How vitamin deficiency affects your oral health.

Dr Tatiana Luebke of SMILEFOCUS reveals how vitamin deficiencies can affect your smile.

Don’t be surprised if at your next dental visit you’re not just getting advice on good dental hygiene, but also about a healthy diet. This isn’t because your dentist wants to compare recipes, but because good health directly correlates to good dental health.
     The mouth is often the first place to shows signs of vitamin deficiencies. Vitamins function primarily as catalysts for chemical reactions within the body, so a lack of these essential elements can lead to the breakdown of normal body functions, making you more susceptible to disease and other health-related problems. Your dentist can identify oral problems and determine whether a vitamin deficiency is indeed the cause.
     A lack of vitamin B complex can lead to mouth and teeth problems – your tongue swells up and you may experience trouble swallowing. The insides of your cheek may also be affected – the tissue looks pale, breaks apart and sloughs off easily. A deficiency in folic acid – also in the vitamin B group (B9) – can result in a burning sensation in the mouth, especially on the tongue. If you have severe B12 and folic acid deficiencies you may experience numbness, tingling limbs and gastrointestinal problems. Folic acid is also critical to healthy foetal development during early pregnancy. 
     Meat, milk, nuts and enriched grains are good sources of vitamin B. The body only requires vitamins in very small amounts – only hundredths of a gram in many cases. Common sources of vitamin B complex are:
Thiamin (B1) Pork, liver, whole and enriched grains, legumes and nuts.
Riboflavin (B2) Milk, milk products, eggs, meats, broccoli, whole and enriched grains.
Niacin (B3) Milk, eggs, meat, poultry fish, nuts, whole and enriched grains.
Pyroxidine (B6) Meat, poultry, fish, green leafy vegetables, bananas, enriched grains and legumes.
Folic acid (B9) also called folate Green leafy vegetables, oranges, legumes, broccoli, asparagus and fortified cereals. Fish, meat, poultry, milk and milk products, eggs and fortified cereals.
     Insufficient vitamin C can lead to bleeding gums, loose teeth and poor healing. And a lack of vitamin D can cause enamel hypoplasia – where teeth have less than the normal amount of enamel, resulting in small dents or grooves on the outer surface of the affected tooth. Not only is the surface of the tooth rough but the defects are often brown or yellow in appearance.
     Discuss your recommended vitamin requirements with your physician or dentist at your next appointment. A balanced diet is the best protection in keeping a strong body and mind – and a healthy smile.
 
Dr Tatiana Luebke B.D.S. (Bristol)
Dr Tatiana Luebke qualified from the University of Bristol more than 10 years ago. Having practiced in Brazil, France and now Singapore, Dr Luebke combines Latin flair with a phlegmatic practicality. She focuses on oral implantology, clinical periodontology and restorative dentistry.

Posted by smilefocus Mon, 16 Jan 2012 02:32:00 GMT


Receive facial aesthetic treatments as part of your routine dental treatment

Dr Myles Holt of SMILEFOCUS explains how facial aesthetic treatments add a new dimension to dentistry and your overall appearance.

Cosmetic dentistry has evolved in leaps and bounds over the past decade using innovative techniques such as tooth whitening, porcelain veneers and tooth-coloured filings to significantly enhance the appearance of your teeth and overall looks. These treatments are today a staple of any modern dental practice.
     However, there’s more at play when you smile, laugh and get older than just your teeth. The soft tissues around the mouth and face generally show signs of ageing before the rest of our body. Texture changes in the skin due to exposure to the sun and pollution, lines and wrinkles from years of smiling, frowning and laughing, and a loss of volume in the lips and skin are all signs of aging. So, restoring your teeth only improves one aspect of your overall appearance. 
     If your dentist has the additional training and experience, he or she may also offer facial aesthetic treatments such as wrinkle relaxers and dermal fillers, which can make you look more refreshed and youthful and subsequently improve your smile. Dermal fillers restore volume and give greater definition to your lips. They also eliminate the fine vertical lines around your mouth – also known as smokers’ lines – and soften the deep lines and grooves running from your nose to your mouth. Dentists also perform procedures to minimise or eliminate the expression lines around your eyes (crow’s feet), across your forehead and between your eyes.
     When you consider how much time a Dentist spends assessing and working with the appearance of your teeth and face plus their experience in providing safe, accurate and comfortable injections in this area, it’s only logical they are well qualified to provide these particular services. And the best part is these treatments can be done during routine dental appointments and take only minutes to complete – ideal for busy individuals who don’t have the luxury of time. And since the results are temporary and require enhancements approximately every six months, you can do this in conjunction with your routine dental check-up. Facial aesthetics treatments are a natural complement to cosmetic dentistry and when done concurrently, will not only restore your smile but also create a more youthful looking you.  

