Removable partial denture
By: Roslan Yahaya
A removable partial denture (RPD) is for a partially edentulous dental patient who desires to have replacement teeth for functional or esthetic reasons, and who cannot have a bridge (a fixed partial denture) for any number of reasons, such as a lack of required teeth to serve as support for a bridge (i.e. distal abutments) or due to financial limitations.
The reason why this type of prosthesis is referred to as a removable partial denture is because patients can remove and reinsert them when required without professional help. Conversely, a "fixed" prosthesis can and should be removed only by a dental professional.
Contents
Partially edentulous conditions

Depending on where in the mouth teeth are missing, edentulous situations can be grouped under four different categories, as defined by Dr. Edward Kennedy in his classification of partially edentulous arches.
Class I (bilateral free ended partially edentulous)
Class II (unilateral free ended partially edentulous)
Class III (unilateral bounded partially edentulous)
Class IV (bilateral bounded anterior partially edentulous)
Kennedy Class I RPD's are fabricated for people who are missing some or all of their posterior teeth on both sides (left and right) in a single arch (either mandibular or maxillary), and there are no teeth posterior to the edentulous area. In other words, Class I RPD's clasp onto teeth that are more towards the front of the mouth, while replacing the missing more-back-of-the-mouth teeth on both sides with false denture teeth. The denture teeth are composed of either plastic or porcelain.
Class II RPD's are fabricated for people who are missing some or all of their posterior teeth on one side (left or right) in a single arch, and there are no teeth behind the edentulous area. Thus, Class II RPD's clasp onto teeth that are more towards the front of the mouth, as well as on teeth that are more towards the back of the mouth of the side on which teeth are not missing, while replacing the missing more-back-of-the-mouth teeth on one side with false denture teeth.
Class III RPD's are fabricated for people who are missing some teeth such that the edentulous area has teeth remaining both posterior and anterior to it. Unlike Class I and Class II RPD's which are both tooth-and-tissue-borne (meaning they both clasp onto teeth, as well as rest on the posterior edentulous area for support), Class III RPD's are strictly tooth-borne, which means they only clasp onto teeth and do not need to rest on the tissue for added support. This makes Class III RPD's exceedingly more secure as per the three rules of removable prostheses that will be mentioned later, namely: support, stability and retention. (See the article on dentures for a more thorough review of these three fundamentals of removable prosthodontics.)
However, if the edentulous area described in the previous paragraph crosses the anterior midline (that is, at least both central incisors are missing), the RPD is classified as a Class IV RPD. By definition, a Kennedy Class IV RPD design will possess only one edentulous area.
Class I, II and III RPD's that have multiple edentulous areas in which replacement teeth are being placed are further classified with modification states that were defined by Oliver C. Applegate. Kennedy classification is governed by the most posterior edentulous area that is being restored. Thus, if, for example, a maxillary arch is missing teeth #1, 3, 7-10 and 16, the RPD would be Kennedy Class III mod 1. It would not be Class I, because missing third molars are generally not restored in an RPD (although if they were, the classification would indeed be Class I), and it would not be Class IV, because modification spaces are not allowed for Kennedy Class IV.
Components of an RPD

