Your Smile Dental Care blog


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The New Patient Exam

Because there is a doctor shortage in Ontario, most people do not have the luxury of choice once an opening in a practice becomes available. They either accept the physician available or wait further.

Dentists, however, are plentiful in many Ontario cities. Nonetheless, having too many choices can also frustrate your search for a new dentist. Life is busy and, oftentimes, too many choices can be overwhelming.

If finding “the one” is proving to be more difficult than you anticipated, we hope that you will find all the information you are looking for in our blog:

Tips for Choosing the Best Family Dental Centre

Seeing A New Dentist

What is involved in a New Patient Exam?

We get many calls to our office from people asking if we are accepting new patients. At Your Smile Dental Care, we love welcoming new people to our dental family. Your first phone call to our office is the first step in understanding what to expect during your first visit and how to prepare for it.

Record Transfer

Your previous dental history often provides information that may be vital to your future care with a new dentist. As such, your dental records can be transferred from your previous dentist to our office by signing a release form that gives your current dentist permission to transfer your private dental information. Because this is a process that dental offices carry out routinely, records are usually transferred in a cooperative and timely fashion so that they can be reviewed by our staff before you come in for your first appointment.

Alternatively, some people prefer to begin this process at their current dental office. The key point is that this undertaking requires your signature. Some offices simplify this process by sending you the documentation to your mobile device for an electronic signature or for you to print, sign, then photo capture before sending back. The idea is to get the process started quickly and efficiently so that there is no interruption in patient care.

Appointment

Once the records are received and reviewed, a New Patient appointment can be scheduled for a convenient date and time. Sometimes, this appointment can be booked in advance and in anticipation of receiving your dental history records promptly. Knowing what to expect during your first visit depends on your individual dental needs – be they Check-up, Emergency or Consultation.

  1. Check-Up

Because you will be a new patient to the office, you will have a full exam even though you may be due for your periodic check-up exam.

Why do you need a full exam?

Many things can alter your oral health care in between dental visits. As a new patient to our office, it is necessary to evaluate and become familiar with your dental and medical history and current status before we even pick up any instruments to clean your teeth. This initial exam is a very important step and consists of a detailed and thorough exam and information gathering session. It will include:

  • A review of your medical and dental history
  • An examination of all oral structures in your mouth, not only your teeth
  • Your teeth will be checked for things like decay, wear, damage, bite, mobility etc.
  • Your gums will be examined for pocket depths, bleeding, recession, and overall health
  • An oral cancer screening will be performed
  • Your past dental work will be checked for signs of damage, wear, fracturing, looseness, etc.
  • We determine if x-rays will be necessary to help us access and identify areas of concern
  • As we examine we chart of all this data
  • When we move onto the cleaning phase of this appointment, we continue to analyse your dental health
  • We will discuss al findings with yo and recommendations will be made, including any treatment plan going forward
  • Of course, we will encourage you to share your thoughts and concerns with us during this examination

Naturally, all of this takes times and is a crucial step in getting to know you, your health and your individual needs.  The more we know about you and your overall health, the more effective we can be in addressing your dental care needs. Your subsequent dental cleaning will then be tailored to your “specific to you” needs. For any future dental check-ups, we will have a baseline and reference point that allows us to provide continuity of care.

 

  1. Immediate

If your dental concern is of an immediate or emergency nature, then you are likely seeking an appointment as soon as possible. Understand that there is a difference, however, between what is considered an emergency and a non-emergency issue.

A true dental emergency is typically anything that involves any dental issue that requires immediate attention in order to save a tooth, if there has been a traumatic injury involving bleeding of the mouth or if you need relief from severe pain. Most offices can accommodate you into their same or next day’s schedule with the anticipation of providing you with an assessment then determining what form of relief or temporary treatment can be offered immediately. A discussion will then take place concerning what long term remedies may be necessary for your “specific to you” dental issue.

A non-emergency new patient appointment would concern a dental problem that poses no immediate threat to your teeth or life, as in often the case with infections or trauma. Some examples are a lost fillings, chipped tooth, moderate pain/discomfort that you can manage with some pain relief, or the recementing of fixed dental work like crowns, bridge or braces.

 

  1. Consultations

Perhaps you do not have an immediate problem, but are looking to move forward with some elective or comprehensive dental treatment. You may just wish to have a dentist offer you some treatment options or a 2nd opinion. This is especially common with patients who are interested in teeth straightening, implants, cosmetic treatment or complete dental makeovers.

This no-hassle, first New Patient appointment will likely consist of some information gathering and a discussion about your “unique to you” dental situation. A visual exam can only yield so much information. Having current radiographs or other pertinent dental records available for this visit will allow the dentist to assess your current dental status more accurately before offering an informed recommendation. For more complicated issues, sometimes a secondary visit is necessary. Which brings us to…

 

Why do different dentist offer different treatment plans?

No two patients are alike and that is important to understand when you are comparing your dental options with another person. The confusion arises when different dentists offer different recommendations for the same patient. It is important to understand that you are fortunate if you have more than one option available to you. It means you have choices!

Your dentist is there to help you make an informed decision based your dental health, finances, values and your commitment to maintaining a healthy mouth moving forward. Dentists, themselves, come to their conclusions based on a variety of factors including training, occupational experience, office technology, passion, thoroughness of patient assessment, confidence in patient’s future compliance/efforts, prognosis,  and whether they are conservative or progressive in their approach to patient care.

