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Archive for 2021

5 Tips to Prevent Gum Disease If You Have Diabetes

Gum disease, also known as gingivitis, has been called the fifth complication of diabetes behind heart, nerve, kidney and eye disease. Gingivitis is simply the inflammation of the gums around your teeth caused by plaque buildup.

So, why are you more at risk for developing gingivitis if you have diabetes? Diabetes educator Sue Cotey, RN, sheds some light on this question.

Gum disease begins with bacteria build up on and around your teeth that extend into the gums. Cotey says there is no difference between the bacteria in the mouth of someone with diabetes compared with someone without diabetes. “The reason gum disease is worse if you have diabetes is because you have a greater inflammatory response to this bacteria,” she explains.

Why gum disease makes it more difficult to control blood sugars

If you develop gum disease and it’s left untreated, it can lead to something called periodontitis, or an erosion of your jaw bone. This, in turn, can lead to loose teeth and damage to the gums. People with uncontrolled diabetes tend to get periodontitis more often than the average person or those who keep their diabetes under control.

Some signs that you have gum disease include:

  • Red, swollen and/or bleeding gums.
  • Loose or sensitive teeth.
  • Persistently bad breath.

If you have diabetes and have moderately advanced periodontal disease, it can be more difficult for you to control your blood sugars. “You may need deep cleaning, antibiotics or even oral surgery depending on how advanced the gum disease is,” Cotey says.

In her 25 years of being a diabetes educator, Cotey says she has seen firsthand the relationship between gum health and diabetes management. “I’ve witnessed on multiple occasions that when people with diabetes see the dentist and address any current issues related to gum disease or inflammation, their blood glucose levels respond almost immediately,” says Cotey.

5 tips to avoid gum disease

Follow these tips to steer clear of gum disease:

  1. Avoid acidic drinks like soda, energy drinks and water with lemon. These can erode the enamel of your teeth, which can lead to decay.
  2. Floss daily between each tooth, sliding up and down and back and forth gently to avoid bleeding.
  3. Brush your teeth and gum line for two full minutes, two times each day. Use a soft bristle brush using gentle strokes and make sure you reach all of your teeth. The goal is to get rid of plaque buildup. To do this, vibrate your brush across the tooth surface, the gum line and your gums.
  4. Remember to gently brush your tongue for a few seconds, too, to get rid of bacteria.
  5. See your dentist at least once a year and report any of the signs mentioned above immediately.

Other oral concerns if you have diabetes

People with diabetes are also more likely to have a dry mouth due to elevated blood glucose or medications. To avoid dry mouth, Cotey recommends chewing sugar-free gum, using a mouth gel or eating some sugar-free candy to stimulate saliva production. “If these don’t help, talk to your dentist for recommendations,” she says.

And if you’re into having a super white smile, you’re in luck! Cotey says many over-the-counter teeth whiteners are mild enough to be used by people with diabetes too.​


Article originally appeared at: https://health.clevelandclinic.org/

Author: Health Essentials from Cleveland Clinic

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Invisalign - Dr. Haji

Braces or Invisalign?

Invisalign Is the Clear Alternative

Are you considering having your teeth straightened? Maybe you’re wondering about your options and are stuck because you know you don’t want traditional braces.

Have you heard about Invisalign? In many cases, Invisalign is superior to traditional metal braces. With the availability of Invisalign, you have a better alternative, and there really is no good reason to go with braces over Invisalign.

Here are a few things you should know before you make your decision?

Is Invisalign Less Noticeable than Braces?

There’s no doubt that people will notice that you are wearing metal braces. You just can’t hide those conspicuous brackets and wires. Fortunately, Invisalign is nearly undetectable, and most people won’t even know that you are wearing the clear, plastic aligners.

How Easy is Invisalign to Wear?

With braces, each metal bracket has to be bonded directly to your teeth. This is an uncomfortable process that can take several hours. Invisalign aligners are easy to slip on an off. Once your custom fit aligners are created in the lab, you can put them on in just a few seconds and start straightening your teeth right away.

Are They Comfortable?

