Your Smile Dental Care


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Tips for Invisalign (Invisible) Braces

What you Need to Know

Are you one of the many individuals choosing the option of wearing invisible braces for straightening your teeth?

Known by their brand name, Invisalign®, these popular clear braces are the new modern way for your dentist to rearrange crooked, misaligned teeth.

Although, this modern choice for braces seems like a miracle solution for those who would rather have their teeth straightened discreetly, it nonetheless comes with its own set of complications that we will address today.

Like anything that is accomplished over a period of time, there is a process involved which takes time to become accustomed to. Understanding and dedicating yourself to this process will help you achieve the end results you are looking for.

 

How does Invisalign work?

Patients wear a series of clear, plastic, custom-made trays over their teeth 20 to 22 hours a day. This leaves you with 2 – 4 hours for eating and oral hygiene. Each set of trays are designed to gently exert pressure on the teeth to rearrange their positions. As teeth move, the trays are replaced with new ones every two to three weeks until treatment is complete.

 

Wearing Time

wearing-timeInvisalign are worn almost all day long – 20 to 22 hours – everyday. The trays are changed every 2-3 weeks to accommodate tooth movement depending on the complexity of treatment and wearing time may be evaluated as treatment progresses.  You will be shortchanging yourself in terms of time and money if you neglect to understand the importance of the mandatory wearing time.

Pros: By wearing them for the recommended time, your teeth will move as expected and your aligning trays  will not feel uncomfortable doing movement.

Cons: If you leave your aligners off for extended periods of time, they will feel tighter and more uncomfortable when you put them on your teeth again. If you do not commit to wearing them for the recommended hours per day, treatment time will take longer than initially planned and you may not get the results you were hoping for.

Cleaning

For the health of your teeth, gums and other parts of your mouth, cleaning your aligners throughout the day, especially after eating, is an essential part of treatment.

Pros: The upside to keeping your aligners clean is a healthy mouth.

Cons: Bacteria, plaque, food debris and  staining can easily accumulate unnoticeably if you forget to keep your trays clean. Dirty trays can lead to sore and bleeding gums, tooth decay, bad breath, tooth stains and sore throats. Your dentist will advise you on how to keep your trays clean. One patient told us that they use Listerine to rinse their trays after cleaning as it stains any residue or buildup that was not cleaned off.

 

A higher risk of Tooth Decay is one of the major
drawbacks of Invisalign

Cavities

When you decide that you want great looking teeth, you are making an considerable investment in time, money, and most importantly, in your personal appearance and the health of your teeth. Your journey with orthodontic braces requires you to make a commitment, not only to the process of wearing and caring for your trays, but to being diligent about your oral hygiene.

Pros: Caring for your trays and your teeth during the process will ensure that your new smile is a healthy one!

Cons: If you have found that avoiding cavities in the past has been a challenge for you, wearing clear braces will only complicate your efforts. Saliva cannot get to the tooth surfaces to naturally cleanse your teeth when they are covered with the trays all day long. Tooth decay is one major drawback to these braces and there have been many, many, disastrous cases where patients have not only achieved the straight teeth they were dreaming of, but a mouth full of cavities also! You MUST understand that there is a high incidence of tooth decay that can occur with covering your teeth for upwards of 22 hours a day if you do not have a strict oral hygiene routine.

 

Eating

You have to remove your trays to eat then clean your teeth and trays before placing them back on again.

Pros: Confining your eating to 3 square meals a day will certainly help with the habit of snacking and the consequence of cavities that result from frequent eating. If the idea of losing weight and eating more healthy appeals to you, this will be a good opportunity to arrange how you will implement your plan during the Invisalign process.

Cons: There will be little or no time for snacking when wearing clear braces. The time you take to snack will take away from the mandatory wearing time and you must make time to clean your teeth and the braces properly after eating. This will be a huge adjustment for many people which can result in some weight loss. You may need to adjust your caloric intake accordingly when you are eating a full meal and preplanning is beneficial. People who have medical issues where meals are a significant factor, like diabetes, should discuss the use of Invisalign with their physician before committing to the process. You should also be aware that during tooth movement your bite will likely not line up properly which can make your chewing feel “off.” You may have to get in the habit of chewing slowly and carefully.

Note: Drinking – Some people may tell you that it’s okay to drink any liquids during wearing time without having to remove your braces, but only regular water is safe. Other beverages usually contain the sugars and acids that can break down enamel and over the time of treatment can result in tooth decay. The clear braces also stain and pick up odours easily.

