- Sedation Dentistry
- Bonded Fillings
- Root Canal
- TMJ (TMD)
- Pediatric / Children’s Dentistry
- One Day Crowns (CEREC)
Why do you need dental sedation?
If you have debilitating dental anxiety and phobias or have had a bad experience in the past, you may benefit from different levels of sedation in our office. We have many levels of sedation ranging from cognitive behavioural therapy—from our caring dentists—to moderate sedation. If you are an anxious dental patient, Lakeridge Dental has multiple levels of sedation to make you feel the most comfortable during your appointment. Sedation types include: Nitrous oxide gas, oral sedation and Intravenous sedation. Read on below for more information
Nitrous Oxide Gas Dental Sedation
Often known as “laughing gas”, Nitrous Oxide is a fast-acting addition to freezing techniques which can significantly calm the most anxious patient.
Nitrous oxide is used in surgery and dentistry for its mild pain blocking and anxiety-reducing effects.
Suitable for children and adults of all ages, this gas is inhaled through a face mask. The level of gas breathed in is monitored and controlled by the dentist to ensure your safety. You will begin to feel relaxed so your dental work can be performed while you stay completely comfortable.
The effects of Nitrous Oxide immediately stop once the mask is removed so you will be capable of driving yourself home following the visit or going back to school. You can continue your daily routine as normal.
You will feel less anxious after the procedure and will feel back to your normal self as soon as 100% oxygen is administered to remove the effects of the Nitrous oxide.
You do not need anyone to accompany you to the clinic before or after the procedure and can drive home yourself. You can continue your daily activities as normal. The exceptions are if you are a child or have a mental disability—these patients will need accompaniment.
Since the gas is administered through the nose, please reschedule your appointment if you have a cold and cannot breathe through your nose. Please advise your dentist of any health conditions prior to the appointment as a few health conditions preclude the use of it.
No sedation, oral sedation or intravenous sedation
Oral or (IV) Intravenous Sleep Dental Sedation
If you have more severe dental anxiety and debilitating dental phobias, we also offer oral conscious sedation and Intravenous sedation. Patients who feel stressed about dental work, even getting into the chair, as well as those who need multiple procedures performed in one visit may benefit from moderate sedation.
IV (intravenous) sedation induces an altered state of consciousness, which is a hazy state of mind and a relaxed body. This form of sedation minimizes pain and discomfort through the use of pain reducers and sedatives. Although you will have no memory of the procedure, patients who receive conscious sedation usually are able to speak and respond to verbal cues throughout the procedure. You will be able to communicate any discomfort experienced to the dentist. While you are under the effects of the drug, the dentist can perform your dental work, and you will remain comfortable.
Some patients take an oral sedative the night before, some the hour before. You will not be allowed to operate heavy machinery or drive within the next 24-48 hours as the medication leaves your system.
You will feel woozy after the procedure and have no memory of the aftermath. This is why you need someone—a friend or family member—to accompany you to and from the appointment.
No, you cannot drive home after. You must bring a responsible adult with you to and from the procedure.
Oversedation. Your heart, lungs and blood pressure will be monitored very closely by the dentist trained in sedation and an anaesthesia nurse.
General anaesthesia, Nitrous oxide sedation, no sedation.
Contact us today to learn more about our sedation options.
Natural “Tooth-Coloured” Composite Restorations
What are the different types of filling materials available?
There are bonded, non-bonded and partially bonded restorative materials available. Each have their own advantages and disadvantages.
Dental research has made many breakthroughs in biomaterials since the days of dental amalgams. Today, if you need a dental cavity restored, Lakeridge Dental can use different types of strong and durable composite resins that look much more natural and are much less noticeable than a metal restoration. Composite restorations can be very conservative, minimizing tooth structure removal and can bond together parts of severely broken-down teeth.
Non-bonded Dental Amalgams
Yes, but the concentration of mercury today is significantly less than amalgams made 30 years ago.
Excellent for use in patients who are uncooperative due to ability to set in less than ideal conditions. Children and those with mental or physical disabilities are excellent candidates. Much stronger than composite resins (white filling materials)
Silver in colour, can tarnish to black over time.
