Quality & Affordable Dentistry in Malaysia

Aesthetic Dentistry in Selangor, Malaysia 

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Cosmetic Dentistry in Selangor, Malaysia; Improving Your Smile Most people prefer to appear “normal” in all ways, and they want their appearance to be acceptable to their friends and associates. When clothed, very few portions of the human body are observable to the public. Most Malaysian surveys have shown that on first meeting, the most observed portions of the body are the eyes and teeth (smile). The head and face are nearly always in view. The mouth and teeth, combined with the eyes, are the major features of facial expression. Deformed, diseased, or abnormal facial appearance can contribute to poor or misinterpreted expression and to low self-esteem. Your mouth is highly important to you, well beyond the obvious function of eating.

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Modern dentistry in Selangor, Malaysia can change and upgrade the appearance of almost any objectionable oral condition you have seen or can imagine. Practitioners from many dental specialties and subspecialties or from some of the fields associated with dentistry (such as plastic surgery) may be needed to make the changes you desire.

WHAT YOU SEE OR FEEL

Conditions, Signs, or Symptoms Related to Aesthetic Dentistry in Selangor, Malaysia

1. Discoloured Teeth (Dark, Light, Spotted, Mottled, Striated)

Many conditions cause teeth to be discoloured (brown, grey, orange, blue, green, white, yellow, etc.) (Fig. 8.1). Causes of discolouration include chemicals ingested during the early years of life, force or injury to the primary (baby) teeth that harm the developing permanent teeth, excess fluoride ingested during the first few years of life, drugs taken for various early-childhood diseases, metallic fillings giving colour to the tooth, external stains caused by foods and drinks, and many other factors.

Various types of genetically induced or chemically caused tooth discolorations and malformations, all of which may be improved by dentists.
Various types of genetically induced or chemically caused tooth discolorations and malformations, all of which may be improved by dentists.

Persons with discoloured teeth have some of the following treatment alternatives:

A. Thorough cleaning of the teeth by a dental hygienist or dentist

B. Bleaching  (Teeth Whitening)

C. Micro-abrasion 

D. Bonding (Dental Filling)

E. Replacing metallic fillings with white restorations (fillings) 

F. Placing veneers 

G. Placing crowns (caps)

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2. Spaces Between Teeth (Diastemas) in Selangor, Malaysia

In some cultures, spaces between teeth are considered acceptable. In other cultures, spaces are not the “normal” appearance, and people want to eliminate them. These spaces are caused by teeth that are too small in relation to the size of the jaws; past removal of a tooth, causing drifting or spacing of adjacent teeth; lack of development of some teeth; orthodontic (braces) movement that did not completely close spaces; tight muscle attachments (frena) that keep teeth from coming together; and other factors.

Many people have spaces between teeth in Selangor, Malaysia. If desired, these spaces may be closed relatively easily.
Many people have spaces between teeth in Selangor, Malaysia. If desired, these spaces may be closed relatively easily.

Some spaces can be closed easily, while other spaces are more difficult to eliminate. All spaces between teeth can be eliminated if the patient sincerely desires that goal. The more common treatment alternatives for spaces between teeth include the following:

A. Orthodontic (braces) therapy

B. Bonding (Dental Filling)

C. Teeth Veneers

D. Crowns (caps)

3. Worn Teeth in Selangor, Malaysia

We all cause wear of our natural teeth throughout life. Researchers estimate that normal chewing wears natural teeth a little more than the thickness of a human hair per year. Such normal wear will not be visually evident for many years into life. However, as many as one third of the population wear their teeth significantly more than normal. These people brux or clench their teeth together, grinding them excessively. They will commonly wear their teeth many times faster than normal, rapidly deteriorating their appearance and function. Some persons may wear their teeth so much that they appear to have no teeth at all when they smile.

Worn teeth caused by excessive grinding of teeth. Both patients can be changed to normal appearance and function.
Worn teeth caused by excessive grinding of teeth. Both patients can be changed to normal appearance and function.

