Your Smile Dental Care blog


Leave a comment

A Partial Glimpse into Dentures

Mithing some Teeth?
Here’s a Partial Solution!

24-03-2014 3-24-55 PMIt is unfortunate when you are missing several teeth and eating and smiling has become difficult – even embarrassing.

Finding a solution that is the right fit for you involves a number of considerations and your dentist will help you understand the factors involved in your specific-to-you situation.

Although implants are the most advanced tooth replacement, are cost-effective and are available for even the most complex cases, not every patient is an ideal candidate or can afford them at the time needed.

So, what are your other options then?

Perhaps, the idea of dental implants can be revisited at a later date. Until then, the spaces can be filled with bridges or dentures. Today, let’s take a look at your partial denture options:

 

Dentures are classified into 2 main categories: Full or Partial dentures.

 

Full Dentures – Are available for patients who have all of their teeth missing in the upper or lower arch or both. They are removable, but fortunately, full dentures can be secured to dental implants for added support and confidence while still being removable. They are made of acrylic and can be relined with more material as your jawbone changes in size and height due to missing roots.

 

Partial Dentures – Are designed for patients who are missing several, but not all the teeth in the upper or lower arch or both. There are several different types of partial dentures depending on design and materials used. They are supported by teeth and gum tissue, so the health of these are considered during selection. Each type of partial denture has their own set of pros and cons with some dentures using a combination of materials.

 

dnetures

 

Cast Metal:

– thin, metal alloy framework and claps

– more expensive

– metal not very aesthetically pleasing

– biocompatible metal, so hypoallergic for most people

– not usually harsh on health of gum tissues

– soft liner can be added to increase gum comfort

– preferred type of partial denture in terms of strength, durability, retention, thickness and fit.

– can have coloured plastic added that look like gums.

– more difficult to reline as gum and jaw changes unless soft liner added.

– more teeth can be added as needed.

 

Flexible

– made of nylon or another type of composite material

– moderate cost

– very aesthetically pleasing and can be colour blended to match gums

– very flexible and thin

– more comfortable in the mouth for chewing and speaking.

– hypoallergenic

– better on gum health than acrylic

– more damaging to natural teeth than a metal denture

– very good retention using clasps and undercuts

– more teeth can be added as needed, but some flexible material do not bond together well making the addition of new teeth ans relining more difficult and expensive.

 

Acrylic:

– made of a rigid plastic material

– much more affordable option as they are less expensive and easier to make.

– gum-coloured plastic is more pleasing than metal

– weaker and less durable than metal.

– plastic can pick up odours and stains

– can break more easily than Metal or Flexible

– plastic can be allergenic for some people

– more damaging to natural teeth than a metal denture

– can have more plastic material added if jaw/tissues change shape

– more teeth can be added as needed.

 

What You Should Know

In general, partial dentures:

  1. can interfere with speaking
  2. are less stable than natural teeth, bridges or dental implants
  3. may have supporting clasps that can break or bend, but they usually can be fixed readily
  4. need to be relined as jaw dimensions change
  5. need to be removed nightly to keep mouth tissues healthy
  6. prevent shifting of adjacent teeth until a more long-lasting, permanent solution is selected
  7. can wear down over time by natural teeth
  8. can be lost since they are removable
  9. need maintenance or repair of framework and components as they wear
  10. can be relined to accommodate changes to the underlying bone. Expense depends on type of material used to make partial denture.
  11. can have their fit impaired by any changes to the existing teeth because of decay, repair or loss.
  12. have artificial teeth that can be easily repaired or replaced.

 

 

Tendering in Tradeoffs

 

04-11-2014 2-04-12 PMNothing in life is as good as the real thing. There are tradeoffs that are made when we have to repair or replace our natural teeth. This is why caring for your teeth properly your whole life will increase the likelihood of “Teeth for Life!”

Every dentist has heard a patient say that they are just plain sick and tired of having to care for their teeth and think that by removing and replacing them with dentures they will become worry free of dental problems.

