Your Smile Dental Care blog


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Your Stinky Floss

… and the debate continues

 

Even though it was last year that the Associated Press report suggested that flossing was overrated and unnecessary, we are still being asked by patients whether flossing is necessary or not.

 

The simplest answer seems to be answering their question with another question: “What do you suggest for cleaning plaque and food from in between teeth and under the gums?”

 

Although there are other effective interdental aids for cleaning in between teeth, flossing is the only device that can actually get into the tight area between teeth – assuming there is not already a space or gap.

 

With the toothbrush only able to reach 3 of the 5 tooth surfaces,
what does this AP report suggest people do to clean the other 2 surfaces?

 

People will have to excuse their dental care providers for getting a little defensive when the health benefits of flossing is called into question. At Your Smile Dental Care, we’ve seen the value that flossing brings to our patients’ oral care over the past 30 years and we will continue to dig in our heels on the subject.

 

We only need to use our common sense about flossing. If you have something in a body part that is causing a foul odour and inflammation that can lead to loss of surrounding tissue, infection and loss of said body part, would you not want to get it cleaned out?

 

Dental neglect is preventable and flossing is an inexpensive addition to
your
oral care routine to help you take care of your teeth and gums.

 

Practicing the best oral care you can with the tools available is important when it comes to your overall health. The link between gum disease and a number of other serious health conditions such as heart disease, diabetes, respiratory infections, and immune system disorders has been well established.

 

Most of us are already making changing in our lifestyles so that we can live healthier and longer. A daily 2 minute routine seems like one of the easier changes we could be making.

The bottom line is this: There is research and studies that both sides of this argument can cite to continue their claims. No doubt, the debate will go on and on while the plaque and tartar build up and up!

 

Note to the Associated Press: For all those people that are able to remove meat and popcorn caught between their teeth using their floss – Is that evidence enough? How about how stinky our floss is after use – Is that evidence enough?

 

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


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Hopeless teeth

The Audacity of Hope…

types-of-fracturesMost dentists will tell you that the last thing they ever want to have to do is to remove a permanent adult tooth. In fact, they will fight tooth and nail to try to save one (sorry, tacky pun?)

When a patient presents us with a tooth that has severe decay, infection, badly broken down restorative work or has been injured from trauma, the first thing we must do is evaluate the health of the remaining portion of the tooth and its surrounding supportive bone.

To us, it’s not so much what we can see above the gum line that determines treatment options, but the quality and health of what is remaining below the gum line. To that end, our goal is to preserve what remains then develop a sound treatment plan to replace what is missing.

Although treatment may also involve healing nerve and gum tissue, patients are always amazed to learn that as long as their tooth has sound root structure and enough supporting bone surrounding it, we can save it!

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Without the benefit of a crystal ball, there will always be uncertainties, but a good dentist makes treatment recommendations based on all the clinical and x-ray evidence concerning the compromised tooth while giving considerable thought to predicting the likelihood of long-term survival.

At Your Smile Dental Care, we also know from experience that a patient who is willing to care as much about and for an affected tooth as we do is more likely to keep the tooth for as long as possible. Many conditions that the patient may regard as “hopeless” can actually be fixed and the tooth can last for many more years once successfully treated.

Sometimes, a patients will ask us to remove their teeth because they are tired of frequent discomfort and wish to avoid future dental maintenance and associated costs. Others, surprisingly enough, have told us that they’d rather have false teeth (dentures) than have to deal with ongoing dental problems. While no two cases are ever alike and each patient has their own unique set of circumstances, we are bound to explain that removing teeth unnecessarily does not solve the issue of discomfort and dentures bring with them their own assortment of issues.


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Removing a tooth may bring immediate relief from pain, but, unless you replace it with a suitable alternative tooth, a silent breakdown process begins that starts to destabilize the dynamics of the mouth (Dental Collapse).

 

But what happens when a tooth cannot be saved?

The hopeless tooth…

Sadly, there are times when conventional therapies fail or a tooth  is so badly infected, fractured or is so loose from inadequate bone support that we must decide if the dentition is better off without it.

