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Paperwork, Paperwork, Paperwork!

Why does my dentist need to know my health history?

So, you go to the dentist for a matter concerning your teeth or perhaps you’re there for your bi-annual dental check-up and cleaning and your exam begins with a bunch of questions about your overall health.

What gives?
Why does a dentist or hygienist want an update of your medical history at every visit?

This is a very legitimate question. After all, you may be coming in for just a simple visit and do not understand what the rest of your body has to do with your mouth.

We are caring for you – not just your teeth!

20140915_103718_resizedYou may have read somewhere about the “Body – Mouth” connection. There are medical conditions that significantly impact your oral health, determine the course of future dental treatment or explain why a particular problem keeps reoccurring.

When we exam you we are seeing more than just your mouth. We are caring for you, not just your teeth! We are concerned with making accurate diagnoses and following up with individualized treatment.

Obviously, patients with more complicated health histories will require more attention than others. In order to maximize our patient’s time with us we routinely ask that they keep a current copy of their medication list in their wallets for quick reference and let us know in advance of their visit here if there has been any significant changes in their health.

Sometimes, it is necessary to follow-up a health issue with the family doctor. Your family physician may prescribe some medication for you to take prior to your dental treatment, especially if you have recently had a new body prosthetic placed or have had a heart stent procedure. Other times, a medication may have to be temporarily discontinued before a particular dental procedure can begin.

As such, we ask that our patients bring in a copy of their medication list when they see us for their check-ups so that we can up date our records and advise as necessary.

Never underestimate the value of your health history…

MedsWe understand that your time is valuable and that you would like to get to your dental matter at hand rather than filling out forms. Updating your medical information may seem like an imposition to you or you may not want to disclose certain personal health issues to us, but it is important to understand that it is with your safety in mind that we must collect this information and ask any pertinent follow-up questions.

What may seem like an irrelevant health issue to you may turn out to be the essential information we need when diagnosing, treatment planning, using materials in your mouth or prescribing medications. Knowing these details can save your life!

Patient health histories are clearly documented and updated regularly in our office. We need you to be as comfortable with us as you would be with your family physician. We would like to think that our patients appreciate that we hold their health in such high regard and that we do not omit this part of your care.

At Your Smile Dental Care we treat our patients as we do our own family and friends. Keeping current and accurate patient records help us deliver the very best care to you – our valuable patients.

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


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Botox and TMJ?

When Laughing Hurts…

Are you experiencing jaw pain, headaches, or can hear/feel clicking sounds when you open your mouth? Does your jaw, “pop or lock up?

You may have a condition that is commonly referred to as TMJ – Temporal Mandibular Joint. While the TMJ is an actual anatomical part of your head, this acronym has become an umbrella term to describe a painful dysfunction of area.

The TMJ is the area where your lower jaw fits or mates with the temporal bone of your skull. It acts like a sliding hinge allowing you to open and close your mouth and move it side to side. This area is a complex structure of ligaments, muscle, joint capsule, articular disc and the actual 2 bone surfaces: the temporal bone and mandible.

Impairment of the TMJ can occur with osteoarthritis, injury, wear, misaligned bite, bruxism (teeth grinding/clenching) and even poor posture. It can involve the muscles surrounding the bones, the joint itself or both. Pain and discomfort can be a temporary problem or can last many years.

Signs and Symptoms can include:

  • Sore jaws
  • Toothaches
  • Headaches
  • Earaches
  • Dizziness/Vertigo
  • Neck/Shoulder pain
  • Trouble chewing
  • Jaw thrusting
  • Popping, clicking or grating feeling/sound in joint
  • Facial swelling
  • Jaw locks up or gets stuck when opening or closing mouth.
  • Tinnitus  (ringing in ears)

 

Diagnosis

If you suspect that you may have a TMJ issue bring it to the attention of your dentist right away. Your dentist will perform a clinical exam of your dental structures and face, check for abnormal movements of the jaw, assess your bite, listen for sounds in the TMJ area, and discuss your health history.

For some patients, because the condition is minor, treatment may be as simple as a bite agjustment or a bite guard to place on the teeth into a more correct position and lessen the effects of bruxism. For others, it may involve further testing such as x-rays, MRI, and/or a CT scan. A referral to a Specialist may also become necessary when pinpointing the exact source of TMJ problems is difficult to determine.