 

Habits

Chewing – Some people have the urge to chew on these clear braces simply because there is something new and constant over the teeth. Chewing can roughen up the surface material, but the trays are replaced every couple of weeks so it usually doesn’t damage or affect effectiveness of the trays. In time, you may become used to wearing them and this adaption may help reduce this chewing habit.

clenchClenching and Grinding  Again, if you suffer from clenching and grinding, it will likely not damage the trays before they have to be replaced again, in fact, some orthodontists say that the constant pressing down on the trays can actually help the teeth move more efficiently. However, some people exert such heavy forces during this habit that it may affect the trays somewhat. While others with existing TMJ issues say that wearing the trays tend to aggravate the condition. Speak to your provider about this before deciding on this type of orthodontia. If you typically wear a night guard for your grinding habit, you will not be able to during your Invisalign treatment.

Note: If your trays begin feeling loose towards the end of each two week period, it is usually not an issue and is actually a sign that your teeth have moved into their new positions. Habits like chewing, grinding and clenching may make them feel looser, but usually not to the extreme that it could affect the effectiveness of the trays.

 

Oral habits – Feeling and probing the retainers with your tongue or heavy muscular action using the insides of your mouth can cause tissue irritation. Resist the habits of developing any oral fixations and before long you will not even notice the trays in your mouth.

Drooling – Some patients report excessive saliva when wearing the trays. This can be difficult especially since the urge to suction the saliva using the mouth muscles then swallowing or spitting out can become annoying. If you find yourself drooling at night, just place a towel over your pillow. It is normal for your mouth to treat the trays as something foreign and produce excess saliva to dispel the object. Overtime this should become less of an issue

Lisping – Speaking can be difficult when you are first becoming accustomed to the new trays. This will subside within time if you try hard to be deliberate and slower with your speech and become conscientious every time you notice yourself slipping into this lisping habit.

 

Movement

r23-jessicaPros – Teeth tend to move more quickly with Invisalign than with traditional braces. This shortens the overall treatment time so that you can enjoy the benefits of straight and aligned teeth sooner.

Cons – There is a balance that must be considered when moving teeth so that the roots of the teeth do not shrink away. The roots of the teeth are important as they anchor and hold your teeth in your jawbone. If they wear away, your teeth will become loose and mobile. Your dentist may suggest that you have x-rays taken periodically so that the health of your roots can be monitored.

 

Other Considerations

headache-14344661Tension – Some people develop sore jaws and tension headaches since the jaws do not match up during tooth movement and their teeth are not settled into the bite they have become accustomed to over the years. You can massage and/or place ice packs wrapped in a towel over the affected areas in a 20 minute on/off cycle to help reduce aches and inflammation. Switching to your new trays before you go to bed along with an ibuprofen is also a good idea. Speak to your dentist if the aches persists so that a pain relief can be suggested and treatment can be re-evaluated.

Locked jaws – Again, because the bite is ever changing, your jaw muscles and joints can become affected – even locking sometimes. Invisalign treatment can also aggravate a pre-existing TMJ issue. Massages and ibuprofens can reduce the tensions and inflammation that can cause this to occur, but you need to bring this situation to the attention of your dentist for evaluation.

Dry Mouth/Chapped lips – While some people develop excessive drool, others find their mouths have become dry and irritated. This can cause mouth sores, chapped lips and increase the likelihood of tooth decay. Using a lip moisturizer, drinking a lot of water and/or chewing sugar-free gum may help.

Mouth sores – The mouth can become irritated and develop sores if your oral hygiene is poor, your mouth is dry, your trays are dirty or from tissue action against the trays. Sometimes the trays need to be trimmed if there is some excess material that is irritating your mouth tissues. You can file these area down at home if you are careful and don’t overdo it. Bring it to the attention of your dentist so the source of your irritation can be addressed or oral hygiene instructions can be reviewed.

Lastly…

The great thing about Invisalign is that you can get great looking teeth without anyone knowing that you’re wearing braces, but you must do your homework and be truthful with yourself about your ability to commit to the treatment recommendations. Nothing worth having comes easy! Weighing the above pros and cons will help you decide if you are a good candidate for these types of braces.

It is also important to choose your healthcare provider carefully. The movement of teeth is very complex in terms of the physical, biochemical, and cellular processes that take place. Treatment requires the care of a competent dentist who has the education and experience to move things along with careful planning and consideration of all the likely variables.

 A lot can go wrong in a short time if you are tempted by a quick fix with a cheap price tag!
Educate Yourself!

.

 

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


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Top Dental Cosmetic Improvements

Today’s Smile Options

Dr. Sam Axelrod and his team of caring dental professionals believe Your Smile should not only be healthy, but one you can be proud of! One of the best ways to boost your self confidence is with a great smile!

Having a beautiful smile is easier than ever thanks to the amazing cosmetic advancements over the past 10 years. What was once considered a luxury that only the wealthy could afford, is now easily attainable for everyone of all ages!

