Saturday, July 17, 2010

Dental Specialist

DOKTOR GIGI pun ada specialist jgk ke??”..

Adooiii.. slalu dah dpt soalan camni dr kwn2..

Mmg sebelum ni pun.. sblm fa amek kos ni.. xpnah tau lak doktor gigi ni ade specialist..yg tau..CABUT GIGI.. SIMEN GIGI.. CUCI GIGI.. abes2 pun.. pkai BRACES.. kebanyakkan org awam xtau pasal pakar dlm dentistry ni kan..

The GENERAL dentist is qualified to carry out most dental yang fa ckp td.. but a patient may be referred to a SPECIALIST for a second opinion or when the treatment seems to require specialised KNOWLEDGE and SKILL..


Patients should visit the dentist EVERY 6 MONTHS for a dental check-up(rasenye..ramai yg dtg hanye bile skt kan??), which may include routine dental x-rays and a scale and polish treatment.

1. Some dentists employ DENTAL HYGIENISTS for the cleaning, scaling(cuci gigi) and polishing of teeth. Others perform this procedure themselves.
2. Dentists are qualified to diagnose dental problems and treat patients of all ages.
3. If necessary these will be referred to a specialist dentist.
4. Fillings(tampal), extractions(cabut gigi), root canal treatments(rawatan akar), replacement crowns, bridges, veneers, dentures(gig palsu) and other treatments, are routinely undertaken by a general dentist.
5. The dentist can administer a local anaesthetic(LA) (injection especially for tooth extraction), but general anaesthesia(GA) must be administered by a specialist anaesthetist, in a specially equipped theatre

After obtaining a BASIC DEGREE in dentistry(fa kat USM.. 5 thun).. a dentists have to complete at least another two years of training and may choose to specialise in any of the following fields:

•Oral Surgery
•Paediatric Dentistry
•Oral Medicine and Oral Pathology
•Dental Public Health
•Restorative Dentistry


Name pun anything involve with surgical approach to the head & neck.. doktor gigi la yang wat..These specialists deal with difficult extractions, such as the removal of impacted wisdom teeth (gigi geraham bongsu)..

•They also perform surgery on other parts of the face and mouth
•Tumours are removed from the head, neck, mouth and face.
•Jaws can be re-aligned by surgery.
•Implants are placed in the jaw to make tooth reconstruction possible.

These implants will be used to support replacement crowns, bridges, or dentures.


Sebut sal ortho je.. perkare ptame terlintas..mest braces kan.. actually..Orthodontists straighten teeth and correct the alignment of teeth and jaws...

•This improves both the function and the appearance of the teeth.
•When there is crowding (gigi bertindih) the orthodontist may need to extract some teeth.
•Wires, rubber bands and various other devices are used to move teeth into their correct alignment.
•Most orthodontic patients are children and adolescents.
•Increasingly, however, adults are having the function and appearance of their mouths improved by orthodontics

Bukan semue just utk esthetic ke cantik je.. tp juge utk memperbaiki struktur gigi utk kesihatan gigi yg optimum & keselesaan..


Snang ckp..gigi palsu.. sebetulnye.. sume doktor gigi blaja utk buat gg palsu.. just dlm makmal.. technician yg lebih arif dlm pembuatan gigi palsu yg cantik.. bidang prgigian ni bsar.. bkn doktor je main peranan.. nurse..juru teknik.. ramai lg yg main peranan penting..

Prosthodontists are dentists who specialise in the repair or replacement of worn, broken or missing teeth...

•Prosthodontists design and place crowns, bridges and dentures. These may be supported by implants, as well as by the remaining natural teeth.
•A dental technician (not a dentist or dental specialist) makes these crowns, bridges and dentures from impressions of the patient's mouth and teeth taken by the prosthodontist


Haa..ini pulak.. RCT (Root Canal Treatment)la plg glamer.. yg bese dikaitkan ngn kos treatment yg mahal,, hehe.. actually.. endodontics are specialists who treat the nerves and blood vessels inside the tooth...

•They treat conditions caused by injury or disease.
•The most common treatment by an endodontist is a root canal treatment(RCT).
•This involves removing dead or diseased tissue from the root canal, filling it with a special material, and then sealing it to prevent infection.
•This procedure can save a tooth which would otherwise have to be extracted.
•Endodontists also perform operations such as amputating a root from a multi-rooted tooth, or removing the tip of a root (apicectomy).

