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It’s 2017: Keep Calm and Floss On

Live Well   |   Laugh Often   |   Floss Much

 

09-01-2017-2-00-05-pmOf all the new and exciting news from the world of dentistry last year, surely the report from the Associated Press report, which found an apparent lack of evidence to support the claim that flossing was effective, generated the most buzz throughout dentistry.

Equipped with their own advisories and statistics about flossing, dental professionals everywhere prepared themselves for the onslaught of patients who would, no doubt, come to their next dental appointments quoting this report and it’s claim of, “lack of scientific proof.”

But surprisingly, the best reply came from the comedian Steve Harvey who basically called the report was, “stupid” and was not going to stop flossing as he had seen some stuff on his string that he knew “full well” smelled bad. We won’t quote the whole thing, but you can listen to his full reply on YouTube.

He’s no dentist or scientist, but he’s certain that he’s coming from a place of knowledge.

You’re probably thinking, “I already brush 3 times a day, why do I need to do anything else?”  The math is simple. With five surfaces to every tooth and the tooth brush only able to effectively reach just 3 of those surfaces, how much are you leaving behind?  Approximately 40% of the plaque remains to continue it’s destructive work and eventually calcify to the hard substance called calculus (tartar).

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And how many times have you taken something out from between your teeth or below the gum line with your floss that had a putrid smell?  We think most people would agree with Steve that it’s usually pretty stinky stuff that is left behind.

We can laugh at Steve, but there’s no kidding aside! Interdental cleaning is a critical component to the oral care routine and a quick experiment at home will demonstrate that you will, most likely, still find foul-smelling plaque between your teeth and under your gums even after brushing effectively for a good 5 minutes. Go Ahead, try it! 

 

How to clean what your toothbrush misses

1) Traditional Flossing

At Your Smile Dental Care, we look to see how effective a patient’s present way of interdental cleaning is before making a recommendation. If they can successfully remove what their toothbrush misses without gum damage or bleeding then there’s no reason for them to change what they have mastered. See instructions here (2:12 minute point in the video)

Some people, however, have difficulty with the use of string floss – finding the technique of wrapping the floss around their fingers and negotiating it between their teeth and under the gums quite challenging and awkward. Fortunately, there are other flossing aids that can be used with ease.

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2) Floss Wands

 

09-01-2017-11-08-14-amAnother method is using a floss holder. Although there are many different types of designs, it is basically a device that holds a small but tight piece of floss making it an easy and simple way to move and manage it around the mouth with just one hand. This is not, in our experienced opinion, the most precise option for flossing, but recognise that it has become a popular choice.

Therefore, we advise our patients to choose a product that allows you to load your own floss so that you can always have a clean segment for each tooth. This is a much more effective solution rather than just using the same piece of string for the whole dentition.


3) No Strings Attached!

 

09-01-2017-11-15-34-amThere are also a variety of electric flossing devices including water and air flossers on the market. Both are designed to clean in and around teeth by forcing debris out with gently pressure.

Water flossing has been around for many years and is often used as an alternative to string flossing. Waterpik is the most common interdental cleaning device that comes to mind, but there are other products on the market as well. A water flosser introduces a steady stream of pulsating water to flush out interdental debris while massaging the gums.

An Air Flosser uses micro bursts of air and water droplets to disrupt and remove plaque.

4) Other Interdental Aids20170109_105017

There are many other tools on the market: picks, sticks, rubber tips, threaders, tuft or conical bristles – all designed for specific uses to assist you in your interdental cleaning efforts.  The recommendation your dentist or dental hygienist makes will depend on your individual dental health needs. These other interdental aids are used in conjunction with flossing or as an alternative to flossing, but are not suppose to replace tooth brushing. While you will  never be able to remove 100% of the plaque from your teeth, cleaning in between your teeth and under you gums will certainly help reduce the likelihood of dangerous plaque buildup.

Effort is a reflection of Interest

Unless you believe in the value of effective oral hygiene, how can we convince you to floss?

One of the most important pieces of advice that we can give to people is that they understand why they need to remove what their tooth brush can’t reach and make certain that they are doing it effectively. It is simply not enough to just snap the floss in between each tooth without taking the time and making the effort to really do a good job. This not only involves proper placement of floss and effective removal of debris, but taking the time to see and smell what you are removing and ensuring you are being gentle with your gums. Likewise, other interdental cleaners are of no value if they are not used with the attention to detail.3-14-2016 2-39-05 PM

Dentists know that guilt and shame doesn’t work  and using scare tactics as a strategy is usually not an ineffective way to motivate patients long term, especially when dental disease or the oral health rewards are not always immediately obvious.

