creating healthy smiles for you - Jerudong Park Medical Centre

CREATING
HEALTHY
SMILES
FOR YOU
EMERGENCY: (673) 2 612 612

Introduction
A firm commitment to quality, use of state-of-the-art
equipment and materials, and total dedication of
professionals are the tripods in the functioning of the
JPMC Dental Clinic.
Equipped with three sophisticated dental units
and manned by experienced dental surgeons, the
department offers both specialty services and routine
dental procedures. The specialty services available
in the clinic includes: Orthodontics, Prosthodontics,
Paediatric Dentistry, Periodontics, Oral and
Maxillofacial Surgery, Implantology and Endodontics.
The department has the latest dental x-ray
units, including Cephalometric radiology and
Orthopantomogram for early diagnosis and treatment
planning of dental problems.
The services offered by the department are
augmented by a state-of-the art dental laboratory,
for the preparation of crown and bridge prosthesis,
chrome-cobalt prosthesis, orthodontic appliances, and
paediatric dental appliances, besides conventional
laboratory procedures.
Dental Services
Orthodontics
This specialty deals with the correction of
malpositioned or crooked teeth and other dental
structures.
The range of services offered is (refer to pg 5 - 7 for details):
• Fixed Braces:
- Metal Brackets
These can be made colourful by selecting
bold colour rings to coordinate with school
colours, holidays or special outfit.
1 • Dental Intro
- Self-Ligating Brackets
An ordinary metal bracket has to be “tied in”
or secured to the wire with rings or wires.
Self-ligating brackets have a built-in “sliding
door” that secures the bracket to the wire.

This translates into less pressure, more
comfort and faster treatment.
- Clear / Ceramic Brackets
Clear braces - an aesthetic choice, that will
not compromise your treatment.
• Removable Appliances:
- Invisalign Aligners - invisible, removable
and comfortable trays for mild to moderate
malpositioned teeth.
- Acrylic plates / retainers
- Clear retainers / bite guards / splints
• Expansion Devices
For constricted or collapsed arches.
• Functional Appliances and Head Gears
For growth modulation of jaws.
• Habit-Breaking Appliances for mouthbreathing,
thumb-sucking, etc.
• Cleft Lip / Palate Orthodontics
• Adult Orthodontics
Prosthodontics / Prosthetic Dentistry
(refer to pg 12 - 16 for details)
This specialty deals with replacement of missing teeth
and other structures of the oral cavity.
Services offered include:
• Acrylic dentures - partial and full
• Cast partial dentures
• Porcelain crowns and bridges, metal free crowns
• Adhesive bridges
• Laminates
• BriteSmile Teeth-whitening procedures
• Bite guard appliances
Paediatric Dentistry
A comprehensive dental service for both infants and
children, with special care for physically and mentally
Dental Intro • 2

challenged children. Facilities and expertise for full
mouth rehabilitation under general anaesthesia are
also available.
Some of the services offered include:
• Oral hygiene maintenance and fluoride treatment
• Parental counselling on diet and dental health
• Habit-breaking appliances
• Space maintainers
• Pit and fissure sealants
Periodontology
This specialty deals with diseases of the gums and the
supporting bone.
Some of the procedures performed are:
• Oral prophylaxis and root planning
• Curettage and gingivectomies
• Bone-grafting procedures
• Cosmetic gingival surgeries
• Root resections and hemi-sectioning
Oral and Maxillofacial Surgery
A very specialised treatment option and management
of diseases of the jaws and mouth, which cannot be
treated by other conservative modalities.
Some of the surgeries performed under either local or
general anaesthesia are:
• Surgical removal of impacted wisdom teeth
• Apicectomies
• Cyst enucleation
• Cysts and tumours of the jaws
• Excision of mucocele and frenectomies
• Fracture of the jaws and face
Implantology
This service provides a conservative treatment option
for single or multiple missing teeth. The procedure
involves placement of an artificial root (implant) by
means of a surgical procedure and construction of
a superstructure (crown) six or twelve weeks later in
the laboratory.
3 • Dental Intro

