The First Patient Visit - Back to top
On the first patient visit, your complete health is discussed. You must inform us of any present or past medical conditions and surgeries; any prescription or non-prescription drugs, and any herbal drugs or naturopathic medications being taken. All of these can impact your teeth, gums, and oral health and can have interactions with dental treatment. Knowledge of this information can help us educate you better with regards to your oral health and to prevent any interaction with dental treatment. This information must also be updated at each and every visit.
At the first visit, your beliefs and expectations about dental treatment, materials, and methods will be addressed and the treatment plan will be formulated accordingly.
Metal and Mercury-Free fillings - Back to top
There is a growing concern with regards to the mercury content of amalgam fillings and the metal content of fillings and crowns. A full array of alternatives to amalgam fillings and metal crowns are available. Dental amalgam is removed with the placement of a rubber dam, abundant water spray, and high volume suction. An oxygen mask is available and optional. There are also two excellent air purification and negative ion generator units in place in the office.
There are numerous methods of tooth whitening. After many years of experience with different systems, we recommend the dentist-administered take-home bleaching system. It gives the most optimum whitening results, with most control, and minimum sensitivity.
On the first visit, moulds are taken of the teeth. A professional lab makes custom trays to fit over the teeth. At the next visit the patient is given the tooth whitening material, the custom fit trays and detailed instructions on its use. The trays are worn for two hours each night from one to three weeks to achieve the desired results.
When the structure of a tooth has been compromised by an extensive cavity or
root canal treatment the tooth is susceptible to breaking. It can break at or above the gumline, below the gumline or a hairline crack can develop down the root of the tooth. Sometimes the tooth can be repaired, but often it is beyond repair and the tooth needs to be removed. This situation is preventable by placement of a crown on the tooth. The dentist can assess the tooth and recommend crowns for structurally compromised teeth.
A crown may also be required for a tooth that is severely discoloured, or misshaped, or has a large chip. The crown can completely cover the defect, providing a beautiful esthetic and durable tooth.
There are a variety of crowns available. You can choose from an all porcelain crown, a porcelain crown with a metal lining, or a full gold crown.
Veneers make your teeth look better by changing their colour, shape or spacing.
Veneers are very thin acrylic or porcelain shells that are attached to the front part of teeth. Like bonding, veneers can cover badly stained teeth, chipped teeth, uneven teeth and large fillings.
While a crown may be constructed to restore an individual damaged tooth back to its original form and function, a bridge may be utilized to replace one or more missing teeth. The natural teeth around the missing teeth are prepared as crowns and used to support the artificial teeth. These restorations are cemented onto the teeth permanently and do not come out. Bridges can be made of porcelain, porcelain with a metal lining, and all metal. The colour of the porcelain can be matched to the natural teeth.
A bridge may be recommended if you're missing one or more teeth. Gaps left by missing teeth eventually cause the remaining teeth to rotate or shift into the empty spaces, resulting in a bad bite.
An important step in maintaining a healthy smile is to replace missing teeth. Complete dentures are used when all teeth are missing and partial dentures are used to replace a few or a lot of missing teeth. When teeth are missing, the remaining ones can change position, drifting into the surrounding space. Teeth that are out of position can damage tissues in the mouth. In addition, it may be difficult to clean thoroughly between crooked teeth. A denture helps you to properly chew food, a difficult task when you are missing teeth. In addition, a denture may improve speech and prevent a sagging face by providing support for lips and cheeks. With an in-house denturist, we can provide same day denture repairs.
Dental implants are used to replace missing teeth. To qualify for implants, you must be in good general health, have healthy gums and enough bone in your jaw to support the implant(s). Dental implants are done in several stages. At first, a titanium implant is placed in the bone under the gum. After several months, this will bond to the bone. At that point, a crown is made and fixed onto the implant. Implants can replace one or more missing teeth.
Endodontic (Root Canal) Treatment - Back to top
There is tissue inside a tooth made of nerve and blood vessels called the pulp. The pulp can be damaged by a large cavity, a leaking filling, a missing filling, by a part of the tooth chipping off, or by a crack in the tooth. This damage may result in severe tooth sensitivity, a toothache or an infection.
