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Back To School Check List

Back to school already?  Where did the summer go?

No doubt, the next month will begin the mad rush to get kids, both young and old, back to school again. Ideally, during the earlier summer weeks is the ideal time to schedule dental checkups and finish up with any outstanding treatment well before the end of summer rush. You can help your children get a head start on the school year with these healthy dental choices:

Snacking – Reducing the amount of times throughout the day that your child eats is one of the most significant lifestyle changes you can help them make. This can be frustratingly difficult in the school setting where snacks abound and parents understandably tire of creating new and healthy packed lunches everyday. The problem is that many of our foods contain naturally occurring or added sugar/starches that result in bacterial acid attacks upon the tooth surfaces. It takes saliva 4-5 hours to repair this damage. It is no exaggeration when we say that many children eat 7 times/day including in between beverages. Parents are fortunate that many simple, dentally healthy food ideas can be found readily online that can help reduce the frustration associated with the dreaded “packing school lunches” blues.

Safety – Most injuries to the teeth are unexpected but avoidable. Supervision and protective face/mouth gear should always be an important consideration before the activities and sports begin NOT an afterthought! Dental sports guards significantly reduce the risk of mouth injuries and are available at your nearest pharmacy or you can have a custom one made for your child at your dental office for added protection. Other habits such as chewing on pens/pencils, and using the teeth to “open” containers/packages can result in chipped and fractured teeth.

Dental Care – According to the Canadian Dental Association, an estimated 2.26 million school days are missed by children every year because of dental pain – not to mention the unplanned time parents have to take off work to bring them to the dentist. Maintaining a regular dental checkup routine for your child and helping them to create a consistent schedule for brushing and flossing at home not only introduces healthy habits for life, but helps to reduce the likelihood of unexpected toothaches and subsequent absences that can occur during school time.

Cavities are 100% preventable

Sealants – Bacteria and food can accumulate easily into the grooves and pits found along the biting surface of back teeth. A special dental material can be placed onto these areas to help protect them from bacteria and acids that cause cavities. Usually, sealants are placed on the back adult molars as soon as they emerge into the mouth and are added protection for these teeth during your child’s cavity prone years.

Back to School Supplies – If you can’t remember the last time your replaced your child’s tooth brush then it’s probably time to do so! Replacing last year’s school supplies with new ones is a great opportunity to help your child choose a new toothbrush to replace their old one. Then they will be ready for a new one come the winter holiday time and again when they return to school after March Break!

 

Whether you still have time to schedule your children a dental appointment before the first day of school begins or would rather wait until you have their daily school routines established ~ do not delay. Our schedule fills up quickly this time of year! Give us a call today at (905) 576-4537.

Enjoy the rest of the summer season and here’s to a safe and happy school year!

 

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

 


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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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Dental Spot Remover


I just got my braces off and my teeth are straight, but now I have white spots on my front teeth!

 

Unfortunately, these spots are permanent damage to your teeth and are areas of decalcification where bacterial acid have dissolved the enamel during orthodontic treatment.

Did your dentist alert you to these  spots during treatment?

Typically, they do, when these spots initially begin to appear. They may warn you to start brushing better and may have mentioned the word “decalcification.” They obviously become more visible once ortho braces are removed and the look, texture and size of these spots will depend on the degree of severity.

 

The Battle

14-02-2017-3-27-12-pmWhen bacteria metabolize the sugars you ingest they excrete an acid onto your tooth surface. This acid is capable of breaking down the tissues that make up your tooth. Your saliva is rich in essential minerals and is the body’s natural way of repairing the damage from these “acid attacks”, but sometimes, the demineralization far outweighs any remineralization that the saliva can accomplish.

 

When this occurs, the tooth area in question begins to lose it’s shine and takes on a chalky, rough look due to surface etching.  The amount of enamel surface lost over time can be considerable enough to not only cause a very defined white spot, but it can eventually become deep enough to result in an actual cavity. Tooth decay after braces is not uncommon; it occurs far more often than you would think. Some patients have to have their orthodontic treatment stopped and the braces removed because their poor oral hygiene is causing so much damage!

 

2017-14-322Brushing your teeth effectively when you have braces on can be a challenge because food debris and plaque accumulate in, around and under the orthodontic bands and brackets making removal difficult. Extra effort is needed to make sure you are getting your toothbrush into all the nooks and crannies where food and plaque can hide.

Your orthodontist will recommend various orthodontic tooth brushing aids to help you accomplish this more easily. And since braces are typically worn for several years, this extra care is essential to keep teeth and gums free from the harmful effects of dental plaque.

