Dental Care

Department Page

Contact Info

The Dental Care resides at the 1st floor of our Clinic. located at 200 Jalan Sultan #01-31G Textile Centre Singapore 199018

Call +65 6970 5686 | Email info@pinganhealthcare.com.sg

General Dental's Services

Scaling – is the process whereby our dentists will remove any tartar and plaque deposits that have built up on your teeth. Plaque is a soft, waxy and yellowish substance that naturally accumulates on teeth over a period of time.

When plaque not removed from the surfaces of teeth and exposed over a period of time, minerals present in saliva will combine with plaque to form hardened crystals known as tartar which appear as crusty deposits that can cause tooth discoloration, dental caries and even gum disease if left unattended.

While plague can still be removed through regular brushing and good dental care at home, Tartar can only be removed through scaling and polishing by dental professionals.

Polishing – is next stage after scaling which will thoroughly removing plaque and tartar. Our dentists will then move on to polish your teeth. The process of polishing will remove any stains from your teeth which have accumulated over time and give it a clean and natural shine by the end of the treatment.

Going for a regular scaling and polishing (once every 6 months) will help you maintain a healthy set of gums and teeth. This procedure thoroughly cleans teeth which will also help them look better and feel better. If you’re looking to book an appointment for your next scaling & polishing appointment, please feel free to give us a call.

WHY EXTRACT?
Reasons for Pulling Teeth

Although permanent teeth were meant to last a lifetime, there are a variety of reasons why you may need your tooth/teeth extracted. Common reasons involve badly damaged teeth, from trauma or decay, that cannot be repaired.

Other reasons include:

A crowded mouth. Sometimes dentists pull teeth to prepare the mouth for orthodontia so as to properly align the teeth, which may not be possible if your teeth are too big for your mouth. Likewise, if a tooth cannot break through the gum (erupt) because there is not enough room in the mouth for it, our dentists may recommend pulling it.

Infection. If tooth decay or damage extends to the pulp — the center of the tooth containing nerves and blood vessels — bacteria in the mouth can enter the pulp, leading to infection. Often this can be corrected with a root canal, but if the infection is so severe that antibiotics or a root canal procedure does not cure it, extraction may be needed to prevent the spread of infection.

Risk of infection. If your immune system is compromised (for example, if you are receiving chemotherapy or are having an organ transplant), even the risk of infection in a particular tooth may be reason enough to pull the tooth.

Periodontal (gum) disease. If periodontal disease — an infection of the tissues and bones that surround and support the teeth — have caused loosening of the teeth, it may be necessary to pull the tooth or teeth.

Wisdom Teeth

Wisdom teeth can lead to a variety of problems if there is no space for them to surface or erupt in the wrong position.

Your wisdom teeth may also be impacted, which means they are trapped in your jaw or under your gums. They are difficult to clean, act as food traps and will lead to the following problems:

The gums overlying impacted wisdom teeth get infected, and become swollen. This is a painful condition called ‘pericoronitis’.

They cause decay on the second molar tooth in front.

Teeth in front become crowded.

They can develop into cysts causing damage to the neighbouring tooth.

Our dentists will do a thorough clinical examination for you to determine whether you require surgery to remove your wisdom tooth/ teeth.

A FREE X-ray will be taken to check the position of the wisdom tooth.

The surgery will be performed under local anaesthesia. Intravenous sedation administered by a qualified anaesthetist will be arranged, if required.

After the wisdom tooth has been removed, the area will be stitched together. Antibiotics and painkillers will be prescribed.

Ingrown Teeth

After your free dental checkup and X-Ray, our dental professionals will inform you if there are any supernumerary teeth or ingrown teeth that require surgical removal. Listed below are some common reasons why our dentists would recommend surgery.

difficulties chewing or eating

problems cleaning the teeth, which could lead to gum disease

overcrowding or crooked teeth

a delay in the eruption of permanent teeth

damage to unerupted permanent teeth

any discomfort

DEEP CLEANING?

Sometimes, a standard cleaning by a dental hygienist isn’t enough. If bacteria invades below your gumline, you’ll need a deep dental cleaning to restore your gums to health.

What is a dental deep cleaning?

Deep dental cleaning is also called periodontal scaling and root planning, or SRP. It’s similar to how a hygienist typically cleans your teeth but focuses on the outer surface of the roots and below your gum line. This special cleaning is needed when tartar buildup has caused infection of the gums. Pockets form, a widening of the gumline that has pulled away from the tooth. Loss of this connective tissue can lead to bone loss and, eventually, tooth loss.