Lastly, it can also be a challenging situation if a person is looking for a quick, inexpensive and long-term solution for rather complex dental issue.

 

Preparation

How can you prepare for your first visit to a new dental office?

There is some information that must be gathered in order to ensure that there is continuity of care and to identify any medical issues or medications that can challenge your dental care going forward. To ensure that all information pertinent to your care is available to your new office, be prepared to bring with you or arrange for the following:

  1. Updated medication list.
  2. Family doctor’s name and telephone number.
  3. Details surrounding any current medical treatment you are receiving.
  4. Your dental insurance information. Most people have a dental ID card that has been issued to them by their employer/school. In the absence of this, be prepared to have your insurance information written down including – Name of employer, Name of Insurer, Policy and ID number
  5. If you are anticipating that your first visit will be an expense covered by your insurer then you will likely want to ensure this. Your new dental office will usually work with you to gather this information and will likely be part of the records release process from your previous dentist in addition to contacting your insurer.
  6. The need to take a prophylactic antibiotic before any dental treatment is a decision that should be made in consultation with your physicians and is a matter that should be reviewed regularly. If you have been advised to continue being pre-medicated before dental treatments, inform your new office in order to ensure that you are prepared for treatment.
  7. Confirm your appointment the day before you arrive to ensure that all pertinent information has been received
  8. Don’t forget to brush and floss your teeth!

 

We hope that you now have a clearer understanding of what different new patient visits consists of. To make an appointment at Your Smile Dental Care or to get more information about your first visit, call us at (905) 5SMILES. You’ll be glad you did!

 

Yours in Better Dental Health,
The Your Smile Dental Care team
(905) 576-4537
(416) 783-3533
http://www.yoursmiledentalcare.com

 


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The Sudden Appearance of Cavities

The Tooth Sleuth…

 

20170123_122329Why does tooth decay suddenly begin in patients who have had no history of multiple cavities?

This is actually a common question that is not generally an age-specific misfortune as much as it tends to be a lifestyle occurrence. It is understandable why someone becomes frustrated and very concerned about the sudden appearance of tooth decay when they have had great teeth their whole lives with little or no decay.

Cavities can occur at any age and without warning. Some factors we can control, while others are a more complicated set of circumstances. The sudden appearance of cavities depends on someone’s individual situation, so it often becomes a fact-finding mission for both the dentist and the patient.

 

You may not think of dentists as detectives, but it is one of the many roles we assume as healthcare practitioners

 

Narrowing down the cause can be tricky, but here are a few of the most common culprits:

 

Cavities under fillings – Like anything that is man-made and designed to replace something that is natural, there are limitations. Fillings can wear down, chip or lose their marginal seal with the tooth allowing bacterial acids to seep in and cause cavities under fillings. Maintaining regular dental check-ups allow us to monitor the integrity and health of teeth and their existing restorations.

Orthodontic treatment – Wearing braces, especially the new Invisalign type of braces, give food and plaque more places to hide making it more difficult to see and remove them. Your food choices and attention to the detail when tooth brushing becomes very important to reduce your likelihood for tooth decay. Your orthodontist will warn you of the higher susceptibility for cavities when wearing braces and make recommendation that should be followed diligently.

Dietary change – A sudden change in what and how often you eat and drink can have a huge impact on the health of your teeth, Ideally, you should allow 4-5 hours in between food intake so that your saliva can repair (remineralize) the damage from the acid attacks that occur during meals. If you have acquired a new habit such as frequent snacking, sipping coffee all day, chewing sugar gums/candies, drinking more pop/juices/alcohol, or using throat lozenges you may be putting your teeth at risk for more tooth decay.

Nutritional Deficiencies – The quantity and quality of our saliva is impacted greatly by nutrition. The immunoglobulin, proteins and minerals in saliva help to protect and repair our teeth, so any deficiencies in our food intake or health can and will affect the efficiency of saliva.

Dry Mouth – Saliva plays an important reparative, cleansing, buffering and digestive role in our mouth. A disruption in the quantity and quality of saliva  can put you at risk for more cavities. Illness, medications, medical treatments such as chemotherapy and radiation, stress, weather, alcohol-based mouth rinses, and even the addition of exercise can affect the character of your saliva and it’s ability to do it’s job efficiently. Never ignore dry mouth. Read all about dry mouth here.

Medication – Did you know that there are hundreds of medications that can affect the quality and quantity of your saliva and impact the health of your teeth? Even over-the-counter products such as anti acids, antihistamines, and cough syrups can be harmful to your teeth with prolonged use. Check with your pharmacist about your medications to help narrow down the ones that can cause dry mouth. Perhaps, they can then suggest an alternative and check with your physician about a change in prescription.

Vomiting – When stomach acids make frequent contact with your teeth it can lead to the eroding away of the enamel eventually resulting in a mouth full of cavities. Frequent acid refluxing, prolonged illnesses and eating disorders that use the elimination of meals just eaten, are serious matters that cause nutritional deficiencies and cause an increase in cavities.

