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General Dentistry
Wisdom Teeth Extraction
Wisdom teeth are located at the back of the mouth, the "third" molar at both ends of the top and bottom row of teeth. As the wisdom teeth begin to grow, they can become impacted, or trapped in the jawbone and/or gums. Wisdom teeth that are unable to "erupt" above the gum line can lead to inflammation and infection. If left untreated, wisdom teeth cause permanent damage, including cavities, nerve damage, gum infection, bone infection, and a weakening of the jaw. Unfortunately, wisdom teeth often grow unnoticed until they cause problems in the mouth or outlying areas, such as the face. These problems can cause headaches, pain in the ears, neck, upper or lower jaw.

Wisdom teeth should be extracted when the teeth are impacted and pose a risk to the patient. In certain cases, surgery may require an incision into the gums, partial bone removal, and/or sectioning of the tooth before removal. The procedure is almost always performed in the dentist's office, on an outpatient basis. The surgery is usually performed in less than an hour, depending on the depth of the impacted teeth and their angle of growth. The surgeon will recommend using a local anaesthesia, a mild sedative, or a general anaesthesia.

Periodontics & Gum Therapy
Periodontal disease is a gradual infection of the gums and, eventually, the underlying bones of the mouth. It is caused by the build up of plaque on and around the teeth that eventually calcifies into tartar. This tartar releases bacteria, which contains toxins and a sulfur compound that slowly decay the teeth and gums.

Treatments to alleviate the effects of gum disease depend on the severity of the tooth and gum erosion. Your dentist begins by removing the diseased tissue, scraping the tartar and plaque from the tooth's surface and from below the gum line. The dentist may prescribe antibiotics to stem the growth of the toxin producing bacteria while the gums heal.

Endodontics - Root Canal Treatment
Prior to recent advances in medicine, damage to the core of a tooth usually meant its quick removal. A root canal procedure cleans, disinfects, and refills the interior of the tooth, thereby preventing serious pain and permanent damage to decayed teeth.

If a root canal is not performed, bacteria are able to enter the core of the tooth and cause decay of the nerve, tissue, and blood vessels in the tooth's canal. If left untreated, the diseased tooth may become extremely sensitive to heat and cold and even cause infection in the jawbone (an abscess).

The treatment involves having the decayed tooth anesthetized. A hole is then made through the crown of the tooth, down into the pulp. The dentist uses tiny metal instruments to extract the remaining pulp from the tooth, and thoroughly cleans and disinfects the canal. Once cleaned out, the canal is reshaped to allow the surgeon to easily and completely fill the interior of the tooth. It is then filled with a rubberized inert material that helps prevent future infection.

TMD (Temporo Mandibular Dysfunction) & Bite Therapy
When the muscles of the head and neck are not in a rested and relaxed position, it can be caused by a misaligned bite, an over closed lower jaw (too close to the upper jaw), excessive or natural wear of the teeth due to clenching or grinding, missing teeth, and more. This can trigger different levels of pain, soreness, stiffness and discomfort in those areas. Lack of muscle synchronization that is stressed during jaw movement can send a message to the nervous system that teeth, gums, and muscles are out of balance.

The symptoms of TMD include:
Facial Pain
Headaches, shoulder and neck ache
Nocturnal bruxism or teeth grinding
Clicking sound or sharp pain in the joints
Pain and tenderness around the jaw
Difficult movement, tenderness & locking jaw
Ear congestion & ringing or pressure behind the eyes

The art and science that treats pain and corrects this unbalance is called Neuromuscular Dentistry. The masticatory muscles, teeth, and the TMJ (Temporo Mandibular Joint) must function in an optimal relaxed position.
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Singapore
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