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We call this prognosis hopeless. Nowadays, however, modern dentistry has treatment options that can replace your tooth with one that looks and functions almost as well as healthy, natural ones do. Dental implants have revolutionized the way we replace missing teeth without having to resort to dentures or remodeling adjacent teeth to accommodate a fixed bridge.

Helping our patients understand the thought process that goes into our treatment recommendations is crucial so that they can weigh the information and make well-informed decisions.

If you think that your teeth are in a “hopeless” state of disrepair, you may be surprised to learn that you have more options than you think.

Give us a call at (905) 5SMILES to book a consultation today!

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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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Crowns for Baby Teeth

Stainless Steel Crowns

My Dentists wants to put crowns on my child’s teeth. This seems like an extreme measure since they will eventually fall out anyways!

Usually, dentists repair decayed teeth with filling material. However, when teeth are badly broken down by the cavity (decay) process, have had nerve treatment or are weakened by a developmental condition, replacing almost the entire crown portion of a tooth with traditional filling material is not always a practical nor secure solution.

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A remedy must be found that allows the tooth to withstand the forces of biting and chewing  long enough for the incoming adult tooth to replace it – which could be many years.

Replacing the diseased crown of a tooth with a durable stainless steel crown (silver caps) is the most economical and durable solution until the tooth falls out and is replaced with the permanent (adult) tooth. These caps are not made in a lab like permanent adult crowns are. They come ready made in a variety of shapes and sizes, no impressions need to be taken, and there is no additional lab fees associated with their costs.  Additionally, they are categorized under  “routine restorative” so most insurance policies cover them as basic treatment. They are just another way to restore baby teeth so that they can function.

Why not just pull the tooth?

11-16-2016-7-58-51-pmThis is a common question, and sometimes, the teeth are not repairable and must be removed. However, taking out teeth before their natural time is a “last resort” solution. Baby teeth are vital to the dentition as natural space holders for the permanent teeth. Their premature removal will interfere with the eruption of the adult teeth.

Removing a baby tooth before its time is not the end of the problem. The space where the baby tooth was removed must still be replaced with a spacer maintaining appliance so that the adjacent teeth will not start to move into and invade this important place.

The chart below shows the normal eruption pattern of primary and permanent teeth. You will notice that there are many years between the emergence of the baby teeth and the age at which the adult teeth will eventually arrive in the mouth to replace them.

 

Permanent (Adult) Teeth

During a child’s teenage years, The adult teeth continue to develop there is significant growth and development of the dentition and jaws. This needs to be taken into consideration when restoring a badly broken down adult tooth in a child.

If you refer back to the eruption chart, you will notice that the first permanent teeth begin to erupt around 6 years of age.

BGC

From the illustration above, you can see that if a baby tooth becomes badly broken down by decay or a developmental condition when the child is still young, a suitable interim solution needs to be found until the permanent adult teeth are ready to emerge into position. Stainless steel crowns become an effective, affordable and practical semi-temporary measure until then.

Stainless steel crowns have been around for over 75 years and are safe and effective. They are easy to keep clean and rarely allow decay to reoccur. Although, some parents may not like the metallic appearance of the steel crowns,  since baby molars are in the back of the mouth, they are less noticeable.

All of this makes them an affordable and effective treatment solution for an otherwise serious problem.

We hope you have found this article informative. Please visit and subscribe to our blog to learn more about Your Smile Dental Care.

 

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Yours in Better Dental Health,
The Your Smile Dental 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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Aging Well

Top 10 Aging Smile Solutions:

Aging can affect your oral health just like it can your overall health. Even if you have taken care of your teeth meticulously over the years, your teeth can show the signs of aging and can make you look older than you are or feel!

Fortunately, there are steps you can take to correct or at least minimize these changes.

1. Dark Teeth – As you get older your teeth can appear slightly darker or dull looking. This is usually because the outer, whiter enamel begins to wear as the inner yellow dentin begins to thicken. Staining foods/drinks and previous injuries to your teeth can also cause discolouration. Solution: Tooth whitening or veneers can brighten your tired smile. Avoid foods/drinks that stain which can compound the natural darkening of your teeth.