Wrong! They are trading one problem for another. Dentures come with their own set of issues, and, like teeth, they still require care yo prevent damage and prolong their life. Speaking, eating, comfort, mouth sores, and stability are just some of the issues you will likely face with dentures at one time or another.

How long a partial denture will last also depends on the proper care of existing teeth. There is no 100% perfect replacement for your natural teeth. The time and effort you put into caring for them is never a waste as it can make a huge difference in your dental health.

Furthermore, it is important to understand that dentures and bridges do not replace the missing tooth roots – only the visible tooth crown. Eventually, the jaw bone that once supported the roots will begin to shrink and reduce in overall size. This is an important consideration as dental implants need healthy jaw bone height and volume into which they are placed and eventually integrate into. The jawbone can be augmented using bone grafts, but this increases the complexity and cost of the dental implants.

 

Short Term vs Long Term

 

07-09-2015 6-03-36 PMEveryone knows the feeling of being faced with options. Decisions are not always easy and the more options available, the harder the decision. Your dentist is there to help you sift through all of the information, weigh all the factors and understand the tradeoffs you may have to make. Do you opt for an affordable solution that has limitations, a shorter lifespan and will require more on-going maintenance or do you invest now in the premium permanent option?

Being an informed patient who understands fully the pro and cons of each dental treatment option helps you move forward to the day when you can eat and smile with confidence.

Lastly, it’s Your Smile. Dental care is necessary for your remaining teeth. The function of chewing is meant to be distributed amongst many teeth. Expecting a few to do the job of many will result in wear and breakdown and you will run the risk of losing your remaining teeth through disease and dental collapse. If you are missing one or more teeth, see your dentist today to discuss your treatment options today. You’ll be glad you did!

 

06-02-2017-3-04-48-pm

 

 

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


Leave a comment

The Sudden Appearance of Cavities

The Tooth Sleuth…

 

20170123_122329Why does tooth decay suddenly begin in patients who have had no history of multiple cavities?

This is actually a common question that is not generally an age-specific misfortune as much as it tends to be a lifestyle occurrence. It is understandable why someone becomes frustrated and very concerned about the sudden appearance of tooth decay when they have had great teeth their whole lives with little or no decay.

Cavities can occur at any age and without warning. Some factors we can control, while others are a more complicated set of circumstances. The sudden appearance of cavities depends on someone’s individual situation, so it often becomes a fact-finding mission for both the dentist and the patient.

 

You may not think of dentists as detectives, but it is one of the many roles we assume as healthcare practitioners

 

Narrowing down the cause can be tricky, but here are a few of the most common culprits:

 

Cavities under fillings – Like anything that is man-made and designed to replace something that is natural, there are limitations. Fillings can wear down, chip or lose their marginal seal with the tooth allowing bacterial acids to seep in and cause cavities under fillings. Maintaining regular dental check-ups allow us to monitor the integrity and health of teeth and their existing restorations.

Orthodontic treatment – Wearing braces, especially the new Invisalign type of braces, give food and plaque more places to hide making it more difficult to see and remove them. Your food choices and attention to the detail when tooth brushing becomes very important to reduce your likelihood for tooth decay. Your orthodontist will warn you of the higher susceptibility for cavities when wearing braces and make recommendation that should be followed diligently.

Dietary change – A sudden change in what and how often you eat and drink can have a huge impact on the health of your teeth, Ideally, you should allow 4-5 hours in between food intake so that your saliva can repair (remineralize) the damage from the acid attacks that occur during meals. If you have acquired a new habit such as frequent snacking, sipping coffee all day, chewing sugar gums/candies, drinking more pop/juices/alcohol, or using throat lozenges you may be putting your teeth at risk for more tooth decay.

Nutritional Deficiencies – The quantity and quality of our saliva is impacted greatly by nutrition. The immunoglobulin, proteins and minerals in saliva help to protect and repair our teeth, so any deficiencies in our food intake or health can and will affect the efficiency of saliva.