The metal on traditional braces can irritate the soft tissue inside your mouth, and the wires can sometimes poke. Often you will need to use dental wax to prevent irritation. Invisalign clear aligners eliminate the need for metal, wires, and wax!

The treatment process with Invisalign is more comfortable too. In order to achieve results, traditional braces need to be tightened every four to six weeks, which is not a pleasant feeling. After each tightening your teeth will feel sensitive and may even ache for a few days. With Invisalign, you get a new aligner every six weeks. It is custom fit for you to be as comfortable and pain-free as possible.

What about Eating with Invisalign?

When you’re wearing braces it can be hard to eat crunchy or chewy food, and food becomes stuck in the braces. Your Invisalign aligners can be easily removed for eating and drinking, and they are easy to put back in as soon as you’re finished.

How Complicated is Oral Hygiene?

It is not easy to floss with braces, so plaque can build up around the brackets, putting you at risk for tooth decay and gum disease. Since Invisalign aligners are removable, you can easily brush and floss like normal, with no additional risk for decay or disease.

Does it Take Years for Invisalign to Work?

Most patients have braces for 18 months, and some up to six years. Not only is it time consuming, but treatment that takes that long can end up being very expensive. We can usually complete Invisalign treatment in about one year – sometimes more time and sometimes less depending on the individual.

What Happens When Treatment is Finished?

With traditional braces, the brackets have to be removed (usually with pliers – ouch!) and then the glue/cement has to be filed off. Again, not a very pleasant experience, and also very time consuming. With Invisalign, once your teeth are properly straightened, the aligners can be removed immediately.


Article originally appeared at: https://www.drmatthewswilmington.com/ 

Author: Dr. Brian Matthews


Do not hesitate to contact our office for any questions about Invisalign. Helping you smile is what we love to do! ⁣

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Dr. Janine Koutsaris

Meet Your Dentist: Dr. Janine Koutsaris

To Our Soho Family,

What a crazy year and a half it has been for all of us during this pandemic! Although we continue to work hard to meet all oral health needs of patients throughout this time, we haven’t been able to meet all of you face-to-face. Even patients who have come by the clinic are greeted by team members covered in masks and extra PPE! Therefore, we want to formally introduce our Associate Dentist, Dr. Janine Koutsaris; who many may be meeting for the first time as you return to the clinic.


Dr. Koutsaris joined our Soho Dental team in September 2019. Her fascination with dentistry began in 2011 while shadowing in a dental clinic during her undergraduate studies in Kinesiology. As a result, Dr. Koutsaris pursued the career by enrolling at University College Cork in Ireland as a dental student. During this time, she gained clinical experience treating patients in a hospital setting.


As a former competitive gymnast, Dr. Koutsaris has always been passionate about combining dexterity and meticulousness to create something beautiful. Furthermore, dentistry is a career that combines her knowledge of the human body, her passion for art and creation, and all things teeth to help bring a beautiful and pain-free smile to all her patients.


Transparency and dental education are two key values of Dr. Koutsaris’ treatment process. All of her patients can expect a collaborative exploration of their oral health. This means reviewing clinical results together and formulating a treatment plan that best fits the needs of the patient. In other words, Dr. Koutsaris hopes to foster an environment where patients embrace dentist visits and feel comfortable asking questions about their oral health.


Dr. Koutsaris has been a remarkable addition to our Soho team. She believes the best part of her work is interacting with our Soho team and the patients around her. The trust and kindness that our patients show daily are what make her job fun and enjoyable. 


“As a healthcare worker during the COVID pandemic, I strive every day to do my part in keeping my community safe. This has meant implementing many changes in the clinic (i.e. so much PPE that most of our patients have never seen my face!), but also to our everyday lives, where isolation at home has been a real challenge,” states Dr. Koutsaris. “Keeping the mind and body healthy has been so crucial in preventing burnout during the pandemic, and for me, that means exercising and outdoor walks as much as possible.”


When Dr. Koutsaris is away from the office she enjoys spending time outdoors with her little chihuahua, Koodo. You may often find her on a park bench, reading a good book and enjoying the good weather.


Dr. Koutsaris is always eager to accept new patients and hopes to see you at your next appointment. She is available from Monday to Thursday and one Saturday a month.

