Questions and Answers

Great tooth and gum care starts at home. Brushing and flossing on a daily basis is the best way to take care of your teeth and gums on a continual basis. By keeping to a daily routine you will greatly minimize the risk of gingivitis or tooth decay as you age.

Gingivitis is a condition caused when bacteria surrounds the teeth and enters the gums. The gums can become irritated, inflamed and often bleed. In order to prevent the condition from worsening, regular hygiene visits are highly recommended. During your visit, our Hygiene team will teach you the proper flossing techniques and oral hygiene protocol for home care.

Periodontal Disease is a quiet disease that begins with little or no symptoms. It is caused by bacteria that surrounds the teeth and enters the gums. The immediate condition is known as ‘gingivitis’. The gums become irritated, inflamed and often bleed. If not properly treated, the condition worsens. Noticeable symptoms now appear. They include:

• Bad Breath
• Gum Recession
• Gum Sensitivity to Acidic Foods
• Abscesses
• Tooth Pain
• Tooth Loss

Periodontal disease is a chronic condition that needs immediate attention. Through a series of periodontal cleanings, root planing & scaling, laser therapy and local antibiotics, this condition can be controlled. Periodontal surgery is only necessary for severe cases.

Silver fillings, known as amalgam, have been around for decades. They are made from a metal alloy and were, for a long time, the best restoration for fillings. The metal expands and contracts based on the temperature of food and drink you consume. This allowed for little bacteria to enter a tooth once filled; keeping the tooth healthy and strong.

White fillings, also known as composites, are made of plastic or glass polymers. These cosmetic fillings allow us to fill a cavity with a substance that will look and feel just like your existing tooth structure. This restoration is created with a resin material and fits tightly into a tooth to prevent decay. Rather than a gray or silver material in your mouth, the composite color will match the tooth color.

There are several ways in today’s dental world to enhance your smile. Certain procedures include:

• Tooth Whitening
• Bonding
• Porcelain Veneers
• Porcelain Crowns

We have the capability to improve your smile using all or some of these procedures. For an exact consultation, please contact our office so that we may provide you with a customized treatment plan.

Tooth whitening is a cost effective and safe procedure to create a beautiful, healthy smile. Over the years, flouride has been added to the whitening product. This reduces the risk of tooth and gum sensitivity.

Tooth Whitening must be monitored by your dentist and only done after a comprehensive exam and hygiene cleaning.

The whitening process can last for a number of years if maintained properly. Beverages such as coffee, tea, cola and wine will reduce the lasting effect. Remember, if it could stain a white shirt, it will stain your smile!

Bonding is a cost effective procedure used to fill gaps in front teeth and to change a tooth’s color. The immediate results are amazing. Within a few hours, you will have a great smile! Bonding, like tooth whitening, may change color over time due to coffee, tea, cola and wine.

Porcelain Veneers are thin pieces of porcelain that go directly on your natural teeth. This entire procedure can take as few as two visits. Veneers change the size, shape and color of a patient’s teeth. This procedure is used to repair fractured teeth, teeth darkened by age or medication, or a crooked smile. Many times, patients ask for porcelain veneers to simply feel and look younger with a straighter, whiter smile!

Crowns are a permanent cosmetic procedure that cover the entire tooth. It will change the size, shape and color of the teeth in as few as 2 visits.

A dental implant is a “man-made” replacement for a missing tooth or tooth root. Made from titanium, this screw-like object is inserted under the gum and directly into the upper or lower jaw bone. There is usually minimal discomfort involved with this procedure. After a period of a few months, the dental implant and the bone fuse together. This creates an anchor for the new tooth to be placed onto the dental implant.

• Dental Implants look and function like your natural tooth.
• Dental Implants are a permanent solution for missing teeth.
• Dental Implants are maintained by routine hygiene visits to your dental office.
• Dental Implants decrease the possibility of bone loss, periodontal disease, tooth movement, and further tooth loss.
• Dental Implants replace the need for a removable full or partial denture.
• Dental Implants focus only on the tooth or teeth that are missing. A traditional bridge would involve the two or more adjacent teeth being compromised to create a false tooth in between.

With major advancements in dentistry and dental implants, most people are candidates for dental implants. There may be exceptions due to chronic illness, heart disease, and severe osteoporosis.

The average dental implant procedure takes 3 - 4 visits. The first visit is to x-ray the area and take an impression for a surgical guide and a temporary prosthesis to cover the implant.

The next visit is to place the implant. A local anesthesia is applied to the area (any additional sedation is no longer necessary unless deemed by the dentist). The dentist will then make a minor incision to place the implant. The implant is placed into the jaw bone. The area will then be covered with sutures. The procedure is usually completed with little to no pain.

