To learn more about cosmetic dentistry click here
- Crowns and Bridges
- Fully Explained Procedures – We really like to explain procedures to our clients before we begin treatment. It always makes a big difference when you know what is going on, what to expect and to know that you are in control of what goes on in your mouth. This makes for a more comfortable appointment for you, the client, and a more successfully completed treatment on our part.
- Hygiene Therapy Program – Our Registered Dental Hygienists are more than qualified to recommend required scaling appointments, follow-up and track your periodontal health. Thanks to their years of experience, and their dedication to your optimal oral health, we practice 3,4 or 5 month scaling call backs to ensure you receive full services to help you keep your mouth healthy. With the lastest technology and tools available to them, they get to know exactly how much time you will need to invest in keeping things as healthy as possible.
- Electronic Claim Submission – We have the capabilities of sending most insurance claims electronically to your Dental Insurance provider, which provides clients with the luxury of less waiting time to receive your reimbursements for the fees you paid directly to your dentist the day of your visit.
To learn more about dental benefits click here
Bridges & Implants
When indicated, missing teeth should usually be replaced to help regain your ability to chew, prevent other teeth from shifting, and restore your smile. There are three main types of artificial teeth. Each one is designed for a particular situation:
Dental Implant. A dental implant is made by surgically inserting one or more small metal posts beneath the gum into the jawbone. In a few months, when the implants are fused to the surrounding bone, the artificial tooth or teeth are then attached and the missing tooth or teeth are restored
Fixed Bridge. A fixed bridge replaces one or more missing teeth. It is called a “bridge” because it covers a gap, and the bridge is supported by teeth or implants on one or both sides of that gap. The supporting teeth or implants are sometimes called abutments. In this procedure, each abutment is prepared to receive full crowns or caps. When completed, the bridge is cemented into position over the supporting abutments
Removable Denture. A removable denture is a single appliance that replaces several lost teeth. The denture is held in place by clasping some of the remaining teeth — or by suction where none of the natural teeth are left.
Caps and Crowns
A crown is a cover that fits over a tooth that has been damaged by decay, broken, badly stained or mis-shaped. It is prepared by your dentist, and sometimes requires more than one visit to complete.
All crowns made chairside with our Cad Cam system or Cerec, would be made of porcelain. These are done all in one appointment. While porcelain is the material of choice, there are times where porcelain bonded to metal is stronger and better for crowns in the back of the mouth for those who grind or clench. In that case we would use an outside Lab to create this porcelain bonded to metal which means 2 appointments. Sometimes all-metal crowns are used for back teeth or bridges because of the metal’s strength.
To prepare your tooth for a crown, the tooth is first frozen with anesthesia, and then filed down so the crown can fit over it. A 3D picture of the teeth and gums is made, The dentist will design the new tooth on a computer and our Cad Cam milling station carves it out. You can relax for approximately 20 minutes until it is finished milling and ready to install. In the case of a porcelain bonded to metal, or full metal crown, a temporary crown is fitted over the tooth until the permanent crown is back from a lab where it is fabricated.
What is gum (periodontal) disease? What causes it?
Periodontal disease, or gum disease, is a bacterial infection of the gums, ligaments and bone that support the teeth and anchor them in the jaw. The bacteria, which digest mainly certain carbohydrates in our diets, are normal inhabitants of the mouth, living in a thin film called plaque.
If this plaque is left undisturbed, it may eventually harden into calculus (tartar), a hard mineral shell. When plaque bacteria build up on this hard surface, it irritates and erodes healthy gum tissue. This early, reversible stage of periodontal disease is called gingivitis. If left untreated, the supporting bone becomes progressively eroded and pockets begin to form between the teeth and gum tissues, eventually resulting in tooth loss. This irreversible stage of periodontal disease is called periodontitis.
What are the symptoms of periodontal disease?
Because gum disease is painless until the final stages, it often goes unnoticed. However, there are many indications of potential periodontal disease. Here is what to watch for:
• gums that bleed when you brush your teeth
• red, swollen or tender gums
• gums that have pulled away from your teeth
• a metallic taste or persistent bad breath
• pus or discharge between your teeth and gums
• loose or separating teeth
• a change in the way your teeth fit together when you bite
• a change in the fit of partial dentures
Contact your dentist if you notice any of these symptoms.
If I have no symptoms, how do I know if I have gum disease?
Periodontal disease can be easily detected by your general dentist or a periodontist (a specialist in periodontal diseases) during regular dental examinations. Therefore, regular checkups, ideally every six months for most people, are crucial in catching periodontal disease in its early reversible stages.
