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Tips for Invisalign (Invisible) Braces

What you Need to Know

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

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

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

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

 

How does Invisalign work?

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

 

Wearing Time

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

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

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

Cleaning

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

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

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

 

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

Cavities

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

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

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

 

Eating

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

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

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

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

 

Habits

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

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

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

 

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

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

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

 

Movement

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

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

 

Other Considerations

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

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

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

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

Lastly…

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

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

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

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


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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!

 

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


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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.

 

 

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

 

 

 

 

 

 

 

 

 


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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.

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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.

 

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Yours in Better Dental Health,

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


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Frustrated about Chipped Teeth?

Why are my front teeth chipping?

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

It’s not always a simple fix… 

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

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

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

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

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

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

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

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

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

Expectations vs Reality

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

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

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

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

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

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

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

25-02-2016 11-26-10 AM

 

Your in Better Dental Health,

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

 

 

 


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Sports Drinks and Your Smile

8-13-2015 2-03-28 PM

 

Whew!

8-13-2015 2-10-10 PMYou’re taking a break from some heavy duty activity and you’re sweaty and thirsty. A cold, refreshing sports drink is usually your beverage of choice to quench your dry mouth and help replace those important electrolytes you’ve just lost.

Seems health and harmless enough, but did you know, with consistent use, many sports drinks can cause seriously damage to your teeth, making them more susceptible to corrosion and tooth decay?


Acid Attack

If the amount of sugar in these types of drinks isn’t alarming enough, the acidic nature of the phosphoric or citric acids contents can erode the enamel right off your teeth!

When exposed to the corrosive nature of these acids, the outer, shiny layer of enamel begins to break open and dissolve. It doesn’t take long for the damage to be irreversible. We call this an “acid attack” and it can take up to an hour before your saliva can neutralize the acidic levels in your mouth after you are finished your drink.

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Think brushing your teeth right away will help?


Think Again…

The scrubbing action of brushing your teeth immediately afterwards can cause further damage because the tooth’s enamel is in a weakened, soft state during this acid attack.

At What Costs?

We’re not trying to make activity even harder to recover from than it already is. Tooth damage from the frequent use of acidic drinks is becoming a serious concern for dentists and the damage, in terms of dental destruction and the associated financial costs, can be staggering.

What Can You Do?


Water: sometimes it just doesn’t cut it…

8-13-2015 2-12-15 PMWe recommend good ol’ water to help quench your thirst and stay hydrated. However, if you are involved in very intense exercise and training in hot weather for long periods of time, replacing the electrolytes you’ve lost during activity is extremely important for your overall recovery, fitness and health.

Depending on where you live, ordinary tap water also contains salt and other minerals. You would have to know how much as it is unlikely that it contains the quantity you’ll need to help you recover after intense exercise.

Simply put, normal table salt makes up the bulk of the electrolytes you’ll find in most sports drinks, It also will contain some potassium, magnesium, calcium and chloride which you also lose from your body when you sweat heavily.

Dental Tips:

Following the tips below can help minimize the damaging effects of the acids in your drink and are worth making a healthy habit in your rest, recreational and exercise choices.

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More Tips:

  1. Try to find a sports drink without all the unnecessary added sweeteners and artificial colors.
  2. Try to aim and squirt dink towards back of your throat in an attempt to avoid contact with teeth.
  3. If all you need to do is stay hydrated during normal hot weather and moderate exercise, water should be sufficient.
  4. Remember, that activity isn’t the only way you lose sustenance from you body. Consider also that illness and fasting will cause the depletion of important nutrients.
  5. Mineral water (not spring or distilled water) can be an adequate alternative. Read the lable as some contains more sodium than the average sports drink.
  6. You may be able to find a coconut water that contains the level of potassium and sodium  you’re looking for as an endurance athlete. Watch out for the sugar content.
  7. Be careful to read all labels. Some drinks carry a high content of  sugar and even caffeine for some extra kick!
  8. Know that high sodium drinks can cause more thirst, so always have water on hand if you find that your sports drink didn’t quite do the trick in quenching your initial dryness and for rinsing your teeth afterwards.
  9. Don’t like the bland taste of water? Get a filter or try adding a slice of fresh fruit to your drink.
  10. Read your favourite sports drink label, do the math and make a DIY recovery drink. You can also add your own flavouring and colour using instant drink powders. Search the internet for some great online recipes.
  11. Be careful to ensure your mouth isn’t frequently in a state of dryness. Saliva is the essential factor in tooth remineralization after an acid (demineralization) attack.

A word of about a thing called Hunger

8-13-2015 3-20-42 PMIt takes 4-5 hours for your saliva to repair acidic damage done to your teeth. This process should not be interrupted with anything other than water or a non-carbohydrate substance.

Hunger gets such a bad rap! It’s actually a natural reoccurring event that is suppose to happen to let you know that it’s time to eat. So, unless you’re diabetic or have another health-related issue that prevents you from fasting between meals, allow this natural process to happen and let your body use this time for repair.

For the Best of the Best…

And lastly, If you’re an elite, competitive athlete who must undergo mandatory drug testing you already know to use your own sports drink bottle not the large, free for all jug provided at some training facilities/events by sponsors and may be easily “accessible” by anyone. Not that we’re suggesting anything, but you can never be too careful when so much is at stake!