Teeth Whitening – We believe that the frequent use of teeth whitening products can eventually cause the wearing away of protective enamel. Moderation is key here and your dentist will advise you as to what is considered a safe, but effective whitening regime for your specific-to-you situation.

Oral Hygiene – Have you changed your oral care routine? Changing toothbrushes, eliminating fluoride, slacking off with brushing and flossing, brushing too hard or excessively and even choosing a natural oral care product can all lead to more cavities. We had one patient who switched to an electric toothbrush but did not know that they were missing the entire gum line area resulting in cavities all along this area. And, as popular as some homemade and natural remedies are, care must be taken to choose a product that is both effective and gentle on teeth and gums.

Fluoride Intake – Fluoride is actually an element that is found in rocks, soil, fresh water and ocean water. Over 70 years ago, it was discovered that populations living and ingesting naturally occurring fluoride had significantly better teeth – in both health and appearance – than those who did not. Many municipalities decided to add 1 part/million fluoride to community drinking water. Today, we still see the evidence of better oral health in fluoridated areas.

Relocation – Sometimes, just moving from one geographical location to another can lead to significant lifestyle changes in terms of habits and access to health and healthy choices. Students who move away from home may find it difficult to maintain healthy habits and make wise nutritional choices. People who move to an underdeveloped area may struggle accessing good nutrition and healthcare. Even a lack of fluoridated water has been shown to impact oral health.

Receding Gums – When your gums recede, the soft root of the tooth is exposed, making it more susceptible to decay and the scrubbing action of your toothbrush. The tissue covering the root is half the hardness of protective enamel. Root exposure and the eventual cavities and abrasion crevices cavities is a common dental problem, especially in older persons and those who use a hard toothbrush or brush to harshly and in in those.

Medical treatments – As unavoidable as they are, some medical treatments affect your oral health and result in unexpected tooth decay. Medical treatments can cause altered taste, saliva changes, mouth irritations, damaged tissues, sensitivity, vomiting, difficulty eating and swallowing, delayed dental treatment, and can disrupt home oral hygiene. All can play a role in an increased likelihood of cavities. At Your Smile Dental Care, we suggest a pre-treatment examination to record baseline charting, identify and treat dental problems and provide oral hygiene education before your medical treatment begins.

Sharing Salvia – Dental disease is an infectious disease. You can be contaminated with the saliva from another person through kissing, sharing a toothbrush or eating utensil. Is cross-contamination capable of actually causing tooth decay ? Saliva is laced with germs and some people have more of the tooth damaging bacteria than others. It is thought that mother’s can pass on bacteria to their children and, in turn, increase the likelihood of decay in the child when they share spoons, so it stands to reason that this is not the only situation where one’s mouth germs can directly affect the quantity and types of germs in another’s mouth. Sometimes, sharing is not caring!

Work Routine – Even something as seemingly insignificant as a change in your work time hours, such as switching from days to nightshift, can affect the way you prioritize and approach your oral care and eating habits. Exhaustion, insomnia, stress, a hurried life can all impact your usual routine and put you at risk for additional tooth decay. Scour the internet to find some great practical tips on how to manage work shifts better.

Don’t make cavities part of your future…

These are all examples of some of the changes that can occur in your life that you may want to consider and review if you notice that you are suddenly being diagnosed with more cavities, more often than usual. A solid review of your nutritional, dental and medical history may reveal something that could account for the high incident of tooth decay. Hopefully, by process of elimination, you and your dentist will be able to narrow in on one or a few of your risk factors and implement some changes in your life now so that tooth decay will not become a recurrent problem.

 

 

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Yours In Better Dental Health,
The Your Smile Dental Care Team
(905) 576-4537
(416) 783-3533
www.yoursmiledentalcare.com

 

 

 

 

 

 

 

 

 


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You Don’t Need to Fear the Dentist!

 

Avoiding the Dentist?

Covering mouthIf the mere thought of going to the dentist causes your heart to race and your hands to sweat you are not alone. While many people will choose to make dental health care one of their New Year priorities, according to Statistics Canada more than 40% of Canadian will give the dentist the brush-off because of dental anxiety.

Although there has been many significant advances in dental techniques and technology, many people still feel uncomfortable in a dental office. This is because the body is simply amazing! It is designed for self-preservation and is equipped with an incredible internal response system when it senses danger. Even when you brain attempts to rationalize and calm your fears, your body may already be sending you the strong urge to escape.

It’s no wonder people avoid coming to the dentist or cancel their dental appointments. Trying to reason with such a strong fight/flight/freeze mechanism can be challenging. You may not be able to eliminate all of your fears, but you can learn to manage them despite your body’s physical reactions.

If you are determined to make your health and well-being a priority this year here’s what:

You Can Do…

1. Admit your fears – If you are already thinking about going to the dentist you are likely already feeling anxiety. Discuss you concerns with a trusted, empathetic person. Avoid speaking to someone who may intensify and reinforce your fears by recalling their own fears or experiences. We are also here to listen and help make your visits to us as comfortable as possible.

laptop-and-cellphone-1269437-m2. Look for a new dentist – If you do not already have a dentist , email or call around to look for a dental office to call home. Convey your fears and concerns to them then review their responses. Did they respond? Did you feel rushed on the phone? Did the staff sound informative and sympathetic? Although time-consuming, this will help you narrow down your search which will save time in the long run. Perhaps you would like to visit the dental office first and meet the staff. If taking a tour will help, a good office will be proud to show off their practice. Finding an office that is willing to help you become more comfortable right from the get go will most likely be there to help you cope with your fears and concerns in the future. If you think you have found the right place schedule an exam then proceed to a cleaning.