Deep dental cleaning will control the infection and promote healing. As you may know, preventing infection and inflammation anywhere in your body—including your gums—is important to heart health and may help you live longer.

In scaling, your dentist or periodontist will use a hand-held dental scaler to manually scrape the plaque from your teeth above and below your gum line. Or he might use an ultrasonic tool with a vibrating metal tip plus a water spray to wash tartar away. Root planning is more of a rubbing motion, used to smooth rough spots on the roots of your teeth that promote gum disease by trapping bacteria. Planing will also help your cleaner, healthier gums reattach to your teeth.

GUM DISEASE

Periodontal (gum) disease is an infection of the tissues surrounding and supporting the teeth called the gums and is a major cause of tooth loss in adults. Sometimes periodontal disease has no warning signs and regular dental checkups are important in preventing gum disease.

How do I know I need deep dental cleaning?

You may notice some signs of infection requiring deep dental cleaning. Your gums may look red and swollen. They may be tender and bleed a little when you brush or floss. Or your teeth may appear longer than they used to—a sign that your gums are pulling away, an indicator of gum line recession. Your dentist will diagnose the problem by measuring any pockets that have formed with a special probe. This test is usually painless. Your dentist may also take x-rays to check for bone loss. If pockets are deeper than can be treated with a standard cleaning and good at-home care, you will need deep cleaning to clear the infection and promote healing. You may need scaling and planning in just a few spots or the problem may be widespread. Come in for a free dental checkup and X-Ray so that we can help you find out if you require a deep clean.

WHY FILLINGS?

Fillings are used by our dentists to ‘fill’ in areas on the tooth where decayed portions were removed.

They are also used to repair cracks in teeth or broken teeth that have been worn down from various forms of misuse like teeth grinding.

What Steps Are Involved in Filling a Tooth?

First, the dentist will use a local anaesthetic to numb the area around the tooth to be filled. Next, a drill, air abrasion instrument, or laser will be used to remove the decayed area.

Next, our dentists will probe or test the area to determine if all the decay has been removed. Once the decay has been removed, our dentist will prepare the space for the filling by cleaning the cavity of bacteria and debris. After the filling is in, our dentist will finish and polish it.

What Types of Filling Materials Are Available?

Several dental filling materials are available. Teeth can be filled with gold; silver amalgam (which consists of mercury mixed with silver, tin, zinc, and copper); or tooth-coloured, plastic, and materials called composite resin fillings. There is also a material that contains glass particles and is known as glass ionomer. This material is used in ways similar to the use of composite resin fillings.

The location and extent of the decay, cost of filling material and our dentists’ recommendation assist in determining the type of filling best for you.

WHAT IS BRUXISM?

Teeth grinding and clenching, also known as Bruxism, is a common occurrence and can be painful and destructive to teeth. There are however, plenty of night guards for Bruxism on the market that can help anyone who clenches and grinds their teeth while sleeping.

Bruxism is fairly common and many may not even be aware of their own grinding. Some symptoms you may suffer from or experience are:

  • Teeth grinding

  • Jaw soreness

  • Facial pain

  • Waking up with dull headaches

  • Fatigue

Occasional teeth grinding may not cause any real concerns, but long-term, consistent grinding can lead to loss of tooth enamel, broken teeth and in severe case, even the loss of teeth.

Night Guards

Most teeth grinding cases can easily be counterracted by getting a night guard and wearing it while you sleep. They serve as a barrier between your teeth and lightens the tension by providing cushioning for your jaw muscles. The cushioning reduces stress exerted on your face and jaw and also protects the enamel coating of your teeth.

Oral Surgery and Pain Management

What are dental implants?

Dental implants are an effective way to replace missing teeth. They are able to blend in with your other teeth, and are the perfect long-term option for restoring your smile and your confidence.

A dental implant is a small titanium screw which is surgically placed into the jaw bone. It serves as a replacement for the root of the missing tooth and provides support for your new crown or bridge (a row of crowns). They can also be used as support for dentures should that be a service you require or prefer.

This is possible due to the biocompatible properties of titanium. A strong bond is formed between the implants and the bone over several weeks or months (osseointegration) and thus firmly anchoring them to the jaws.