Dr Myles Holt
B.D.S. (Sydney)
Dr. Myles Holt is from Melbourne, Australia and has more than 10 years of international experience spanning Australia, UK, Europe and the Middle East. His passion and expertise lies in Cosmetic Dentistry and Facial Aesthetic procedures.

 

Posted by smilefocus Mon, 19 Dec 2011 07:47:00 GMT


Is your snoring causing serious health problems?

Dr Elaine Ng of SMILEFOCUS explains what obstructive sleep apnoea is and how it can prevent you – and your loved one – from getting a good night’s rest.

It’s common to snore when you’re extremely tired or had one too many glasses of red wine. However, chronic snoring can be a sign of a more serious health problem such as obstructive sleep apnoea (OSA). In Greek apnoea means “without breath”, this condition causes you to stop breathing for short intervals – 10 seconds or longer – throughout the night. This can happen between 20 to 30 times or more every hour, all night long. When you stop breathing, the oxygen levels in your blood drop and the carbon dioxide levels rise.
     Research has shown one in every three heavy snorers, including children, experience severe sleep apnoea. OSA sufferers may not be aware of their condition so look out for the following symptoms:
• Extreme fatigue, leading to daytime sleepiness, poor concentration or
memory loss.
• Morning headaches
• Gasping during sleep
     Many OSA sufferers actually think they’ve slept well all night and remain oblivious to their interrupted sleep. Their partners however may beg to differ. They usually sleep an average of two hours less than those whose partners don’t snore. Side effects of OSA can include high blood pressure, impotence, depression and irritability, all leading to a reduced quality of life.
     Dental Sleep Medicine focuses on the management of sleep-related breathing disorders through the use of oral appliance therapy. A full diagnosis requires an overnight stay in a sleep laboratory. However, it’s also possible to screen for this condition at home. You’ll have to wear a device for one night only, which will record and analyse the data generated by your breathing and air flow. This portable device has been proven to be as effective as the screening methods in the sleep laboratory. If a form of sleep apnoea is indicated, you should discuss with your dentist appropriate treatments and further referral to a sleep physician if necessary. Dentists trained in oral appliance therapy work closely with sleep physicians in the diagnosis, treatment and ongoing care for sleep-related breathing disorders.
     Oral appliance therapy usually helps combat moderate to mild sleep apnoea and sleep-related breathing disorders. This appliance is worn in your mouth while you sleep and fits like a sports mouth guard or orthodontic retainer, preventing the airway from collapsing by either holding the tongue or supporting the jaw in a forward position. This minimises or eliminates the symptoms of sleep apnoea. An oral appliance is inexpensive and easy to use, so if you do have a snoring problem, discuss this with your dentist during your next routine checkup. It just may be what you need to get the best night’s sleep you’ve ever had!
 
Dr. Elaine Ng
BDS(NZ)
Dr. Elaine Ng’s expertise lies in cosmetic dentistry including crowns, bridges and whitening. She’s also experienced in emergency and trauma situations and performs wisdom tooth extractions and minor surgeries.

Posted by smilefocus Mon, 28 Nov 2011 06:10:00 GMT


TMJ syndrome explained & treatment options

Dr Jon Ryder of SMILEFOCUS explains TMJ syndrome and gives medical and lifestyle treatment options 

