Your Smile Dental Care


Dental Implant Procedure

Have Missing Teeth?  Loose Dentures?
Thinking about getting Dental Implants?

28-03-2016 2-39-09 PMDental Implants are modern dentistry’s highly successful, long-lasting, and natural-looking substitute for missing teeth or for supporting dentures. Dental implants actually fuse directly to your jaw bone becoming one with your living bone structure. In doing so, implants help to maintain your jawbone – which would otherwise begin to disintegrate once your tooth is removed.

So What Exactly are Dental Implants?

Simply put, your natural tooth is comprised of two main parts – the root portion, which is the part of the tooth in the bone and the crown; what you see in the mouth. Dental Implants replace the root portion of your lost tooth then an additional portion is placed that extends above the gum line to support whatever type of final restoration is needed such as a crown, bridge or denture.

How do I begin the Implant Process?

The dental implant process involves several steps – each one essential to ensure the long term success of the implant and final restoration.

Consultation Appointment – The first thing you would do is to let your dentist know that you are interested in finding out more about dental implants. Your dentist will discuss your specific dental issues with you, take some diagnostic x-rays and let you know if your dental and medical health makes you a good candidate for this type of procedure. Not everyone can have a dental implant placed since you need to have a certain amount of bone available to support an implant. Your dentist will check to see how much bone volume and density you have in the area where your tooth is missing. If you have deficient bone levels, you may be able to have a bone regeneration procedure done which is designed to help restore bone to an area.

Referral – If your dentist does not provide Implant dentistry, they will arrange a referral to another dentist that does. You will probably then have the final restoration, that is placed on top of the implant, done by your own family dentist.

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Diagnostic Appointment
– After your initial consultation visit, the dentist will decide the type of dental implant that best suits your needs and take some additional x-rays so that precise measurements can be determined. After the consultation and diagnostic x-rays, the process for dental implants involves two main surgical procedures at least 4-6 months apart.

3-22-2016 10-18-44 AMFirst Stage – At this appointment, the implant post is inserted into your jawbone. The site is then closed with sutures. This stage can usually be performed using local anesthetic. You will then return to the office about 10 days later to have the sutures removed and the surgical site examined. The site is then left to heal for several months. During this time, bone cells grow around the post so that the jawbone and post become fully and firmly fused together. This fusion period is essential so that the implant will not move and is strong enough to support the final type of crown, bridge or denture that will be place on it.

Second Stage – At this stage, the implant site is then reassessed and evaluated to determine if the post and bone have fully fused with one another. If fusion has been successful, then another type of post, called an abutment, is placed into the implant post. This abutment extends above the gum line and an impression is taken. This impression is used by the dental laboratory to create your custom crown, bridge or denture.

Third Stage – Your final crown or bridge is cemented permanently to the abutment. If you are having a denture made, it can be made to be permanently fixed to this abutment or a removable alternative can be made.

Night Guard Protection – If you have a grinding or clenching habit,  your dentist will probably recommend that your wear a night guard while you sleep to protect your implants and your investment from the destructive forces of this habit.

Follow Up Visits – Dental Implants are to be cared for as you would your own natural teeth. Maintaining your regular dental re-care visits is crucial to the implant’s success. Like any body part that is replaced, attending to re-examination appointments allows the dentist to evaluate the stability and health of the implant, bone and gum. Understanding that all of the teeth and their supporting bone/gum structures work together and support one another will help you appreciate why the health of all the parts of your oral cavity have a direct affect on your implant also.


Dental implants have the highest success rate of any other tooth replacement option. Implants have been around in dentistry for well over 50 years! They are designed to last a lifetime, so they are well worth the investment. The great news is that if you ever need to have the crown, bridge or denture replaced or replaced, it can be done so without ever even affecting the implant itself!

Understand however, that the long-term success of any body replacement part requires regular re-care examinations and maintenance so that the site and surrounding areas can be closely monitored for health. Of course your mouth is not a car, but let’s use this analogy so we can drive (excuse the pun) this very important point home.  You would never buy a new car then drive it off the lot never to give consideration to it’s future maintenance. Your regularly maintained dental visits allow your dentist to inspect the implant for the presence of inflammation, bone loss, mobility etc. as well as the integrity/functioning of the restoration that is attached to the implant.  As with any unhealthy condition in the body, early detection is key to effective and successful repair treatment. At your own risk and peril do you ignore this recommendation.

Book Your Consultation today:

Our team at Your Smile Dental Care will be happy to discuss the entire dental implant process with you and answer any questions you may have. You can contact us at (905) 5SMILES to schedule a consultation with Dr. Axelrod to see if dental Implants are the right choice for you and Your Smile.


25-02-2016 11-26-10 AM

Yours in Better Dental Health,

Dr. Sam Axelrod & the Your Smile Dental Care team
(905) 576-4537
(416) 783-3533

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Caught in a Daily Grind?