Whitening

2. Dry mouth – Some medications can reduce the amount of saliva your body produces leaving you with a drier mouth. This interferes with chewing and increases the likelihood of gum disease and cavities. Solution: There are sugarless gums and oral products that you can find at your local pharmacy which can help increase saliva stimulation and fluoride rinses to help strengthen enamel. Speak with your family physician to find out if one of your medications is causing your dry mouth. Perhaps there is an alternative medication that can be prescribed.

3. Longer teeth – Ever heard the saying, “Long in the tooth?” If you are losing gum tissue (recession) more of your tooth begins to show. If this gum disease process continues, eventually the softer, more sensitive root portion of your tooth will become exposed. Solution: Fluoride varnishes/rinse and sensitive toothpastes can be used to decrease discomfort. Avoid hard, abrasive toothbrushes and toothpastes. Use lighter force when brushing. Consult your dentist to find out if you are experiencing the effects of gum disease. Therapy can be started to slow down this gum loss.

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4. Smaller Teeth – Teeth naturally wear over time, making them appear shorter and flatter. Clenching and grinding can also cause the biting surface of your teeth to wear down. Solution: A night guard can slow down this process and prevent further tooth loss. Filling and dental crowns can be placed to repair more extensive damage.

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5. Smaller jaw – Bones change over time and forces are constantly remodeling your facial bones. As the years pass, you will eventually lose volume in the size of your jaws. Losing one or more teeth without replacing them will also cause the jaw to shrink. Solution: Replace missing teeth as soon as possible to maintain jaw strength and size. Eating a well-balanced diet will help to ensure that you are receiving the nutrition necessary for bone growth and maintenance.

6. Sagging Facial Skin – If your jaws and surrounding facial muscles are shrinking and losing definition, the overlying skin may begin to sag causing you appear older than you really are. Solution: Aside from cosmetic facial surgery, proper nutrition, chewing and replacing missing teeth sooner than later are beneficial in reducing bone loss. We now know that replacing a missing tooth with a bridge or denture will restore chewing, but will also accelerate bone loss in the jaws. A dental implant, however, takes the place of and functions like the missing root while maintaining the valuable facial bone.

7. Tooth Sensitivity – The tissue that surrounds the root of your tooth is not as naturally calcified as enamel, is more sensitive to chemical and thermal changes in the mouth and is less decay-resistant. If your gums are receeding then more of the root will begin to show increasing the likelihood of decay and discomfort. Solution: Fluoride can be applied to these areas to strengthen the root tissue and the use of sensitivity toothpastes usually provide effective relief. It is important to keep plaque away from the weaker root surfaces in order to reduce the chance of cavities. Never use a hard toothbrush, abrasive toothpastes or forceful scrubbing tooth brushing action.

Muriel8. Chipped Front Teeth – Your broad, multi-rooted molars are designed for forceful chewing and grinding not your slender, smaller front teeth. If you have had several molars removed in the past and are now using your front teeth to chew your foods, you run the risk of breaking/chipping your front teeth, fracturing your root and/or loosening these teeth. Solution: Most chipped and broken front teeth can be repaired, but a permanent solution to restore proper chewing function must be undertaken to avoid continued breakdown and eventual loss of the front teeth. High quality dentures and implants can be made to replace missing molars. Loose or ill-fitting dentures are now a thing of the past now that they can be supported by an implant.

Note: Filling do not last forever. Maintain regular dental exams so that fillings can be checked and replaced/repaired if necessary.

9. Poor Mobility – Dexterity can become a serious issue as one ages. Arthritis, strokes and Alzheimers are just a few conditions that can making tooth brushing and flossing difficult. Solution: Caregivers must be diligent in their efforts to help Seniors with their care to prevent plaque and calculus build-up that can cause cavities and gum disease. Using less toothpaste and a toothbrush with a larger grip or an electric toothbrush can make tooth care easier.

10. Nutritional Deficiency – Missing teeth, tooth sensitivity, poor-fitting dentures and impaired taste can compromise the ability and desire to eat a well-balanced diet leading to nutritional deficiencies and a decline in overall health. Solution: Food may be easier to consume if they are softer, cut into smaller pieces, and more flavourful. Ill-fitting dentures can be modified or replaced and sensitive areas of the mouth repaired or protected with dental materials.

