drcatherineleev2

Medical Mysteries: Four Surgeries Since 1½ to “Look Normal” — A Story of Courage

Sat, 24 Jan 2026 02:44:58 GMT

Mr Tobie Goh (centre) posing with the NUH team of surgeons who helped rebuild his face. They are (from left) Associate Professor Lim Thiam Chye, Dr Elijah Cai, Adjunct Associate Professor Vincent Nga, Adjunct Associate Professor Gangadhara Sundar and Dr Catherine Lee.

ST PHOTO: NG SOR LUAN

In this Straits Times feature, craniofacial orthodontist Dr Catherine Lee highlights not only the medical care involved in complex craniofacial conditions but also the resilience of patients and the support of their families. Tobie Goh’s improved quality of life is also a testament to the virtue of multidisciplinary treatment and care in the medical field.

Helping Burn Survivors Regain Function, Movement and Dignity through Professional Specialist Orthodontic Care

Wed, 01 Oct 2025 02:53:06 GMT

Dr Catherine Lee is honoured to have contributed to this feature published by the International Society of Craniofacial Surgery (ISCFS) , which highlights how orthodontics can play a key role in complex craniofacial reconstruction.

In this case, a patient with severe post-burn facial contractures required a carefully planned approach that combined traditional orthodontic biomechanics with modern 3D technology. By repositioning teeth and restoring the dental arch before reconstructive surgery, the medical team was able to simplify the surgical process while improving functional outcomes.

Difference Between a Dentist and an Orthodontist

Wed, 24 Sep 2025 08:28:32 GMT

The main difference between a dentist and an orthodontist lies in their training and the type of care they provide. Here's a clear comparison:

Dentist vs. Orthodontist: Key Differences

Example:

You go to a dentist for a check-up , teeth cleaning, or to treat a cavity .
You go to an orthodontist if your teeth are crooked , your bite is off , or you need braces or aligners , or for jaw growth correction in children and jaw (shape) correction .

Can an Orthodontist Work as a Dentist?

Yes, all orthodontists are qualified dentists , but they choose to practice in their speciality. Most don’t offer general dental services like cleanings or fillings.

Here are a few examples to guide you:

�� Go to a Dentist if you have:

Toothache or cavity
Bleeding or swollen gums
Sensitive teeth
Need a cleaning or check-up
Chipped, cracked, or missing tooth
Bad breath or mouth sores
General oral health concerns

Go to an Orthodontist if you have:

Crooked, crowded teeth or a crooked jaw
Overbite, underbite, or crossbite
Gaps between teeth
Jaw pain or popping
Difficulty chewing due to misaligned teeth
Need for braces, aligners (Invisalign), or retainers
A child aged 7+ with developing bite/alignment issues

Why choose an American-trained dentist:

Choosing an American-trained orthodontist can offer several advantages — especially for patients seeking highly standardised care, technology-supported treatment, and evidence-based treatment planning. That said, the “ideal” choice often depends on the individual provider, not just where they were trained. Here's a clear view of why some patients specifically choose American-trained orthodontists:

Why Patients Might Choose an American-Trained Orthodontist

1. Rigorous and Standardised Training

U.S. orthodontists must complete:
4 years of dental school
2–3 years of CODA-accredited speciality training in orthodontics
All programs follow strict guidelines set by the American Dental Association.

2. Strong Emphasis on Evidence-Based Treatment

American programs are research-driven and promote:
Up-to-date treatment methods
Scientific decision-making
Minimally invasive and efficient care

This often leads to better long-term results and safer care.

3. Access to Technology

U.S. orthodontists tend to adopt new tools early, including:
Digital 3D imaging & scanners (like iTero)
AI-assisted treatment planning
Clear aligners (Invisalign), self-ligating braces, etc.

This can mean faster treatment, greater comfort, and better aesthetic outcomes.

4. Patient-Centred Care Culture

U.S. healthcare emphasises:
Transparent communication
Customised treatment planning
Emphasis on patient comfort, education, and experience

This often leads to a more collaborative and satisfying treatment journey.

5. Global Recognition

U.S.-trained orthodontists are often recognised internationally for high standards.
Their credentials are valued or required in many countries for licensing or academic posts.

This matters for patients who travel, relocate, or want transferable care plans.

Important Caveat:

While American-trained orthodontists are highly qualified, this doesn't mean they’re automatically better than those trained elsewhere. Many orthodontists outside the U.S. — especially in the UK, Canada, Australia, and parts of Europe — receive training equal in depth and quality.

Final Thought:

Patients should choose a provider based on more than just training location — including:

Experience
Communication style
Treatment outcomes
Use of modern techniques

Is Having Braces Worth It?

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Tue, 23 Sep 2025 06:37:22 GMT

Deciding whether braces are worth the cost depends on your goals, budget, and how much the potential benefits matter to you. Here's a clear look at the pros and cons, so you can make a well-informed decision:

Pros of Getting Braces

1. Improved Appearance

Straight teeth boost confidence in social, professional, and personal situations.
Corrects gaps, crowding, and crooked teeth.

2. Better Oral Health

Straight teeth are easier to clean , reducing the risk of:
Cavities
Gum disease
Bad breath

3. Corrected Bite and Jaw Alignment

Braces fix:
Overbite, underbite, crossbite
Jaw strain, uneven wear on teeth
TMJ (jaw joint) problems in some cases

4. Improved Speech and Chewing

Misaligned teeth can affect how you pronounce words or chew food efficiently.

5. Long-Term Savings

Braces can help you avoid future costly procedures like:
Crowns, implants, or jaw surgery
Gum treatments due to bone loss from misaligned teeth

6. Options for All Ages

Modern braces (ceramic, Invisalign) are more discreet and suitable for adults, not just teens.

Cons of Getting Braces

1. Cost

Braces can range from $3,000–$7,000 or even more , depending on patient age, type of braces and complexity of case.
Insurance may only cover part, or none, of the treatment.

2. Time Commitment

Treatment usually takes 12 to 24 months , sometimes longer.
Requires regular appointments every 4–8 weeks.

3. Discomfort

You may experience:
Soreness after adjustments
Cuts or irritation from brackets and wires
Speech changes (especially with some appliances)

4. Oral Hygiene Challenges

Braces can make brushing and flossing more difficult.
Improper cleaning can lead to white spots, plaque, or gum issues .

5. Diet Restrictions

You'll need to avoid sticky, hard, or chewy foods that can break brackets.

6. Relapse Risk

Without wearing retainers after treatment, teeth can shift back over time.

So, Are Braces Worth It?

Braces are usually worth it if:

You’re concerned about appearance, bite, or long-term dental health.
You want to invest in a permanent solution for alignment issues.
You're ready to commit to the treatment process and aftercare.

Braces might not be worth it if:

The alignment issue is minor and not affecting your health or confidence.
The cost is prohibitive, and more affordable cosmetic alternatives (e.g. limited Invisalign) could suffice.
You aren’t able or willing to maintain the oral care needed during treatment.

Dental Visits During COVID-19: What to Know (Updated)

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Tue, 17 Sep 2024 09:59:00 GMT

As a result of the Covid-19 pandemic, many countries around the world have imposed deferment of all non-emergency or routine dental care. Wondering how this is affecting you and your family?

Dental clinics are a unique place. All the check-ups, orthodontic adjustments, cleaning and fillings require a patient to open their mouth for a prolong period of time. This has become an ideal channel for the spread of the COVID-19 virus; especially with dental procedures involving aerosol generation, spreading micro-droplets from the mouth into the air. Hence health authorities in many countries have restricted the practice of dentistry, to only attend to essential services like dental emergencies.

So now, you’re in a situation where you or your child has not been able to see a dentist for a long time to do a regular dental check-up, teeth cleaning, or to fix a long-standing cavity in the mouth... and the problem tooth is starting to hurt. Is this regarded as a dental emergency?

What is a Dental Emergency?

A dental emergency is any pain, infection, broken teeth, fillings, braces, wire poking or retainers causing pain interfering with daily lives are considered as dental emergency.

As for children, they may not be able to accurately verbalize their dental pain, and may be difficult for parents to identify the extent of their discomfort. Here are a few tell-tale signs you can look out for in your child before contacting your kid’s dentist :

Avoiding hot or cold foods
Loss of appetite
Keeps touching his/her face or mouth
Crying more than usual, at trivial matters
Disturbed sleep, inability to wake up in the morning
Constantly putting finger/foreign objects in the mouth
Not focused on studies or daily activities
Bad breath that won’t go away despite brushing
Bleeding gums or blood while brushing
Ulcers forming in the mouth

If you are suspicious, you may first contact your dentist or your kid’s dentist over the phone, do a virtual consultation or tele-consultation, and share some photos if possible. The kids dentist or pediatric orthodontist will be able to advice on your next step of action.

How to prepare your child for a visit to the kid’s dentist?

As the health authorities in your region may have already laid down guidelines to dental clinics to contain the spread of COVID-19 virus, standard set-up such as the use of Personal Protection Equipment (PPE) would usually be recommended.

Children especially are scared of the unknown and they may already have been experiencing anxiety due to the toothache. If brought into a new or changed dental environment, it may potentially create more anxiety, leading to a meltdown, which could hamper with the emergency treatment.

It becomes inherently important then, that you should be prepared and your children are informed and made to understand the following changes prior to your emergency dental visit:

The dentist and staff may be wearing oversized gowns (PPE’s), masks, head caps, face shields etc. which may look scary at first, however they are still your friendly dentist beneath all those layers. Assure your child that all this is needed for their protection and they should not be alarmed.
Prepare to come in 10-15 minutes before your appointment. There will be a screening process before you and your child are able to enter the clinic area. Health declaration, temperature checks, contact tracing registration, hand sanitizing with alcohol based sanitizers, barrier outerwear may also be required in some establishments. Face mask wear is mandatory.
The waiting room may not be the same comforting zone with magazines, video games, toys or a play area that you and your child are used to. Physical barriers such as glass or plastic windows may be installed.
Older children who can should come into the clinic alone. Younger children or patients with special needs may be accompanied by just one other person. All other accompanying person should wait in their car or outside the clinic to help reduce the number of people in clinic.
In the treatment area, only one patient will be seen at one time, with a maximum of one accompanying person (and only if absolutely necessary).
Crowd management and social distancing of at least 1m apart will be practised extensively in the clinic.
In the treatment room, before the dentist starts any physical examination, a one-minute medicated mouth rinse will be required to help reduce the microbes in the mouth. This will reduce the exposure to dentist and health care workers.
Dentists and nurses will be in full PPE attire, including wearing of N95 masks, goggles and face shield.
For aerosol generating dental procedures, very loud high volume suction machines may be fitted in the treatment rooms to reduce aerosol generation.
Make sure you or your child has brushed their teeth, is well rested and well fed before coming in.
It is mandatory for clinicians to practice safe time intervals between patients in Singapore: 15 mins (Non aerosol generating procedures), 45 mins (aerosol generating procedures). This would allow proper disinfection and prevent potential cross infection between patients. These processes cannot be rushed. To minimise any disruption and delay in your treatment, ensure you arrive 10-15 minutes to complete your health declaration and screening before your appointment time.

Want to avoid an unnecessary trip to the dentist? Start by looking after your child’s teeth at home!

Working from home and online or home-based learning has increased the time both parents and children spend at home.

If you too are baking muffins and cakes to pass time and manage social isolation blues, chances are there is a shift in your diet towards more sugar rich and processed food along with snacking in between meals. Sleeping late, irregular meal times and a general lack of routine may result in less time and care for oral hygiene. But with dental clinics open only for emergencies, there is a greater need to avoid one.

This can be achieved by taking extra care of your and your child’s teeth at home. Make sure you and your family are:

Eating healthy and well
Control sugar and carbohydrate intakes and reduce snacking between main meals.
Flossing and Brushing with fluoride toothpaste at least twice daily, most important brush is at night before sleep
Rinsing after meals, especially after intake of sugar rich food and drinks.

What if my child or one of our close family members is unwell? Can my child or I still attend the Emergency Dental Appointment?

If you or anyone in your family is not feeling well with any COVID-19 virus type of symptoms (fever, dry cough, tiredness etc.):

See a medical doctor immediately.
To help support the safety of everyone around at the dental office, call the clinic and reschedule your child’s appointment to at least 2-3 weeks later.
Try to do self-quarantine or self-isolation to minimise the spread of the infection, even if it’s a not a COVID-19 virus infection.
If your child is in pain, a virtual consultation or tele-consultation with the dentist can be arranged to assess the situation. The dentist will be able to recommend the next course of action accordingly.

If you or your family have access to COVID-19 vaccine, get vaccinated as soon as possible.

At Dr. Catherine Lee Orthodontics, we have a dedicated team of doctors and staff whose skills and experiences help our patients enjoy the process of creating healthier, beautiful smiles. We have a strong focus on growing children, and especially welcome those who need orthodontics and dentistry for kids. For a consultation, contact us at enquiries@DrCatherineLeeOrthodontics.com .

Braces vs. Clear Aligners: Making an Eco-Friendly Choice in Orthodontics

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Wed, 24 Jul 2024 07:56:17 GMT

In recent years, as environmental awareness has grown, so too has the consideration of sustainability in various aspects of daily life—including healthcare. Orthodontic treatment , essential for correcting dental misalignments and improving oral health, is no exception. The choice between traditional braces and clear aligners not only affects dental outcomes but also has implications for the environment and sustainability efforts.

In this blog post, we delve into the environmental impact of both braces and clear aligners, explore their respective advantages and disadvantages, and discuss why braces may be the more eco-friendly choice for patients concerned about their environmental footprint.

Environmental Impact of Braces and Clear Aligners

Clear Aligners: A Plastic Predicament

Clear aligners, such as those offered by Invisalign and other brands, are made predominantly from medical-grade plastics, typically polyurethane or polyethylene terephthalate glycol (PETG). These materials are lightweight, durable, and flexible—ideal for creating custom-fit aligners that gradually move teeth into alignment.

However, the production and disposal of plastic aligners raise significant environmental concerns:

Manufacturing Process : The production of clear aligners involves energy-intensive processes, including extraction of raw materials, manufacturing, and transportation. These processes contribute to carbon emissions and environmental degradation.
Plastic Waste : Clear aligners are disposable and replaced every few weeks throughout the treatment period. Used aligners are discarded as medical waste, adding to the global plastic waste crisis. Improper disposal can further harm ecosystems and wildlife.
Packaging : Each set of clear aligners is individually packaged in plastic trays, which are then shipped to dental offices or directly to patients. Excessive packaging contributes to plastic waste and environmental pollution.

Braces: A Metal Solution

Traditional braces consist of metal brackets bonded to teeth, connected by wires that exert gentle pressure to gradually shift teeth into their proper positions. While braces also involve metal components, they offer distinct environmental advantages compared to clear aligners:

Durability : Metal braces are typically made from stainless steel or titanium, both of which are highly durable and can be reused or recycled after treatment. This reduces the overall environmental impact associated with production and disposal.
Minimal Waste : Unlike clear aligners, which are discarded regularly, braces remain affixed to teeth throughout the treatment period. There is no need for frequent replacements, reducing the volume of medical waste generated.
Longevity : Braces are designed to withstand the rigors of orthodontic treatment without requiring replacement due to wear or breakage. This longevity contributes to a more sustainable orthodontic option over the course of treatment.

