• Examination

    Complete Exam

    •  On your first visit to Yonge & Merton Dental a complete exam of the hard and soft tissues of the mouth is performed. A full set of x-rays is recommended to be taken during your first visit to help diagnose all areas of your teeth and bone that can’t be seen by the eyes alone. This includes looking for any signs of cavities between the teeth, infection and condition of the bony support around the teeth. A full set of x-rays is done once every 5 years. If you have come from another office where x-rays were taken recently, we will try to determine if your records are up to date and recommend any additional images needed.

    Recall Exam

    •  They are performed every 6-12 months during your hygiene visits depending on the individual. During recalls exams, we review your intraoral hard and soft tissues. We may also recommend updating a small number of check-up x-rays every 1-2 years to determine if there are any cavities between your back teeth, and if past restorative work (eg. fillings, crowns) is in good condition.

    Periodontal Exam

    •  They are ideally done once a year also during your hygiene visits to check the health of the gums and bone around your teeth. This includes measuring gum pockets, and gum recession, recording areas that bleed more easily, and any mobility of teeth. Periodontal exams will allow us to give recommendations on how and where to improve your daily hygiene habits at home.
  • Hygiene

    Hygiene

    Following your complete exam, a professional hygiene program of regular scaling (cleaning) and prophylaxis (polishing) tailored to your specific needs will be recommended. Scaling and prophylaxis is intended to remove build-up of plaque, tartar and stains on all surfaces of the teeth and under the gums including areas that are difficult to reach by daily brushing.

    Typically, scaling and prophylaxis of the teeth should be performed every 6 months. However many patients (those with periodontal disease, smokers, the medically compromised, pregnant women, patients with braces, and seniors) require more frequent sessions such as every 3 to 4 months. If you also have not had a dental cleaning for a couple of years, you may need multiple appointments in the beginning to remove all plaque and tartar build-up.

    Lack of regular professional scaling and prophylaxis can be the primary cause of:

    Gingivitis: Inflammation of the gums resulting in bleeding of the gums. A common concern is “my gums bleed when I brush or floss” which in most cases is present if you have gingivitis.

    Periodontitis: Inflammation of both the gum and bone leading to loss of gum and bone around teeth. Periodontal disease that is left untreated can cause gums to be receded, red and swollen, form abscesses, lead to bad breath, mobile teeth and eventual loss of teeth. Periodontal disease relating to bacteria in the gums can spread into the bloodstream, and from studies this is linked to heart disease and stroke, diabetes, and low birth weight babies due to premature delivery.

  • Restorative

    Pit and Fissure Sealants

    • Tooth decay commonly develops on the chewing surfaces of teeth, which have naturally occurring pits, fissures and grooves. These areas can allow bacteria and food particles to collect causing decay formation. Pit and fissures sealants are a plastic coating applied to the surfaces of the teeth that seal the pits, fissures and grooves, and therefore are an excellent way to prevent tooth decay. It is recommended that children have their permanent molars treated with sealants once the teeth have fully erupted, especially if they are a high risk individual for developing tooth decay.

    Fillings

    • Fillings can be either white (composite resin), or silver (amalgam). Both are used depending on the specific needs to restore the teeth to normal function and esthetics after the tooth is compromised by decay, fracture, and wear. In addition, composite resins and the bonding technique can be utilized to restore spacing (gaps) and other esthetic problems that may affect your smile.

    Crowns

    • A crown (also known as a cap) is recommended to restore those teeth in situations where normal fillings can no longer provide long term predictable success. Teeth that have had many fillings over the years as a result of tooth decay or tooth fracture can be restored with crowns. A crown can be made from a variety of materials including all porcelain, porcelain bonded to metal or full gold. It is made to cover the entire tooth and protect it from future fracture and possible loss of tooth. Crowns are custom made providing excellent long term esthetics and function.
  • Tooth Replacement

    Dentures

    Dentures are removable false teeth used to replace missing teeth either partially or fully. Dentures provide excellent esthetics and function in situations where multiple teeth have been lost either from disease or accident. Three common types of dentures can be made:

    Acrylic dentures

    • All plastic dentures, which may have small metal clips built in to retain the denture. They are more affordable, and are great in situations where tooth loss is immediate.

    Cast dentures

    •  They have a metal base to support the plastic and metal clips to help retain the denture. They are generally stronger and less bulky than acrylic dentures.

    Dentures supported by dental implants

    •  Multiple implants are placed by a dental specialist, and the denture is custom built over the implants and is retained by screws into the implants. This provides a more stable base for the denture, and is highly recommended in cases where you have suffered from poor retention of your dentures. At Yonge & Merton Dental, we offer TeethXpress as an implant-supported denture treatment.

    Bridges

    Bridges are multiple crowns linked together that are used to replace missing teeth. An advantage of using bridges to replace missing teeth is that they are cemented in place and are not removable as is the case with partial dentures. In making bridges the teeth adjacent to the missing tooth are used to support the bridge.

    Implants

    Implants are used to replace teeth that are lost as a result of an accident or dental disease. Implants are used to support crowns, bridges or dentures. Once an implant has been placed by the dental specialist, usually an oral surgeon or periodontist, it can then be restored by a general dentist. Implants are fast becoming the first choice of treatment in replacing missing teeth because of long term success.

