Your Smile Dental Care

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What is a Dental Specialist?


Why is my dentist is referring me to a dental specialist?


Although a general practitioners may recommend various treatment options for the care of your teeth and supporting structures and perform many different types of treatment, sometimes they may refer your care to a dentist who has received extensive training in a particular area of dentistry that is specific to your circumstance.

“Your general dentist is your primary care provider who sees you on a regular basis to ensure your overall health care is monitored on a regular basis.”

There are many branches of dental specialization and becoming a dental specialist requires a additional formal education after graduating and receiving their initial dental degree. From performing complicated oral surgery to realigning crooked teeth, dental specialists each have a particular area of expertise and are a vital source of care when diagnosis or treatment becomes more involved or complicated.

Dental Specialties

Pediatric Dentistry – treatment and management of children

Endodontics – Endo mean inside and this is a specialty cares for the inside, vital part of the tooth called the pulp chamber or commonly referred to as root canal. They also work in and around the root area as these canals branch out and open along the root surface.

Oral and Maxillofacial Radiology – Dental x-rays/images of the head, neck and mouth area,

Oral and Maxillofacial Surgery – is a huge branch of dentistry dealing with issues of the head, neck, jaws, and teeth. Care can range from complicated tooth extraction to surgical improvements to major reconstruction.

Dental Public Health – Promotes oral health and deals with the community at large, especially the marginalized or disadvantaged, through awareness, policy, programs, research, and screening of dental health issues.

Oral and Maxillofacial Pathology – concerns itself with the study and diagnosis of the causes and effects of diseases associated with the oral cavity and surrounding areas.

Prosthodontics – creates and fits artificial replacements for the teeth, mouth, and other parts of the face and head that are missing naturally or due to trauma or disease.

Orthodontics – deals with the diagnosing, prevention and correction of misaligned teeth and jaws.

Periodontics – cares for the diseased supporting structures of the teeth such as gums and bones through prevention, diagnosing, and treatment.


General Dentist

Your general dentist is your primary care provider who sees you on a regular basis to ensure your overall health care is monitored on a regular basis. There are many general dentists who are also capable of treating many complicated conditions and may even have further training or significant experience in providing treatment that may be considered a specialty services. There are times, however, when they may determine that your oral issue bears extenuating risks or involves a degree of complication that obligate them to transition your care to a specialist.



Under most circumstances, a patient can not seek the care of a specialists on their own. Referral is only provided after a general dentist has made a preliminary diagnosis and then decides that consultation with a specialist is necessary.


At Your Smile Dental Care, we recommend that everyone should see their general dentist regularly for examinations. How often depends on the state of your personal oral health. Twice a year is advised for most healthy mouths, whereas, if you are at risk or have a history of decay and disease, more frequents exams and cleaning will be recommended. Patients who make oral care a priority, are more likely to enjoy a lifetime of good oral health.


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


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Home made Freezer Gel Packs

Wisdom Teeth RecoveryCold therapy can provide a surprising amount of relief by helping to reduce inflammation and numb a painful area.

But why use a frozen bag of corn when you can make several of your own home made gel packs using the instructions below? They will always be ready when you need them and will save you money!


07-09-2015 7-37-03 PM1. Fill the plastic freezer bag with 1 cup of rubbing alcohol and 2 cups of water.
2. Add food colouring of your choice (Optional)
3. Seal bag and gently squeeze/manipulate to mix contents well.
4. Open carefully and try to get as much air out of the freezer bag before sealing it shut.
5. Place the bag and its contents inside a second freezer bag to contain any leakage.
6. Leave the bag in the freezer for at least an hour.
7. Cover them in a soft tea or hand towel as direct application can be uncomfortable or even freezer burn skin.

These DIY gel packs will get cold but will never hard. They remain flexible so that you can bend or manipulate it to apply next to affected area on the body.  Every household should have these packs on hand for emergencies or when you just need some cold therapy to sooth tired and aching muscles.

Thanks for reading! Feel free to share this handy tip with someone who’ll appreciate it as much as we did!

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




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50 Soft Food Ideas

Soft Food Recommendations

The process of chewing and swallowing foods is something we often take for granted until a situation arises that makes this everyday task difficult. Suggesting soft foods to our patients is commonplace for us; it is something we do everyday.

SmoothieBut let’s face it, there’s only so much soups and smoothies and jello one can eat before you want to scream. Imagine then, being faced with a situation where you or a loved one is forced to change to softer foods long term. From mouth sores to congenital abnormalities to age-related issues, there are many reasons why a person may have to modify the types of foods they enjoy.

And we sure enjoy our food. We look forward to our meals and want real food. Actually, there are many soft food choices that are limited only by our imagination and our ability to “surf the Internet”.