Persons with worn teeth often present difficult treatment challenges. One or more of the following treatment alternatives are possible: 

A. Bonding (Dental Filling)

B. Placing veneers 

C. Placing crowns (caps) 

D. Orthodontic (braces)s 

E. Periodontal surgery (gingivectomy) to remove some gum tissue, thereby making the teeth appear longer

F. Placing a plastic mouth guard to reduce further tooth wear 

4. Fractured Teeth

In some countries, as many as one out of two children break a front tooth during childhood. This situation is usually very upsetting to parents and can impair the child’s appearance. Also, tooth fractures are not uncommon in adults. If the tooth fracture is into the dental pulp (nerve), root canal therapy is usually necessary before one of the treatments described below is accomplished. If the tooth fracture is below the gum, contouring of the gum tissue by gingivectomy may be necessary before upgrading the appearance. Only a few teeth are fractured to the degree that they must be removed, which creates a space that will need to be restored.

Broken teeth are repaired easily and relatively inexpensively.
Broken teeth are repaired easily and relatively inexpensively.

One or more of the following treatment alternatives are possible for

a fractured tooth:

A. Bonding (Dental Filling)

B. Placing veneers 

C. Placing crowns (caps) 

D. Extraction 

E. Root canal

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5. Irregularly Shaped Teeth

Various conditions cause irregularly shaped teeth. They include injury to the primary (baby) teeth, which could deform the underlying permanent teeth; genetic disorders; diseases of the child or prenatal diseases of the mother during tooth development; and others.

These irregularly shaped teeth can easily be altered to normal

If the spacing of teeth is relatively normal, there are at least three alternatives that provide excellent esthetic improvements for irregularly shaped teeth:

A. Bonding (Dental Filling)

B. Placing veneers

C. Placing crowns (caps) 

6. Display of Too Much Gum Tissue

A gummy smile is not uncommon. It is usually caused by a disproportion of the facial soft tissues (gums) and underlying bone tissue. The result can be an unpleasant appearance and an unhappy person. What can be done? The following are alternatives:

A. Periodontal surgery (gingivectomy)

B. Orthodontic (braces) treatment 

C. Orthognathic surgery 

D. Plastic surgery

A gummy smile can be improved.
A gummy smile can be improved.

7. Display of Too Much Tooth Root Surface

As life progresses, the gum tissues recede, and more root surface is displayed during smiling. The root surfaces usually contain more brown pigments, and this difference is often unattractive. Additionally, teeth become narrower the farther they are exposed up the root, and this narrow portion is displayed after gum recession and creates unattractive spaces. Such conditions are common after age 50, but fortunately they can be corrected by one or more of the following alternatives:

A. Bonding (Dental Filling)

B. Placing veneers 

C. Placing crowns (caps) 

The lower teeth show root surfaces; correction can range from simple to complex.
The lower teeth show root surfaces; correction can range from simple to complex.
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8. Display of Too Little Tooth Structure

Several conditions can cause excessive gum tissue that nearly grows over the teeth, making them appear too short. Sometimes the upper lip is especially long, covering the teeth nearly completely, even during smiling.

Short teeth present an aged smile; correction can range from simple to complex.
Short teeth present an aged smile; correction can range from simple to complex.

Correction of this condition has several alternatives:

A. Periodontal surgery (gingivectomy) to remove some gum tissue

B. Bonding (Dental Filling)

C. Placing veneers 

D. Placing crowns (caps) 

E. Orthognathic surgery to lengthen upper jaw 

9. Teeth Appear Too Long

Sometimes teeth are especially long when they develop. Occasionally an individual’s bite does not wear the teeth in a normal manner, and the teeth remain long after years of service.

When teeth appear too long, there are a few alternatives for treatment.
When teeth appear too long, there are a few alternatives for treatment.

At least three alternatives are possible:

A. Tooth recontouring

B. Orthodontic (braces) treatment

C. Orthognathic surgery

10. Teeth Not Straight / crooked teeth

Many people have teeth that did not erupt in straight alignment. The major area of dentistry that deals with straightening teeth (orthodontic (braces) is highly developed, and at least these alternatives are clear:

A. orthodontic (braces) treatment 

B. orthodontic (braces) treatment and orthognathic surgery 

C. Tooth recontouring 

D. Bonding (Dental Filling)

E. Placing veneers 

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Irregular positioning of teeth can be corrected relatively easily.
Irregular positioning of teeth can be corrected relatively easily.