Endodontics
This specialty deals with the treatment of roots of
the teeth damaged by decay, trauma, or a
developmental anomaly. The availability of a
RadioVisioGraphy enables accurate and rapid
diagnosis and treatment planning of various dental
ailments.
Some of the services offered include:
• Root canal treatment of single and multiple
rooted teeth
• Tooth coloured filling materials, silver
restorations
• Ceramic inlays and onlays
• Composite veneers
Professional Teeth Whitening with the
BriteSmile Procedure
The BriteSmile procedure is a simple, safe and
state-of-the art procedure that will remove years
of tea, cola and coffee stains, leaving you with
naturally white teeth, without affecting your teeth,
gums, enamel, bondings or fillings.
Britesmile’s light-activated whitening is completely
unique. It’s not laser, UV or heat-based. Through a
combination of proprietary blue light and proprietary
whitening gel, it is clinically proven to be extremely
effective with rewarding results that lasts.
What actually happens
• Your gums and lips are protected with barrier
materials and a “Before” picture is taken.
• The whitening gel is applied on your teeth
and the proprietary blue light activates it.
• You relax. After three 20-minute cycles (just
over an hour), the procedure is completed and
an “After” picture is taken.
• You rinse. You smile. Wow!
Dental Intro • 4

* Orthodontic services available in Panaga Health
Centre from April 2009 onwards

Everyone wants a beautiful smile and every one should
have a healthy one too.
The orthodontist’s goal is to achieve both for his
patients.
What causes Orthodontic problem
An orthodontic problem is called a malocclusion,
meaning “bad bite”. Crowded teeth, extra teeth,
missing teeth or jaws that are out of alignment are all
various forms of malocclusion. Most malocclusions are
inherited, although some can be acquired. Acquired
malocclusion can be caused by accidents, early or late
loss of baby/milk teeth, or sucking of the thumb or
fingers for a prolonged period of time.
Why is Orthodontic important
People who have straight, well-aligned teeth have
been found to have higher levels of confidence and
self-esteem than those who have crooked teeth.
Crooked teeth are difficult to reach with your tooth
brush and cannot be kept clean, leading to cavities &
gum diseases, thus decreasing the life span of your
teeth.
Remember that straight teeth are not only beautiful
but also healthy.
At what age can Orthodontic Treatment be
undertaken
Both children and adults can benefit from
orthodontics. However, the treatment in adults may
take a little longer as the bones would have become
stronger. It is recommended that every child receive
an orthodontic evaluation between 8-12 years.
Dental Orthodontics • 6

How long does a standard treatment using fixed
braces take
Though the treatment varies from a case-to-case basis,
the average treatment duration is 24 months. Things to
be kept in mind are the severity of the problem, health
of the teeth, gums, supporting bone and how closely
the patient follows the instructions.
Other treatments undertaken by the Orthodontist
at JPMC:
Damon Self-Ligating System for better results in a
shorter time and with greater comfort.
Before
After
Invisalign Aligners is the latest invisible solution
for the treatment of mild to moderate malpositioned
teeth, without bands, brackets or wires. The clear
aligners are removable, allowing you to eat your
favourite foods while brushing and flossing
normally to keep your teeth and gums healthy.
An average treatment time is only about one year.
Generalised Spacing Treatment: 9 months, 19 aligners
Parent & child education on dental development
(milk teeth & permanent teeth).
Timely intervention for proper alignment of
permanent teeth.
Fixed and removable braces/clips for children and
adults.
Cleft-lip/palate orthodontics.
Adult orthodontics.
7 • Dental Orthodontics

Healthy
Gums
Healthy
Bone
Level
Plaque
Tartar
Pocket
Reduced
Bone Level
Healthy
Periodontal
Disease

Why is it important to treat Gum Disease
Recent studies show that those suffering from gum
disease are at high risk for heart attacks, diabetes,
stroke, rheumatoid arthritis and respiratory infection.
Pregnant women with gum disease are also more
prone to having pre-term low birth weight babies.
Treating gum disease helps towards improving your
general health.
What is Gum (periodontal) Disease
It is the second commonest disease in the mouth after
tooth decay. It affects the tissues supporting the teeth
namely the bone, ligaments and gingiva (gum). It is
caused by plaque (bacteria) present in the mouth in
susceptible individuals.
What are the different types of Periodontal Disease
There are two main types: Gingivitis and
Periodontitis. Gingivitis is the inflammation of the
gums. It is the reversible condition which resolves
with good oral hygiene. Periodontitis is the condition
characterised by destruction of the bone and ligaments
supporting the teeth.
What are the signs of Gingivitis
Gingivitis is characterised by bleeding from the gums
especially on brushing. The gums appear red, smooth
and swollen.
How is Gingivitis treated
It can be treated by
brushing effectively along
the gum margin and
by flossing in between
the teeth regularly. Regular
professional cleaning of teeth will also help to remove
all hard deposits (tartar).
What are the signs of Periodontitis
Periodontitis is characterised by recurrent swelling
(abscess) involving the gums in different parts of
the mouth. There may be associated pus discharge
and a dull ache. The teeth may be loose and begin to
9 • Dental Gum Disease