Why Braces May Be Better for the Environment

When considering the environmental impact of orthodontic treatment, braces emerge as a more sustainable choice for several reasons.

Some symptoms of an underlying dental condition include:

Reduced Plastic Consumption : Clear aligners contribute significantly to plastic waste due to their disposable nature. In contrast, braces utilize minimal plastic components (such as elastomeric ligatures) compared to the amount of plastic used in aligner production.
Reuse and Recyclability : Metal braces are designed for reuse or recycling after treatment. Stainless steel and titanium are recyclable materials that can be repurposed for other applications, reducing their environmental footprint.
Lower Carbon Footprint : The production and transportation of metal braces involve fewer carbon emissions compared to the energy-intensive processes required for manufacturing plastic aligners. This makes braces a more environmentally friendly option in terms of overall energy consumption.

Patient Considerations: Braces vs. Clear Aligners

Beyond environmental concerns, patients may weigh several factors when choosing between braces and clear aligners:

Treatment Effectiveness : Both braces and clear aligners are effective in correcting dental misalignments. The choice may depend on the complexity of the case and the orthodontist's recommendation.
Comfort and Convenience : Clear aligners are removable, allowing for easier eating, brushing, and flossing compared to braces, which are fixed on teeth. This flexibility can enhance patient comfort and oral hygiene during treatment.
Aesthetic Preferences : Clear aligners are virtually invisible, making them a preferred choice for patients concerned about the appearance of traditional metal braces.

Making an Informed Choice

While clear aligners offer advantages in terms of aesthetics and convenience, patients concerned about environmental sustainability may find braces to be a more conscientious choice. The durability, minimal waste generation, and recyclability of metal braces align with eco-friendly practices and reduce the environmental impact associated with orthodontic treatment.

Conclusion

In conclusion, the choice between braces and clear aligners extends beyond dental considerations to include environmental impact and sustainability. While both options are effective in achieving orthodontic goals, braces emerge as a more eco-friendly choice due to their durability, minimal plastic consumption, and potential for reuse or recycling. Patients seeking to minimize their environmental footprint while undergoing orthodontic treatment may find that braces align with their values of sustainability and responsible consumption.

As awareness of environmental issues continues to grow, orthodontic providers and patients alike have an opportunity to prioritize sustainable practices in healthcare decisions. By opting for braces over clear aligners, patients can contribute to reducing plastic waste and promoting environmental stewardship, ensuring a healthier planet for future generations.

In making the choice between braces and clear aligners, patients are encouraged to consider not only their dental needs but also their commitment to environmental sustainability. Together, we can make a positive impact on the planet while achieving beautiful, healthy smiles through responsible orthodontic care.

Caring for Tiny Teeth: 7 Tips from a Paediatric Orthodontist

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Mon, 29 Apr 2024 05:36:00 GMT

If you’re wondering when to consult a paediatric dentist or what signs indicate your child might need orthodontic attention, you’re not alone. Developing teeth pose unique challenges and parents could use help in caring for their children’s dental health.

That’s why we’ve prepared this guide. You’ll find various tips, such as spotting telltale signs of orthodontic problems and inculcating positive dental habits.

Tip 1: start early

The path to a radiant smile begins earlier than one might assume. Paediatric dental care should begin early in a child’s life, even before their first tooth erupts. Dentists generally recommend scheduling your child’s first dental visit by their first birthday or once the first tooth appears, whichever comes first.

But you might be wondering how you should care for gums and teeth that are just starting to peek through? Cleaning a baby’s gums after each feeding with a soft, clean washcloth helps remove harmful bacteria. Once the first tooth erupts, use an age-appropriate toothbrush with a smear of fluoride toothpaste to gently brush their teeth twice a day.

Initiating these basic steps at an early stage can aid in the prevention of future teeth and gum concerns, as you speak to dentists and monitor your child’s long-term dental health.

Tip 2: look out for warning signs

Similar to monitoring developmental milestones, certain dental indicators can suggest possible dental issues or orthodontic complications.

Some symptoms of an underlying dental condition include:

Early or late loss of baby teeth
New teeth coming through abnormally
Pain of difficulty in chewing or biting
Thumb or finger sucking
Constant mouth breathing
Teeth that aren’t meeting properly
Speech problems
Crowded or misplaced teeth
Facial imbalance or asymmetry
Shifting or noisy jaws
Frequent biting of the cheek or the roof of the mouth

Notice any of the signs above? Then you should seek orthodontic treatment for your kid .

Tip 3: Teach your kid healthy habits

The foundation of oral health is rooted in cultivating good oral hygiene habits from early childhood. Apart from regular dental visits, brushing and flossing at home play a pivotal role in maintaining those pearly whites.

Imparting the right brushing technique to your child is vital. A straightforward and efficient method would be the circular brushing technique. Here’s how to do it:

Start by placing the toothbrush at a 45-degree angle to the gums.
Gently move the brush in a circular motion.
Make sure to brush all surfaces of the teeth–the outer, inner, and chewing surfaces.

Don’t forget the tongue! Brushing the tongue removes bacteria and freshens breath. Lastly, ensure your child brushes their teeth twice a day–in the morning and before bedtime.

Flossing becomes more important in your child’s dental regime as they age. It helps to clean the tight spaces between teeth where a toothbrush can’t reach. A rule of thumb is to start flossing your child’s teeth once they touch each other.

To make these habits an integral part of your child’s life, you should make them a fun and regular part of their day. You could include songs and games as part of your child’s dental routine.

Tip 4: provide good nutrition

Proper nutrition is a key component of dental health. It’s not just about avoiding sweets, but also about providing key nutrients that teeth need to grow strong and healthy.

Your child’s diet should be rich in fruits, vegetables, lean proteins, and dairy products. These foods are not only good for overall health, but they also contribute to healthy teeth and gums.

Avoid or limit sugary and acidic food and drinks, as they can lead to tooth decay. If you do include them, serve them with other healthier meals to minimise their impact on the teeth.

Healthy eating habits for good oral health start at home. By fostering these habits early, you can help your child maintain good oral health throughout their life.

Tip 5: protect your child’s teeth

As your child develops and becomes more energetic, safeguarding their teeth can be important. For instance, you can encourage them to use a mouthguard during sports activities to prevent dental injuries.

Habits like thumb-sucking and pacifier use may seem harmless, but if they persist beyond the age of three, they can affect the growth and alignment of teeth. If you are having trouble breaking your kid’s habit you may need professional help. At Dr Catherine Lee Orthodontics, we offer treatment with a habit breaker, which is an appliance used to widen the top jaw and discourage thumb sucking.

Tip 6: go for regular dental check-ups

Frequent dental check-ups are more than just addressing cavities and cleanings. They are your child’s protection against long-term oral problems. When choosing a dental clinic in Singapore for your kid, you can consider looking for someone who specialises in paediatric dentistry.

You may also factor in the clinic’s location but you should weigh this against the clinic’s expertise. You may wish to visit a paediatric dentist instead of a regular dentist, especially if your child has a severe orthodontic issue.

Treatment cost is another consideration. You should speak to your doctor to get a cost breakdown and insurance coverage options.

Finally, don’t forget to read patient reviews and schedule a consultation with your potential dentist or orthodontist. This gives you a chance to ask questions, gauge your comfort level with them and ensure that their treatment philosophy aligns with your expectations.

Tip 7: lead by example

Parents serve as the primary role models for their children, and this holds true for dental care as well. Your perspective on oral hygiene can exert a significant influence on your child’s dental practices.

Show your child that you value good dental health by brushing and flossing regularly, eating a healthy diet, and scheduling regular dental visits. Seeing your own example, your child will be encouraged to do their best, too.

Looking for a paediatric dentist in Singapore?

If there’s one insight that unites all the tips shared in this article, it’s this: your child’s dental health begins with proactive steps taken today. We understand, though, that it can be hard to identify all the dental warning signs on your own.

That’s where a paediatric orthodontist can help. Dr Catherine Lee has years of experience in providing various dental treatments for kids, accounting for their unique health profiles and needs. She believes in partnering parents for the best dental outcomes for children.

Book a consultation with her today.

Dr. Catherine Lee receives the Advance Australia GameChanger 2023 award

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Mon, 14 Aug 2023 03:32:46 GMT

Further reading: A star in alignment – orthodontics and charity work by Expat Living .

5 Dentist Approved Ways to Keep Children’s Teeth Healthy

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Wed, 02 Aug 2023 04:51:53 GMT

As a responsible parent, you have the privilege and responsibility of instilling healthy habits in your child that can last for a lifetime. One such habit includes maintaining good oral health practices to ensure that they have strong teeth and gums throughout adulthood.

It is well-supported by scientific studies that parents have a crucial part to play when it comes to their children's dental health. Therefore, it is crucial to be well-versed on this topic and take practical steps toward implementing effective measures.

Importance of Oral Health for Children

Maintaining oral health is an essential aspect of maintaining physical well-being. Failure to observe proper oral hygiene can result in various dental conditions, including tooth decay, gum inflammation and bad breath. These unwelcome complications can cause pain and discomfort, and also negatively affect children's ability to eat, speak clearly and concentrate on important matters. The fear of dental procedures can potentially develop into a significant concern in the future.

Good oral health is not only essential for the physical growth and well-being of children but also for their social development and confidence. When parents prioritize their child's oral health, they are gifting them with a confident smile that lasts a lifetime - improving self-esteem which can help them flourish into adulthood. Furthermore, having healthy teeth promotes proper chewing abilities to ensure adequate nutrition intake aiding in the overall body's functionality from an early age. In summary; prioritizing good dental care lays down the foundation for success throughout every phase of life!

So, what are 5 ways to prevent dental issues in your child?

What are the tips for a child's dental health? Here are a couple that can be very effective:

Start Proper Oral Hygiene Habits ASAP: Begin basic oral health habits with your child from as young as possible, which means as soon as the first baby tooth emerges at about 6 months of age, rubbing the new teeth with a small facial towel and along the gum line.
Teach Your Children: As a parent or caregiver, it is crucial to provide your child with the necessary skills and knowledge for proper dental care. It is never too early to begin educating your child about the basics of oral care.

Parents should actively help with brushing their child's teeth daily until they can brush on their own. This is because the child may not have the manual dexterity required to brush effectively before 8 years of age.

Be sure to supervise their brushing until they can do it confidently on their own, which will guarantee effective results in maintaining good oral health throughout their lives.
Prevent Cavities with Proper Diet and Hygiene Habits: Incorporating a healthy diet, abundant in nutrient-dense foods like fruits and vegetables as well as calcium-rich sources is crucial for building strong bones, teeth and gums. To ensure optimal oral health for your child, it's paramount to limit the consumption of sugary snacks and beverages that can contribute to tooth decay. Sugar consumption is okay, however, do limit said consumption to only during main meals. This is because saliva production is highest during these times, which aids in neutralizing the acids caused by sugary foods. On a side note, ensure the local water supply contains fluoride, which can help to prevent tooth decay. If the water supply is not fluoridated, consult your dentist on fluoride supplements that may be needed.
Visit a Dentist or Orthodontic Clinic in Singapore: It is recommended that paediatric dental treatment should start at the age of 1 , and regularly after that. Consistent check-ups will enable the dentist to keep track of your child's oral health status, identify any problems in advance and provide preventive care if necessary. Moreover, it can aid in the child becoming less sensitive and developing a positive attitude toward dental visits, thus eliminating their fear of dentists.

You should watch out for any indications of orthodontic problems like new teeth growing in the wrong direction, teeth that are crowded or misaligned, a poor bite, and anomalies with jaw development such as crossbite, underbite and overbite. As per the Association of American Orthodontists, it is advised to take your child for their first orthodontic consultation at age 7 . If you notice any concerns, consult an orthodontist for an evaluation and consider early intervention if necessary.
Limit Long Term Sucking Habits (such Pacifier, Thumb Sucking and Prolonged Bottle Feeding): As a parent, it is crucial to assist your child in breaking away from sucking habits such as pacifier use, thumb-sucking or prolonged bottle feeding before the age of three. While most children naturally stop using pacifiers between ages 2 and 4, if these behaviours continue beyond that period or become intense, they may enhance the risk of dental problems. Sustained pressure applied by sucking habits on developing teeth and jaws can lead to misalignment issues and affect proper jaw growth and positioning of teeth, resulting in open bites which are malocclusions where there's a gap between upper & lower front teeth when closed. These complications could turn out expensive and difficult to manage later on.

To ensure optimal outcomes throughout this transition stage, it's highly recommended to seek advice from an Orthodontist specialist who will evaluate your child's situation accurately while providing personalized guidance specific to them.

Creating and maintaining good oral health practices is crucial for children to ensure healthy teeth and gums throughout adulthood. Parents can contribute significantly to their child's dental care by starting early, nurturing good brushing techniques, incorporating a healthy diet, scheduling regular dental check-ups, and guiding their children to break prolonged sucking habit. By following these tips, parents can help their children develop good oral hygiene practices, preventing costly dental procedures in the future. You can help ensure your child's oral health remains in optimal condition and set them up for a lifetime of healthy smiles.

Wisdom teeth, also known as third molars, typically emerge in the late teen to early adult years. Many people wonder whether it is necessary to remove these teeth, as they often do not cause any immediate problems. However, the decision to extract wisdom teeth ultimately depends on several factors that can vary from person to person.

Why and When Should I Keep My Wisdom Teeth?

Tooth Bank: Have you ever considered keeping your wisdom teeth intact? It is a smart move to preserve these third molars for potential dental emergencies in the future. In case of damaged or decayed teeth, orthodontic treatments such as braces and clear aligners can utilise your wisdom teeth to replace them seamlessly and function as normal teeth - leaving no visible gaps!

This way, you won't have to go through any additional surgical procedures or suffer from an incomplete smile. So next time you contemplate extracting all four of those valuable third molars at once for preventive reasons, think twice and consider them a tooth bank- it could save your day someday.

Sufficient Space in Your Jaw: Some people might worry about having not enough room in their mouths for all of their teeth. However, the good news is that sometimes there's plenty of space to fit them without any issues! Even if your wisdom teeth are hiding and hard to see, orthodontic treatments like braces or aligners can help move your teeth into a position where all your teeth can fit, including the wisdom teeth! So don't fret too much about overcrowding - with proper treatment, you can still keep all your chompers intact!

Surgical Risks: Extracting wisdom teeth, much like any other surgical procedure, isn't risk free and presents several inherent risks to the patient. In addition to the associated pain and discomfort following surgery that is common with nearly all procedures, there are additional concerns specific to this type of extraction; these include potential bleeding complications during or after surgery.

Extracting wisdom teeth could lead to a potential danger of affecting the sensation in several areas, like gums, lips, tongue and chin as they are situated close to the major nerves providing sensation to these areas. The adverse effects could be either temporary or permanent such as numbness and tingling sensations. Few people may face a loss of taste perception after wisdom tooth surgery takes place, which is not so common but should still be taken seriously into account before proceeding with the procedure.

Recovery Time: After getting your wisdom teeth extracted, you will need some time off for recovery. You may experience swelling and discomfort in the days following the procedure, so it's advisable to limit yourself to soft foods during this period. Post-extraction, it is also important to consider the potential consequences of stretching the corners of the mouth. This action can cause unsightly cracking or bruising of not only the lips but also other areas of the face.

Why and When Should I Remove My Wisdom Teeth?