11. Irregular Smile

Several types of smile irregularities are most common:

• The edges of the upper or lower front teeth slant uphill, making the smile line out of alignment with the face.

• The edges of the teeth are straight with the face, but the irregular gum line produces some short and some long teeth.

• The midline of the upper teeth does not coincide with the midline of the lower teeth.

An irregular smile creates an image that can be changed if desired.
An irregular smile creates an image that can be changed if desired.

The following are alternatives:

A. Tooth recontouring

B. orthodontic (braces) treatment 

C. orthodontic (braces) treatment and/or orthognathic surgery

D. Periodontal surgery (gingivectomy) 

E. Placing veneers

F. Placing crowns (caps) 

G. Bonding 

12. Lower or Upper Jaws Forward or Backward Compared With “Normal” Relationship

Such skeletal malformations occur infrequently, and they are not difficult to correct surgically. The jaws are changed in position by surgical shortening or lengthening the upper or lower jaw or both jaws. Some minor malformations may be corrected by orthodontic (braces) therapy.

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This patient has a retruded lower jaw; this appearance can be corrected.
This patient has a retruded lower jaw; this appearance can be corrected.

The alternatives are:

A. orthodontic (braces) treatment 

B. Orthognathic surgery 

C. Placing veneers 

D. Placing crowns (caps) 

13. Teeth Not Present

If all of the natural teeth have been removed, the result is highly significant both functionally and esthetically.

Removal of all teeth is not common today. However, adequate artificial dentitions are available for such cases.
Removal of all teeth is not common today. However, adequate artificial dentitions are available for such cases.

Current alternatives are:

A. Complete dentures 

B. Implants followed by removable dentures 

C. Implants followed by fixed dentures 

14. A Few Missing Teeth

It is amazing how peculiar one appears when a few teeth are missing in a part of the mouth that is readily observable.

This condition has become socially unacceptable in most developed countries. Fortunately, there are several good alternatives:

A. Implant followed by crown (cap) 

B. Fixed bridge 

C. Bonded bridge 

D. Removable partial denture 

There is no reason to have a smile impaired by missing front

WHAT YOUR SELANGOR DENTIST CAN DO 

Treatment Available in Selangor, Malaysia

Most of the procedures listed below are related primarily to improving one’s appearance. They are generally considered to be aesthetic or cosmetic dentistry techniques. However, some of the therapy described as treatment alternatives in the preceding section are techniques used routinely in various divisions of dentistry for reasons other than aesthetic dentistry.

1. Bleaching Teeth / Teeth Whitening

Some discoloured teeth can be bleached well using various chemicals applied either in the dental clinic or at home. When bleaching is done in the dentist’s clinic, strong bleach is applied to the teeth to change the colour of the teeth. This technique usually requires several appointments and some time investment by the patient.

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This patient bleached her teeth at home over 3 weeks with dentist supervision. A, Before bleaching. B, After bleaching, showing one previously placed crown (cap) that did not bleach. C, Patient 3 years later with replacement of crown (cap) at correct new color.
This patient bleached her teeth at home over 3 weeks with dentist supervision. A, Before bleaching. B, After bleaching, showing one previously placed crown (cap) that did not bleach. C, Patient 3 years later with replacement of crown (cap) at correct new color.
Whitening teeth may be accomplished in the dental office in a short time. The teeth are isolated and bleached with chemicals.
Whitening teeth may be accomplished in the dental clinic in a short time. The teeth are isolated and bleached with chemicals.

Bleaching or teeth whitening outside the dental clinic has become a routine procedure. With this type of procedure, the patient applies the bleach chemicals to the teeth using a custom-fitted, tightly adapted mouthpiece or tray that is used for 30 minutes to several hours per day for a few weeks. Although this technique requires more time, it is far more popular than the in-clinic bleach because it is usually less objectionable

to patients than in-clinic procedures. Both techniques can be effective, especially when used on brown, orange, or yellow stains.

Custom-fitted plastic trays allow application of whitening solution to the teeth.
Custom-fitted plastic trays allow application of whitening solution to the teeth.

A. Advantages: Colour change is made in the teeth without having to alter tooth structure for placement of any fillings or restorations, and the teeth remain relatively unchanged except for colour. Yellow, orange, and brown stains bleach out of teeth very well. The cost of bleaching either inside or outside the dental clinic is relatively inexpensive compared with other methods to change tooth colour.