Dry Mouth – Saliva plays an important reparative, cleansing, buffering and digestive role in our mouth. A disruption in the quantity and quality of saliva  can put you at risk for more cavities. Illness, medications, medical treatments such as chemotherapy and radiation, stress, weather, alcohol-based mouth rinses, and even the addition of exercise can affect the character of your saliva and it’s ability to do it’s job efficiently. Never ignore dry mouth. Read all about dry mouth here.

Medication – Did you know that there are hundreds of medications that can affect the quality and quantity of your saliva and impact the health of your teeth? Even over-the-counter products such as anti acids, antihistamines, and cough syrups can be harmful to your teeth with prolonged use. Check with your pharmacist about your medications to help narrow down the ones that can cause dry mouth. Perhaps, they can then suggest an alternative and check with your physician about a change in prescription.

Vomiting – When stomach acids make frequent contact with your teeth it can lead to the eroding away of the enamel eventually resulting in a mouth full of cavities. Frequent acid refluxing, prolonged illnesses and eating disorders that use the elimination of meals just eaten, are serious matters that cause nutritional deficiencies and cause an increase in cavities.

Teeth Whitening – We believe that the frequent use of teeth whitening products can eventually cause the wearing away of protective enamel. Moderation is key here and your dentist will advise you as to what is considered a safe, but effective whitening regime for your specific-to-you situation.

Oral Hygiene – Have you changed your oral care routine? Changing toothbrushes, eliminating fluoride, slacking off with brushing and flossing, brushing too hard or excessively and even choosing a natural oral care product can all lead to more cavities. We had one patient who switched to an electric toothbrush but did not know that they were missing the entire gum line area resulting in cavities all along this area. And, as popular as some homemade and natural remedies are, care must be taken to choose a product that is both effective and gentle on teeth and gums.

Fluoride Intake – Fluoride is actually an element that is found in rocks, soil, fresh water and ocean water. Over 70 years ago, it was discovered that populations living and ingesting naturally occurring fluoride had significantly better teeth – in both health and appearance – than those who did not. Many municipalities decided to add 1 part/million fluoride to community drinking water. Today, we still see the evidence of better oral health in fluoridated areas.

Relocation – Sometimes, just moving from one geographical location to another can lead to significant lifestyle changes in terms of habits and access to health and healthy choices. Students who move away from home may find it difficult to maintain healthy habits and make wise nutritional choices. People who move to an underdeveloped area may struggle accessing good nutrition and healthcare. Even a lack of fluoridated water has been shown to impact oral health.

Receding Gums – When your gums recede, the soft root of the tooth is exposed, making it more susceptible to decay and the scrubbing action of your toothbrush. The tissue covering the root is half the hardness of protective enamel. Root exposure and the eventual cavities and abrasion crevices cavities is a common dental problem, especially in older persons and those who use a hard toothbrush or brush to harshly and in in those.

Medical treatments – As unavoidable as they are, some medical treatments affect your oral health and result in unexpected tooth decay. Medical treatments can cause altered taste, saliva changes, mouth irritations, damaged tissues, sensitivity, vomiting, difficulty eating and swallowing, delayed dental treatment, and can disrupt home oral hygiene. All can play a role in an increased likelihood of cavities. At Your Smile Dental Care, we suggest a pre-treatment examination to record baseline charting, identify and treat dental problems and provide oral hygiene education before your medical treatment begins.

Sharing Salvia – Dental disease is an infectious disease. You can be contaminated with the saliva from another person through kissing, sharing a toothbrush or eating utensil. Is cross-contamination capable of actually causing tooth decay ? Saliva is laced with germs and some people have more of the tooth damaging bacteria than others. It is thought that mother’s can pass on bacteria to their children and, in turn, increase the likelihood of decay in the child when they share spoons, so it stands to reason that this is not the only situation where one’s mouth germs can directly affect the quantity and types of germs in another’s mouth. Sometimes, sharing is not caring!

Work Routine – Even something as seemingly insignificant as a change in your work time hours, such as switching from days to nightshift, can affect the way you prioritize and approach your oral care and eating habits. Exhaustion, insomnia, stress, a hurried life can all impact your usual routine and put you at risk for additional tooth decay. Scour the internet to find some great practical tips on how to manage work shifts better.

