My early childhood memories of going to the dentist consist of being asked by the assistant if I wanted the blue or the pink room. At the end of the appointment, I’d be offered a ring for good behavior. I always asked if I could take one for my twin sister as well. At Braeside Dental, we don’t have a pink or blue operatory, but we definitely enjoy seeing children. Best of all, we have great prizes for the children. When the little people of the practice require restorations, we try to make it easy and comfortable for all those involved.
Mom and Dad are encouraged to stay in the reception area. They will be more comfortable there and if they are needed, we know where they are. Often, if parents are nervous about a dental procedure, the children will pick up on it and begin to feel anxious too. It is always best if the parents don’t explain too much about the procedure, especially the freezing. Less is definitely more. Most of the time, children aren’t aware that they are getting freezing, as we use a topical anesthetic that goes on the soft tissue and helps to make it more comfortable. Also, children are distracted in the operators with televisions (they’re mounted on the ceiling for easy viewing). Some young ones benefit from having nitrous oxide. This is a procedure that will help them relax. A nose piece is placed over their nose and they’re instructed to breathe through their nose, not their mouth, which can be a challenge when your mouth is open. After the procedure has been completed, they will breathe oxygen for ten minutes. By doing this, the nitrous oxide will be flushed completely out of their system. This is a great option to help with nerves.
We always try to work fast and efficiently with children. Also, Dr. Goel almost always takes photos of the process with an intra oral camera. After the procedure, Mom or Dad are brought back and the photos are reviewed with them so that they can be a part of the process.
Most importantly, local anesthetic can last anywhere from 2-6 hours. It is important to supervise the child so they don’t bite, scratch, or chew their tongue or cheek while frozen. It is best not to eat at all, however soft foods such as pudding, yogurt and smoothies… mmm mmm good. Children are all rewarded for trying hard by being able to choose one or two great prizes. Sometimes even a high five…
We are excited to see all of you soon!
As a fellow germophobe, who was never a fan of being near people who have the flu, I would be absolutely repulsed by the thought of having unsanitary instruments near my mouth. I’m sure many others would agree to that particular sentiment.
And yet, when entering hospitals or dental clinics, we are immediately struck by the oh-so-welcoming smell of antiseptic. That is always a delight. However, I suppose that we must accept this most unfortunate of smells since the alternative is to be exposed to killer bacteria. Laozi’s “Sometimes gain comes from losing, and sometimes loss comes from gaining” has never felt so real until this moment.
This past summer, I had the opportunity to work as a sterilization clerk, ensuring that all materials and instruments were clean. After that experience, I can safely conclude that everything that comes near your mouth at the clinic is probably cleaner than anything else that you came in contact with since your last visit. For anyone who was concerned, don’t be. Your mouth is safe from incoming infection. Of course, you must brush your teeth to keep it that way.
I genuinely can assure patients that go to Braeside Dental Center that they will be treated with impeccable instruments only. I don’t know how many times I threw away latex gloves in one day, having to wear new gloves every time I touched a sterile material. Even every instrument kit that leaves the sterilization room will be re-sterilized, whether or not it was used.
Germophobes, or even the average-Joe who prefers not to get sick, you all need not fear. Braeside is as clean as they come!
3-2-3, 3-2-4, 2-1-2…. Say what?!
Have you heard your dental hygienist calling out numbers during a regular visit? Was she coming at your mouth with a tiny metal stick with lines on it? Were you thinking not today, crazy tooth lady! If you thought she was just insane, you might be right! Just kidding… It is actually really important to understand what that instrument is and what those numbers mean in order to maintain optimal oral health. I’m here to give you an explanation.
Periodontal charting is a part of our professional obligation to provide our patients with high-quality dental care. As one of our valued patients, you should have a full-mouth periodontal charting once a year. In some instances, we may take spot probings of problem areas at interim visits to focus on specific improvements or maintenance.
The periodontal probe is an instrument with 1mm markings on it that we use to measure the depth of your gums. Periodontal probing should not be an unpleasant experience for you unless the tissue is inflamed, or your hygienist is evil… Let me break it down for you and get nerdy!
The gums and underlying bone are just as important as the actual part of the tooth that you can see in your mouth. We refer to them as the periodontium, essentially, the supporting foundation for your teeth. Periodontal probing (those random numbers we call out to our computer) is the way with which we check the health of your gums and the underlying bone.
Step 1: Evaluating your gums
When we probe your mouth, we want to be charting numbers between 1 mm and 3mm. This is what generally indicates a healthy mouth. We call these numbers periodontal pockets. When we start to get numbers greater then 3mm, it can indicate that there may be a problem or concern with the health of your gums. Shall we (periodontal) probe a little deeper?