Oftentimes, dealing with TMJ issues involves a multi-phased approach starting with minor adjustments and treatments, and if necessary, increasing in levels of intervention. In conjunction with any treatment recommendations, your dentist may also recommend the use of muscle relaxants, anti-anxiety and/or anti-inflammatory medication, jaw exercise and the use of hot/cold compresses

What Can You Do?

In the meantime, there are some things you can do to help alleviate your discomfort before, during and after treatment:

  • Switch to softer foods
  • Avoid opening your mouth very wide including yawning, yelling and singing
  • Keeping chewing to a minimum
  • Avoid gum chewing
  • Gently massage the jaw, TMJ and temple to stimulate circulation, relax the muscles and relieve discomfort and tightness.
  • Practice good posture. You can buy a simple posture brace to help.

Give your jaw at rest by:

  • Keeping your teeth slightly apart. Separating your teeth with your tongue can be helpful.
  • Avoid clenching/grinding movements (often subconscious habit, but try to be more aware)
  • Avoid resting your head/chin on your hand to relieve pressure on your jaw.

BOTOX: The alternative treatment for TMJ

 

TMJ disorder can be a very debilitating condition, but there is hope. Oftentimes, it is triggered by muscle spasms and bruxism which tends to be a stress response. Modern dentistry is now turning to what is commonly thought to be just a cosmetic enhancement – Botox.

Botox is now used therapeutically in many medically compromised patients. For TMJ issues, it is used as a non-surgical approach to weaken the muscle involved with jaw movement to put an end to spasms. This, in turn, allows the entire anatomy associated with TMJ disorder to get the rest and healing it needs. It is usually repeated every 3-4 months with the hope, that over time, inflammation will subside and the anatomy will get the rest and healing it needs to alleviate the condition or any contributing, destructive habits.

Our friendly staff are happy to answer any questions you have about your TMJ problem or any other dental issue you may be experiencing. With proper care, you need not suffer any longer.

 

 

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

 

 

 

 

 

 

 

 

 


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Prolonging Your Teeth Whitening

How to Prevent Discolouration of Whitening

 

Tooth whitening is still a popular and effective way to brighten Your Smile without removing any of your natural tooth surface. With all the commercial and dental professional whitening solutions available, your choices are many.

 

Cost           Treatment time           Effectiveness

These are the top 3 things that most people will consider when choosing a whitening product. Very few of us have brilliantly white teeth and there are many things that can cause discolouration of the surface enamel including aging.

 

How light will it go and How long will it last???

These are the 2 most commonly asked questions about whitening: How light will the teeth become and how long can they expect the brighten to stay.

Not every person achieves the same results. Most people get great results, while others are not as satisfied. Some people have to try different products or methods until they find the one that works best for them. While still other, do not follow after-care recommendations that can prevent or slow down the re-staining of teeth.

How Light Can I Go?

How much your teeth will lighten depends on a number of factors. The effectiveness of whitening will vary from person to person and product to product.

 

In general:

1) Some kits come with a shade guide so you can determine your existing teeth colour before whitening then do an after-treatment comparison.

2) Teeth with grey undertones do not lighten as well as yellow teeth do

3) Depending on the product of choice, teeth should improve 3-6 shades lighter

4) If you are not happy with the whitening results after trying different products/methods then you may want to consider dental veneers.

5) How effective a commercial product is will depend on the amount of whitening agent (usually hydrogen peroxide) it contains.

 

 

How Long Will It Last?

Again, this varies from person to person. Some people whiten once/month, while others once/year. Some people say that anything that can stain a white shirt may stain teeth. So, basically, if you’re not whitening, your darkening.

 

You can keep your teeth whiter for longer by following these tips:

1) Avoid foods that stain teeth such as richly pigmented wines/juices/ fruit/vegetables/spices like turmeric/balsamic/condiments/soya sauce

2) Avoid or cut down on coffee/tea which contain tannins that stain.

3) Use a straw if you would like your richly coloured drink to bypass your teeth.

4) Rinse your mouth immediately after eating. Do not brush, however, for at least 20minutes. Your teeth may still be soft from bacterial acid attacks and you may scratch enamel surface. Food pigments can hide in these scratched areas.