Temporomandibular Joint (TMJ) syndrome is a cycle of pain, muscle spasms and joint imbalance at the point where your jaw meets the skull and often causes chronic facial pain. The temporomandibular joint allows you to chew and speak and is one of the most complex joints in your body.
     Cushioning these two bones is a thin disc of cartilage. So when there’s an imbalance in the bones, muscles and cartilage it can result in a myriad of symptoms including headaches, neck and ear aches, difficulty in opening or closing the jaw, a clicking or a popping in the joint, a dull aching pain around the ear that spreads into the face and tender or painful jaw muscles. Other symptoms to look out for are teeth clenching and grinding – both a cause and a symptom – numbness in your fingers and toes, vertigo and undiagnosable tooth pain. Any problem that prevents this complex system of muscles, ligaments, discs and bones from properly working together may result in a painful TMJ disorder.
     Several conditions can be related to TMJ disorders. They can be quite varied and often difficult to pinpoint, but in general it’s the muscles or joint of your jaw that are affected – usually involving the joint, ligaments and muscles used for chewing and grinding food. TMJ syndrom is usually caused by grinding or clenching your teeth, a bad bite caused by missing teeth or badly aligned teeth, a blow to the joint, the onset of arthritis, an injury to the muscles allowing the joints to move and stress, particularly emotional stress. TMJ affects women of childbearing age and older men and women.
     Your dentist can identify the source of the pain with an exam and an x-ray and will advise on the best way to treat your TMJ problem. Treatment options may include crowning teeth, filling the gaps, adjusting the bite or even moving your teeth with orthodontic treatment to restore balance and harmony to the joint. You can also ease TMJ symptoms by making some lifestyle changes such as engaging in stress reducing exercises, taking muscle relaxants or wearing a splint, which is a plastic mouthpiece to prevent teeth clenching and grinding.

  

 

Dr Jon Ryder
D.D.S (Iowa)

Dr Jon Ryder is a restorative dentist and also an Adjunct Professor for Restorative Dentistry at the University of Iowa. A fellow of the International Congress of Oral Implantologists, his expertise includes full mouth rehabilitation, implant surgery and prosthodontics, periodontal surgery and oral pathology. 

 

 

Posted by smilefocus Thu, 20 Oct 2011 09:32:00 GMT


Five ways to ensure you enjoy your next visit to the dentist

 

Dr Patricia Hancock of SMILEFOCUS offers tips for overcoming a fear of the dentist. 
 
Dental anxiety is a common problem and can plague even the most rational and intelligent person. Some people may have an uneasy feeling about visiting a dentist, which can lead them to do just about anything to avoid a dental appointment, putting off routine care for extended periods of time.
     There are varying degrees of dental anxiety. Some may force themselves to visit the dentist crying, sweating and trembling all the way, while others may completely refuse to see a dentist, opting to live with gum infections, pain or even broken and unsightly teeth. This usually continues until the pain is more unbearable than the fear and you’re left with no choice but to visit the dentist because the problem can no longer be ignored. But this isn’t ideal as what may have been easily treated in the first instance could become a larger problem to solve.
     The most effective way to overcome your fear is to find a good dentist. One who is patient, genuinely caring, communicates well and has your best interests at heart, especially when recommending treatments without any added pressure. A good dentist will also be able to educate you on the progress dentistry has seen over the years. Less intimidating modern techniques and technology ensures most treatments today are virtually pain-free, including injections! A good dentist is someone you’d recommend to others just like you would a good movie
    
How to enjoy your next dental visit…
•  When scheduling your appointment, let the receptionist know of your nervous condition. This allows them to schedule enough time for the dentist to be thorough when explaining procedures to you. 
•  Arrange your appointment for a time when you’re not likely to be stressed. Don’t, for example, make the appointment just before an important business meeting. 
•  Bring a friend or family member for support and try to arrive early so you’re not strapped for time.
•  Discuss relaxation techniques with your dentist such as the use of nitrous oxide (laughing gas), or the television, which can provide a welcome distraction. If you find the noise from the drill unsettling, request headphones.
•  Dental anxiety can be overcome. Discuss your fears with your dentist and have confidence he or she will do everything possible to help you. In terms of your long-term dental health, you owe it to yourself to find a dentist you can trust.
 

  

Patricia Hancock 
B.D.S (London) B.Sc (Newcastle)
Dr Patricia Hancock has worked as a dentist in London, Switzerland and Hong Kong – where she also taught Radiology and Conservative dentistry. She is especially talented at treating nervous patients.

 

 

 

Posted by smilefocus Mon, 26 Sep 2011 02:57:00 GMT


Oral cancer and ways to detect & treat it

Dr Myles Holt of SMILEFOCUS gives an in-depth explanation of oral cancer and ways to detect and help prevent the disease.