Probing depths greater than 3 mm can mean:
When the pocket is greater than 3mm, our hope is that it is just inflammation or swelling (also known as the dreaded gingivitis). Gingivitis is the earliest stage of periodontal disease and can be reversed quite easily by improving home care, specifically flossing! If your gums bleed while flossing, just keep flossing, even if it is uncomfortable. Within a couple of days, that bleeding should stop. Within a couple of weeks, your gums should be back to a firm healthy pink! When the probing measurements are greater than 3 mm and are due to actual bone loss and not inflammation, then we will be able to see the bone loss on x-rays. This means that periodontal disease has progressed past inflammation only. At this stage, it is not reversible. BUT I have great news, you can stop periodontal disease from progressing by maintaining proper home care (brushing and flossing), as well as regular visits with your friendly neighbourhood dental hygienist!
So you can see, your hygienist is not just some crazy tooth lady – although some days you might be right! As hygienists, along with the rest of our dental team, we strive to provide you and all of our patients with the best dental care possible. If you ever have any questions, we love getting tooth nerdy and are happy to help answer them in the most accurate way we can!
Thanks for reading!
This past weekend, Dr. Goel was gracious enough to reserve an entire Saturday for the staff and our families for any dental needs we required. I was fortunate to have a filling and hygiene done that day. When I was younger, I had a really bad experience at another dental office, which has made me nervous about dental work ever since. I know that probably sounds weird considering I work in a dental office, but working at one and having dental work done are two very different things. My appointment was first thing in the morning at 7 am; I woke up with a nervous stomach that lasted until after the treatment was complete.
When Emma called me in to the room, I told her I was really nervous and what happened when I was younger. She started to joke around with me which helped ease my nerves. Dr. Goel came into the room and I explained to him that I was nervous because of the aforementioned incident. He was extremely empathetic, calming, and reassured me that if at any time I felt uncomfortable or needed a break I only needed to motion to them. He laid the chair back and applied the topical to my gums. We both joked about how the topical was not the best tasting thing in the world, which made my nervousness dissipate even more. When it was time for the freezing, he warned me about what was going to happen and made sure I was ready. As he was freezing, he talked to me, as did Emma, and kept my mind off what was happening. When it was done, I did not even know that it happened already. In the past, I have always felt freezing, which was never the most comfortable. This time, I actually asked him if he had already done it! I was so impressed and grateful. During the procedure, I never felt anything and it was done before I knew it. Dr. Goel and Emma talked to me through the whole procedure, which was nice. It was so wonderful to be valued not only as an employee, but as a patient as well.
After my filling, I had a hygiene appointment with Shauna. In the past, my hygiene appointments have been quite painful as I suffer from recession and erosion due to my many years of pop drinking. Shauna took the time to apply topical to my gums (so I would not feel anything) and gave me tips on how to properly clean around my upper and lower lingual wires. She did not make me feel like I was doomed because of my erosion, but gave me information on how I can preserve my teeth.
I will end this blog by saying that Dr. Goel and the rest of my fellow staff at Braeside Dental are very caring and compassionate people. They truly want their patients to feel comfortable and at ease. I can definitely say that I do not feel as nervous about dental treatment as I had previously!
Dental materials are an important part of providing care to our patients. With its ever evolving nature, it is important to stay on top of new ideas, techniques and methods. The care provided in dentistry comes with a plethora of materials to complete our tasks.
When providing a full coverage restoration (crowns/ cap), there are many things to consider. One of the choices is to decide the type of material for the crown, which brings me to the topic of discussion today: Zirconia. Zirconia can be used as porcelain fused to Zirconia (more aesthetically pleasing) or full Zirconia (stronger and less likely to fracture).
For those of us that are more analytically inclined and love the technical/factual details:
Like any new material, there were pains in the beginning. In the early 2000’s , there were debonding and chipping issues close to 8%. In my opinion, that was an unacceptably high number. However, with better control of heating and cooling cycles and an improved layering ceramic system, chipping and debonding issues have been reduced to almost the same percentage as that of other materials such as PFM (the most common posterior crown material still in use today).
1) Opacity – The high opacity of Zirconia can be useful to hide poor tooth color such as darkened root (from RCT), metal post, or tetracycline staining.
2) Colour- Even though Zirconia is metal based, it has a white base color. This delivers a better aesthetic outcome around tissue areas compared to PFM (porcelain fused to metal).
3) Strength- Zirconia has a 800-1200 MPA (2-3 times stronger than EMAX). If using Zirconia for bridges, I would only recommended it for smaller spans until more data comes forward. If a crown is being made for posterior teeth, Zirconia can be made in full contour for decent aesthetic quality and maximum strength.
4) Unlike other white/tooth coloured materials, Zirconia can be cemented. This can be an advantage, as cementing is likely to be a less sensitive procedure than bonding and has a more predictable clean up.
