Your Smile Dental Care

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The Do’s and Dont’s of Orthodontic Treatment

Want “Someday” to get here as quickly as possible?


One of the first questions a patient will ask their orthodontist during the first visit is, “How long will my treatment last?”

Each mouth is unique, so treatment time will naturally depend on your individual, “specific-to-you situation. Some people require less than a year, while others will be involved in treatment for 3 years or longer.

Initially, most people are eager to begin treatment so that they can have the smile they’ve always wanted as quickly as possible. We don’t think anyone intentionally prolongs the duration of their treatment, but there are, however, a number of things along the way that can complicate and lengthen your time in braces.

Although these following tips may not speed up your time in treatment, they will certainly help to ensure that it will not go slower than predicted or result in additional treatment fees.


Limiting your sugar intake and eating proper foods, while avoiding others is critical during your treatment.  Some people wear single aligning trays that are made of a plastic composite material, while others use the traditional system involving a number of brackets, wires, elastics and bands. These components are fragile and can break easily if not cared for properly. The biggest culprit involved in broken or bent ortho gear is food. When it comes to the foods that you should avoid during treatment, it’s just a matter of using common sense and avoiding those foods that could break, stick to, or otherwise, interfere with your orthodontic work. treatment. Hard, chewy, crunchy, and sticky foods should be avoided during treatment time especially:

  • Fruit roll ups and fruit snacks
  • Sticky or chewy bars, caramel, chocolate, taffy, peanut brittle, etc
  • Pretzels and chips
  • Popcorn
  • Taco shells
  • Hard Cookies
  • Pizza crust
  • Crackers
  • Nuts
  • Chewing Gum
  • Pickles
  • Bagels
  • Hard rolls
  • Beef jerky
  • Ice
  • Ribs
  • Chicken wings and drumsticks
  • Corn on the cob

Some foods can be modified so that they are easier on your bracework. Try cutting them into smaller pieces, softening them in a beverage or cooking them before eating. We know that avoiding the above foods is a tall order, but trust us, your new smile will be worth it.



Most drinks that we advise you to avoid during ortho treatment are unhealthy for your teeth with or without braces. Drinks that are highly acidic and sugary drinks like soda pop, sports drinks, flavoured milk drinks, sugar-sweetened coffee/tea and fruit juices work to weaken and dissolve tooth enamel and eventually result in tooth decay. How often you consume these types of drinks is the most important factor. An occasional beverage can be tolerated, but allowing the sugars and acids to come in contact with your teeth often and for long periods of time (as in sipping the drink slowly or throughout the day) is a recipe for disaster for any teeth, especially during orthodontic treatment. If you must have a drink of this sort now and again, just remember to drink through a straw and rinse with water afterwards. Wait 20-30 minutes to then brush your teeth.




You will have adjustment appointments scheduled with your orthodontic office at periodic intervals. Missing even just one of these appointments will delay your treatment time, so make sure that your attend every one that is booked for you. Your appointment will be made well ahead of time, so putting the information into your calendar, planner or phone and scheduling all other things around this reserved time will go a long way in helping you keep plan ahead.


Dental Hygiene

Bacteria like to accumulate in and around all the nooks and crannies along your tooth’s surface and in between teeth. Adding brackets, bands and wires becomes a virtually jungle gym – giving them all kinds of new places and surfaces to gather and multiply. All of this plaque leads to tooth decay and swollen, bleeding gums, so it is essential that you take your oral hygiene to the next level. Your orthodontist will instruct you on the proper method for keeping your particular type of orthodontia clean. Follow this plan meticulously and always check in the mirror after you’ve brushed to ensure that you haven’t left anything behind. Replace your tooth brushes when they begin to fray (every 2-3 months) since worn brushes are not effective. Using a fluoridated mouth rinse will give added protection and help keep your mouth clean.




Straightening your smile with orthodontia is a big investment in terms of cost and time. Protect this investment and avoid costly repairs by safeguarding your teeth during treatment. Although the importance of proper oral hygiene and diet cannot be emphasized enough, defending your teeth and braces during activity is critical and a protective mouth sports guard is a must! The brackets, bands and wires of your orthodontic braces can potentially cut your lips, gums, tongue and other tissues of the mouth during any sudden contact or force. Your orthodontist will make you custom-fitted guards that do not interfere with your braces and are more secure and comfortable than a store bought “one size fits all” type.

Additionally, certain habits like chewing on pencils and fingernails, playing with your braces with your fingers or tongue can also loosen and damage your orthodontia gear. Always call your orthodontist immediately if your have sustained a traumatic injury to your mouth. They will determine if you need to be seen for an examination. Having any broken or loose gear corrected as soon as possible will help you keep your treatment on track!


Broken Gear

Sometimes, even with the greatest of care, a part of your orthodontic gear may break or become loose. Although, you may not be in pain or think that it isn’t an urgent matter, waiting to get it fixed may delay your treatment since broken brackets and wires can’t do their job. Call your orthodontist right away and they may want to see you right away or will schedule more time at your next appointment to correct the problem. In the meantime, if there are any parts of your gear that are sharp or protruding, you can find relief by placing some orthodontic wax around the area. If a wire is long and sticking into your gum, lip or cheek, you can try to carefully bend it back down with a Q-tip or pencil eraser so that it runs flat against your tooth. Be careful when eating and brushing so that you do not cause further damage to your braces.



ups and cleaning during ortho care. Although your orthodontist is helping you achieve a great smile, they involve themselves with straightening teeth and correcting bites, Your orthodontists does not replace the role of your dentist, who is you primary dental care provider. Keeping your teeth clean is especially challenging when your mouth is full of ortho gear and it takes patience and effort. This makes it even more important to keep up and hygiene appointments where you dentist can monitor your dental health, diagnose problem and then administer treatment accordingly.





