2016 - Downtown Toronto Dentist | Toronto Dentistry | Soho Dental 2016 - Downtown Toronto Dentist | Toronto Dentistry | Soho Dental

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Archive for 2016

Soho Team Maintains Their CPR Training With a Refresher Course

Thank you to Sobenna from Toronto CPR Inc. for reviewing and refreshing our CPR skills!

The entire staff participated and we are very pleased to have had this very important skill taught to us once again.

One of the most important things that we learned is how to prevent choking:

Always remember to chew food well before swallowing and do not talk, laugh, walk or do other kinds of physical activity with food in your mouth.

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Dr. Haji – Lifelong Learning

Dr Haji is very committed to continuing dental education in order to be ensure that he is providing the best possible dental care to his patients. The profession of dentistry demands being life-long student. With dental materials and techniques rapidly changing and new technologies being introduced all the time, Dr Haji is devoted to learning, with the intention of being able to deliver the best that dentistry has to offer.

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Bonding is the application of a tooth colored filling material (composite resin) to repair chipped, fractured or decayed teeth.  Bonding, when used on the front teeth, can be a non- invasive treatment modality to solve many simple esthetic issues.  Worn teeth can be made longer,  spaces between the teeth can be closed, fractured teeth can be repaired, slightly misaligned teeth can be made to look more pleasing, in addition to many other applications.

Often, bonding does not involve local anesthetic.  The preparation is very conservative and only involves lightly abrading the tooth surface involved in order to get the bonding to adhere.  The tooth colored filling material is then applied and “bonded” to the tooth.

Once it has adhered to the tooth, it is shaped and polished to match the surrounding tooth structure. The procedure usually takes only one appointment. The material does have a life span of about 5-10 years and it can discolor or chip overtime. Replacing the filling material is simple, especially since the tooth preparation is minimal.  Please do not hesitate to ask us more about bonding and to see if you may be a candidate for this simple procedure to improve your smile.

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Dental Fillings 101: Answers To Your Top Questions About Getting Cavities Filled

Cavity treatment is one of the most common forms of dental work.

I should know, because I studied up like a medical student when I was told I had to get dental fillings to eliminate some cavities on a few of my back molars.

I was disappointed that I’d need to get the treatment done at all. I had gone my whole life with just 1 filling — and now I needed 3. Then again, I hadn’t been to the dentist in years (exactly what you shouldn’t do if you don’t want cavities!) so I really can’t complain that I needed only 3 fillings.


How bad was my experience? What’s it like to get a cavity filled? What’s the process of cavity treatment like? How long do the fillings last? And what do they cost?

My dental sleuthing has turned up the answers to those questions and more when I was preparing to get my dental fillings.

As I learned from my research — and some firsthand experience — getting dental fillings really isn’t that bad at all!

Does It Hurt To Get A Filling?

Getting a filling doesn’t usually hurt unless the cavity is right near the gum line.

My cavities were on top of the molars and were not at all painful to have filled since they didn’t penetrate very deep into the tooth enamel. But from what I understand, very deep fillings — regardless of where they are located — may hurt a bit if they are very close to the nerves inside the pulp chamber of your tooth.

Under usual circumstances, when you get anesthetized by a needle, you normally won’t feel any pain while you’re getting your cavity filled. You may, however, feel slight pressure as the dentists drills away the decay. If you’re nervous about getting a shot from a needle, the dentist may be able to numb the injection site with a numbing cream before the anesthesia injection.

How Long Does It Take To Get Dental Fillings?

The biggest factors here are the size and location of the fillings necessary.

My fillings were relatively simple, and each was drilled and filled in about 15 minutes.

Really, the longest part of getting a cavity filled is waiting for the anesthesia to kick in. That can take 5 minutes or more, depending on the individual.

Deeper cavities — especially those near the base of the tooth, in between teeth, or those that reach into the nerve area — may take much longer to treat.

Really deep or especially large cavities may require a root canal and might need to be capped off with a dental crown.


How Much Do Dental Fillings Cost?

The cost of getting a cavity filled largely depends on the size and location of the filling (your dentist will refer to it as the number of surfaces involved) and whether or not you need a more involved treatment plan — such as a root canal and subsequent crown.

Even the type of dental filling you get (porcelain, silver amalgam, gold, etc.) will determine the price you’ll pay.

The good news is that dental fillings are commonly covered on most dental insurance plans, so your out-of-pocket expenses may be only half (or less) of the total cost.

Even better news: fillings are one of the lower-cost types of dental services, behind routine teeth exams and cleanings. So, if you only need a simple tooth filling, you most likely won’t be paying a fortune to get it — especially if the work is covered by your insurance.


How Long Do Fillings Usually Last?

This answer is based on the type of filling you get.

Many dental fillings last 7 to 10 years or more, and the highest-quality fillings — especially those that are well taken care of — may actually last a lifetime.