Teeth Whitening

What could be easier than giving your tired teeth a little smile lift with tooth whitening? Many people are skipping the more expensive in-office bleaching and opting to brighten their teeth in the privacy and comfort of their own home in as little as 1/2 hour a day. The new advances in formula can eliminate stains and discolourations in as little as 3 days! There are even new toothpastes formulas that you can purchase that will help your new smile stay brilliant for longer than ever now. Our patients love having their very own custom-made tray and being able to buy extra whitening gel at cost and have the luxury of touching up their teeth as needed throughout the year! White teeth have never been easier than this!

 

White Fillings on Molars

Have a wonderful big smile or just love to laugh out loud? There are so many white filling options available that you should be saying goodbye to your old silver amalgam fillings. Tooth-coloured fillings are typically made of powdered glass and acrylic resin and are available in many different shades of white. Your dentist will colour match so that it will be almost impossible to tell the difference between the filling and your natural tooth. Get ready to lol with confidence!

 

Bonding

Now you can have that special bond with Your Smile that you’ve always wanted with a technique called just that – Bonding! This composite white filling material can help improve your appearance and your smile when used to fill in gaps between teeth, fix small cavities, repair chips or cover up root surfaces that can become exposed due to recession and toothbrush abrasion. Best of all, this can be done in a single office visit that usually requires no anesthetic freezing.

 

Gum Re-Contouring

Maybe its not your teeth that you’re unhappy with. Some people have gum tissue that is situated too high, too low or is uneven affecting the appearance of their smile. We can reshape the gumline so that it complements your teeth and frames your gorgeous smile using a simple, virtually painless, in-office sculpting technique. Want harmony and balance with Your Smile? Ask your dentist if you are a candidate for gum contouring surgery today!

 

Teeth Re-Shaping

Perhaps, you already love your smile, but have always thought your teeth should be a bit shorter or slightly more even in size. Just as gum line can be reshaped, so too can teeth that only need very minor cosmetic changes. You’ll get instant results in one short appointment without the need for anesthetic freezing.

 

Crowns

When you are not a candidate for dental veneers due to heavily damaged or restored teeth, you may still have the option to cap your teeth to get the smile you’ve always dreamed of. Not only can dental crowns change the shade, shape, position and colour of your teeth, but they are comfortable and function just like your natural tooth crown. Better still, with proper care, there can last for many years to come.

 

Dental Implants

Dental implants are changing the way people live. They are designed to provide a foundation for replacement teeth which look, feel and function like natural teeth. Once the implants are completed, one gains the ability to eat virtually anything and allows one to smile once again with confidence. With current technology, most implants are actually much stronger than the teeth they are replacing. Bring you beautiful smile back with Dental Implants!

 

Veneers

Porcelain veneers may be the perfect solution for your imperfect solution. We can whiten, lengthen, realign or reshape your smile using these strong, but ultra-thin shells of porcelain that eill blend seamlessly into your existing smile. This long-lasting option will have you smiling ear to ear.

 

Accelerated Braces

Want straight teeth but can’t put in the 2-3 year time commitment? Ask your orthodontist about a new and emerging type of orthodontic treatment called accelerated  orthodontia. This is a tooth movement method that greatly reduces the amount of time needed to move teeth into a more correct position. You will  likely have to attend the same amount of appointments as you would during the longer, conventional span of treatment but in a shorter time frame. Ask your orthodontist if this is an option for you!

 

Modern Dentures

No longer should you have to worry about loose, poor-fitting dentures when today’s modern, implant-supported dentures are available to you. You’ll get increased stability while still being able to remove them like traditional dentures. It’s time for you to smile, laugh, chew and blow out birthday candles with confidence!

 

 

Everyday, at Your Smile Dental Care, we transform smiles and restore confidence. Each patient’s mouth is unique, so we carefully consider all of the treatment options to determine together what will give you the smile you deserve. If you would like to learn more about Your Smile options, give us a call at (905) 5SMILES or book a consultation online today!

 

Yours in Better Dental Health,
The Your Smile Dental Care team
(905) 5SMILES
(416) 783-3533
www.yoursmiledentalcare.com


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The Do’s and Dont’s of Orthodontic Treatment

Want “Someday” to get here as quickly as possible?

 

One of the first questions a patient will ask their orthodontist during the first visit is, “How long will my treatment last?”

Each mouth is unique, so treatment time will naturally depend on your individual, “specific-to-you situation. Some people require less than a year, while others will be involved in treatment for 3 years or longer.

Initially, most people are eager to begin treatment so that they can have the smile they’ve always wanted as quickly as possible. We don’t think anyone intentionally prolongs the duration of their treatment, but there are, however, a number of things along the way that can complicate and lengthen your time in braces.

Although these following tips may not speed up your time in treatment, they will certainly help to ensure that it will not go slower than predicted or result in additional treatment fees.