3. Know your fear – Let us know what you like or dislike. Is it the noises? Fear of the needle? Water in your mouth? A past experience? Perhaps you prefer to be in control or like distractions. If you can identify the source of your fear or already know what puts you at ease then communicate this to us and together we can find a solution. Everyone prefers anxiety-free surroundings – even us!

4. Know the facts – Although, we always explain what we are doing to our patients, some people need more information in order to feel in control of a situation. If however, knowing too much will aggravate your fears, let us know and we will inform and assure without alarming you further. Everyone has their own comfort level. Let us know yours.

5. Don’t hurry – If you are not in need of immediate dental care then why hurry? You’ve waited this long, so go slow and face your fears one step at a time. Start off with an examination. Once you have completed this stage and are ready you will be better prepared to move on to the cleaning appointment. If all goes well and you are in need of further care then we can take baby steps together!

29-12-2014 6-30-52 PM6. Be realistic – Your dental health is as individual and personal as your are and your treatment will be specific to your situation. Comparing dental treatments with friends is like comparing other health conditions. No two people are the same. Diagnosis and treatment recommendations depend on your pre-existing dental and health conditions. Short and long term prognosis depends on many factors such as severity of conditions, patient cooperation, health history, body response, maintenance, other conditions of the mouth, age and lifestyle. Understanding your current state of dental health will help you make informed decisions moving forward. Your dentist should be open to answering all of your questions, and if possible, offering treatment alternatives.

7. Control your imagination – Our imaginations can both amaze and terrify us and it is easy to conjure up all sorts of scenarios that will likely never occur.  Learning to tame your thoughts so that they do not interfere with your emotions will help empower you so that you can attend to your needs.

8. Find closure – Previous traumatic experiences or conditioning can severely immobilize a person and prevent them from ever moving forward. Speak with your family doctor or regional health department about your situation and ask them to refer you to a professional who deals specifically with these types of fears so that you can begin to take your first steps towards recovery.

04-08-2014 11-54-04 PM9. Bring a friend – Sometimes, bringing along a friend or family member or even a stuffed animal can put you more at ease. If you wish, you can appoint them as your advocate who can help ask questions and communicate your fears and concerns. If having them in the treatment room helps perhaps you dentist will allow you to have this support as long as they do not aggravate an already anxious situation.

10. Bring your own music – Although we have music in our operatories, sometimes people would rather bring their own devices and listen to their own music. Whatever helps!

11. Be a good role model – If you do not want your children living a life of fear you must help them develop positive and responsible attitudes. Studies have shown that most children are more likely to pattern their future choices and behaviours after their parents and carry the habits they learn as children into adulthood and throughout their lives. Your positive remarks and optimistic outlook about dental care will empower your children and help to ensure that they will continue to benefit from your great example!

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We Can…

29-12-2014 6-35-38 PMWelcome you – At Your Smile Dental Care we strive to make you feel comfortable and valued from the warm welcome that greets you at each visit to the high degree of personal attention we offer you throughout your treatment. We understand the importance of gentle dental care and always encourage open communication. Most of our new patients found us by word of mouth. We appreciate the care entrusted to us and consider these referral from family and friends the greatest compliment a dentist can receive.

Provide sympathy – We do more than just work on teeth. First and foremost, we recognise these teeth are attached to a person who deserves to be treated with respect and dignity. We all have fears. Dealing with patient fears is what we are trained for and being afraid means different things to different people. A person’s true feelings can manifest themselves in a whole host of ways. Some people react physically with tense muscles, rapid breathing or heart rate, nausea, sweating, and dizziness, while others become angry, silent, or talkative. We must always be sensitive to the fact that, in a dental setting, a person may have difficulty conveying their thoughts, feelings and opinions. Patience with our patients is key while we strive to reduce their anxieties and allay their fears while providing painless, quick treatments.

Stay up to date – A good dentist and staff continually strives to provide the best possible care for their patients so that they have the option to choose the best treatments available today. Staying current on all the latest techniques and technologies helps a dentist to obtain and maintain a level of care that meets or even exceeds industry standards. Ask your dentist and staff what they do to stay up to date. They should be proud to tell you!

shaking-hands-1097209-mEstablish trust – We believe that clear and concise communication is the cornerstone of trust in dentistry. The patient/dentist relationship depends on a solid foundation of trust. We know that if a patient has had trust issues in the past with a dentist or other healthcare provider it will influence how likely there are to trust another dentist. These past experiences sometimes makes it difficult for another dentist to gain a patient’s trust let alone form a lifelong partnership. We have seen firsthand that patients are more likely to follow through with advice and treatment and achieve optimal oral health when they trust their dentist.

Communicate – Patients appreciate clear, honest, and straightforward communication. Your dentist should face you when speaking, use plain, everyday language and avoid using terms that are too technical. It is important that you are asked if you understand the information being presented and be given the opportunity to ask questions or seek clarification. Most dental offices will have pamphlets or printed material on hand for you to take home for further reading. If you have further questions or concerns once you leave the office, do not hesitate to call your dentist.

