CITY DENTAL SERVICES
When it comes to seeing a dentist, an estimated seven in ten people experience anxiety. These anxieties can have severe consequences when they deter patients from receiving regular and thorough dental care. Unfortunately, neglecting routine dental care often results in more serious dental and overall health problems – as many as 30% of highly anxious patients end up delaying dental visits until they find themselves in an emergency situation. Such problems often require extensive, expensive treatments that are avoidable with regular dental care.
Understanding Sedation Dentistry
Sedation dentistry allows the patient to experience reduced levels of anxiety and fear during a dental procedure. With sedation dentistry, the patient will be in a deep state of relaxation and will make an hours-long procedure feel as though it took only minutes. The patient will be able to respond to verbal commands and can breathe on his or her own. Patients may have little to no memory of their experience, including the sounds and smells of the dental office. They will be relaxed, safe and comfortable.
Let Dr. Berzin Help You Overcome Dental Anxiety
In addition to helping patients with anxiety and fear, sedation dentistry offers an effective solution for patients with special needs, such as being unresponsive to local anesthetics, a sensitive gag reflex, or difficulty keeping their mouths open for extended periods of time. Sedation dentistry is also a welcome alternative to ease the treatment of patients with certain medical conditions, or physical or developmental disabilities.
If you fear the thought of visiting the dentist, Sedation Dentistry at City Dental Center can help.
To learn even more, download our free A Patient’s Guide to Sedation Dentistry.
A dental prosthesis used to replace one or more missing teeth, a bridge provides an effective and long-lasting restoration for your smile, enabling you to chew and speak properly, and maintaining the shape of your face.
Bridges are permanently cemented into the mouth, providing solid support to the facial tissues, such as cheeks and lips, and preventing adjacent teeth from shifting. A dental bridge also properly distributes the force in your bite, thus helping to preserve your teeth’s natural function and position. If you have missing teeth, consider dental bridges as a means of restoring your smile.
COMPOSITE RESIN/WHITE FILLINGS
Whether it’s being used to fill a new cavity or replace an old filling, composite resin or white filling is an excellent choice if you want a natural-looking smile untarnished by the greyish-black appearance of silver amalgam.
Made of a mixture of plastic and acrylic materials, composite restorations have a natural and aesthetically pleasing tooth-like appearance. They bond directly to the tooth structure, reducing the possibility of leakage – a common side effect of silver fillings – and restoring the tooth to its original function.
Depending on the size of the restoration, composite resin fillings may take only 10 to 15 minutes and require no anaesthetic. It may also be a more suitable alternative to people who are allergic to metal.
Sometimes referred to as a cap, a crown is a full-coverage restoration that is permanently cemented onto the surface of a damaged or fractured tooth, restoring it to its original contour and function and preserving the natural bite. Crowns can be used in treating a wide variety of dental problems. If you have a tooth that’s worn, cracked, broken or has a large area of decay, there’s a good chance a dental crown is the best option for you.
A crown can also be used to cover a dental implant, seal a tooth from decay, prevent fracturing in a tooth that has undergone root canal therapy, and support the replacement teeth in a dental bridge.
A crown is also recommended when there is very little tooth structure left to restore, which would make a traditional filling process ineffective. Crowns also have applications in cosmetic dental work, where they are typically used to cover discoloured teeth and even out irregularities.
At City Dental Center, crowns aren’t one-size-fits-all – we’ll customize your procedure to treat whatever your problems may be.
For those looking for a quick and cost-effective way to repair minor imperfections in teeth, bonding may be the best solution.
Using the same composite resin as white fillings, cosmetic bonding can enhance the appearance of broken, chipped, discoloured, uneven or wide-gapped teeth. Bonding material adheres more effectively to teeth than silver fillings. It also lowers the risk of teeth cracking, as it expands and contracts with the natural shape of your teeth.
Not all smile enhancements need the expense and inconvenience of orthodontics or complex dental restorations. For many patients, dental veneers are a faster and easier solution.
A veneer is a layer of material, usually porcelain, which is bonded to the facial surface of the tooth. The translucence, colour and texture of veneers closely resemble natural enamel, making them highly effective in improving the appearance of teeth. They are particularly suited to teeth that are discoloured, eroded, or have surface abrasions.