There are several reasons why it is advisable sometimes to undergo wisdom teeth extraction:

Impeding Other Dental Treatments: Wisdom teeth can sometimes impede dental treatments like braces by causing overcrowding of your teeth or requiring the removal of other permanent ones to make space for them. To avoid any hindrance in orthodontic treatment, extracting impacted wisdom teeth is often considered clinically beneficial.
Prevent Dental Crowding: Extra teeth at the back of your mouth tend to push adjacent ones forward, causing misalignment and leading to a bad bite. This has many associated health risks, not limited to: difficulty chewing properly contributing to headaches, chronic facial pain, etc.. Wisdom tooth extraction helps prevent such dental issues, letting all permanent choppers sit straight, and making sure everything looks aesthetically pleasing for optimal long-term oral health!
Wisdom Teeth Impaction: One of the reasons why it is recommended to remove wisdom teeth is because they are impacted, a condition in which they do not have enough space to properly emerge. If the impacted wisdom teeth emerge partially into the mouth and remain stuck, this may lead to decay of the tooth and also neighbouring teeth. It can also result in other complications such as entrapment or malposition, which could lead to discomfort and pain for the individual. As such, extracting these teeth becomes an urgent matter that must be attended to prevent further problems from developing.
Cysts and Tumours: There are potential complications that can arise with wisdom teeth such as the formation of cysts or tumours which may negatively affect nearby teeth, nerves and the jawbone. If this does occur, experts recommend removing both the growths and the wisdom tooth.

Cost of Extracting Wisdom Teeth

The costs for removing wisdom teeth can vary depending on a variety of factors, including the number and position of teeth to be removed, anaesthesia needed etc. This procedure may come with a hefty price tag, especially if it isn't covered by dental insurance. In Singapore, Medisave can cover wisdom teeth extraction to some extent. The total cost varies based on several factors, including the degree of complexity for the extraction and whether or not sedation is chosen before surgery - which could be quite expensive. Thus, before making any decisions regarding tooth extraction, it's crucial to assess all potential costs associated with the procedure as they vary depending on individual circumstances.

All in all, it's important to weigh the pros and cons carefully before making any decisions about wisdom teeth removal. Remember, not everyone needs to remove their wisdom teeth. Some people's wisdom teeth come in just fine and don't cause any problems. If you have any questions or worries about your wisdom teeth, ask your dentist. They're there to help you have a healthy smile!

Artificial Intelligence (AI) in Orthodontics: Friend or Foe?

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Mon, 12 Jun 2023 07:14:34 GMT

Artificial Intelligence (AI) is a revolutionary technology that has transformed many industries, including medicine and dentistry. AI advances in medicine include medical imaging, robotic-assisted surgery and predictive analytics, which uses AI algorithms to analyse patient data to predict disease progression, identify high-risk individuals and enable preventive interventions in managing chronic conditions like diabetes and heart disease.

AI technology has been transforming dentistry rapidly too - a game-changer especially in the specialty field of digital orthodontics. It has brought with it several advantages such as treatment alternatives, refining accuracy, speed and potentially enhancing treatment efficiency by streamlining and optimising processes. Even popular clear aligner orthodontic treatment like Invisalign (Align Technology) has also incorporated cutting-edge AI algorithms for creating exact treatment strategies in their software more than ever before. With these advances, doctors are able to provide better patient care using state-of-the-art AI technology.

Despite the many benefits that AI offers to the specialty of orthodontics, there are also drawbacks and vulnerabilities inherent in this nascent technology. It is essential to recognise both potential limitations and adverse consequences.

Lack of Human Oversight and Touch

One of the major disadvantages of AI in orthodontics is that it has yet to replace the expertise and experience of trained orthodontic professionals . Patients may feel more comfortable with a human orthodontist with an empathy attribute - a more effective communicator and better equipped to handle conflicts or difficult situations. Patients may also prefer human orthodontists to explain their treatment in detail, answer questions thoroughly, and provide reassurance during the process. While AI can provide accurate and efficient treatment or plans, it may lack the ability to adjust to unexpected situations or changes in circumstances, incorporate personal patient preferences or concerns and take into account diverse factors such as cultural preferences, socioeconomic backgrounds or ethical considerations, which is where human input becomes critical.

Reliability Concerns

Successful AI implementation requires an important factor - precise and reliable data. Sophisticated machine-learning systems need huge amounts of information for generating correct results. Omissions or inaccuracies in the available data run a significant risk of erroneous diagnosis, monitoring gaps or flawed treatment plans.

With limitations in data quality, AI algorithms may not always be able to account for differences in patient anatomy or variations from the norm, understanding the biomechanics and its limitations in moving teeth through soft tissue and jaw bones. AI systems also may not fully understand the complexity inherent in each and every individual case. These data must be regularly checked and validated by human experts to prevent any potential errors or misinterpretations. It is hence imperative to uphold high standards when gathering necessary input for AI-powered orthodontic care, by calling for human orthodontists to guarantee appropriate treatment planning and execution. Trained orthodontists are essential to carefully evaluate and analyse the data used in AI algorithms to ensure their patients receive safe and effective personalised treatment.

Keeping Up with Ever-Evolving AI Technology

While AI can aid in diagnosis, planning and treatment, there remains a risk of over-reliance on AI that could overshadow, undermine or neglect the clinical judgement and decision-making skills of dental professionals in digital orthodontics. It is therefore crucial for dentists and orthodontists to expand their knowledge academically, to stay up-to-date with advancements while also honing critical thinking abilities. Whether through continuing education or independent research initiatives, expanding one's knowledge base will ultimately lead to better patient outcomes and more informed decisions regarding when and how to incorporate AI technological solutions into orthodontic practice.

Regulatory Challenges and Liability

One of the biggest challenges in utilising AI in orthodontic care is navigating the regulatory landscape and understanding liability. As AI algorithms continue to advance, it remains unclear who holds liability if something goes wrong during treatment. Regulatory bodies are still grappling with how to hold AI systems accountable in the event of an error or adverse outcome. It is essential for dentists and orthodontists to understand the limitations and capabilities of AI systems, maintain appropriate documentation, and ensure clear communication with patients regarding the role of AI in their treatment. Collaboration with regulatory bodies can help establish guidelines and standards for the responsible use of AI in orthodontics. As AI technology becomes more commonplace in orthodontics, it is essential to establish technical standards and guidelines for their development and implementation.

Privacy and Security Concerns

Despite these promising developments in AI, one important issue that demands attention is patient privacy concerning the data held by companies and big MNCs involved in manufacturing AI software and devices. As AI relies heavily on collecting and storing sensitive information about dental patients for diagnosis and treatment planning purposes, concerns about safeguarding this personal information without violating ethical healthcare standards, have become ever more pressing.

A further challenge arises with concerns over cybersecurity threats, data integrity risks and ownership concerns which may lead to communication silos across different organisations sharing patient information through interconnected systems. Unfortunately, policies about ethical issues related to healthcare services incorporating AI applications are currently lagging behind technological advancements thereby posing a further threat to confidentiality breaches, especially concerning sensitive medical records.

In conclusion, with the rise of AI algorithms in orthodontic care, it is important to strike a balance between relying on AI technology and utilising clinical judgement. It is also important to understand there are important considerations and challenges to be aware of when implementing AI systems in orthodontic practices or any healthcare settings, from data security and privacy concerns to potential errors, liability and ethical issues. It is crucial for dentists and orthodontists to stay informed and educated on AI developments, collaborate with regulatory bodies, and exercise caution when adopting new technology. It is essential for policy makers and healthcare providers to work together to establish comprehensive ethical guidelines that can keep pace with the many technological advancements within the dental field.

Lack of Human Oversight and Touch

Reliability Concerns

Keeping Up with Ever-Evolving AI Technology

Regulatory Challenges and Liability

Privacy and Security Concerns

Wisdom Teeth: Function and Possible Complications

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Thu, 01 Jun 2023 10:05:04 GMT

Why and When Should I Keep My Wisdom Teeth?

Why and When Should I Remove My Wisdom Teeth?

There are several reasons why it is advisable sometimes to undergo wisdom teeth extraction:

1. Impeding Other Dental Treatments: Wisdom teeth can sometimes impede dental treatments like braces by causing overcrowding of your teeth or requiring the removal of other permanent ones to make space for them. To avoid any hindrance in orthodontic treatment, extracting impacted wisdom teeth is often considered clinically beneficial.

2. Prevent Dental Crowding: Extra teeth at the back of your mouth tend to push adjacent ones forward, causing misalignment and leading to a bad bite. This has many associated health risks, not limited to: difficulty chewing properly contributing to headaches, chronic facial pain, etc.. Wisdom tooth extraction helps prevent such dental issues, letting all permanent choppers sit straight, and making sure everything looks aesthetically pleasing for optimal long-term oral health!

3. Wisdom Teeth Impaction: One of the reasons why it is recommended to remove wisdom teeth is because they are impacted, a condition in which they do not have enough space to properly emerge. If the impacted wisdom teeth emerge partially into the mouth and remain stuck, this may lead to decay of the tooth and also neighbouring teeth. It can also result in other complications such as entrapment or malposition, which could lead to discomfort and pain for the individual. As such, extracting these teeth becomes an urgent matter that must be attended to prevent further problems from developing.

4. Cysts and Tumours: There are potential complications that can arise with wisdom teeth such as the formation of cysts or tumours which may negatively affect nearby teeth, nerves and the jawbone. If this does occur, experts recommend removing both the growths and the wisdom tooth.

Cost of Extracting Wisdom Teeth

Why and When Should I Keep My Wisdom Teeth?

Why and When Should I Remove My Wisdom Teeth?

There are several reasons why it is advisable sometimes to undergo wisdom teeth extraction:

Impeding Other Dental Treatments: Wisdom teeth can sometimes impede dental treatments like braces by causing overcrowding of your teeth or requiring the removal of other permanent ones to make space for them. To avoid any hindrance in orthodontic treatment, extracting impacted wisdom teeth is often considered clinically beneficial.
Prevent Dental Crowding: Extra teeth at the back of your mouth tend to push adjacent ones forward, causing misalignment and leading to a bad bite. This has many associated health risks, not limited to: difficulty chewing properly contributing to headaches, chronic facial pain, etc.. Wisdom tooth extraction helps prevent such dental issues, letting all permanent choppers sit straight, and making sure everything looks aesthetically pleasing for optimal long-term oral health!
Wisdom Teeth Impaction: One of the reasons why it is recommended to remove wisdom teeth is because they are impacted, a condition in which they do not have enough space to properly emerge. If the impacted wisdom teeth emerge partially into the mouth and remain stuck, this may lead to decay of the tooth and also neighbouring teeth. It can also result in other complications such as entrapment or malposition, which could lead to discomfort and pain for the individual. As such, extracting these teeth becomes an urgent matter that must be attended to prevent further problems from developing.
Cysts and Tumours: There are potential complications that can arise with wisdom teeth such as the formation of cysts or tumours which may negatively affect nearby teeth, nerves and the jawbone. If this does occur, experts recommend removing both the growths and the wisdom tooth.

Cost of Extracting Wisdom Teeth

Dr. Catherine Lee Orthodontics in the Media

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Mon, 06 Feb 2023 02:26:49 GMT

We are honoured to have received a mention and are featured on this website for our orthodontics and clear aligners services.

Thank you Smart Singapore for the mention here .

We are grateful to our patients and their families for their support and appreciation. We are committed to providing quality dental care and treatment to everyone who comes to us . For more of our media mentions, visit our articles page.

Gaining Clarity on Clear Aligners

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Thu, 22 Dec 2022 07:32:13 GMT

By Guest Author - Meryllyn Tan

Has this ever happened to you?

You finally find a seat amidst the sweltering heat and the haze of the office lunchtime crowd; Ready to dig into your long-awaited meal, when the sight of something makes you freeze. It is your colleague with his fingers in his mouth. “I need to remove my aligners.” He mumbles sheepishly gesturing to a transparent piece of plastic stringy with saliva.

This scene has become increasingly common as more people opt for this new treatment option. I shrugged nonchalantly, unfazed as he tucked the dental device on a bed of tissue. My best friend, my younger sister, and now a colleague- everyone, young or old seems to be sporting a pair these days. Then it hit me.

What actually are Clear Aligners?

Like you, my research on the matter starts with a quick Google search that would tell you that clear aligners, like Invisalign or Clear Correct are a type of orthodontic treatment device that straightens teeth and corrects bite misalignment. An alternative to braces, clear aligners are metal and ceramic braces’ removable and nearly invisible cousin. Crowded teeth, overbites , underbites, diastema (space between teeth) or open bites, this customised thermoplastic promises to fix them within months, all without the discomfort of wires and brackets. Unlike traditional fixed treatment, you can just pop these plastic trays out, so you won't have to say goodbye to the sugary, hard and sticky food you love.

But of course, cementing stainless steel braces on your teeth is not necessarily any less effective or more painful than specialised plastic. Varying from case to case, sometimes, the good ol’ archwire is better than hooks and buttons of the clear aligners . So let's leave it to the professionals to decide on the best course of treatment.

It sounds too good to be true, so how does it work?

Through the wonders of technology, it all begins with a digital scan of your teeth. A consultation can look like a scene from your favourite sci-fi TV show. You no longer have to twiddle your thumbs, suspended in the dentist's chair waiting for the dental impression putty to set. A scanner can accurately make a digital 3D model of your teeth and gums with a few clicks of a button. Artificial Intelligence (AI) can predict the teeth' movement and preplan the treatment to create a far more efficient experience. Rest assured, AI won't take over the world just yet — This technology is meant to complement, not replace your orthodontist. A professional perspective will still be given to determine a patient’s suitability for treatment. During this consultation, your trusted orthodontist will guide you during this vital decision making process of planning your teeth movements. For example, if you are experiencing bone loss or require a tooth extraction, your doctor will take all these considerations to ensure a smooth procedure.

From there, a medical-grade clear plastic is manufactured specially just for you by a technician according to the doctor’s prescription to address your unique condition. After that, all you have to do is slip on your set of aligners and swap it for a new set every now and then according to the prescription. But of course, should you be experiencing any discomfort, a conversation is to be had with your Orthodontist who will adjust your treatment plan. No difference is too small when it comes to your comfort — that 0.1mm shift can transform your experience.

Eyeing my colleague’s aligners and travel toothbrush set, I ask, “ What’s the maintenance like? ”

Without missing a beat, he laughs as he recounts stories about caring for clear aligners; Yellow stained teeth from a turmeric-heavy Indian cuisine, gallantly dumpster diving to save his misplaced aligners, and accidentally sitting on his now tragically cracked aligners, it is not unheard of for people to make the expensive mistake of mishandling their clear aligners. Another common issue is forgetting to wear your clear aligners, costing unnecessary delay in your treatment time. So light, thin, and virtually invisible, my colleague concludes that clear aligners greatest selling point is also its weakness.

Being transparent and lightweight, clear aligners are unfortunately prone to cracking and staining. Brushing your aligners (but never with abrasive toothpaste) and its tray- is all part of the meticulous maintenance. With the way it closely wraps around your teeth, your appliance can quickly become a reservoir of sugar, pooling in its crevices placing your pearly whites at the risk of decay. But fret not caring for your clear aligners quickly becomes a thoughtless habit ingrained in your busy lifestyle my colleague confirms leaving to brush and floss his teeth again.

‘ Cost of Clear Aligners in Singapore ’, I key into my search engine as I wait.