So, while it is true that we cannot force someone to do something they simply do not want to do, we continue to try our best to persuade and help our patients to see the value of flossingWith more than half of the population suffering from preventable gum disease, we can’t, with a clear conscious ignore the benefits of interdental cleaning and patients should expect nothing but the best advice from their healthcare providers.

 

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

 

 

 

 

 

 

 

 

 

 

 


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Hopeless teeth

The Audacity of Hope…

types-of-fracturesMost dentists will tell you that the last thing they ever want to have to do is to remove a permanent adult tooth. In fact, they will fight tooth and nail to try to save one (sorry, tacky pun?)

When a patient presents us with a tooth that has severe decay, infection, badly broken down restorative work or has been injured from trauma, the first thing we must do is evaluate the health of the remaining portion of the tooth and its surrounding supportive bone.

To us, it’s not so much what we can see above the gum line that determines treatment options, but the quality and health of what is remaining below the gum line. To that end, our goal is to preserve what remains then develop a sound treatment plan to replace what is missing.

Although treatment may also involve healing nerve and gum tissue, patients are always amazed to learn that as long as their tooth has sound root structure and enough supporting bone surrounding it, we can save it!

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Without the benefit of a crystal ball, there will always be uncertainties, but a good dentist makes treatment recommendations based on all the clinical and x-ray evidence concerning the compromised tooth while giving considerable thought to predicting the likelihood of long-term survival.

At Your Smile Dental Care, we also know from experience that a patient who is willing to care as much about and for an affected tooth as we do is more likely to keep the tooth for as long as possible. Many conditions that the patient may regard as “hopeless” can actually be fixed and the tooth can last for many more years once successfully treated.

Sometimes, a patients will ask us to remove their teeth because they are tired of frequent discomfort and wish to avoid future dental maintenance and associated costs. Others, surprisingly enough, have told us that they’d rather have false teeth (dentures) than have to deal with ongoing dental problems. While no two cases are ever alike and each patient has their own unique set of circumstances, we are bound to explain that removing teeth unnecessarily does not solve the issue of discomfort and dentures bring with them their own assortment of issues.


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Removing a tooth may bring immediate relief from pain, but, unless you replace it with a suitable alternative tooth, a silent breakdown process begins that starts to destabilize the dynamics of the mouth (Dental Collapse).

 

But what happens when a tooth cannot be saved?

The hopeless tooth…

Sadly, there are times when conventional therapies fail or a tooth  is so badly infected, fractured or is so loose from inadequate bone support that we must decide if the dentition is better off without it.

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We call this prognosis hopeless. Nowadays, however, modern dentistry has treatment options that can replace your tooth with one that looks and functions almost as well as healthy, natural ones do. Dental implants have revolutionized the way we replace missing teeth without having to resort to dentures or remodeling adjacent teeth to accommodate a fixed bridge.

Helping our patients understand the thought process that goes into our treatment recommendations is crucial so that they can weigh the information and make well-informed decisions.

If you think that your teeth are in a “hopeless” state of disrepair, you may be surprised to learn that you have more options than you think.

Give us a call at (905) 5SMILES to book a consultation today!

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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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Crowns for Baby Teeth

Stainless Steel Crowns

My Dentists wants to put crowns on my child’s teeth. This seems like an extreme measure since they will eventually fall out anyways!

Usually, dentists repair decayed teeth with filling material. However, when teeth are badly broken down by the cavity (decay) process, have had nerve treatment or are weakened by a developmental condition, replacing almost the entire crown portion of a tooth with traditional filling material is not always a practical nor secure solution.

 ss-crown

A remedy must be found that allows the tooth to withstand the forces of biting and chewing  long enough for the incoming adult tooth to replace it – which could be many years.

Replacing the diseased crown of a tooth with a durable stainless steel crown (silver caps) is the most economical and durable solution until the tooth falls out and is replaced with the permanent (adult) tooth. These caps are not made in a lab like permanent adult crowns are. They come ready made in a variety of shapes and sizes, no impressions need to be taken, and there is no additional lab fees associated with their costs.  Additionally, they are categorized under  “routine restorative” so most insurance policies cover them as basic treatment. They are just another way to restore baby teeth so that they can function.