While we may be living longer, healthier lives, we are also facing many challenges in attending to and prioritizing all of our health care needs. Unfortunately, dental issues are among one of their most common health problems experienced by the aging population. With almost over 30 years of experience, we know first hand the frustrations, challenges and barriers that can hinder a person’s access to care. Whether you are someone who is looking to obtain optimal oral health as you begin to age or are someone who is looking to bring in your elderly parent/s for a long, overdue examination, at Your Smile Dental Care we are here to team up with you and offer you support and solutions while maintaining a strong focus on prevention.

Dr. Sam Axelrod offers a wide range of dental services to make it easier for you and your family to receive the care they need. Call us today at (905) 576-4537.

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Yours in Better Health,
The Your Smile Dental Care Team


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Sports Guard Care

Ewww! Did you just put that in your mouth?


It’s hard not to have this reaction when we hear of people never cleaning their sports guards and just throwing them into their smelly equipment bags after use, then the next week, retrieving said guard from same bag and popping it in their mouth again.

Sick, sick, sicker…

Many words may come to mind about this gross habit, but thrush mouth, oral lesions, nausea, vomiting, diarrhea and mold-induced asthma are probably ones you have never thought of.

When we think of dental sports guards we think of the teeth they are protecting, yet the cheapest part of your protective uniform can be dangerous and actually make you sick.

When was the last time you cleaned your dental sports guard?

24-08-2015 6-46-47 PMAt a recent soccer practice this summer, one of our staff members took a survey and asked members of both teams this question. Surprisingly, only 1 of the 33 children routinely cleaned their guard and did it properly!

When questioned further about the care of their guards during other sports throughout the year, the answers were the same.  Although shocking, it was just something they had never thought of. In fact, conversations with other people failed to find anyone who cleaned their guards properly or consistently.

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…and you’re putting it in your mouth!  After only one use, without cleaning, germs will begin to accumulate. So imagine the germ growth over time!

Additionally, during activity you move, bite and grind into the guard’s flexible thermoplastic material causing it to wear down over time. The crevices and cracks that develop in the guard will provide breeding grounds for more bacteria, viruses and fungi which can contaminate your mouth. Even rinsing it in water doesn’t truly get it clean.

If you’re not keen on putting a petri dish-like container full of germs back into your mouth, at Your Smile Dental Care, we suggest that after your activity you rinse it thoroughly before placing it in a well ventilated container until you can clean the guard and container properly at home.  Use one of the methods below to thoroughly clean your guard before storing it until next use.

Cleaning your Sports Guard

There are several methods of cleaning that we suggest:

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Rinse – Always rinse your sports guards with water immediately after use or as soon as you get home.

Soap and Water Method – Using antibacterial soap with lukewarm water in a sudsy mixture along with your toothbrush or fingers to clean your guard is also a common method. Be sure to rinse well with clear water so that you don’t end up with a soapy tasting mouth.

Toothbrush and toothpaste Method – Using a soft toothbrush and a non-abrasive toothpaste as you would to clean your teeth is an easy way to clean your guard. Use a gentle action to prevent scratching the material and make sure to rinse it well afterwards to remove toothpaste that can get stuck in any crevices already present. Allow your guard to air dry before placing it back into it’s clean, ventilated container

Mouth Rinse Method – Another good choice is antibacterial mouth rinse. Use products that boast about being 99.9% effective at killing germs. However, rinsing will not be sufficient enough to rid your guard of bacteria and saliva without using your toothbrush to gently work the rinse around and into all areas of your guard. Again, rinse well with lukewarm water afterwards and air dry the guard before storing.

Final Rinse – Give your sports guard a final rinse before allowing it to air dry.

By using one of, or a combination of methods above to keep your guard clean you can reduce your risk of mouth sores and bacterial infections that can grow to become more serious conditions affecting your heart and lungs.

Not Recommended

We have been told that some patients have been advised to clean their guard using denture cleansers, bleach, hydrogen peroxide, baking soda, vinegar or with a sanitizing unit. We have found that many of these methods are too strong or abrasive for the guard and can cause them to wear more quickly and their colour to fade.

Just keep it simple and replace the guard as needed.