Listen – We all know that communication involves being an active listener as well. Oftentimes, being a good listener requires that you pay attention to other cues and signals that a person may be giving. Anxiety and stress can make a person afraid to ask to have information clarified or cause a person to shut down making it further difficult for them to absorb information. We may explain a treatment plan and ensure that a patient has had the chance to ask questions and gather additional information, but we must always appreciate that sometimes information is still being digested by a person long after they have left the office. We aim to make certain that our patients understand their oral health care needs. This may require additional guidance by encouraging our patients to make further inquires if necessary.

Accommodate – We can schedule your appointments at a time and date that is best for you. Early morning appointment usually work best so that you are not worrying about your visit all day long. Perhaps spacing out your treatment over a series of shorter appointments or over an agreeable and suitable period of time will help you cope and manage your visits better. We offer a wide range of services for all ages including cosmetic, implant and emergency dentistry. We are wheel chair accessible and are able to move our dental chairs to accommodate most wheelchairs.

music-to-my-ears-40789-mProvide lifelines – Different people cope and manage their stress in different ways. Some people need distractions such as movies, music and periods of rest, while others need to feel in control at all times and like to watch using a hand held mirror. We allow our patients to stop treatment at any time by raising their hand. Sitting up briefly, going for a short walk or having a responsible and trusted family member or friend present in the room can also be beneficial. We offer conscious sedation in the form of laughing gas to calm fears and we have throat spray to help alleviate gagging.

Professional – As stated earlier, every patient deserves to be treated with respect and dignity. We never make our patients feel ashamed or embarrassed about the condition of their teeth or that they have not attended to regular dental care in the past. We are all about moving forward. If you made it through our doors and into the dental chair that is incredible progress which we believe is cause for celebration. We treat all patients equally, while offering personalized, individual care. In return, all we ask is that our patients respect our time  and commitment also by honouring the appointment times we schedule for them or informing us of appointment changes well in advance so that we can care for another patient in need. Maintaining regular oral care visits will also help us to detect problems early so that we can help you avoid repeated crisis situations.

Follow up – Don’t be surprised if we provide some TLC with an after care telephone call just to see how you are managing. It’s our way of letting your know that we care for you and your health long after you have left our office. This also allows you to make further inquires or gage the progress of your recovery.

Offer payment plans – If the cost of your treatment is the source of your stress, you can discuss your payment options with our friendly staff. If you qualify, we can help you set up a committed repayment schedule that allows you to achieve oral health sooner than later.

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Your First Step

The first step to successfully managing anxiety is learning to understand and recognize it. Although your body is designed to become anxious around perceived threats, it becomes a problem when you cannot control your fears when there is no real danger. We understand that your fears are real, but when they prevent you from taking charge of your dental needs conditions will only worsen causing you further grief.

This year resolve to make dental care a normal part of your life. Dr. Axelrod and his team of caring professionals at Your Smile Dental Care have helped thousands of people conquer their dental fears, take control of their oral care and achieve optimal oral health. As you get to know and trust us, you will soon find that your fears will lessen and your anxiety levels will become more manageable.

Remember…you are not alone!

Yours in better health,

The Your Smile Dental Care team
(905) 5SMILES (576-4537)
(416) 783-3533


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Your first dental visit in a long time…

So, how long has it been since you have been to a dentist?
Lost count of the years?

We understand that for some people it takes a lot to finally walk through our doors. Fear is a great motivator in keeping people away from the dentist, but pain is often the catalyst that15-09-2014 10-07-06 AM moves even the most fearful of patients to take action.

If you are one of the Fearful, let us make this easier for you.

First and foremost, at Your Smile Dental Care, we welcome you with open arms and congratulate you for taking a positive and responsible step in the right direction. We are all about moving forward in our practice – no lectures, no scolding and, most importantly, no shame.

Shame is actually just as common as fear when it comes to avoiding the dentist. The thought of what the dentist will see when you open your mouth can be embarrassing, but understand this – we are professionals. This is what we do day in and day out. We fix teeth. We are healers. We treat you with the dignity and the respect you deserve and you should expect nothing less from caring professionals!

What you should expect on your first visit on the road back to dental health:

Urgent care

1. We will update your medical and dental history by having you fill out a questionnaire, so be prepared to bring an updated list of all of your current medications and physicians names/telephone numbers. If you require assistance or wish us to discuss this with you verbally – no problem.20140915_103718_resized

2. We will seat you in one of our treatment rooms and discuss the reason for your visit today.

3. We will perform a thorough examination of your mouth and teeth and record our findings in your chart.

4. Next, we will update any dental x-rays that are necessary for us to diagnose your dental problem.

5. Once we have concluded our overall assessment, we will carefully weigh all of the information before establishing a sound treatment plan. Sometimes, a patient comes to us with more than one issue in their mouth. We must then, with the patient’s involvement, establish a list of problems then organize and prioritize them according to the person’s immediate and long-term needs and desires.

6. We will then discuss your treatment options and alternatives with you and explain the advantage/disadvantages and risks of each.

7. We will present a general sequence of appointments necessary which we may adjust as treatment progresses and the conditions of your mouth are re-evaluated. We encourage you to ask questions and take some time at home to carefully weight all of the information we have presented to you.