Why not just pull the tooth?

11-16-2016-7-58-51-pmThis is a common question, and sometimes, the teeth are not repairable and must be removed. However, taking out teeth before their natural time is a “last resort” solution. Baby teeth are vital to the dentition as natural space holders for the permanent teeth. Their premature removal will interfere with the eruption of the adult teeth.

Removing a baby tooth before its time is not the end of the problem. The space where the baby tooth was removed must still be replaced with a spacer maintaining appliance so that the adjacent teeth will not start to move into and invade this important place.

The chart below shows the normal eruption pattern of primary and permanent teeth. You will notice that there are many years between the emergence of the baby teeth and the age at which the adult teeth will eventually arrive in the mouth to replace them.

 

Permanent (Adult) Teeth

During a child’s teenage years, The adult teeth continue to develop there is significant growth and development of the dentition and jaws. This needs to be taken into consideration when restoring a badly broken down adult tooth in a child.

If you refer back to the eruption chart, you will notice that the first permanent teeth begin to erupt around 6 years of age.

BGC

From the illustration above, you can see that if a baby tooth becomes badly broken down by decay or a developmental condition when the child is still young, a suitable interim solution needs to be found until the permanent adult teeth are ready to emerge into position. Stainless steel crowns become an effective, affordable and practical semi-temporary measure until then.

Stainless steel crowns have been around for over 75 years and are safe and effective. They are easy to keep clean and rarely allow decay to reoccur. Although, some parents may not like the metallic appearance of the steel crowns,  since baby molars are in the back of the mouth, they are less noticeable.

All of this makes them an affordable and effective treatment solution for an otherwise serious problem.

We hope you have found this article informative. Please visit and subscribe to our blog to learn more about Your Smile Dental Care.

 

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

 

 

 

 


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Signs of a Healthy Mouth

Do you know the difference between a healthy and unhealthy mouth?

Our patients at Your Smile Dental Care look to us to keep them up to date on all the advances in modern dentistry and to educate them on how to get their mouths and teeth as healthy as possible. Today, people know that they CAN keep their teeth for a lifetime and want to be aware of the first signs of trouble.

 

Gums

20-10-2014 1-32-21 PMHealthy gums are pale pink and firm. They are not white, red and puffy nor do they bleed when you brush or floss. Healthy gums also are not tender or sore and do not have pus filled pimples on them which may be signs of infection. One way we help patients gain a new perspective on the idea of bleeding gums, is to ask them if they would be concerned if they had persistent bleeding elsewhere on their body? Chances are they would answer yes and bring it to the attention of their physician immediately for a diagnosis and treatment.

There is also a triangular portion of gum tissue that should extend between adjacent teeth that ends in a point and has a free space (depth) of about 2-3 mm where your floss would slide for cleaning. As the gums recede due to unhealthy conditions, this triangular shape becomes more blunt and the space becomes deep, forming a pocket into which more bacteria, plaque and tartar can accumulate. Your dentist or hygienist monitors the health of your gum and will routinely measure the depth of these pockets.


Teeth

04-04-2016 3-08-02 PMObviously, healthy teeth should be cavity free, but when your dentist or hygienist checks your teeth, they are looking for many others signs of health also. They examine for any erosion, staining, chips or cracks, disease, failing dental work, looseness, missing teeth, crookedness, sensitivity, etc.

If teeth have had repair work done on them in the past such as fillings, crowns, or root canal treatments, they are checked to ensure that these restorations are holding up under the wear and tear that the chemical and mechanical forces of the mouth and jaws can place on them. Intact restorations have a good fit/seal against the tooth to prevent bacteria from getting in underneath and causing tooth decay. We look for signs of leakage, cracks, chips, movement and tooth decay.

Healthy teeth also do not appear longer as you age. When gums recede due to disease, the crown portion of the teeth will begin to look longer.

Case Scenerio

A patient comes into the dental office because their cap has fallen off of one of their teeth. The dentist notices immediately that not only has the cap come off the tooth, but the crown of the tooth has broken off at the gumline and is still inside the cap. Upon closer examination, they can see and feel with their instruments that both the part of the tooth that is in the cap and the portion that is still in the jawbone have rotted  from tooth decay. Bacteria has gotten in underneath the cap and diseased the hard tooth structure to the point that it crumbled enough for the tooth to break in half. It had been almost 7 years since their last exam. Maintaining regular dental checkups would have allowed the dental staff to monitor the marginal integrity of the cap and periodic x-rays would have detected signs of tooth decay when the cavity was small enough to be repaired.