Don’t make cavities part of your future…

These are all examples of some of the changes that can occur in your life that you may want to consider and review if you notice that you are suddenly being diagnosed with more cavities, more often than usual. A solid review of your nutritional, dental and medical history may reveal something that could account for the high incident of tooth decay. Hopefully, by process of elimination, you and your dentist will be able to narrow in on one or a few of your risk factors and implement some changes in your life now so that tooth decay will not become a recurrent problem.

 

 

23-01-2017-1-42-50-pm

 

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

 

 

 

 

 

 

 

 

 


1 Comment

You Don’t Need to Fear the Dentist!

 

Avoiding the Dentist?

Covering mouthIf the mere thought of going to the dentist causes your heart to race and your hands to sweat you are not alone. While many people will choose to make dental health care one of their New Year priorities, according to Statistics Canada more than 40% of Canadian will give the dentist the brush-off because of dental anxiety.

Although there has been many significant advances in dental techniques and technology, many people still feel uncomfortable in a dental office. This is because the body is simply amazing! It is designed for self-preservation and is equipped with an incredible internal response system when it senses danger. Even when you brain attempts to rationalize and calm your fears, your body may already be sending you the strong urge to escape.

It’s no wonder people avoid coming to the dentist or cancel their dental appointments. Trying to reason with such a strong fight/flight/freeze mechanism can be challenging. You may not be able to eliminate all of your fears, but you can learn to manage them despite your body’s physical reactions.

If you are determined to make your health and well-being a priority this year here’s what:

You Can Do…

1. Admit your fears – If you are already thinking about going to the dentist you are likely already feeling anxiety. Discuss you concerns with a trusted, empathetic person. Avoid speaking to someone who may intensify and reinforce your fears by recalling their own fears or experiences. We are also here to listen and help make your visits to us as comfortable as possible.

laptop-and-cellphone-1269437-m2. Look for a new dentist – If you do not already have a dentist , email or call around to look for a dental office to call home. Convey your fears and concerns to them then review their responses. Did they respond? Did you feel rushed on the phone? Did the staff sound informative and sympathetic? Although time-consuming, this will help you narrow down your search which will save time in the long run. Perhaps you would like to visit the dental office first and meet the staff. If taking a tour will help, a good office will be proud to show off their practice. Finding an office that is willing to help you become more comfortable right from the get go will most likely be there to help you cope with your fears and concerns in the future. If you think you have found the right place schedule an exam then proceed to a cleaning.

3. Know your fear – Let us know what you like or dislike. Is it the noises? Fear of the needle? Water in your mouth? A past experience? Perhaps you prefer to be in control or like distractions. If you can identify the source of your fear or already know what puts you at ease then communicate this to us and together we can find a solution. Everyone prefers anxiety-free surroundings – even us!

4. Know the facts – Although, we always explain what we are doing to our patients, some people need more information in order to feel in control of a situation. If however, knowing too much will aggravate your fears, let us know and we will inform and assure without alarming you further. Everyone has their own comfort level. Let us know yours.

5. Don’t hurry – If you are not in need of immediate dental care then why hurry? You’ve waited this long, so go slow and face your fears one step at a time. Start off with an examination. Once you have completed this stage and are ready you will be better prepared to move on to the cleaning appointment. If all goes well and you are in need of further care then we can take baby steps together!

29-12-2014 6-30-52 PM6. Be realistic – Your dental health is as individual and personal as your are and your treatment will be specific to your situation. Comparing dental treatments with friends is like comparing other health conditions. No two people are the same. Diagnosis and treatment recommendations depend on your pre-existing dental and health conditions. Short and long term prognosis depends on many factors such as severity of conditions, patient cooperation, health history, body response, maintenance, other conditions of the mouth, age and lifestyle. Understanding your current state of dental health will help you make informed decisions moving forward. Your dentist should be open to answering all of your questions, and if possible, offering treatment alternatives.

7. Control your imagination – Our imaginations can both amaze and terrify us and it is easy to conjure up all sorts of scenarios that will likely never occur.  Learning to tame your thoughts so that they do not interfere with your emotions will help empower you so that you can attend to your needs.