Why Do I Need Dental Implants?

Dental implants are the best option for replacing missing or damaged teeth currently available. With dental implants, your missing or damaged tooth/ teeth will be replaced perfectly without affecting your ability to chew or speak. Many downsides to the alternative solutions are also absent when it comes to dental implants, be it aesthetics or function, dental implants provide the closest resemblance to your natural teeth.

You will get to enjoy a set of artificial teeth replacement that most closely resemble natural teeth in terms of aesthetics and function (speech and chewing). There is also no need to trim neighbouring teeth when you choose dental implants to replace your missing teeth.

At Ping An, we use HSA approved Titanium Medical Grade 4 to 5 implants that undergo gamma blasted sterilisation and are individually packaged.

What Is a Sinus Lift?

Over the last 15 years, more people are getting dental implants, making sinus lifts more common. Do you need sinus lift surgery and have some unanswered questions? Well, we’ve got you covered with the answers to some of the most common questions about sinus lift surgery. Including what a sinus lift is, when you need one, what happens before and after surgery, how the surgery works, the procedure’s risks, and when you should seek medical treatment after you get one. Our goal is for you to have all the info you need about your sinus lift procedure so you can feel fully confident as you prepare for your sinus lift.

A sinus lift, also known as sinus augmentation, is a surgery that makes it easier to place dental implants. Some people need dental implants but don’t have enough bone support necessary for implants because of bone loss. A sinus lift can help as it increases the amount of bone in the upper jaw by adding bone to the space between your molars and premolars. To make room for the bone, the sinus membrane has to be moved upward or “lifted,” which gives the surgery its name. A dental specialist like an oral maxillofacial surgeon or a periodontist usually handle sinus lifts.

When Do You Need a Sinus Lift?

If your dentist can’t place your dental implants because you don’t have enough bone height in the upper jaw or your sinuses are too close to the jaw, your dentist may recommend that you get a sinus lift. Some causes of bone loss include:

  • Periodontal gum disease

  • Losing teeth in your upper jaw

  • Reabsorption of bone into the body after tooth loss

Crestal Sinus Lift

Sometimes, challenge to implant placement in the posterior maxilla may arise due to issues around the maxillary sinus. The sinus may pneumatize (enlarge) related to sinus issues, patient age, how long the are has been teethless or related to periodontal bone loss associated with the tooth that will or has been extracted. Hence, crestal bone height may be diminished related to enlargement of the sinus, inferiorly related to periodontal bone loss or a combination of these two processes. Thus, implant placement is complicated due to insufficient bone to house an implant.

A crestal sinus lift also known as the crestal approach, requires sufficient bone height to stabilize the implant as the implant is required in this technique to tent up the sinus membrane and allow the graft to mature into host bone encompassing the entire implant.

Ridge Splits are usually performed to manage the narrow edentulous ridge for implant placement or interpositional bone grafting.

Performing a ridge split allows for simultaneous implant placement.

What are dental bone grafts?

When the bone that surrounds the root of the tooth is damaged or destroyed, a person may need a bone graft. This procedure involves replacing the damaged bone with new bone. This bone may be the person’s bone, a manufactured bone, or donated bone.

The goal of bone grafting is to hold the tooth in place and help it to regrow.

Dental bone grafting is a technique that adds bone, and therefore structural support, to your jaw. This allows dental implants to be fixed in place; where without the grafts there would not be enough bone to support the implant.

The end goal is getting your dental implants fixed securely and comfortably. But there is recovery time required in between the graft procedure and the implants being placed. So this is something to be undertaken in two stages; first the bone graft procedure, followed by the adding of your dental implants after several months of healing.

Restoring the jawbone through grafting can do more than just support new implants. It can also restore shape and contour to your face, should that be required.

It can be frustrating to wait for those much awaited implants that will restore your smile, but it is worth taking the time to heal fully. This is an investment in your well being, and that Ping An cares about.

Block bone grafting is a surgical procedure used to restore bone tissue after severe bone loss. A graft is usually implanted into the lower jaw to provide a sufficient amount of bone material to support dental implants.

What is a root canal?

A root canal is a dental procedure involving the removal of the pulp in the tooth, which is the soft center. The pulp is made up of nerves, connective tissue, and blood vessels that help the tooth grow. In the majority of cases, our dentists will perform a root canal while you’re under local anesthesia.

When is a root canal needed?