Bonded Composite resin filling materials
Beautiful, life-like, white fillings, highly polishable
Need high patient cooperation as any form of moisture from saliva can inhibit the set and cause leakage. Leakage can lead to pain and cavities. The edges of the filling collect brown stains from coffee to red wine. They do not last as long as dental amalgams
Dentist Pro Tip:
If you have amalgam fillings and they are still intact, there is no reason to remove perfectly sound tooth structure. As well, metal amalgams are still appropriate in some clinical situations. If you are concerned about the mercury released from dental amalgams, it is important to note that the amount of mercury released during the lifetime of the filling is minimal to none. Most of the mercury is released upon placement and actual removal of the amalgam.
Contact us for more information about bonded fillings.
What is a root canal?
Root canals are one type of endodontic treatment. Let’s break it down:
“Endo”—Greek for “inside”
The tooth is made up of three distinct layers: the outermost layer is the enamel, the part you can see. It is white and hard, almost porcelain-like. The second layer is the yellow dentin. It is soft and porous. There are small tubules going from the outmost to the innermost layer. Facing the innermost layer are the nerves and blood vessels, also known as the “pulp”. The pulp starts from the crown you can see inside your mouth all the way to the tip of the roots. The pulp of each tooth connects to a much larger set of nerves and blood vessels that help the tooth during development.
The pulp is very important during tooth development because it carries nutrients to the tooth. However, once the adult tooth has finished developing, the tooth does not need the pulp anymore to survive.
The tubules running throughout the second layer runs straight to the nerves. The tubes can act as a highway for many things including cold, hot, spicy, sweet and sour foods, cold air, and bacteria. When the tubules of dentin are exposed, these items can travel to the nerve causing a sharp pain. This is the characteristic “nerve pain” one might associate with teeth.
Tubules are exposed when you have lost the enamel, broken the tooth, worn down the tooth or have a cavity.
How is a root canal completed:
- After the diagnosis, the dentist will anesthetize your tooth and isolate
- Any old restorations and cavities are removed from the tooth to prevent the spread of infection into the pulp
- The dental pulp is removed easily while medications are used to sterilize the inside of the tooth
- The tooth is carefully cleaned and shaped with instruments and sterile solutions
- A sterile restorative material is placed inside the root to “seal” the tooth from any new bacteria or leakage
- A restorative material with excellent sealing is placed over the tooth
- If the tooth has a compromised structure, a dental crown is highly recommended to preserve the integrity of the tooth
Stages of tooth pain:
- Reversible Pulpitis: When the nerve is exposed to irritants such as bacteria or a fracture, the tooth can enter a stage of reversible pulpitis. This is the reversible inflammation of the nerve. At this stage, it is important to see your dentist to prevent it from progressing.
Signs: pain to hot, cold or when something stimulates the tooth but not spontaneous pain. A root canal may not be needed at this time
- Irreversible pulpitis early stages: The nerve is “dying”.
Signs: Excruciating pain, pain to biting, hot, cold, pressure, may be swelling. May radiate to your jaw and different areas of your mouth. Note: at this stage, the pain will be generalised, and you may not know which tooth it is coming from. A root canal will be needed at this time.
- Irreversible Pulpitis late stages:
Signs: Excruciating pain and the same symptoms as Stage 2. The pain can now be pinpointed to one tooth.
- Necrosis: This stage may happen over years and may be associated with NO symptoms. There may be pain to pressure on the tooth or sometimes a swelling. The nerve has died and is rotting.
A necrotic or dead tooth can lie dormant for years without any pain. This is because the nerve has degenerated. So why would you still need a root canal? In place of the nerve, bacteria and pus will lie inside your tooth leading to a chronic low-grade infection. This can spread to the supporting tooth structures and cause bone loss. The tooth can flare up at any time. It is not healthy to leave bacteria roaming around inside your mouth. Left untreated and you could have a massive abscess.
When the pulp inside the tooth becomes infected and inflamed, a root canal may be needed. Inflammation and infection can be caused by decay, repeated procedures on a tooth and cracked teeth. If left untreated, severe pain or a throbbing abscess can result.