B. Disadvantages: A time commitment is necessary when bleaching teeth, and some cost is involved. Some types of stains (grey, blue, striated, mottled) do not have predictable bleaching patterns and may not bleach well. However, the disadvantages of bleaching are minor compared with the advantages.

C. Risks: Some side effects occur occasionally when bleaching teeth. The most common ones are (1) sensitivity of teeth to cold foods or drinks for a short time after the bleaching is completed; (2) sloughing or irritation of the gums for a short time after bleaching is completed; and (3) when bleaching is done outside the dental clinic, the jaw joints may become sore or tired if the bleaching trays are used too much. None of these risks is serious or lasts a long time. Millions of people have undergone bleaching without significant side effects.

D. Alternatives: There are a few alternatives for bleaching or whitening teeth, some of which may be acceptable for your situation:

(1) Micro-abrasion to wear away the stains 

(2) Bonding with plastic to cover the stains

(3) Placing plastic or porcelain veneers over the entire front tooth surface to cover the stains 

(4) Placing crowns (caps) to cover the stains 

E. Costs: Micro-abrasion is a low-cost alternative. Bonding has intermediate cost. Placing veneers costs more, and crowns (caps) usually cost the most of all the alternatives.

F. Result of Not Bleaching Teeth: Other than continued potential for psychological damage to the person, no physiological problems are associated with leaving the teeth stained.

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2. Micro-abrasion

Many tooth stains are superficial and can be treated by removing a small amount of the surface of the tooth. This micro-abrasion procedure is safe, not difficult, and requires a minimal amount of time. The technique adapts well to some superficial white or brown spots.

White spots on upper teeth. B and D, Spots removed with micro-abrasion. Minor tooth recontouring improved the appearance also.
White spots on upper teeth. B and D, Spots removed with micro-abrasion. Minor tooth recontouring improved the appearance also.

A. Advantages: Superficial stains may be removed rapidly, easily, painlessly, and at a relatively low cost.

B. Disadvantages: The technique is not acceptable for tooth discolorations that are deep within the tooth enamel.

C. Risks: Infrequently the treated teeth may be sensitive after the microabrasion has been finished, but this condition usually lasts only a short time.

D. Alternatives: Teeth with superficial stains may be treated effectively by bonding thin pieces of tooth-coloured plastic over the discolouration, or by placing veneers over the stains. Teeth whitening is usually not an alternative to micro-abrasion, and crowns (caps) are typically too expensive for this need.

E. Costs: Bonding or placing veneers or crowns (caps) is significantly more expensive than micro-abrasion.

F. Nontreatment: Nontreatment of superficial spots on teeth has no physiological problems but may continue to have a negative psychological influence on the patient.

3. Tooth Recontouring

The irregular appearance of teeth can often be changed to satisfy aesthetic needs by slightly reshaping the teeth with abrasive instruments. This easy and inexpensive technique may be the procedure of choice for patients with only minor tooth irregularities.

Tooth recontouring is simple and inexpensive. A and B, Upper front teeth needing recontouring. C and D, Recontouring completed.
Tooth recontouring is simple and inexpensive. A and B, Upper front teeth needing recontouring. C and D, Recontouring completed.

A. Advantages: This is a fast, simple, and inexpensive procedure that requires minimal patient commitment.

B. Disadvantages: Major tooth irregularities cannot be corrected using this method.

C. Risks: Patients may want to watch the dentist perform this procedure, since the slight removal of tooth contour necessary in this technique cannot be reversed. Some teeth may have minor sensitivity for a short time after recontouring.

D. Alternatives: orthodontic (braces) tooth movement is an acceptable alternative, but it takes time to complete. Sometimes bonding or placement of veneers can also straighten teeth.

E. Costs: Both bonding and placing veneers are far more expensive than tooth recontouring.

F. Result of Not Recontouring Teeth: Not recontouring the teeth results in continued tooth irregularity. There are no physiological or psychological problems.