5) Acidic foods and drinks can cause etching to your enamel surface increasing the likelihood of more staining

6) Avoid abrasive toothbrushes and toothpastes that can abrade teeth and ruin their protective coating.

7) Some foods can create a protective coating over your teeth – like cheese. You can eat then before eating foods you think may stain your teeth.

8) Good oral hygiene is a must to keep unsightly plaque from accumulating which also picks up stains from the food/drinks we consume.

9) Understand, the bacteria acids can erode and pit teeth which allows a place for food stains to accumulate.

10) Check food labels. Many foods have colourants you may not even be aware of.

11) Some whitening systems include a touch-up kit that allows you to do a quick lightening at intervals.

Other Considerations:

Sensitivity – We always recommend that our patient brush with a toothpaste for sensitive teeth. This is because sometimes the whitening process can make teeth and even gums feel sensitive, even painful. Using a Sensitive Toothpaste will help reduce the likelihood of sensitivity or reduce it dramatically. This will allow you to perform the treatment for the recommended length of time without interruption or discomfort.

 

Clean Teeth – We also advise that you have your teeth professionally cleaned before whitening. By doing so, your dental professional will be able to remove some surface staining during the polishing procedure and tartar (calculus) that you already have on your tooth surface. You will ideally like to have the whitening solution contact enamel surface without having to penetrate through hard stone tartar.

 

Origin – Know where your whitening product comes from and it’s ingredients if your are purchasing your whitening from anywhere other than a dental office or reputable pharmacy. If you are having in-office bleaching anywhere other than a dental office then be aware of the place of manufacture and ingredients. If you are not able to review the product or care provider properly, then research or ask your dentist before starting treatment.

 

Existing Dental Work – Lastly, some people are disappointed to learn that whitening can only change the shade of existing, natural teeth. Dental restorations, such as crowns, bridges, white fillings and the false teeth on dentures are unaffected by the whitening procedure. If this is the case, you’ll want to speak with your dentist about other treatment options to help brighten your smile.

 

Have more questions about Teeth Whitening?
Give us a call today at (905) 5 SMILES and our friendly team will be happy to help you!

 

 

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

 


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Your Stinky Floss

… and the debate continues

 

Even though it was last year that the Associated Press report suggested that flossing was overrated and unnecessary, we are still being asked by patients whether flossing is necessary or not.

 

The simplest answer seems to be answering their question with another question: “What do you suggest for cleaning plaque and food from in between teeth and under the gums?”

 

Although there are other effective interdental aids for cleaning in between teeth, flossing is the only device that can actually get into the tight area between teeth – assuming there is not already a space or gap.

 

With the toothbrush only able to reach 3 of the 5 tooth surfaces,
what does this AP report suggest people do to clean the other 2 surfaces?

 

People will have to excuse their dental care providers for getting a little defensive when the health benefits of flossing is called into question. At Your Smile Dental Care, we’ve seen the value that flossing brings to our patients’ oral care over the past 30 years and we will continue to dig in our heels on the subject.

 

We only need to use our common sense about flossing. If you have something in a body part that is causing a foul odour and inflammation that can lead to loss of surrounding tissue, infection and loss of said body part, would you not want to get it cleaned out?

 

Dental neglect is preventable and flossing is an inexpensive addition to
your
oral care routine to help you take care of your teeth and gums.

 

Practicing the best oral care you can with the tools available is important when it comes to your overall health. The link between gum disease and a number of other serious health conditions such as heart disease, diabetes, respiratory infections, and immune system disorders has been well established.

 

Most of us are already making changing in our lifestyles so that we can live healthier and longer. A daily 2 minute routine seems like one of the easier changes we could be making.

The bottom line is this: There is research and studies that both sides of this argument can cite to continue their claims. No doubt, the debate will go on and on while the plaque and tartar build up and up!

 

Note to the Associated Press: For all those people that are able to remove meat and popcorn caught between their teeth using their floss – Is that evidence enough? How about how stinky our floss is after use – Is that evidence enough?

 

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


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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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What is a Periodontal Screening?

Does your smile pass the Test?

No doubt, you have heard how important it is to take care of your gums for the health of your teeth, but it can also affect your overall health. Gums, also known as gingiva, is a barrier tissue that covers and protects your teeth and the bone that surround and support your teeth.

When gums become tender, swollen and begin to bleed, it is usually a sign that the body’s immune system has been triggered.