Jadi..bukan smue gg yg nmpknye rosak..perlu dicabut.. bnyk lg alernative lain yg mampu kekalkan gg ditempatnye..,hilangkan rase skt.. dan CANTIK!


These are paediatric dentists that specialise in the treatment of children...

Bukan doktor perubatan je de paedriatic.. dentistry jugak ade..malah..lebih susah lg utk suruh kanak2 ni utk buke mulut dpn dentist yg kononnye akan gerudi gg org ni..hehe.. even adult pun takot.. apetah kanak2 kan.. tp sebenarnye... kanak2 sepatutnye dibawa jmpe doktor gg bermule sjak berumur 6 bln atau biasanye setahun.. which the 1st time tooth will erupt..

•Paedodontists treat children from the age of one to adolescence or early adulthood.
•They are trained to recognise early problems and to predict potential problems from early symptoms.
•They will watch for decay, crowding, teeth out of position, injury or disease.
•Knowledge of child psychology enables the paediatric dentist to treat nervous and anxious children sensitively


Periodontists are dentists who specialise in diagnosing and treating conditions of the gums, bone and other tissues surrounding and supporting the teeth... Masalah ngn gusi..

•These conditions may be caused by disease or injury.
•Periodontists treat gingivitis and periodontitis.
•They may graft gum tissue or bone where these have been destroyed.
•They may place implants in the jaw to support tooth replacements.
•The repairing or reconstructing of supporting tissues saves teeth that would otherwise loosen, fall out or be extracted.


Oral medicine is..

•concerned with diagnosis and non-surgical management of non-dental pathology affecting the oral and maxillofacial region, such as oral lichen planus, Behçet's disease and pemphigus vulgaris.
•involves the diagnosis and follow-up of pre-malignant lesions of the oral cavity, like leukoplakia or erythroplakia.
•managing the oral condition of medically compromised patients. For example, cancer patients who suffer from related oral mucositis, bisphosphonate-related osteonecrosis of the jaws or oral pathology related to radiation therapy.
•diagnosis and management of dry mouth conditions, such as Sjögren's syndrome, and non-dental chronic orofacial pain conditions, such as burning mouth syndrome, trigeminal neuralgia and temporomandibular joint dysfunction.

So..pape penyakit sistemik yg melibatkan penyakit oral.. ni la specialist yg perlu anda cari~~


Dental public health is involved in the assessment of dental health needs and improving the dental health of populations rather than individuals. Yang mcm program ke skolah..ajar gosok gg.. sume 2.. under mereke ni la.. menarik kan.. kerje2 kemasyarakatan..

One of the controversial subjects relating to dental public health is Fluoridation of drinking water.

Do u know?? Kelantan adalah antara negeri di semenanjung Malaysia yg xde water fluoridation..n this make.. Kelantan ade kadar caries yg plg tinggi di Malaysia..hmmm.. somebody should figure this out n solves this prob ASAP~


Restorative dentistry is the study, diagnosis and integrated management of diseases of the teeth and their supporting structures and the rehabilitation of the dentition to functional and aesthetic requirements of the individual...

•concerned with the teeth, oral cavity, and associated structures, including prevention, diagnosis, and treatment of disease and restoration of defective or missing tissue.
•the work done by dentists, e.g., the creation of restorations, crowns, and bridges, and surgical procedures performed in and about the oral cavity.

Bidang ni.. lebih tertumpu pd pencegahan n membaik pulih gg yg berpotensi utk rosak.. tampal gigi secare mudahnye.. yg kebiasaannye.. amalgam (yg warne silver or hitam 2).. atau tooth coloured filing.. yg warne same mcm warne gigi terutamanye utk gigi depan.. tp slalunye.. general dentist pun buat bende ni,.even mane2 klinik swasta,..perkhidmatan ni yg plg popular,, jus utk certain condition.. a specialist is needed..

Jadi.. mesti dah dpt gambaran ape yg doktor gigi ni buat kan.. no wonder dentistry course take 5 years or more.. bkn nk blaja cabut gg tampal gg je.. so many other things beyond ur imagination..

Sbgai student from USM.. we have to learn medical aspect together with dental aspect within 5 years,, why? Sebab xde org dtg klinik bwk kepale atau mulut shj utk dirawat.. :p


_ said...