A root canal is performed when the soft inner part of a tooth, known as the pulp, is injured or becomes inflamed or infected.

The crown of the tooth can remain intact even if the pulp is dead. Removing injured or infected pulp is the ideal solution should you intend to preserve the tooth.

Common causes of damage to the pulp include:

  • deep decay

  • multiple dental procedures on the same tooth

  • a chip or crack in the tooth

  • an injury to the tooth

The most common symptoms of damaged pulp include pain in your tooth, and swelling and a sensation of heat in your gums. We will examine the tooth in question and conduct a free X-ray to confirm the diagnosis.

How is a root canal performed?

When you arrive for your appointment,we will you to a treatment room, help you get situated in a chair, and place a bib around your neck to protect your clothes from stains.

Step 1: Anesthetic

The dentist will place a small amount of numbing medication on your gum near the affected tooth. Once it has taken effect, a local anesthetic will be injected into your gums. You may feel a sharp pinch or a burning sensation, but this will pass quickly.

You’ll remain awake during the procedure, but the anesthetic will keep you from feeling any pain.

Step 2: Removing the pulp

When your tooth is numb, the your dentist will make a small opening in the top of the tooth. Once the infected or damaged pulp is exposed, the specialist will carefully remove it using special tools called files and subsequently clean out your canals.

Step 3: Antibiotics

Once the pulp has been removed, the dentist may coat the area with a topical antibiotic to ensure that the infection is gone and to prevent reinfection. Once the canals are cleaned and disinfected, the dentist will fill and seal the tooth with a sealer paste and rubber-like material called gutta-percha. Our dentists may also prescribe you oral antibiotics.

Step 4: Temporary filling

Our dentists will end the procedure by filling the small opening in the top of the tooth with a soft, temporary material. This sealant helps prevent the canals from being damaged by saliva.

Gum surgery includes a wide range of procedures that aim to treat gum disease and any damage it may have caused by:

  • regrowing damaged tissues

  • preventing tooth loss

  • reducing gum gaps between teeth

  • reshaping the jaw bone to lower the risk for bacterial growth in bone crevices

  • eliminating bacteria and infection

What conditions can gum surgery treat?

Periodontsl surgery can treat many conditions, including gingivitis.

Gum diseases such as gingivitis and periodontitis may require surgical treatment.

Gingivitis is a mild form of gum disease that can cause gum redness, swelling, and bleeding. Most often, gingivitis occurs due to poor oral hygiene, plaque, and tartar buildup. Professional treatment at our clinic can reverse these negative effects.

Periodontitis is a more severe form of gum disease in which gingivitis has worsened, leading to Inflammation that destroys bone and tissues.

During this inflammatory process, the gums begin to separate from the teeth. This causes spaces called pockets to develop, which in turn trap bacteria and lead to infection which results in bone damage and tooth loss.

Types of surgical procedures

Which kind of surgery a dentist performs depends on the type and severity of the gum disease.

Before surgery, a dental surgeon might give the gums a deep clean. One procedure known as deep scaling can remove tartar buildup and bacteria from teeth and gums.

Another procedure known as root planing can smooth the surfaces of the roots of the teeth, meaning that there are fewer areas for tartar and bacteria to build up. This procedure also removes any tartar that is on the root.

 

Guided tissue regeneration

During this procedure, a dental surgeon will place a small piece of mesh-like material between a person’s bone and gum tissue.

The material prevents the gum from growing into space where bone should be, allowing the bone and connective tissue to regrow.

Tissue grafting

The type of surgery performed will be based on several factors, such as the condition of the gums.

A lowered gum line, known as gum line recession, is caused by the loss of gum tissue and may require soft tissue grafting to reduce the risk of further damage.

During this procedure, a dental surgeon typically removes tissue from one part of the body and re-attaches it to the area where the gum has receded. The tissue often comes from the roof of the mouth.

Tissue grafting not only reduces the risk for further damage but also covers any exposed roots.

Other treatment options include:

  • Laser therapy: Although no current evidence fully supports laser therapy, some dentists use it to reduce the size of pockets and restore damaged connective tissue.

  • Tissue-stimulating proteins: This procedure involves using a protein-containing gel to stimulate bone and tissue growth.

 

WHY EXTRACT?

Reasons for Pulling Teeth

Although permanent teeth were meant to last a lifetime, there are a variety of reasons why you may need your tooth/teeth extracted. Common reasons involve badly damaged teeth, from trauma or decay, that cannot be repaired.