To summarize: prolonged pain to hot, cold, sometimes even breathing in cold air. Tender to touch, swollen lymph nodes, a bubble on the gum or a bad taste in your mouth. Sometimes, you may have no symptoms. Everyone has a different pain threshold.
A dentist can save most teeth with root canals but there are some conditions in which it cannot be saved as when the tooth has a poor prognosis. These include but are not limited to:
- Root canals cannot be reached
- Root is fractured
- Tooth is severely broken down
- Tooth is severely mobile or not enough bone
When traditional root canal therapy cannot be done, an endodontic surgery can be done to save the tooth.
The tooth is likely inflamed so the dentist will be very careful to give you additional freezing before starting the procedure. After that, you will feel very little. The dentist will remove the inflamed and infected pulp, and carefully clean the inside of the tooth,filling and sealing the space with a sterile material.
Root canal procedures are completed to relieve toothaches. Modern techniques and solutions of anaesthetic are used, and most patients feel no pain during the procedure.
During the next few days, your tooth may feel like how a bruise would feel and especially if there was pain or infection before the root canal. A small amount of infection may flare up because the bacteria were disturbed. This can quickly be remedied by over the counter anti-inflammatories or prescription medications as needed. Follow your dentist’s instructions.
Afterwards, your tooth may feel slightly different to your other teeth as it heals.
Contact us today for painless root canal therapy.
If you feel pain when opening your mouth, jaw clicking or “crunching”, you may be suffering from the common problem of Temporomandibular Joint pain or Temporomandibular Dysfunction. Other symptoms include:
- Pain in the neck, shoulder and temples
- Unsure of where to “bite”
- Ringing in the ears
- Hearing loss or ear pain
- Grinding your teeth or clenching your jaw during the day or sleeping
- Constantly feeling fatigued
- Popping or crunching sounds in your temporomandibular joint
- Chronic tension-like headaches in your temples or above your eyes
There can be several causes of TMD symptoms. It is a very complex joint and thus, multiple treatment options available. Certain repetitive activities and overuse, much like other joints in the body, can lead to arthritis. These activities include chewing gum, clenching/grinding when stressed or when lifting weights.
It is important to take note of the times of day you clench and grind and make a conscious effort to keep your teeth apart at all times. The first step in any treatment is an accurate diagnosis. After evaluating your concerns, Lakeridge Dental will come up with an interprofessional treatment plan. The team can involve dentists, orthodontists, doctors, oral surgeons, physiotherapists, chiropractors or massage therapists
Contact us today for natural, efficient, and effective TMJ pain treatment.
If you are missing multiple teeth, we have multiple types of dentures available both removable and fixed (non removable) with dental implants. Please see Implant-Supported Denture section for more information below.
Implant Supported Dentures
If you are missing a lot of teeth or all of your teeth, the most commonly used method by dentists to restore the patient’s dentition is the removable denture. However, the downside of the removable denture is the inconvenience of daily removal or becoming loose. The addition of Dental implants can help your denture securely and safely feel tighter and more retentive. Dental implants act as anchors in the jawbone for the denture and can even provide a similar feeling of chewing like your real teeth. They have the added durability of being resistant to decay and comfortable with which to chew.
Please see the section Single and Multiple Dental Implants for more information.
We treat the entire family, from grandparents to grandchildren. Dr. Leigh, Dr. Koven and Dr. Blumenfeld work well with children.
Single and Multiple Dental Implants
A dental implant is an artificial root made of surgical-grade titanium metal that is inserted into the jaw to replace the natural tooth root. The implant is surgically implanted below the gumline. The implant site heals and becomes integrated into the bone. After healing, it acts as an anchor to hold an artificial tooth, bridge or denture in place.
Dental implants are made of titanium, the same metal used in joint replacement surgeries. Titanium is a very strong, corrosion resistant, natural metal which is biocompatible with your bone. As the implant heals, bony elements integrate into the specially designed surface. The implant essentially becomes a part of your own bone. It therefore makes an ideal root replacement anchor for your missing teeth
Advantages of dental implants:
- More Natural Feeling. Teeth replaced with dental implants offer a more natural look and feel for the patient. As the implant fuses with the bone in the jaw, the prosthesis is securely anchored with no chance of embarrassing movement of the replacement teeth. With dental implants, your teeth look, feel and function in a healthy and stronger manner.