8. Find closure – Previous traumatic experiences or conditioning can severely immobilize a person and prevent them from ever moving forward. Speak with your family doctor or regional health department about your situation and ask them to refer you to a professional who deals specifically with these types of fears so that you can begin to take your first steps towards recovery.

04-08-2014 11-54-04 PM9. Bring a friend – Sometimes, bringing along a friend or family member or even a stuffed animal can put you more at ease. If you wish, you can appoint them as your advocate who can help ask questions and communicate your fears and concerns. If having them in the treatment room helps perhaps you dentist will allow you to have this support as long as they do not aggravate an already anxious situation.

10. Bring your own music – Although we have music in our operatories, sometimes people would rather bring their own devices and listen to their own music. Whatever helps!

11. Be a good role model – If you do not want your children living a life of fear you must help them develop positive and responsible attitudes. Studies have shown that most children are more likely to pattern their future choices and behaviours after their parents and carry the habits they learn as children into adulthood and throughout their lives. Your positive remarks and optimistic outlook about dental care will empower your children and help to ensure that they will continue to benefit from your great example!

_________________________________________________________

We Can…

29-12-2014 6-35-38 PMWelcome you – At Your Smile Dental Care we strive to make you feel comfortable and valued from the warm welcome that greets you at each visit to the high degree of personal attention we offer you throughout your treatment. We understand the importance of gentle dental care and always encourage open communication. Most of our new patients found us by word of mouth. We appreciate the care entrusted to us and consider these referral from family and friends the greatest compliment a dentist can receive.

Provide sympathy – We do more than just work on teeth. First and foremost, we recognise these teeth are attached to a person who deserves to be treated with respect and dignity. We all have fears. Dealing with patient fears is what we are trained for and being afraid means different things to different people. A person’s true feelings can manifest themselves in a whole host of ways. Some people react physically with tense muscles, rapid breathing or heart rate, nausea, sweating, and dizziness, while others become angry, silent, or talkative. We must always be sensitive to the fact that, in a dental setting, a person may have difficulty conveying their thoughts, feelings and opinions. Patience with our patients is key while we strive to reduce their anxieties and allay their fears while providing painless, quick treatments.

Stay up to date – A good dentist and staff continually strives to provide the best possible care for their patients so that they have the option to choose the best treatments available today. Staying current on all the latest techniques and technologies helps a dentist to obtain and maintain a level of care that meets or even exceeds industry standards. Ask your dentist and staff what they do to stay up to date. They should be proud to tell you!

shaking-hands-1097209-mEstablish trust – We believe that clear and concise communication is the cornerstone of trust in dentistry. The patient/dentist relationship depends on a solid foundation of trust. We know that if a patient has had trust issues in the past with a dentist or other healthcare provider it will influence how likely there are to trust another dentist. These past experiences sometimes makes it difficult for another dentist to gain a patient’s trust let alone form a lifelong partnership. We have seen firsthand that patients are more likely to follow through with advice and treatment and achieve optimal oral health when they trust their dentist.

Communicate – Patients appreciate clear, honest, and straightforward communication. Your dentist should face you when speaking, use plain, everyday language and avoid using terms that are too technical. It is important that you are asked if you understand the information being presented and be given the opportunity to ask questions or seek clarification. Most dental offices will have pamphlets or printed material on hand for you to take home for further reading. If you have further questions or concerns once you leave the office, do not hesitate to call your dentist.

Listen – We all know that communication involves being an active listener as well. Oftentimes, being a good listener requires that you pay attention to other cues and signals that a person may be giving. Anxiety and stress can make a person afraid to ask to have information clarified or cause a person to shut down making it further difficult for them to absorb information. We may explain a treatment plan and ensure that a patient has had the chance to ask questions and gather additional information, but we must always appreciate that sometimes information is still being digested by a person long after they have left the office. We aim to make certain that our patients understand their oral health care needs. This may require additional guidance by encouraging our patients to make further inquires if necessary.

