Fixing a ‘broken’ smile: Dr Mawarni
Biah is my patient from Brunei. She came to Kuala Lumpur (KL) for a short vacation with her whole family. She took the opportunity to have her teeth checked as she wanted to look good for her brother’s wedding that was due soon.
Like most of our patients, her sister stumbled upon our social media page and came across a few Brunei people who had came to do treatment here as well. Her sister then emailed me on her behalf to inquire on a few things and finally made an appointment for Biah.
Later on her appointment day, she was eager to correct her front tooth first. The reason behind she came to do in KL was also because the waiting list in Brunei’s government dental clinic is too long.
As you could see from the photo below, she came with rotten and broken upper right central incisor. Initially, she thought the tooth was not savable and extraction was needed to replace it.
The tooth was infected, grayish and only 1/3 of the crown left. I explained a few options for her to choose.
Since her time in KL was very limited, she could not afford to come back a few times in a short interval.
We finally agreed to root treat and crown (cap) the front tooth. This was to ensure the discoloration was masked and the tooth will be protected from further fracture.
The crown treatment requires a minimum of 2 visits. During the first visit, I trimmed the tooth to become small, took her teeth impression and send to the lab for technician to fabricate the crown.
The technician usually requires a week to complete the permanent crown. An additional fee is needed if the case requires immediate placement in less than a week.
So, meanwhile Biah used her temporary crown and went back to Brunei.
I reminded her from time to time to replace her temporary crown with the permanent one through email.
Finally, after one year she came back to KL to get her permanent crown cemented. I am glad that everything went smoothly.
I was worried there might be micro leakage of bacteria in between her dental visits as temporary crown is not strong and could chipped without her realizing.
To patients who are wearing temporary crowns/ bridges in your mouth, do remember that it is meant for temporary. With time, the saliva could dissolve the temporary cements.
Hence, it will put the tooth/ teeth underneath the temporary prosthesis to decay and subject it to more complicated problems.
In Biah’s case, long distance was a major factor for her delay. I truly understand her condition. I appreciate that she put her trust in me to complete her case despite having to fly all the way from Brunei to get her teeth done.
If you have the same problem as Biah, or know somebody who need such treatments, ask them to make appointment with me for consultation or drop me an email inquiry at firstname.lastname@example.org I am more than pleased to help. =)