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22 Dec 2011

I am terrified of needles but I still want to pursue Botox injections.

Written by Dr. Chaw Su Kyi on December 22, 2011

I am terrified of needles but I still want to pursue Botox injections. I think that is the best way to treat my frown lines from what I have read online. Do the injections hurt? If so, is there any topical anesthetic that you can give me so that they don't.

Sorry to hear about your fear, but please be assured we don't think any of our patients 'look forward' to that part of the procedure! Quite a number of our patients have similar concerns. The first thing to say is we are able to put some local numbing anaesthetic cream on your skin beforehand so you won't be able to feel anythin...

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21 Oct 2011

I have very crooked teeth. Is fixing them only a matter of aesthetics?

Written by Dr. Chaw Su Kyi on October 21, 2011

I have very crooked teeth. Is fixing them only a matter of aesthetics? Is there any health concerns associated with crooked teeth?

When teeth are overlapping or crooked they can be a potential plaque trap and food may get caught between the teeth when eating. Without regular tooth brushing and flossing it can act as a plaque trap with a risk of decay or gum disease. Having straighter teeth reduces the potential of this plaque trap and the teeth are easier t...

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20 Oct 2011

Will braces help at all with the overbite?

Written by Dr. Chaw Su Kyi on October 20, 2011

I have an overbite and crooked teeth. Will braces help at all with the overbite?

Yes, brace treatment would most definitely help correct the overbite. Fixed braces work by producing gentle forces to guide the teeth into the correct positions. By moving the teeth into their ideal positions, the overbite can be corrected along with straightening the teeth. ...

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19 Oct 2011

I’m an adult and I’m interested in getting braces

Written by Dr. Chaw Su Kyi on October 19, 2011

I’m an adult and I’m interested in getting braces. Are there any options for braces that can straighten my teeth in a short period of time?

There have been some great advances made in orthodontic treatment as technology has improved. There are braces now available which in some cases can reduce your treatment time than before. The Damon brace system can in some cases reduce your treatment time. ...

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18 Oct 2011

How do pacifiers affect the look of teeth?

Written by Dr. Chaw Su Kyi on October 18, 2011

How do pacifiers affect the look of teeth? My son is 3.5 years old.

When you suck your thumb or a dummy, the pressure of the thumb can push the upper front teeth forwards, the lower teeth backwards. The cheeks which are moving to suck the dummy/thumb can narrow the upper back teeth, If you try sucking your thumb now, you can easily see how the cheek muscles are moving and where the thumb is ...

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17 Oct 2011

How do you address teeth that are overcrowded?

Written by Dr. Chaw Su Kyi on October 17, 2011

How do you address teeth that are overcrowded? Do teeth need to be pulled or can braces straighten them out?

Braces will certainly straighten them out, but whether teeth need removing is very dependent on the severity of the crowding. To straighten teeth, overcrowded or crooked teeth, we need space in which to straighten them. In mild cases, only a small amount of space is needed, and we can find this small amount of space already in t...

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16 Oct 2011

My daughter has buck teeth, can braces improve this?

Written by Dr. Chaw Su Kyi on October 16, 2011

My daughter has buck teeth, can braces improve this?

It sounds like your daughter has a bite where the upper front teeth are positioned slightly further ahead and protruding forward. Correcting this type of bite is a very common reason to have brace treatment. When the upper teeth are protruding forwards, there is also a slightly increased risk of trauma as a child, as the teeth a...

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6 Sep 2011

Are invisible braces as effective as other types of braces?

Written by Dr. Chaw Su Kyi on September 6, 2011

Are invisible braces as effective as other types of braces?

Lingual braces are fixed braces on the inside surfaces of the teeth. Lingual brace treatment is suitable and effective for many types of teeth straightening. They work the same way as conventional fixed braces but with the big difference of being invisible braces. Lingual braces have opened up the doors for many people to have o...

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5 Sep 2011

I feel like I could use braces to straighten my teeth

Written by Dr. Chaw Su Kyi on September 5, 2011

I’m in my late 30s. I never had braces as a child and I was very happy about that then… they were very ugly and very obvious. Now I feel like I could use braces to straighten my teeth. How have they changed over the past 20 plus years? Do I have more option to choose from now?