Here’s a look at the most common types of dental fillings and the average amount of time they can be expected to last:

  • Amalgam fillings: 12 years
  • Gold foil fillings: 10 to 15 years
  • Composite resin fillings: 7 to 10 years
  • Cast gold fillings: 7 years or more
  • Porcelain/Ceramic fillings: 5 to 7 years

No matter what type of filling you get, if you follow up with your dentist twice a year, brush twice a day, floss once a day, and take good care of your teeth, you should be able to avoid getting cavities down the road. And that’s something to smile about, right?

content courtesy: beauty.thefuntimesguide.com

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You Might Be More Prone to Cavities

You Might Be More Prone to CavitiesYou brush and floss daily and don’t snack on sugary treats, yet you’ve had your fair share of cavities. Your friend, on the other hand, is lax with the dental hygiene and lives on energy drinks and junk food, yet rarely has a cavity. What gives?

Cavities, which result from a disease process called dental caries, are areas of decay caused by certain oral bacteria. As the decay progresses, the bacteria can eventually invade the living portion of the tooth (dentin and pulp) and is considered a bacterial infection. At that point professional dental treatment is required to remove the infection, stop the disease process and seal the tooth.

This disease process requires certain combinations of conditions in order to progress. So it’s likely that you have more of those conditions, or risk factors, than your friend does. Don’t beat yourself up; while there are lots of things you can do to minimize risks, there are also factors that aren’t so easily controlled.

Tooth Decay Risk Factors

Let’s take a look at those risk factors:

  • Oral Bacteria — Cavities start with bacteria that build up on tooth surfaces in a sticky film called plaque where they feed on sugars and carbohydrates from the foods/beverages we consume, creating acids in the process. Acids dissolve the mineral bonds in the protective layer of tooth enamel, which makes it easier for bacteria to penetrate what is otherwise the hardest substance in the human body and infect the tooth. Your unique oral “microbiome” make-up could have more or less of the microbe species implicated in dental caries, and some strains of the same bugs are more aggressive than others.
  • Dental hygiene — Brushing and flossing correctly and regularly helps dislodge bacterial plaque and trapped food particles. Regular checkups and professional cleanings are also important to remove plaque that has hardened into “tartar.”
  • Diet — Minimizing your intake of sugary foods and carbohydrates reduces the availability of fuel for cavity-causing bacteria. Meanwhile, acidic foods and beverages can erode enamel, and the more frequently they are consumed, the less opportunity saliva has to restore the mouth to its normal pH.
  • Dry mouth — Saliva contains minerals that help neutralize acids and rebuild tooth enamel. Without a healthy flow, your ability to prevent decay is compromised. Certain medications, chemotherapy and some diseases can cause dry mouth. Drinking lots of water and using enamel-fortifying mouth rinses can help counter the effects.
  • Tooth shape — Tooth decay is most likely to develop in back teeth — molars and bicuspids (premolars) — where the tiny fissures on their biting surface tend to trap food and bacteria. Genetics determines how deep your fissures are.
  • Gum recession — Receding gums expose the tooth root, which isn’t protected by enamel and therefore more susceptible to decay.
  • Other factors — Gastro-esophageal reflux disease (GERD) and vomiting can create highly acidic conditions in the mouth. Retainers, orthodontic appliances and bite or night guards tend to restrict saliva flow over teeth, promoting plaque formation; fixed appliances like braces can make it more difficult to brush and floss effectively.

To learn more about your level of risk and how you can stack the odds more in your favor, talk with your dentist.

Content courtesy deardoctor.com


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The Symptoms of Gum Disease

Red Flags That Signal The Symptoms Of Gum Disease

One of the main causes of gum disease is a build-up of bacteria. Bacteria build up on the teeth and gums each day. If they aren’t removed by a regular oral care routine of toothbrushing and flossing, they can cause the gum inflammation known as “gingivitis” which if left untreated, can progress to the more serious periodontal disease known as “periodontitis.” (1)

Don’t Ignore Early Symptoms Of Gum Disease

If you notice any of these symptoms of gum disease, see your dentist as soon as possible:

  • Gums that bleed easily when you brush or floss.
  • Red, tender, or swollen gums (healthy gums should be pink and firm). (2)

If you have symptoms of gum disease, your dentist will examine your teeth and gums to confirm the diagnosis. If symptoms of gum disease are caught early, the treatment may be as simple as a thorough dental cleaning and a revision of your at-home oral care routine.

Recognize Symptoms Of Advanced Gum Disease

If you notice these symptoms of gum disease, your infection may have progressed to periodontitis.

  • Pain: Pain in the teeth or gums.
  • Loose Teeth: Gums that pull away from the teeth, creating pockets where additional bacteria can build up.
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Understanding and Eliminating Bad Breath

Want Some Life Saving Advice?

Ask Your Dental Hygienist About Understanding and Eliminating Bad Breath

Do you ever worry that you’re the only one in the room with bad breath? Well, guess again. Nearly 40,000,000 Americans commonly suffer from bad breath, also known as oral malodor or halitosis. Yet, it is a curable condition that is generally caused by strong foods such as onions or garlic; poor oral health habits; or medical problems such as stomach disorders, an excessive postnasal drip, or bacteria in the mouth. Once you discover the source of the problem, there are a number of ways to keep your mouth free of unpleasant odors.