Other reasons include:

A crowded mouth. Sometimes dentists pull teeth to prepare the mouth for orthodontia so as to properly align the teeth, which may not be possible if your teeth are too big for your mouth. Likewise, if a tooth cannot break through the gum (erupt) because there is not enough room in the mouth for it, our dentists may recommend pulling it.

Infection. If tooth decay or damage extends to the pulp — the center of the tooth containing nerves and blood vessels — bacteria in the mouth can enter the pulp, leading to infection. Often this can be corrected with a root canal, but if the infection is so severe that antibiotics or a root canal procedure does not cure it, extraction may be needed to prevent the spread of infection.

Risk of infection. If your immune system is compromised (for example, if you are receiving chemotherapy or are having an organ transplant), even the risk of infection in a particular tooth may be reason enough to pull the tooth.

Periodontal (gum) disease. If periodontal disease — an infection of the tissues and bones that surround and support the teeth — have caused loosening of the teeth, it may be necessary to pull the tooth or teeth.

WISDOM TOOTH & INGROWN TOOTH EXTRACTION

Wisdom Teeth

Wisdom teeth can lead to a variety of problems if there is no space for them to surface or erupt in the wrong position.

Your wisdom teeth may also be impacted, which means they are trapped in your jaw or under your gums. They are difficult to clean, act as food traps and will lead to the following problems:

  • The gums overlying impacted wisdom teeth get infected, and become swollen. This is a painful condition called ‘pericoronitis’.

  • They cause decay on the second molar tooth in front.

  • Teeth in front become crowded.

They can develop into cysts causing damage to the neighbouring tooth.

Our dentists will do a thorough clinical examination for you to determine whether you require surgery to remove your wisdom tooth/ teeth.

A FREE X-ray will be taken to check the position of the wisdom tooth.

The surgery will be performed under local anaesthesia. Intravenous sedation administered by a qualified anaesthetist will be arranged, if required.

After the wisdom tooth has been removed, the area will be stitched together. Antibiotics and painkillers will be prescribed.

Ingrown Teeth

After your free dental checkup and X-Ray, our dental professionals will inform you if there are any supernumerary teeth or ingrown teeth that require surgical removal. Listed below are some common reasons why our dentists would recommend surgery.

  • difficulties chewing or eating

  • problems cleaning the teeth, which could lead to gum disease

  • overcrowding or crooked teeth

  • a delay in the eruption of permanent teeth

  • damage to unerupted permanent teeth

  • any discomfort

WHY EXTRACT?

Reasons for Pulling Teeth

Although permanent teeth were meant to last a lifetime, there are a variety of reasons why you may need your tooth/teeth extracted. Common reasons involve badly damaged teeth, from trauma or decay, that cannot be repaired.

Other reasons include:

A crowded mouth. Sometimes dentists pull teeth to prepare the mouth for orthodontia so as to properly align the teeth, which may not be possible if your teeth are too big for your mouth. Likewise, if a tooth cannot break through the gum (erupt) because there is not enough room in the mouth for it, our dentists may recommend pulling it.

Infection. If tooth decay or damage extends to the pulp — the center of the tooth containing nerves and blood vessels — bacteria in the mouth can enter the pulp, leading to infection. Often this can be corrected with a root canal, but if the infection is so severe that antibiotics or a root canal procedure does not cure it, extraction may be needed to prevent the spread of infection.

Risk of infection. If your immune system is compromised (for example, if you are receiving chemotherapy or are having an organ transplant), even the risk of infection in a particular tooth may be reason enough to pull the tooth.

Periodontal (gum) disease. If periodontal disease — an infection of the tissues and bones that surround and support the teeth — have caused loosening of the teeth, it may be necessary to pull the tooth or teeth.

WISDOM TOOTH & INGROWN TOOTH EXTRACTION

Wisdom Teeth

Wisdom teeth can lead to a variety of problems if there is no space for them to surface or erupt in the wrong position.

Your wisdom teeth may also be impacted, which means they are trapped in your jaw or under your gums. They are difficult to clean, act as food traps and will lead to the following problems:

  • The gums overlying impacted wisdom teeth get infected, and become swollen. This is a painful condition called ‘pericoronitis’.

  • They cause decay on the second molar tooth in front.

  • Teeth in front become crowded.