4. Bonding / Teeth Filling / Dental Filling

The word bonding has come to mean the placement of pieces of tooth-coloured plastic onto tooth surfaces to change the shape or colour of teeth. The tooth enamel surfaces are etched with a mild acid so that semiliquid plastic can flow into the irregularities on the etched surfaces; the plastic will harden later. The bond of the plastic to the tooth is as strong as the bond of the tooth enamel (outside of tooth) to the tooth dentin (inside of tooth). It is a strong bond.

The upper front teeth have unsightly spaces. B, A short appointment later, the spaces have been removed by bonding plastic to the tooth enamel.
The upper front teeth have unsightly spaces. B, A short appointment later, the spaces have been removed by bonding plastic to the tooth enamel.
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A. Advantages: This procedure is fast (one appointment), easy, painless, and relatively inexpensive; it lasts for several years. The shape and/or colour of teeth can be changed in a relatively short time, influencing the patient’s smile significantly.

B. Disadvantages: Bonded teeth need upkeep from time to time, including smoothing to remove stains and/or addition of small pieces of the bonded plastic that may have chipped away from the tooth. Eventually the bonding material must be replaced. Meticulous oral hygiene must be practiced for bonded teeth, because these teeth usually have more contour than the original teeth, and food can collect around these areas.

C. Risks: Chronic gum irritation and occasional dental caries (decay) around the bonding materials on the tooth occur in a few patients.

D. Alternatives: Placement of teeth veneers is often possible to change tooth contour. Crowns (caps) can be placed (p. 146) if there is gross need for change in tooth shape or colour. If only tooth colour change is needed, bleaching or microabrasion are other alternatives to dental fillings.

E. Costs: Bonding is a relatively inexpensive procedure compared with placement of veneers or crowns (caps). However, bleaching and microabrasion are less expensive.

F. Result of Not Bonding: Forgoing bonding results in continuation of the malpositioned or discoloured teeth in the mouth, and potential psychological problems. Physiological problems are usually not present.

5. Dental Veneers in Selangor, Malaysia

Veneers can significantly change the appearance of a person’s smile in just two appointments. These small pieces of tooth-coloured plastic or porcelain have made a significant impact in aesthetic dentistry.

The tooth surfaces are made microscopically irregular with a mild acid, and the laboratory-formed, correctly shaped, tooth-coloured veneers are bonded onto the teeth using a tooth-coloured cement. The result is usually a significant improvement in the shape and/or colour of the teeth.

Porcelain veneers change appearance significantly. A and B, Patients before veneers placed on the upper front teeth. C and D, Veneers on the upper six front teeth of each patient.
Porcelain veneers change appearance significantly. A and B, Patients before veneers placed on the upper front teeth. C and D, Veneers on the upper six front teeth of each patient.

A. Advantages: Placing veneers provides major changes in teeth without cutting teeth down severely, as required for crowns (caps).

B. Disadvantages: A slight amount of tooth structure is usually removed to allow the veneer to be placed on the tooth without making the tooth too large (overcontoured). Infrequently, veneers fracture as a result of trauma, and patients are advised to use some caution when eating hard foods. Teeth with veneers require careful, thorough oral hygiene.

C. Risks: Because of changes in tooth contour, veneers can cause chronic gum irritation or dental caries (decay) in a few situations.

D. Alternatives: Depending on the situation, crowns (caps), bonding, bleaching, microabrasion, or orthodontic (braces)s (braces) may be accomplished instead of placing veneers.

E. Costs: Veneers usually cost slightly less than or the same as crowns (caps), but they are more expensive than bonding, and much more expensive than bleaching or microabrasion.

F. Result of Not Placing Veneers: Not placing veneers results in the continuation of the unsightly situation that existed previously. Usually, no physiological problems develop related to not placing veneers.

Other Aesthetic Dentistry Treatments in Selangor, Malaysia

Several other procedures are commonly used to make aesthetic changes, but these procedures are more often associated with their specific dental specialty than with aesthetic dentistry. Therefore, crowns (caps), orthodontic (braces)s (braces), periodontal surgery, and oral and maxillofacial surgery are discussed in other articles in our blog.

Summary

The chief purpose of aesthetic dentistry is to give people a more attractive facial appearance and smile, thus improving their self-esteem and confidence. This can certainly be accomplished by the procedures discussed in this and other articles in Dentist3’s blog.

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