Rather than lying entirely on the edentulous ridge like complete dentures, removable partial dentures possess clasps of metal or plastic that "clip" onto the remaining teeth, making the RPD more stable and retentive.
The parts of an RPD can be listed as follows (and are exemplified by the picture above):
Major Connector (the thick metal "U" in the RPD above is a lingual bar, a type of major connector)
Minor Connector (the small struts protruding from the lingual bar at roughly 90 degree angles)
Direct Retainer (examples are in the upper left of upper photo and lower right of lower photo; the clasp arms act to hug the teeth and keep the RPD in place. The metal clasp and rest immediately adjacent to the fake teeth is also a direct retainer.)
Indirect Retainer (example is the little metal piece coming off the "U" at a 90 degree angle near the top of the upper photo, which is a cingulum rest on a canine.)
Physical Retainer (this is a mesh of metal that allows the pink base material to connect to the metal framework of the RPD. Some consider physical retainers their own component (making a total of seven), while others consider them within the indirect retainer category (thus making a total of six components.)
Base (the pink material, mimicking gingiva)
Teeth (plastic or porcelain formed in the shape of teeth)
Clasp Design
Direct retainers may come in various designs:
Cast circumferential clasp (suprabulge)
Akers'
Half and half
Back-action
Ring clasp
Wrought wire clasp
Roach clasp (infrabulge)
I-bar
T-bar
Y-bar
7-bar
Both cast circumferential and wrought wire clasps are suprabulge clasps, in that they engage an undercut on the tooth by originating coronal to the height of countour, while Roach clasps are infrabulge clasps and engage undercuts by approaching from the gingival.
In addition there are a couple of specific theories which include the clasp design:
RPI: mesial rest, distolingual guide plate, I-bar
Described by Kratochvil in 1963 and modified by Kroll in 1973
An illustration of the RPI design function
RPA: mesial rest, distolingual guide plate, Akers' clasp-style retentive arm
RPC: mesial rest, distolingual guide plate, other type of cast circumferential clasp
So named in response to the RPI Philosophy introduced by Kratochvil and Kroll

Removable partial denture
By: Roslan Yahaya














Occlusal view of a mandibular partial denure. All seven parts of an RPD are visible on this example.




Same RPD, different view.



A removable partial denture (RPD) is for a partially edentulous dental patient who desires to have replacement teeth for functional or esthetic reasons, and who cannot have a bridge (a fixed partial denture) for any number of reasons, such as a lack of required teeth to serve as support for a bridge (i.e. distal abutments) or due to financial limitations.
The reason why this type of prosthesis is referred to as a removable partial denture is because patients can remove and reinsert them when required without professional help. Conversely, a "fixed" prosthesis can and should be removed only by a dental professional.
Contents
1 Partially edentulous conditions
2 Components of an RPD
3 Clasp Design
4 References
Partially edentulous conditions
Depending on where in the mouth teeth are missing, edentulous situations can be grouped under four different categories, as defined by Dr. Edward Kennedy in his classification of partially edentulous arches.
Class I (bilateral free ended partially edentulous)
Class II (unilateral free ended partially edentulous)
Class III (unilateral bounded partially edentulous)
Class IV (bilateral bounded anterior partially edentulous)
Kennedy Class I RPD's are fabricated for people who are missing some or all of their posterior teeth on both sides (left and right) in a single arch (either mandibular or maxillary), and there are no teeth posterior to the edentulous area. In other words, Class I RPD's clasp onto teeth that are more towards the front of the mouth, while replacing the missing more-back-of-the-mouth teeth on both sides with false denture teeth. The denture teeth are composed of either plastic or porcelain.
Class II RPD's are fabricated for people who are missing some or all of their posterior teeth on one side (left or right) in a single arch, and there are no teeth behind the edentulous area. Thus, Class II RPD's clasp onto teeth that are more towards the front of the mouth, as well as on teeth that are more towards the back of the mouth of the side on which teeth are not missing, while replacing the missing more-back-of-the-mouth teeth on one side with false denture teeth.
Class III RPD's are fabricated for people who are missing some teeth such that the edentulous area has teeth remaining both posterior and anterior to it. Unlike Class I and Class II RPD's which are both tooth-and-tissue-borne (meaning they both clasp onto teeth, as well as rest on the posterior edentulous area for support), Class III RPD's are strictly tooth-borne, which means they only clasp onto teeth and do not need to rest on the tissue for added support. This makes Class III RPD's exceedingly more secure as per the three rules of removable prostheses that will be mentioned later, namely: support, stability and retention. (See the article on dentures for a more thorough review of these three fundamentals of removable prosthodontics.)
However, if the edentulous area described in the previous paragraph crosses the anterior midline (that is, at least both central incisors are missing), the RPD is classified as a Class IV RPD. By definition, a Kennedy Class IV RPD design will possess only one edentulous area.
Class I, II and III RPD's that have multiple edentulous areas in which replacement teeth are being placed are further classified with modification states that were defined by Oliver C. Applegate. Kennedy classification is governed by the most posterior edentulous area that is being restored. Thus, if, for example, a maxillary arch is missing teeth #1, 3, 7-10 and 16, the RPD would be Kennedy Class III mod 1. It would not be Class I, because missing third molars are generally not restored in an RPD (although if they were, the classification would indeed be Class I), and it would not be Class IV, because modification spaces are not allowed for Kennedy Class IV.
Components of an RPD
Rather than lying entirely on the edentulous ridge like complete dentures, removable partial dentures possess clasps of metal or plastic that "clip" onto the remaining teeth, making the RPD more stable and retentive.
The parts of an RPD can be listed as follows (and are exemplified by the picture above):
Major Connector (the thick metal "U" in the RPD above is a lingual bar, a type of major connector)
Minor Connector (the small struts protruding from the lingual bar at roughly 90 degree angles)
Direct Retainer (examples are in the upper left of upper photo and lower right of lower photo; the clasp arms act to hug the teeth and keep the RPD in place. The metal clasp and rest immediately adjacent to the fake teeth is also a direct retainer.)
Indirect Retainer (example is the little metal piece coming off the "U" at a 90 degree angle near the top of the upper photo, which is a cingulum rest on a canine.)
Physical Retainer (this is a mesh of metal that allows the pink base material to connect to the metal framework of the RPD. Some consider physical retainers their own component (making a total of seven), while others consider them within the indirect retainer category (thus making a total of six components.)
Base (the pink material, mimicking gingiva)
Teeth (plastic or porcelain formed in the shape of teeth)
Clasp Design
Direct retainers may come in various designs:
Cast circumferential clasp (suprabulge)
Akers'
Half and half
Back-action
Ring clasp
Wrought wire clasp
Roach clasp (infrabulge)
I-bar
T-bar
Y-bar
7-bar
Both cast circumferential and wrought wire clasps are suprabulge clasps, in that they engage an undercut on the tooth by originating coronal to the height of countour, while Roach clasps are infrabulge clasps and engage undercuts by approaching from the gingival.
In addition there are a couple of specific theories which include the clasp design:
RPI: mesial rest, distolingual guide plate, I-bar
Described by Kratochvil in 1963 and modified by Kroll in 1973
An illustration of the RPI design function
RPA: mesial rest, distolingual guide plate, Akers' clasp-style retentive arm
RPC: mesial rest, distolingual guide plate, other type of cast circumferential clasp
So named in response to the RPI Philosophy introduced by Kratochvil and Kroll

