Frequently Asked Questions
Q: What is your mission statement?
Mission Statement:With our commitment to Exceptional Service, the latest technology and Continuing education.We are here to make our Patients Look Good, Feel Good and have Great Smiles!
Q: What are your office policies?
Cancellations: As a courtesy to other patients, please be advised that we do require 2 business days for any changes to your appointment or charges may be incurred.
Financial: Patients are fully responsible for total payment of all procedures performed in the office. All services are due to be paid in full within 60 days of the date of service. 2% per month interest will be charged to your account over 60 days.
Q: Why do teeth stain?
There are 2 types of tooth staining – intrinsic and extrinsic. Extrinsic staining is stain that sticks to the outside of the tooth and can be removed by having your teeth polished. Intrinsic stain is the discolouration of your tooth internally. This type of staining happens slowly over time and cannot be removed by polishing your teeth.
Things that cause your teeth to stain both intrinsically and extrinsically are the same i.e.. things like coffee, tea, cigarettes, red wine, red black or blue berries and spices or sauces like soy sauce.
If you are complaining that your teeth are getting more yellow as you get older, in spite of cleaning them. This is intrinsic staining. You can lighten your teeth by using one of the tooth whitening systems that are available, or getting your teeth professionally whitened.
Q: How Does Teeth Whitening Work?
Lightening the colour of teeth relies on a single chemical process-oxidation.
Oxidation by definition is the reaction of an element with oxygen, during which the atoms or molecules of the element lose electrons. The chemical most commonly used for oxidation procedures in dentistry is hydrogen peroxide. When a custom fitted tray filled with a dense whitening gel is applied to the teeth, hydrogen peroxide penetrates through micro-cracks in the enamel and dentin until it encounters coloured molecules (typically from food, liquids or tobacco).
Peroxide then reacts chemically with these molecules and oxidizes the colour. These changes the optical properties of the enamel, permitting more light to be reflected. As a result teeth look whiter
There are a number of tooth whitening systems that are available over the counter, not all are the same . You should speak to your dentist about what is best for you, having it done through your dental office will ensure that a good product is used and you will be monitored properly for concerns, such as sensitivity, which may arise. Your dentist will suggest whitening either in-office or at home depending what works better for you, with in-office whitening taking 1 to 2 hours while at home whitening is done at your convenience daily or twice daily over a period of a couple of weeks.
Remember, that whitening lightens your teeth and refreshes your smile, bit will not necessarily give you a perfectly white (toilet bowl) smile. Everyone ends up with a different result depending on the type of teeth they have, and you would probably want to refresh the process every 6 – 12 months.
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 me?
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.
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?
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!
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?
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.
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?
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 discoloration 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.
Q: How Does Fluoride work?
The mainstay in caries prevention and remineraliztion is frequent exposure to low levels of fluoride.
Chemically, fluoride is a catalyst-driving reaction rates between calcium, phosphate and hydroroxyapatite to yield fluorapatite. The result a mineral that needs a much greater drop in pH before it starts to dissolve-meaning it is harder and more resistant to caries.
Q: Why does the dentist need to know about your hospitalizations, medications, allergies, and other personal medical problems? After all, having a dental cleaning or a filling is not a big deal, right?
The answer may not be as simple as you think. Most dental treatment is quite uneventful. However, sometimes your health condition can influence the way your dental treatment needs to be provided, and require your dentist to make certain changes to help avoid potential problems.
What might seem like a small thing could be really important. your dents wants to provide the best possible treatment for you, as safely as possible. Many health conditions, ranging from heart problems to allergies, even certain medicines can affect the way your dentist needs to approach your dental care.
Here are a few examples:
• If dental procedures are planned that might involve bleeding, your dentist needs to know that your blood will clot normally. Blood clotting can be affected by many conditions, such as liver disease. Medications, including aspirin and even some herbal preparations, can also interfere with normal blood clotting.
• Your dentist relies on a healthy immune system to help fight infections. Some conditions like diabetes, and some medications like steroids, reduces the effectiveness of your immune system.
It is very important for your dentist to understand as much as possible about your past and currant health conditions.
It also means that it is important for your dentist to take an initial complete medical history, and to keep up to date by checking with you on a regular basis.
All this information on your medical history questionnaire is strictly private and confidential.
It is protected by doctor-patient confidentiality. it will not be shared with anyone outside your dental office without your permission.
Sometimes your dentist may wish to speak with your family doctor or specialist to get more details about your medical situation. If your dentist needs to consult with your doctor or another health care provider, this will be discussed first with you.
As you can see, your medical health and your dental health are closely linked. you and your dentist are partners, working together to provide you with the best possible dental care.
That is why it is so important to carefully and thoroughly answer all the questions on the medical history form. Each question is there for a reason. If you do not understand any questions, or not sure about an answer to a question, just ask your dentist.