Protect Your Smile,

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

8-13-2015 1-43-19 PM


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Losing your Health Care Benefits

Where did the years go?

The first time we saw Maria (not real name)  was 25 years ago, when we first opened our Oshawa practice. She was fortunate enough to have a job that had a great health care insurance program and she made sure that she took advantage of those benefits, faithfully attending to her oral health care needs at home and at our office over the years.

06-04-2015 3-50-50 PMWith her retirement quickly approaching and no healthcare package being offered after retirement, she told us of her concern over losing her dental benefits. We were happy to tell her that, at 60 years of age, she had what we would call an above-average state of oral health. Aside from a small amount of age-related bone loss and wearing down of biting surfaces, she has preserved her teeth remarkably well over the years.

No one has a crystal ball and we cannot not anticipate all future problems that our patients will have, but we know that a lifetime of good oral health will keep future dental care to a minimum. We had the opportunity to discuss common, age-related dental issues  and encouraged her to maintain her 4 month cleaning schedule to help keep her future dental costs to a minimum.

She is more happy than ever that she took care of her teeth and gums over the years.

Preparing for tomorrow TODAY!

06-04-2015 3-37-37 PMMany Canadian employers do not offer retiree benefits. In fact, over the years we have noticed an increasing trend of employers not offering any benefits to their employees. Another issue to consider is that, inevitably, your aging children will one day no longer be insured under your dental plan. And with the economy still trying to recover, many families are still in a situation where they must use what little disposable income they have judiciously.

How can people keep the dental portion of their health care costs down? What is the best advice we can give to our patients?

Take care of your teeth!!!!!

An ounce of Prevention … it’s a tale as old as time, but it will pay off!

We have seen first hand that there tends to be less stress related to the loss of the dental benefits by those patients who have faithfully cared for their oral health over the years. For those who opt to  purchase a private dental plan after retirement and ask our advice about which level of coverage to choose, we can’t always tell them with certainty what their future will hold. We find, however, that those people who have cared for their teeth meticulously over the years will likely experience less of the “unexpected” that some aging mouths have to deal with.

If you were to implement the tips below, your future self will thank you. It’s as easy as remembering your…

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Attitude

Adopt of new way of thinking. Dental care is not expensive – dental neglect is! Although your years may pass quickly, the road of health can be a rocky one if you do not live well. Among the things that we have control over in our lives, dental care is one of them. It takes so little of your time, but has one of the biggest impacts down the road.

Willie Nelson once said, “If I had known I’d live this long, I would’ve taken better care myself.” We’ve heard this same pain of regret from patients over the years concerning their teeth, and if they had the chance, they would give their left eye tooth, er … anything to do life all over again knowing what they know now.

Brushing

The best bang for your buck! There is very little cost associated with buying a new toothbrush every 3 months and using it 3 times a day. Floss and toothpaste should last a month, if you are maximizing the time you use them. Remind your children often how important home care is.

We had one patient who told us that their 35 year old son never appreciated her tooth brushing reminders until he had a family of his own and no dental insurance. His wife required extensive restoring of her decaying teeth and it was an ongoing source of stress on their household expenses. In parenting his own children, he hears the echo of his own mother’s words coming out of his own mouth with a renewed appreciation.

Checkups

See your dentist at least twice a year for an examination and cleaning. It may sound counter-productive to your dentist’s income, but they really do want their patients to have healthy mouths. The frequency of re-evaluation examinations and cleanings depend largely on your level of tartar build up and your risk for dental disease.

On average, our adult patients who come in for regular 4 month cleanings, have very little, if any, dental problems. We think this is because they tend to be the kind of people who are already committed to a healthy lifestyle for their overall well being and approach their dental home habits and diet with the same level of commitment and care.

Diet

Today there is sugar in almost everything we eat because manufacturer’s use it as an inexpensive filler. It is almost impossible to avoid sugar. So how do you get around it? Meal frequency. No more snacking all day long! No more grazing. No more little meals all throughout the day. Eat 3 meals a day leaving 4 to 5 hours in between each. This will allow your saliva to repair your teeth from the sugar attacks they received at each meal. Cut down on processed foods and educate yourself on foods that are more kind to teeth than others.

School snacks at recess time were never the norm years ago. How did it make it’s way into our daily school routine? Childhood cavities are on the rise! Make sure your child has a nourishing breakfast that will stay with them until they begin to feel hungry again just before lunchtime. Hunger is the body’s way of telling you that it is time to eat. Hunger is normal! Learn how to pack a nourishing lunch for your child and collaborate with your child’s physician and dentist if they have a health condition that necessitates more than 3 meals a day.

s

…is for Smoking. Smoking does so much damage to your teeth and gums. It is one of the worst things you can do to your body and one of the best things you can do for health is to stop using tobacco products. If you have thought about quitting, you’re one step closer to being smoke-free!

The sooner you become smoke-free, the sooner your body can start to recover and it doesn’t take long to see the effects.

Within one year of quitting, your added risk of coronary heart disease is cut in half than that of a smoker.
– Within 5 years, your risk of having a stroke will be nearly that of a non-smoker.
– Within 10 years, the risk of dying from lung cancer is cut in half.
– Within 15 years, your risk of coronary heart disease will be similar to that of a non-smoker. courtesy of heartandstroke.com

 

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