Cosmetic Dentistry, Dentures Designed For That Natural Looking Smile
By: Roslan Yahaya


If you are looking for a relatively easy solution to replace your missing death, regain your confidence and give you a smile that makes you look and feel good again then tale a look at how cosmetic dentures have moved on in recent years. Dentures are removable prosthetic devices which are designed to replace all or some of your teeth. Dentures don’t just improve appearance and personal confidence but provide facial support and have a working function in that they restore people’s ability to chew certain foods. It has been said that dentures are the dental industries answer to a face lift! With an increased interest in cosmetic dentistry, denture technology has significantly moved on in recent years with dentures being designed for comfort and natural appearance. Current technology enables dentists to provide you with dentures that actually blend in with your features taking on the appearance of your natural teeth. Long gone are the days when dentures are seen as belonging to someone who has passed their sell by date. New and exciting cosmetic dentistry advancements means that your dentist can provide you with natural teeth that everyone will think are your own. Dentures now fulfil their intended function enabling you to enjoy your food, be proud of your smile and remain blissfully unaware that you are sporting false teeth. Cosmetic dentistry now enables you to design and choose your dentures alongside your dentist, making you feel part of the whole process and helping you to contribute towards your final perfect smile. You can now wear your dentures with pride safe in the knowledge that you look and feel good. I doubt few people will disagree that despite recent denture advancements dentures still take some getting used to with initial speech issue to overcome (very short term) and the possibility of mouth irritation and sores (normally being as a result of poor denture hygiene). However, unlike some other cosmetic dentistry procedures, dentures are suitable for most people although there are some instances where your dentist may advise an alternative route with one being if you lack saliva as a result of a dry mouth. When you first loose your teeth you will be provided with immediate dentures which will help you through those early months when shrinkage and changes in your bone structure and gums will occur. Your main denture plates will be created approximately 9-15 months after your teeth have been extracted and the relatively stable structure of your bone and gums can be used to create the mould. It can sometimes prove difficult to keep lower jaw dentures in place in which case your dentist may advise the use of mini implants to help keep your denture in place. Mini implants are much less invasive as full tooth implants and can usually be placed into the jaw within an hour allowing you to walk out with your dentures safely snapped into place. Don’t make the mistake of many and assume that dentures last for life. Even if you have a full plate you will still need dental care. Cosmetic dentures aren’t designed to last for ever and the Malaysian Dental Association recommends that you replace your dentures every 4 – 7 years. Dentures wear out and can become loose and ill fitting. Old dentures can cause gum irritation, facial pain, reduced ability to chew, digestive problems and in some instance can cause pre-cancerous mouth and gum lesions. If you have worn the same dentures for a long period of time your denture problems can’t always be completely fixed so always go down the safe route and get your dentures checked on a regular basis.