Unlike crowns, veneers do not require extensive removal of the tooth structure, making them highly suitable for cosmetic dentistry. Cosmetic applications of veneers include aligning irregular teeth – they’re often referred to as “instant braces” – closing gaps between teeth, lengthening or reshaping teeth, and repairing chipped, broken or worn teeth.
Patients can use veneers of a lighter shade than their current teeth to brighten smiles stained by tetracycline, fluorosis or large resin fillings.
While we encourage our patients to explore all tooth replacement options, dentures continue to be a popular alternative for people who are missing teeth. Fashioned with acrylic material, a denture is a removable appliance that simulates the appearance of teeth and gum tissues, and improves chewing.
With a denture filling in the space of a missing tooth, you won’t have to worry about other teeth shifting and drifting into the gap, which can cause damage to tissues in the mouth.
We may recommend a partial denture if you’re missing one or more teeth in an arch. Full dentures are recommended if you’re missing all of the teeth in one or both arches.
While many people are satisfied with traditional dentures, implant-supported dentures are a better and permanent way of replacing missing teeth. Learn more about implants here.
INLAYS & ONLAYS
Usually made from either gold or porcelain, inlays and onlays are natural-looking, less-invasive alternatives to silver fillings or to crowns in cases of moderate tooth damage.
Inlays and onlays are formed to fit and fill most types of cavities and are almost impossible to distinguish from the natural tooth. They are custom designed using a precise replica of your tooth, so only the damaged portion of your tooth needs to be removed.
Requiring only two appointments to complete, inlays and onlays are superior to fillings because they are stronger and more durable. They also offer greater protection against tooth sensitivity and decay as they are unlikely to shrink once placed inside the mouth.
It’s amazing how much you can improve your looks – and increase your confidence – by simply lightening your teeth by a few shades. With modern tooth whitening methods, brightening your smile is safer and easier than ever.
We offer two types of whitening procedures: laser whitening, which we perform in our clinic, and at-home bleaching.
Laser whitening involves the application of a hydrogen peroxide solution followed by exposure to high-intensity UV light (sometimes referred to as laser light) to accelerate the process.
At-home bleaching begins with a trip to our office to receive a consultation and make a mould of your teeth to create customized whitening trays. When your trays are ready, we’ll provide you with a whitening gel and specific instructions tailored to your desired results.
If you’re considering having any cosmetic dentistry completed, whitening your teeth is a great start to a brilliant finish.
In addition to brushing and flossing, you should also have your teeth regularly professionally cleaned. This helps prevent cavities, gingivitis and periodontitis and is part of a complete program of oral hygiene.
At City Dental Center, our dental hygienists are specially trained to remove tartar (mineralized plaque) that may develop even with careful brushing and flossing, especially in areas that are difficult for patients to reach on their own. Your hygienist will also recognize any potentially problematic areas that may require x-rays and a closer look by Dr. Berzin.
Professional cleaning can include tooth scaling, root planing and tooth polishing. If too much tartar has accumulated since your last visit, cleaning can also include debriment. This involves the use of various professional-grade instruments or devices to loosen and remove deposits from the teeth.
Our mouths are full of bacteria. These bacteria, along with mucus and other particles, form a sticky, colourless “plaque” on teeth. While brushing and flossing help get rid of plaque, what is not removed can harden and form “tartar” that brushing doesn’t clean. Only a professional cleaning by a dentist or dental hygienist can remove tartar.
The longer plaque and tartar remain on teeth, the more harmful they become. The bacteria cause inflammation of the gums, called gingivitis. In gingivitis, the gums become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by a dentist or dental hygienist. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.
When gingivitis is not treated, it can advance to periodontitis, an inflammation of tissue around the tooth. In periodontitis, gums pull away from the teeth and form spaces, called “pockets,” that become infected. The teeth may eventually become loose and have to be removed.
Currently, periodontal disease cannot be completely cured. However, City Dental Center takes a proactive approach in controlling it. This starts with a detailed examination during your routine check-ups.
The other facet of our treatment protocol includes separate periodontal therapy, where our Registered Dental Hygienists will use a combination of ultrasonic and handheld instruments to remove all hard and soft deposits from the teeth. This will decrease the pocket depths surrounding the teeth, enabling you to clean these areas at home. A maintenance program best suited for your condition, including at-home and in-clinic treatments, will also be prescribed. Our overall goal is to eliminate the progression of periodontitis to ensure positive health, comfort, function and aesthetics.