A cascade of advertisements flood onto my screen. Invisalign, Zenyum, Smile Direct Club, WonderSmile, Clear Correct , all these different brands compete for my attention as I scroll down the page in my research pursuit. Costing anywhere from $2,000 to $9,000 the myriad of options are overwhelming. A happy problem is being afforded too many choices. So I did the next best thing, I asked my Orthodontist for her expert opinion on my next visit.

“Do your research...” she begins slicking off her blue latex gloves with a satisfying snap. As the new fad in oral care, companies have hopped on the beauty trend disregarding ethics. Some brands claim to be able to give you an accurate assessment of your orthodontic condition from selfies, while others use unsophisticated AI and untrained personnel to cut on labour cost. Clear Aligners have been well marketed and heavily commercialised, as such, it comes as no surprise that this procedure has not been well regulated. Therefore, consider a trustworthy brand with a good track record or one that offers interdisciplinary care, specialising in other treatments like implants. Such holistic approaches toward orthodontic problems often offer greater success with extensive care.

Admittedly, the price point is an important consideration but it should not be the decisive factor. Don't let a steep number deter you. When choosing a clinic, you may want to consider a specialist. Though more expensive, you are not only paying for those few extra years in school, but the experience that comes with it. Orthodontists are dental specialists who have received intensive study and are trained in proper, safe tooth movement and dental, jaw, and facial development, to create a custom treatment for each patient. So don't skimp out on your health and go for the best outcome by a skilled and experienced doctor. Do it once, do it well.

Personally, I have never worn clear aligners, simply because I was not a suitable candidate for it. While the allure of retaining the aesthetics of pearly whites had initially attracted me to the clinic, it was quickly revealed to me that bite could be solved within half the time and lesser the cost of with half metal braces.

Ending my visit with my Orthodontist, she remarked how each of my siblings had undergone different dental devices- my sister with clear aligners , my brother with an expanding retainer. Everyone is different and so are their lifestyles and orthodontic problems . So dear reader, talk to an established, experienced doctor and with their bag of tricks, let them guide you on your journey of achieving your most dazzling smile.

By Guest Author - Meryllyn Tan

Has this ever happened to you?

What actually are Clear Aligners?

But of course, cementing stainless steel braces on your teeth is not necessarily any less effective or more painful than specialised plastic. Varying from case to case, sometimes, the good ol’ archwire is better than hooks and buttons of the clear aligners. So let's leave it to the professionals to decide on the best course of treatment.

It sounds too good to be true, so how does it work?

Eyeing my colleague’s aligners and travel toothbrush set, I ask, “ What’s the maintenance like? ”

‘ Cost of Clear Aligners in Singapore ’, I key into my search engine as I wait.

Ending my visit with my Orthodontist, she remarked how each of my siblings had undergone different dental devices- my sister with clear aligners , my brother with an expanding retainer. Everyone is different and so are their lifestyles and orthodontic problems. So dear reader, talk to an established, experienced doctor and with their bag of tricks, let them guide you on your journey of achieving your most dazzling smile.

Does Orthodontic Treatment Mean Getting Your Teeth Pulled Out? You’ll be Surprised!

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Mon, 04 Apr 2022 08:02:20 GMT

Do you agree that a major deterrent to getting orthodontic treatment is dreading the number of teeth that your dentist will advise you to have pulled out? The thought of removing permanent teeth from your child or even yourself can be frightening for almost anyone. If that is or has been one of your concerns then read on …

The main reasons why most orthodontists recommend the extraction of teeth:

1) Severe Crowding - If there are too many teeth on the dental arch, crowding occurs. The lack of space is the primary reason teeth may be misaligned.

2) Help Reposition The Jaw - The way in which your jaw is positioned can determine if you have an under bite or overbite. If the bite is drastically off, removing teeth maybe necessary.

3) Protruded teeth - If your teeth are overcrowded, it can lead to your teeth protruding. Protruded teeth pose a significantly greater chance of dental injuries while doing routine activities. It is common to remove teeth and use braces to allow more space for your teeth to erupt. This is typically effective in children younger under 16, before their jawbone hardens too much and can’t be manipulated.

These can occur for a wide array of reasons. A mix of genes in your body may result in a small mouth but large teeth. You can’t fit all your teeth into your jaw unless you remove some teeth or make your jaws bigger. Typically, orthodontists don’t recommend extractions unless it is the best possible choice as there are a few other techniques that can help make room in the mouth without needing to remove teeth.

Pulling teeth is only done if absolutely necessary: your orthodontist will consider all options to achieve a health smile before recommending an extraction.

Getting teeth extracted can make people nervous. With careful supervision from an experienced orthodontist, and an expert extraction procedure from a qualified dentist or oral surgeon, your extraction experience will be comfortable and effective, and allow you to achieve the healthy smile you deserve.

About Tooth Extractions

Tooth extraction is when a tooth - or several teeth - are pulled out of the mouth and removed. In certain orthodontic cases, dental extractions are sometimes necessary to alleviate crowded teeth and to establish a stable bite.

Your orthodontist will refer you for extraction of 1 to 4 teeth, depending on your specific diagnosis. (Wisdom teeth are considered separately from orthodontic extraction cases, since there are other reasons for removing those molars). Removing an odd number of teeth is common when treating asymmetry in the bite pattern or traumatic biting.

When deciding which teeth to remove, your orthodontist will consider how best to fit the other teeth into their healthy, correct positions, with the least possible disruption to the mouth or the patient’s facial shape and tongue positions. 3D-modelling scans can help orthodontists determine which extractions will be the most useful.

Some of the considerations while deciding are as follows:

Teeth cannot be straightened with braces without first undergoing extraction(s)
Tooth is too large to fit in mouth
Tooth grows in the wrong direction
Tooth is sore or painful
Tooth is discolored
Tooth is sensitive to the touch
Tooth appears chipped, cracked, or otherwise damaged

This list is just to help you understand some of the signs of possible extraction cases: it does not mean your teeth will have to extracted only. If your orthodontist suggests an extraction, you can be sure it’s an informed opinion to achieve the best results, for a smile you’ll love and a healthy bite built to last.

Alternatives to Extraction

For certain patients, it may be possible to widen the dental palate in order to make room for the teeth, rather than extracting them. This is more commonly effective in children, whose bones are still developing and can thus adapt quickly to the expansion of the palate. For adults, whose bones have stopped growing, this may be less effective.

Where palate expansion is not possible, some surgical procedures can add bone to the palate, allowing for more expansion in adult palates. Alternatively, it is sometimes possible to shift the teeth further back into the mouth using orthodontic care (called distalization ), making more room for crowded teeth rather than extracting them. While these are newer treatments, these procedures have been found to be effective.

Frequently Asked Questions about Teeth Extractions

Do You Have to Get Teeth Extracted Before Braces?
Not all cases require teeth extractions before beginning braces treatment. In fact, only a small percentage or orthodontic cases require extractions. Your orthodontist will decide if extractions are necessary to achieve a healthy bite and a beautiful smile.

Do You Have to Get Teeth Extracted Before Invisalign?
If you are getting Invisalign, your orthodontist will determine what procedures will be necessary to help your teeth achieve their best results. Tooth extraction is a last-choice option, but if your orthodontist recommends an extraction, it will certainly help you achieve a healthy, happy smile built to last.

How Do I Know If I Need Teeth Extracted?
Your orthodontist will make a professional decision about whether teeth need to be extracted. Some signs you might need a tooth extracted include: teeth growing in the wrong direction; teeth too large to fit in the proper positions; jaw too small to fit all the teeth; teeth discolored or showing other signs of decay; or sensitive or painful teeth. Very pronounced issues with your bite may also require tooth extraction to properly correct, especially if surgery is not an option.

Why Do Orthodontists Pull Teeth?
Orthodontists do not pull teeth. They decide if extraction is necessary to achieve a healthy bite and beautiful smile with straight teeth, and then refer you to a general dentist or oral surgeon to complete the extraction. If there are too many teeth to fit in the jaw properly, or certain teeth cannot be properly spaces into the row of teeth, it is sometimes more effective to remove the tooth than try to find space for it in the teeth.

How Common is Tooth Extraction for Braces?
Tooth extraction is not very common for orthodontic care . It is more common for adults, whose teeth and bones have stopped growing and thus may be more difficult to move, creating severe crowding.

Is it Okay to Extract Teeth for Braces?
Yes, it is very safe to extract teeth for braces. Orthodontists will authorize removal of only those teeth that absolutely necessary for achieving a healthy, beautiful smile and a correct bite. Only a minor percentage of braces cases require tooth extraction.

Does it Hurt to Have Teeth Extracted?
Using local anesthesia, you should not feel any pain during the extraction. When the anesthesia wears off, you may feel some pain or discomfort, but this can be easily treated with any over-the-counter pain medication. Follow the directions of your oral surgeon to ensure proper healing. Most simple extraction cases heal very fast, so the pain should go away in a day or two.

How Many Teeth Get Removed for Braces?
If tooth extraction is necessary for your braces or Invisalign treatment, your orthodontist will carefully decide which and how many teeth need to be pulled. They may remove between 1 and 4 teeth. Removing an odd number of teeth is common for asymmetry cases, where the teeth are not divided evenly in your face.

Are There Alternatives to Removing Teeth for Braces?
There are several alternative methods to tooth extraction. One involves surgically inserting more bone into the palate to help it expand and make room for all the teeth. Another involves aligning teeth further back into the mouth, so the molars extend further back and make room for all the teeth. If you get an early start as a child, chances are your specialist orthodontist can use the growth of the bones to achieve optimal results without the need for extractions and sometimes even braces altogether!

It’s essential for the orthodontist and patient (or parent) to have a detailed conversation about the treatment plan before orthodontic treatment is started. That way, options can be explored, questions answered and expectations kept realistic. Anyone who undergoes orthodontic treatment deserves a treatment plan as unique as they are—along with an understanding of why it might make the most sense to remove teeth or not after all!

About Our Clinic:

The main reasons why most orthodontists recommend the extraction of teeth:

1) Severe Crowding - If there are too many teeth on the dental arch, crowding occurs. The lack of space is the primary reason teeth may be misaligned.

2) Help Reposition The Jaw - The way in which your jaw is positioned can determine if you have an under bite or overbite. If the bite is drastically off, removing teeth maybe necessary.

Pulling teeth is only done if absolutely necessary: your orthodontist will consider all options to achieve a health smile before recommending an extraction.

About Tooth Extractions

Some of the considerations while deciding are as follows:

Teeth cannot be straightened with braces without first undergoing extraction(s)
Tooth is too large to fit in mouth
Tooth grows in the wrong direction
Tooth is sore or painful
Tooth is discolored
Tooth is sensitive to the touch
Tooth appears chipped, cracked, or otherwise damaged

Alternatives to Extraction

Frequently Asked Questions about Teeth Extractions

Do You Have to Get Teeth Extracted Before Braces?

Not all cases require teeth extractions before beginning braces treatment. In fact, only a small percentage or orthodontic cases require extractions. Your orthodontist will decide if extractions are necessary to achieve a healthy bite and a beautiful smile.

Do You Have to Get Teeth Extracted Before Invisalign?

If you are getting Invisalign, your orthodontist will determine what procedures will be necessary to help your teeth achieve their best results. Tooth extraction is a last-choice option, but if your orthodontist recommends an extraction, it will certainly help you achieve a healthy, happy smile built to last.

How Do I Know If I Need Teeth Extracted?

Your orthodontist will make a professional decision about whether teeth need to be extracted. Some signs you might need a tooth extracted include: teeth growing in the wrong direction; teeth too large to fit in the proper positions; jaw too small to fit all the teeth; teeth discolored or showing other signs of decay; or sensitive or painful teeth. Very pronounced issues with your bite may also require tooth extraction to properly correct, especially if surgery is not an option.

Why Do Orthodontists Pull Teeth?

Orthodontists do not pull teeth. They decide if extraction is necessary to achieve a healthy bite and beautiful smile with straight teeth, and then refer you to a general dentist or oral surgeon to complete the extraction. If there are too many teeth to fit in the jaw properly, or certain teeth cannot be properly spaces into the row of teeth, it is sometimes more effective to remove the tooth than try to find space for it in the teeth.

How Common is Tooth Extraction for Braces?

Tooth extraction is not very common for orthodontic care. It is more common for adults, whose teeth and bones have stopped growing and thus may be more difficult to move, creating severe crowding.

Is it Okay to Extract Teeth for Braces?

Yes, it is very safe to extract teeth for braces. Orthodontists will authorize removal of only those teeth that absolutely necessary for achieving a healthy, beautiful smile and a correct bite. Only a minor percentage of braces cases require tooth extraction.

Does it Hurt to Have Teeth Extracted?

Using local anesthesia, you should not feel any pain during the extraction. When the anesthesia wears off, you may feel some pain or discomfort, but this can be easily treated with any over-the-counter pain medication. Follow the directions of your oral surgeon to ensure proper healing. Most simple extraction cases heal very fast, so the pain should go away in a day or two.

How Many Teeth Get Removed for Braces?

If tooth extraction is necessary for your braces or Invisalign treatment, your orthodontist will carefully decide which and how many teeth need to be pulled. They may remove between 1 and 4 teeth. Removing an odd number of teeth is common for asymmetry cases, where the teeth are not divided evenly in your face.

Are There Alternatives to Removing Teeth for Braces?

There are several alternative methods to tooth extraction. One involves surgically inserting more bone into the palate to help it expand and make room for all the teeth. Another involves aligning teeth further back into the mouth, so the molars extend further back and make room for all the teeth. If you get an early start as a child, chances are your specialist orthodontist can use the growth of the bones to achieve optimal results without the need for extractions and sometimes even braces altogether!

It’s essential for the orthodontist and patient (or parent) to have a detailed conversation about the treatment plan before orthodontic treatment is started. That way, options can be explored, questions answered and expectations kept realistic. Anyone who undergoes orthodontic treatment deserves a treatment plan as unique as they are—along with an understanding of why it might make the most sense to remove teeth or not after all!

About Our Clinic:

Let It Flow! The Importance of Saliva in Oral Health

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Thu, 24 Mar 2022 07:24:07 GMT

Saliva or “Spit” isn’t something you probably spend much time thinking about! But did you know that every moment of everyday affects your health? Saliva is vital not only for a healthy mouth but also good digestion and an overall healthy body.

Dental caries is a complex disease process that afflicts many of the world's population with cavities in their teeth regardless of gender, age and ethnicity. To understand the importance of saliva, we must first understand how our teeth are attacked in the first place.

What causes tooth decay?

Many bacteria live in your mouth and in the dental plaque on your teeth and use the sugars in the food you eat or drink as the energy to produce acids. Plaque acids are one of the main causes of tooth decay.

Wondering how plaque acids cause tooth decay? Plaque acids attack your teeth and dissolve important minerals on their surface. This weakens your teeth and can lead to decay over time. If the amount of acid from the bacteria on your teeth outweighs the protective effect of your saliva, then tooth decay will occur.

How does saliva help prevent decay?

Saliva has been shown to be the most important biological factor in the prevention of dental erosion. It starts acting even before the acid attack.

Saliva is composed of water, minerals, proteins, mucus, and amylase and contains important elements such as bicarbonate, calcium, and phosphate.

It helps to maintain the hard and soft tissues in your mouth by keeping the interior of your mouth moist.
It washes away residual food particles after you eat.
Protects against bacteria.
Makes sure that there isn’t too much acid in your mouth.
The minerals not only prevent decay but are also able to repair early decay by providing re-mineralizing ions to the tooth.