8. Our friendly treatment co-ordinator will discuss fees with you and will assist you if you have dental insurance.

9. Oftentimes, we may be able to offer you same-day urgent care then schedule a follow-up visit to finish treatment or re-evaluate your condition.

General Check-ups

1. Steps 1-4 above will take place. Updated x-rays will allow us to assess the current state of health of your teeth and supporting structures (gums and jaws).

2. We will determine if there is any need for further treatment and discuss our findings with you. Again, we encourage you to ask questions to better understand your dental options.

3. When you see one of our hygienists for a dental cleaning/scaling, they will discuss your current home care regime and will offer you practical solutions to help you improve and maintain a good hygiene program at home.

“The Journey of a Thousand Smiles begins with a Single Step”


Not your grandparent’s dentist

There are many people who absolutely hate going to the dentist, but their fear of tooth pain/loss is far greater. That first step through the door is the hardest to make, but it is always a step in the right direction.

Over the years, we have seen many fearful patients. It has been wonderful to see them become much more relaxed and trusting in our care. There have been so many advances in dental technology and attitudes that you will be pleasantly surprised how much we differ from the dentistry you may have fought long and hard to forget.

And while we still may ask you that dreaded question, “Do you floss?”  we’re also just as likely to smile at your answer and hand you a goody bag full of dental swag – including floss. We know you’re probably lying between your teeth about flossing, but we’re still happy you came!

Yours in Better Dental Health,

The Your Smile Dental Care Team
(905) 576-4537
(416) 783-3533
www.yoursmiledentalcare.com


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Sore teeth after a Dental Cleaning?

Q: I wasn’t in any pain before my dental cleaning and now my teeth are sooo sensitive.

A: Lets review what happens with some dental cleanings.

04-04-2016 3-08-02 PMNo one likes surprises, especially in connection with something you were not expecting to be painful. Most everyone would also like to have a pain-free visit when they visit their healthcare providers, but this depends on the state of your health, the level of care required, your own pain tolerance and most importantly, expectations. Tips for a Pain-free Dental Cleaning visit can be found here.

This is why communication is a crucial aspect of the dental care experience. Building a trusting relationship relies on open, honest and effective communication. This requires the efforts of both parities.

If you were experiencing discomfort during your visit or required the intensity of cleaning that would leave you in pain afterwards, it sounds like there was something missing in the communication process between you and your provider.

Let’s take a look at how this could have been avoided…

Scheduling Your Appointment

Ideally, effective communication takes place before, during and after your cleaning. It begins with the first phone call to schedule your appointment when the administrative staff gathers as much information as possible to determine the type of appointment necessary and the appropriate time required. The questions they ask you will help them determine what information both you and the dentist should have so that everyone will be prepared for the visit.

 

Established Patients – If you are already a regular patient at a dental office, make it a habit to come in for your regular check-ups and cleaning and are not having any 04-04-2016 11-57-58 AMcurrent issues that you anticipate will have an impact on your appointment, then you can probably expect the kind of visit that you have become accustomed to at your dental office. If you have more tartar on your teeth than what is normally typical for you then your hygienist will let you know that your cleaning will probably be more involved than usual and suggest ways to help prevent future buildup.  Your cleaning appointment may be longer than anticipated or spaced out over two visits. Communication should be ongoing throughout the appointment as the hygienist gauges your comfort level.

 

New Patients – If you are a new patient to a dental practice then it is difficult to anticipate the level of tartar buildup and the condition of your teeth and gums. The administrative staff scheduling your appointment will let you know what to expect your first appointment. It is at this time that you may feel comfortable discussing any sensitivities, anxieties or dental problems you may have so that your dental provider will be aware beforehand and as many comfort aids as possible can be made available to you. A better idea of how much time and effort is needed for your cleaning will be determined during your first exam and you will be advised of what to expect at your next appointment. At Your Smile Dental Care, we try to get your cleaning started during your first new patient visit, if time permits. Again, during your actual cleaning procedure, your provider should let you know what is happening at all times and assessing your comfort level should be an on-going process throughout your visit.

Pre-Treatment

04-04-2016 11-09-47 AMIt is important to understand that there are different levels of cleaning depending on your dental health, the amount of tartar build-up in your mouth and when your last cleaning was. A proper assessment by one of the dental team members will determine how best to proceed with the safest, most comfortable and thorough cleaning they can provide. If you have a lot of tartar accumulation, then naturally your cleaning will probably be deeper and longer than a routine cleaning. You may even require several visits to complete your cleaning. All of this will affect your level of comfort, in addition to any dental sensitivities and anxieties you may already have.

There are times when a patient calls for a cleaning appointment and/or price, but has not had a dental visit in a very long time. This is where the communication begins. An experienced and thorough administration team will gather as much information as possible before discussing prices and scheduling the patient’s appointment. They will advise the patient that only a proper assessment by the dentist or hygienist can accurately determine the health of their mouth, the level of cleaning required and the associated price. Equipping the patient with this information beforehand will certainly avoid disappointment later.