Oral malodor can be divided into two distinctive categories—transitory and chronic. Transitory refers to food-related malodor that can last as long as 72 hours. Virtually everyone suffers from this condition at one time or another. The second category, chronic, is generally related to oral or general medical problems.

There are three basic sources of bad breath. The first is simple: an unclean mouth. Routine cleaning of teeth and gums will help prevent the build up of plaque—a soft, sticky, almost invisible film made up of harmful bacteria—and in turn help prevent bad breath. Carefully brushing at least two-to-three times a day, flossing daily, and rinsing your mouth vigorously to remove any loose foods is essential. However, research has found that simply keeping teeth clean is not enough to eliminate oral malodor.

Tongue deplaquing with tongue scrapers— tools exclusively designed for use on the tongue—is as essential for fresh breath as regular brushing. Tongue scrapers provide even pressure that forces bacteria, food debris, and dead cells from the pits and crevices in the tongue that a toothbrush cannot remove.

Second, medical problems can keep breath from smelling fresh. Research studies have found that bad breath has been linked to conditions such as diabetes, stomach disorders, or sinus infections with excessive postnasal drip. Common drugs and medications also can affect breath odor.

Third, lifestyle habits play a major role in the prevention of halitosis. For example, smoking and chewing tobacco can affect breath odor.

Just as important to oral health and fresh breath as consistent home care and healthy lifestyle habits is oral health care delivered by a qualified oral health care professional.

Regular oral health care appointments, which include a complete prophylaxis—teeth cleaning above and below the gum line—are essential to maintaining good oral health and fresh breath, so visit your dental hygienist every six months, or as often as she or he recommends.

In addition to helping patients understand the connection between oral health care and overall health, dental hygienists educate patients about proper oral hygiene and treat periodontal disease to prevent the condition from advancing and complicating other diseases.

For more information about proper oral health care, as well as brushingand-flossing instructions, please talk to your registered dental hygienist.

Caught Without a Toothbrush?


If you’re worried about your breath when your toothbrush isn’t available, don’t rely on sugar-coated candies or alcoholladen mouth rinse that can cause more harm than good. Use products that are sugarless and alcohol-free and contain antibacterial agents noted for their effectiveness at controlling oral malodor. Substances such as chlorine dioxide, zinc chloride and essential oils like eucalyptol, menthol, methyl salicylate, and thymol have shown to fight oral malodor. Other tips for keeping breath fresh include:

  • Rinsing your mouth with water after eating if you aren’t able to brush
  • Chewing a piece of sugarless gum to stimulate saliva flow—nature’s own cleanser
  • Snacking on celery, carrots, or apples; they tend to clear away loose food and debris during the chewing process
  • Eating a balanced diet.A vitamin deficiency may contribute to gum disease and bad breath
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Internal Tooth Whitening

Internal tooth whitening is a procedure used to whiten the shade of one discoloured tooth that has darkened as a result of root canal treatment. When a root canal treatment is performed, the root canal itself requires removal of the pulp tissue from the canals inside the roots. As a result, the dentin which comprises most of the tooth is no longer living and often tends to darken over time. This is due to blood pigments left from the pulp removal or sometimes the root canal filling materials.

Bleaching a root canal treated tooth involves placement of a bleaching agent into the empty pulp chamber of the non-vital, discolored tooth.

whiten1 Photograph 1: The above photograph shows a tooth before internal bleaching. Notice the darkened tooth color.


Photograph 2: The tooth is returned to its normal color after internal bleaching.
Bonding was also done to repair the worn edge.

Clinical stages for internal bleaching.

  1.  Radiographic examination — A radiograph (x-ray) is needed to make sure that the root canal filling is intact and adequately seals the root canal as well as assuring that the surrounding bone is in a healthy state.
  2.  Preparation of an “access” cavity — a small cavity (hole) is made in the back of the tooth where the original root canal entered the pulp. The pulp space should be completely cleaned of debris and stain. The canal above the root canal filling is then cleaned and irrigated.
  3.  “Cervical” seal (seal above the root canal filling) — The top end of the root canal filling is then sealed in with a special cement to prevent the bleaching agent from leaking into the root canal filling. This creates a double seal of the root canal space.
  4.  Application of the bleaching agent — The peroxide bleaching agent is applied to the empty pulp chamber, covered with a cotton pellet and sealed in with an adhesive temporary restoration. A sound seal is required around the access cavity to prevent leakage of the bleaching agent into the mouth. This procedure is repeated every three to four days until successful bleaching becomes apparent. This normally occurs after one to four visits.
  5. Permanent restoration — Once the desired color change has been achieved, a more permanent restoration (filling) which seals the dentin, is required for a successful bleaching therapy. The access cavity is restored with a composite resin (tooth colored filling material) which bonds to the tooth enamel and dentin.

Internal bleaching is a more conservative option compared to restoration with veneers or crowns, but is sometimes used to lighten teeth before the application of these techniques to prevent the discoloration of the natural tooth from showing through. In addition, porcelain veneers or crowns may be required not only to achieve improved color, but also to strengthen a root canal treated tooth.

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