- Stable Dentures. If your dentures move, implants offer enhanced stability and retention. This enhanced anchorage allows you to develop improved confidence that one may not necessarily attain from a regular removable denture (no need for messy polygrip). With dental implants, patients can feel secure that their teeth will not move. There are few limits to your activities for fear of embarrassment of your denture moving.
- Conservative Treatment. Dental Implants do not involve touching your adjacent teeth like a dental bridge would, thus being a more conservative option if your teeth surrounding the space are perfectly healthy. However, all implant surgeries involve risks and benefits. Dental bridges are more conservative in the aspect that no bone surgery is performed. Both dental implants and bridges are viable options to replace your missing teeth. Please come in for your consultation to see which option you are a candidate for.
- No Sore Spots on dentures. Because your implant-supported replacement teeth are not resting directly on the tissue of your mouth, you are less likely to develop uncomfortable sore spots. Removable dentures (without implants) can cause inflammation of the gum tissues that are under the denture itself, primarily if not removed every night when sleeping and if not cleaned on a daily basis.
- Maintaining good bone levels. Keeping your teeth helps to preserve your jaw bones. Once a tooth is lost, one of the major problems that edentulous patients face is the continuing loss of jaw bone. The result of all this bone loss over time is that removable dentures start fitting less and less well and it is more difficult to place a stable implant. As the tissue under the denture starts to shrink, it leaves less and less support underneath the removable prosthesis. This is when all the problems associated with an ill-fitting denture start to show. Dental implants, like natural teeth, help to stimulate and maintain bone growth around the implant. One of the most fascinating and important properties of titanium, the material from which dental implants are made, is that it attracts the growth of bone cells. See these links below for more information about how implants work.
- Improved Chewing Function. Due to the lack of permanent anchorage, removable dentures can move or slip while eating, therefore making eating a difficult and less than desirable task. The ability to chew foods improves dramatically with dental implants because the dentures are not loose.
- Improved Taste Sensation. A complete upper removable denture covers the entire roof of the mouth. Your tongue and the roof of your mouth are covered with thousands of tiny taste buds. Once the roof of the mouth is covered with the removable denture, food becomes less easy to taste, more difficult to sample and enjoy. With an implant-supported prosthesis, the roof of the mouth is not covered and food can be tasted by all the taste receptors in the mouth.
- Long Lasting: With proper care, implants can last a lifetime.
- Enhanced Phonetics & Speech. Removable dentures can slip and slide around in the mouth. A complete, upper denture, and some designs of upper partial dentures, cover the roof of the mouth. Both can result in interference with the normal phonetic movements of the tongue, causing difficulty in normal speech. Implant-supported teeth normalize speech and allow the person to regain confidence when speaking in social settings.
- Improved nutritional uptake by digestive system. Digestion begins in the mouth. Teeth subject food to the mechanical process of grinding, breaking it down into smaller and smaller pieces. Almost simultaneous with the smelling and chewing of food, saliva is secreted and mixed. The enzymes in the saliva begin the further digestive breakdown of food. Now, if the step of mastication (grinding) of food were to be reduced due to inefficiency of a removable denture, the digestive process would be altered and food would not get properly digested further along the digestive tract. This improper digestion directly leads to fewer vital nutrients being absorbed later on in the digestive system. Nutritional balance is further indirectly enhanced by the stability of an implant-supported prosthesis. As one is more confident to enjoy a varied and healthy diet, and you are not restricted to what you can eat due to unstable removable dentures, then overall nutritional balance of the person is improved.
- Reduction in the loss of the prosthesis. Removable dentures can easily be misplaced and lost. There are ample stories of domestic pets “eating” the patient’s prosthesis (dogs and cats are attracted to the saliva that coats the prosthesis. However, with a fixed, implant-supported prosthesis, your likelihood of loss is next to nil.
Contact Lakeridge Dental to know more about Single and Multiple Dental Implants.
Lakeridge Dental is proud to offer patients an alternative to restore damaged teeth. The CEREC unit uses a tooth coloured ceramic to create a beautiful strong tooth in a single visit with no messy impression materials. You can even watch as the machine creates your new tooth digitally!