 

Fresh Breath

Hidden Smile - CopyA healthy mouth does not have persistent or significant bad breath (halitosis). Early morning breath can have an odour after a long night of  bacterial action and growth when there is very little saliva production.

Most often, bad breath is caused by an accumulation of bacteria and their odours and sulphur smelling gases. It is also one of the first signs of gingivitis that can lead to gum disease, worsening mouth odour, the loss of teeth and other complications for the body. Smoking, dieting, dehydration, illnesses, diseases, unclean denture and appliances, tonsil stones, nutritional deficiencies and foods all can cause bad breath.

Wonder if you have bad breath? If you can’t already taste or smell it yourself then you can smell your floss after use or scrape some plaque off your teeth or tongue to smell. Alternatively, you can ask someone to smell your breath and give an honest answer. Most importantly, do not ignore bad breath or just try to mask it with gums, mints or mouthwash. Your physician or dentist can usually help you get to the underlying cause when good oral hygiene does not solve the problem.


Pink, Clean Tongue

You may not realize this, but we also examine your tongue for signs of health. A healthy tongue is pink and covered with tiny nodules we call papillae that help you perceive taste. The overall surface should be flat, smooth and clean looking. The surface papillae can and do harbour bacteria that, if left to accumulate, can grow to unhealthy levels. Keep your tongue clean with a tongue scraper as part of your regular oral hygiene.
Tongue Scraper

A discoloured or painful tongue can be an indicator of trauma, smoking or canker sores, but can also be signs of more serious conditions including a nutritional deficiency, auto immune disease, allergic reaction, Kawasaki syndrome, anemia, diabetes or even cancer. White coatings, lines, or patchy areas should not go ignored.

There is a condition known as “geographic tongue” whereby the top surface of the tongue presents with a map-like pattern of reddish spots that sometimes have a white border on them. It is usually a benign and harmless condition that requires no treatment except topical medications if it becomes sore or uncomfortable.

Medications and menopause can also cause the tongue to become painful or even drier than normal. Always consult your physician if you notice something unusual about your tongue, especially any lumps or sores that do not go away.

 

Proper Bite

25-04-2016 11-19-29 AMIdeally, in a healthy mouth, your upper and lower teeth fit together in an even manner so that the forces of chewing are equally distributed and shared amongst all teeth throughout the jaw.

Teeth rely on one another for support and uneven bites, open spaces or teeth that are crooked, crowded, displaced or missing can hinder the performance, appearance and health of the teeth and can impact breathing, speaking, digestion and oral hygiene. Misaligned and crowded teeth can make teeth more difficult to clean and keep healthy and can cause jaw problems leading to clenching, grinding, head/neck/ear/sinus aches and TMJ disorder.

Pain Free

A healthy mouth is not painful, dry nor sensitive. Yes, we may temporarily cause it trauma through injury or hot foods or have the periodic canker sore show up, but overall, a healthy mouth is pain free. There are products and treatments to help with minor sensitivities and the source of dry mouth situations can be investigated. However, you should be aware and not ignore any changes, pain or afflictions in the mouth and it’s tissues that can be a sign of breakdown or disease. The rule of thumb is to have anything that lasts more than 7-10 days examined.

Lastly

Just because you may brush and floss everyday, does not mean that your mouth is healthy. The phrase, “Your mouth is the window to your overall health” is a reminder that caring for your oral health is an investment in your overall health.

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


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Dental Identity Theft

Have you ever heard of “Patient identity theft?”

IDThere have been several stories that have made headlines recently about stolen patient information. Sadly, the most recent story involved hospital staff selling this personal data.

So, don’t be surprised if the next time you visit your dentist, chiropractor or other health care provider that you are asked to provide proof of your identity with a piece of photo ID. If you are a new patient that is not yet familiar to the staff, a photo ID may have to accompany your dental insurance card.

Why?

Insurance companies are reporting a rise in identity theft to falsely obtain health care services. In dentistry, patient identity theft occurs when someone uses another individual’s personal information to obtain access to dental services and insurance benefits. This translates into money having to be paid back to your insurer and inaccurate treatment information being entered into the personal data they have on file for you. You may even lose your benefits.