You will next return in approximately 3 months to begin creating the porcelain crown to place over the implant.

Fees from Dental Implants vary from dentist to dentist. Always schedule an implant consultation to discuss the procedure and all fees involved.

With routine dental hygiene scheduled and proper home care, a dental implant can last approximately 30 years to a lifetime.

Please contact us to discuss the options we have available to make your perfect smile today!

How often you go for a dental exams depends on your oral health needs. The goal is to catch small problems early. For many people, this means a dental exam every six months.

Your dentist may suggest that you visit more or less often depending on how well you care for your teeth and gums, problems you have that need to be checked or treated, how fast tartar builds up on your teeth, and so on.

Ask yourself the following questions:

1. Do I floss every day?
2. Do I brush twice a day with a fluoride toothpaste and follow my dentist's instructions on how to brush properly?
3. Do I eat a well-balanced diet, including food from all food groups, and limit sweets and sticky foods?
4. Do I smoke?
5. Do I have a history of cavities or gum disease?
6. Is my overall health good?

The answers to these questions are all factors that affect your oral health. They will help you and your dentist decide how often you need to visit for dental exams. It's worth noting that you should not determine your need for dental care on what your dental plan covers.

Do I need x-rays at each visit?

How often you need to have x-rays also depends on your oral health. A healthy adult who has not had cavities or other problems for a couple of years probably won't need x-rays at every appointment. If your dental situation is less stable and your dentist is monitoring your progress, you may require more frequent x-rays.

If you are not sure why a particular x-ray is being taken, ask your dentist. Remember that dental x-rays deliver very little radiation; they are a vital tool for your dentist to ensure that small problems don't develop into bigger ones.

Original dental records belong to the dentist who provided the treatment, and not the patient, because dentists have to keep all of their records for a period of time, as set out by their provincial dental regulatory body. Once you have selected a new dentist, you can request that a copy of your records be transferred from your former dentist.

You may be required to sign a release form from your former dental office and you may also be charged an administrative fee for having your records copied and sent to another dental office. If you have questions about the records transfer process in your province, ask your dentist or contact the provincial dental regulatory body.

Your health is very important to your dentist. One of the ways that your dentist helps you stay healthy is by preventing the spread of germs. One of the best ways to do this is to use barrier protection such as gloves and masks.

Your dentist and other dental team members also wash their hands regularly. In addition, they sterilize equipment used in the dental office and clean the furniture and fixtures in the examining rooms. This system is referred to as "standard precautions." It means that every patient is treated in the same way because patients don't always know if they're sick. It's always better to be safe than sorry.

If you would like to know how this system is carried out in your dentist's office, ask to be shown how it's done. Dentists welcome the opportunity to ease their patients' concerns, rather than have them leave the office with unanswered questions. Once you see the work that goes into making the dental office a clean and safe environment, you will feel reassured.

It is worth noting that even though standard precautions are used, it is still important to tell your dentist of changes in your health. This will help your dentist suggest the right choices of treatment for you.

It's important to get an early start on dental care, so that your child will learn that visiting the dentist is a regular part of health care. The first step is to choose a dentist for your child.

It may be your own dentist or one who specializes in treating children (called a pediatric dentist). Once you have selected a dentist, call the office to find out at what age he or she prefers to see child patients for the first time. CDA encourages the assessment of infants, by a dentist, within 6 months of the eruption of the first tooth or by one year of age.

It's important to make the first visit a positive experience for your child - one reason why it's best to visit before a problem develops. If you think there is a problem, however, take your child to the dentist right away, no matter what age.

If you are a nervous dental patient, ask your spouse or another family member to take the child for the appointment. If your child senses that you are nervous, he or she may feel nervous too. When you talk to your child about going to the dentist, explain what will happen without adding things like "it won't hurt" or "don't be scared."

Be sure to get an early start on regular dental care at home. Start cleaning your child's mouth with a soft damp cloth before teeth come in and continue with a soft toothbrush once he or she has a first tooth. Limit the number of sugary treats you give your child, and focus on healthy food choices from the very beginning.

Dentists have been doing what's called "non-vital" bleaching for many years. Non-vital bleaching is done on a damaged, darkened tooth that has had root canal treatment. "Vital" bleaching is done on healthy teeth and has become more popular in recent years.

Vital bleaching, also called whitening, may be carried out in the dental office or the dentist may instruct the patient on how to do the bleaching at home. There is also a wide variety of products for sale in stores. Not all products are the same and not all give you the same results.

Different products, including those used by dentists, may also have different risks and side effects.

Here is an overview:

Whitening toothpastes with abrasive ingredients are really not bleaching products at all, but work on surface stain only. These products are sold in many stores.