The Stages of a Dental Cleaning Appointment

1. Pre Appointment – Before you even visit your dental office you should take note of anything that may directly impact your experience. Are you anxious? Do you have any sensitivities or sores in or about the mouth area such as cankers or cold sores? Are you in any pain or having a dental issue that could affect you during or after your cleaning? Letting your dental team member know these things beforehand will help them determine if they should modify or postpone your appointment.

09-02-2015 8-14-23 PM2. Pre-Operative Assessment – Before the hygienist even begins cleaning your teeth, a medical and dental assessment is done. During the medical portion, you are asked a series of questions pertaining to your health. This is very important step since your current health and medications can have a direct impact on your dental health and level of sensitivity in your mouth. As the hygienist is evaluating your health, they are also determining how best to proceed with the safest, most comfortable and thorough cleaning they can provide. If it has been a number of years since your last cleaning and you have quite a lot of tartar build-up, a separate appointment may have to be scheduled to complete your cleaning. The hygienist will tell you what to expect at your cleaning appointment so that you will have no uncertainties.

3. Cleaning Stage – There are also different levels of cleaning depending on your dental health, the amount of tartar build-up in your mouth and when your last cleaning was. Sometimes your x-rays and the visual exam is all that is needed to determine the amount of build-up on your teeth. While other times, it’s not until the cleaning is underway that the amount of build-up is evident.

08-06-2015 9-24-20 AMThe hygienist will ask you to tell them if you experience any discomfort during the cleaning. They will also ask you periodically throughout the visit so that they can evaluate your level of comfort during your cleaning. Some people are sensitive to the water-spraying ultra-sonic cleaner, so the hygienist will switch to hand-scaling only. Others may not like the device that squirts air and water into their mouths. While still others are so sensitive or have so much cleaning to be done that they need a periodic break , laughing gas, pre-cleaning pain reliever or anesthetic.

A conversation about your concerns, fears or level of  anxiety should take place before the cleaning actually begins, so that you can both come up with a solutions for a more comfortable visit. As mentioned, some local aesthetic or conscious sedation (laughing gas) or a pre-cleaning pain reliever can be offered beforehand. If the patient has no prior history of discomfort during dental cleaning and begins to experience pain, then an entirely different conversation has to take place to determine the cause. Sometimes, it is the provider’s technique, an unexpected level of tartar build-up or another underlying health/medication issue in the mouth/body.

Provider Technique This is subjective issue and let’s be honest, most patients, who have had experience with dental cleanings have preferences that take shape over time and would like to have a choice when it comes to who will be providing their services. It’s important they be comfortable with the person who will be cleaning their teeth. When it comes to carrying out deep cleanings in a relatively gentle and thorough manner, some providers will do all they can to help accomplish this. Although the dental staff booking appointment will not make provider judgments to patients, it doesn’t hurt to let them know what your preferences, expectations and concerns are. In doing so, they may steer your appointment towards a provider that can best suits your needs. Unless a specific recommendation has been made by your family or friends to you, it is difficult to know what to expect at a new office. Being upfront is useful to the dental team and begins the open and honest communication relationship that helps make your healthcare experiences more predictable.

Toothpaste


4. Post Operative Assessment –
After your cleaning, the hygienist will tell you what you can expect in terms of post-cleaning discomfort, if any. Most people, who come in for regular cleanings, have no post-cleaning discomfort – in fact, their mouth feels clean and refreshed!  If there was a lot of accumulation on your teeth and the cleaning was more involved, then they will recommend the use of a pain reliever/anti-inflammatory, like ibuprophen, to get you through the day. There should be no surprises after your cleaning, if you are kept informed. If there was any uncertainties during the appointment, then your dental office will usually recommend that you call them if you have any questions over the next few days after treatemnt.

Home Care

10-03-2014 2-45-27 PM - CopyIt’s difficult to remove all of the plaque that builds up on your tooth surfaces even if you’re paying extra close attention. There is a small, free space between your teeth and your gums where you would insert your floss during home cleaning. You’ll notice, as you floss, that you are removing food and some soft, sticky plaque. The plaque that remains on your teeth in this space can become hard within a matter of days as your saliva begins to deposit minerals into it.

This hardened plaque is called calculus, commonly known as “tartar.” Calculus can only be removed by a professional dental cleaning using special scaling instruments. When a lot of tartar has built up on your tooth surfaces, especially below the gum line, it’s removal can sometimes lead to increased tooth sensitivity.

04-04-2016 5-11-26 PM modifiedIn order to understand why, you have to know that the hard tissue that covers the root is much less calcified than enamel is, making it more sensitive to irritants and temperature changes in the mouth. In order to protect the sensitivity anatomy of the root, your gums and underlying bone closely “hug” and insulate it from these sensations.

Much like your pant pockets that you may fill with stuff, the tartar accumulating under the gums is widening and deepening this free space between your gum and your root surface. It destroys the fibers that attach the gums to the tooth, and, if left long enough, will begin destroying supporting bone. Unfortunately, this destruction is usually a silent process that most people do not even realize is happening.

When your dental team member has removed this toxic tartar, you are now left with an enlarged pocketed area which is the space where the tartar use to be. This space is open to the mouth and the root surface is exposed to the hot and cold sensations, bacteria and other irritants it would otherwise have been covered with by tartar or protected from if the gum tissue was attached to it more snugly as it used to be.