You will be bowled over with the number of brace options that are now available for you. Braces have changed considerably over the years. There are now a number of brace options available including invisible braces. You no longer just have metal fixed braces but there are clear transparent brackets called ceramic braces. Ceramic...

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4 Sep 2011

I’m interested in getting invisible braces

Written by Dr. Chaw Su Kyi on September 4, 2011

I’m interested in getting invisible braces. My only concern is that it would be really obvious and look really bad if you were to get food stuck in your braces. Is this a common problem? Are there any ways to avoid this?

Invisible braces these days can achieve ‘invisible’ status. Lingual braces are braces fitted on the inner surfaces of the teeth and no-one need know that you are wearing braces. There is no risk of anyone seeing any ‘spinach stuck in your braces’, because the brackets are all on the inside of your teeth. The only obvious...

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3 Sep 2011

Are the Invisalign trays made of sturdy material?

Written by Dr. Chaw Su Kyi on September 3, 2011

Are the Invisalign trays made of sturdy material? Is there any way that these trays could shatter in the mouth?

Yes, the Invisalign trays are quite sturdy and robust. They are able to withstand the average forces in the mouth. One of the great things about Invisalign is that you can remove them for eating which I hope will allay your concerns of shattering in the mouth. And additionally being able to remove the Invisalign aligners, the go...

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2 Sep 2011

Do you provide evening or Saturday appointments?

Written by Dr. Chaw Su Kyi on September 2, 2011

Do you provide evening appointments? I want to get the lingual braces but will not be able to make daytime appointments. If you don’t have evenings, do you have Saturday appointments?

We can definitely arrange both evening and Saturday appointments to schedule your appointments. You’ve made a great choice with the invisible lingual braces and we look forward to seeing you very soon! ...

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15 Aug 2011

Do children with braces all need to wear elastics to straighten their teeth?

Written by Dr. Chaw Su Kyi on August 15, 2011

Do children with braces all need to wear elastics to straighten their teeth? My daughter complains about the boys with braces who snap their elastics on her. She needs braces herself and wants braces that don’t require her to wear elastics. She is 12 years old.

Elastics help in correcting the bite or closing the space and may be needed towards the later stages of treatment. Not everyone needs to wear elastics during treatment but your orthodontist will advise you. ...

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14 Aug 2011

Do the Damon Self-Ligating braces require the same type of bracket as the conventional braces?

Written by Dr. Chaw Su Kyi on August 14, 2011

Do the Damon Self-Ligating braces require the same type of bracket as the conventional braces? What is the advantage of the Damon braces over conventional braces? Are they suitable for children?

The Damon braces are very suitable for children. Damon self-ligating braces have innovative technology and no longer need elastics/ modules to hold the wire in place. This allows the teeth to move freely from the outset. What this means for you, is that the brace treatment may be slightly shorter than conventional braces. And yo...

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13 Aug 2011

Will braces limit participation in sports?

Written by Dr. Chaw Su Kyi on August 13, 2011

My daughter will be getting her braces soon. She is pretty excited but also a bit nervous. She is quite active in gymnastics; will there be any limitations in her sports due to the braces?

Gymnastics is a wonderful sport, and the braces should not limit her sporting activity. Initially the braces may rub while she is getting used to them but we will show her how to apply wax onto the brace. It’s good to hear that she is excited, but to reassure your daughter not to be nervous, if you both have a look on our You ...

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12 Aug 2011

Are the Clarity ceramic braces sturdy enough for children?

Written by Dr. Chaw Su Kyi on August 12, 2011

I love the look of the Clarity ceramic braces. I am getting braces at the same time as my daughter. Are the ceramic brackets sturdy enough for children? We want the same type of braces.

It’s great you are have both decided to have treatment together at the same time – you guys can compare notes! Ceramic brackets are definitely sturdy enough for children. We generally tend to recommend clear ceramic brackets on the upper teeth for children because on the lower teeth there is a risk of enamel wear from the bi...

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11 Aug 2011

What are Invisalign braces made of?

Written by Dr. Chaw Su Kyi on August 11, 2011

What are Invisalign braces made of? How do these braces actually move the teeth? Does treatment with Invisalign braces take longer than treatment with conventional braces?

