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Dental fillings are used to restore a tooth that has a cavity or is broken. In the past, mercury or amalgam fillings were used to restore a tooth. With advances in dentistry, a composite resin material is now used. This material is strong, durable and coloured to look like your natural tooth. Composite resin fillings last about six to twelve years or more, and the procedure usually takes just one visit. There is very little sensitivity to hot or cold items often experienced with amalgam fillings and the dentist won't need to drill as much of the tooth structure as with amalgam fillings. Composite resins may also be used to enhance the appearance of any tooth, which is a tooth bonding procedure. The composite resin will strengthen and enhance the natural tooth structure as it does with use as a dental filling.  
 

 

FILLING BEFORE

FILLING AFTER

 

FRONT FILLING BEFORE

FRONT FILLING AFTER

 

A dental bridge is a false tooth, known as a pontic, which is fused between two crowns to fill in the area left by a missing tooth. It is important to replace missing teeth, not just to improve the appearance of your smile, but also because missing teeth can cause the other teeth in your mouth to shift over time. This can affect your bite (the way your teeth fit together), which can cause other problems such as headaches or pain in the jaw. Bridges can reduce your risk of gum disease, help correct some bite issues and even improve your speech. Bridges require your commitment to serious oral hygiene, but will last as long as ten years or more. Bridges are natural in appearance, and usually require only two visits to your dentist. If you maintain good oral hygiene, your fixed bridge should last as many as ten years or more.

 

A crown, or cap as it is sometimes known, is a porcelain, porcelain fused to metal or gold, covering that protects heavily filled teeth. With teeth that have a large break and are unable to be fixed with a filling, due to the size of the break or existing filling, a crown is required.

Without a crown on a heavily filled tooth or a tooth that has had root canal treatment, you run the risk of the tooth breaking and requiring an extraction. It is then important to replace missing teeth not just to improve the appearance of your smile but also because missing teeth can cause the other teeth in your mouth to shift. This can affect your bite (the way your teeth fit together), which can cause problems such as headaches or pain in the jaw. Replacing a tooth is also more costly than placing a crown on it. If you have to lose a tooth and choose to replace it with implants, crowns are placed on the implants. 

 

 

CROWNS BEFORE

CROWNS AFTER

 

Dentures are removable replacements for missing teeth typically made out of an acrylic resin, which may at times incorporate porcelain or metal for additional structural support. There are two main types of dentures, complete and partial. If you properly maintain your dentures they will appear natural and provide a perfect smile. Additionally, dentures help strengthen muscles controlling your expressions that require the support of your teeth, rid you of pronunciation problems caused by missing teeth and aid with chewing. Dentures can also be made to fit on implants.  The denture can either be fixed by screws onto the implants or they can be removable by use of snap-n attachments that secure the denture to the implants.

 