CARTA ALIRAN PEMBUATAN DENTUR


SURGERI

IMPRESI PERTAMA


TUANGAN MODEL


CEPER KHAS

SURGERI

IMPRESI KEDUA


MODEL KERJA


PENGUKURAN/


SEKATBUANGAN


PENDUAAN MODEL


BLOCK GIGITAN

SURGERI

PENGARTIKULATAN


PENYUSUNAN


PELILINAN


SURGERI (TRY IN)


PENGELALANGAN


PEMBUANGAN LILIN


PENGISIAN


PEMPOLIMERAN


PENYAH KELALANG


PEREPANGAN / PEMANGKASAN

PERAPIAN

SURGERI (ISSUE)

RAHSIA KEPERIBADIAN MELALUI BENTUK GIGI

Mungkin ada yang pandang remeh tentang kecantikan dan kebersihan gigi mereka tapi sebenarnya ia turut membantu memperelokkan penampilan seseorang.Bayangkan, wajah sikit punyalah cun. Memang tangkap lelehlah. Tiba-tiba tengok gigi, hancus! Rupanya rongak! La! Tak ke haru tu? Jadi, siapa cakap tak penting menjaga gigi? Tapi tahukah kamu bahawa gigi juga mampu merungkap rahsia peribadi diri? Wah! Ini yang menarik! Apa kata kamu baca saja artikel ni yek!
Jarang dan kecil.
Mereka yang memiliki bentuk gigi sebegini dikatakan suka menilai diri orang lain. Pasti ada saja yang kena pada pandangan mata mereka. Tapi yang tak syoknya, dia sibuk menilai orang lain tapi tak suka orang lain menilai atau mengkritik dirinya! Tak patut! Selain itu, dia juga sukar mengalah! Tapi kadangkala mengalah itu perlu. Apatah lagi kalau memang kamu yang bersalah.Beralah sajalah!
Bersaiz sederhana dan rata .
Cantiknya gigi dia . Teratur sekali dipandang, macam gigi palsu pulak. Tapi gigi original tau. Agaknya apakah kriteria mewakili bentuk gigi seperti ini? Orang yang memiliki bentuk gigi sebegini adalah seorang yang baik hati dan suka menolong. Bak kata orang, ringan tulanglah. Kalau ada yang minta bantuan, pasti tak dikecewakan. Sebenarnya mereka ini ingin sentiasa membahagiakan orang lain. Boleh juga mereka tumpang gembira. Untungnya dapat kawan/ kekasih macam mereka ni kan?
Besar dan jarang .
Aduh! Rupanya orang yang bergigi besar dan agak jarang jaraknya antara satu sama lain ini bersifat iri hati dengan kejayaan orang lain. Tak elok macam tu. Itu kan dah rezeki mereka. Buat apa nak dengki. Menyakitkan hati kamu saja. Lebih baik kamu belajar untuk terima kenyataan dan jangan asyik nak berdengki. Selain itu, sifat negatif kamu juga, seorang yang keras kepala. Mulalah tarik muncung 44 inci kalau tak diikuti kemahuan. Tapi awas, mereka ini sanggup melakukan apa saja demi memastikan apa yang dikehendaki itu diperolehi. Bahayanya! Sebagai kekasih/teman mereka, kamu harus berbanyaklah bersabar dengan sikap mereka itu apatah lagi dengan sikap manja yang dibuat buat tu. Erk! Gelemannya!
Jongang dan kecil.
Mak oi! Jangan ingat semua orang yang gigi ‘ke depan’ tu tak cantik . Ada juga yang masih kelihatan manis dan cantik. Apapun, apa pula maksud pemilik bentuk gigi ini? Sekiranya giginya berbentuk agak jongang dan kecil, bermakna dia masih lagi bertolak ansur dengan orang lain. Maknanya keras kepalanya itu bertempat dan masih boleh dibawa berunding. Kata orang tu, dalam keras ada lembutnya!
Jongang dan besar .
Fuyoo! Benteng pertahanan kena kuat dan kukuh. Banyaklah bersabar kalau ada teman/kekasih seperti mereka ini. Menduga iman sungguh! Kamu haruslah kena banyak bersabar dan tahan saja dengan mulut celupar mereka tu. Mereka juga mudah mengeluh dan tak pernah puas hati dengan apa yang telah dimiliki. Sikap itu ada positifnya kerana mereka mudah menempa kejayaan dan akan sentiasa berusaha untuk menjadi yang terbaik. Selain itu, mereka ini agresif orangnya dan ringan tulang!

