General Topic : Dental Examination

“Doctor, I brush my teeth twice a day. Why do I still get problem with my teeth?”

Does this sound familiar to you? Is this one of your doubts as well?

Most of us in Malaysia have the habit of brushing twice per day.

However, how effective is your brushing?

Are you brushing using the right tool?

Are you brushing using the right way?

How do you know if you are brushing well?

Chances are you won’t know until a dentist examine you and tell you about it.


Whenever patient come for dental check up, I like to examine the teeth, the gum, the arrangement of their teeth and any other potential problem that is present.

Let’s look at this patient teeth together.


Case Study: a lower tooth that is difficult to clean

This young gentleman came requested for a scaling.

Interestingly, all the teeth in general are very clean; except for one tooth that was totally covered by calculus.

Immediately, I knew that something wasn’t quite right there.

When I looked again, I realised that the teeth next to it are not align with it.

It means that when he place his tooth brush there, the bristle of the tooth brush won’t be touching this tooth. No matter how hard he tried, he won’t be able to clean the tooth.

I discussed with him what is the challenge, and taught him how to angle his tooth brush in brushing this tooth.

Also, I suggested other tools that could help him in cleaning this particular tooth.

He was delighted to learn about the way of cleaning his teeth as he was always troubled by a rough feeling over this tooth.

Before he left, of course I cleaned his teeth so that he could start fresh from there.


In a nutshell, everyone has different teeth.

There is no one size fits all method of cleaning teeth.

If you have trouble cleaning your teeth, or you would like to know how to clean your teeth effectively, feel free to contact me for a personalised plan for you.

Thank you.


Dr Gwen Gan

Gingivitis/Periodontitis: How to Stop Gum Bleeding?

What I Used to Think About Gum Bleeding

Have you ever experienced bleeding from gum during brushing and flossing?

Before I became a dentist, I panic whenever I saw this.

What I did was I tried to brush very carefully and gently so that I do not hurt my gum further.

In most of the time, the bleeding would go away sometime later.


What I Know About Gum Bleeding

After becoming a dentist, I learnt that bleeding gum is a sign of inflammation of the gum.

(Sign of inflammation: redness, swelling, heat, pain and loss of function.)

What causes inflammation of gum is the plaque and tartar on the teeth and gum.










How Can I Help My Body to Fight the Infection?

The most effective way to stop it is by getting rid of the bacteria.

This can be done by brushing away the plaque and scaling to remove the calculus by a dentist.


The Simple Steps to Stop Gum Bleeding

  1. Brush twice daily. Make sure that the bristle of your toothbrush cleans the junction between gum and teeth.
  2. Floss once daily
  3. Dental scaling every 6 monthly or as recommended by your dentist
  4. Have a dental check up to rule out if there is any other cause of the bleeding gum


With that, I hope you won’t be panic when you see your gum bleeds like I used to be.

Now when I see bleeding from gum, I will say,

“Okay, got it, is time to have a spa at dental clinic. Thank you for reminding me!”


With love,

Gwen Gan