NGAre you waking up with sore teeth or jaws? Headaches?
You may be grinding or clenching your teeth during your sleep without even realizing it!

The medical experts tell us that deep sleep is important. It gives our body a chance to rest and heal. However, there are many things that can affect our quality of sleep like stress, foods and illnesses.

The muscles and joints associated with the oral cavity are parts of your body that rely on a rest from tension and activity. You may actually be surprised to learn that forces of up to 1000psi (pounds per square inch) or more can be brought to bear on teeth during sleep. Certain medications can cause these forces to rise even higher in intensity. People have even reported to us that they can hear a household member grinding their teeth right through the bedroom walls.


It’s no wonder why some people are waking up
with sore teeth and jaws!

If you are continually grinding and clenching your teeth during your sleep this can prevent your body from falling into that deep nocturnal rest that your health needs and that causes a tremendous amount of damage in the process.

5-5-2016 10-40-19 AMThis destructive Bruxism activity can occur during the day also. Many people unconsciously grind or clench their teeth during the day. One of our patients tells us that they are constantly surprised to catch themselves clenching during the day.

Whether your habit is mild or severe, if done with frequency, over time it can lead to pain and damage to the head and neck including, but limited to, headaches, clicking TMJ, sore jaws, sensitive, broke and loose teeth, sinus pain, difficulty opening mouth, bite issues, pain chewing, neck stiffness, earaches, and vertigo.

If you suspect that you are experiencing bruxism during sleep or are suddenly starting to suffer from some of the symptoms mentioned above, it is important to consult your dentist right away. Bruxism is an unconscious habit that can be very destructive. Your dentist will be able to have a custom fitted guard made for you to wear while you sleep. That way both you and your teeth can get a well-deserved rest.

Bruxism is the grinding or clenching of
teeth, mostly at night

nightguard111 (2)These night guards can also be found for purchase at local pharmacies for a relatively inexpensive price. We find, however, that our patients tend to wear through these types of guards much more quickly than the custom guards offered through dental offices and the repeated costs of having to replace the guards can become costly.

Our labs use a much more durable material that not only lasts longer, but does not easily warp nor break despite heavy forces they are subjected to. The night guards that are stocked by retail stores are often made of a material that can be easily and quickly softened so that you can custom mold them to your teeth at home through a heat process – much like stock sports guards that are boiled in water then fitted to the teeth. Others come in a more rigid material, but in varying sizes for you to choose from.

A custom-made night guard requires a very short appointment to take molds of your teeth. These molds are sent to our lab and within a few days you will be ready to sleep easy…literally!

So, whether your bruxism issues are minor and can be taken care of with a simple bite adjustment or need the extra help of a protective night guard, please do not hesitate to give us a call. We’ll discuss your symptoms and help you find a solution that is just right for Your Smile!


The Your Smile Dental Care team
(905) 576-4537
(416) 783-3533

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Online Dental Dangers

02-05-2016 11-01-53 AMThe Dangers of Self-diagnosing

Recently, a patient gave themselves a bit of a scare. Without going into too much detail, it was a case of cyberchondria due to online DIY dental diagnosing and they wanted us to share their story.

We are big on self-advocating and taking ownership of your medical and dental health or the lack there of, but we have had more than our share of patients misdiagnosing themselves or using home remedies as advised online.

Such is the paradox of access to information. Amid the online scholarly journals and other credible medical publications is a plethora of well-intentioned sites with inaccurate or misleading information. Bolstering the claims and lending credibility to these sites are testimonies and/or links to other web pages that may or may not contain other unreliable recommendations.

The Well-Connected Patient

02-05-2016 3-28-20 PMThe explosion of both credible and incredible online information can be both empowering and dangerous to the well-connected patient looking to enlighten themselves. We find ourselves spending more and more time dispelling incredible claims while warning of the hazards of others. We are also facing a growing number of skeptical people – people who are dubious of our advice rather than these online claims.

So, who’s judgment do you turn to for sound dental advice?
Well, nothing convinces like the truth. Eventually, patients who have tried home remedies, come into our office seeking redress while we attempt to mitigate the damage. The price people pay for DIY dentistry can range from the unnecessary scare that misdiagnosing can bring to the pain and infection that often results from delayed treatment.

Back to our patient…

We will use some licence here to change a bit of the facts about the aforementioned case to preserve patient anonymity, but it will still convey our message about being cautious about online information. This patient had mistakenly thought that their tooth was infected. When, after a week of oil pulling did not alleviate her symptoms, she made a quick trip to us. A quick examination revealed that a popcorn kernel stuck between her teeth was the source of her badly swollen gum. The offending food item was removed and we are glad to say that, equipped with some home care information, she was quickly on her way back to a healthy smile.