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Bonding and Porcelain Veneers

Our patient’s orthodontist was really thinking about the final outcome. Instead of closing all the spaces at the end of treatment, he allowed equal spaces to remain in front of and behind the lateral incisor teeth.

This allowed the smaller lateral incisors to be restored in correct proportion to the central incisors resulting in a well balanced smile.

The worn edges of the central incisors were restored with composite resin (bonding). The lateral incisors were restored conservatively with porcelain veneers.

It is always so rewarding to finish a case when the journey has been long. In this case it was the orthodontics that took the longest amount of time. However, the effort is well worth the reward of seeing our patient smile.

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April 9th, 2021 – Update From the Soho Dental Team

Our Dear Soho Dental Family,

As we continue to face the challenges of the pandemic, we wanted to wish and your loved ones the best of health and resilience during this difficult time. As a reminder, dentistry has been recognized as an essential service and we continue to see our patients for their dental needs, as we did during the last lock down declared by the provincial government.

Your health and safety remain our priority as we continue to stay vigilant and follow the strict safety protocols that have been recommended by Public Health of Ontario and the Royal College of Dental Surgeons of Ontario. These measures have kept our patients and staff safe since we returned to work last June.

Please do not hesitate to ask if you have any questions or concerns regarding your dental care during this time.


Dr.Haji and your Soho Dental Team

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Anotomical Class 2 Restoration

Anatomical Class 2 Restoration – Voco Grandioso Composite Resin, Clearfil SE Protect Bonding Agent – Being performed by Dr. Feisel Haji at Soho Dental in Toronto, Canada.
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Bonding & Veneers

Bonding and Temporary Veneers

The journey has begun for our patient who wanted to close the spaces between the upper lateral incisor teeth.

The  worn edges on the central incisors are restored with bonding. The lateral incisors will be restored with porcelain veneers. The second photograph shows the provisionals immediately after the appointment.

The provisionals are a fabricated from acrylic and the colour match will not be perfect but they guide us in determining the colour and contour of the final porcelain veneers.

The gums are slightly irritated from the polishing. This is not uncomfortable for the patient and they will heal in time for the insert of final porcelain veneers.

The provisional phase with temporary veneers is critical to determine if we have contours that will be in harmony with the bite and speech. At this point we can make changes and then mimic those changes in our final veneers.

Aesthetics and function must always work hand in hand! 🤝

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What is Invisalign?⁣

Invisalign is an orthodontic treatment using clear removable plastic aligners that can gradually move the teeth into proper alignment. ⁣
Treatment time varies depending upon the severity of the problem but generally,  it can vary between 6-18 months. ⁣
Invisalign has evolved over the years to become an effective treatment for many orthodontic problems. The use of little tooth coloured buttons or “attachements” are an integral part of the system to help move the teeth. ⁣
The aligners can be removed for eating and for oral hygiene. This presents a significant advantage over traditional braces. ⁣
The entire course of the treatment is supervised to ensure that the teeth are moving correctly and as planned. Generally, we see patients every six weeks to verify the tooth movements and to deliver new aligners. ⁣
The planning is the most important part of the treatment!  After impressions of your teeth are taken and scanned, we treatment plan your case to ensure that we achieve our goal of straightening the teeth with great consideration to the bite (the manner in which the teeth come together), gum recession, final aesthetic outcome and many other important factors that ensure the health of the teeth over the long term. ⁣
Our intention is always to achieve the best possible outcome for our patients. Many patients are referred to our orthodontist, when we determine that the orthodontic problem requires the expertise of a specialist. ⁣
Do not hesitate to contact our office for any questions about Invisalign. Helping you smile is what we love to do! ⁣
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Consider Your Dental Professionals During COVID-19…

In the ‘before times,’ as people are now calling the period before COVID-19, dentists were already managing a highly demanding profession with significant mental health stressors. In fact, dentists have one of the highest rates of depression and suicide amongst health workers. The rate of suicide among dentists in the United States is twice that of the general population and three times higher than other healthcare professions.