Tidak tersusun .
Kadangkala tengok orangnya memang cantik. Tapi bila dia tersenyum menampakkan giginya yang tak begitu rata dan sekata, mengurangkan kecantikan yang dimilikinya itu. Namun kata orang, biarpun giginya tak cantik tapi hati budinya ‘cantik’. Usah kerana tengok gigi tak cantik maka ingat perangai pun tak berapa cantik juga. Mereka ini merupakan teman bicara yang amat memahami. Tidak rugi menjadikan mereka ini sebagai tempat meluahkan hati kerana mereka sentiasa mendengar dan memberi nasihat. Mereka juga berpengetahuan luas biarpun sikapnya kebudak-budakan kadangkala merimaskan. Selain itu, mereka juga pandai membahagiakan orang lain.
Seolah masuk ke dalam.
Bila diperhatikan, struktur giginya seolah ‘ke dalam’ sikit. Ia menandakan bahawa mereka seorang yang pemalu dan suka menyembunyikan sikap sebenar diri mereka tapi mereka agak pasif. Selalunya mereka ini bersikap pendiam dan tidak begitu pandai bergaul dengan orang lain. Selain itu, mereka juga cukup pandai menyimpan rahsia kecuali kepada orang yang benar-benar telah meraih kepercayaan mereka.
Kecil dan tersusun.
Selalunya berwajah keanakan dan tampak semakin menarik dengan gigi yang kecil dan tersusun indah itu. Mereka yang memiliki gigi sebegini dikatakan suka menolong orang dan boleh dipercayai percakapan mereka. Aduhai! Beruntungnya mereka yang memiliki kekasih seperti ini kerana mereka seorang kekasih yang hebat!

