before proceeding with them.

Oral piercings are any piercings located within or attached to the mouth, such as those on the tongue, lips, and cheeks. Oral piercings can affect your dental health, with potential complications after the piercing. They include:

• Infection around the piercing: an infected tongue piercing poses a potentially life-threatening risk as it may cause tongue swelling, obstructing the airway.
• Tooth crack, chip, or tooth decay: rubbing your tongue piercing against your teeth can injure your gums and lead to cracked teeth. It may also damage fillings.
• Cavities: the piercing may accumulate plaque as it traps food particles and debris.
• Nerve damage: you may sometimes experience numbness due to nerve impairment. This damage may be permanent, impacting your sense of taste and mouth mobility.
• Prolonged bleeding: a punctured blood vessel during the piercing process may also lead to significant blood loss.
• Allergic reaction: the metal used in the piercing may trigger an allergic reaction at the site of the piercing.

Post-piercing care becomes crucial to maintain oral health. Prioritise diligent oral hygiene, paying close attention to both your jewellery and the piercing site. Explore these aftercare tips:

• Brush twice a day for two minutes each with fluoride toothpaste
• Floss once a day
• Avoid using your teeth or tongue to 'play' with your jewellery
• Use an alcohol-free mouth rinse during and after the healing process

If you notice any signs of a cracked tooth or tooth decay after getting an oral piercing, it's crucial to seek professional help from a dental specialist or dentist.

Dr Tan Kian Meng is a Dental Specialist in Prosthodontics with Specialist Dental Group®. He is also a Clinical Lecturer at the National University of Singapore and Diplomate with the American Board of Prosthodontics. He was formerly a Consultant at Singapore’s Khoo Teck Puat Hospital and Fellow of Maxillofacial Prosthetics and Oncologic Dentistry Fellowship at the University of Texas MD Anderson Cancer Center. Dr Tan has special interest in prosthetic and implant restorative dentistry.

ASK THE DENTIST: Is root canal treatment appropriate for individuals of all ages?

 

As discussed in last month's article, root canal treatment (RCT) eliminates bacteria from infected root canals. A successful RCT can help you maintain your natural smile, restore function and prevent tooth extraction.

RCT can be recommended for both adults and children if there are signs and symptoms that indicate the need for it. The procedure can be performed on both permanent and baby teeth by a general dentist or specialist (e.g. paedodontist or endodontist).

One of the greatest fears of having to undergo RCT is that the treatment would be very painful. However, RCTs carried out by a trained dental surgeon should be relatively painless as it is performed under local anesthesia. In fact, many patients fall asleep during their treatment. For patients who are nervous, treatment can be carried out under sedation. This helps reduce anxiety and allow RCT to be completed in a safe and comfortable manner.

If you suspect that you need a root canal, it is important to act fast. Delaying treatment whilst experiencing pain or discomfort can lead to more severe issues. You may discuss any concerns or questions with your endodontist/dentist so that they can advise the most suitable option to save your teeth with minimal discomfort. Take the first step to a pain-free, healthy mouth by visiting an endodontist/dentist near you today.

Dr Irene Sim is an Endodontist with Specialist Dental Group®. She received her specialty training in Endodontics from the National University of Singapore. Dr Sim has a special interest in dental traumatology, revascularization, apexification, non-vital bleaching & cracked teeth management.

www.specialistdentalgroup.com | (65) 6733 7883

Do I really need root canal treatment?

Root canal treatment (RCT) is a dental procedure that is performed to save a tooth that might otherwise have to be removed due to extensive tooth structure loss, inflammation or infection. If pulp inflammation or infection is left untreated, it can result in pain and swelling. A tooth remains infected until RCT is completed, or the tooth is extracted. While the pain may subside with the aid of medication, the infection will not go away without treatment. Patients are encouraged to seek treatment promptly to prevent the infection from spreading and causing damage to surrounding structures such as bone or sinus.

Signs or symptoms that might indicate that you may need a root canal treatment include:

• Sensitivity/pain when biting or applying pressure to the tooth

• Prolonged sensitivity to cold and hot sensations

• Swollen or tender gums, or the presence of a bump/pimple on the gums (abscess)

• Discoloration (Darkening) of the tooth

• Chipped, fractured, cracked or heavily worn-down teeth with other signs or symptoms

On the other hand, a tooth with a damaged or infected pulp may not cause any pain or discomfort. Without proper treatment, these teeth may further deteriorate and lose their potential to be saved.

Need a professional opinion? Schedule a consult with our dental specialist team to determine if a root canal treatment is a suitable option for you.

Dr Irene Sim is an Endodontist with Specialist Dental Group®. She received her specialty training in Endodontics from the National University of Singapore. Dr Sim has a special interest in dental traumatology, revascularization, apexification, non-vital bleaching & cracked teeth management.

www.specialistdentalgroup.com | (65) 6733 7883

Ask the Dentist: How to treat gum disease?

 

Periodontal disease, commonly known as gum disease, involves inflammation of the tissues supporting your teeth caused by the accumulation of bacterial plaque. While inadequate oral hygiene can lead to gum disease, some individuals are more susceptible to this condition despite diligent brushing and flossing.

Gum disease typically starts with swollen and bleeding gums. It can progressively affect the bones surrounding your gums without proper treatment, resulting in teeth loss and a diminished quality of life. As the initial stages of gum disease may be pain-free, it is crucial to look out for symptoms signaling gum disease:

• Red and swollen gums
• Bleeding gums when brushing teeth
• Receding gums
• Shaky teeth
• Teeth sensitivity
• Increasing spaces between teeth
• Persistent bad breath

There are three common types of treatment for gum disease.

1. Scaling and root planing removes any plaque from your teeth and developed gum pockets, and smoothens the tooth roots to facilitate the reattachment of the gums to your teeth.

2. Gum flap surgery is recommended if scaling and root planing does not successfully resolve gum inflammation and deep gum pockets, which are subsequently closed with stitches so the gums hug snugly around the teeth.

3. Bone graft surgery is needed when gum disease has damaged the bone supporting your teeth. The surgery repairs the affected area using materials such as membrane filters and bone grafts to stimulate bone and tissue regeneration.

Prevention is always better than cure. To maintain good oral hygiene,

• Brush your teeth twice a day for two minutes each time
• Visit your Periodontist/dentist twice a year
• Floss once a day

Visit a dental specialist or dentist to seek a professional opinion if you notice any unusual signs.

Dr. Daylene Leong is a Dental Specialist in Periodontics with Specialist Dental Group®She received her training in the specialty area of Periodontology from the University of Michigan, USA. Dr Leong is a Diplomate of the American Board of Periodontology and a Fellow of the Academy of Medicine, Singapore. She has a special interest in periodontal regeneration, gingival aesthetic and plastic surgery, and dental implants.

www.specialistdentalgroup.com | (65) 6733 7883