Restorative Dentistry

At TEETH @ Tiong Bahru, we firmly believe in preserving the teeth you have for as long as they can be a functional part of your dentition.  To this end, we provide traditional lab-made inlays, onlays and crowns, as well as CAD-CAM fabrication.  Bridges and dentures still have their place in modern dentistry, and we are happy to offer a variety of options in materials and charges.  We work with all of our patients to understand your needs and priorities, and formulate a plan of treatment that is completely customised.

What is it?

Tooth surface loss (TSL) can occur due to acid erosion of teeth, abrasion from hard substances – nuts, ice, or aggressive toothbrushing, and attrition-the wear caused by parafunctional tooth contact Bruxism is the umbrella term for grinding or clenching the teeth which causes attrition of the teeth, fractures and is a leading cause of cracked tooth syndrome. It is usually an unconscious act, happening during sleep.

Management of these condition requires the correct diagnosis of the problem and the causes. Treatment is aimed at stopping the cause of the fractures and tooth surface loss, and repairing the damage when necessary.

The Benefits

Prevention of TSL allows you to keep your teeth healthy and functioning for longer. It also helps to maintain the aesthetics of your dentition, as TSL can be quite damaging to the appearance of your teeth. It is also hoped that by identifying, treating, and preventing further loss, that you may avoid the more severe consequences such as tooth fracture, root canal treatments and even tooth loss.

The Process

The first part of managing this group of conditions is correct diagnosis and identification of the cause. This may involve x-rays and special tests.

Our dentist will then work with you to formulate a plan which will cover 3 areas.
First, stopping the habits that lead to the TSL. This could range from looking at methods to mitigate stress, to learning a new toothbrushing technique.

Second, preventing further damage where the habit is unconscious. This may take the form of nightguards or splints.

Third, treating the damage already caused to bring the dentition back to full function. These interventions span everything from fillings to onlays for cuspal coverage, to root canal treatments and even implants. Treating the results of TSL requires complex multifaceted care and the commitment of our patients.

The Cost

Complex, multipronged treatment such as for managing TSL varies widely depending on treatment choices. Our dentist is happy to work with you to determine your treatment needs and priorities. We encourage you to meet with our dentist for a consultation, and discussion of your particular needs and treatment costs.

What is it?

Crowns are designed to completely cover your tooth. They provide strength, and restore the tooth to its natural appearance and function. Crowns are a great solution for teeth that have been broken, or weakened by large fillings, or fractures.

Bridges are a method of replacing a missing tooth by using the adjacent teeth to provide the support. They can replace one or several teeth and come in various materials and designs. Bridges are ideal where implant surgery is not possible or not desired.

The Benefits

Crowns can restore a tooth that has become non-functional due to wear, breakage or caries. They strengthen teeth that have become vulnerable due to large fillings or cracked tooth syndrome. They provide protection to root canal treated teeth.

Bridges allow you to replace a missing tooth without needing implant surgery. The treatment time is also much shorter than for implants, with some bridges being provided within a two week period.

The Process

There are numerous materials available for crowns and bridges, ranging from full gold, to porcelain bonded to metal, to full porcelain, with further options within each category. Dr Sherina will explain the pros, cons, costs and risks of each type to help you make your choice.

She will proceed to prepare the teeth for crowning or bridge abutments under local anaesthetic. Preparation involves trimming and shaping the tooth to make it the ideal shape for the crown to come. An impression will be taken of the prepared tooth or teeth, the opposite jaw and the interrelationship. This will be sent to our lab along with detailed shading and design information for them to fabricate your crown or bridge. It takes one to two weeks for the lab to fabricate your crown or bridge. Your will be provided with a temporary prosthesis while you wait.

Upon return we will check the prosthesis for fit and occlusion before cementing it into place. Minor adjustments may be required at the final fit.

What does it cost?

Fees for crown and bridge work varies greatly depending upon design and material choice. We encourage you to meet with our dentist for a consultation, and discussion of your particular needs and treatment costs.

What is it?

Inlays and onlays are fabricated in the lab. Inlays act as stronger, more durable versions of fillings, especially when restoring particularly large cavities. Onlays are a way to protect the occlusal surface of a tooth in situations where a full crown is not necessary.

The Benefits

With fabrication of inlays taking place in the lab, the chairside time (time our patient’s spend actually having dental treatment) is reduced. Inlays are fabricated from porcelain or metal which are extremely strong and durable.

Onlays can provide occlusal protection for the tooth without the expense of a crown. Though not as strong as a crown, in the right situation they can help to restore function, protect root canal treatments, and help to treat and restore the damage from bruxism.

The Process

Our dentist will explain your choices, and the pros, cons, risks and costs involved. Once decided the tooth will be prepared for the inlay or onlay under local anaesthetic. This involves shaping the tooth to be the ideal fit for the inlay or onlay. An impression is then taken of the tooth, the opposite arch, and the interrelationship. These models will be sent to the lab along with shading and design information to help them fabricate your restorations. For the interim you will be provided with temporaries.

Upon return of your inlay or onlay, they will be checked for fit and occlusion and cemented in place. Minor adjustments may be necessary.

What does it cost?

Fees for inlays and onlays will vary depending on material chosen. We encourage you to meet with our dentist for a consultation, and discussion of your particular needs and treatment costs.

What is it?

Removable dentures are a solution to replace missing teeth. They may be placed in a jaw where some teeth remain, or fully replace all the teeth in an arch. They are either an interim treatment in preparation for bridging or implants, or can be the final treatment itself. Removable dentures are fabricated from various base materials – acrylic, cobalt chromium or flexible plastic with acrylic teeth attached.

The Benefits

A well fitted removable denture can be quite comfortable and allows teeth to be replaced in a non-surgical and cost effective manner. Where there has been considerable resorption (shrinkage) of the jaw shape, they can also help to replace what has been lost. This provides support to the facial tissues, and can provide renewed confidence in the patient.

The Process

Fabrication of dentures involves several visits over a period of about one month. Initial and further detailed impressions are taken, along with measurements of jaw relationship and tooth shading. Our lab will fabricate a trial version in wax based on our dentist’s design and prescription. At the trial stage occlusion, appearance and fit are all checked and changes can be made if needed. When the final denture is issued we will check for occlusion, fit and appearance again. Some adjustment can still be made at this stage.
When both you and our dentist are satisfied, you will be given information as to the care and usage of your denture.

We will continue to review you frequently as it can take a week or two to become accustomed to your new denture, and further adjustments may be needed along the way. Over time, as the underlying bone and gum shrinks, you may need to reline or even remake your denture. TEETH @ Tiong Bahru will be here for you every step of the way.

What does it cost?

Fees for dentures will vary depending on design and material choice. We encourage you to meet with our dentist for a consultation, and discussion of your particular needs and treatment costs.

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