 


“If you were not diligent about brushing your teeth before braces, you may find the new dental hygiene routine with braces very demanding”


 

 

20170214_110957You Get What you Give

 

A frank and honest discussion with your orthodontist before treatment begins is a very important step. Knowing and understanding the pro and cons of treatment will help equip you with all the information you need to make an informed decision before considering braces.

Cleaning your teeth will not be the only battle you may face with braces, but like anything in life – the effort you put forth is an indicator of the value you place on your smile and your interest in having healthy teeth.

 

Nothing worthwhile ever comes easy…

Having nice straight teeth with an ideal bite makes for a beautiful smile. However, if they are marred with these permanent white spots or riddled with cavities it can affect your smile for years to come, so you’ve really just traded one dental problem for another.

Treatment Options?

Getting rid of these white spots depends on the severity and can include one or a combination of these options:

20170214_125410.

 

Remineralization – Your dental professional can place a mineral rich solution on the affected areas to try to minimize the damage, strengthen the weakened area and restore some of the essential minerals back onto the tooth surface. This is only effective when the damage is not severe.

 

Whitening – The white spots are noticeable because they are whiter than the normal colour of enamel. Tooth whitening procedures can help lighten your natural tooth colour to a shade that is closer to that of the white spot. The long term effectiveness of whitening depends on how easily your tooth picks up staining. It is considered a temporary solution because it usually has to be repeated as needed and you will come to know how often your situation demands.

 

Microbrasion – If the surface damage is very minimal, there is a procedure that essentially “sands”  or rubs away the white spot with a fine rock/acid mixture until the underlying natural enamel is exposed. Different people have different variations of thickness to their tooth enamel, so this technique depends on how deep the dentist must go to reach new enamel.

 

Fillings – If the white spot is too deep then your dentist can “scoop it out” using the drill and replace it with a white filling material that most closely matches your natural tooth shade.

 

Dental Veneers – Dental veneers are very thin porcelain coverings for the front surface of your teeth. They are a quick and easy way to hide marks and discolouration of the enamel. This procedure is generally advised when the other options have been tried already or the spotting is too widespread.

 

Straightening Things Out

Your home care can dramatically minimize your health care risks during orthodontic treatment. Following the tips below will help ensure that when your braces are removed you are putting your best SMILE forward!.

 

  • Brush 3 x/day carefully and effectively
  • Use orthodontic cleaning aids
  • Choose water over sugary/acidic drinks
  • Stay away from highly acidic, sugary and sticky foods
  • Use a fluoride toothpaste
  • Rinse once/day with an antiseptic mouth rinse
  • Maintain regular dental checkups
  • Ensure that your orthodontist is examining your teeth for signs of decalcification
  • Avoid snacking in between meals

 

 

At Your Smile Dental Care, we cannot stress enough the importance of proper home care for everyone. This is especially true when you are undergoing orthodontic treatment and have braces that can trap food and plaque easily. By raising your awareness and taking the time and effort to implement the tips above into your daily routine you will be making a great investment in your future SMILE!

14-02-2017-4-2

 

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

 

 

 

 

 

 

 


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Signs of a Healthy Mouth

Do you know the difference between a healthy and unhealthy mouth?

Our patients at Your Smile Dental Care look to us to keep them up to date on all the advances in modern dentistry and to educate them on how to get their mouths and teeth as healthy as possible. Today, people know that they CAN keep their teeth for a lifetime and want to be aware of the first signs of trouble.

 

Gums

20-10-2014 1-32-21 PMHealthy gums are pale pink and firm. They are not white, red and puffy nor do they bleed when you brush or floss. Healthy gums also are not tender or sore and do not have pus filled pimples on them which may be signs of infection. One way we help patients gain a new perspective on the idea of bleeding gums, is to ask them if they would be concerned if they had persistent bleeding elsewhere on their body? Chances are they would answer yes and bring it to the attention of their physician immediately for a diagnosis and treatment.

There is also a triangular portion of gum tissue that should extend between adjacent teeth that ends in a point and has a free space (depth) of about 2-3 mm where your floss would slide for cleaning. As the gums recede due to unhealthy conditions, this triangular shape becomes more blunt and the space becomes deep, forming a pocket into which more bacteria, plaque and tartar can accumulate. Your dentist or hygienist monitors the health of your gum and will routinely measure the depth of these pockets.


Teeth

04-04-2016 3-08-02 PMObviously, healthy teeth should be cavity free, but when your dentist or hygienist checks your teeth, they are looking for many others signs of health also. They examine for any erosion, staining, chips or cracks, disease, failing dental work, looseness, missing teeth, crookedness, sensitivity, etc.

If teeth have had repair work done on them in the past such as fillings, crowns, or root canal treatments, they are checked to ensure that these restorations are holding up under the wear and tear that the chemical and mechanical forces of the mouth and jaws can place on them. Intact restorations have a good fit/seal against the tooth to prevent bacteria from getting in underneath and causing tooth decay. We look for signs of leakage, cracks, chips, movement and tooth decay.

Healthy teeth also do not appear longer as you age. When gums recede due to disease, the crown portion of the teeth will begin to look longer.

Case Scenerio

A patient comes into the dental office because their cap has fallen off of one of their teeth. The dentist notices immediately that not only has the cap come off the tooth, but the crown of the tooth has broken off at the gumline and is still inside the cap. Upon closer examination, they can see and feel with their instruments that both the part of the tooth that is in the cap and the portion that is still in the jawbone have rotted  from tooth decay. Bacteria has gotten in underneath the cap and diseased the hard tooth structure to the point that it crumbled enough for the tooth to break in half. It had been almost 7 years since their last exam. Maintaining regular dental checkups would have allowed the dental staff to monitor the marginal integrity of the cap and periodic x-rays would have detected signs of tooth decay when the cavity was small enough to be repaired.

 

Fresh Breath

Hidden Smile - CopyA healthy mouth does not have persistent or significant bad breath (halitosis). Early morning breath can have an odour after a long night of  bacterial action and growth when there is very little saliva production.

Most often, bad breath is caused by an accumulation of bacteria and their odours and sulphur smelling gases. It is also one of the first signs of gingivitis that can lead to gum disease, worsening mouth odour, the loss of teeth and other complications for the body. Smoking, dieting, dehydration, illnesses, diseases, unclean denture and appliances, tonsil stones, nutritional deficiencies and foods all can cause bad breath.

Wonder if you have bad breath? If you can’t already taste or smell it yourself then you can smell your floss after use or scrape some plaque off your teeth or tongue to smell. Alternatively, you can ask someone to smell your breath and give an honest answer. Most importantly, do not ignore bad breath or just try to mask it with gums, mints or mouthwash. Your physician or dentist can usually help you get to the underlying cause when good oral hygiene does not solve the problem.


Pink, Clean Tongue

You may not realize this, but we also examine your tongue for signs of health. A healthy tongue is pink and covered with tiny nodules we call papillae that help you perceive taste. The overall surface should be flat, smooth and clean looking. The surface papillae can and do harbour bacteria that, if left to accumulate, can grow to unhealthy levels. Keep your tongue clean with a tongue scraper as part of your regular oral hygiene.
Tongue Scraper

A discoloured or painful tongue can be an indicator of trauma, smoking or canker sores, but can also be signs of more serious conditions including a nutritional deficiency, auto immune disease, allergic reaction, Kawasaki syndrome, anemia, diabetes or even cancer. White coatings, lines, or patchy areas should not go ignored.

There is a condition known as “geographic tongue” whereby the top surface of the tongue presents with a map-like pattern of reddish spots that sometimes have a white border on them. It is usually a benign and harmless condition that requires no treatment except topical medications if it becomes sore or uncomfortable.

Medications and menopause can also cause the tongue to become painful or even drier than normal. Always consult your physician if you notice something unusual about your tongue, especially any lumps or sores that do not go away.

 

Proper Bite

25-04-2016 11-19-29 AMIdeally, in a healthy mouth, your upper and lower teeth fit together in an even manner so that the forces of chewing are equally distributed and shared amongst all teeth throughout the jaw.

Teeth rely on one another for support and uneven bites, open spaces or teeth that are crooked, crowded, displaced or missing can hinder the performance, appearance and health of the teeth and can impact breathing, speaking, digestion and oral hygiene. Misaligned and crowded teeth can make teeth more difficult to clean and keep healthy and can cause jaw problems leading to clenching, grinding, head/neck/ear/sinus aches and TMJ disorder.

Pain Free

A healthy mouth is not painful, dry nor sensitive. Yes, we may temporarily cause it trauma through injury or hot foods or have the periodic canker sore show up, but overall, a healthy mouth is pain free. There are products and treatments to help with minor sensitivities and the source of dry mouth situations can be investigated. However, you should be aware and not ignore any changes, pain or afflictions in the mouth and it’s tissues that can be a sign of breakdown or disease. The rule of thumb is to have anything that lasts more than 7-10 days examined.

Lastly

Just because you may brush and floss everyday, does not mean that your mouth is healthy. The phrase, “Your mouth is the window to your overall health” is a reminder that caring for your oral health is an investment in your overall health.

30-03-2015 1-04-02 PM

 

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


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Does pain go away after a root canal?

The Nerve of this Tooth!!!

Most people know that root canal treatment involves treating the “nerve” centre of the tooth, so it is understandable when patients are surprised to feel post treatment sensations after a root canal.

They are also surprised,  however, to learn that, although root canal treatment (endodontics) is time-consuming, it is no where near the horror stories they have heard. In fact, so routine and uneventful are most procedures that some of our patients have actually fallen sleep. The confusion, we believe, comes from the excruciating pain that some people experience before seeking the relieving treatment provided by a dentist. Perhaps, it’s what stands out most in their mind.

A root canal is a procedure that involves treatment to the inside, pulpal area of a tooth. Although we tend to think of our teeth as hard, rigid structures, the inside is fleshy and is made up of nerves, lymphatic tissue and blood supply that enter into the tooth through a hole at the end of each tooth. Usually this fleshy “pulpal tissue” needs to be removed once it becomes infected or tooth decay is deep enough to reach this area of the tooth.

Recovery

Even though the nerves of the tooth that allowed you to feel hot and cold sensations have been removed, there are other tissues and ligaments that are typically damaged by the presence of infection. These tissues need healing time and tenderness is not uncommon after treatment. How sensitive your tooth will be after root canal treatment depends on how severe the damage to the pulp and how involved the treatment was. The aim during the procedure is to remove all of the infected tissue and bacteria from within the chamber and root portion of the tooth, clean and disinfect the inside of the canals, then seal the end of each root.

“I can’t believe I was going to have the tooth removed!”

08-06-2015 9-24-20 AMMost people who have been experiencing a lot of discomfort prior to treatment find much needed relief after the root canal has been completed, but like the cleaning out of any wound, it typically takes a few days for a tooth to “settle down” and recover.  During this time, residual infection outside the tooth is clearing up and affected ligaments are healing. Your dentist will usually recommend that you take a pain reliever that is also an anti-inflammatory to help reduce any pain and swelling.

Sometimes, depending on how severe the infection was, it can take a few weeks for infection to clear up. The blood vessels in the jaws are tiny and do their best to take away infection and bacteria. You can discuss the need for antibiotics with your dentist to help things along.

However, If the pain you are experiencing is like a toothache and happens only when you are biting down then it is likely that your bite is high. A simple and quick bite adjustment usually brings immediate relief to this type of sensitivity.

Typically, any pain or discomfort that is felt after a successful root canal should be mild to moderate and get progressively better as healing continues. If, however, you are still experiencing discomfort after a few weeks or the pain is increasing in intensity, contact your dentist and set up an appointment for a re-evaluation.

 

Complications that can arise:

If your root canal treatment was successful, your tooth should recover within a week to ten days. However, the tooth, like any other part of the body, can have residual issues and post treatment complications can arise after the root canal has been completed. A tooth with complicated anatomy can be a challenge for example.

If your tooth becomes re-infected, your dentist may suggest that the tooth be re-treated. There are a number of treatment options to retreat a root-canal to still save your tooth from extraction. Your dentist will re-evaluate your tooth and discuss the “specific to you” circumstances with you.

Although it is understandable that a patient may be disappointed and even dubious when treatment has failed, it is important to remember that just like other medical procedures, there is a certain percentage of cases that require additional therapy. A patient, in consultation with their dentist, will discuss the long term success of further treatment and consider all pertinent factors before deciding the lengths that each are willing to go in order to save a tooth.

Nobody wants to lose a tooth. A root canal helps to preserve your tooth in the jaw and allows it to function, but without sensation from within the tooth. Always keep you dentist informed of anything that you may consider to be unusual during your healing period.

anxious

Yours in Better Dental Health,

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

 

 

 

 

 

 

 


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Sore teeth after a Dental Cleaning?

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

A: Lets review what happens with some dental cleanings.

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

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

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

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

Scheduling Your Appointment

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

 

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

 

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

Pre-Treatment

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

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

The Stages of a Dental Cleaning Appointment

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

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

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

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

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

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

Toothpaste


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

Home Care

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

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

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

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

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

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

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

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

 

Healing

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

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

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

Lastly…

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

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

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

 

 

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

 


1 Comment

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