The Accolade Dental Centre's
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In our ongoing efforts to keep our patients and friends up to date with the events at Accolade Dental Centre, we send a monthly email newsletter.
Our email newsletter offers health tip, dental news, recipes and news from around our Yorkville, Toronto dental office.
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Elevate Magazine
May - June 2010
elevatemagazine.com
Ask Elevate
CEREC - Single Visit Dentistry
Dr. Jack Slome Dentist
|
Q: I'm interested in getting a cosmetic dentistry
procedure done but don't want to
deal with temporary teeth while I wait for
the teeth to be made. Are there one-day options for
A: Cerec Restorations, performed by Dr. Jack
Slome at The Accolade Dental Centre
in Toronto, might be the service you are
looking for. Tooth reconstruction-like veneers,
crowns or
onlays-usually requires two or three
appointments where you take impressions and
return for the insertion.
With Cerec, your restorations
are made and bonded in one visit. The tooth
is prepared and scanned with an electronic camera.
This allows you to view the process in action and
requires no messy
impressions. Then, the restoration
is designed from a three-dimensional scan
and precision milled from a porcelain block, picked
and shaded by Dr. Slome. The whole process takes
roughly two-and-a-half hours, and patients aren't
confined to the chair during that time. You can grab
a coffee or watch TV while you wait for the in-office
milling to be complete.
B Magazine
Dec 2009 - January 2010 issue
bmagazine.ca
House Calls Q&A
HOLIDAY SMILE
Dr. Jack Slome Dentist
|
Q: The holiday season is almost here and I have quite a few important events to attend. I would like to know what I could do to improve the look of my teeth when I smile. Am I too late to have veneers put on? What alternatives are there?
A: The good news is that is not too late to do something. You have a number of different options, and the simplest of which would be to whiten your teeth. This would give you a brighter, fresher smile.
Should your teeth be twisted, crowded or heavily filled, whitening would probably not give you the results you want. For teeth that are irregular but healthy and that have good shape, orthodontics would be the least invasive way of straightening your teeth, but it is a time consuming treatment and may take up to a few years to do.
Veneers, crowns and bonding are possible immediate options.
Bonding can be very conservative, reversible and can be done in a few hours depending on the number of teeth involved and can give great short to medium term results. It is also very easy to repair bonded teeth should something chip or break. If you want to whiten your teeth you should complete it at least 10 days before bonding.
Veneers and crowns can be placed very quickly using the newest cad-cam technology. In fact, they can be done in one day. Should your dentist not have the equipment, then at least 7-10 days should be available between 2 appointments to enable a dental laboratory to manufacture them. You will have a set of temporary teeth in between the visits. The decision whether to place a veneer or crown on a tooth would depend on the condition, shape and colour of the tooth, but if possible, veneers are a more conservative option. The teeth could be made to be any colour you wish and the shape can be optimized. These restorations are great long term solutions but the disadvantage is that tooth structure is removed which means the procedure is not reversible. Veneers and crowns can last up to 15 or 20 years depending on your oral condition, habits and maintenance.
Have a wonderful holiday season and all the best for the New Year!

Dr. Slome & Accolade Dental
Featured on Conviction Kitchen
|
While getting Toronto's Conviction Restaurant ready for it's grand opening, no detail was over-looked ...including the appearance of the team members.
As owner Bianca remarks; "I can't have toothless people smiling at my customers."
Brad, a server at the restaurant is missing a front tooth, not exactly creating the best first impression for patrons of the establishment. The skilled cosmetic dentistry of Dr. Slome offers Brad back his tooth as well as projecting the image the restaurant is looking for.
View a clip of the episode here.