Food

Limiting your sugar intake and eating proper foods, while avoiding others is critical during your treatment.  Some people wear single aligning trays that are made of a plastic composite material, while others use the traditional system involving a number of brackets, wires, elastics and bands. These components are fragile and can break easily if not cared for properly. The biggest culprit involved in broken or bent ortho gear is food. When it comes to the foods that you should avoid during treatment, it’s just a matter of using common sense and avoiding those foods that could break, stick to, or otherwise, interfere with your orthodontic work. treatment. Hard, chewy, crunchy, and sticky foods should be avoided during treatment time especially:

  • Fruit roll ups and fruit snacks
  • Sticky or chewy bars, caramel, chocolate, taffy, peanut brittle, etc
  • Pretzels and chips
  • Popcorn
  • Taco shells
  • Hard Cookies
  • Pizza crust
  • Crackers
  • Nuts
  • Chewing Gum
  • Pickles
  • Bagels
  • Hard rolls
  • Beef jerky
  • Ice
  • Ribs
  • Chicken wings and drumsticks
  • Corn on the cob

Some foods can be modified so that they are easier on your bracework. Try cutting them into smaller pieces, softening them in a beverage or cooking them before eating. We know that avoiding the above foods is a tall order, but trust us, your new smile will be worth it.

 

Beverages

Most drinks that we advise you to avoid during ortho treatment are unhealthy for your teeth with or without braces. Drinks that are highly acidic and sugary drinks like soda pop, sports drinks, flavoured milk drinks, sugar-sweetened coffee/tea and fruit juices work to weaken and dissolve tooth enamel and eventually result in tooth decay. How often you consume these types of drinks is the most important factor. An occasional beverage can be tolerated, but allowing the sugars and acids to come in contact with your teeth often and for long periods of time (as in sipping the drink slowly or throughout the day) is a recipe for disaster for any teeth, especially during orthodontic treatment. If you must have a drink of this sort now and again, just remember to drink through a straw and rinse with water afterwards. Wait 20-30 minutes to then brush your teeth.

 

 

Appointments

You will have adjustment appointments scheduled with your orthodontic office at periodic intervals. Missing even just one of these appointments will delay your treatment time, so make sure that your attend every one that is booked for you. Your appointment will be made well ahead of time, so putting the information into your calendar, planner or phone and scheduling all other things around this reserved time will go a long way in helping you keep plan ahead.

 

Dental Hygiene

Bacteria like to accumulate in and around all the nooks and crannies along your tooth’s surface and in between teeth. Adding brackets, bands and wires becomes a virtually jungle gym – giving them all kinds of new places and surfaces to gather and multiply. All of this plaque leads to tooth decay and swollen, bleeding gums, so it is essential that you take your oral hygiene to the next level. Your orthodontist will instruct you on the proper method for keeping your particular type of orthodontia clean. Follow this plan meticulously and always check in the mirror after you’ve brushed to ensure that you haven’t left anything behind. Replace your tooth brushes when they begin to fray (every 2-3 months) since worn brushes are not effective. Using a fluoridated mouth rinse will give added protection and help keep your mouth clean.

 

 

Protection

Straightening your smile with orthodontia is a big investment in terms of cost and time. Protect this investment and avoid costly repairs by safeguarding your teeth during treatment. Although the importance of proper oral hygiene and diet cannot be emphasized enough, defending your teeth and braces during activity is critical and a protective mouth sports guard is a must! The brackets, bands and wires of your orthodontic braces can potentially cut your lips, gums, tongue and other tissues of the mouth during any sudden contact or force. Your orthodontist will make you custom-fitted guards that do not interfere with your braces and are more secure and comfortable than a store bought “one size fits all” type.

Additionally, certain habits like chewing on pencils and fingernails, playing with your braces with your fingers or tongue can also loosen and damage your orthodontia gear. Always call your orthodontist immediately if your have sustained a traumatic injury to your mouth. They will determine if you need to be seen for an examination. Having any broken or loose gear corrected as soon as possible will help you keep your treatment on track!

 

Broken Gear

Sometimes, even with the greatest of care, a part of your orthodontic gear may break or become loose. Although, you may not be in pain or think that it isn’t an urgent matter, waiting to get it fixed may delay your treatment since broken brackets and wires can’t do their job. Call your orthodontist right away and they may want to see you right away or will schedule more time at your next appointment to correct the problem. In the meantime, if there are any parts of your gear that are sharp or protruding, you can find relief by placing some orthodontic wax around the area. If a wire is long and sticking into your gum, lip or cheek, you can try to carefully bend it back down with a Q-tip or pencil eraser so that it runs flat against your tooth. Be careful when eating and brushing so that you do not cause further damage to your braces.

 

Check-ups

ups and cleaning during ortho care. Although your orthodontist is helping you achieve a great smile, they involve themselves with straightening teeth and correcting bites, Your orthodontists does not replace the role of your dentist, who is you primary dental care provider. Keeping your teeth clean is especially challenging when your mouth is full of ortho gear and it takes patience and effort. This makes it even more important to keep up and hygiene appointments where you dentist can monitor your dental health, diagnose problem and then administer treatment accordingly.