Some whitening toothpastes do contain a chemical ingredient (or "bleach") that causes a chemical reaction to lighten teeth. Generally, they have the lowest amount of "bleach." They may not whiten as well as stronger products, but they have less chance of side effects. These pastes are brushed onto teeth and rinsed off, like regular toothpaste.

Bleaching kits sold in stores stay on your teeth longer than toothpaste and contain stronger bleach." These store-bought products do not come with the added safety of having your dentist monitor any side effects. They also come with a one-size-fits-all tray that holds the "bleach" and is more likely to leak the chemical into your mouth.

Dentists may use products with stronger "bleach", but they give patients careful instructions to follow. They are also trained to spot and treat the side effects that patients sometimes report during bleaching. In addition, if a tray is needed to apply the "bleach", dentists supply custom-made trays. Because products used by dentists are strong, they tend to produce the best results.

Patients should be aware that the long-term use of whitening or bleaching products may cause tooth sensitivity or tooth abrasion. Please consult with your dentist before using a whitening or bleaching product.

Ask questions. It sounds simple enough, but sometimes we feel embarrassed to ask simple questions. There is no need to feel that way.

You will feel much better, and be able to make a better decision, if you understand the dental procedure that is recommended to you. If you don't say anything, your dentist may think that you already understand.

Here are some tips when asking questions. Ask:

1. If you can see any pictures of the procedure or what it looks like when it is done;
2. How many times your dentist has done this procedure in the past;
3. How much it will cost;
4. How long it will take;
5. If it will need to be redone in the future;
6. If there are alternatives to the procedure and if so, what are the pros and cons of each option.

The final decision about how and when to proceed with any treatment is yours. To help you understand what is involved in the treatment, your dentist may give you some printed material to read.

If you have already left the dental office without asking questions, call back later. Be careful about getting information from unknown sources, including sources on the Internet. Some of this information may not be reliable.

If, after all of your questions have been answered you are still uncertain, you may wish to get a second opinion from another dentist. Often, a second opinion will give you confidence that your dentist has planned the right treatment for you.

CDA does is not responsible for handling complaints since we have no mandate to regulate dentists. Formal complaints concerning the professional services received in a dental office are handled by your provincial regulatory body.

It is very important to choose a dentist that you feel comfortable with and who can relate and talk to you about your concerns. Some things to consider are:

• Is it easy to schedule an appointment and do they work with your schedule too?
• Is the office conveniently located?
• Is the office clean and neat?
• Are you comfortable and relaxed in the dental office?
• Is the dentist willing to engage with you and answer your questions?

If you are prone to anxiety when visiting the dentist, it's better to avoid caffeine, however you can drink a cup of decaffeinated coffee.

There's no getting around the need to get around your teeth daily with dental floss. It clears food and plaque from between teeth and under the gumline. If you don't, plaque hardens into tartar, which forms wedges and widens the space between teeth and gums, causing pockets.

Some of the early signs that your teeth and gums are unhealthy are soreness and pain in the gums, bleeding gums, tooth sensitivity, bad breath or dry mouth. It's best to see a dentist as soon as possible if you experience anything similar.

Some of the early signs that your teeth and gums are unhealthy are soreness and pain in the gums, bleeding gums, tooth sensitivity, bad breath or dry mouth. It's best to see a dentist as soon as possible if you experience anything similar.

Dental x-rays have come a long way and with the current technology in digital x-rays, patients are exposed to up to 70% less radiation than regular x-rays, hence they are increasingly safer. Your dentist's decision to take x-rays always considers the risks and is patient specific.

This information allows your dentist to identify the type and severity of certain underlying medical conditions. Your dentist may also determine possible adverse drug interactions. Your dentist may also identify potential problems from the use of non-prescription drugs, such as an increased bleeding time with the use of Aspirin (acetylsalicylic acid) or some herbal supplements.

As a patient, you have the right to get copies of any or all of your dental records. If you and/or your authorized representative requests a copy of your complete file from your dentist (chart records, x-ray images, referral slips, study models, photographs, correspondence), this information must be provided.

Your teeth stain over time due to the colourants in the food and drinks you consume. To keep teeth whiter for longer, avoid drinks that stain enamel such as coffee, tea and red wine. Smoking also causes stains on teeth so you need to avoid smoking as well. Brushing your teeth regularly and chewing on water dense fruits and vegetables also helps keep the stains away.

Early detection of oral cancer can improve a patient's chances of successful treatment. That's why many dentists recommend having regular oral cancer screenings that examine the entire mouth. Adults over the age of 20 should have a screening every three years while those over 40 should have annual screenings.