An inlay/onlay is a porcelain or metal restoration that is used to replace large fillings that are not suited for the regular filling material. If regular filling material is used on these teeth there is a risk of the teeth breaking and needing an extraction.
Dental sealants are plastic coatings that are usually placed on the chewing (occlusal) surface of the permanent back teeth — the molars and premolars — to help protect them from decay. The chewing surfaces of the molar and premolar teeth have grooves — "fissures" — that make them vulnerable to decay. These fissures can be deep, are difficult to clean, and can be narrower than even a single bristle of a toothbrush. Plaqueaccumulates in these areas, and the acid from bacteria in the plaque attacks the enamel and cavities can develop. Fluoride helps prevent decay and helps protect all the surfaces of the teeth, dental sealants provide extra protection for the grooved and pitted areas by providing a smooth surface covering over the fissured area.The first dental sealant to be placed is usually on the fissure of the first permanent molar tooth, once the chewing surface of the tooth has erupted completely beyond the gum. This tooth grows in behind the baby teeth. If the chewing (occlusal) surfaces of these teeth are sealed, the dental sealant will help protect the tooth. Except for the wisdom teeth, which come through much later, the molars and premolars continue to erupt until eleven-thirteen years of age and the chewing surfaces of these teeth can be sealed after they have erupted beyond the gum. Dental sealants are usually placed on the chewing surfaces of these teeth because these are the areas and teeth that typically have deep fissures. Dental sealants are sometimes also used on other permanent teeth if they have grooves or pits, to help protect these surfaces. In some children, the molars in the primary dentition (baby teeth) also have grooves that could benefit from dental sealants and in this situation your dentist or hygienist may recommend dental sealants on the chewing surfaces of these primary teeth.
Information from: http://www.colgate.com/app/CP/US/EN/OC/Information/Articles/Oral-and-Dental-Health-Basics/Checkups-and-Dental-Procedures/Sealants/article/Dental-Sealants.cvsp
Extractions are necessary when a tooth has broken down or has been infected to the point that it can’t be restored. In most cases, it is beneficial to replace the missing tooth or teeth. There are several options available: implants, bridges or dentures.
Wisdom teeth are the third set of molars that most people get in their late teens or early twenties. Sometimes these teeth can be a valuable asset to the mouth when healthy and properly aligned, but more often, they are misaligned and require removal because they are a source of discomfort or pain due to a lack of space. Poor alignment of wisdom teeth can crowd or damage adjacent teeth, the jawbone, or nerves.  A misplaced wisdom tooth is vulnerable to bacterial infection because the tooth is unable to be cleaned properly. In addition, wisdom teeth can be entrapped completely within the gums and/or the jawbone or only partially break through or erupt through the gums. This is termed "impacted." If a wisdom tooth is partially impacted then there is a possibility of bacterial infection because the gums have not sealed around the tooth and this can result in pain, swelling, jaw stiffness, and general illness. Partially erupted teeth are also more prone to tooth decay and gum disease because of their hard-to-reach location and awkward positioning makes brushing and flossing difficult. Fully impacted wisdom teeth should be monitored for changes to the bone around the tooth.  An X-ray will be needed to periodically monitor for any changes to the impacted wisdom teeth. You may also be referred to an oral surgeon for further evaluation.  http://www.medicinenet.com/wisdom_teeth/article.htm
Implants are used for replacing missing teeth. Dental implants are usually made from titanium, which are surgically screwed into your jawbone. The implant is an anchor for a naturally appearing false tooth (crown) or a set of false teeth (bridge or denture). It is important that you have enough bone in the area of the missing teeth for the implants to be attached to. Implants can be used to replace one or more teeth. Implants are increasingly being used to replace certain types of bridges and removable partial dentures.

 

Orthodontic treatment straightens your teeth and aligns your jaw, so they look and function better. The way your teeth fit together can affect your bite and the ease with which you are able to clean your teeth and gums. If you are not happy with the way your teeth and jaw look or work, orthodontic treatment may help.

Orthodontic treatment uses braces or other appliances to put gentle pressure on your teeth and eventually move them into the right position. There are different options for correcting the alignment of your teeth and jaw.  Depending on your individual needs one or more of these options may be used to help you get the smile and function you would like.

 

At Village Green Dental Care we offer the following options:

If braces are an appropriate option, a records appointment is set up where x-rays, pictures and impressions are taken. These records are analyzed to determine the problems and proper course of action. Typical treatment times vary from six months to two and a half years depending on the complexity and types of problems.

There are four parts to braces:

  1. The bracket or band (the metal ring) that is attached to each tooth. 
  2. The cement or bonding material that attaches the bracket or band to each tooth.
  3. The arch wire that fits into all the brackets.
  4. Elastics or wire ties that hold the wire into the bracket or band.

Most of the time, brackets, bands and arch wires are made of metal, but brackets and elastics can also be clear, tooth-coloured or multi-coloured.