Who knows when or if you may ever have a need for the list below. We encourage you, however, to keep this list handy and use it as a starting point to create tasty and nutritious soft food meals of your own!

Soft Foods

Soft Foods To Avoid

Anything that can irritate or is small enough to become lodged into surgery site.
– Chunky or diced foods
– Nuts
– Pectins
– Too Hot (temperature and spicy)
– Too sharp (chips, tacos etc…)
– Straws

Great Ideas

22-06-2015 1-03-22 PMAdditions: You are limited only by your imagination when choosing toppings for your foods. Melt cheese over foods. Add feta, peanut butter, syrups, and sauces. 

Modifications: Many recipes can be modified to include more healthy, nutritious alternatives. 

Soups: Leftovers can be easily pureed into soups. Add to potatoes to thicken and water/milk/broth to help liquefy. 

Slow Cooked Goodness: Your slow cooker is great to really soften and moisten recipes.

Smoothies: A great way to add vitamin and minerals. Strain any pectins/pits through a cheese cloth. 

Sandwich it! Try placing what you just made between two slices of bread. If the crusts are too hard just remove them.

Blender Casseroles: Many recipes can be modified by placing the ingredients in a blender or food processor then baking as you would a casserole. Sprinkle with cheese near the end of cooking time.

Cereals: We all know how quickly cereals can soften in the milk if left for a few minutes. Do a careful crunch test in your mouth with the first spoonful just to be sure.


DIY Flexible Freezer Bags

Recipe for a flexible and reusable ice pack:

2 Cups of Water
1 Cup of Rubbing Alcohol (70% or 95% – the higher
the alcohol content the slushier the end product.)
Food Coloring (optional)
2 Ziploc Freezer Bags

Instructions: Mix the ingredients together and pour into a sandwich or freezer (Ziploc) baggie. You can mix in a bit of food colouring if you want. Remove as much air as possible and seal. Place this baggie inside another baggie for added strength. Place into freezer for about 12 hours.

And there you have it!
We hope that this list helps and is something you can print to always have on hand so you can be prepared in advance. Good luck and remember to always consult your own dentist or doctor so they can advised you further based on your own “specific to you” circumstances.

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






Wisdom Teeth Removal Recovery

Tips for a Speedy Recovery

PanorexWisdom teeth, or 3rd molars are the last teeth to develop, usually in the late teens or in early adulthood. Sometimes, our jaws are not always designed to accommodate 4 extra teeth at the back of the mouth. When there is inadequate spacing, these teeth remain trapped under the gum and bone, so for most people the best solution is to have them removed to prevent future dental problems.

Here, at Your Smile Dental Care we do many wisdom teeth extractions. Knowing how to care for your mouth after surgery will make the healing process go much smoother. Below are the aftercare guidelines that we recommend for most of our patients. With many patients, the after effects of oral surgery are minimal, so not all of the instructions below may apply. Common sense will often dictate what you should and should not do. When in doubt, you should call your dental office for clarification.

* It is important to know that, like any surgery, the tooth removal procedure can be simple or more challenging and can involve any number of special circumstances. Always adhere to the advice of your own dentist as your own situation will be specific to you and may require different considerations. Any complications that you may develop after surgery should be brought to the attention of your dentist so they can address your individual needs.




Until you are ready to be taken home, you will rest under the care and supervision of your dentist in their office. You will need someone to accompany and drive you home from your surgery. We recommend that you allow someone to assist you when getting up from a lying position and help guide you if you need to walk or move around. Do not try to operate vehicles, machinery or appliances for the remainder of the day.

First Hour

Your dentist will provide you with a care package for you to take home. It will contain after-care instructions, extra gauze and perhaps some pain relievers. You will leave the office with some gauze wads that have been folded and placed over the surgery sites to help stop the bleeding. Be sure to bite down gently but firmly on this gauze to make sure they remain in place – your other teeth should not be touching. Continue to apply pressure without “chewing” on the gauze. Try not to change them for the first hour unless the bleeding can not controlled. If the active bleeding persists after one hour, place enough new gauze over the surgical site for another 30-60 minutes in order to obtain pressure. Change the gauze as necessary or refold it for more comfortable positioning.

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During the normal healing process, your blood will begin to clot to form a scab over the extraction site. This can take up to 8 hours to form and is why your dentist will advise that you not disturb the area at all during this time. Do not interfere with this healing process by rinsing vigorously or probing the area with your fingers or objects. Do not attempt to clean your teeth during the first day. Stay away from the surgery area except to determine bleeding. If you have stitches, do not disturb them.