 

 

 

 

We know that you want to set things straight with your teeth as quickly as possible. When the day finally comes to get your braces off and reveal your new smile to the world, you want it to be the best it can be. Following these tips may not decrease the time that you have to spend in treatment, but it can certainly help cut down on any delays in treatment.

 

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

 

 


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Protecting Your New Smile!

When You Smile, We Smile!

25-01-2016 1-10-24 PMIt’s a wonderful day when you finally get the new smile you’ve always dreamed of. It’s a great feeling for us at Your Smile Dental Care as well. Nothing is so satisfying as seeing gratitude in a patient’s smile; it’s a feeling that never gets old!

Over the years, we have helped thousands of patients improve their smiles. For some, it’s can literally be a fairy tale come true when a cosmetic dental makeover has improved and transformed their smile dramatically!

There are many reasons why people improve their smiles. They may not like the size, shape or arrangement of their original teeth. They may have injured or diseased teeth that need restoring or they may just want to turn back time on an aged smile. In many cases, the flaws people see in their smiles may not negatively affect their oral health, but they can still have a real and lasting impact on their confidence and self-esteem.

Protect your Investment!


04-11-2014 2-04-12 PMOral hygiene
When practiced conscientiously and often, caring for your teeth can not be stressed enough. Dental materials can not decay, but your underlying tooth still can! Where your own tooth meets the cosmetic material is the areas that are most susceptible to cavities. We monitor these areas closely when you come in for regular recare visits. Your careful attention at home with tooth brushing and flossing will protect your investment for years to come.

Diet
 Aside from oral hygiene, your diet has the greatest impact on the health of your teeth. Snacking too often in between meals and sipping sugary drinks are the leading cause of cavities today! It takes 4-5 hours in between your meals for your saliva to heal the surfaces of your teeth after the acid attacks from eating. Respecting this time and the your body’s natural defence against cavities will go a long way in helping prevent tooth decay.

Abrasives
02-06-2014 11-14-48 AMWe want you to brush your teeth, but NOT brush them away! Abrasives are harsh enough to wear away surfaces. Over time (sooner than you think), highly acidic diets, hard toothbrushes, harsh toothpastes and powders, high-powered cleaning jets (home and professional) and acidic-based fluorides can scratch and erode the lustre, shine and even colour of cosmetic materials and roughen their surfaces. Rough and pitted areas pick up stains, food debris and plaque more easily. What may look bright, shiny and smooth today will become dull, pitted and stained tomorrow!

Gum Recession
Your dental cosmetics will be designed to fit up against the living tissues of your gum. Your gum tissue can shrink and wear away over the years because of plaque/tartar accumulation, harsh scrubbing actions with a toothbrush, and abrasive tooth pastes. When this happens, a tiny gap can appear. If the gum continues to recede, this gap can become markedly more noticeable and the underlying, more sensitive root surface can also become visible. Your dental hygienist will help you find a healthy balance between brushing them in a manner that stimulates good blood flow to their tissues and removes accumulated food and plaque while being gentle enough not to destroy and wear your gums away.

Alcohol
Alcohol is a solvent which makes it capable of dissolving certain materials. Excessive alcohol consumption and over using alcohol-based mouth rinses can affect the longevity of dental cements and white filling material used in cosmetic dental work by softening and dissolving them. Deterioration can cause the bond between the cosmetic work and the tooth to dissolve and can roughen the surface of white fillings making them appear dull looking and more susceptible to staining.

Habits
Nail Biting copySome habits  die hard. Those that can cause the chipping and breaking of your new teeth are worth spending time to control today rather than having your beautiful new smile repaired tomorrow. Try to avoid habits like nail biting, pencil chewing, opening items with your teeth and using your front teeth to do the grinding and chewing of molars. If you clench and grind your teeth, your dentist will certainly recommend wearing a night guard to protect your new teeth from these dangerous stresses and forces.

Sports
21-03-2016 3-18-58 PM
Impact sports and rough activity can cause injury to the mouth, but simple play can too. While no one can predict an accident we can help prevent them by reducing the risks. Protective head gear and dental guards are significantly less expensive than the cost to repair broken and injured teeth. Before play, take a look at the surroundings, know and understand the rules of safe play and consider all that could cause potential harm before play begins.

Long Term Success

It has been our experience that patients with cosmetic dental treatments tend to take much better care of their teeth once they’ve invested in a new, beautiful smile. And while the materials used in dental cosmetics are durable and long-lasting, if they do require some repair down the road, most mends are relatively easy to fix as long as your dental team catches it early. That is why regular check-up are so vitally important to the long term success of your new smile.

And remember, fads will come and go, but teeth are always in style. Take care of them and they will serve you for years to come!