Modern orthodontics makes frequent use of nickel-titanium archwires and temperature-sensitive materials. When cold, the archwire is limp and flexible, easily threaded between brackets of any configuration. Once heated to body temperature, the archwire will stiffen and seek to retain its shape, creating constant light force on the teeth.

Each month or two, the braces must be adjusted. This helps shift the teeth into the correct position The adjusting process may cause some temporary discomfort, which is normal.   

 

The Power of Gentle Forces

 

ALF 

Advanced Lightwire Functionals

A Treatment Concept for the Correction of:

  • Misaligned Jaws and Teeth (Orthopedic/Orthodontic Treatment)

  • TMJ Pain

History of ALF Appliances

Dr. Darick Nordstrom recognized that making crooked teeth look straight is not enough. There is a fundamental need to correct the structures that attach to the teeth, namely upper jaw and skull bones. He designed the ALF appliance for orthodontic purposes in the early 1980’s and realized soon that his patients got relief from seemingly unrelated symptoms:

·         Ear problems: ringing or humming sounds in the ears, decreased hearing ability

·         Vision problems: blurred vision, strained eye sight

·         Headaches or migraines

·         Restricted airway leaving the individual more susceptible to allergies

·         Neck and back pain resulting from misaligned vertebrae and nerve impingement

·         Developmental delays like learning problems in children due to decreased blood flow to the brain

·         TMJ (jaw joint) dysfunction with pain and restrictions of movement

·         Clenching and grinding of teeth

·         Digestive problems

·         Fatigue

·         PMS and more  

 

ALF Treatment Philosophy

ALF treatment incorporates the science of Cranio-Sacral-Therapy (http://www.upledger.com/therapies/cst.htm). The cornerstone is the fact that the bones of the head are not rigidly fused together! In good health there is a minute, rhythmical movement between the bones. 

 

Several causes can lock the bones up and impair this movement:

·         Trauma during birth, particularly if forceps are used

·         Injuries / accidents involving the head, e.g. whip-lash injuries

·         “Imitation food” (fast food that lacks nutrients and enzymes) repressing normal jaw development and thus leading to crowding of teeth and a wrong bite; read more at www.westonaprice.org/traditional_diets/ancient_dietary_wisdom.html

·         Teeth loss without adequate replacement or severe tooth abrasion due to grinding or clenching

·         Dental treatment (extraction of wisdom teeth or teeth replacement) or orthodontic treatment which leaves the jaws in an unfavorable position

If the bones of the head are locked up we see a distortion or “cranial strain”. This brings about:  

  •                      compromised function  
  •                      more wear and tear  

The effects are similar to those of a strained ankle: due to the pain the body tries to protect the injured part and comes up with compensatory mechanisms: for example overusing other muscle groups to guard the injured ankle which in the long run will create new problems. Or think of a car with misaligned tires: the ride gets bumpy and bald spots will appear on the tires. 

The ALF appliance is made of a light, highly flexible wire that corrects the cranial strain and enhances the rhythmical movement of the skull bones.

Basic ALF appliance; photo courtesy of Murdock Laboratory, Inc

insert pic

 Treatment duration and technique vary between patients according to individual needs. In general treatment time ranges anywhere from 18 to 48 months and consists of three phases:  

1.       Correcting distortions of the head and upper jaw with ALF appliances

2.       Realigning teeth to obtain a functional bite, improve jaw and teeth function and enhance the smile; achieved with ALF appliances and possibly splints and/or orthodontic braces  

3.       Retentive phase to stabilize results  

 

Reprinted with the permission of  Ljuba Lemke, DMD, PhD, 1202 Route 73, Mt. Laurel , NJ 08054, Tel. (856) 979 7566, ljuba@HolisticHealthSource.com    last updated Jan. 22, 2004

 

Dr. Darik Nordstrom, Designed the ALF appliance

http://www.youtube.com/watch?v=IRI_eKiJ2So

Expansion appliances are used when the jaws are too narrow or individual teeth are misplaced.  The appliances can be temporarily fixed to the teeth by cement or can be removable.