Using a straw, a wind instrument, whistling, cigarettes (smoke and smokeless varieties), blowing your nose or sneezing can all cause enough pressure to dislodge a forming blood clot.  Try to avoid these activities for at least 72 hours. If you need to sneeze, do so with an open, relaxed mouth and throat.


17-11-2014 2-20-32 PMIf you experience any intermittent bleeding or oozing, this is normal. You can control this degree of bleeding by putting fresh gauze over the surgical sites and then biting down firmly on the gauze for 30-60 minutes. Your bleeding should never be severe. If it is, it usually means that you are not applying direct pressure over the surgery site while biting on the gauze. Check to make sure that the gauze is placed in the correct position and not being clenched between your nearby teeth. If your bleeding persists or becomes too heavy, sometimes a dampened teabag will be more effective. Just substitute a tea bag that has been soaked in hot water then squeezed damp-dry and wrapped in a moist gauze. Position over the surgery site for another 20 or 30 minutes. You should call your dental office if your bleeding remains uncontrolled.

Bleeding may continue on and off for up to 8 hours after surgery as the blood clot forms. Limit your talking, physical activity and manage your pain as prescribed to reduce blood pressure.  When the bleeding has stopped you should discontinue using the gauze. It is normal to have the taste of blood in your mouth and notice some trace bleeding that comes and goes. Your saliva may even be tinged with an orangey/red colour. Do not place any gauze back into the surgery areas once the bleeding has stopped. It is not necessary and may even stick to the blood clot causing it to dislodge when you try to remove the gauze.


20141117_153430_resizedSwelling of the surrounding mouth and face tissues is normal after surgery. You can minimize the effects of swelling with anti-inflammatory medications and by using ice packs. Cold packs can be purchased at most pharmacies or you can fill a zip-lock type of plastic baggie with ice. Wrap the ice pack in a small tea or hand towel  and apply it firmly to your face or cheek adjacent to the surgery area. Do this in a  20 minutes on and 20 minutes off fashion for the first 48 hours after surgery. After 48 hours, we recommend that you switch from ice to moist heat and apply it to the same areas. If your dentist has prescribed you medication for the control of swelling, be sure to take it as directed.


17-11-2014 3-23-49 PMUnfortunately, you may experience some degree of discomfort and swelling over the next 36 hours. If your dentist has prescribed any medication, have it filled by your pharmacy as soon as possible and begin taking it before your anaesthetic has had a chance to wear off. Some offices will call in your prescription to your pharmacy ahead of time so that it will be ready when you arrive after your appointment to pick it up. Ibuprofen products have anti-inflammatory characteristics and will help to reduce the swelling that usually intensifies pain. Most severe discomfort happens within the first 8 hours after the dental freezing has worn off. You can manage your pain by taking your medication as directed and refraining from activities that increase blood pressure.


You will probably just want to lie down and rest for the first day after surgery and this is the recommended post-operative protocol. Avoid all strenuous activities like exercise, heavy lifting or extended walking for the first 24 hours and limit your talking. When you rest, make sure that you recline in a position that allows your head to be elevated above your heart to help reduce bleeding and swelling. Using an extra pillow should take care of this. Protect your pillow from blood and saliva by placing a towel over it before you rest your head upon it. Do not fall asleep with gauze in your mouth.

Whether you return to work or school after 24 hours will depend on your health, recovery and how complicated your procedure was. Be sure to speak with your dentist about this and if you require an absentee note make sure you ask for one before your leave the office.


Any nausea that you may experience after surgery can be caused by the strong medications you are taking, hunger or by anxiety. You may not feel like eating, but some pain medications, such as ibuprofen, requires that you consume a small amount of soft food 15 minutes before taking them to avoid any stomach upset. Take your medication with an adequate amount of water and try to avoid dehydration as much as possible with clear liquids or non-carbonated soft drinks. Contact your dentist if your nausea or vomiting gets progressively worse.


Wait until you are alert and the numbing affect from the dental anaesthetic has worn off before you eat or drink anything to prevent choking or accidently biting your tongue, lips or cheek. Maintaining an adequate and nutritious diet is very important in your healing process and should not be avoided. Eat any nourishing food that can be taken with comfort, but remember to remove any gauze that you may still have in your mouth. Your diet during the first 48 hours following surgery should be restricted to liquids or pureed foods, such as creamed soups, puddings, plain yogurts, milkshakes, liquid meal replacements, etc. Avoid very hot foods and any type of smaller food items, like nuts, seeds, fruits with pectin/seeds, popcorn, etc. that can become lodged inside the surgery site.

Your level of comfort and tolerance will improve over the next several days allowing you to progress to more solid foods. It can take up to 7 days before you feel comfortable eating a regular diet. If you are diabetic, it is important for you to maintain your regular eating habits as much as possible and consult your family doctor about your insulin schedule.