They can develop into cysts causing damage to the neighbouring tooth.

Our dentists will do a thorough clinical examination for you to determine whether you require surgery to remove your wisdom tooth/ teeth.

A FREE X-ray will be taken to check the position of the wisdom tooth.

The surgery will be performed under local anaesthesia. Intravenous sedation administered by a qualified anaesthetist will be arranged, if required.

After the wisdom tooth has been removed, the area will be stitched together. Antibiotics and painkillers will be prescribed.

Ingrown Teeth

After your free dental checkup and X-Ray, our dental professionals will inform you if there are any supernumerary teeth or ingrown teeth that require surgical removal. Listed below are some common reasons why our dentists would recommend surgery.

  • difficulties chewing or eating

  • problems cleaning the teeth, which could lead to gum disease

  • overcrowding or crooked teeth

  • a delay in the eruption of permanent teeth

  • damage to unerupted permanent teeth

  • any discomfort

Treating a dentigerous cyst depends on its size. If it’s small, we might be able to surgically remove it along with the affected tooth. In other cases, we may have to use a technique called marsupialization.

Marsupialization involves cutting open the cyst so it can drain. Once the fluid has drained, stitches are added to the edges of the incision to keep it open, which prevents another cyst from growing there.

They are two basic types of frenums: a lingual and a labial frenum.

The lingual frenum is located between the base of the tongue and the floor of the mouth. If the frenum restricts the movement of the tongue, a surgical procedure called a frenectomy may be performed with the goal of freeing the tongue to allow proper oral function including speech, swallowing and general movement.

In the upper arch, the tissue that connects the gum to the lip is called the labial frenum. If it is abnormally wide or long, it may connect through to the gum tissue between the teeth and extend to the front portion of the roof of the mouth. When the upper frenum is too wide or long, it can create a space between the two front teeth, and that may require a surgical procedure performed by our dentists.

Depending on the preference of the doctor and the limitations of the procedure itself, the frenum is reduced in size with a scalpel (blade) or a laser made specifically to cut soft tissue. In some instances, the dentist doing the procedure may use a combination of the two instruments to shape and precisely cut the tissue to get an ideal result.

Tori are essentially extra bone deposits that have formed in your upper or lower jawbones. When the extra bone is found in your hard palate, it is called your torus palatinus. If the tori are found on your lower jaw, they are considered to be mandibular tori (as the lower jaw is known as the mandible). The good news is that most tori are benign in nature, and don’t need any treatment. There are times that tori will need to be removed.

There are many factors that can lead to the formation of maxillary or mandibular tori. The following is a list of the causes:

  • Genetics

  • Grinding and Bruxing habits

  • Misaligned teeth

  • Cross-bites and other occlusion problems

Complete Denture formation: If you are needing to have your existing teeth removed, or are currently edentulous, our dentist will more than likely recommend that you remove your tori. These tori (whether they are in your upper jaw or lower jaw) will prevent any complete dentures from seating completely, and will contribute in severe irritation of your gum tissue if dentures rest upon them. If you have a denture that was made without your tori being removed, there is a strong possible that a new denture will need to be fabricated after your tori have been removed.

Partial Denture Formation: Similarly to a full denture, partial dentures may also be a reason why your tori will need to be removed. These tori will get in the way of complete partial denture fabrication and function.

Food Impaction: Some lower tori are so large that many patients will get food entrapped underneath them. This can be a health hazard, and will require them to be removed by your oral surgery team. This food impaction can contribute to oral health problems such as gingivitis, and possible periodontitis if not removed early on in life.

What is an Oral Biopsy?

Oral Biopsy is a surgical procedure to obtain tissue from the patient’s oral cavity, for microscopic examination, usually to perform a diagnosis.

Purpose of an Oral Biopsy

An Oral Biopsy can be performed for several reasons. Sometimes:

  • there are signs of inflammation in the oral cavity of unknown cause that persist for long periodsof time;

  • an oral lesion interferes with proper oral function;

  • for bone lesions that are not specifically identified by clinical examination and X-rays, or any oral lesion that has the characteristics of a malignancy.

Types of Oral Biopsy

There are six main types of Oral Biopsy. These are:

  • Cytology: This type of Oral Biopsy can be used to diagnose lesions in the oral cavity due to post-radiation changes, herpes, and fungal infections. Cytology allows examination of individual cells but cannot necessarily result in an accurate and definitive diagnosis. It is recommended that this type of Oral Biopsy be performed along with an Excisional or Incisional Biopsy.