Fluorides SHOULD NOT be put into drinking water as the compounds themselves are toxic even in small amount .. It can cause some long term health effects ..

( Flourin lagi reaktif dari klorin !! )

Baca :

Negara2 maju pun dah banyak yang nak reconsider pasal penggunaan fluoride nih .. Malah, banyak yang dah berenti pun dari bubuh fluoride dalam drinking water ..

So, kenapa mesti Kelantan ikut negeri lain ??

Dah cukup sekadar ada fluoride dalam ubat gigi .. itu pun tak sedikit yang duk pertikai tahap keselamatan fluoride dalam ubat gigi ..

Org yg kena karies gigi adalah org yg tak gosok gigi sebenarnya ... dan orang yang tak jaga makan sama ada makan banyak gula atau tak makan seimbang ..

Perkaitan dengan air yang ada fluoride adalah negligible ...

I am totally against fluoridation !!

fa said...

Im a dental student.. learning dentistry.. not from a book.. or from sum1... its worldwide education and flouridation is a worldwide issue.. im not buyers..research will never stop..

from statistic.. kelantan among negeri yg plg bnyk kes caries.. why u think? sume org klntn xgosok gg ke? flouridation MIGHT be a factor that agak anda pun org klntn.. n sy skrg belajar di universiti di kelantan..

I guess u noe a lot about flouridation.. why dont u share knowledge dat u have here..belajar bukan takat menerima bulat2.. we share..

Karies.. sbb xgosok gg, mkn bnyk gula, xmkn mknn seimbang..?? How far do u noe bout caries?sy pun nk tau jgk.. im still learning..

kokoro said...

Fluoridation..too many points of view,some parties are againts it,some are not.Sabah used to stop it(due to financial issue,perhaps) and as expected caries rate was extremely high ,gradually.
If you want to cite something to cover your back,please make sure it is from reliable literatures.It has been proved that , of course you may die if you drink the fluoridated tap water , but you will die because of fluid overload not due to fluoride toxicification it self.Not all Malaysians can afford to buy toothpaste.Do you now even without toothpaste you are still able to clean your teeth effectively? Thanks to the fluoridation.You can't really compare Malaysia to some other countries..They are different.
Caries need fluoride in order to remineralize.We should be thankful as we don't need to buy fluoride supplements

fa said...

thanks 4 ur comment kokoro =)

SaFiy iSkandAr said...

I'm a dental student, yet still confused when i've to promote flouridated toothpaste during OHI in DPH session while Muslim product eg Mu'min opposed the usage...for time being, i'm not really agree with the statement that no water flouridation in Kelantan leads to high prevalence of dental point is the attitude that make the statistics...

fa said...

sorry for a late reply..may i noe which dental school are u from? n in what year? jus wanna know what u had been taught so far..sharing ideas=)

im a dental student from USMKK, yes, fluoridation is a big issue that still under research.. but as i was taught in here(Kelantan itself) and from the patient i meet everyday,we can owez make a conclusion.. by evidence..

USM dental school only suggest fluoridated toothpaste for our community, not by brand.. its according to study done about role of fluoride..(i think u oso noe that 2).. n so far, no evidence describe bout the disadvantage of fluoride usage.. if it is in used as suggested..

kelantan didnt have water fluoridation, n maybe.. the attitude itself oso contribute for caries.. caries is not only depends on fluoride.. but it MAY CONTRIBUTE.. my article is all from research,n evidence based..

Anonymous said...

kelantan do have water fluoridation..currently ade kat kota bharu,pasir mas n machang

fatin aqilah said...

hai..nak tanya..kalau gigi itu rosak akar adakah masih boleh dirawat. sebab gigi yang akar rosak tu seolah2 jatuh,,bolehkah saya buat rawatan akar dan memakai braces untuk samakan kembali gigi saya..please..

fa said...

fatin aqilah.. sorry lmbt ngat reply.. dah jarang on9 blog ni..
kalau gigi rosak akar n struktur luar gigi nmpk still ok utk ditampal, biasenye bule je wat rwtn akar.. utk pkai braces, terpulang pd tahap kronik susunan gigi, sbb kalau sikit2, disarankan utk xbuat sbb kene pertimbangkan kesan sampingannye nant.. nanti jmpe dr gigi di klinik, mntk pendapatnye k.. sbb perlu lihat dgn mate sndiri utk decide..

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