Apart from taking care to ensure a healthy mouth, saliva also serves a number of basic functions such as:

Food preparation, enhancing chewing, the clearing of food residues and swallowing
Digestion, food breakdown with enzymes
Enhancing taste
Enabling speech by lubricating the moving oral tissues

A reduced flow of saliva ( Dry Mouth ) can increase your risk of tooth decay.

Causes of dry mouth might include:

Medications – some medicines and drugs can affect your salivary glands and reduce the amount of saliva that they can make, leading to a dry mouth
Dehydration – working in a dry environment and not drinking water often enough can lead to a decrease in saliva production. Additionally, high intake of caffeine found in coffee, tea, chocolate and cola drinks can reduce fluid levels in the body and reduce saliva
Diseases or medical conditions that affect the saliva glands– for example Sjogren's syndrome .
Skip the alcohol – If you have a dry mouth, it may be best to avoid alcohol bases beverages or mouthwashes.

If you have a constant dry mouth, consult your dentist to find the cause.

How Can I Stimulate Salivary Flow?

There are a few things you can do to make sure that there’s always enough saliva in your mouth:

One of the best ways of stimulating salivary flow is by chewing crunchy fresh fruits and vegetables. Foods that are high in fiber like celery, carrots, and apples help to stimulate saliva without putting your dental and overall health at risk.
Drink plenty of water because dehydration causes your saliva production to decrease.
Chewing sugar-free gum can also stimulate your salivary flow.

The importance of salivary protection in preventing tooth decay cannot be overemphasized. Although you often don't notice this unsung bodily fluid swishing in your mouth, it's important that you take care of it. Keeping your saliva flowing will help ensure better oral and overall health.

About Our Clinic:

What causes tooth decay?

How does saliva help prevent decay?

Saliva has been shown to be the most important biological factor in the prevention of dental erosion. It starts acting even before the acid attack.

Saliva is composed of water, minerals, proteins, mucus, and amylase and contains important elements such as bicarbonate, calcium, and phosphate.

It helps to maintain the hard and soft tissues in your mouth by keeping the interior of your mouth moist.
It washes away residual food particles after you eat.
Protects against bacteria.
Makes sure that there isn’t too much acid in your mouth.
The minerals not only prevent decay but are also able to repair early decay by providing re-mineralizing ions to the tooth.

Apart from taking care to ensure a healthy mouth, saliva also serves a number of basic functions such as:

Food preparation, enhancing chewing, the clearing of food residues and swallowing
Digestion, food breakdown with enzymes
Enhancing taste
Enabling speech by lubricating the moving oral tissues

A reduced flow of saliva ( Dry Mouth ) can increase your risk of tooth decay.

Causes of dry mouth might include:

Medications – some medicines and drugs can affect your salivary glands and reduce the amount of saliva that they can make, leading to a dry mouth
Dehydration – working in a dry environment and not drinking water often enough can lead to a decrease in saliva production. Additionally, high intake of caffeine found in coffee, tea, chocolate and cola drinks can reduce fluid levels in the body and reduce saliva
Diseases or medical conditions that affect the saliva glands– for example Sjogren's syndrome .
Skip the alcohol – If you have a dry mouth, it may be best to avoid alcohol bases beverages or mouthwashes.

If you have a constant dry mouth, consult your dentist to find the cause.

How Can I Stimulate Salivary Flow?

There are a few things you can do to make sure that there’s always enough saliva in your mouth:

One of the best ways of stimulating salivary flow is by chewing crunchy fresh fruits and vegetables. Foods that are high in fiber like celery, carrots, and apples help to stimulate saliva without putting your dental and overall health at risk.
Drink plenty of water because dehydration causes your saliva production to decrease.
Chewing sugar-free gum can also stimulate your salivary flow.

About Our Clinic:

6 Dental Myths You Still Believe, Debunked By Actual Dentists

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Tue, 28 Dec 2021 06:20:22 GMT

There’s a lot of information we’re fed surrounding dental hygiene from a very young age, from “don’t eat too much sugar, you’ll get cavities” to “brush your teeth after every meal”. And while most of these sayings have some truth in them, not all of them will lead to a healthy set of teeth and gums.

We look at the 6 biggest dental myths many of us still live by, debunked by actual dentists to get you on the right track to better oral hygiene and a stronger set of pearly whites.

Brushing your teeth after meals will make them healthier

We’ve long been told that it’s a good habit to brush our teeth in the morning and night. And while that usually suffices, it doesn’t stop the diligent ones amongst us from giving their pearly whites a good scrub down after every meal.

However, does brushing after every meal really lead to healthier teeth? While the act of brushing after a meal does work to remove food particles stuck between the nooks and crannies of your teeth, brushing too soon after a meal can accelerate the corrosion of your enamel. The reason? Acids from food that settle on your teeth during mealtime can temporarily weaken the enamel. Any brushing during that time can lead to the accelerated corrosion of your enamel.

This team of dentists advises that you wait a good 30 minutes after each meal to brush. This allows time for your saliva to neutralize the acid on your teeth, or for beverages to wash it away.

You only need to change your toothbrush if the bristles are out of shape

Ask your family and friends how often they switch out their toothbrushes, and you might find yourself looking at “every 3 months or so” as the most common answer. After all, if your toothbrush still looks pristine after months into use, is there really a need for a new one? The professional answer is yes. If you’re using your toothbrush the right way, the bristles will wear themselves out within 4-6 weeks - signalling time for a change.

Dragging out the lifespan of your toothbrush may be cost-effective, but it’ll also increase your chances of tooth decay and periodontal infections if your teeth are not cleaned well for a prolonged period of time.

If your gums bleed after brushing, you are brushing too hard

The sight of blood after brushing your teeth doesn’t necessarily mean you are roughhousing your gums. More often than not, bleeding gums are a sign of unhealthy gums - a result of improper care. Gingivitis, also known as gum infection, is one of the leading causes of bloody gums after a brushing session. One surefire way to spot gingivitis is to identify the symptoms:

Inflamed gums that are a dark shade of red
Persistent bad breath
Gum sensitivity

If you suspect that you might be down with a mild case of gingivitis, aside from booking an appointment with your dentist, you’ll want to ensure you’ve got a thorough daily brushing and flossing regimen in place. To prevent excessive bleeding, you can also opt for a toothbrush with softer bristles.

No need to look after baby teeth as they’ll fall out eventually

Parents are commonly blindsided by the misconception that milk teeth require little to no care as they all fall out and get replaced by permanent teeth eventually. It’s important to know that baby teeth play a fundamental role in our oral development and act as the natural “placeholders” or space maintainers for permanent teeth to erupt.

If not cared for properly, a child is at risk of the following problems:

Tooth decay
Premature loss of teeth
Crowding of permanent teeth
Adult teeth are unable to penetrate the gum as it has thickened over time

To avoid this, you should ensure regular cleaning and brushing of your child’s teeth and gums once your baby’s first tooth erupts. It’s recommended to assist your child with the brushing process as children are often unable to clean their teeth well.

If I have straight teeth, my children will most likely have straight teeth

While genetics does have a role to play in determining whether or not a child will have straight or crooked teeth, having straight teeth isn’t a guarantee that your children’s teeth will turn out the same way. Poor habits such as thumb-sucking or over-reliance on pacifiers can interfere with a tooth’s growth trajectory, forcing teeth out of shape.

You might start counting your lucky stars and fawning over your child’s near-perfect set of milk teeth, but here’s the kicker: most children have milk teeth that are generally straight. The real test comes when their permanent teeth come in.

In an age where a high calcium intake is recommended in any growing child’s diet, dentists are noticing a trend of adult teeth coming out bigger and healthier. And while this is a good thing, it can also result in overcrowding and crooked teeth in children.

For parents with growing concerns surrounding their child’s oral health and development, it’s good to pencil in a visit with a child-friendly orthodontist between the ages of 6 and 7, as recommended by the American Association of Dentists. Even if adult teeth haven’t started breaking through, early checkups will enable your orthodontist to arrest and correct issues pertaining to jaw formation and overbite early to possibly avoid the need for braces in the future.

I only need to see a dentist when my teeth or gums hurt me

Perhaps the biggest myth of all is that dental visits aren’t a priority until a real - and painful - problem springs up.

Even if you brush religiously, and floss and gargle like clockwork, you still could be susceptible to gum disease if you’re not doing it right. In fact, there have been cases where tooth decay and gum infections fall under the radar simply because they’re asymptomatic. By the time something starts hurting, you’ll already have progressed to an advanced stage of tooth decay or infection. This is why it’s pertinent to schedule two trips to the dentist a year for a thorough clean.

The truth behind the dental myths

As long as our teeth look relatively bright and clean, most of us are quick to assume that everything is fine and dandy. A visit to the dentist? Maybe next year. But regardless of how diligent you are at brushing and flossing, regular trips to the dentist are the only way you’ll be able to ensure your teeth - and gums - are in their healthiest state.

More importantly, with so much misinformation floating around the world wide web, it’s hard to discern the truths from the half-truths. So the next time you have a burning question about dental care, the best person to answer that would be your dentist.

On that note, parents of little ones need to be aware of the importance of early dental intervention and care to rectify early tooth decay and jaw formation problems in their child’s early years if they want to ensure their kid is able to smile with confidence in the future.

We look at the 6 biggest dental myths many of us still live by, debunked by actual dentists to get you on the right track to better oral hygiene and a stronger set of pearly whites.

Brushing your teeth after meals will make them healthier

This team of dentists advises that you wait a good 30 minutes after each meal to brush. This allows time for your saliva to neutralize the acid on your teeth, or for beverages to wash it away.

You only need to change your toothbrush if the bristles are out of shape

If your gums bleed after brushing, you are brushing too hard

Inflamed gums that are a dark shade of red
Persistent bad breath
Gum sensitivity

No need to look after baby teeth as they’ll fall out eventually

If not cared for properly, a child is at risk of the following problems:

Tooth decay
Premature loss of teeth
Crowding of permanent teeth
Adult teeth are unable to penetrate the gum as it has thickened over time

If I have straight teeth, my children will most likely have straight teeth

I only need to see a dentist when my teeth or gums hurt me

Perhaps the biggest myth of all is that dental visits aren’t a priority until a real - and painful - problem springs up.

The truth behind the dental myths

The University of Adelaide has nominated Dr. Catherine Lee for the Malaysian-Australian Alumni Council Distinguished Alumni Award 2021

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Wed, 27 Oct 2021 08:31:16 GMT

The University of Adelaide has nominated Dr. Catherine Lee for the

Malaysian-Australian Alumni Council Distinguished Alumni Award 2021

The University of Adelaide alumni influence on the world stage is profound, with efforts of advancing the common good and inspiring others. The contributions are formally recognised by awards including the Australia Day and Queen's Birthday Honours , as well as international awards such as the Nobel Prize and Rhodes Scholarship .

The distinguished alumni of the University of Adelaide are a rich and diverse pool of leader and innovators who, through their outstanding accomplishments, have improves lives of others and contributed to their communities and/or professions.

About Dr Catherine Lee

Dr. Lee has also been a visiting Consultant for the Department of Plastic, Reconstructive and Aesthetic Surgery of the Singapore General Hospital and the Department of Surgery at the National University of Singapore for more than 10 years. In these hospitals, she serves as a specialist orthodontist, complementing the surgical teams with their treatment for special patients.

In 2005, Dr. Lee helped to establish the Cleft Care Foundation Indonesia , a non-profit charity organization that aims to assist parents with cleft infants. She now serves as a Patron and medical director on its board, providing expertise, resources and strategies for the care of underprivileged cleft-lip and -palate children in Indonesia.

The award will be presented by the Malaysian-Australian Alumni Council at the Australian High Commission Office (Malaysia) in Kuala Lumpur on Saturday, 4 December 2021 .

This nomination is to recognize Dr. Catherine Lee for being the first Cleft-Craniofacial Orthodontist in South Asia and Australia-Pacific region , and the humanitarian work she has been involved with Cleft Care Indonesia Foundation (CCIF) for the past 15 years .

The Benefits of Orthodontic Treatment for all Ages

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Mon, 26 Jul 2021 04:34:14 GMT

Most people don’t realize that getting orthodontic treatment is a step towards not only better dental health but also overall physical health and well-being.

Orthodontics is not just a cosmetic treatment aimed to make you more beautiful, however it doesn't hurt when that goal is achieved right?!

Apart from giving you that perfect smile to flaunt, orthodontics is also responsible for:

Improved Functionality

People with a bad bite or crooked teeth often struggle with biting and chewing food. Orthodontic treatment takes care of all that and more, giving you an opportunity to eat healthy and right without any effort.

Improved Hygiene

Well aligned and straight teeth make effective brushing and flossing a breeze. They are easier to take care of and also require less maintenance than overly crowded or misaligned teeth.

Improved Protection

Teeth that are in their proper place do not harbor as many microbes as there are lesser nooks and corners for them to hide. Naturally, with orthodontic treatment comes the added advantage of healthier gums, fewer cavities and better periodontal health.

Reduced Grinding

Tired of grinding and clenching your teeth so often, that it’s become a habit? Orthodontic treatment will put a stop to that along with the chipping of tooth surfaces that occurs with it.

Improved Safety

Teeth protruding outwards are a disaster waiting to happen, especially on the playground! Such children have 10 times more predilection for dental trauma while playing or a fall than children with straighter teeth.

Sinus Relief

Teeth that are misaligned can constrict your airways and create problems with your sinuses. Orthodontic treatment can align your teeth to clear the passages and help you breathe more comfortably.

Long Lasting Effects

The best advantage of orthodontic treatment is easy maintenance of your teeth throughout life. Teeth that are free of decay and gum diseases will stay longer in the mouth, hence delaying the need for implants or dentures in the future.

Another misconception in people’s minds is that there is an “AGE” to get orthodontic treatment. Guess what, you’re never too young or too old to want to take care of your teeth! An orthodontist is trained to predict future problems when you’re a young child and also treat established problems in older adults who may have neglected their teeth back in the day.

What are the basic differences of Orthodontic Treatments for Children and Adults?

As the age old saying goes, Prevention is always, always better than cure. Going to an orthodontist early opens a myriad of options for a young child. Having early intervention in the form of appliances such as face masks, head gears and expander plates may completely remove the need for getting extensive treatment with braces or aligners later in life.

This also gives the opportunity to get treatment done without having your teeth pulled out! All this easily translates into reduced treatment time and hence treatment cost as well.

Stage of Development

A big difference between orthodontic treatment in adults and paediatric orthodontic treatment in children deals with the fact that, while adult teeth and jaws are fully developed, children’s teeth and jaws are still growing.

Because the younger patients are still in the process of oral growth, it is much easier to make alignment adjustments to their teeth and jaws as a specialist orthodontist can use this to their aid.

By the time they have reached adulthood, the bones of the adults are hardened and the tissues around the teeth are set in with the teeth’s current positions. This may require more extensive or sometimes even surgical treatment.

Correcting Overjet / Overbite

As these are the most commonly presented problems in any population, it is better to get a head start. If someone has an overbite, the condition might be made worse as they continue to wear down their teeth over the years.

Children, on the other hand, are still young and developing so their teeth have not been worn down as they have aged. An orthodontist can focus their care on perfecting their bite as opposed to merely creating a functional bite.