About Invisalign®

Invisalign can help you achieve the beautiful smile you've always wanted – without braces. No metal, no fuss, just a clear path to straighter teeth in no time! A complimentary consultation with Dr. Baksh will determine if Invisalign is right for you. Visit him today to discover the benefits of Invisalign for yourself. 

  



What is it?

The Invisalign System™ is a series of clear, removable, comfortable aligners that are virtually undetectable. In fact, no one will even know that you're wearing braces! So you can smile more during treatment and enjoy your beautiful new smile long after. Your entire Invisalign series is created though the use of 3-D computer imaging technology, and has been proven effective with patients worldwide. 

Why would I want it?

Not only are aligners invisible, they are also removable, making for a more comfortable and convenient orthodontic experience. Unlike traditional braces, aligners can be removed at any time, allowing patients to eat and drink with ease, plus brushing and flossing are no problem. And, with no metal to cause mouth abrasions, Invisalign is the most comfortable orthodontic treatment available. In addition, the lack of metal and wire typically means that you spend less time in your doctor's office for adjustments. Invisalign also allows you to view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete. Imagine knowing how great your smile will look even before your treatment is done – now that should keep you motivated! 

How does it work?

Invisalign patients wear each set of aligners for approximately two weeks, removing them only to eat, drink, brush, and floss. As you replace each aligner with the next in the series, your teeth will move – little by little, week by week – until they have straightened to the final position Dr. Baksh has prescribed. You'll visit Dr. Baksh about once every four to six weeks to ensure that your treatment is progressing as planned. Total treatment time averages nine to 15 months, and the average number of aligners worn during treatment is between 18 and 30, but both will vary from case to case.

Discover the many benefits of Invisalign by scheduling your appointment today! For those who truly desire straighter teeth, but cringe at the thought of metal and wire, Invisalign is clearly better!


Learn more about Invisalign on the web at  www.invisalign.com

 

Space maintainers are used when a primary(baby) tooth is lost prematurely.  The space maintainer holds the area that the permanent tooth requires until the tooth erupts at it's normal time and sequence.  It can be unilateral if only one tooth is lost or bilateral if multiple teeth are involved.

When you meet someone, do you flash your smile? Or do you hide your teeth? If yellow or stained teeth are keeping you from looking and feeling your best, then bleaching -- a safe, quick process that whitens teeth -- could put a brighter smile in your life and give your self-confidence a boost.

Is Whitening for Me?

Whitening is tough on stains, but gentle on your teeth. It can remove many stains that are in the outer layers of the tooth. If your teeth have yellowed with age or are stained from tobacco, tea, coffee, or food, whitening may restore their natural whiteness. Antibiotic (tetracycline) stains and discoloration caused by an injury may take longer to whiten and not respond as well. Whitening will not change the colour of fillings and crowns, and it's not advised if you're pregnant or breastfeeding.

Keep your teeth whiter by following these tips:
  • Don't smoke. Smoking stains the outer layers of your teeth causing them to turn brown.
  • Avoid food and liquids that stain. Red wine, tea, coffee, and some foods, such as berries, can leave stains on your teeth.
  • Brush and floss your teeth at least once a day to remove plaque. Plaque turns to tartar (calculus), which can discolor your teeth. See your dentist for regular checkups and cleaning. Removing plaque and tartar helps keep your teeth white and free of decay.
Whitening is best done once the teeth are professionally cleaned and the gums are healthy.
We offer an in-office procedure which uses state-of-the-art revolutionary cool blue LED technology that whitens your teeth 2-8 shades, in approximately 15-20 min, with virtually no sensitivity.

Veneers are a cover that is placed over a tooth or teeth and can be made from either porcelain or composite filling material. They can change the color and/or shape of the teeth and are ideal for teeth that are too small, too big, uneven surfaces or badly discoloured. Veneers solve such irregularities and create a durable and pleasing smile.