  • Aspiration Biopsy: In this type of Oral Biopsy, the oral surgeon uses a needle and syringe to remove a sample of cells or contents of a lesion. If the oral surgeon is not able to withdraw fluid or air it probably means that the lesion is solid.

  • Incisional Biopsy: This type of Oral Biopsy is performed only to sample a representative portion of the oral lesion. If the lesion is large or has many differing characteristics, it may require sampling of more than one area.

  • Punch Biopsy: This is done with a punch tool for both incisional and excisional purposes. This type of Oral Biopsy is best suited for the diagnosis of oral manifestations of mucocutaneous and ulcerative conditions of the oral cavity, such as lichen planus.

  • Brush Biopsy: In this type of Oral Biopsy, firm pressure with a circular brush is applied, and rotated give to ten times, causing light abrasion. The cellular material picked up by the brush is transferred to a glass slide, preserved and dried.

  • Excisional Biopsy: This type of Oral Biopsy is performed for small oral lesions, usually less than 1 cm. On clinical exam, the lesion appears benign. This type of Oral Biopsy results in complete removal of the lesion.

Procedure of Oral Biopsy

Prior to performing an Oral Biopsy, the oral and maxillofacial surgeon should be fully aware of the patient’s medical status. This would involve a thorough review of the patient’s medical and dental history, including previous surgeries, medications, allergies, and any social behaviors, such as smoking, alcohol use, and illicit drug use. The oral surgeon should also perform a thorough clinical and radiographic exam.

An Oral Biopsy is usually performed under either a local anesthetic, applied locally with infiltration near the lesion, or then, regionally, with a nerve block technique. However, the anesthetic should not be applied directly into the lesion, or superficially in and around the lesion, as this may result in a false diagnosis by the oral pathologist.

Once the local anesthetic is applied, the oral surgeon should firmly retract the soft tissues surrounding the lesion, and should make an elliptical incision around the lesion, with a minimum of a 1 mm margin.

Once the lesion has been freed from the remaining soft tissues, it should be immediately placed into a sterile pathology specimen jar, containing 10% buffered formalin for fixation. The container must be labelled with accurate patient information, such as patient name, birthdate, date, and site of biopsy.

After the Oral Biopsy, firm manual pressure should be applied to the biopsy area to stem any bleeding. Finally, the incision should be closed using either resorbable or non-resorbable sutures. Sterile gauze should again be applied to the surgical site to assist with blood clotting and to prevent the swallowing of blood by the patient.

Due to the slight oozing of blood from the surgical site for about 24 hours, the patient should be provided with a packet of gauze to change every 20 to 30 minutes over the course of a day. The gauze should not be kept in the mouth overnight.

If you have any further questions, you can and should consult us. We treat each patient individually and patiently answer any and all questions they may have related to their oral health, including oral biopsy procedures if appropriate. So, the next time you think you need an oral screening, do not hesitate to visit us at Ping An Dental for an early and accurate diagnosis!

Cosmetic Services

Braces have been around for more than four decades and are the go to choice for aligning and straightening teeth and helping to position them with regards to a person’s bite, while also aiming to improve dental health.

There are obvious aesthetic reasons for wanting to fix your crooked teeth, but a straight smile is also great for your oral health. In most cases of crooked teeth, a misaligned bite means that your teeth don’t meet properly and the uneven pressure could lead to premature wear-and-tear issues. When your teeth are straight, they also become easier to brush and clean since there are no crevices for plaque to hide, hence improving your overall dental health.

As Dental Professionals, the challenge of teeth whitening procedures is to produce visible and lasting results for our patients through procedures that are safe, non-toxic and non-painful while still protecting and maintaining the integrity of the dentine and enamel.

At Ping An Dental, we use both ‘White Smile’ and NATURAL+, a unique and alternative range of exclusive and patented, professional and affordable teeth whitening solutions that produce superior results and address all the concerns related to teeth whitening procedures plus many other benefits.