B Magazine
House Calls Q&A
Dr. Jack Slome Dentist
bmagazine.ca
|
Q: I had partial veneers applied about 5 years ago (front top and bottom teeth). I would now like to have the rest of my teeth done.
Will there be a problem working around my teeth that have already been done and will a colour match be possible?
Can you let me know how a continuance of veneers is done to finish the procedure?
A: Matching veneers after they have been in your mouth for a number of years can be very challenging. Over time, your teeth can darken and the cement that holds the veneer in place can also change colour. Teeth also change thickness due to wear and tear which has an impact on the colour. Having said this, a very close match can be made. If you are veneering teeth toward the back of the mouth an absolute exact match is not required for a good cosmetic result. The most difficult tooth to colour match is a front central incisor, as it should be identical in colour and shape to the other central incisor.
Regarding the challenges of working around the teeth you have already completed, there is no major issue. Each tooth is individual and is prepared and treated separately, and the only issue is to match the shape and colour of the new restorations so that they fit in harmoniously with your other veneers and teeth.
Veneers can be fabricated one of two ways. Once the teeth are prepared, the veneer can be completed in 1 visit using CAD-CAM technology or in 2 visits if the services of a laboratory are required. Between the 2 visits in the latter option, temporary veneers are placed to protect the teeth and to maintain aesthetics.
The final judgment would be able to be made by your dentist who understands the limitations and issues surrounding the veneers you have as well as the challenges of your teeth.

B Magazine
House Calls Q&A
Dr. Jack Slome Dentist
bmagazine.ca
|
Q: At 54 years of age I am contemplating facelift surgery. I am concerned that after going through such a procedure that I won't have the beautiful mouth to go with my new face! When I speak or smile, my dark fillings are very apparent and some teeth are not even in colour. Can this be corrected for a more attractive appearance?
A: Thank you for your question. We are very lucky today to be able to improve our smiles and how we feel about ourselves in so many ways.
My suggestion is that you attend to your smile before having any cosmetic surgery. Very often, the improvement in your smile acts as a mini facelift, and that may mean you can reduce the amount of surgery required to achieve the appearance you desire. By making your teeth a bit longer or shaping them differently, you can push out your lips a bit to reduce the wrinkles around the mouth and give a more youthful look. You should also be aware that sometimes after a facelift, the opening of your mouth may be smaller, so your smile may not be as broad and you may not show as many teeth as before.
The dark fillings you are seeing when you smile are probably amalgam fillings and these can be replaced with fillings made of a white composite material. Should you want something even more aesthetic , stronger and more durable, porcelain fillings fit the bill. These can be manufactured either by a 2 step process, with the 1st visit being tooth preparation and an impression that gets sent to a laboratory for fabrication, followed by the 2nd visit when the filling, called an inlay or onlay is cemented into your tooth, or by a one visit procedure where a CAD-CAM computer is used to make the restoration at the time of preparation.
Regarding the colour of your teeth, whitening is an option if the discolouration is not varied to too great a degree. Should you be unhappy with the shape of your teeth, all porcelain veneers or crowns would be an option as would bonding your teeth using a white filling material to cover and reshape the teeth.

Change Your Smile in a Day
Dr. Jack Slome Dentist
|
Everyone knows that a beautiful smile and looking great go together.
The very act of smiling can strengthen your confidence, strengthen your self esteem as well as strengthen your sense of vitality ...Even more so, if you have great looking health teeth.
If you have always wanted beautiful, attractive teeth, CEREC CAD/CAM restoration may be the answer for you.
Commonly, tooth reconstruction such as veneers, crowns, or onlays require at least two or three appointments with you dentist. This process would involve impressions and having to return for a second visit for the insertion.
With the CEREC CAD/CAM, your veneers, (as recently demonstrated on Breakfast Television), crowns or onlays are made and bonded all in one visit with your dentist, allowing the patient to walk away with a beautiful smile in less than two hours and in just one visit.
The tooth is prepared and then scanned with an electronic camera, which allows patients to view the process in action, and no impression is required. The restoration is designed from a three dimensional scan, then precision milled from a porcelain block.
With this process, the tooth coloured porcelain restoration is accurately fitted in just one visit. There is no need for two or three unnecessary visits with your dentist.
If you would like to walk away with a beautiful smile in just one visit then CEREC CAD/CAM restoration may be for you.
Contact The Accolade Dental Centre for an appointment.
Dr. Jack Slome
Born in Cape Town, Jack Slome pursued a career in dentistry, graduating in 1984 in Johannesburg.
Jack moved to Canada in 1993 where he completed the board exams and where he purchased the office which became the Accolade Dental Centre in 1995. Dr. Slome has transformed hundreds of smiles, treated many celebrities, and has appeared on Breakfast Television, Canada AM, CityPulse News, CityOnline, and recently on Beauty by Design.