Past Dental treatment

As adults there are greater chances of decayed teeth which may have led to extractions in the past. Such gaps make orthodontic treatment difficult. There may also arise a need for grafts as the bone may have become very weak and thin over the years.

Children typically do not present with such problems especially if they keep up with their regular dental check-ups and visits.

Esthetics

For children, wearing braces may be a nuisance especially if they are mocked by their peers in school for the same. However with counselling (and a few colored rubber bands!) children can be convinced.

Adults on the other hand, may feel a little self-conscious owing to society and its standards. The invention of clear aligners has largely helped combat that stigma. As adults are usually self-motivated, they are usually more compliant with the treatment.

Health Disorders

Children overall are more hardy and resistant to health problems that adults might face. Adult teeth are more prone to root resorption, weakening the anchorage of teeth as well as TM Joint disorders that may make orthodontic treatment more difficult and complex.

Results

Older patients, being more responsible and receptive to treatment will generally achieve more outstanding results as compared to children who might be getting treatment only because of their parents’ pressure. Orthodontics requires long time retainer wear with which children may not be as responsible, leading to some amount of relapse as they grow older.

Children may not be able to follow through with treatments if they migrate due to school or college. Adults' lives are usually more stable and established hence easier to complete the full scope of treatment to get the results desired by the orthodontist.

So, if you or your child are suffering from a bad bite and the many problems it brings along with, do not hesitate to schedule a consultation with a specialist orthodontist at the earliest! You will be surprised at the various modalities of treatments and number of options available today to suit everyone!

The benefits of orthodontic treatment last a lifetime and are a great investment regardless of age. The confidence from a beautiful smile is hard to measure when it comes to smiling for that perfect moment! Well, with just a little effort on your part and a lot of skill on an orthodontist’s part achieving it is entirely possible!

Most people don’t realize that getting orthodontic treatment is a step towards not only better dental health but also overall physical health and well-being.

Orthodontics is not just a cosmetic treatment aimed to make you more beautiful, however it doesn't hurt when that goal is achieved right?!

Apart from giving you that perfect smile to flaunt, orthodontics is also responsible for:

Improved Functionality

Improved Hygiene

Well aligned and straight teeth make effective brushing and flossing a breeze. They are easier to take care of and also require less maintenance than overly crowded or misaligned teeth.

Improved Protection

Reduced Grinding

Tired of grinding and clenching your teeth so often, that it’s become a habit? Orthodontic treatment will put a stop to that along with the chipping of tooth surfaces that occurs with it.

Improved Safety

Sinus Relief

Teeth that are misaligned can constrict your airways and create problems with your sinuses. Orthodontic treatment can align your teeth to clear the passages and help you breathe more comfortably.

Long Lasting Effects

What are the basic differences of Orthodontic Treatments for Children and Adults?

This also gives the opportunity to get treatment done without having your teeth pulled out! All this easily translates into reduced treatment time and hence treatment cost as well.

Stage of Development

A big difference between orthodontic treatment in adults and orthodontic treatment in children deals with the fact that, while adult teeth and jaws are fully developed, children’s teeth and jaws are still growing.

Because the younger patients are still in the process of oral growth, it is much easier to make alignment adjustments to their teeth and jaws as a specialist orthodontist can use this to their aid.

Correcting Overjet / Overbite

Past Dental treatment

Children typically do not present with such problems especially if they keep up with their regular dental check-ups and visits.

Esthetics

Health Disorders

Results

Braces or Clear Aligners? Is The Choice Really That Simple?

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Mon, 26 Jul 2021 03:59:01 GMT

Yes! After days of staring at your crooked teeth or gummy smile every time you look in the mirror, you have finally decided to take the plunge and book an appointment with a specialist orthodontist like us to do something about it!

It’s a massive first step but the decision making has just begun. One of the most commonly asked questions to any orthodontist these days is “Braces or Invisalign Clear Aligners? Which is more suitable for me?”

Traditionally, braces were the only means used to correct misaligned teeth but the introduction of clear aligners changed all that. One appliance is not inherently better than the other. For most cases, both options are available. However it is important to remember that aligners can treat most but not all orthodontic problems. This makes the initial consultation with your orthodontist even more important. That’s the only way you can make an informed decision most suitable to your individual needs and lifestyle choices.

However, it is important to remember that aligners can treat most, but not all orthodontic problems . This makes the initial consultation with your orthodontist even more important as that’s the only way for you to make a decision which is most suitable to your individual needs and lifestyle choices.

What’s the difference?

Braces are metal brackets that are cemented onto the teeth. They are made up of two stainless steel brackets and arch-wire. The brackets are attached to the back of the teeth, while the arch-wire is placed in between them. The wires then stay connected to the brackets using small rubber bands, putting a constant yet gentle force to align your teeth properly.

Aligners, on the other hand, are essentially clear, thin plastic trays that are made to fit over your teeth to move them gradually into place. Unlike braces, aligners are removable and don't require any cementing. Hence, the aligners will be designed to fit over your teeth and you will be responsible for wearing and removing them until your teeth are fully aligned.

Metal braces

These mainly consist of brackets that are affixed to your teeth. Wires are threaded through slots in the brackets. The brackets are typically made of stainless steel and the wires stay connected to the brackets by small rubber bands. The wires put a constant, yet gentle, force to properly align your teeth.

Aligners

These are essentially plastic replicas of your teeth - thin, clear trays made to fit them. Unlike metal braces, aligners are removable. The patient is responsible for putting them in and taking them out. Patients receive sets of aligners designed to move their teeth using the same method as braces: constant, gentle pressure.

Is weighing your options weighing you down?

When comparing braces vs Invisalign, consider which of the following factors is most important to you.

Cosmetics

Do you want to keep your treatment on the down low or are you loud and proud about the smile you’re working towards?

Convenience

Are you able to make frequent trips to the orthodontist or work/school keeps you wanting more hours in the day?

Compliance

How much effort are you willing to put in for your treatment?
Do you trust yourself to follow instructions?

Comfort

Is potential soreness a serious concern?

Cost

Which treatment suits your budget more?

Braces

ADVANTAGES:

Applicable to all cases
While aligners can treat most, braces can treat all cases. That means braces are always an option!
Variety
Ranging from the traditional metal to the more discreet porcelain braces, with or without colours there are ample choices within braces itself.

Compliance
Because they are fixed to your teeth, you don’t need to worry about forgetting to wear or losing them. This is useful for patients who may not be adequately motivated or physically unable to constantly change and wear aligners.

Comfort
The initial discomfort when brackets are placed or adjusted or wires irritating the mouth tissues cannot be denied. However this is mostly short lived and once patients become accustomed, they may even forget they have them on.

DISADVANTAGES:

Diet
Braces require some modifications to your everyday diet which may be a bummer especially for children. Hard and sticky foods are a no-no along with food rich in sugar as cleaning the teeth may be difficult.

Hygiene
Braces pose a challenge in keeping your teeth clean. It may be difficult with all the brackets and rubber bands and wires however oral hygiene is so important that sometimes braces may be prematurely removed if there is a chance of real damage to the teeth.

Discomfort
Initially braces may cause discomfort as they rub against cheeks and lips. Some patients have more than others. In general, patients will get used to it after a week or so.

Appearance
Braces are more noticeable than aligners. This may be a factor for a lot of people based on their occupation, hobbies or even personality. You’ll be amazed to know that some of my teenage patients choose to have braces over clear aligners, as the colour of their braces becomes a signature or brand of their group.

Treatment time
Appointments are usually more frequent as the orthodontist makes active adjustments.

Clear Aligners

ADVANTAGES:

Appearance
For those shy of showing their teeth anyway, aligners are a boon. As the name goes, they are clear and custom made to fit your teeth hence much less noticeable than braces.

Diet
As you remove your aligners to eat, diet mostly remains unaffected. Some foods are difficult to eat with braces on, however aligners pose no such challenge.

Hygiene
Again, being removable provides an advantage of ease of cleaning your teeth and thus maintaining adequate oral hygiene. You can brush and floss as per normal.

Appointments
As the tooth movement is pre planned by your orthodontist in their Invisalign orthodontic clinic , the actual visits are fewer and shorter. This can be a big advantage in today’s busy schedules!

Comfort
Although teeth can feel a little tender as they begin to move, most patients report that they are quite comfortable. Aligners rarely irritate the lips or cheeks. This may particularly be relevant for those playing contact sports.

Cost
In many cases aligners may be more than braces, however in a lot of cases the pricing may be quite similar.

Overall treatment time
Many studies have shown aligners to be equally or a tad bit faster in achieving results than traditional braces depending on your particular case as advised by an orthodontist.

DISADVANTAGES:

Compliance
Aligners need to be worn almost 22 hours a day to be effective. With this comes the need for extra compliance and care to achieve the desired results.

Aligners need to be removed while eating or for cleaning
Some patients may find this cumbersome, especially in public if they feel shy or embarrassed. They may even lose or get thrown out when it’s removed, because precisely… It's clear! It's not an uncommon story to hear that parents or patients have to try to look for them down in the trash bin!

Effectiveness
For some complex cases, we orthodontists may recommend braces over aligners to provide better results.

Comfort
Even though the discomfort is generally slight, patients have the option to remove them as they can hence defeating the purpose.

Lost/Misplaced aligners
Aligners are quite easy to lose or damage. A number of patients report them to fall out of their pockets or get thrown away wrapped in a napkin. As they are clear, they are also more prone to damage as they are not clearly visible. Sometimes they may end up being a chew toy for your pet if not taken care of!

Hygiene
Though diet can remain the same, it is important to control liquid intake especially soft drinks or flavoured waters as liquids can seep into the aligners and cause rapid decay of the teeth.

Discoloration
Yellow Aligners is a common problem if your diet is not light in colour or clear. Curry, turmeric, tomato paste, red wine, or any food or drinks that are darker in colour will tend to stain the aligners.

Whether it's braces or aligners, we can agree that the type of appliance used in orthodontic treatment is far less important than the skill in the hands of the person who is providing the treatment. Rely on the skills of the AAO orthodontist, who has the education, experience and expertise to evaluate diagnostic findings, and translate those into a treatment plan that will help you or your child achieve a healthy and beautiful smile!

*AAO: American Association of Orthodontists

Traditionally, braces were the only means used to correct misaligned teeth but the introduction of clear aligners changed all that. One appliance is not inherently better than the other. For most cases, both options are available. However it is important to remember that aligners can treat most but not all orthodontic problems. This makes the initial consultation with your orthodontist even more important. That’s the only way you can make an informed decision most suitable to your individual needs and lifestyle choices.

However, it is important to remember that aligners can treat most, but not all orthodontic problems. This makes the initial consultation with your orthodontist even more important as that’s the only way for you to make a decision which is most suitable to your individual needs and lifestyle choices.

What’s the difference?

Metal braces

Aligners

Is weighing your options weighing you down? When comparing braces vs Invisalign, consider which of the following factors is most important to you.

Cosmetics

Do you want to keep your treatment on the down low or are you loud and proud about the smile you’re working towards?

Convenience

Are you able to make frequent trips to the orthodontist or work/school keeps you wanting more hours in the day?

Compliance

How much effort are you willing to put in for your treatment?
Do you trust yourself to follow instructions?

Comfort

Is potential soreness a serious concern?

Cost

Which treatment suits your budget more?

Let’s talk about Pros and Cons!

BRACES

ADVANTAGES:

Applicable to all cases

While aligners can treat most, braces can treat all cases. That means braces are always an option!

Variety

Ranging from the traditional metal to the more discreet porcelain braces, with or without colours there are ample choices within braces itself.

Compliance

Because they are fixed to your teeth, you don’t need to worry about forgetting to wear or losing them. This is useful for patients who may not be adequately motivated or physically unable to constantly change and wear aligners.

Comfort

The initial discomfort when brackets are placed or adjusted or wires irritating the mouth tissues cannot be denied. However this is mostly short lived and once patients become accustomed, they may even forget they have them on.

DISADVANTAGES:

Diet

Braces require some modifications to your everyday diet which may be a bummer especially for children. Hard and sticky foods are a no-no along with food rich in sugar as cleaning the teeth may be difficult.

Hygiene

Braces pose a challenge in keeping your teeth clean. It may be difficult with all the brackets and rubber bands and wires however oral hygiene is so important that sometimes braces may be prematurely removed if there is a chance of real damage to the teeth.

Discomfort

Initially braces may cause discomfort as they rub against cheeks and lips. Some patients have more than others. In general, patients will get used to it after a week or so.

Appearance

Braces are more noticeable than aligners. This may be a factor for a lot of people based on their occupation, hobbies or even personality. You’ll be amazed to know that some of my teenage patients choose to have braces over clear aligners, as the colour of their braces becomes a signature or brand of their group.

Treatment time

Appointments are usually more frequent as the orthodontist makes active adjustments.

CLEAR ALIGNERS

ADVANTAGES:

Appearance

For those shy of showing their teeth anyway, aligners are a boon. As the name goes, they are clear and custom made to fit your teeth hence much less noticeable than braces.

Diet

As you remove your aligners to eat, diet mostly remains unaffected. Some foods are difficult to eat with braces on, however aligners pose no such challenge.

Hygiene

Again, being removable provides an advantage of ease of cleaning your teeth and thus maintaining adequate oral hygiene. You can brush and floss as per normal.

Appointments

As the tooth movement is pre planned by your orthodontist in their Invisalign orthodontic clinic , the actual visits are fewer and shorter. This can be a big advantage in today’s busy schedules!

Comfort

Although teeth can feel a little tender as they begin to move, most patients report that they are quite comfortable. Aligners rarely irritate the lips or cheeks. This may particularly be relevant for those playing contact sports.

Cost

In many cases aligners may be more than braces, however in a lot of cases the pricing may be quite similar.

Overall treatment time

Many studies have shown aligners to be equally or a tad bit faster in achieving results than traditional braces depending on your particular case as advised by an orthodontist.

DISADVANTAGES:

Compliance

Aligners need to be worn almost 22 hours a day to be effective. With this comes the need for extra compliance and care to achieve the desired results.

Aligners need to be removed while eating or for cleaning

Some patients may find this cumbersome, especially in public if they feel shy or embarrassed. They may even lose or get thrown out when it’s removed, because precisely… It's clear! It's not an uncommon story to hear that parents or patients have to try to look for them down in the trash bin!

Effectiveness

For some complex cases, we orthodontists may recommend braces over aligners to provide better results.

Comfort

Even though the discomfort is generally slight, patients have the option to remove them as they can hence defeating the purpose.

Lost/Misplaced aligners

Aligners are quite easy to lose or damage. A number of patients report them to fall out of their pockets or get thrown away wrapped in a napkin. As they are clear, they are also more prone to damage as they are not clearly visible. Sometimes they may end up being a chew toy for your pet if not taken care of!

Hygiene

Though diet can remain the same, it is important to control liquid intake especially soft drinks or flavoured waters as liquids can seep into the aligners and cause rapid decay of the teeth.

Discoloration

Yellow Aligners is a common problem if your diet is not light in colour or clear. Curry, turmeric, tomato paste, red wine, or any food or drinks that are darker in colour will tend to stain the aligners.

*AAO: American Association of Orthodontists

5 Unique Reasons To Save Your Baby’s Teeth!

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Tue, 04 May 2021 06:08:42 GMT

Baby teeth are as important to infants and children as permanent teeth are to older children and adults. They are equally susceptible to dental decay and cavities as adult teeth, thus the approach to treating them should also be similar.