There are two ways to remove the diseased pulp. One is to completely extract (pull) the tooth. Another way is to open the tooth and only remove the pulp. This is called endodontic (root canal) treatment. This is a preferred method, because it allows us to save the tooth.
Childrens' Dentistry - Back to top
The best time to see a child is when the first teeth come in. At this point we will educate the parents on how to care for their child's teeth. Dietary and cleaning advice is given. The child is also looked at to make sure that the teeth are developing properly. The child is then seen every six months after. By the third birthday, the child is always cooperative to sit in the chair alone for a thorough examination, and a polishing of the teeth. This gradual introduction to the dentist desensitizes the child to the dental environment so that if there is a dental emergency or the child needs dental work, they are coming to a familiar and comfortable setting.
A mouthguard can be used for all contact sports (boxing, hockey, basketball, soccer, baseball, karate, etc) to prevent severe damage to the teeth and jaws. Even where a helmet and a facemask is worn it can protect against concussion. There are various types of mouthguards available. The customized mouthguard made by the dentist is highly recommended because it is an exact fit, offering maximum protection, easy breathing, easy swallowing, and clear speech.
A night guard
is a custom made, plastic appliance, designed specifically to protect teeth
from bruxism, commonly referred to as clenching and grinding the teeth. Studies have reported that chronic jaw clenching and grinding have been associated with head, neck, and TMJ tension and pain. A night guard provides cushioning to the teeth to alleviate the pressures of clenching and grinding. It also provides a barrier so that the teeth do not get worn against each other and get chipped, shorter, or sensitive.
Periodontal Treatment - Back to top
The mouth is full of bacteria. These bacteria, along with saliva and food particles, constantly form a sticky, colourless film called plaque on teeth. Brushing and flossing help get rid of plaque. Plaque that is not adequately removed hardens after 48 hours and forms tartar. Tartar is hard and full of bacteria that damage the gums and the bone supporting the teeth. Brushing does not clean tartar. Only a professional cleaning by a dentist or dental hygienist can remove tartar.
Plaque and tartar build-up can lead to gingivitis and progress into periodontitis. Periodontitis can cause the tooth to abscess and need to be removed.
The signs of gingivitis are: the gums may be sore, bleed easily, and appear puffy, soft and swollen. Once it progresses to periodontitis, the gums recede away from the teeth, and the teeth may become loose.
Nitrous Oxide Sedation - Back to top
Nitrous oxide is a gas delivered by a nose mask to the patient to provide relaxation and pain relief. The patient can arrive alone and leave alone and even drive a car after using it. It has no side effects and can be used with virtually any medical condition or medication. It is available to be used for all dental procedures in the office. If you have fear of any dental treatment, please ask about nitrous oxide sedation at your next visit.
Seniors' Dental Care - Back to top
More and more seniors are keeping their natural teeth; therefore, regular dental care has become more important than ever. With increasing age, the gums recede and roots of teeth are exposed. Roots are very sensitive to attack by sugar and plaque and, therefore, prone to cavities. Gum disease is also a common problem and may lead to the recession of gums and tooth loss. A dry mouth exacerbates both cavities and gum disease. Some medical conditions and many prescription and non-prescription medications lead to dry mouth. For those wearing full or partial dentures, the fit can change over time due to weight gain or weight loss, losing more teeth,
and the shrinkage of bone and gums. Misfitting dentures can cause damage to supporting teeth and gums, and cause the inability to chew. As such, regular check-up and maintenance is required.
is provided by integrating complete medical health, dental status, and patients’ belief in their own health care. At the first patient visit a detailed interview is done to discuss this information and formulate a treatment plan.
A variety of dental materials are available for restoring teeth. A wide range of metal-free and mercury free
restorations are available. Removal of amalgam is done by rubber dam placement and oxygen masks are optional. There are high quality air filters in the treatment rooms to remove mercury vapors, germs, and dust.
State of the art Dexis digital x-ray system. Minimum radiation, maximum comfort and clarity of image.