move resulting in spaces appearing between
the teeth. The gums may also bleed on brushing
and there may be bad breath. In advanced cases, the
teeth may fall out due to loss of bone support around
the teeth.
Healthy Mouth (X-ray)
Periodontally Diseased Mouth (X-ray)
(arrows indicate bone loss)
How is Periodontitis treated
There are 3 main stages in
treatment: non-surgical therapy,
surgical therapy and the
maintenance phase. In
non-surgical therapy, the
patient is taught how to maintain good plaque
control (oral hygiene). Professional cleaning of teeth
(scaling) is carried out above and below the gums.
If the patient has moderate to advanced disease,
he may require periodontal surgery. In selected
cases, surgery may be carried out to regenerate
bone around teeth. Once surgical treatment is
complete, the patient is placed on a regular recall
(maintenance) to monitor their progress. Patients
not requiring surgery may proceed to the
maintenance phase after non-surgical therapy.
Can Gum Disease be cured
The outcome is good if detected early when there
is minimal bone loss around the teeth. Periodontal
disease is a chronic condition. There is currently no
cure for this condition similar to diabetes. It has to be
treated and stabilised. Professional treatment can
help to arrest the condition, except in about 10%
who continue to decline in spite of professional
intervention.
How can I detect this condition early
Visit your dentist at least once a year and request
him/her to screen you for periodontal disease and to
refer you to the periodontist if necessary. Periodontists
are those who specialise in treating gum disease.
Dental Gum Disease • 10

Losing a front tooth can be embarrassing because it
affects your looks and your speech.
Losing a back tooth can affect how well you chew
your food.
Apart from these, losing any tooth can adversely
affect the health of your gums and teeth.
At JPMC’s Dental Clinic our philosophy is to provide
our patients with the highest quality of dental care
through effective communication, caring attitude and
excellence in our work.
What happens when a tooth is lost
The loss of tooth affects your health in several ways.
The diagram below shows an example of what can
happen when a lower back tooth (molar) is lost. The
teeth on either side of the empty space tilt towards
the space (small arrows). The tooth in the upper jaw
will continue to grow downwards or over-erupt
(big arrow) because it no longer has a tooth to bite on.
As a result of this tilting and over-eruption, the teeth
are no longer in alignment and there are uneven
contacts between the teeth. The tilting of teeth also
creates areas between the teeth where food debris and
bacteria collect. These areas are especially difficult to
clean, so tooth decay and gum disease often develop
in these areas.
Gum
Tooth decay
Bone
Food & bacteria
All these problems can be prevented by replacing the
lost tooth. Replacing the lost tooth after the tilting and
over-eruption have occurred, can be quite difficult.
Dental Replacing Your Lost Tooth • 12

Methods of Replacing Teeth
Dentures
Dentures are removable artificial teeth. They should
be removed after every meal and cleaned. They should
also be removed when you go to sleep. Dentures are
most commonly used when several teeth need to be
replaced. Dentures are also the cheapest way of
replacing lost teeth.
Normally after an extraction, one must wait a few
months for the gums and bone to heal before dentures
can be made.
In some cases, an immediate denture can be
made before the extraction so that it can be worn
immediately after the tooth is extracted. Such
dentures are temporary and should be replaced
within 6 months. During this period, the denture
would need to be adjusted a few times to fit the
healing gums and bone.
Bridges
Bridges are fixed artificial teeth, i.e., they are rigid
and cannot be removed. A bridge can only replace a
few teeth and requires a good, strong natural tooth on
either side of the empty space to support the artificial
teeth.
Implants
Implants are the latest technology available to help
replace missing teeth. An implant is a device that is
inserted directly into the bone at the site of the missing
teeth. This requires surgery. After about 4-6 months,
when the bone around the implant has healed,
artificial teeth can be constructed over the implants.
13 • Dental Replacing Your Lost Tooth