 

 

VENEERS BEFORE

VENEERS AFTER

VGDC patient pictures

 

 

VENEERS BEFORE

VENEERS AFTER

VGDC patient pictures

Bonding is a procedure that uses composite resin filling material to improve the appearance of misshapen, chipped or discoloured teeth. It will lighten any stains you may have, close up minor gaps and can be used to correct crooked teeth. Bonding can be used to cover any natural flaws by applying a thin coating of a plastic material on the front surface of your teeth. After this, a bonding material is applied, sculpted, coloured and shaped to provide a pleasing result. A high-intensity light then hardens the plastic, and the surface is finely polished.

 

Tooth contouring and reshaping can correct crooked teeth, chipped teeth, cracked teeth or even overlapping teeth in just one session. In certain cases, it can be an alternative to braces. This is also a procedure of subtle changes. Tooth contouring and reshaping is commonly used to alter the length, shape or position of your teeth.

CranioSacral Therapy (CST) is a gentle method of detection and correction that encourages your body's own healing mechanisms to dissipate the negative effects of stress. You also benefit from better overall health and resistance to disease.

The craniosacral system consists of the membranes and cerebrospinal fluid that surrounds and protects the brain and spinal cord. It extends from the bones of the skull, face and mouth, which make up the cranium, down to the sacrum, or tailbone area.
 
This vital system influences the development and performance of the brain and spinal cord. An imbalance or restriction in the craniosacral system could potentially cause sensory, motor or neurological problems such as chronic pain, eye or learning difficulties, scoliosis just to name a few.
 
 

Conditions that CST can help:

  • Migraines & headaches
  • Chronic neck & back pain
  • Motor-coordination impairments
  • Stress & tension related problems
  • Infantile disorders
  • Traumatic brain & spinal cord injuries
  • Chronic fatigue
  • Scoliosis
  • Central nervous system disorders
  • Emotional difficulties
  • Temporomandibular joint syndrome (TMJ/TMD)
  • Learning disabilities
  • Post- traumatic stress disorder
  • Orthopedic problems
  • And many other conditions

How is CST performed?

CST is performed on a fully clothed individual. Using a light touch (no more than the weight of a nickel) the practitioner monitors the rhythm of the craniosacral system to detect potential restrictions and or imbalances. The practitioner then uses manual techniques to release the problems areas and relieve undue pressure on the brain and spinal cord.

A session can last from 15 min. to an hour and a half and it can be used in conjunction with other therapies.

Who can perform CST? 

CST is performed by a wide variety of healthcare professionals such as osteopathic physicians, allopathic physicians, physicians, nurses, chiropractors, naturopathic, dentists, physical therapists, occupational therapists, massage therapists, learning and speech pathologists and many other bodyworkers.

At Village Green Dental Care,  Rayhana Bhabha offers CST as it compliments the cranio-orthodontic treatment that Dr. Baksh provides for his patients and can also help with TMJ/TMD (temporomandibular joint) problems.

Over the years, Rayhana has tried various alternative therapies to cope with the side effects of conventional medical treatments. She had been diagnosed with auto-immune & neurological disorders early in life.

In the fall of 2003, Rayhana had the opportunity to do an introductory CST course. She subsequently completed CST Level I and finished CST Level II training in April 2005 with the Upledger Institute. 

 

For more information on CST visit Upledger Institute  

 Information for this article taken from brochure: Discover CranioSacral Therapy for a healthier you… By The Upledger Institute.

                                                

 

Are you experiencing ?

Headaches

Stiffness in the Jaw

Sensitive Teeth

Neck or Back Pain

These could be signs of malocclusion- a problem with your bite.

What is Dental Occlussion?