 

STORAGE

STORAGE

Storage

Placing your sports guard into a clean, well-vented container will protect it from damage and contamination after cleaning. Ensure that your guard is dry before storing and keep it in a section of your activity/equipment bag that is also clean.

Be sure to keep your container clean by using the same methods above. You can also place it in a good quality dishwasher to cleansing.

Replacement

Sports guards aren’t meant to last forever. Be sure to check your protective sports guard regularly for signs of breakage and wear and consider replacing it with a new one if it becomes very worn, warps or you are beginning a new athletic season. Chewed up  guards can pose an even higher risk since that may have sharp edges that can cut mouth tissues  and allow a portal of entry for bacteria into your bloodstream.

Sports Guard Special

Dental sports guards are a wise investment for your oral health, but improper care can have a tremendous affect on your overall health.

Each September, Your Smile Dental Care offers offer a Sports Guard Special where you and your family can get sports guards made that will provide a custom fit for the protection you need.

 

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Play Safe ~ Use Protective Face Gear

A word about the benefits of using protective dental guards, helmets, face shields etc.

Insurance 1Ultimately, we want our patients to have fun, but understand that injuries to the mouth are often severe and costly. Losing a tooth is a common dental injury. Some sports groups/teams offer insurance to their players that include dental. The cost is not usually not too expensive and the benefits of having this added insurance can help you reduce your costs significantly should an accident occur.

Lastly, you may want to decline signing off permanently with your insurer after your injury has been repaired and consider asking your dentist for their advice regarding the long term future care for this tooth/teeth. Oftentimes, an injury will require future maintenance, repair and replacement that can cost much more than the initial repair’s cost in terms of frustration, discomfort and associated fees.

24-08-2015 4-22-44 PMWe have one patient who is very glad that his parents enrolled in his school’s optional medical/dental policy and did not settle permanently with the insurer after he had a playground accident involving his front tooth. Years later, he needs to have the tooth replaced and the insurer will be paying. Another, purchased the insurance offered by his adult men’s team. He got a stick to the mouth and lost his two front teeth. The insurance company is picking the full cost for two dental implants and crowns.


Accidents
~ they’re unpredictable so be prepared,
The Your Smile Dental Care Team
http://yoursmiledentalcare.com/
(905) 576-4537
(416) 783-3533

 

 

 


3 Comments

Frustrated about Chipped Teeth?

Why are my front teeth chipping?

A few years ago, I began noticing that my front teeth were starting to chip. First the chips were small and my dentist filed them down, but they keep chipping and I’m afraid that one day they might break right off. Help!

It’s not always a simple fix… 

25-04-2016 9-14-56 AM

Of course, it is difficult to give an appropriate answer until a proper exam and bite analysis has been done, but you have a right to be concerned. Although enamel is the hardest substance in the body – twice the hardness of bone – teeth can fracture for any number of reasons. If there was no sudden trauma or injury that occurred causing them to break, then we have to look at other possible causes. 

The front teeth are slender, single rooted teeth. They are designed to bite into food not chew like the larger, multi-rooted molars. When atypical forces are applied to these teeth, they will eventually begin to break down as well as the surrounding jawbone that supports them. 

Let’s look at some of the possible causes for chipped front teeth: 

25-04-2016 10-42-28 AM1. Injury/Trauma – When a front tooth has received a “hit”, parts of the tooth can break. If just the crown portion *fractures, then the extent of repair depends on how severe the break was. A small, simple break can be fixed with matching tooth coloured filling material with or without pins for reinforcement. If the break is more complicated and the nerve centre of the tooth has been damaged, then a root canal will be performed before the broken tooth is repaired. The extent of the trauma will often determine the likelihood of future maintenance for the tooth. Even a filling that is placed on a small, fracture can fall out repeatedly simply because the chemical bond between the tooth and the filling material is weaker than the bonds of natural enamel. Longer term solutions like veneers or full coverage crown may be recommended.

*Fractured root – Because there are many degrees of cracked or chipped teeth, it is important that you see your dentist for a proper clinical and radiographic examination. The treatment and outcome will depend on the type, location and extent of the break. Early intervention is very critical as delaying treatment can result in the loss of your tooth. 