Dental Laboratory work in progress
As implants involve surgery, extra time and new
technology, they are the most expensive method of
replacing teeth.
Every method has its advantages and disadvantages.
Your dentist is the best person to discuss these with
you and help you decide the best way to replace your
lost tooth.
Before
After - Full Ceramic Crowns
Dental Replacing Your Lost Tooth • 14

Our Services
Anaesthesiology & INTENSIVE CARE
• Perioperative Care • Post - Operative Care & Pain Relief
• Labour Pain Relief • Intensive Care Medicine
• Anesthesia for Sleep/Paediatric Dentistry, MRI/CT Procedures & Day Care Surgery
Dental
• Prosthodontics • Endodontics • Orthodontics • Implantology • Periodontics
• Oral Surgery • Professional Teeth Whitening • General Dental Procedures
Diagnostic Imaging
• MRI (1.5 Tesla) with Cardiac MRI, MR Angiography, Spectroscopy,
MR Mammography, Stroke Imaging • Multislice CT Scanner (64 Slice) with Cardiac CT,
Coronary CT, CT Whole Body Angiography, pQCT
• Digital Dental CT (Cone Beam CT) - Digital OPG, CEPH • CR Radiography (X-ray)
• Digital Fluoroscopy • Ultrasound • CR Mammography
Dietetic Services
• Nutrition & Dietery Counselling • Individualised Diet Plan
FACILITIES
• Laboratory • Delivery Suites • Inpatient Wards & VIP Rooms • NICU Ward
FITNESS CENTRE
• Gym • Swimming Pool • Jacuzzi • Sauna • Steam Bath • Aerobics
GENERAL Outpatient
• 24 Hours Outpatient Clinic (OPD)
• General & Pre-Employment Health Screening • VISA Medical Examination
NATIONAL CANCER CENTRE (NCC)
• Outpatient, Chemotherapy - Day Care Unit, Oncology Pharmacy
NURSING
• Adult & Paediatric Medical Surgical Services • Antenatal Education
• Midwifery Services • Women and Child Health Advisory Services • NICU
OBSTETRICS & GYNAECOLOGY
• Well Women Check-up • Antenatal Classes• Antenatal & Postnatal Clinic
• Menopause Clinic • Family Planning Clinic • Gynae Oncology
• Pre-pregnancy Consultation • 3D & 4D Scanning • High-risk Antenatal Clinic
• Laparoscopic & Hysteroscopy Surgeries • Colposcopy
OrthopaedicS
• Surgical & Non-surgical Treatment • General Orthopaedics
• Sports Injury • Ligament & Joint Arthroscopic Surgery
• Fractures & Management • Osteoarthritis • Total Joint Replacement Surgery
• Back & Neck Pain • Spine Surgery • Osteoporosis Package
• Hand Shoulder & Foot Disorders • Paediatric Orthopaedics
Paediatric
• General Paediatric Consultation • Immunisation • New Born Care
PHARMACY (Retail & Wholesale)
• Prescription and Non Prescription (Over the Counter)
PHYSIOTHERAPY
Rehabilitation: Musculoskeletal & Sports Injury, Neurological,
Cardiopulmonary, Women’s Health, Vestibular
Reproductive Medicine
• Induction Ovulation • Intrauterine Insemination
• Infertility • In Vitro Fertilization • Male Infertility
SPECIALIST MEDICAL SERVICES
• Internal Medicine (Physician Clinic) • Dermatology (Skin Care)
• Gastro-Enterology • Haematology (Blood Disorders)
• Ophthalmology (Eye Clinic)
• Ear, Nose & Throat (ENT) • Sleep Medicine
SPECIALIST SURGICAL SERVICES
• General Surgery • Laparoscopic Surgery
• Urology (Genitourinary Problems)
• Oral & Maxillo-facial / Reconstructive / Cosmetic Surgery
• Paediatric Surgery • Vascular Surgery
• Neurosurgery
Clinic Hours:
Monday to Friday, 8am - 12noon, 1pm - 5pm
Saturday, 8am - 12noon
Jerudong Park BG 3122 Brunei Darussalam
Te.: +673 2611 433 ext. 2229 / 2114 • Fax : +673 2612 461
Email : marketing@jpmc.com.bn • Website : www.jpmc.com.bn