1) Opacity - High opacity can also be a disadvantage. It can be useful in some cases, such as the ones mentioned above, but to mimic the details of a natural smile, such as multi-layered transparency, Zirconia alone has its limitations. Light hitting Zirconia simply does not react the same as light passing through natural tooth structure.
2) Zirconia can be cemented only. Zirconia crowns are not bondable. Etching can be applied to increase about 20% of the cementing surface for better mechanical retention, but zirconia cannot be chemically bonded.
3) Zirconia is not recommended for veneers, maryland bridges, or very thin restorations.
4) If someone has significant metal allergies, they should consider testing prior to the use of such a material.
5) If layering Zirconia, more tooth reduction is required. Therefore, a more aggressive preparation of the tooth is required to achieve the desired aesthetic results.
Like any material used in treatment, it is best to make that personal choice with the council and advise of your dentist and dental team.
- Braeside Dental Centre
Dental x-rays are a very common procedure used in dental offices. They can help your dentist see things that they cannot see with the naked eye, helping them come up with the proper treatment plan for each individual patient.
Some of the common uses for X-rays are (but not limited to):
Dental x-rays are considered very safe. The digital x-rays we use also require less radiation than traditional films. During an x-ray, there will be the same amount of radiation experienced compared to that of a short airplane ride. We also provide patients with lead aprons which act as a shield.
X-rays are very important to your oral health. Without them, problems that are not visible can be undiagnosed and eventually get worse. Remember, your oral health plays an important role in your overall wellbeing.
Did you know that all the staff members of our Dental Family are CPR certified?
One of Dr. Goel’s many practice philosophies is to empower his staff. Every year, he brings his staff together for a refresher CPR course. On September 29th, our dental family came together for such a course. It is his hope that they acquire the necessary skills to help a patient or loved one if the need arises, whether it be at the clinic or at home.
The ability to do CPR drastically increases a victim’s probability of survival. Every minute that is wasted drops that probability. CPR essentially ensures that oxygenated blood continues to flow to important organs, keeping an individual alive until further help can come.
Below is some information regarding CPR, taken from the Mayo Clinic Website:
If you wish to take a CPR course, many are always available in Calgary.
Wishing you much health!
This is always a hot topic at the Dental Office.
It has been around since the beginning of time, or close to then anyway. Parents will always be telling their children to brush their teeth.
Patients are asked how often they brush their teeth and mostly the answers are the same: “ YES, I brush twice a day”
Here are some interesting facts:
It is the mechanical motion -moving the toothbrush back and forth at a 45 degree angle to the tooth and gums- that cleans the teeth. Toothpaste is great for the fluoride that we no longer have in our drinking water (and to have fresh breath) but if you do not have any toothpaste on hand, it is not necessary for tooth brushing. Also, remember to replace your toothbrush at 3 month intervals or if the bristles on your toothbrush are flattened or splayed out.
There are a lot of toothbrushes out on the market to help with plaque removal. Some popular ones are Sonic Care and Oral B. It is perfectly fine to use a manual tooth brush, but we must remember to brush all the teeth we want to keep for 2 minutes, 2 times a day. Encourage and help our little ones with this task because it takes a lot of practice to get good at it. For everyone else, it is never too old to learn new things or get rid of bad habits!
If you have any questions, please feel free to ask our Dental Hygienists, or any of our staff, about what concerns you may have about tooth brushing. Always remember that it is important to maintain a regular schedule of professional dental cleanings to keep teeth, gums, and overall health in good condition.
As I watched one of our young patients come into our clinic for their very first dental visit, it reminded me of how nervous and scared I was on my first day of kindergarten, oh so many years ago. The anxiety that one feels when experiencing something unfamiliar can be quite scary. Who knows what will happen next? No matter how prepared we may be, we still need that first contact to reassure us that everything is going to be all right.
At Braeside Dental Centre, our number one goal is to earn your trust and confidence the minute you come through the door. Through calm, comfortable, care, we all work together to communicate in an effective, gentle, and non-threatening manner. The important things we learn in Kindergarten provide very useful guidance for our entire life long journey.
Simple things like:
play nice, be kind
put things back where you found them
clean up your own mess
don’t take things that are not yours
watch for traffic, stick together
take a nap
eat healthy snacks
wash your hands
brush your teeth and floss
Like the teacher, our leader, Dr. Goel, encourages us to work within the spirit of these concepts. Through his guidance and our training, we work together as a team to build relationships, earn your trust, and strive to maintain our high standards.
Dr. Goel is kind, considerate, and honest, and will guide you through your dental health journey. He will work with you to understand your personal objectives and desired dental health.
That first day of Kindergarten may be a bit scary, but with a warm welcome and friendly, safe environment, fear and anxiety can fade quickly. At Braeside Dental Centre, our hope and desire is that you will find that calm, comfortable, quality care not only on that first visit, but also thereafter as part of our dental family.
Keep it simple, be kind.