30-03-2015 1-04-02 PM

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


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The Consequence of Missing Teeth

16-03-2015 5-58-09 PMAs dentists, we hate it when we are faced with a situation where a tooth must need to be removed due to disease or injury. We are in the business of saving teeth, so when a tooth must be removed we become concerned for the remaining teeth and how the loss of this tooth will affect them…and it will!

Over time. missing teeth can result in serious complications, if left untreated.

A tooth here, a tooth there.

With the human dentition containing a total of 32 teeth (28 if the wisdom teeth have been removed), it is understandable why some people still believe that it is not essential to replace missing teeth when there are other teeth still left to do the job.

The Domino Effect

The loss of a permanent teeth leads to a whole host of other problems if it is not replaced in a timely manner. If it’s true that a picture paints a thousand words, then let’s look at the one below:

 

16-03-2015 3-31-21 PM

 

This is a typical scenario when even just one tooth is removed without being replaced.  At first glance, you can see some movement and tipping of surrounding teeth, but it’s the significance of this situation that needs further explanation.

Teeth are arranged in the jaw in such a manner so that they support one another and withstand the chewing forces together as a team. When one is lost without being replaced, it sets into motion a collapsing situation where teeth begin to move out of position and alignment. Convincing patients that are in pain or injured that they need immediate treatment is not difficult because their signs and symptoms are usually sudden and uncomfortable. A situation like this is not often ignored for too long. However, the destabilization that occurs with dental collapse happens over a period of time. The signs are not as obvious and damage is often taking place silently. It is easy to understand why treatment recommendations are sometimes ignored or postponed.

16-03-2015 6-26-10 PM

23-03-2015 10-11-52 AM

1. Supraeruption (Over-eruption)

Although the process is more complex, quite simply put, when teeth first appear in the mouth they emerge out of the bone and gum tissue as their roots and surrounding bone grow and push them out. The only reason they stop is because they meet the teeth that are also emerging in the opposite arch. Their biting surfaces fits into one another like a puzzle and an even distribution of contact throughout the entire dentition allows for proper chewing and equalized forces.

When an opposing lower tooth is lost and not replaced it’s upper partner now has no opposition and begins to adapt to this new space by moving downward. In doing so, it loses contact with it’s neighbouring teeth on either side and begins to bite more heavily with the teeth in the opposing lower arch. The bite is thrown off it’s ability to distribute an equal force among all the teeth, and this can cause headaches, jaw tension, root exposure, tooth breakage, grinding, clenching and wear.

2. Tipping23-03-2015 9-44-50 AM

When a tooth is lost and not replaced, the bone shrinks in the space and the teeth on either side now have a vacant area in which to tip and move into. In doing so, they lose contact with their other adjacent teeth. Teeth are designed to touch one another to prevent food impaction that can damage tissue and cause cavities. If enough of the vacant space becomes occupied by tipping teeth then the space becomes too small to make replacement a viable option without modifying other teeth.

Loss of contact3. Loss of Contact

Teeth that are beside one another contact each other at their greatest bulge (curvature).  Think of the place between two teeth where your floss “snaps” through. This is the contact point. Although gum tissue hides the area underneath, there is actually a space between the gum and the tooth. Your floss cleans out any food and plaque that may accumulate here, but one of the reasons for a curvaceous shape of the tooth crown is to prevent too much food impaction by deflecting food away from this area. When teeth are in alignment with one another, this action works well and efficiently.

4. Plaque and Food Impaction

Aside from the first space that was created by the missing tooth, more spaces begin to develop as adjacent and opposing teeth begin to move out of their original positions. These teeth lose contact with their neighbouring teeth and leave spaces and pockets into which plaque and food can gather. Oftentimes food impaction occurs frequently and can be difficult to remove as the space continues to grow. Plaque and food accumulation leads to cavities, gum and bone destruction and gum disease.

5. Bone Loss

During the formation of teeth, bone grows in and around the root of the teeth for support and nourishment. Teeth are necessary to maintain healthy jaw bone. When a tooth is removed there is no longer the need for bone and it resorbs (shrinks) away. Healthy, dense bone is an important factor when considering the placement of implants for replacement. The longer you leave the space, the smaller the height and width of the bone becomes. Bone loss also occurs in the areas where adjacent and opposing teeth have lost contact with their neighbouring teeth because of the destructive nature of the gum disease process. Even the floor of your sinus bone collapses into spaces where there used to be teeth. Bone loss can significantly impact your chances of becoming a good candidate for any future dental implant placement.
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Complications

Chewing/Nutrition – When teeth are missing, we chew in the areas of the mouth where teeth are present. Sometimes, people have to use teeth that are smaller, more slender and not designed for the chewing capacity of large molars. Other times, remaining teeth are loose or uncomfortable to use. As the dentition collapses over time, chewing can become difficult and nutritional deficiencies arise.

