Daluro - Erfe Dental Clinic

21/04/2025

🧿 Pharmacological Treatment of Acute Pericoronitis

The image shows a clinical case of pericoronitis, an inflammation of the soft tissue surrounding the crown of a partially erupted tooth, commonly in lower third molars (wisdom teeth). This condition can cause pain, local swelling, halitosis, difficulty opening the mouth (trismus), and fever if complicated.

1️⃣ Analgesics and Anti-Inflammatory Drugs:

☑️ Ibuprofen 400-600 mg every 6-8 hours, for 5 days.
(Analgesic and anti-inflammatory effect).

☑️ Alternative: Paracetamol 500-1000 mg every 6 hours, if contraindicated to NSAIDs.

2️⃣ Antibiotics (only if there are systemic signs or disseminated infection):

☑️ Amoxicillin 500 mg every 8 hours for 7 days.

☑️ In case of allergy: Clindamycin 300 mg every 8 hours for 7 days.

☑️ Or: Metronidazole 500 mg every 8 hours, combined with amoxicillin if anaerobes are suspected.

3️⃣ Oral antiseptics:

☑️ Rinses with 0.12% or 0.2% chlorhexidine, twice daily for 7 to 10 days.
(Avoid prolonged use to prevent tooth discoloration.)

✅ Additional recommendations:

☑️ Perform local irrigation in the office with saline solution or antiseptics.

☑️ Maintain rigorous hygiene in the affected area.

☑️ Consider third molar extraction once the acute episode has passed to prevent recurrence.

17/02/2025

17/02/2025

💥 [Overbrushing Teeth]
I have been practising dentistry for 16 years in Singapore CBD (Tanjong Pagar).
One of the most common cause of teeth sensitivity nowadays is overbrushing and wearing away of healthy teeth. This can lead to severe teeth sensitivity and gum recession.

How can you prevent this from happening at your home?
1. Avoid sawing action when brushing teeth. Use the modified bass technique to brush.
2. Always use a toothbrush with soft bristles
3. Do not press down hard when you brush your teeth. Go easy with your hand pressure.
4. The yellow colour that you see near the gums is the natural colour of root and tooth. Do not mistaken that as decay and end up brushing harder and causing further tooth wear.

If your teeth is already worn down, you can do the following....
1. See your dentist for a filling to replace the worn off tooth surface.
2. If the wear or sensitivity is minimum, you can use toothpaste for sensitive teeth and monitor the area. Simply apply the toothpaste to the sensitive area. Leave it there for 5-10mins. After that then do your normal brushing. Do it for a few days till sensitivity decreased.

Hope this sharing helps.

Doctor Tristan Peh
St. Andrew’s Dental Surgeons

23/01/2023

CREDITS TO THE OWNER OF THIS VIDEO.

05/12/2022

CCTO

15/10/2022

CTTO