It’s common knowledge regular visits to your dentist are important in maintaining good oral health. However, did you know part of a routine dental examination involves your dentist screening for signs of oral cancer? 
     Oral cancer often starts as a tiny, unnoticed white or red spot or a sore anywhere in the mouth. It can affect any area of your oral cavity including the lips, gum tissue, cheek lining, tongue and hard or soft palate. During your visit, the dentist examines the inside of your mouth and tongue to look for these often flat, painless, tell-tale signs. Since both cancerous and non-cancerous sores look alike it’s best to conduct tests to differentiate the two.
     In the past, men were more prone to oral cancers than women with a ratio of 6:1. However with a shift in lifestyle choices, this ratio is now 2:1. And although oral cancers were more common in those over the age of 40, the disease is now detected more frequently among younger people. The human papilloma virus – in particular version 16, (HPV16) – is conclusively implicated in the increasing incidence of oral cancer in young, non-smoking people. Research suggests HPV16 may be significantly replacing tobacco as the primary causative agent of oral cancers in those under the age of 50 years. Here are some signs to look for:

A sore in the mouth which bleeds easily or does not heal
A change in colour of the oral tissues
A lump, thickening, rough spot, crust or small eroded area in the mouth
Pain, tenderness, or numbness anywhere in the mouth or on the lips
Pain or difficulty chewing, swallowing, speaking or moving the jaw or tongue.
A lump or mass felt inside the mouth or neck
Long-term hoarseness
Numbness in the oral or facial region.
A change in the way teeth fit together
 
     Prolonged exposure to the sun can increase the risk of lip cancer – another common oral cancer. Prevent oral cancer by avoiding cigarettes or chewing tobacco. Tobacco coupled with alcohol can also greatly increase your risk of oral cancer. Prevent potentially cancerous lesions with a diet rich in fruits and vegetables.
     Because there are so many benign tissue changes that occur normally in your mouth, and some of these changes may mimic the look of a dangerous tissue change, it’s important to have any sore or discoloured area of your mouth looked at by your dentist – especially if it doesn’t heal within 14 days. However, oral cancer can also occur in people who don’t smoke and have no other known risk factors. A regular oral examination is essential and will aid in the early detection and containment of cancerous and pre-cancerous conditions.
 
Dr Myles Holt
B.D.S. (Sydney)
Dr. Myles Holt is from Melbourne, Australia and has more than 10 years of international experience spanning Australia, UK, Europe and the Middle East. His passion and expertise lies in Cosmetic Dentistry and Facial Aesthetic procedures.

Posted by smilefocus Mon, 29 Aug 2011 02:59:00 GMT


How diabetes can affect your teeth and gums

Dr Brendan Gin of SMILEFOCUS explains how diabetes can harm your teeth and gums, and prescribes methods of treatment for maintenance.

 
Too much glucose in your blood can result in diabetes which affects your overall wellness including oral health. Both Type 1 and Type II diabetes reduce your body’s resistance to infection putting you at greater risk to cavities, gum disease and dry mouth syndrome.

     Your mouth naturally contains many types of bacteria. When these interact with starch and sugar in the food and beverages you consume, a sticky film known as plaque forms on your teeth. The acid in plaque attacks the hard, outer surface of your teeth (enamel), encouraging cavities. A diabetic has high glucose levels in the saliva allowing the bacteria in plaque to thrive, causing repeated acid attacks and wearing away teeth.

     Be sure to tell your dentist if you have diabetes and do your best to keep your blood glucose level under control. You should also brush and floss your teeth daily and visit your dentist every six months to monitor your oral health and prevent gum disease and other diabetes-related complications.

It’s best to visit your dentist when your blood sugar level is in a normal range, especially if you’re scheduled for more extensive treatment. If your blood sugar level is not under control, postpone any non-emergency dental procedures. Remember to eat before your dental appointment and take your usual medication. Alert your dentist if you have any infections and if you’re having a procedure done that might leave your mouth sore, choose soft or liquid foods to alleviate the pain and control your blood sugar levels.

     As a diabetic, keep your dentist informed of any changes in your condition and any medication you’re taking. Diabetes related dental infections can be painful and disrupt normal eating patterns. Managing diabetes is a lifelong commitment which requires proper dental care, so work together with your dentist to ensure good oral hygiene and your efforts will be rewarded with a lifetime of healthy teeth and gums.

