Services Available
We Provide All Kind of Dental Services up to Your Satisfaction
Fixed Brace Orthodontics (Straightening of  Teeth) Cosmetic Teeth Whitening
Tooth-coloured Capping (Crowns) with High Quality Ceramics Tooth-coloured Restorations
Fixed and Removable Replacement of Missing Teeth Root Canal Treatment
Pain Management Related to Muscles and Jaw Joints Teeth Traumatic Injuries/Fracture Management
Decay (caries) and Gum Disease Prevention/Management Management of Oral Ulcer 
Counseling and Guidance for Maintenance of Oral and Dental Health Face Uplifting (Cosmetic Surgery) - by Dr Mervyn Hosein
Tooth Wear Management (Shortening of Teeth Over Time) Wisdom Teeth Related and other Oral Surgical Problems
The purpose of the following section is to provide you some useful information about common dental problems and how they are managed. Please send your comments or any question related to your dental problem through our Feedback Form
Are your teeth not white?
Teeth may be discoloured because of inadequate cleaning, decay, excessive coffee/tea drinking and smoking. They may also be darkened with ageing. Excessive fluoride present in water or intake of tetracycline medicine may also cause generalized discolouration if taken during development of teeth (birth to 8 years). Trauma to teeth may also cause discolouration to the affected tooth or teeth.
This young lady (pictures shown above) hit the table at age 20. The central teeth edges were broken and the trauma has affected the pulp (internal portion of the teeth) of upper and lower central teeth, which have become darker over time due to broken down blood products penetrated into the hard tooth structure (first picture). These upper teeth were treated first with root canal treatment (RCT) and then whitened with bleaching agent (second picture from left), which has significantly enlightened these teeth (third picture from left). Later, after 10 days, addition of tooth-coloured material has further improved the aesthetics (last picture).
Note:
◊ The bonding procedure should be delayed at least for a week after whitening procedure as the bleaching ions take time to leave the teeth
◊ Oral hygiene and gum health should be good and cavities should be restored before whitening procedure. White tooth-coloured restorations are delayed and a semi-permanent material is filled instead till the lighter shade becomes stable. Beware that your previous bonded fillings may look darker after bleaching and they might need replacement
◊ Whitening procedure is not recommended for young children, pregnant ladies and lactating mother
◊ People with sensitive teeth should also avoid whitening teeth procedure and treatment should be discontinued for a while if one develop sensitivity
Root Canal Treatment
A root canal treatment or RCT is carried out if dental decay or a fracture (or the impact of trauma) have involved the dental pulp (the vital internal part of the tooth). RCT is a dental procedure in which the root canals are first cleaned and then sealed with solid rubber material.
In most cases, a cap (crown) is required, especially the back teeth to prevent them from vertical load fracture.
Files to clean the root canals (left picture) of a back tooth (molar), which has been completed with root filling rubber material (gutta percha). The tooth is now ready to have a crown or a full coverage restoration

Posterior lower premolar tooth prepared (left picture), restored with porcelain crown laid over metal structure (right picture)

Crown on anterior tooth after root canal treatment (left) broken tooth that is prepared for crowning (right) properly matched and shaped porcelain crown
Broken Teeth
Teeth may be broken due to an accident. With the help of bonding technique the original broken piece can be fixed again or it may be repaired with tooth-coloured material (resin composite). So never throw the broken tooth piece away if a tooth is fractured (see pictures in which the natural tooth has been fixed again).
Picture of broken tooth piece (left), bonded to the tooth again (third picture from left). Picture on the right is after 12 years
A completely knocked off permanent tooth may also be fixed back into the tooth socket. If this happens, put the tooth in the milk or saliva or contact lens solution and go to your dentist as early as possible (say, within an hour).
Dental Decay (caries)
Dental decay is caused by frequent intake of sugar. The tiny germs in the mouth make acid from sugar and their playing areas are the tooth surfaces. Repeated acid formation roughens the hardest structure of the tooth – the enamel, which ultimately gives up and a hole is formed which may lead to an extensive cavity. Remember it is the frequency rather than the quantity (amount) of sweet substance intake that matters! See the pictures of Tino and Mino. Tino has a pleasing smile with no decay, but Mino has lots of holes. Both take equal amount of sugary things but Mino has developed lots of decay because she takes sweets every now and then. You can save your teeth from decay if you eat sweet things just before the meal and make sure that you have some vegetables, cheese or peanuts in your meal, in addition to twice cleaning of teeth and gums with fluoride toothpaste.
Tino (left) Mino (right). Both love sweets and take nearly equal amount of sweets. Please refer to the text that why Tino does not have any decay?
White tooth-coloured restoration
Dental decay in upper left tooth has been restored with tooth-coloured filling material. This 32-year old lady has also been advised for orthodontic treatment to straighten her teeth up
Braces (Orthodontics)
Orthodontic problem may be of several types. Teeth may be too crowded or some teeth are pushed in or out of the dental arch as the jaws are unable to accommodate all these teeth. In some of these cases, extraction of the middle teeth (premolars) is usually required. Please note that these are the middle teeth and extraction of these teeth will not harm you in any way, if it is required to straighten your teeth up.

Crooked teeth are straightened up with the help of fixed or removable braces which apply constant pressure to slowly move the teeth into proper position.
Picture (left) show crooked overlapped and crowded teeth. Fixed brace treatment (middle picture) has given a pleasant smile with nice arrangement of teeth to this lovely girl (right)

At young age, the removable appliances may be used for minor correction of teeth or for correction of mismatching of jaws (modification of growth pattern). The picture on the left is of a 10-year-old girl who has been treated with growth modification appliance – known as Twin Block growth modification appliance). This appliance has brought the lower jaw forward and at the completion of treatment (after 2 years) her upper teeth were no longer prominent and she has achieved a pleasing balanced face profile

Clark's Twin Block Appliance used in the treatment of above patient (left picture - appliance for lower jaw and the right side appliance is worn on the upper jaw
Examples of removable appliances - picture on the left is used for expansion of the back teeth. The second, third and fourth pictures show appliances that may be used for correction of mismatching of jaws
Million Dollar Tips to Maintain Your Dental Health

1. Brushing your teeth the right way
Clean you teeth and gums twice daily by manual or electric brush with fluoride toothpaste and use a dental thread (floss) to clean ‘in-between’ areas of teeth. Put your brush obliquely over the tooth-gum line, scrub it and gently rotate downward for upper teeth and upward for lower teeth. Please see pictures for brushing and flossing techniques.
2. Reduce the frequency of any natural or synthetic sugary substance
a) Avoid sugary things after 7 pm. b) Take sweets before meal and avoid snacking between meals. c) Avoid sticky chocolates and carbonated drinks. d) Check if you have crooked teeth which cause retention of plaque and food. e) Check if your mouth feels dry – find out the reason – it may be due to prolonged use of some medicine, stress or something else. Consult your doctor.
Brushing Technique
Flossing Technique