Accommodate – We can schedule your appointments at a time and date that is best for you. Early morning appointment usually work best so that you are not worrying about your visit all day long. Perhaps spacing out your treatment over a series of shorter appointments or over an agreeable and suitable period of time will help you cope and manage your visits better. We offer a wide range of services for all ages including cosmetic, implant and emergency dentistry. We are wheel chair accessible and are able to move our dental chairs to accommodate most wheelchairs.

music-to-my-ears-40789-mProvide lifelines – Different people cope and manage their stress in different ways. Some people need distractions such as movies, music and periods of rest, while others need to feel in control at all times and like to watch using a hand held mirror. We allow our patients to stop treatment at any time by raising their hand. Sitting up briefly, going for a short walk or having a responsible and trusted family member or friend present in the room can also be beneficial. We offer conscious sedation in the form of laughing gas to calm fears and we have throat spray to help alleviate gagging.

Professional – As stated earlier, every patient deserves to be treated with respect and dignity. We never make our patients feel ashamed or embarrassed about the condition of their teeth or that they have not attended to regular dental care in the past. We are all about moving forward. If you made it through our doors and into the dental chair that is incredible progress which we believe is cause for celebration. We treat all patients equally, while offering personalized, individual care. In return, all we ask is that our patients respect our time  and commitment also by honouring the appointment times we schedule for them or informing us of appointment changes well in advance so that we can care for another patient in need. Maintaining regular oral care visits will also help us to detect problems early so that we can help you avoid repeated crisis situations.

Follow up – Don’t be surprised if we provide some TLC with an after care telephone call just to see how you are managing. It’s our way of letting your know that we care for you and your health long after you have left our office. This also allows you to make further inquires or gage the progress of your recovery.

Offer payment plans – If the cost of your treatment is the source of your stress, you can discuss your payment options with our friendly staff. If you qualify, we can help you set up a committed repayment schedule that allows you to achieve oral health sooner than later.

02-12-2014 8-57-17 AM

Your First Step

The first step to successfully managing anxiety is learning to understand and recognize it. Although your body is designed to become anxious around perceived threats, it becomes a problem when you cannot control your fears when there is no real danger. We understand that your fears are real, but when they prevent you from taking charge of your dental needs conditions will only worsen causing you further grief.

This year resolve to make dental care a normal part of your life. Dr. Axelrod and his team of caring professionals at Your Smile Dental Care have helped thousands of people conquer their dental fears, take control of their oral care and achieve optimal oral health. As you get to know and trust us, you will soon find that your fears will lessen and your anxiety levels will become more manageable.

Remember…you are not alone!

Yours in better health,

The Your Smile Dental Care team
(905) 5SMILES (576-4537)
(416) 783-3533


Leave a comment

Aging Well

Top 10 Aging Smile Solutions:

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

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

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

Whitening

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

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

22-12-2014 12-05-50 PM
4. Smaller Teeth – Teeth naturally wear over time, making them appear shorter and flatter. Clenching and grinding can also cause the biting surface of your teeth to wear down. Solution: A night guard can slow down this process and prevent further tooth loss. Filling and dental crowns can be placed to repair more extensive damage.

19-01-2015 4-21-06 PM

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

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

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

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

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

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

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

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

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

09-08-2014 9-12-36 AM

Yours in Better Health,
The Your Smile Dental Care Team


3 Comments

The Consequence of Missing Teeth

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

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

A tooth here, a tooth there.

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

The Domino Effect

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

 

16-03-2015 3-31-21 PM

 

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

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

16-03-2015 6-26-10 PM

23-03-2015 10-11-52 AM

1. Supraeruption (Over-eruption)

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

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

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

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

Loss of contact3. Loss of Contact

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

4. Plaque and Food Impaction

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

5. Bone Loss

During the formation of teeth, bone grows in and around the root of the teeth for support and nourishment. Teeth are necessary to maintain healthy jaw bone. When a tooth is removed there is no longer the need for bone and it resorbs (shrinks) away. Healthy, dense bone is an important factor when considering the placement of implants for replacement. The longer you leave the space, the smaller the height and width of the bone becomes. Bone loss also occurs in the areas where adjacent and opposing teeth have lost contact with their neighbouring teeth because of the destructive nature of the gum disease process. Even the floor of your sinus bone collapses into spaces where there used to be teeth. Bone loss can significantly impact your chances of becoming a good candidate for any future dental implant placement.
16-03-2015 6-38-44 PM

Complications

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

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

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

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

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

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

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

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

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

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

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

 

Treatment Options

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

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

Been a while?