50% of parents do not actively pursue dental treatment for decayed baby teeth as they feel they will ultimately “fall off”. But did you know that could be very harmful for your child in the long run.

Reasons why extracting baby teeth or milk teeth should be a last resort:

1) Baby teeth are essential for chewing

Especially during the formative years, enough importance cannot be given to proper nutrition. The child needs his baby teeth to effectively chew food and help in nourishment. Milk teeth are essential in preventing nutritional deficiencies in children.

2) Speech and facial development

The tongue, lips and cheeks deflect off teeth when forming sounds. The presence and proper positioning of baby teeth assist in the formation of correct pronunciation during speech. The tooth structure also provides support for the developing facial muscles and gives shape to your child’s face.

3) Overall personality development & self esteem

Many studies have reported that children who, due to lack of their baby teeth, had speech defects or were shy about their appearance were far more likely to have emotional and psychological problems. Decayed or missing teeth can also interfere with a child’s social interactions and affect their confidence and self-esteem. This can also lead to children missing school, thus hampering their growth and development.

4) They act as natural “Space Maintainers”

Baby teeth serve another very important purpose - they save space for the child's future permanent teeth.

A baby tooth usually remains in the child's mouth until a permanent tooth underneath it is ready to emerge through the gums. If a child loses a tooth too early, before the permanent tooth is ready to erupt or if it is accidentally knocked out, or is removed by the paediatric dentist because of disease, the space must be saved. If teeth on either side of the open space encroach upon the empty space, there may not be room for the permanent tooth which might then erupt in an abnormal position or angle. Such maloccluded teeth are difficult to clean, have greater chances of becoming diseased, and later might require expensive and time-consuming orthodontic treatment.

All this can be prevented if the baby tooth is preserved for as long as possible.

5) Banking baby teeth!

It is a common practice for parents and children to save fallen or extracted baby teeth as a memory or for a friendly visit from the tooth fairy! Scientists, however, are advocating the same, but for a very different reason altogether.

It has now been proved that milk teeth are a rich source of Stem cells , which can be harvested and used to grow a multitude of other cells if needed. This means that if your child needs replacement tissue or a tissue transplant at some stage in the future, stem cells from their milk teeth could be used for the procedure!

Hence, as a decision maker for their children, it is essential that parents know just how vital an asset baby teeth are! All efforts must be directed towards keeping them healthy and cavity free so that they can be preserved till they shed off naturally. This will not only ensure a straighter smile but also a healthy mouth and a happy child!

About Our Clinic:

Reasons why extracting baby teeth or milk teeth should be a last resort:

1) Baby teeth are essential for chewing.

2) Speech and facial development

3) Overall personality development & self esteem:

4) They act as natural “Space Maintainers”

Baby teeth serve another very important purpose - they save space for the child's future permanent teeth.

A baby tooth usually remains in the child's mouth until a permanent tooth underneath it is ready to emerge through the gums. If a child loses a tooth too early, before the permanent tooth is ready to erupt or if it is accidentally knocked out, or is removed by the dentist because of disease, the space must be saved. If teeth on either side of the open space encroach upon the empty space, there may not be room for the permanent tooth which might then erupt in an abnormal position or angle. Such maloccluded teeth are difficult to clean, have greater chances of becoming diseased, and later might require expensive and time-consuming orthodontic treatment.

All this can be prevented if the baby tooth is preserved for as long as possible.

5) Banking baby teeth!

About Our Clinic:

When Should Children have their Baby Teeth Removed?

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Tue, 04 May 2021 06:03:55 GMT

Children’s first set of teeth are usually referred as “baby teeth”. They usually start emerging at age of 6 months and it takes up to 2- 3 year for all to come through. In general, the baby teeth will remain in the mouth for a period of 6-12 years, and help form a “pathway” for the new adult teeth that start to surface at 6-7 years, all the baby teeth will be replaced at about 12- 13 years old.

It is commonly believed that baby teeth should be allowed to shed on its’ own; not removed or extracted. Yes, this principle is right 80-90% of the time; however, there are exceptions.

Usually, baby teeth are only extracted if they are seriously damaged. In a serious injury, for example, baby teeth may be cracked, loosened, or impacted, and may need to be removed.

A baby tooth that is significantly decayed or infected may also require extraction. If a filling or a root canal is not enough to save it, extraction is preferable, because it will prevent infection from spreading to the rest of the mouth, and eliminate the pain and toothache that your child is experiencing.

Some instances where extraction is necessary:

Severe tooth decay or infection (Diagram 1). This is usually due to lack of proper oral hygiene care and poor diet. It could also be due to weak structure of the teeth at formative stage. See a child friendly orthodontist or dentist routinely and they will be able to advice and provide treatment before it’s too late.

“Stubborn” baby teeth that refuse to fall out even when it’s very loose. This can happen when the gum tissue is very fibrous or part of the baby tooth root is still rooted. Getting advice from the right professionals will be able to identify the problem and provide the right treatment or guidance.

Diagram 1

Diagram 2a

Diagram 2b

Diagram 3

Adult teeth surfacing at the wrong part of the mouth (Diagram 2a). This is called “ectopic eruption” of adult teeth. When this happens, the corresponding baby teeth will usually remain quite firm as their roots are not resorbed (refer to Diagram 2b) by the adult teeth, with no pressure exerted at the root level of the baby tooth from below pushing the baby teeth out.

Potentially missing adult tooth forming under the baby tooth (Diagram 3). This usually congenital and can remain undetected for many years. With no pressure exerted from the missing corresponding adult teeth underneath, the baby teeth can remain in the mouth for many years, until its broken or worn down. Baby teeth do not have the same tooth hardness (or durability) as adult teeth and it’s unable to replace any congenital missing adult teeth long term. If this problem is detected early, orthodontists can find ways to replace the missing adult tooth without utilizing means of artificial prosthetic replacement, like dental implants and bridge. The long term benefits of having a good set of natural teeth you own cannot be underestimated. It always pays off if the problem is detected early and you plan well for long-term sustainability well into the golden years.

You can be rest assured that your child’s dentist will never recommend an extraction of baby teeth if there is a less invasive option available to save the tooth and keep it in the mouth for as long as possible. However in any of the above situations, where it is necessary, the tooth must be pulled out at the earliest to prevent any infection to the permanent tooth present just below!

About Our Clinic:

It is commonly believed that baby teeth should be allowed to shed on its’ own; not removed or extracted. Yes, this principle is right 80-90% of the time; however, there are exceptions.

Usually, baby teeth are only extracted if they are seriously damaged. In a serious injury, for example, baby teeth may be cracked, loosened, or impacted, and may need to be removed.

Some instances where extraction is necessary:

About Our Clinic:

8 Situations Where A Child Orthodontist May Be Necessary

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Wed, 07 Apr 2021 11:50:23 GMT

Some situations that may warrant a specialist Orthodontic consultation at an earlier age:

If you notice that your child has:

Early or Late Loss of Baby Teeth

Baby teeth usually guide the eruption of the adult teeth. If they are lost very early, the adult teeth may not have sufficient space to erupt or may do so before their time. On the other hand, if baby teeth fail to shed beyond their normal time there may not be enough space for the incoming adult teeth and this can lead to “crowding” and t eeth can be in poor or pushed out of alignment completely.

Difficulty in Chewing or Biting , Biting into Cheeks or Palate

A discrepancy in size of teeth and jaws may result in the teeth constantly biting into the cheeks or palate resulting in redness or frequent ulcers which may be painful. You can look for signs such as the teeth not meeting normally when they bite down hence not being able to chew properly. Children not interested in food, or eating slowly could be other signs that may indicate a problem.

Thumb / Finger Sucking or Mouth Breathing

Most childhood habits such a s “Thumb sucking / finger sucking” or mou th breathing are harmless up to a certain age and most children will stop between the ages of 2-4. Beyond this age, they pose a number of problems such as dental- facial deformities, crooked teeth and improper growth and developmen t. Seek an orthodontist’s help t o break these habits as they are detrimental to your child with the help of habit-breaking appliances.

Problems with Pronunciation

Speech production and pronunciation of many words require the tongue and teeth working in harmony. Not being able to correctly pronounce some words or sounds like “S” or “T”, or frequently speaking with a lisp, are some signs of potential structural issues in the mouth which require orthodontic intervention . Some adaptive speech habits or behaviours may not be easily corrected later if the structural issues were not corrected at an early age. If you notice this, it is important to see any good orthodontist in Singapore early.

Excessive Overbite or Overjet

I t is fairly common to notice a lot of young children with “buck teeth” or “bunny teeth”. This is due to an increased Overjet or Overbite, which means that the front teeth are protruding outward more than they should be ( Overjet ) or they completely or nearly completely overlap the lower teeth ( Overbite ).

If an excess Overjet is not corrected by a good and specialized orthodontist in time, the child may be prone to fracture or chipping of the teeth even during minor falls. An overbite on the other hand may cause wear and tear of tooth enamel, pain and frequent biting of the lower lip.

New Erupting Teeth that are obviously Out of Alignment

These teeth may also appear to be not meeting properly. Normal daily activities like speaking and chewing can be affected, in some cases severe enough to affect the self-esteem and well-being of a child. Correction of irregular teeth early on can greatly reduce the time required for braces later on in life. It could also minimise the number of teeth extraction or removal later.

Lower Jaw Shifts Sideways when Talking or Biting

An indication that there may be some developmental issues and if left untreated, it may be more difficult or complex to rectify in future. You may want to seek the opinion of the best specialist orthodontist in town for advice as it can be complicated.

Face or Jaws looks Too Long or Too Short

This can be due to jaw size and teeth that are not proportional to the rest of the teeth and face. Any such discrepancies can cause a number of orthodontic problems not only affecting the teeth but also the facial structure of a person. Luckily an orthodontist can foresee such problems, provide recommendations and rectify them in a timely manner.

To get these conditions checked by an orthodontist with a special interest in paediatric dentistry, schedule your orthodontic consultation today with Dr. Catherine Lee.

About Our Clinic:

Some situations that may warrant a specialist Orthodontic consultation at an earlier age:

If you notice that your child has:

Early or Late Loss of Baby Teeth

Difficulty in Chewing or Biting , Biting into Cheeks or Palate

Thumb / Finger Sucking or Mouth Breathing

Problems with Pronunciation

Speech production and pronunciation of many words require the tongue and teeth working in harmony. Not being able to correctly pronounce some words or sounds like “S” or “T”, or frequently speaking with a lisp, are some signs of potential structural issues in the mouth which require orthodontic intervention. Some adaptive speech habits or behaviours may not be easily corrected later if the structural issues were not corrected at an early age. If you notice this, it is important to see any good orthodontist in Singapore early.

Excessive Overbite or Overjet

New Erupting Teeth that are obviously Out of Alignment

Lower Jaw Shifts Sideways when Talking or Biting

Face or Jaws looks Too Long or Too Short

To get these conditions checked by an orthodontist with a special interest in paediatric dentistry, schedule your orthodontic consultation today with Dr. Catherine Lee.

About Our Clinic:

Why Should Children Have a Check Up with an Orthodontist by Age 7?

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Tue, 16 Feb 2021 11:56:59 GMT

Are you putting off your child’s visit to the orthodontist till all their baby teeth fall out? Then you have got it all wrong! Your child may miss out their orthodontics “Golden Window of Opportunity”.

Some interesting facts about our teeth:

Humans have two (2) sets of teeth in their lifetime: Deciduous teeth (commonly known as milk teeth or baby teeth) and its adult counterpart, Permanent (Adult) teeth.

The first adult tooth erupts at about 6-7 years of age, starting with the first molars and incisors.

A Transition period of about 6 years exists between 6-12 years old wherein all the deciduous teeth fall off to make space for the erupting adult teeth.

Don’t miss the “Golden window of Opportunity”

It is this six (6) year teeth transition period that I refer to as the “Golden window of Opportunity” as it is the most crucial period for an orthodontist. As the teeth are changing, the jaw bones are also constantly growing and accommodating.

At this stage, an experienced or good orthodontist can predict problems even before they have appeared. If orthodontic treatment is in fact needed then the possible results achieved at this age will be much better, faster with more desirable outcomes as compared to treatment done at a later age when growth is completed.

Get an Early Start!

If the child is pain free with no problem eating and without any obvious irregularities in their teeth or facial structure , most parents tend to hesitate to seek a good orthodontist’s opinion or advice. They often think of it as a non-urgent situation which can be handled as and when problems appear. “We’ll wait for all the baby teeth to fall out first” or “Better to wait till all adult teeth come in first”. Most often, parent and general dentists wait until all the baby teeth have fallen out before seeking for an orthodontic consultation.

However this could be the biggest mistake that could be made. Orthodontists are dental specialists trained to look out for potential future problems that don’t even exist yet. With their comprehensive training beyond dental school, they may be able to cut down greatly on treatment time, cost and severity if the problems are caught early enough.

According to the American Dental Association (ADA) , any abnormalities in teeth or the bite will usually become noticeable between the ages of 6 to 12. This is why the American Association of Orthodontists (AAO) has set a gold standard recommendation: Your child’s first orthodontic visit should be no later than age 7 .

What are the benefits of early treatment or intervention?

As a parent, we are constantly worried about our child’s well-being and we do everything in our power for them to have a comfortable life and normal growth and development. Healthy teeth and a pleasant smile are one of the few basics that every child must be able to enjoy.

A n early orthodontic check-up will help n ot only your child, but also an orthodontic specialist anticipate and detect any existing problems, advise necessary treatment and determine the best time to treat the patient.

These benefits include, though are not limited to guiding the growth of the jaws, preserving the available space, prevent fracture of front teeth sticking out too far, correct harmful habits and speech problems, shorten treatment time and improve overall appearance and self-esteem.

So schedule you r orthodontic consultation today!

About Our Clinic:

Some interesting facts about our teeth:

Humans have two (2) sets of teeth in their lifetime: Deciduous teeth (commonly known as milk teeth or baby teeth) and its adult counterpart, Permanent (Adult) teeth.

The first adult tooth erupts at about 6-7 years of age, starting with the first molars and incisors.

A Transition period of about 6 years exists between 6-12 years old wherein all the deciduous teeth fall off to make space for the erupting adult teeth.

Don’t miss the “Golden window of Opportunity”

Get an Early Start!

What are the benefits of early treatment or intervention?

So schedule you r orthodontic consultation today!

About Our Clinic:

Dental Visits During COVID-19: What to Know (Updated)

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Thu, 28 Jan 2021 10:06:17 GMT

This article was updated 31 May 2021

Essential Tips for Emergency Dental Visits for Children During COVID-19 Pandemic Lockdown

As a result of the Covid-19 pandemic, many countries around the world have imposed deferment of all non-emergency or routine dental care. Wondering how this is affecting you and your family?

What is a Dental Emergency?

A dental emergency is any pain, infection, broken teeth, fillings, braces, wire poking or retainers causing pain interfering with daily lives are considered as dental emergency.

Avoiding hot or cold foods
Loss of appetite
Keeps touching his/her face or mouth
Crying more than usual, at trivial matters
Disturbed sleep, inability to wake up in the morning
Constantly putting finger/foreign objects in the mouth
Not focused on studies or daily activities
Bad breath that won’t go away despite brushing
Bleeding gums or blood while brushing
Ulcers forming in the mouth

How to prepare your child for a visit to the kid’s dentist?