Sometimes, there is so much tartar that has built up over time and is so far deep under your gums that it can not all be removed in one appointment Your hygienist will then ask that you make another appointment is a few weeks time. During this time your gums may be a little swollen from the scaling treatment, much like any wound would swell after being treated. The swelling will go down and shrink back to a level that will allow your hygienist to revisit the area in order to remove the remaining tartar safely and with less sensitivity.

Given time and proper home care, this pocketing of the gum can be reduced in size. However, destroyed gum tissue and attachment fibres are much more difficult to repair as they do not grow back once damaged.

We can not emphasize the importance of good oral hygiene at home. Your body has amazing
healing capabilities, but you must be patient and follow your dentist’s instructions.

 

Healing

20160425_132936_resizedMany people are quick to think that the dental team has done “something wrong” and this is why their teeth are now sensitive, yet were not before their appointment. It is important to remember that your teeth and gums are like any other part of your body. Damage can be occurring silently, without you ever having symptoms. When you visit us, we see the signs; we notice the damage that is already occurring.

We assume that you are here to see us for the care and attention that you deserve. Oftentimes, this requires more involved treatment that may leave you feeling some discomfort and tenderness afterwards. As one would expect after their family physician or surgeon has performed some invasive procedure, there will be a time of healing. Depending on the level of care needed, healing may be slower than you anticipated, but if you follow our instructions and the prognosis is good, we would expect your healing to be progressive.

Understand that disease and damage can occur in your mouth without you even realizing it. There are lots of people who lead very active and healthy lifestyles, who still have unhealthy conditions or diseases of the body. We have patients who are surprised to learn that, even with diligent home care, there is still room for improvement. Neglect is usually not intentional.

Lastly…

22-10-2015 10-15-17 AMWe often find ourselves back on the topic of communication. Open and frank conversations have to take place between you and your healthcare provider and you should expect nothing less. We assume that when you walk through our door you expect care and attention. It is with this in mind that we offer our patients advice or suggest improvements without the need for scolding or shame them. You should expect the type of partnership with your healthcare providers that is built on mutual respect and that allows you to speak freely and have these frank conversations.

Professional dental cleanings are important. The health of your teeth and gums depend on them. Neglect is not noticed so much when you are young, but as you age the warning signs and damage become increasingly more evident.

If you would like some tips on how to make your next cleaning more comfortable, see our blog: Tips for a Pain Free Dental Cleaning.

 

 

Yours in Better Health,
The Your Smile Dental Care team
(905) 576-4537
(416) 783-3533
www.yoursmiledentalcare.com

 


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First Dental Visit

When Should My Child’s First Visit Be?

Childs 1st visit - CopyMany parents ask us when the right time is to bring in their child for a first visit. The truth is, the answers varies depending on the situation, but we usually see children around the age of two when all of their baby teeth have emerged into the mouth. If your child ever complains of pain, you see any discolouration of their teeth or a pimple-like bump appears on their gums, we would advise you to call us and bring your child in for an examination immediately.

Sometimes, parents bring in their children between the ages of 6-12 months just for us to have a quick “look see.” We take this opportunity to discuss home care and prevention. We encourage you to bring your child in with any older siblings so that our office will be a familiar place for them.

Primary or “Baby teeth” are very important for a child’s function and proper development, so they should be given the same attention as you would give to the permanent, adult teeth. We, as dentists, are trained to spot problems which can be detrimental to a child’s health, but preventable if identified and treated early.

Let’s go through what to expect at your child’s first visit.

24-03-2014 3-22-19 PMProvided there are no major problems, this first appointment  is basically an orientation to the office and screening for your child. It is very important to familiarize your child with the office and what to expect so that his or her first experience is a positive one and that they don’t associate the dentist with pain, needles or drilling. If you wait until your child is in pain before you bring them to the dentist, they will associate the two and become apprehensive coming in for a visit – even just for regular check-ups. It is also important to instil at an early age the idea and routine of proper oral care.

24-11-2014 2-21-31 PMWhen you and your child arrive, you will meet our friendly staff and your child can explore the playroom. When they are ready to come into the treatment room, we will outfit your child with some cool sun glasses (to shield them from the overhead lights) and then give them a “ride” in the dental chair.

Our friendly hygienist will then count the number of teeth they have while checking them for any problems. Afterwards, we will polish them, and depending on the child’s age and cavity-risk, we may recommend a fluoride rinse or “paint on” fluoride application and radiographs – more commonly referred to as x-rays.

The dentist will then come in to meet your child, have a fun and interactive exam with them and answer any questions you have pertaining to home care, nutrition and how to best reduce your child’s chances of decay. After a great visit, they will get to choose a toy from our “treasure chest” and receive a dental kit comprised 24-11-2014 2-23-20 PMof a toothbrush, toothpaste, floss and dental story booklet. Of course, everything we do is dependant on your child’s comfort level and how they are acclimatizing themselves to our dental office. Sometimes, a child may not cooperate and this is okay too! We never force a child. Our goal is to make sure they leave with a positive experience and a toy to help build trust for the next time you bring them in.

We can help you establish a proper home dental care routine that we strongly encourage you to be active in. Again, we want this first visit to be a positive experience for your child to help pave the way for a healthy relationship with our dental team and office and a healthy smile that comes with it.

Yours in Better Health,
The Your Smile Dental Care Team