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

11-07-2014 12-40-04 PM modified

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


3 Comments

Dental Implant Procedure

Have Missing Teeth?  Loose Dentures?
Thinking about getting Dental Implants?

28-03-2016 2-39-09 PMDental Implants are modern dentistry’s highly successful, long-lasting, and natural-looking substitute for missing teeth or for supporting dentures. Dental implants actually fuse directly to your jaw bone becoming one with your living bone structure. In doing so, implants help to maintain your jawbone – which would otherwise begin to disintegrate once your tooth is removed.

So What Exactly are Dental Implants?

Simply put, your natural tooth is comprised of two main parts – the root portion, which is the part of the tooth in the bone and the crown; what you see in the mouth. Dental Implants replace the root portion of your lost tooth then an additional portion is placed that extends above the gum line to support whatever type of final restoration is needed such as a crown, bridge or denture.

How do I begin the Implant Process?

The dental implant process involves several steps – each one essential to ensure the long term success of the implant and final restoration.

Consultation Appointment – The first thing you would do is to let your dentist know that you are interested in finding out more about dental implants. Your dentist will discuss your specific dental issues with you, take some diagnostic x-rays and let you know if your dental and medical health makes you a good candidate for this type of procedure. Not everyone can have a dental implant placed since you need to have a certain amount of bone available to support an implant. Your dentist will check to see how much bone volume and density you have in the area where your tooth is missing. If you have deficient bone levels, you may be able to have a bone regeneration procedure done which is designed to help restore bone to an area.

Referral – If your dentist does not provide Implant dentistry, they will arrange a referral to another dentist that does. You will probably then have the final restoration, that is placed on top of the implant, done by your own family dentist.

3-22-2016 10-42-29 AM


Diagnostic Appointment
– After your initial consultation visit, the dentist will decide the type of dental implant that best suits your needs and take some additional x-rays so that precise measurements can be determined. After the consultation and diagnostic x-rays, the process for dental implants involves two main surgical procedures at least 4-6 months apart.

3-22-2016 10-18-44 AMFirst Stage – At this appointment, the implant post is inserted into your jawbone. The site is then closed with sutures. This stage can usually be performed using local anesthetic. You will then return to the office about 10 days later to have the sutures removed and the surgical site examined. The site is then left to heal for several months. During this time, bone cells grow around the post so that the jawbone and post become fully and firmly fused together. This fusion period is essential so that the implant will not move and is strong enough to support the final type of crown, bridge or denture that will be place on it.

Second Stage – At this stage, the implant site is then reassessed and evaluated to determine if the post and bone have fully fused with one another. If fusion has been successful, then another type of post, called an abutment, is placed into the implant post. This abutment extends above the gum line and an impression is taken. This impression is used by the dental laboratory to create your custom crown, bridge or denture.

Third Stage – Your final crown or bridge is cemented permanently to the abutment. If you are having a denture made, it can be made to be permanently fixed to this abutment or a removable alternative can be made.

Night Guard Protection – If you have a grinding or clenching habit,  your dentist will probably recommend that your wear a night guard while you sleep to protect your implants and your investment from the destructive forces of this habit.

Follow Up Visits – Dental Implants are to be cared for as you would your own natural teeth. Maintaining your regular dental re-care visits is crucial to the implant’s success. Like any body part that is replaced, attending to re-examination appointments allows the dentist to evaluate the stability and health of the implant, bone and gum. Understanding that all of the teeth and their supporting bone/gum structures work together and support one another will help you appreciate why the health of all the parts of your oral cavity have a direct affect on your implant also.