2. Grinding/Clenching – This can be a very destructive force upon teeth causing them to fracture and become loose. Because it is usually a unconscious habit, it is difficult to control without the aid of an bruxism appliance. Nowadays, your dentist may also recommend the use of Botox to relax the facial and jaw muscles involved in the dynamics of bruxism. Until this habit is under control, teeth and their supporting structures will continue to wear and breakdown. 

25-04-2016 10-56-25 AM3. Missing teeth – Losing teeth, either due to trauma or disease, and not replacing them with a suitable, long-term solution causes fewer teeth to do the work of many. The forces in the mouth during chewing and clenching can reach a staggering 150 lbs/square inch. These forces are naturally designed to be distributed throughout the dental arches and the work shared by 28 to 32 teeth. It is when fewer teeth are expected to withstand this tremendous load that we begin to see destruction to the jaws, muscles, teeth, and gums. Ideally, a dentist will perform a comprehensive evaluation of the dental collapse that is occurring in a patient’s mouth. Only then can a proper recommendation be made. 

25-04-2016 11-19-29 AM4. Bite – Sometimes, after orthodontic treatment, tooth repair, tooth loss or injury, a person’s bite can become off-kilter. If your upper and lower teeth are not meeting properly, or teeth have shifted from their original positions, the aforementioned forces can be brought to bear on a few teeth before the rest of the dentition realigns itself in the chewing process. This constant high biting, unequal distribution of forces and readjusting of the jaws can cause havoc to the teeth and muscles. A bite analysis is performed, high bite areas are identified and then readjustments can be made so that the entire bite is equalized. Sometimes, the collapse of the dental arches and teeth over the years requires more comprehensive intervention with a treatment plan that involves a considerable amount of readjusting and opening of the bite.

Ortho 15. Post Ortho – Sometimes. after completing orthodontic treatment to correct crooked or misaligned teeth, other bite issues arise. It is important that you stay in touch with your orthodontist so that they can re-evaluate your bite periodically. Orthodontics is a complex dental specialty and treatment outcomes may vary from person to person. If you have developed TMJ, grinding, or other problems after your braces have been removed, further treatment considerations and adjustments may have to be made. 

Expectations vs Reality

There’s an old Neil Young lyric that comes to mind when we talk about expectations, They give you this, but you pay for that.”

Nobody wants to be sold a false set of goods or have unexpected treatment outcomes, but sometimes, what seems like a simple fix can actually be a problem that is not easily resolved the first appointment.  Your dentist may have initially concluded that filing down your teeth will fix your bite, but continuing to do so will just cause another set of issues without determining what the real source of the problem is.

When the uncertainties of a dental issue are fully explained beforehand and something has to be repaired again or requires additional maintenance and readjusting, then it’s no surprise to the patient nor the dentist. If you are returning time and time again for the same issue then a decision has to be made. Has your dentist recommended a long term solution but you are not ready to commit financially? Are you expecting a quick fix or patchwork dentistry? Perhaps, the dentist cannot determine the source of your problem and needs to refer you to another dentist for further evaluation.

29-12-2014 6-30-52 PMThere are risks and benefits involved with treatments in all healthcare professions. This is why communication is so very important. Disappointment, misunderstanding and frustration can be avoided when a dentist helps a patient understand and manage a situation that may be more complicated or chronic in nature.

When a patient is offered solutions, but for whatever reason, decides not to comply with treatment recommendations, then they need to understand the possible future implications of their decision. However, if a particular problem persists after repeated dental visits and following all of your dentist’s advice, then it is reasonably acceptable to ask your dentist to refer you to a dentist more specialized in your particular dental issue.

There is nothing quite as long lasting and as strong as your natural teeth. Preventing dental disease, breakdown and injury in the first place is your best bet for avoiding the uncertainties of some treatments that may require on-going monitoring, modification or even re-treatment. 

If you are new to the area or just searching for a dental family to call your own, Dr. Sam Axelrod and his team of caring professionals are always here to help. We’re just a phone call away to answer any questions or concerns you may have.

25-02-2016 11-26-10 AM

 

Your in Better Dental Health,

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