Typical Scenario…

A person with a dental emergency may be fortunate enough to schedule a dental appointment for same day treatment of a specific dental emergency – for let’s say, a broken filling or tooth. Equipped with the name, address, birthdate, and employer of an individual other than themselves, they provide the administrating staff with this personal information as well as the insurance policy numbers needed to file a claim for said treatment. They may also present the actual dental insurance ID card and the office may agree to this method of payment.

Treatment is performed, the online claim is filed and acknowledged and the person leaves – never to be seen again. No one is the wiser unless the insurance company rejects payment or the legitimate patient discovers the fraud while reviewing their benefit statement.

Sometimes, however, the fraud is only discovered when a person has similar treatment performed on the same tooth. Let’s say, or example, a person using someone’s identity has a tooth removed. If the actual person has dental care, such Painas a filling, performed on that same tooth their insurance will refuse to pay out benefit money for a tooth that their records indicate has already been removed. Other times, a person discovers the fraud when they realize that all of their benefits have been used up or “maxed” for the year even though they have not received the equivalent  amount of treatment.

This is where it becomes complicated, time-consuming and frustrating for the victimized patient and the dental office. When the insurer discloses the information they have on file, the office and/or patient must provide proof that this treatment was never performed on the legitimate individual. It becomes an administrative nightmare when the investigation begins. Ultimately, the first dental office that provided this service to the fraudulent person will have to pay back all of the monies paid out to them by the insurance company.


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How To Protect Yourself

Anyone who has access to your insurance information can try to submit a fraudulent claim. Here are some practical steps you can take to help protect yourself and your benefit plan:

1. Request that your insurer send you a statement of all dental transactions even if payment was paid directly to the dental office. Review the information carefully to ensure it’s accuracy. An online source of this information would be more preferable rather than a postal mailing. Report any suspicious activity immediately to your insurer.

2. Safeguard all documents that contain your personal information. If you like to keep a copy of dental statements, do so in a safe and secure place or convert them into an electronic format.

3. If contacted by email or telephone, never confirm any personal information even if the person making the inquiry seems legitimate. Instead, call your insurer using the telephone number on your ID card or a recent statement and ask if they are requesting this information.

4. Do not carry your dental ID card in your wallet. Keep it in a safe and secure location.

5. Never sign a blank insurance form and review any claims submitted on your behalf. Request a copy for your records.

6. Ask your healthcare provider how they handle and disclose your personal information. All dental offices in the province of Ontario have to keep this information on hand and available to patients.

7. Never “lend” someone your insurance benefits. Even when you think you are being helpful by providing a friend or family member with access to your personal dental benefits you are only harming yourself and any future care you may need. Your insurer will take action against you. Not only will you lose your benefits, you can be charged with fraud and prosecuted.

8. Make sure to regularly update the antivirus and antispyware on your computer.

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Never be offended if you are asked to provide proof of your identity

Unfortunately, identity theft is a growing trend and we must all be vigilant. Never be offended if you are asked to provide proof of your identity. You are entrusting your healthcare providers with your personal information and until more insurance companies begin providing photo dental ID cards to their clients, it is a considerate and reasonable safeguard done for your protection.

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Everyone involved becomes a victim. This is one of the reason why many insurance companies are dealing with the owner of the policy only and why healthcare providers are now expecting their patients to pay the entire charge at the time of service. It is also one of the contributing causes for the ever rising costs of healthcare and benefit premiums. All of this makes access to healthcare more difficult.

So remember, you can decrease your dental and financial risk in an identity theft situation. Be Smart! Be Safe!

The Your Smile Dental Care Team


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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!

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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


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Back to School Dental Care

Making a list and checking it twice?

22-08-2016 4-19-56 PMThis is the time of year that we begin turning our attention away from the lazy hazy days of summer and back towards the upcoming new school year. Getting back into routine in terms of sleeping, eating and grooming is the perfect time to remind your children about the importance of oral care.

And although a dental check-up may be the last thing on your mind as you go through your child’s back-to-school checklist, you may want to reconsider. We now know that dental problems, including cavities, leads to more absences from school which can result in poorer academic performances.

Many parents do not realize that dental decay spreads through baby (primary) teeth much more quickly than in permanent teeth. Early detection can help prevent small issues from growing into much larger and more painful problems.