  • Cosmetic Dentistry

    Teeth Whitening

    Bleaching should only be performed after a complete and thorough examination by a dentist. At Yonge & Merton Dental, we make custom fitted bleaching trays and provide a set of bleaching gel (carbomide peroxide) which is a safe and effective method of whitening teeth. Once custom bleaching trays are made it is easy to bleach the teeth at home. It only takes a few hours a day for about 7-10 days during the initial bleaching phase. Over time teeth will stain or yellow again, and how quickly it happens will depend on your frequency of drinking coffee or wine. Keep your original bleaching trays, as more bleaching gel can be purchased for use in those trays again.

    Veneers

    Veneers are excellent esthetic restorations that can be used to restore the front teeth if they are chipped, discolored, cracked or have spacing problems. Very little tooth is removed in preparing it to receive a veneer and usually no local anesthetic is required. Veneers can be made of composite resin through the bonding procedure such as in a typical filling, or it can be made of porcelain. The porcelain veneer is bonded to the front of the tooth and once bonded has excellent strength. Porcelain veneers are custom made to a thickness as thin as contact lenses in some situations.

  • Invisalign

    Invisalign

    invisalign-logo-350pxInvisalign treatment is an alternative to traditional orthodontics to straighten teeth without the use of metal or ceramic brackets. Instead, a series of clear and removable plastic aligners are used to straighten teeth, therefore the treatment is virtually invisible. This is especially great for adults who wish to straighten their teeth without the unesthetic use of brackets and wires. Individuals that have dental crowding, spacing, overbite, underbite, deep or open bites can be good candidates for Invisalign treatment.

    Will Invisalign work for me, and how do I get started?

    • If you are interested in Invisalign, a records appointment is scheduled to gather the proper information including x-rays, assessing your bite, taking pictures, and taking impressions of your teeth. There is a charge for this appointment.
    • A second consultation appointment is scheduled to discuss the records including showing a computer rendering of your teeth straightened, approximate treatment time, and costs. There is usually no charge for this appointment, and if you wish to decline treatment then no other charges will be made.
    • Financial monthly payment plans are available for Invisalign treatment, as on average, the total cost can range from $3000-5000 depending on the complexity of the case (excluding the cost of initial records). Some insurance plans can cover Invisalign treatment partially, and an estimate will be sent to your plan to determine coverage. If you are ready to proceed with treatment, an initial deposit will be taken to cover the laboratory costs to make your Invisalign trays, then a monthly payment schedule will be arranged.
    • Treatment time on average is 12 months, but can be shorter or longer depending on the complexity of your teeth. Subsequent appointments are scheduled every 4-6 weeks to check the progress of your tooth movement, reshape teeth to allow for tooth movement, and deliver the next set of aligners.
    • Successful treatment involves wearing your trays at a minimum of 20 hours/day (removed only when eating, drinking liquids other than water and brushing), and coming to your appointments every 4-6 weeks to check tooth movement and to make any necessary adjustments.
    • At the end of treatment, retainers will be given (included in your overall cost). Either a removable clear retainer or a fixed retainer (bonded to the back of your teeth) will be made depending on the individual. Retainers hold teeth into their final position to prevent relapse.
  • Emergency Treatment

    Emergency Treatment

    Toothaches, sore gums, and broken teeth are common reasons to book an emergency dental appointment. Please call Yonge & Merton Dental immediately if you are experiencing dental pain, we will try to arrange the appointment as soon as possible to take care of your emergency. During the emergency exam, x-rays may be taken to help diagnose the suspected problem. Appropriate treatment options will be discussed, and if there is time, treatment can be done in the same appointment. If not, the tooth will be stabilized, and another appointment will be scheduled to complete the treatment.

  • Root Canal Therapy

    Root Canal Therapy

    Root canal treatment is a technique used to treat the tooth when the nerve of the tooth has been irreversibly damaged as a result of tooth decay or an accident. The procedure allows the dentist to remove the damaged nerve tissue and restore the root of the tooth with a biocompatible material usually gutta percha. Multiple x-rays are usually taken during the procedure to verify proper length and fill of the root. Root canal treatment allows the dentist to save a tooth from extraction if the tooth is strong enough to support a filling and crown. In most cases root canal treated teeth should be restored with a crown to prevent future fracture.

  • Extractions

    Extractions

    Teeth that cannot be restored due to large fractures or cracks, infected teeth or teeth that are very mobile may be indicated for extractions. At Yonge & Merton Dental, extractions are done usually with local anesthetic only, and in some cases nitrous oxide can be provided for nervous patients. Stitches may be placed afterwards to assist with gum healing, and appropriate medication may be prescribed. Multiple wisdom teeth extractions are normally referred to an oral surgeon (dental specialist), where deeper sedation methods are available.

  • Sports Guard

    Sports Guard

    Custom fitted sports guards are made from impressions of the teeth. Mouth guards not only protect the teeth from injury while playing sports but also reduce the incidence of concussions. Mouth guards are highly recommended for the active child or adult; they are inexpensive and can be made in a variety of colors.

  • Night Guard

    Night Guard

    Patients suffering with chronic conditions such as night grinding (bruxism), clenching of teeth, or temporomandibular joint dysfunction (TMD), can benefit from the use of an appliance called a night guard. Nightguards and bruxism appliances are made from a thermoplastic acrylic material using impressions of the teeth, which are custom fitted to your teeth and to your bite. The acrylic separates your teeth preventing wear and tear during grinding/clenching, and can help reposition your jaws and joints to a more neutral and less stressful position.

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