Our mouth is home to a complex ecosystem of microorganisms. While much of the bacteria is our mouth are beneficial in preventing disease, there are some that are harmful if allowed to take over. The proper balance of these germs is critical for a healthy mouth. Certain processes take place everyday to keep this balance from being disrupted so that a response from our immune system is not triggered.

Some patients become aware that something is going on when they begin to notice bleeding when they brush their teeth. Others have had progressive gum disease for a long time and are surprised to learn of it.

Periodontal Screening

Watchful Eyes

Your dentist and dental hygienist are trained to not only help you maintain healthy mouth and teeth, but they are always monitoring your mouth for signs of the onset of gum disease. By routine – usually once a year – they will perform a gum evaluation called a periodontal screening.

During this screening, they are assessing the health of your supporting gum and bone structures and evaluating the look of your gums.

Healthy gums are pink and firm. Unhealthy gums are red, swollen, spongy-looking and may bleed. They also look for signs of gum loss (recession) and use a tiny instrument called a probe to measure the depths of the pockets between the teeth and gums. The pocket is a free space located around each tooth. In between each tooth it is where your floss enters for cleaning.

In a healthy mouth, this free space becomes attached gum about 2-3 mm of the way down. When bacteria is allowed to accumulate in this space inflammation occurs that triggers the immune system to send white blood cells. Unfortunately, the WBC not only destroys bacteria but gum tissue also. When the attachment portion of the gum tissue gets destroyed, the pocket become deeper and more bacteria, dental plaque and food can accumulate.

If left untreated or unnoticed, this pocketing will lead to bone loss. Eventually, enough bone is lost that the tooth becomes loose and cannot be saved.

Early detection is key

This is why it is important to identify this pocketing early in order to prevent further gum and bone loss. There are various treatment options available for gum disease and your dentist may refer you to see a gum specialist (Periodontist) for ongoing care.

Unfortunately, gum disease is called a “silent disease” that often goes unnoticed until a significant amount of damage occurs. This is usually the case for people who do not see a dentist routinely where the health of their teeth and gums can be monitored on a regular basis.

Periodontal disease has long been the leading cause of tooth loss in adults which is why every patient should have a periodontal screening performed annually. Early detection is key and can make all the difference.

The good news is that gum disease is an easily preventable disease. By simply brushing your teeth twice a day, flossing daily, and attending to regular dental check-ups and cleanings you are already helping your mouth and teeth.

To keep them in tip-top shape you need to start looking at your other habits:

  1. Meal frequency – Reduce snacking in between meals to allow your saliva to repair damage done by acid attacks. Read here
  1. Do not sip on sugary drinks or coffee/tea with milk, cream and/or sugar frequently or all day long.
  1. Use an antiseptic mouth rinse once a day
  1. Ensure that other medical conditions like diabetes and heart disease is monitored by your physician regularly and is under control.
  1. Consider a smoking cessation program as smokers are almost three times as likely as nonsmokers to have periodontitis
  1. Eat a healthy, nutrient-rich diet that  helps to control inflammation.

Suggestions:

  • green leafy vegetables such as spinach, kale, and collards
  • fruits such as strawberries, blueberries, cherries, and oranges
  • fatty fish like salmon, mackerel, tuna, and sardines
  • nuts and legumes
  • olive oil
  1. If you suspect gum disease, never ignore the signs and see a dentist.

Signs:

  • red, swollen gums
  • tender and/or bleeding gums
  • loose gums that have pulled away from your tooth
  • sensitive teeth
  • pain when eating
  • receding gums; tooth appears longer
  • spaces between tooth and increased food impaction
  • loose fitting partial dentures
  • persistent bad breath

 

Keeping your gums healthy and strong is the simplest way to maintain your overall health and help to ensure you keep your teeth for life. If it has been a while since you have been to the dentist for a check-up or suspect you may be having problems with your gums please contact our office today at 905 – 5SMILES (905.576.4537). You’ll be glad you did!

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


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Dental Spot Remover


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

 

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

Did your dentist alert you to these  spots during treatment?

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

 

The Battle

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

 

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

 

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

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

 


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


 

 

20170214_110957You Get What you Give

 

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

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

 

Nothing worthwhile ever comes easy…

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

Treatment Options?

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

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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!

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