 

Is diabetes affecting your dental health? Check for…

• Red, tender and swollen gums

• Gums that bleed when you brush them – even when they’re not sore

• Gum shrinking away from your teeth so your teeth look longer

• Pus around your teeth when you press on the gum

• A continual bad taste in your mouth

• Loose teeth

• A change in the way your top and bottom teeth touch

• Change in the feel of your dentures
 
Dr Brendan Gin  B.D.Sc. (Melbourne)

Dr Brendan Gin, from Melbourne, Australia, has a wide range of experience in treating adults and children for general dental care. A caring and gentle dentist, he is very popular with nervous patients.

 

Posted by smilefocus Thu, 21 Jul 2011 04:29:00 GMT


Pain-free root canal treatment

Dr Leroy McCully of SMILEFOCUS explains how new techniques allow for pain-free root canal treatment.

Your teeth are meant to last a lifetime and with modern treatment methods this is often possible – despite damage or decay. Advances in Root Canal Treatment (RCT) are a great example. A tooth with an infected nerve once had to be extracted, but it can now be saved through root canal (endodontic) treatment. Any fears of pain are more myth and hyperbole than fact. Not only is having RCT infinitely better than enduring the pain of not having it, but today’s RCT is virtually pain-free!
     RCT involves the removal of the tooth’s pulp – a small, thread-like tissue important for tooth development in childhood, but redundant in adulthood. An infected pulp causes pressure and pain, occasionally resulting in facial swelling. Sometimes, the deterioration of the pulp happens so gradually little pain is felt. Bacteria eventually destroys the pulp, causing the bone surrounding the tooth to become seriously infected.
     RCT may be required if you’ve experienced a physical blow to a tooth, have irritation from deep decay or a very large filling, need to rectify bacterial leakage of an old filling or crown, or are suffering from severe gum disease.
     With the help of a surgical microscope – capable of detecting the finest details in a tooth’s structure – an
Endodontist removes the tooth’s pulp, replacing it with materials to promote healing and seal off the root canal from the underlying jawbone. Due to natural tissue inflammation, the tooth may feel sensitive for the first few days following treatment, especially if there was pain or infection before the procedure. But any discomfort can be controlled with over-the-counter pain medication and you’ll likely be able to resume normal activities the following day.
     As a treated tooth is more fragile, it may be necessary to have a crown fitted for added protection. In the meantime, minimise any chewing until the crown or a permanent filling is in place, to avoid contamination and the tooth breaking.
     Providing good oral hygiene is observed at home – and you maintain regular visits to your dentist – a treated and restored tooth can last a lifetime, so you can continue to smile with confidence.
 
 
 

Dr Leroy McCully
B.D.S. (Singapore)
MSc Endodontics (London)
Dr McCully has many years of experience as a specialist in root canal treatment, and lectures both nationally and internationally. He is very skilled in helping patients with dental anxiety and performs treatments under IV sedation.

Posted by smilefocus Fri, 24 Jun 2011 08:52:00 GMT


Why you should visit your dentist regularly

Dr Amanda Wong of SMILEFOCUS explains why procrastinating about a visit to the dentist could result in you spending more – in health, time and money.

When you feel everything is going well with your teeth, it’s very common to want to postpone regular dental visits. Even after experiencing a broken tooth or filling, some people don’t visit a dentist until they begin to feel pain.
     But pain doesn’t indicate it’s time to visit the dentist, it means the problem has reached an advanced stage and your visit is overdue. If you start experiencing marked cold sensitivity, pain on biting, or even an ache which starts on its own, it may mean a tooth’s nerve could be involved. It’s common for a cavity to be as deep as the nerve of the tooth or below the gum line, without you experiencing any discomfort. Unfortunately, such situations often can’t be fixed with a simple tooth filling. They require more advanced treatments, such as gum surgery or root canal treatment – the removal of the affected nerve.
    