Dental occlusion refers to the way your teeth meet when you bite together. Optimally, all your teeth should come in contact with one another at about the same time and with equal force. When this does not happen, your occlusion is unbalanced and problems may result. Some of the problems that may result from poor occlusion include:

  • • Damaged restorations (crowns, bridges)
  • • Fractured teeth
  • • Receding gums or loose teeth
  • • Pain in the teeth, muscles, and jaw joint
  • • Nighttime teeth grinding
  • • Increased headache and neck pain
  • • Greater tooth wear and sensitivity

 

How can we help to balance your bite?

A simple Occlusal exam with the T-Scan system is very easy and painless. It gives us the information we need to easily determine and restore the perfect balance of your bite. You simply bite down on a thin sensor and the software displays the timing of contacts and levels of force in a dynamic movie. It will show your bite from beginning to end and all that is happening in between. This will allow us to immediately visualize problem areas before you leave the office that day.

 

Temporomandibular Joint

The temporomandibular joints or TMJ as it is commonly referred to is the joint where your lower jaw meets the upper jaw, just in front of both the ears is a complex joint, involving both rotation and translation (movement forward).  The ligaments and muscles that attach to the TMJ are under considerable strain.  Sometimes the stress that is applied to these joints can be overwhelming and you will experience TMD (temporomandibular dysfunction).  This can be caused by misalignment of teeth, bite maladjustment, teeth grinding, repetitive strain (often chewing gum or hard material) or trauma such as a hit to the head. Bite adjustment (using T-Scan as a sensor for analysis), orthodontics, nightguards, medications or simple rest may be required  to correct the dysfunction.

 

CUSTOM MADE MOUTHGUARDS

These are prescribed and fitted by Dr. Baksh. The process involves making a model of your teeth and then moulding the mouthguard material around the dental model to ensure a close and comfortable fit.

 

Protect yourself by using an athletic mouthguard when you take part in activities that pose a risk of injury to your mouth. When worn during sports activities, mouthguards help protect against injuries to the teeth and other areas in and around your mouth.

The risk of this kind of injury is commonly associated with contact sports, such as football, rugby, hockey, and boxing. However, dental and other mouth injuries may also occur as a result of contact with people or objects during many other athletic activities, including basketball, soccer, squash, gymnastics, skateboarding, and taekwondo. Depending on the type and extent of dental injury, a single blow to the mouth may result in months or even years of treatment, with costs ranging from hundreds to thousands of dollars.

If you or your children wear braces or other fixed orthodontic appliances, it is especially important to have a mouthguard that fits properly. Otherwise, a blow to the mouth can damage the brackets and wires of the braces, and can also cause added damage (cuts and tears) to the soft tissue inside your mouth. Mouthguards are usually worn only on the upper teeth, but people with braces on their lower teeth should consider using mouthguards on both sets of teeth.

Mouthguards are a smart investment because they provide valuable insurance against injuries that could cost much more in the long run in - not only in financial terms, but also in terms of time and suffering.

 

Teeth grinding is a health condition not all people are aware of. Some regard it as merely a habit when in fact it is a medical concern that people should address. Teeth grinding is clinically referred to as 'Bruxism'. Bruxism is the unconscious grinding of one's teeth, which could happen during the day or at night. This condition usually occurs when one is too tense or anxious about something.

A night guard is a thin piece of hard plastic made from impressions of your teeth placed on the upper or lower teeth. The nightguard is hard enough to be durable, but since it is softer than teeth it will protect them from wear. When the nightguard is tried in, it is adjusted to fit your bite evenly and smoothly. You need to wear the night guard each night for it to work properly. It takes a few nights to get adjusted to, but it is usually comfortable to wear.

 

Symptoms of teeth grinding:
·        Recurrent, unexplained headaches, especially in the temples
·        Head, neck or shoulder pain
·        Sensitive teeth
·        Breakage/chipping of teeth or fillings, especially larger fillings
·        Sculpting or ridging of the tongue/inside of cheeks
·        Tightness in jaw muscles
·        Gum recession
·        Clicking of jaw
·        Wearing down of teeth surfaces, especially obvious in front teeth

 

 

 

 

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