Gum Disease – Gum disease is a process that happens over time and is usually silent until a lot of destruction is done. Missing teeth create the perfect condition for gum disease to form and progress. Teeth stabilize one another and protect the gum tissue that surround them. In turn, the gum tissue and ligaments protect and secure the tooth to the bone socket. When teeth move and create spaces, food and plaque begin to accumulate in the spaces under the gum and eventually destroy enough tissue to create a pocket into which more food and plaque can gather. Cleaning out this pocket can be difficult and the space continues to grow destroying gum and bone along the way. When enough tissue is lost the tooth starts becoming loose and you may face the loss of another tooth. Gum disease and tooth loss can be a vicious cycle. Trying to control and correct all of the factors that allow this disease process to progress can be exasperating.

23-03-2015 10-41-47 AMBone level in an unhealthy and healthy mouth

Increased food and plaque accumulation – When teeth lose contact with one another the space that forms between them allows for food to easily collect in the area. Food impaction can injure 23-03-2015 11-32-01 AMgum tissue and cause bad breath. Continual food impaction can cause cavities, destroys gum tissue and surrounding bone creating large pocketing into which more debris can gather. Because this cycle of destruction happens below the gum line, it can go unnoticed for a long time. Only regular visits to the dentist will allow you to get baselines charted and monitored.

Tooth Decay – With increased food impaction comes a higher incidence of tooth decay. Food impaction can become a chronic situation. You will likely feel the need to floss after almost every meal and food can become submerged so far into the gum pocket that it becomes difficult to removed. Decay can go unnoticed until pain or a dental exam.

Sinus collapseSinus Collapse – When an upper tooth is removed, over time, the floor of the sinus begins to collapse into the space where the tooth root used to occupy interfering with the space needed for a future dental implant.

Root Exposure – The root of the tooth is covered with a tissue that is much less calcified and more sensitive than enamel. As a tooth moves out of it’s position when it over-erupts or tips more of the root tissue will become exposed. Patients often notice more sensitivity to hot and cold sensations and a higher incidence of cavities along this softer root portion of the tooth.

Muscle Tension – When remaining teeth move out of alignment the whole bite can be thrown off. Forces may not be evenly distributed among the teeth and some teeth may meet before the others do when chewing. This imbalance causes extra stress on facial muscles and joints (TMJ) that are also compensating. Tense muscles results in headaches, neck pain, earaches, upper back and shoulder discomfort.

TMJ – An uneven bite can quickly become a TMJ issue. Clicking, popping jaw joints, grating sounds, pain in the cheek muscles and uncontrollable jaw or tongue movements are not uncommon side affects of the missing teeth.

Fracture – The uneven bite that can occur with missing teeth often causes a few teeth to bear the biting forces that should ideally be shared by all teeth. This overload of forces can cause teeth to chip and fracture. If a fracture runs through the tooth and into the root surface then the tooth cannot be save. Unfortunately, it will become another tooth that must be removed.

Facial Collapse – Our face shape and size changes as we age and although facial collapse is usually more pronounced in someone who has lost most or all of their teeth, patients who have lost several teeth may begin to notice a “caved” in look to their face compared to others of their own age group who have more teeth.

 

Treatment Options

Fortunately, there are several treatment options available for missing teeth that will restore the beauty and function to your mouth. It used to be that dental bridges were the most common way to replace missing teeth. Nowadays, thanks to advanced technology, dental implant are the most permanent, long term treatment solution.

Dental Implants are so effective that many of our patients who choose this option tell us that their implant is completely undistinguishable from their other natural teeth in both appearance and function!

Been a while?

Ignoring the certainty of dental collapse now will eventually leave you facing more extensive and expensive dentistry in the future. Your options will also be limited if you experience bone loss and collapse over the years. If it was many years ago that your had teeth removed and are wondering what can be done now, don’t delay any further. Your dentist will evaluate your dentition and let you know if your bite can still be restored and any missing teeth replaced.

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


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The Smile You’ve Always Wanted

What is the first thing about the face that you notice when you first meet a person?

26-10-2015 11-16-00 AMUnquestionably, it is either the eyes or the smile that first impresses upon you.

When it comes to the smile, however, it can light up a room and be a very disarming asset for a person.

No one has a perfect smile, but oftentimes people will ask for one. What we try to achieve is the smile they wish they had – the smile of their dreams!

The advances in dentistry have been tremendous and now it is easier than ever to design the smile that’s right for you!

Perhaps your teeth are discoloured, misaligned, heavily restored or broken down. You may want a less toothy grin or have a gummy smile you want fixed. Whatever your “specific to you” circumstances are, we have an array of cosmetic solutions at our fingertips to replace, correct, align, modify or reconstruct your smile.

Just as people comes in all shapes, sizes and colours – so do teeth!