During your checkup, the color and firmness of your gums will be evaluated. Your teeth will be tested for tightness, and that way they fit together when you bite. During your periodontal examination, a small measuring instrument is inserted between the tooth and gum to measure the depth of the pockets. X-rays may be taken to evaluate the bone supporting the teeth.
What other factors can contribute to gum disease?
Smoking is a major risk factor to your oral health. Not only do the chemicals in tobacco have a harmful effect on your oral tissues, but can deplete vitamin C and other nutrients and reduce your resistance to periodontal disease.
Poor diet is also a contributing factor, especially a diet high in sugars and other sticky or gummy carbohydrates and low in the minerals and vitamins needed for healthy gums, teeth and bones.
Hormone changes during pregnancy increase the blood supply to certain tissues in the body including the gums. As a result, 30 to 60 percent of pregnant women experience red, tender or bleeding gums.
Stress can also be a contributing factor because it diminishes your body’s ability to fight infection. Diabetes, AIDS and other health conditions can lower resistance to gum disease.
How can I prevent periodontal disease?
• Brush your teeth twice a day with a soft-bristled toothbrush. Hold the brush at a 45-degree angle to the gum line and gently clean where the gums meet your teeth.
• Clean between your teeth at least once a day with dental floss (or other interdental cleaners, such as rubber tips and oral irrigators, as recommended by your hygienist) to remove bacteria, plaque and food particles your tooth brush can’t reach.
• Eat a balanced diet, which includes a variety from each of the basic food groups, to maintain optimum oral health.
• Visit your dentist regularly, ideally every six months, for a preventive checkup and professional cleaning, which is essential in the prevention of gum disease, and the maintenance of good oral health.
What can I do if I already have periodontal disease?
See your dentist. In the early stages of gum disease, treatment usually involves removing the plaque and calculus in the pockets around the tooth and smoothing the root surfaces. This is called scaling and root planning. In combination with proper daily home care, this is all that is usually required to stop the development of the disease. If you wait until the symptoms are more advanced, a referral to a periodontist may be necessary, and in some cases, surgical treatment. Don’t wait until it hurts. Periodontal disease can be prevented with regular dental visits.
Your dry mouth can be caused by various factors, including medications, radiotherapy and autoimmune disorders such as lupus and Sjögren syndrome. A lack of saliva and increased acidity in your mouth can cause cavities.
You can help prevent cavities by following these instructions:
✓ Use home fluoride products such as toothpastes or rinses that contain more than 1,000 ppm fluoride. Do not overuse these products because too much fluoride can cause fluorosis. Follow the instructions on the package and contact your health care professional if you have any abnormal discomfort after you use fluoride-containing products.
✓ Chew gum that contains xylitol and decrease the amount of sugar you eat. Xylitol, a natural sugar alcohol, can be used as a sweetener and is not fermented by acid-producing bacteria. Xylitol can decrease acid-producing bacteria in your mouth. Do not use more than 10 to 12 g of xylitol every day. If you have more than this amount, you may have osmotic diarrhea.
✓ Change your diet to one that is low in sugar and acidic drinks such as soda and wine. But do things in moderation so that you still meet your daily nutritional needs.
✓ Use products that make your mouth more comfortable and drink water to relieve the feeling of dryness. Try using some of the products from Biotène to relieve your dry mouth.
✓ Use medication to treat yeast infections that commonly occur when you have dry mouth.
Often when a tooth has become infected or abscessed as a result of decay or an injury, it is possible for your dentist to save your tooth by performing root canal treatment. (Your dentist may also refer you to an endodontist for treatment.) During the root canal treatment, an opening is made in your tooth to access the infected nerve, which is then removed.
Following root canal therapy, your dentist will place a permanent filling over the tooth. Most teeth that have root canal treatments will require a crown to support the remaining tooth structure.
Gum or Gingival Graft
Tooth roots that are exposed due to gum recession may be sensitive to hot and cold food or liquids. They may make the teeth appear longer. Gum recession can put you at risk for developing decay on the tooth root and may lead to bone loss, eventually resulting in the loss of the tooth. Soft tissue grafts, which move healthy tissue from one area of the mouth to another, can stop gum recessions and bone loss and improve the appearance of the gum line.
We are proud to offer full digital X-ray technology to all of our clients. Besides the panorex, cavity detecting (Bitewings) and tooth specific (P.A.) X-rays, we now have a CBCT or Dental Cone Beam CT Scanner. These digital X-rays use up to 90% less radiation than the conventional method where actual film is used. The panorex images allows us to see more bone, the sinuses, as well as the complete roots of the teeth with only one X-ray.