Now, with COVID-19, dentists are largely forgotten in the panoply of health providers working during the pandemic. They’ve been forgotten as both business owners with a high overhead to maintain their practices and safeguard their staff, and as front-line workers, who do essential and potentially life-endangering work requiring personal protective equipment (PPE).

This has meant the stress of dentists is at an all time high.

If our dentists are stressed, it’s likely not good for our oral health. Research shows that patient care is directly related to practitioner health. So, what makes dentistry so stressful?

Research demonstrates that dentists can internalize their patients’ fears and anxieties related to dental care. They also commonly work in small teams and can feel isolated. With the scarcity of networks of colleagues and mentors who have a buffering effect through the support they provide in other professions, dentists might perceive themselves as working in a vacuum, which can be detrimental for their mental health.

Dentists are also usually self-employed business owners with responsibilities related to staffing and financial management. This can impede work-life balance and make taking time off to practice self-care or manage potential mental health challenges, particularly extended leaves of absence, difficult.

The COVID-19 pandemic and related closures have added to this complexity.

Like many other business owners, dentists were faced with additional pressures resulting from prolonged office closures and reduced patient flow, which led to staff layoffs and significant revenue losses. Dental offices that remained open during the pandemic restricted their treatment to emergency and urgent cases only and had to develop protocols for the increased burden of disinfection and sterilization practices.

Although they haven’t been considered frontline workers, many dentists also had to manage dental emergencies that, if left untreated, had the potential to develop into serious, life-threatening conditions. Working during a pandemic means worrying about contracting COVID yourself — and possibly bringing it home to your family.

Dentists from all across Canada expressed the need for direction and strong leadership from their regulatory bodies and associations to weather the storm and be able to practice dentistry in a manner that protects their patients, staff and themselves. At the beginning of the crisis, there was a call for enhanced PPE, which was hard to come by. PPE is also hard to work in and may add some discomfort imposed by the extra equipment.

Although months have passed since the “acute” phase of the pandemic has started, dentists are still concerned about securing adequate PPE, with some charging additional fees to cover their PPE expenditures.

There are initiatives that can help combat dentists’ stress.

Expanded peer mentorship and support programs in dental schools and the dental community would be a critical first step. These programs should be undertaken by dental educators and dental associations and employ proactive approaches that support mental health and wellbeing.

Organized peer support programs could build on existing, small-scale initiatives, such as the British Columbia Dental Association’s (BCDA) Dentist Wellness Program (DWP), where clinical counseling services are offered to dentists and their family members.

Governments should also help to facilitate the acquisition of adequate PPE supplies to dentists, as they have to physicians and nurses, now that dental care has resumed, and dentists are back to practicing.

It’s important that we safeguard our dentists’ mental health and well being as they work on the front lines to keep Canadians healthy. Let’s make sure they are no longer the forgotten health profession.

Authors: Tala Maragha and Mario Brondani

Article originally appeared at: https://quoimedia.com/

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Happy 2021 To Our Soho Dental Family!

Our Dear Soho Dental Family,

We wanted to wish you all a happy, healthy and prosperous New Year!
It is our hope that 2021 will be a better year for us all.

As you know the government of Ontario announced a Province-wide shutdown starting on December 26th, 2020. We want to assure you that dentistry continues to be an essential service.

We will remain open for all of your dental needs.

We continue to observe strict safety protocols to ensure your next visit is safe and comfortable. See below for details on our safety protocols.

Kind Regards,

Soho Dental Team

See Below for all that we are doing to keep you safe

  • Enhanced Patient protection measures: All of our staff have upgraded their protective gear, this includes appropriate personal protective equipment (PPE). In between patients, we meticulously clean and disinfect rooms, as well as sterilize all instruments as we have always done.
  • Tech-enabled screening: We digitally pre-screen patients in advance for COVID-19 symptoms and risk factors to ensure our clinic stays COVID-free. We also screen our staff every day.
  • Air Filtration: We have invested in high-efficiency air filtration systems that continuously clean the air.
  • Cashless Payment: In hopes to reduce infectious spread we will no longer take cash or cheque as payment. Should you have any concerns please give us a call and we can make arrangements on a case by case basis.
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