NATURAL+ offers:

  • Virtually no sensitivity or side effects during and after the procedure

  • Inclusion of Dead Sea Minerals in the formula

  • Calcium and Fluoride released during the procedure

  • Enamel layer protection as well as reinforcement of dentine

  • Non-toxic, ecological and stabilized hydrogen peroxide (Patented)

  • Neutral pH formula

  • High molecular mass thickener due to high water content

  • High viscosity resulting in better adherence

  • Progressive and sustained release of active ingredients

  • Long lasting results – Visible immediately improvement of up to 8 lightening tinges (VITA scale)

  • Effectively treats all types of teeth discolorations and stains including fluorosis and tetracycline stains

  • Safe and Reliable

To learn more about the innovative NATURAL+ solution and what it can do for you, Click here.

What are Veneers?

Dental veneers are a way to improve and help you achieve your desired aesthetic for your teeth. They are a popular choice for those with chipped teeth, a gap between teeth, or misshaped teeth. Dental veneers are thin covers that adhere to teeth to give teeth a more classically shaped look.

Veneers are thin coverings that are placed over the front (visible) part of the tooth. They look like natural teeth and can be used to correct a wide range of dental issues, such as:

  • teeth that are stained and can’t be whitened by bleaching

  • chipped or worn teeth

  • crooked or misshapen teeth

  • uneven spaces or a large gap between the upper front teeth

Veneers are made of either porcelain or composite resin material. At Ping An, we use composite resin veneers.

A composite resin veneer is made from a tooth-colored filling material bonded to the tooth.

Benefits of composite resin veneers:

  • usually less tooth enamel needs to be removed than for crowns or porcelain veneers

  • may mean fewer visits to the dentist—sometimes these veneers take just one visit

  • cost less than porcelain veneers

  • are easy to fix if they get damaged; although composite veneers are generally not as strong or wear-resistant as porcelain veneers, composite veneers can be repaired easily and quickly

Steps to place composite resin veneers:

  • After the teeth are prepared or reshaped, the dentist carefully bonds and sculpts the composite material using a color that is best for you.

  • A special light is used to harden the composite and bond it to your teeth.

  • The veneers are smoothed and polished to look like natural teeth.

Restorative Services

A crown is a cap that covers and protects the entire tooth, restoring the tooth to its original shape, while sealing the tooth and protecting it from damage.

A Bridge is a dental restoration procedure for replacing missing teeth making use of existing crowns beside the affected area. The teeth at the side of the missing area are trimmed and the bridge is cemented permanently to replace the missing teeth. A bridge is significantly more comfortable than having dentures and is cheaper than dental implants.

Dentures are removable appliances with fitted out with artificial teeth. They are generally made using plastic (acrylic) or a combination of plastic and metal (cobalt chromium). Alternatively, you can also ask our dentists for softer dentures.

In cases where the patient’s crown requires a longer fabrication time, the patient will wear the temporary crown.

A temporary crown protects the tooth and prevents it from moving. Temporary crowns are mostly made out of plastic, but some are metal. Temporary crowns are based upon the impression taken from the patient’s tooth and are placed using temporary cement so they can be removed easily when the permanent crown is ready to be installed.

Temporary crowns can also be used when a you encounter a dental emergency and experience tooth fractures.

A zirconia abutment offers an aesthetic alternative to metal implant abutments. Zirconia abutments are often not as noticeable due to their white colour and closer resemblance to the natural colour of teeth.

The aesthetics of zirconia is often a selling point with patients that have thin gum tissue as there is no gray metal to show through along the gum line as compared to a titanium abutment.The zirconia abutment price is also higher than that of a titanium abutment due to the nature of zirconia. When considering the zirconia abutment vs. the titanium abutment, these are but a few factors to consider.

In the past, implant abutments were always manufactured from metal and are generally pre-fabricated. Zirconia implant abutments provide a highly aesthetic solution, especially for patients specific needs.

When to Choose a Zirconia Implant Abutment

One reason for choosing a zirconia abutment is when a patient has a particularly thin gingival tissue or periodontal biotype. Where the gingival tissue is thin, it can expose the greyish hue of a titanium abutment implant. This can detract from even the most beautiful implant crown. A thin gingival tissue is unable to block the reflected light from metal abutments, while a zirconia abutment can do so. During your free dental checkup and consultation, our dentists will inform you if face any of the aforementioned issues.

Clinical Advantages of Choosing Zirconia Implant Abutments

Zirconia abutments have excellent strength and reliability. The biocompatibility of zirconia are well known and proven. In addition to its aesthetics and durability, the material is generally accumulates less dental plaque compared to titanium and other metal abutments.

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