One of the great advantages of Invisalign braces are that they are removable and fairly discreet. The ‘aligners’ are made of a clear plastic and nearly invisible. You wear a sequence of Invisalign aligners, and each individual Invisalign aligner will move the teeth a small incremental amount, so by the last set of aligners, ...

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26 Apr 2011

Is it true that hyaluronic acid used in this kind of work promotes more collagen production?

Written by Dr. Chaw Su Kyi on April 26, 2011

I am in my early fifties and about to become a grandmother, and I really need a little work done! I want it to look and be natural. Is it true that hyaluronic acid used in this kind of work promotes more collagen production?

The most commonly used fillers contain hyaluronic acid, which is a substance found naturally in the body in soft tissues and joints, and is gradually broken down by the human body. Although some manufacturers have promised long-term effects including collagen production, the evidence is limited, and a four to six month effect sh...

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25 Apr 2011

Who do you recommend have chemical peels?

Written by Dr. Chaw Su Kyi on April 25, 2011

Who do you recommend have chemical peels? I have a lot of fine wrinkles around my mouth and a few new age spots I would like to remove. I am 48 years old, male and a smoker.

Chemical peels are treatments that are used to rejuvenate the skin and give a freshened appearance. Aging and sun blemishes of the face result in changes in pigmentation such as age spots and wrinkles. Chemical peels enables the more youthful underlying skin to come to the surface, this skin has a younger appearance. The depth o...

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24 Apr 2011

Can Botox be used to smooth these wrinkles or is a browlift recommended?

Written by Dr. Chaw Su Kyi on April 24, 2011

When I raise my eyebrows, I get deep horizontal wrinkles on my forehead. Most of the time they are not quite as deep but are still very noticeable. Can Botox be used to smooth these wrinkles or is a browlift recommended?

Horizontal winkles on the forehead are very common sign of skin aging and are effectively treated with Botox. Occasionally the lines can be deeper and present without brow movement these are sometimes best treated with a combination of fillers and Botox. Browlift surgery is generally reserved for drooping of the eyebrows, this o...

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23 Apr 2011

Are there greater risks having botox injected in the lower half of the face?

Written by Dr. Chaw Su Kyi on April 23, 2011

I have horrible frown lines all around my mouth, will botox injections ameliorate my problem? Are there greater risks having botox injected in the lower half of the face?

Bottox is often used to treat dynamic lines, defined as those lines which change with movement. Lines around the mouth can be both dynamic and can be deeper furrows or stationary lines. Depending on the type of lines, these age changes are often best treated with a combination of bot tox and fillers. Botox treats the dynamic cli...

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22 Apr 2011

Are there any studies that can show both beneficial and harmful effects of long term Botox use?

Written by Dr. Chaw Su Kyi on April 22, 2011

I've been using Botox every few months for the past three years. Are there any studies that can show both beneficial and harmful effects of long term Botox use?

We have used botox in the treatment of medical conditions such as spasms of the face for over 20years. The patients who have attended clinics have been having regular injections for over two decades and no long-term harmful effects have been found. There are a small proportion of people that can develop resistance to botox, this...

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21 Apr 2011

What filler is good for improving the area under the eyes or the tear troughs?

Written by Dr. Chaw Su Kyi on April 21, 2011

What filler is good for improving the area under the eyes or the tear troughs?

There are a range of different fillers, the most commonly used contain a substance called hyaluronic acid. This substance is found naturally in the body soft tissues and joints and as gradually broken down by the human body over a four to six month period. Older fillers used different materials however are less commonly used in ...

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20 Apr 2011

What type of skin or skin issues most benefits from a chemical peel?

Written by Dr. Chaw Su Kyi on April 20, 2011

What type of skin or skin issues most benefits from a chemical peel?

Chemical peels are often used to rejuvenate the skin and give a freshened appearance. The principles of the technique have existed for many years with evidence that Cleopatra used natural peeling agents to maintain her beauty. Aging and sun blemishes of the face result in changes in dis-colouration including pigment, increased p...

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AAO - Member American Association of Orthodontists BDA - British Dental Association World Federation of Orthodontists BOS - British Orthodontic Society RCS - Advancing Surgical Slandaros British Dental Health Foundation British Lingual Orthodontic Society