MENANGANI FOBIA BILA BERJUMPA DGN DOKTOR GIGI

SAKIT gigi seringkali disifatkan sebagai antara kesakitan paling teruk yang pernah dialami oleh seseorang. Ironinya, ia juga satu-satunya kesakitan yang boleh ditahan oleh seseorang hanya kerana mereka takut berjumpa doktor gigi.
Cuba tanya di sekeliling anda. Tidak menghairankan jika sebilangan besar memberitahu perasaan fobia terhadap doktor gigi sewaktu zaman kanak-kanak masih diingati sehingga ke hari ini.
Jangan terkejut jika segelintir daripada kita mungkin membenci doktor gigi. Tidak hairan juga ada yang menyifatkan golongan profesional ini sebagai manusia tidak berperasaan yang suka mendera pesakit melalui kesakitan.
Ada juga yang menghuraikan pengalaman berjumpa doktor gigi sebagai sesi yang menggerunkan sebaik mulut terbuka luas. Apakah tiada caranya untuk bebas daripada fobia berjumpa doktor gigi?
Satu kajian fobia doktor gigi yang dijalankan ke atas pelajar dan tentera-tentera mendapati, kira-kira lapan peratus hingga 20 peratus daripada kumpulan tersebut takut berjumpa doktor gigi. Kajian tersebut dijalankan oleh Universiti Kebangsaan Singapura.
Ketakutan itu akhirnya menjurus kepada keengganan mendapatkan rawatan pergigian dan seterusnya menambahkan masalah yang dihadapi. Kemudian, pesakit hanya berjumpa doktor gigi apabila kesakitan yang dialami semakin teruk.
Keadaan ini mewujudkan satu kitaran yang menakutkan dan sekali gus menguatkan ketakutan mereka terhadap doktor gigi.
Kitaran tersebut perlu diputuskan agar pesakit tidak menjadi ‘hamba’ fobia doktor gigi buat selama-lamanya.
Sama ada kita suka atau tidak, satu set gigi yang baik membolehkan kita makan dan tutur dengan sempurna. Set gigi yang sempurna dapat meningkatkan tahap keyakinan seseorang dan dipercayai mampu memperbaiki kemahiran bersosial.
Sesetengah orang bagaimanapun enggan mengakui ketakutan mereka untuk mendapatkan rawatan di klinik gigi. Malah, mereka akan mencuba pelbagai taktik untuk menangguhkan rawatan. Antaranya termasuk sentiasa membatalkan temujanji pada saat-saat akhir, datang lewat atau tidak berhenti menanyakan soalan.
Semakin ditangguhkan, semakin teruk masalah gusi atau gigi yang dihadapi. Malah, anda perlu menerima hakikat bahawa sakit gigi bukan sekadar masalah fizikal tetapi juga menjejaskan selera makan, tidur tidak lena dan hilang tumpuan di tempat kerja.
Terdapat sebahagian orang pula mulai menunjukkan petanda-petanda abnormal sepanjang rawatan berlangsung. Degupan jantung yang pantas, peluh secara berlebihan, kekejangan otot mahupun kesukaran bernafas.
Jururawat atau doktor gigi yang tidak sedar akan ketakutan yang dihadapi oleh pesakit mungkin berpendapat mereka ini enggan bekerjasama atau mengada-gada.
Seperti kebanyakan masalah, berdepan dengan fobia doktor gigi memerlukan pesakit terlebih dahulu mengenalpasti simptom dan punca ketakutan melampau. Pesakit juga perlu bersedia mengambil inisiatif untuk menangani ketakutan yang dihadapi.
Langkah pertama adalah dengan memahami mengapa anda takut. Ketakutan boleh merangsang tubuh membebaskan sejenis hormon yang dikenali sebagai adrenalin. Itu adalah antara sebab mengapa anda rasa loya dan berdebar-debar.
Pengalaman buruk sewaktu berada di klinik gigi dan perkongsian kisah-kisah menakutkan daripada rakan juga merupakan faktor penyumbang. Semua ini menyebabkan ketakutan berjumpa doktor gigi memuncak.
Sekiranya anda perlu mengunjungi klinik gigi tetapi takut, berikut adalah beberapa perkara yang boleh dilakukan untuk membantu :
* Beritahu doktor gigi bahawa anda takut.
* Beranikan diri menanyakan soalan sekiranya anda takut pada prosedur tertentu.
* Mengetahui prosedur yang terlibat dan jangka masa yang diperlukan akan menghilangkan rasa takut itu. Berbincang dengan doktor anda tentang cara menangani fobia tersebut.
* Amalkan pengambilan hidangan ringan tetapi kurangkan makanan perangsang seperti kopi atau teh.
* Cuba alihkan perhatian anda dengan menggunakan fon telinga dengan mendengar radio atau muzik kegemaran anda.