We know that you want to set things straight with your teeth as quickly as possible. When the day finally comes to get your braces off and reveal your new smile to the world, you want it to be the best it can be. Following these tips may not decrease the time that you have to spend in treatment, but it can certainly help cut down on any delays in treatment.


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



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Top Dental Cosmetic Improvements

Today’s Smile Options

Dr. Sam Axelrod and his team of caring dental professionals believe Your Smile should not only be healthy, but one you can be proud of! One of the best ways to boost your self confidence is with a great smile!

Having a beautiful smile is easier than ever thanks to the amazing cosmetic advancements over the past 10 years. What was once considered a luxury that only the wealthy could afford, is now easily attainable for everyone of all ages!

Teeth Whitening

What could be easier than giving your tired teeth a little smile lift with tooth whitening? Many people are skipping the more expensive in-office bleaching and opting to brighten their teeth in the privacy and comfort of their own home in as little as 1/2 hour a day. The new advances in formula can eliminate stains and discolourations in as little as 3 days! There are even new toothpastes formulas that you can purchase that will help your new smile stay brilliant for longer than ever now. Our patients love having their very own custom-made tray and being able to buy extra whitening gel at cost and have the luxury of touching up their teeth as needed throughout the year! White teeth have never been easier than this!


White Fillings on Molars

Have a wonderful big smile or just love to laugh out loud? There are so many white filling options available that you should be saying goodbye to your old silver amalgam fillings. Tooth-coloured fillings are typically made of powdered glass and acrylic resin and are available in many different shades of white. Your dentist will colour match so that it will be almost impossible to tell the difference between the filling and your natural tooth. Get ready to lol with confidence!



Now you can have that special bond with Your Smile that you’ve always wanted with a technique called just that – Bonding! This composite white filling material can help improve your appearance and your smile when used to fill in gaps between teeth, fix small cavities, repair chips or cover up root surfaces that can become exposed due to recession and toothbrush abrasion. Best of all, this can be done in a single office visit that usually requires no anesthetic freezing.


Gum Re-Contouring

Maybe its not your teeth that you’re unhappy with. Some people have gum tissue that is situated too high, too low or is uneven affecting the appearance of their smile. We can reshape the gumline so that it complements your teeth and frames your gorgeous smile using a simple, virtually painless, in-office sculpting technique. Want harmony and balance with Your Smile? Ask your dentist if you are a candidate for gum contouring surgery today!


Teeth Re-Shaping

Perhaps, you already love your smile, but have always thought your teeth should be a bit shorter or slightly more even in size. Just as gum line can be reshaped, so too can teeth that only need very minor cosmetic changes. You’ll get instant results in one short appointment without the need for anesthetic freezing.



When you are not a candidate for dental veneers due to heavily damaged or restored teeth, you may still have the option to cap your teeth to get the smile you’ve always dreamed of. Not only can dental crowns change the shade, shape, position and colour of your teeth, but they are comfortable and function just like your natural tooth crown. Better still, with proper care, there can last for many years to come.


Dental Implants

Dental implants are changing the way people live. They are designed to provide a foundation for replacement teeth which look, feel and function like natural teeth. Once the implants are completed, one gains the ability to eat virtually anything and allows one to smile once again with confidence. With current technology, most implants are actually much stronger than the teeth they are replacing. Bring you beautiful smile back with Dental Implants!



Porcelain veneers may be the perfect solution for your imperfect solution. We can whiten, lengthen, realign or reshape your smile using these strong, but ultra-thin shells of porcelain that eill blend seamlessly into your existing smile. This long-lasting option will have you smiling ear to ear.


Accelerated Braces

Want straight teeth but can’t put in the 2-3 year time commitment? Ask your orthodontist about a new and emerging type of orthodontic treatment called accelerated  orthodontia. This is a tooth movement method that greatly reduces the amount of time needed to move teeth into a more correct position. You will  likely have to attend the same amount of appointments as you would during the longer, conventional span of treatment but in a shorter time frame. Ask your orthodontist if this is an option for you!


Modern Dentures

No longer should you have to worry about loose, poor-fitting dentures when today’s modern, implant-supported dentures are available to you. You’ll get increased stability while still being able to remove them like traditional dentures. It’s time for you to smile, laugh, chew and blow out birthday candles with confidence!



Everyday, at Your Smile Dental Care, we transform smiles and restore confidence. Each patient’s mouth is unique, so we carefully consider all of the treatment options to determine together what will give you the smile you deserve. If you would like to learn more about Your Smile options, give us a call at (905) 5SMILES or book a consultation online today!


Yours in Better Dental Health,
The Your Smile Dental Care team
(905) 5SMILES
(416) 783-3533


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.


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


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.



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.



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.



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.


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!



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


Dental Spot Remover

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


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

Did your dentist alert you to these  spots during treatment?

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


The Battle

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


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


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

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


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



20170214_110957You Get What you Give


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

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


Nothing worthwhile ever comes easy…

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

Treatment Options?

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



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


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


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


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


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


Straightening Things Out

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


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



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



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








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You Don’t Need to Fear the Dentist!


Avoiding the Dentist?

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

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

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

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

You Can Do…

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

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

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

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

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

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

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

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

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

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

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


We Can…

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

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

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

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

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

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

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

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

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

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

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

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Your First Step

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

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

Remember…you are not alone!

Yours in better health,

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


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:


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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.

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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.

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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.
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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.

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


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.


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