The Bitewings and P.A.’s are mostly used for specific teeth that require a greater magnified view of an area. Finally, the new CBCT scan (dental CAT scan) has opened a whole new field of diagnostic capabilities. It assists in the detection of cysts, lesions, tumors, radiolucencies, as well as bone height and width, which is critical for planning implant placement. Our clients and those referred to us by other dentists no longer have to travel to Barrie to have the scan done, and it is about ½ the cost as well. The actual scan takes about 20 seconds. The results are up and accessible in about 2 minutes.
To learn more about nitrous oxide click here
We now have a wonderful in-office video library for patient education. This is invaluable when explaining dental procedures to clients during your visit. Children can now receive brushing and flossing tips from a young chimpanzee named Kirby, while our adult clients may have the pleasure of viewing the procedure for crown placement or even root canals!
A wide variety of subjects are explored in relatively short clips, usually 2 minutes or less, with fantastic graphics. This is a welcome addition as we often struggle to find the right words to describe procedures such as root canals, periodontal disease and even cavities!
We installed intra-oral cameras which are connected through the computer system to take digital photos. This allows us to visually monitor changes in the mouth from one appointment to another and take before and after photos during treatment. Photos of particular areas are taken and printed in minutes to use for the Doctor’s purposes. This provides you with added client security, as we now have photos of you matched with your computer chart. Intra-oral cameras have made a great difference.
To watch a video about intra-oral cameras click here
One of our most advanced pieces of technology is the laser. These have been out for about 12 years or so, but the first ones were huge machines, and were extremely expensive. The one we have is actually a small cordless model, and its particular wavelength makes it specialized for soft tissue treatment. It has many applications including improving the appearance of the gum line, speeding up healing after deep scaling by the hygienist and crown lengthening. It is especially valuable when preparing the teeth and surrounding gums for a crown as it is great for trimming tissue, allowing us to see the edges of the tooth preparation which is vital for a successful crown. Please be aware that any time the laser is used, protective eyewear must be worn by all members of the dental team in the treatment room, including you. We will remind you of this during your treatment.
Another use for the laser is for healing cold sores and canker sores. During the last few years we have successfully treated cold sores that disappeared with 1 or 2 treatments. Normally these bothersome lesions last 2 weeks or more! It is really impressive! We have used it on our team, with the same results.
How Invisalign Works
Invisalign® straightens your teeth using a custom-made series of aligners created for you and only you. These aligner trays are made of smooth, comfortable and virtually invisible plastic that you wear over your teeth. They gradually and gently shift your teeth into place. There are no metal brackets to attach and no wires to tighten. You just pop in a new set of aligners approximately every two weeks, until your treatment is complete. You’ll achieve a great smile with little interference to your daily life.
From mild cases of crooked teeth and protruding teeth, whether your teeth are widely gapped, overly crowded or somewhere in between, Invisalign has an affordable teeth straightening option for you. It doesn’t work well in all cases, but if the case is selected correctly, it gives wonderful results.
Take a look at our Invisalign Actual Results; you’ll find relevant before-and-after pictures of some real Invisalign patients. You’ll see for yourself the cosmetic improvement-but the more important aspect is that fixing common teeth problems can potentially have positive benefits for your dental health as well as overall health.
Here are some of the main conditions Invisalign currently treats, but if there is a specific dental problem that you do not see addressed here, please contact our office for more information to see if Invisalign is right for you:
Gaps between teeth can occur naturally. Missing teeth can also cause the surrounding teeth to shift due to the extra space, creating gaps in your teeth. Spacing issues and gaps between teeth can lead to gum problems (due to lack of protection by the teeth), periodontal pockets and increased risk of periodontal disease.
Underbite can occur when the lower teeth protrude past the front teeth. It’s usually caused by undergrowth of the upper jaw, overgrowth of the lower jaw, or both. It can also be caused by missing upper teeth. This can prevent the normal function of front teeth or molars, which can lead to tooth wear.
Open bite often occurs when some teeth are unable to make physical contact with the opposing teeth for a proper bite. Most often caused by a genetic abnormal jaw structure or excessive thumb-sucking, an open bite can cause poor or painful chewing, and even speech impairment.
Teeth crowding occurs when there is simply a lack of room within your jaw for all of your teeth to fit normally. When left untreated, overly crowded teeth can get worse over time, and result in severely crooked teeth. This crowding can lead to plaque accumulation, tooth decay and an increased chance of gum disease.
Crossbite can occur when the upper and lower jaws are both misaligned. It causes one or more upper teeth to bite on the inside of the lower teeth, and can happen on both the front and the sides of the mouth.