nnn Gunakan signal untuk menghentikan sesuatu prosedur jika anda terasa sakit.
nnn Cuba berfikir secara positif sepanjang rawatan. Gunakan ayat-ayat memberangsangkan seperti ‘Saya boleh tangani ketakutan ini’ atau ‘Saya boleh menghentikannya jika rasa tidak selesa’.
Menariknya, sesetengah klinik pergigian sudah pun menjalani sedikit perubahan dari segi penampilan agar tidak menakutkan seperti dahulukala. Dapatkan doktor gigi yang memahami agar mereka dapat bersabar dengan ketakutan anda.
Memperoleh sokongan
Buat permulaan, cuba berbincang dengan doktor gigi anda terlebih dahulu mengenai fobia anda. Tetapi tidak mustahil jika perasaan takut itu terlalu serius sehingga anda ragu-ragu untuk mendapatkan sokongan daripada doktor gigi.
Dalam kes seumpama ini, anda boleh dapatkan bantuan daripada pengamal perubatan yang berkemungkinan boleh mengesyorkan pakar perunding bertauliah.
Tidak dinafikan doktor-doktor gigi menyedari ketakutan yang dihadapi oleh sesetengah pesakit. Disebabkan itu, mereka telah dilatih untuk menangani fobia anda secara serius dan berdepan dengan keadaan itu secara sensitif. Terdapat juga sesetengah doktor gigi yang khas dalam merawat pesakit yang gelisah.
Satu cara mudah untuk mendapatkan doktor gigi yang memahami adalah menerusi saranan orang lain. Anda boleh bertanyakan kepada rakan sebelum menyenaraikan doktor-doktor gigi yang berpotensi. Kemudian, telefon untuk bertanyakan doktor yang sesuai menangani masalah anda.
Bersikap terbuka terhadap masalah dan kebimbangan anda kerana dengan ini, anda berupaya memperoleh sokongan yang diperlukan.
Anda boleh membuat temujanji terlebih dahulu biarpun tiada rawatan akan dijalankan. Dengan cara ini, anda boleh berjumpa dengan doktor gigi bagi menyuarakan keresahan yang dihadapi.
Elakkan daripada mengatur temujanji pada hari anda terpaksa menunggu lama kerana ini akan membuatkan anda lebih resah. Bawalah seorang rakan atau ahli keluarga bersama anda jika anda masih berasa takut.
Berikut adalah beberapa perkara yang perlu diingatkan sebelum anda bertemu dengan doktor gigi buat kali pertama:
Masa : Mintalah kebenaran daripada doktor gigi untuk memberi anda masa. Misalnya, anda mungkin ingin menjalani pemeriksaan terlebih dahulu sebelum mendapatkan imbasan sinar-X dalam temujanji seterusnya. Ataupun anda mungkin hanya bersedia untuk cuba duduk di atas kerusi pesakit. Dengan cara ini, anda berupaya menangani ketakutan anda secara perlahan-lahan. Sebaik sahaja peringkat pertama tidak menakutkan anda, anda sudah bersedia untuk melangkah ke peringkat kedua.
Kawalan: Adalah baik jika anda dapat berbincang dengan doktor gigi tentang memperoleh sedikit kawalan ke atas amaun prosedur yang dilakukan. Penting untuk anda tidak rasa tertekan. Anda akan rasa lebih terkawal jika anda memberi tanda isyarat sekiranya ingin memberhentikan prosedur yang menyakitkan.
Masalah spesifik: Jika terdapat sesuatu yang membimbangkan anda atau pernah mengalami pengalaman pahit, sila beritahu doktor gigi. Jangan ragu-ragu untuk bertanyakan soalan kerana doktor mampu menjawabnya. Terdapat pelbagai kaedah untuk mengawal dan melegakan kesakitan.
Pilihan: Kepelbagaian pilihan rawatan mungkin membantu anda rileks seperti terapi hipno. Doktor mungkin menawarkan perkhidmatan yang bersesuaian untuk membolehkan ketakutan anda hilang.
Apa yang pasti, jika anda berasa tidak selesa dengan doktor gigi pertama yang ditemui, anda sentiasa mempunyai hak untuk mencuba doktor gigi yang lain.

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Taman Sri Rampai, Kuala Lumpur, Malaysia

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Ladent Dental Solution

Dental lab that can make all types of dental prosthetics, including Valplast, Crown and Bridge, and Orthodontic dentistry. High quality and low prices was the most emphasized. Established in November 2010 and our addresses is No 7-1, Jalan 45/26, Taman Sri Rampai, 53300 Kuala Lumpur.

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