25-01-2016 12-22-55 PMA very important consideration when selecting the best dental makeover for you is ensuring that the final result compliments the overall shape and characteristics of your own facial features. A smile on one person may not necessarily look good on another.

This is where skill and technique comes in to play. Without this careful and experienced attention to detail, the teeth can be off colour, improperly positioned, too masculine or too feminine looking, disproportionate in length, improper in curvature, and so forth.

Many things have to be taken into account to achieve a final result that is both appealing and natural looking. At Your Smile Dental Care, the procedures we recommend consider both the overall health AND cosmetic wellness of an individual.

We invite you to call us at (905) 576-4537 OR (416) 783-3533 to schedule a consultation appointment. We’ll discuss the possibilities for your oral health and ideal smile so that you can be one step closer to the smile of your dreams!

Browse our smile gallery and see the amazing results of our
quality cosmetic dentistry.

25-01-2016 10-17-20 AM

 

Yours in Better Health,

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


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The Year of Your Smile

Are you planning a move forward this year?

We’ll the time is finally here! The month for changes and moving forward. The time of year where we all sign up for a new lease on life and embrace all things happy, healthy and prosperous.

At Your Smile Dental Care, we are ripe with hope. Someone, somewhere is standing in front of a mirror and thinking about….Flossing!

05-01-2015 4-22-01 PMOh yes, we did! Not even a week into the New Year and we’re already dropping that five letter word. Dentists are lucky to get their patients to brush 3 times a day, let alone floss! Unwilling to leave it at a good 2 minutes of good brushing the tops and sides of your tooth, we have the nerve to suggest that perhaps you should clean in between your teeth as well!

Actually, it’s one of the easier rules to remember moving forward this year because you have probably already heard it before: You only have to floss the teeth you want to keep! True Story!

All kidding aside, helping our patients find solutions to the dental issues that they have been ignoring or putting off until now is our passion! This is the time of year that we typically see more patients wanting to take control of their oral health or deciding to move forward with treatment that we may have recommended.

We also see more inspirational and motivational phrases popping up everywhere. They are inspiring and are filled with the message of hope. We are all looking for happiness and studies have shown that one place you can find happiness in on your face. The emotions you place upon your face influences your feelings, suggesting that your brain and your heart aren’t the only parts of our body playing a role in the emotions we feel. Facial expressions don’t only reflect emotion – they cause them!

Open Laugh 2Smiling and a sense of happiness go hand in hand. Smiling, even when you do not feel like it, has immediate effects. Try it right now. Smile a great big, happy smile for 5 minutes. You begin to feel a sense of happiness right away. This is because smiling sends all kinds of different signals to your body setting into motion a sequence of events that triggers the brain to release our “happy” hormones. If you couple your smile with a conscious feeling of gratitude, a sense of peace and calm may start to settle upon you.

Smiling does not even have to genuine to have a positive affect on your emotional well-being. Imagine how quickly a contrived smile can soon turn into a sincere one if practiced every day. Imagine your life next January. It seems like a small act, but one that can make a big difference in your life and life of those around you.

The studies involving the smile/emotion connection reminds us of a patient who, because of some dental surgery, could not smile for a few weeks. She reported to us that it was the inability to smile that affected her mood and not any of the discomfort she was feeling. We have also experienced first hand how our dental team’s smiles can help disarm fearful or hard to deal with patients. It never ceases to amaze us how much more relaxed and friendly a patient will become after a smile from one of our friendly staff.

Hidden Smile - CopyWe are also reminded every day of the many people who simply do not like to smile because of the way their teeth look. Some even use the habit of placing their hands up near their mouth in a cover-up gesture. Smiling for photos, laughing aloud or simply smiling spontaneously when happy becomes a dreadful task and one which they will go to great lengths to avoid.

Sad really, considering that there are so many remedies available today. Even small improvements to your smile can make a big difference in your appearance and how you feel about smiling. We can address a broad range of aesthetic flaws with our in-office Smile makeovers and turn a person’s frown upside down in as little as an hour.

There may be some that consider cosmetically altered smiles fake-looking and unnatural and would discourage another from choosing a smile makeover, but we have been told by so many patients how much their new smiles have changed their lives! Wonderful news like this cannot be dismissed. Who could pass up the chance to help make someone smile and possibly change their lives for the better? Take a look at our smile gallery to the right of this page. Real people with real smiles!

There are many people that have fake smile without having had dental improvements. We’ve all faked a smile. Some of us are masters at it. Not such a terrible thing in world with so much grief. Sadness will always find a way into our lives – it has it’s place. If smiling more, however, can make you feel happier and be contagious enough to affect change in others then let 2015 be the Year of the Smile…Your Smile!

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Yours in Better Health,
The Your Smile Dental Care Team
(905) 5SMILES
(416) 783-3533