“When in doubt use greater scrutiny”

What to Consider:

Source –   Who is the source of the information? Is the site you are gathering information from using second hand information? Who is the person behind the information? Are they selling a product, viewpoint or belief? Being able to distinguish between a reliable consumer health website with trusted and timely content and one that is self promoting, has a hidden agenda or offering pseudoscientific claims is critical when evaluating credibility. A reliable website identifies the author or source of the information so you can follow up on their credentials and reputation to determine if they have the relevant education, training, or experience that gives them the authority to speak on the matters being presented and that facts are consistent with other authoritative websites.

Date – Content is continually being created and revised, but some websites do not update their information so it’s data may be outdated. Even information from a year ago can be expired. Are you skillful enough to evaluate the how timely the online medical information is? That is, when was it created and how much of the information is still relevant and of value today? FYI: Some websites pages automatically update to the present date, so be careful and ensure that there is a way to find out the correct creation date of the information.

Accuracy – What criteria do you use to determine the validity of a website and it’s contents? What evidence is being offered to support the claims of the website? Anyone can place a testimonial on the site or quote what seems like a reliable source. Many honest, well intentioned people mistaking offer false information. With so much information available, we must be prepared to apply a very high level of scrutiny when determining the legitimacy of a site.

Severity – How severe are your signs and symptoms? Oftentimes, it can be difficult to tell. We recommend that any dental issue that needs immediate attention to prevent tooth loss, relieve ongoing pain, stop bleeding or infection or is the result of trauma/injury should be considered a dental emergency. Many people do not realize that a dental infection can be life-threatening and should have immediate medical attention.

Intention –  Consider why you are turning to online sources of information. Do you want authoritative facts or a different viewpoint? Are you looking for another opinion? Perhaps you are exploring non-traditional medicine.  We encourage our patients to use the internet for general wellness to become better informed about their health. If something needs repair, is diseased, increasing in pain, swollen, infected or needs critical or emergency attention then you must let your healthcare provider evaluate the issue.  Be aware when you try to diagnosis and treat yourself. Understand that health care providers look at your overall signs and symptoms and apply their years of clinical experience and knowledge before making a judgment call and recommending treatment.

Self Advocacy – Part of self advocacy is learning how to get the information you need to become better informed. What will you do with the information? Once you feel you are equipped with some reliable, useful information you need to make a decision about your next move and take ownership of your decisions. It is your right to problem solve yourself, however, it is important to be objective and open enough to realize when you need the help of a professional. When it comes to teeth, all too often, choosing to opt out of professional dental care leads to further damage, more complicated and costly treatment or eventual loss of teeth. Take the case of healing one’s own cavities.  It may surprise you that you CAN heal a cavity, but there are several critical factors involved. Unfortunately, we have yet to see a case of self cavity healing that has not eventually progressed into very deep cavities, many with nerve damage requiring root canals or extraction.

Appearance – Anyone can put up a professional looking medical information site that quotes all kinds of seemingly reliable sources. Do not let appearances deceive you. If the information you want is important to you, dig deeper, think critically. If you dental health is at risk, call your dentist.

Reality Check – Use your logic. Does the information sound too good to be true? If it’s hard to believe, it likely is.  Are broad, generalizations being made while sweeping aside other important details?  Given your past experiences, how much of what is being presented is probable? Do you have a sense that perhaps facts are being distorted or are one-sided?

Remember: The internet is so accommodating that it let’s anyone
contribute material for public consumption.  If you are searching
for reliable and accurate information
then it’s up to you to determine
the validity and accuracy of the content or ask someone who can.

No DIY Denture GlueWhat concerns us is the people who use the Internet to identify their dental problems by matching their symptoms to a likely cause then using the home remedy suggested – whether it’s a coconut oil cure for their infected tooth, an online diet for their cavities or a homemade glue for their loose crown. Unfortunately, dentists have to then manage the patient’s disappointment when their well-intended misadventure causes further dental complications and treatment costs to arise.

It’s true that online self-diagnosis and medical research can be beneficial and even successful when approached responsibly and judiciously. Online searches have saved lives. If what you learn from your online searches can help make positive changes in your life, like eating healthier, exercising, getting more sleep or managing your stress, then that is a great step forward. If an online search about unusual pain makes you call us faster then you’re likely to save a tooth or prevent a condition from spreading.

Your Partner in Dental Health

Our entire team at  Your Smile Dental Care   is dedicated to keeping you and your mouth healthy and your participation is vital to this care. This is why we encourage our patients to take an active role in their dental care by becoming better educated and informed patients.  When it comes to the health of your teeth and gums, the best source of information is your dental team.  As an educated dental patient, you are better equipped to understand your role and responsibilities in supporting our efforts to provide you with up-to-date, quality oral health care. As an informed patient, you are better able to make wise decisions about your oral care and proceed confidently with treatment options.

The more you know – the easier our job is!


25-02-2016 11-26-10 AM

Yours in Better Dental Health,

The Your Smile Dental Care team
(905) 576-4537
(416) 783-3533