17-11-2014 2-10-49 PM



There is a normal course that should accompany your healing process. The first day will usually be the most uncomfortable and you should be content just to rest, and manage the pain and bleeding. Taking in clear liquids will be difficult, but you should get something nutritious into your system to avoid nausea and dehydration. Although the second day brings some feeling of comfort and allows you to return to a more substantial diet, you will probably experience more swelling. Continue to take any anti-inflammatory medication that has been prescribed to reduce this swelling and the pain that usually accompanies it. Limit your physical activity. Although your swelling may peak on the third day, you should begin to notice gradual improvement in comfort and appetite. Continue keeping your head elevated, using the ice packs for 24-48 hours after surgery and limiting your activity.

Brushing10-11-2014 3-07-28 PM

Keeping your mouth clean will help you avoid infection, mouth/throat irritation and bad breath. You can begin your normal oral hygiene routine as soon as the next day after surgery using minimal or no toothpaste. Any soreness and swelling may not allow you to brush all areas of the teeth as effectively as you would normally, but try to make an effort within your bounds of comfort. Do not use a water pik for at least 1 week following surgery.

Mouth Rinses

Do not attempt to rinse your mouth during the blood clot formation – usually 8 hours.  Rinsing with warm salt water is then permitted as long as your mouth actions and spitting are not vigorous. You can make this salt/water rinse by dissolving 1 teaspoon of salt in an 8 ounce glass of warm water. Slowly and gently rinse with a small amount of the solution, stirring the mixture in the glass before taking the next mouthful. It should take about five minutes to use the entire glassful. You can repeat this 2 to 3 times daily for the next 5 days unless bleeding begins again. If this should occur, stop rinsing immediately and return to the Bleeding instructions above. Do not use commercial mouthwashes until day 8 after surgery.

Hot Applications

After 48 hours you can begin using hot applications by compressing a warm, moist towel, heating pad or hot water bottle to the skin adjacent to any remaining areas of swelling or tenderness in the same 20 minutes on and 20 minutes off manner as with the icepacks. This will help to relieve and soothe tender areas and help decrease any remaining swelling and stiffness.

Dry Sockets

10-11-2014 2-54-00 PMDry socket (alveolar osteitis) is a painful condition that occurs when the blood clot forming over the surgery site has been dislodged or has not healed properly. Without this clot, the tooth socket does not fill in with new growth tissue and the underlying bone and nerve endings are exposed to things in the mouth. This condition can only be relieved by special medication that is placed over the wound by your dentist. If you are not experiencing gradual and steady healing over the next week after surgery and you have pain that radiates towards the ear and along your jawline that is becoming increasingly more severe, contact your dental office immediately.

Sharp Edges

Sometimes, small pieces of tooth or sharp slivers of bone can penetrate and emerge through the healing gums overlying the surgery site. This can happen in as little as a week or so following surgery or many months later and will feel like a small lump under the gum area. They are not unusual, especially following a more complicated extraction, but can cause swelling and be uncomfortable as they begin to protrude through the gum. If you suspect that some of these bone fragments are beginning to emerge over the extraction area, do not hesitate to make an appointment with your dentist for an examination and quick removal.

Other Complications 

There are other discomforts that may or may not occur. Knowing this ahead of time will reduce the anxiety that often accompanies the unexpected.

1. You may develop other pains such as ear, throat and toothaches which are usually temporary and should begin to lessen as normal healing progresses.
2. You may develop an slight fever during the first 48 hours. Stay hydrated and consult your dentist if an elevated temperature continues past this time.
3. Your lips or corners of your mouth may become dry, chapped and sore. You can moisten the area with lip balm or a petroleum-based cream like Vaseline.
4. The tissue forming over the extraction site may appear greyish, whitish or even yellow in colour. This does not always indicate infection so do not disturb the tissue area during the healing process.
5. As your stitches dissolve, remnant pieces my be annoying, but do not try to remove or pull at them.


10-11-2014 3-20-42 PMIt is important to know, that if you are a female taking an antibiotic as part of your dental treatment and you are also taking oral contraceptives, occasionally, the antibiotic may interfere with the way the oral contraceptive pill works, making it less effective.

Accordingly, you are advised to speak with your family doctor about the use of any additional methods of contraception while taking antibiotics and for 7 days after completing them.

Wisdom Teeth Removal Process

If your dentist has told you that you need to have your wisdom teeth removed you may wish to view our video below for further information on the removal process.

Your dentist would like your recovery to be as smooth and as uneventful as possible. Following these instructions above will assist you, but if you have questions about your progress, you should call your dental office. Most dental offices will provide you with an emergency number to call if you need to speak with someone after business hours.

Yours in Better Health,
The Your Smile Dental Care Team

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