 

Prevention Tips:

Implementing just a few changes in the way we approach our children’s oral health can go a long way in preventing cavities.

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  1. Frequency – This is the #1 most important cavity prevention tip. Teeth need 4 to 5 hours to heal after an acid attack caused by eating/drinking. Mineral rich salvia is our body’s natural defence against cavities, but you have to allow it the time it needs to remineralize affected enamel.
  2. Diet – Any food that has natural or added sugars and starches in it can be used by bacteria in the mouth that then excrete damaging acid onto tooth surfaces. Highly acidic foods will also eat away at enamel. Decreasing the amount of sugars in your child’s diet, choosing water as their preferred beverage, eliminate snacking and choosing foods that help buffer against the acidic nature of other foods all go a long away in helping to prevent cavities.
  3. Xylitol gum – Chewing gum in school is probably still a no-no, but perhaps you can speak with your child’s teacher and explain the benefits of xylitol. It is found in some sugarless gums and is effective in controlling the amount of acidity in the mouth. This, in turn, helps to reduce the bacterial population and their damaging activity.
  4. Cheese – Pack some cubes of cheese in your child’s lunch and encourage them to eat if before and after their meals. Cheeses not only coats and protects enamel during meals and helps to balance the ph-levels in the mouth during acid attacks, but also contains minerals and casein which have anti-cavity properties.
  5. Water – Water is the preferred beverage of choice for a healthy mouth. Encouraging your child to also rinse with water following a meal when they cannot brush will help dilute acids in the mouth and wash away food debris.

 

Other Tips to Consider:

  • 22-08-2016 4-03-23 PMNo Snacking – The health of the oral cavity depends on the spacing out of meals. Hunger is the body’s way of letting us know that it’s time to eat, but snack time during school is now deeply entrenched in our school system. Educating yourself about the correlation between meal frequency and tooth decay will help you begin an open and honest conversation with your school’s administrator about the harmful effects of recess snacks not only on teeth but on classroom behaviour also. Good Luck!
  • School Insurance – We have seen many dental emergencies over our 30+ years in the dental business. Many of these accidents occur at school. We have a number of patients that benefitted from having had enrolled in the school insurance program that is offered. One patient, in particular, is still having ongoing dental treatment 20 years after the initial injury to his tooth. His parents certainly did not expect to ever have to use the policy, but are now glad that they enrolled in the program. The long-term prognosis for this particular tooth suggests that this patient will have ongoing maintenance costs for the rest of his life.
  • Sports guard – We can never emphasise enough the importance of protecting teeth during sports and playful activity. Again, we see many accidents caused during activity and the school ground is the most popular place for injury. No child probably wants to be the only students wearing a sports guard, but we do encourage it’s use.
  • Oral Hygiene at School – You may want to consider buying a travel-sized toothbrush and toothpaste for your child to use at school. Perhaps you can approach like-minded parents with children in the same classroom about this idea to help make this in-school routine more appealing to your child.
  • Plan Ahead – Life is busy we know, but setting sufficient time aside to plan healthy meals will help you avoid scrambling during the precious minutes in the morning to pack your child’s lunch.

 

Attending Post Secondary School?

Even young adults beginning their post-secondary studies should take the time now to see their dentist before school begins, especially if they are still on their parent’s dental benefits. With so many new changes happening during this exciting new academic experience, the stresses can build up.

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During exam time we get an increased number of emergency calls to our office from students complaining of pain, not only throughout the oral cavity, but also around the jaws, ears, head and neck. Oftentimes, it is due to the increased forces of grinding and clenching (a side effect of stress), while other times it is due to the swelling associated with the emerging wisdom teeth.

Another common problem is a sudden increase in the rate of decay amongst young adults in post-secondary school with no past history of serial cavities. Most times we can attribute this to a change in diet, especially the frequency at which snacks and beverages such of coffee/tea/sodas are consumed. Our recommendation is to always be vigilant when it comes to oral hygiene care and the numbers of meals/snacks/beverages eaten throughout the day. Give you teeth the healing time it needs!

A thorough check up before going away to school will help to take care of any dental issues that may arise during the school year.

Lastly, if you are thinking about having a check-up when you come home during winter break, it is important to reserve your check-up appointment well in advance as many students are thinking the same thing you are!


If it’s been a while since your children have had their teeth checked and cleaned, give us a call today.  We’ll make sure your child’s teeth are looking sharp and ready for school!

 

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