It becomes inherently important then, that you should be prepared and your children are informed and made to understand the following changes prior to your emergency dental visit:

The dentist and staff may be wearing oversized gowns (PPE’s), masks, head caps, face shields etc. which may look scary at first, however they are still your friendly dentist beneath all those layers. Assure your child that all this is needed for their protection and they should not be alarmed.
Prepare to come in 10-15 minutes before your appointment. There will be a screening process before you and your child are able to enter the clinic area. Health declaration, temperature checks, contact tracing registration, hand sanitizing with alcohol based sanitizers, barrier outerwear may also be required in some establishments. Face mask wear is mandatory.
The waiting room may not be the same comforting zone with magazines, video games, toys or a play area that you and your child are used to. Physical barriers such as glass or plastic windows may be installed.
Older children who can should come into the clinic alone. Younger children or patients with special needs may be accompanied by just one other person. All other accompanying person should wait in their car or outside the clinic to help reduce the number of people in clinic.
In the treatment area, only one patient will be seen at one time, with a maximum of one accompanying person (and only if absolutely necessary).
Crowd management and social distancing of at least 1m apart will be practised extensively in the clinic.
In the treatment room, before the dentist starts any physical examination, a one-minute medicated mouth rinse will be required to help reduce the microbes in the mouth. This will reduce the exposure to dentist and health care workers.
Dentists and nurses will be in full PPE attire, including wearing of N95 masks, goggles and face shield.
For aerosol generating dental procedures, very loud high volume suction machines may be fitted in the treatment rooms to reduce aerosol generation.
Make sure you or your child has brushed their teeth, is well rested and well fed before coming in.
It is mandatory for clinicians to practice safe time intervals between patients in Singapore: 15 mins (Non aerosol generating procedures), 45 mins (aerosol generating procedures). This would allow proper disinfection and prevent potential cross infection between patients. These processes cannot be rushed. To minimise any disruption and delay in your treatment, ensure you arrive 10-15 minutes to complete your health declaration and screening before your appointment time.

Want to avoid an unnecessary trip to the dentist? Start by looking after your child’s teeth at home!

Working from home and online or home-based learning has increased the time both parents and children spend at home.

This can be achieved by taking extra care of your and your child’s teeth at home. Make sure you and your family are:

Eating healthy and well
Control sugar and carbohydrate intakes and reduce snacking between main meals.
Flossing and Brushing with fluoride toothpaste at least twice daily, most important brush is at night before sleep
Rinsing after meals, especially after intake of sugar rich food and drinks.

What if I or one of our close family members is unwell? Can my child or I still attend the Emergency Dental Appointment?

If you or anyone in your family is not feeling well with any COVID-19 virus type of symptoms (fever, dry cough, tiredness etc.):

See a medical doctor immediately.
To help support the safety of everyone around at the dental office, call the clinic and reschedule your child’s appointment to at least 2-3 weeks later.
Try to do self-quarantine or self-isolation to minimise the spread of the infection, even if it’s a not a COVID-19 virus infection.
If your child is in pain, a virtual consultation or tele-consultation with the dentist can be arranged to assess the situation. The dentist will be able to recommend the next course of action accordingly.

Vaccinate, Vaccinate, Vaccinate! Get your family members vaccinated as soon as possible. Continue practicing social distancing, minimise gathering in large groups, wearing protractive face mask, and practice hand good hygiene… sanitize, sanitize, sanitize.

The last but not least….

Do you know that COVID-19 virus’s official scientific name is SARS-CoV2. Sounds familiar? Yes, this is because COVID-19 virus is a genetic cousin of the infamous notorious coronavirus which caused the SARS outbreak in 2002 (SARS-CoV)! So let’s not put our guard down as the pandemic is not over yet. Protect our family and children, stay vigilant, and stay safe.

This article was updated 31 May 2021

Essential Tips for Emergency Dental Visits for Children During COVID-19 Pandemic Lockdown

As a result of the Covid-19 pandemic, many countries around the world have imposed deferment of all non-emergency or routine dental care. Wondering how this is affecting you and your family?

What is a Dental Emergency?

A dental emergency is any pain, infection, broken teeth, fillings, braces, wire poking or retainers causing pain interfering with daily lives are considered as dental emergency.

Avoiding hot or cold foods
Loss of appetite
Keeps touching his/her face or mouth
Crying more than usual, at trivial matters
Disturbed sleep, inability to wake up in the morning
Constantly putting finger/foreign objects in the mouth
Not focused on studies or daily activities
Bad breath that won’t go away despite brushing
Bleeding gums or blood while brushing
Ulcers forming in the mouth

How to prepare your child for a visit to the kid’s dentist?

It becomes inherently important then, that you should be prepared and your children are informed and made to understand the following changes prior to your emergency dental visit:

The dentist and staff may be wearing oversized gowns (PPE’s), masks, head caps, face shields etc. which may look scary at first, however they are still your friendly dentist beneath all those layers. Assure your child that all this is needed for their protection and they should not be alarmed.
Prepare to come in 10-15 minutes before your appointment. There will be a screening process before you and your child are able to enter the clinic area. Health declaration, temperature checks, contact tracing registration, hand sanitizing with alcohol based sanitizers, barrier outerwear may also be required in some establishments. Face mask wear is mandatory.
The waiting room may not be the same comforting zone with magazines, video games, toys or a play area that you and your child are used to. Physical barriers such as glass or plastic windows may be installed.
Older children who can should come into the clinic alone. Younger children or patients with special needs may be accompanied by just one other person. All other accompanying person should wait in their car or outside the clinic to help reduce the number of people in clinic.
In the treatment area, only one patient will be seen at one time, with a maximum of one accompanying person (and only if absolutely necessary).
Crowd management and social distancing of at least 1m apart will be practised extensively in the clinic.
In the treatment room, before the dentist starts any physical examination, a one-minute medicated mouth rinse will be required to help reduce the microbes in the mouth. This will reduce the exposure to dentist and health care workers.
Dentists and nurses will be in full PPE attire, including wearing of N95 masks, goggles and face shield.
For aerosol generating dental procedures, very loud high volume suction machines may be fitted in the treatment rooms to reduce aerosol generation.
Make sure you or your child has brushed their teeth, is well rested and well fed before coming in.
It is mandatory for clinicians to practice safe time intervals between patients in Singapore: 15 mins (Non aerosol generating procedures), 45 mins (aerosol generating procedures). This would allow proper disinfection and prevent potential cross infection between patients. These processes cannot be rushed. To minimise any disruption and delay in your treatment, ensure you arrive 10-15 minutes to complete your health declaration and screening before your appointment time.

Want to avoid an unnecessary trip to the dentist? Start by looking after your child’s teeth at home!

Working from home and online or home-based learning has increased the time both parents and children spend at home.

This can be achieved by taking extra care of your and your child’s teeth at home. Make sure you and your family are:

Eating healthy and well
Control sugar and carbohydrate intakes and reduce snacking between main meals.
Flossing and Brushing with fluoride toothpaste at least twice daily, most important brush is at night before sleep
Rinsing after meals, especially after intake of sugar rich food and drinks.

What if I or one of our close family members is unwell? Can my child or I still attend the Emergency Dental Appointment?

If you or anyone in your family is not feeling well with any COVID-19 virus type of symptoms (fever, dry cough, tiredness etc.):

See a medical doctor immediately.
To help support the safety of everyone around at the dental office, call the clinic and reschedule your child’s appointment to at least 2-3 weeks later.
Try to do self-quarantine or self-isolation to minimise the spread of the infection, even if it’s a not a COVID-19 virus infection.
If your child is in pain, a virtual consultation or tele-consultation with the dentist can be arranged to assess the situation. The dentist will be able to recommend the next course of action accordingly.

The last but not least….

How to Visit a Dentist Safely During COVID-19? (Updated)

enquiries@drcatherineleeorthodontics.com (Intercept Healthcare) — Thu, 28 Jan 2021 10:06:15 GMT

Updated on 31 May 2021

What should I be looking out for?

Since the first outbreak, Covid-19 virus has not only brought the whole world to a standstill, but also brought with it an abundance of confusion. With continuous mutation of the virus and the spread of new variants (UK, South Africa, India etc.), there is still no end in sight.

We all have to get used to the “new norm” as long as Covid-19 infections are still rampant in other parts of the world, and at the same time, continue to carry on with our daily lives and get our (and our kids') dental health sorted as much as possible. So do you know how to choose a dental clinic safely to protect your loved ones from the ever-changing landscape? If you or your child has some dental problem, is it safe to visit a dentist now ? Are you anxious about going to the dentist during this time, when the coronavirus is still part of our everyday life?

How to choose a dental clinic safely?

Call ahead and ask the clinic questions before deciding. It can be like the questions outlined below:

Is the dental clinic following the latest guidelines set out by your local health authorities, like Ministry of Health (MOH) in Singapore, or CDC (Centers for Disease Control and Prevention) in the US?
How will you ensure my child’s safety?
Does the clinic conduct Virtual consultation or tele-consultations?
Does the clinic conduct tele-screening of all patients prior to the visit?
How is the dental team monitoring themselves and other patients?
Is there any additional ventilation system or installation of heavy duty high volume suction machines to prevent the spread of aerosol that is usually generated by dental equipment? Any HEPA-filter or air purifier installed?
What additional infection control measures has the clinic implemented?
How does the clinic clean up the equipment, treatment chairs, and disinfection of the room after each patient? What about high touch point areas?
What additional safety-precautions is the clinic taking?
What advice do I get to prepare myself or my child for the dental visit?

How to prepare your child for a Dental visit?

In some countries or states with lower or no local community spread, many dental clinics may be more relaxed with their safety measures. Bear in mind that the COVID-19 virus (and its variants) is still a threat in many parts of the world; it is still advisable that you are aware of the safety-protocols that need to be in place to protect you and your family.

The use of Personal Protection Equipment (PPE)
Prepare to come in 10-15 minutes before your appointment for pre-screening. Health declaration, temperature checks, contact tracing registration, hand sanitizing is required. Surgical face mask wear is mandatory at all times.
Only one accompanying person, parent or caretaker will be allowed to accompany the patient. Older children should be prepared to go in alone. Other accompanying persons should be prepared to wait in outside the clinic.
Ask your dentist beforehand if you can accompany your child all the way into the procedure room or not. Some practices ( like ours ) have installed video cameras so parents can watch their child if they’re not allowed inside.
Carry a toy or a book to keep your child engaged so they don’t get nervous.
A one-minute medicated mouth rinse prior to any dental procedure to minimise bacterial load and spread. Children may be advised to brush their teeth before coming into the office.
Rubber dams and effective high volume suction may be used during the procedure to minimise aerosol generation which maybe louder and stronger than what your child is used to. Make sure they are aware and comfortable before they go in.
To minimize the number of appointments, dentists may perform multiple procedures in a single sitting which may result in a longer than usual appointment. Be sure that your child is well fed and the appointment is at a time they are less likely to be cranky.

What if I or one of our close family members is unwell?

If you or anyone in your family is feeling sort of unwell, with any mild flu-like or Covid-19 virus type symptoms (fever, dry cough, tiredness etc.):

See a medical doctor immediately.
To help support the safety of everyone around at the dental office, call the clinic and reschedule your child’s appointment to 2-3 weeks later.
Try to do self-quarantine to minimise the spread of the infection, even if it’s a not a COVID-19 virus infection.
If your child is in pain, a virtual call with the dentist can be arranged to assess the situation and recommend the next course of action accordingly.

Vaccinate, Vaccinate, Vaccinate! Get your family members vaccinated as soon as possible. Continue practicing social distancing, minimise gathering in large groups, wearing protective face masks, and practice hand good hygiene… sanitize, sanitize, sanitize.

The last but not least….

Do you know that COVID-19 virus’s official scientific nam e is SARS-CoV2 . S ounds familiar? Yes, this is because COVID-19 virus is a genetic cousin of the infamous notorious coronavirus which caused the SARS outbreak in 2002 (SARS-CoV)! So let’s not put our guard down as the pandemic is not over yet. Protect our family and children, stay vigilant, and stay safe.

About Our Clinic:

Updated on 31 May 2021

What should I be looking out for?

How to choose a dental clinic safely?

Call ahead and ask the clinic questions before deciding. It can be like the questions outlined below:

Is the dental clinic following the latest guidelines set out by your local health authorities, like Ministry of Health (MOH) in Singapore, or CDC (Centers for Disease Control and Prevention) in the US?
How will you ensure my child’s safety?
Does the clinic conduct Virtual consultation or tele-consultations?
Does the clinic conduct tele-screening of all patients prior to the visit?
How is the dental team monitoring themselves and other patients?
Is there any additional ventilation system or installation of heavy duty high volume suction machines to prevent the spread of aerosol that is usually generated by dental equipment? Any HEPA-filter or air purifier installed?
What additional infection control measures has the clinic implemented?
How does the clinic clean up the equipment, treatment chairs, and disinfection of the room after each patient? What about high touch point areas?
What additional safety-precautions is the clinic taking?
What advice do I get to prepare myself or my child for the dental visit?

How to prepare your child for a Dental visit?

The use of Personal Protection Equipment (PPE)
Prepare to come in 10-15 minutes before your appointment for pre-screening. Health declaration, temperature checks, contact tracing registration, hand sanitizing is required. Surgical face mask wear is mandatory at all times.
Only one accompanying person, parent or caretaker will be allowed to accompany the patient. Older children should be prepared to go in alone. Other accompanying persons should be prepared to wait in outside the clinic.
Ask your dentist beforehand if you can accompany your child all the way into the procedure room or not. Some practices ( like ours ) have installed video cameras so parents can watch their child if they’re not allowed inside.
Carry a toy or a book to keep your child engaged so they don’t get nervous.
A one-minute medicated mouth rinse prior to any dental procedure to minimise bacterial load and spread. Children may be advised to brush their teeth before coming into the office.
Rubber dams and effective high volume suction may be used during the procedure to minimise aerosol generation which maybe louder and stronger than what your child is used to. Make sure they are aware and comfortable before they go in.
To minimize the number of appointments, dentists may perform multiple procedures in a single sitting which may result in a longer than usual appointment. Be sure that your child is well fed and the appointment is at a time they are less likely to be cranky.

What if I or one of our close family members is unwell?

If you or anyone in your family is feeling sort of unwell, with any mild flu-like or Covid-19 virus type symptoms (fever, dry cough, tiredness etc.):

See a medical doctor immediately.
To help support the safety of everyone around at the dental office, call the clinic and reschedule your child’s appointment to 2-3 weeks later.
Try to do self-quarantine to minimise the spread of the infection, even if it’s a not a COVID-19 virus infection.
If your child is in pain, a virtual call with the dentist can be arranged to assess the situation and recommend the next course of action accordingly.

Vaccinate, Vaccinate, Vaccinate! Get your family members vaccinated as soon as possible. Continue practicing social distancing, minimise gathering in large groups, wearing protective face masks, and practice hand good hygiene… sanitize, sanitize, sanitize.

The last but not least….

Do you know that COVID-19 virus’s official scientific nam e is SARS-CoV2 . S ounds familiar? Yes, this is because COVID-19 virus is a genetic cousin of the infamous notorious coronavirus which caused the SARS outbreak in 2002 (SARS-CoV)! So let’s not put our guard down as the pandemic is not over yet. Protect our family and children, stay vigilant, and stay safe.

About Our Clinic: