Your Smile Dental Care blog


Leave a comment

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

 

 

 

 

 

 

 


2 Comments

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/


Leave a comment

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

 

 

 

 

 

 

 


Leave a comment

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

Parents in the Dental Treatment Room

Leave a comment

We treat many children in our practice. We also have many patients that have “grown up” in our practice. Caring for children can be challenging, but also very rewarding. It is tremendously satisfying to gain a child’s trust after managing their care under trying circumstances.

23-11-2015 3-32-55 PM
It takes a village…

Seeing their confidence grow and knowing that they are leaving our office with a sense of accomplishment and pride makes everyone’s effort worthwhile. And when we say effort, we mean everyone’s – ours, the child and their parents/caregivers.

The influence parents/caregivers have over their child’s attitudes towards dental health and responsibility makes their role very significant to us and our efforts. Although, we may agree on what an ideal child patient may be like, there is not really what you would call a “typical” child patient. That is because the behaviours, needs and temperaments of children differ so vastly. In fact, a child may behave one way one day and entirely different the next visit. At Your Smile Dental Care we are parents ourselves, and as such, will treat you child as we would want our own children treated.

28-11-2015 5-32-56 PM
Our goal is to complete the planned treatment safely and effectively and provide as comfortable and enjoyable an experience as possible. To accomplish this, we need the co-operation of both the child and parent. This brings into mind the question of …

Parents in the treatment room

We believe that you know your child best. You are oftentimes their only advocate. In the best interests of your child, we all must be on the same page when it comes to managing a fearful or difficult situation. Your child’s focus and attention is an essential part of allowing us to delivery safe, quality care. It is with this in mind that we offer the following guidelines to help to ensure the success of your child’s visit:

Anxious Parents
09-03-2015 4-47-39 PMOftentimes, a child’s visit to our office can be more distressing for a parent than the child. Parents can unknowing transmit their own anxieties and fears to their child which, in turn, can affect their attitudes and responses. Sometimes, we find ourselves having to manage both the patient and the parent. You help your child and our team by remaining in control when your child is feeling out of control. If you feel that you are ill-equipped to cope and offer positive support in the treatment room, perhaps you can designate another caregiver to accompany your child in the operatory.  Over time, as trust develops, you may find your own anxiety levels improve to the point where you can be an effective partner during treatment.

Undivided Attention
When we need to give instructions to a child to encourage them to participate responsibly while we care23-11-2015 4-48-30 PM for their teeth, we try to appeal to their age-appropriate sense of obligation, value and logic. However, when there are many distractions in our treatment room, speaking to an apprehensive child and trying to gain their focus and trust can be incredibly difficult. In the treatment room, it is very important that the primary focus and interaction remain between the dental team and the child so that communication and guidance can take place without distractions or interruptions and that confusion does not arise and complicate matters. It is with these consideration in mind that  most dentists will ask for your cooperation in remaining a silent partner in the treatment room unless otherwise asked for asked to your assistance and emotional support.

Coming in and out of the treatment room
During dental care can also be extremely disruptive to both the child and dental team. We offer a chair for you to sit on during the dental procedure. If you prefer to read to pass the time along, we have plenty of magazines in the greeting area or invite you to bring your own material.

One family member only in the treatment room
It goes without saying that more than one family member in the room can be a tremendous distraction for the patient and dental team and the room can become crowded and disruptive. Informal checkup visits may allow for a more playful “family experience” in the treatment room, but the care we deliver during more complex, invasive procedures demands more concentration and order. Designate the parent or caregiver that can best support your child and understand the dental after-care instructions given.

23-11-2015 3-37-08 PMLet us work our magic
We are trained to identify certain behaviours and modify our strategies and techniques accordingly. We are accustomed to anticipating sudden movements or outbursts. Hampering our efforts by distracting your child’s attention with words or gestures can escalate an otherwise manageable scenario. We will certainly call upon you for assistance should your intervention become necessary.

Appreciation
Nothing educates a parent more than having an opportunity to see our efforts and the efforts of their child firsthand. Watching our dental team perform helps most parents gain a new appreciation and understanding for the skills needed to navigate an encounter while still providing their child with a positive patient experience.

23-11-2015 4-37-17 PMNegative words
Although a parent’s intention may be honourable, phrases like, “It’s not going to hurt” can be incorrect or misleading. Your words alone can arouse fear and anxiety where none may have existed. Not all fearful children are uncooperative. Likewise, not all uncooperative children are fearful.

Unaccompanied children
Sometimes, children behave and concentrate better without their parent in the room. If you feel this applies to your child or would like to foster independence, you can always stand just outside the room within ear and eyeshot.

Building Relationships
Appreciate that we are trying to establish the type of trusting relationship with your child that will foster a long term healthy, positive and responsible attitude towards their well being that will hopefully remain with them throughout their lives. To do this we need your support. Your own positive words and attitudes are tremendously infectious.

Other concerns that come to mind

Mood – It has been our experience that young children are much more emotionally 23-11-2015 4-15-11 PMcooperative between the hours of 9am and 12pm when they are rested, alert and have not spent a long, tiring day at school, possibly worrying about their upcoming appointment. This is an especially important consideration when it is a nervous child’s first visit. Nothing is gained when we expect the best from someone when they are at their worst.

Preparation – Parents have the ability to shape their children’s behaviour and how they deal with their feelings. We understand that keeping a positive attitude when discussing your child’s upcoming visit, without giving them any false hope or misleading details, can be challenging. If you suspect that your child is extremely apprehensive about their dental appointment and time permits, perhaps you can “drop by” the office to pick up the medical history form you will need to complete for their first appointment. This way, they’ll be able to meet some of the staff and leave with a prize from the treasure box. The encounter will be short and sweet and create a sense of familiarity for their next visit. In the meantime, keep conversations brief and simple. We find that the less said, the better, so try not to include too many details. If you are unsure of something, just say so and tell them they can ask us at their appointment.

23-11-2015 3-51-07 PMDental Language – We all appreciate when complicated, unfamiliar or fearful matters are simplified and explained in terms we understand and can relate to. It helps us be in a better position to make informed decisions and move forward in the problem-solving process. We introduce positive, yet simple language when addressing your child to help breakdown planned treatment into simple terms they can understand and appreciate to help them get through unfamiliar or difficult situations. Our “dental language” may sound over-simplified, but we know it to be an effective way to reduce patient fear and improve behaviour. Our language will grow in sophistication and complexity as your child grows and matures. Our ultimate goal is to equip them the language and knowledge they will need as adults to continue to make wise and informed decisions with respect to their dental health.

Behaviour management techniques – We have seen many children over the years who would not cooperate in other offices. While we are not miracle workers, we do believe in your child and their ability to overcome their fears and anxieties. We are equipped with an array of techniques to identify and manage many different types of behaviours in children in order to complete treatment safely and successfully. Understand however, that if a dentist’s instructions to a child takes on a more serious tone, it is done so with the intent of appealing to a child’s sense of responsibility and to disarm a child’s uncontrollable emotional state. The goal is to not allow a situation to escalate to the point where a child feels less safe and more out of control.

23-11-2015 4-20-21 PMPositive Reinforcements – It is absolutely amazing to see how empowered and confident a child becomes after successfully accomplishing a difficult appointment. The praise that follows helps to strengthen their resolve to trust and behave more positively at their next visit. Your co-operation and trust is also essential in these matters. Together, we can help your child develop courage and create a better dental future for themselves. Children who put forth the effort and determination to succeed should, “Own the moment!”  When good behaviour is rewarded quickly and often, additional value is added and positive attitudes are reinforced and strengthened. A parent’s positive follow-up words, smiles, hugs, high-fives etc. are, most definitely the best reward a child can receive.

04-08-2014 11-54-04 PMPrevious traumatic experience – When we care for a child that has had a previous traumatic experience, they are already armed with some very concrete ideas about dental offices. Our job is to convince them otherwise and this could take several visits before treatment can be initiated. If a child is in immediate pain or injured, then the dentist is faced with having to accomplish treatment and try to change some of the child’s attitudes and trust issues during the first visit. As dentists, we do our best, but if restoring a child’s teeth will take several , complex treatment appointments, sometimes it is in the child’s best interest to see a children’s specialist where they can be sedated and have all the treatment completed in one visit.

23-11-2015 4-29-58 PMExpectations – There are times when a parent’s expectations for their child and the dental team is just too high or unrealistic. This is especially true in the case where a child has a tremendous amount of treatment necessary. The ultimate goal is to provide the level of care that repairs the dental destruction without further damaging the child psychologically. Together, we can come up with a plan to deliver the care needed while appreciating that children have different abilities and that circumstances differ from child to child and sometimes day to day.

Healthcare is a necessity – Teaching your child that visiting the dentist is a necessity, not a choice, and that the dental team is here to help keep their teeth healthy and beautiful for years to come is one of the best ways to foster a positive attitude. It’s difficult, however,  to teach your children responsibility if you are not demonstrating it in your own life. You can hinder or help your child and their experiences based on you own actions and words, so please consider them carefully.

Lastly…

my-boy-732736-mNo single method or technique can be used for all children nor every visit. Trusting relationships and coping skills form over time and each interaction with your child is an opportunity for us to establish the rapport and approach that best suits your child.

The long term rewards of treating children successfully is seeing the healthy dental attitudes they develop as the grow into adulthood. Helping children triumph brings us our own tremendous feelings of fulfillment, achievement and pride in our chosen profession and demonstrates to us that our efforts are indeed worthwhile and fruitful.

One thing we have learned over our 30 years of experience is to … Never underestimate the capabilities of children!

23-11-2015 3-10-39 PM

The YOUR SMILE Dental Care Team
(905) 576-4537
(416) 783-3533
http://www.yoursmiledentalcare.com

This gallery contains 11 photos


Leave a comment

Fake Braces: Life Hack or Life Threatening?

Brace Yourself for this…

If you were to search the words, “fake braces” on you tube you would get 39,000 hits!

DIY dentistryHave you ever even heard of fake braces?

No? Well, neither did any of our patients when we asked, but it’s a growing trend!

There is an enormous market for knock-off braces and people worldwide have taken a shine to what used to be an embarrassing rite of passage for most kids. While some people are truly looking for a cost-free life hack to eliminate the gaps between their teeth, others are hoping to add a little fashion to their smile.

#hackjob

For years now, orthodontia has been seen as somewhat of a status symbol with many kids believing that they are a sign of wealth or are a way of putting a “geek is the new chic” spin on their looks. This life hack, however, can cause just that … a hack job on your teeth and gums!

No Limit to the Imagination

8-17-2015 10-31-04 AMKids are very imaginative with their DIY ideas and are using all kinds of novel methods to get the results and look they are aiming for ~ rubber bands, coloured elastics, bobby pins, paper clips, earring backs, string, fishing line ~ you name it! Fake braces kits are also available online in a variety of colours and designs with some people resorting to using crazy glue to cement the appliance to their teeth for better adhesion and elastics to force their teeth together and rid their smiles of the gap tooth look.

Dangerous Trend

Orthodontics is a branch of dentistry that requires additional schooling after receiving a dental degree. It requires a particular set of skills and experience that takes into careful consideration how very attentive one must be when moving teeth through bone. Non-medical orthodontic braces can pose a serious health risk for wearers.

Taking your smile into your own hands…
 31-08-2015 11-09-23 AM

What Damage Can Occur?

Bone and Tooth Resorption – Resorption is a process by which something wears away usually due to forces upon it. The greater the force – the higher the rate of wear. The movement process, if done incorrectly or too quickly, can cause too much bone and even the root of the tooth to wear away.

Dead Teeth – Each tooth has blood, lymph and nerve vessels that enter at the end of each root to keep the tooth nourished and vital. This supply can be damaged and possibly cut off during DIY tooth movement causing the teeth to die. Infection and loose teeth can eventually occur.

Loose Teeth – Placing rubber bands around teeth can bring teeth quickly together, but they can also damage bone and soft tissue in the process. It used to be a dental technique used by dentists to help teeth they plan to extract to loosen up faster.  The bone that surrounds each tooth is not very thick. Too much movement in the wrong direction can actually cause so much bone destruction and in such a quick amount of time that it completely wears away. The tooth loses its greatest support feature and becomes very loose.

123123144-1231

Photo from manubaydental.com

Fenestration/Tooth Extrusion – This photo shows a very dangerous situation that can occur whereby the bone is worn away and the tooth makes its way through the gum tissue and is exposed.

Decay –  With the increased accumulation of food and plaque around the braces, decalcification and decay becomes a very serious issue. As such, the health of teeth is closely monitored during orthodontia. If the patient does not keep the area around their braces clean and the dentist can see serious signs of enamel damage, often times the braces are removed ahead of schedule to prevent further damage.

Discoloured Teeth – Damage to the interior blood, lymph and nerve supply can cause the teeth to discolour and turn grey to black.

Poisoning – The danger of poisoning from cheap metals containing unsafe or toxic material like lead should be a big concern for those considering using these products in the mouth.

Choking – Some of the materials used to make fake braces have tiny parts that can loosen easily and break off. If swallowed, choking or entry into the lungs can occur.

Gum Damage – Using metal wires that are fastened to the tooth with glue or wax can loosen and pierce into or stick under the gums causing bleeding, inflammation or infection. Winding string or elastic bands around teeth can create wear marks into the enamel and/or become lodged under the gums.

Very little to Smile about…

The Your Smile Dental Care team want you to know that braces are an important measure in correcting misaligned teeth and improper jaw relationships, but resorting to desperate DIY measures to move or accessorize your teeth can result in tremendous costs in terms of damage and dental treatments fees for repair. You can lose the teeth you’re craving to beautify and that could leave you with very little to smile about!

31-08-2015 3-08-30 PMThe good news is that some countries are now cracking down on this trend after the death of two teens in Thailand and are now doling out fines and even imprisonment for vendors who sell fake braces. However, warning needs to get out to those that are using their own DIY methods.

If your teeth are in need of some corrective measures, we strongly urge you to consult a professional. Many people do not realize that payments for orthodontic treatment is spaced out monthly over the entire course of treatment. This makes budgeting for braces more affordable and convenient. If you are using fake braces/retainers to just enhance your appearance, please know and understand the risks you are taking.

Referrals

If you have been wearing your own braces and are starting to notice some signs of damage don’t be embarrassed to call us right away! We’ve seen it all and are here to help you. Think you would benefit from braces and are looking for a good orthodontist in the Toronto or Durham region? We would be happy to discuss your “specific to you” issues and make a referral for you.

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