Gum problems such as gingivitis and periodontal disease are typically also almost painless. You can lose the support from your gums and bones without ever experiencing pain, resulting in tooth loss. In fact, periodontal disease is a major cause of tooth loss amongst people over 30 years of age.
     Regular dental visits, which include annual x-rays, are often all that’s needed to prevent teeth and gum problems, or to catch problems in their earliest stages. So if you’ve recently noticed an increase in sensitivity, achiness, or a broken tooth or filling, seek a professional evaluation immediately. Timeliness may reduce the scope of the treatment needed to restore your smile. And if it’s been more than six to 12 months since your last dental checkup and routine cleaning, it’s also time for a visit. 
     And there’s no need to be nervous. Advances in modern dentistry have ensured checkups, professional cleaning and treatments are virtually pain-free. Regular visits prevent inconvenient and painful emergencies and are the only way to ensure your teeth look and feel great and remain in good condition for a long time to come. There are also a variety of pain-free, minimally-invasive cosmetic procedures now available, to ensure you are ever-ready to flash a great looking smile.

Dr Amanda Wong B.D.S. (Adelaide)
Dr Amanda Wong practises general dentistry and while she enjoys treating the whole family, she has a special gift for working with children. Amanda is also known for her Aussie-style good sense of humour and her patience.

 

Posted by smilefocus Mon, 09 May 2011 02:07:00 GMT


What you must know in a dental emergency

Dr Christina Liew of SMILEFOCUS explains how to manage a dental emergency.

  

With Singapore’s temperate climate conducive to outdoor activity, it’s no surprise accidents involving trauma to the mouth and teeth are very frequent. The most injured area of the body during contact sport is the mouth. Slippery marble floors and swimming pools are also hazardous. In emergencies, quickly identifying the extent of trauma and taking the appropriate action is essential.
 
Do the following in the event of an avulsion – when the tooth is completely knocked out of the gum:
1. Locate the tooth and check there’s no obvious damage to the root. Providing there’s not too much trauma and blood, lick the tooth clean. Alternatively, the tooth can be washed in plain milk – don’t use water!
2. If it’s a baby tooth don’t try to replant it, as the pressure can damage the adult tooth still to come through.
3. Try to replant an adult tooth by holding it in place using finger pressure or by biting on a handkerchief. 
4. If you can’t replant the tooth, keep it under your tongue or inside your cheek. Alternatively, place the tooth in plain milk or salt water. As a last resort, place the tooth in plastic wrap, a wet towel or water. If the tooth has been fractured off rather than completely knocked out, try to find the fractured piece, as it can often be re-bonded. Place the piece in salt water or tap water.
5. See a dentist immediately, preferably within one hour of
the trauma.
 
For more serious injuries involving bone fractures to the face, go to the hospital immediately, and later with a follow up to the dentist to check for tooth damage. The signs and symptoms of serious injuries can be nosebleeds, swelling, bruising and possibly impaired vision. Pain when swallowing or talking, or irregular alignment of bottom teeth to upper teeth are also signs of a serious injury. Treat all fractures by placing a cold compress over the area to reduce swelling, bleeding and pain. If there’s excessive bleeding, apply direct pressure to the wound.

Severe pain, even when unaccompanied by visible symptoms, may also indicate an emergency. For example, root canal infections have no visible symptoms, but the pain can be excruciating and shouldn’t be ignored. The first rule in any emergency is to stay calm. This is the most important way to help your child, family member and yourself.

 

Dr Tatiana Luebke BDS (Bristol)
Dr Tatiana Luebke practiced for more than 10 years in Brazil and France before joining Smilefocus. Fluent in Portugese and French Dr Luebke focuses on oral implantology, clinical periodontology and restorative dentistry.
 

 

Posted by smilefocus Fri, 25 Mar 2011 06:17:00 GMT

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Dental Health

The smilefocus team
always welcomes you
with a friendly smile

Smilefocus

Profile

Visiting the dentist should be stress-free, and at Smilefocus we do our best to help you feel welcome and relaxed. X-box games, TV, books and Game Boys distract the kids in their own designated waiting area, while adults relax reading the latest magazines. Our team includes a specialist kids’ dentist, root canal specialist and orthodontist, as well as 11 other dentists with expertise in all dental treatments, including crown and bridge, wisdom tooth extraction and full mouth restorations.  We can even assist you in different languages if needed.

At Smilefocus we help you care for the future of your smile.

Contact Info

Smilefocus Family Dentistry 68340877                                Smilefocus Cosmetic Dentistry 67339882                                           Smilefocus Implant & Restorative Dentistry 68340877

1 Orchard Boulevard
#08-02 & #14-02  Camden Medical Centre
Web: www.smilefocus.com.sg
Email: smile@smilefocus.com.sg