Success

Dental implants have the highest success rate of any other tooth replacement option. Implants have been around in dentistry for well over 50 years! They are designed to last a lifetime, so they are well worth the investment. The great news is that if you ever need to have the crown, bridge or denture replaced or replaced, it can be done so without ever even affecting the implant itself!

Understand however, that the long-term success of any body replacement part requires regular re-care examinations and maintenance so that the site and surrounding areas can be closely monitored for health. Of course your mouth is not a car, but let’s use this analogy so we can drive (excuse the pun) this very important point home.  You would never buy a new car then drive it off the lot never to give consideration to it’s future maintenance. Your regularly maintained dental visits allow your dentist to inspect the implant for the presence of inflammation, bone loss, mobility etc. as well as the integrity/functioning of the restoration that is attached to the implant.  As with any unhealthy condition in the body, early detection is key to effective and successful repair treatment. At your own risk and peril do you ignore this recommendation.

Book Your Consultation today:

Our team at Your Smile Dental Care will be happy to discuss the entire dental implant process with you and answer any questions you may have. You can contact us at (905) 5SMILES to schedule a consultation with Dr. Axelrod to see if dental Implants are the right choice for you and Your Smile.

 

25-02-2016 11-26-10 AM

Yours in Better Dental Health,

Dr. Sam Axelrod & the Your Smile Dental Care team
(905) 576-4537
(416) 783-3533
www.yoursmiledentalcare.com


Leave a comment

To Floss or not to Floss?

When was the last time you flossed or even thought about flossing?

Open Laugh 2I know, I know, we keep telling you how essential flossing is. You may also have heard people say that they have never flossed and don’t have any cavities, gum disease or any other dental related issues. Well, there will always be those outliers, those that fall outside of what we consider, “typical.”

Preparing for the future and possessing foresight is not a strength everyone has, but we are on the front lines (so to speak) when it comes to disappointment and regret. We hear it from patients all the time.

“I wish I had taken better care of my teeth”

“I wish I have flossed”

“I wish, I wish…”

Even when the signs of neglect is staring someone right in the face, the insight is not always there. Flossing seems like a simple invitation, but it can be a difficult one for some people to accept regardless of the dental problems they may be facing.

If you are some who is not convinced, we want you to try this test. It’s just a simple test, but the results may just surprise you!

The Test:

Part 1: Take 5 minutes to thoroughly brush all of your teeth. Do the best job you can then give your mouth a good rinse.

How great do they feel? Does your mouth and teeth feel clean and fresh?

Now try this:

Part 2: Take some floss or use a floss wand, if that easier for you, and floss in between a couple of front teeth then a couple of back molars.

Did you get any plaque or food debris on your teeth? You did? Now, be extra brave and smell what’s on your floss.

Results:

Most people will find that they did find some accumulated plaque/food on their floss after such a thorough cleaning and this test demonstrates what you are missing when you just clean your teeth with a toothbrush only.

The Importance of Flossing:

7-16-2014 2-13-43 PMFlossing reaches most of those hard to reach in between the teeth places where your toothbrush can not reach. Even if you are using a toothbrush that is designed to be flexible enough to splay out to reach into these difficult spots, it is just not enough to complete the job! In fact, a toothbrush alone only cleans 60% of your tooth surfaces.

One of our jobs is to elevate your at home habits so that you can have the best chance for a healthy mouth. Flossing is an essential part of your oral hygiene routine and only takes a few extra moments of your time.

We recommend that you floss at least once a day. Bedtime and when you have something stuck between your teeth are the two most common times for flossing. Making it part of your nighttime routine makes the most sense since your saliva flow is greatly reduced during your sleep. Saliva not only helps to remineralize and repair your teeth, but it also helps to wash less stickier debris away from your teeth and keep your gums hydrated.

3-14-2016 1-09-28 PMAt Your Smile Dental Care, we are always dealing with the future. We continually make calculated decisions based on the evidence we see now while keeping an eye on the long term benefits of our recommendations.

While the future is hard to predict and we don’t have a crystal ball, we know with certainty that it is neglect that is costly, not dental care.

 

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