Like anything, teeth have the propensity to wear away over time. Think of it like a riverbank. After constant water hitting the bank, it begins to erode the rocks, making them shiny and smooth to the touch. Sometimes, there are additional forces, such as wondering animals or heavy rainfall and floods, that cause chunks of the riverbank to come loose and be taken downstream. Something very similar happens to our teeth. However, wearing away the layers of our teeth is not beneficial to our oral health.
When we have a can of pop, something that contains many chemicals, or gastric reflux (which we have all experienced as heartburn), it wears away the outer layer of the tooth. Eventually, chemical erosion can cause the dentin to be exposed (a layer of the tooth that is usually slightly yellow in colour). This particular mode of tooth wear is called Dental Erosion.
Just like the riverbank, aggressive action causes chunks to fall away. The most common cause of the second mode of tooth wear, abrasion, is due to improper technique when brushing teeth and/or abrasive content in toothpaste. Abrasion can also be caused when teeth are used as a tool (opening packages or bottles etc.), resulting in the outer layer stripped or even chipped off.
The last mode of tooth wear is Attrition. Over our lifetime, normal physiological wear on our teeth is usually within the range of 40 microns per year. Our teeth should only touch approximately 20 minutes in a given 24 hour period (when we eat our food and when we are swallowing). The rest of the time, our teeth should be apart by a few millimeters. This is called freeway space. If we are putting our teeth together for a greater duration of time, and/or with greater forces during the day or at night, then we will have increased wear. With these individuals, we may sometimes observe overly smooth and shiny areas on the teeth, likely caused by grinding and clenching of the teeth, or a misaligned bite.
Please do not hesitate to come talk us regarding any concerns you may have about tooth wear. We are happy to guide you towards the next steps, giving you individualized advice and treatment options.
Why do they call them wisdom teeth anyways? These late arriving third molars are dubbed “wisdom teeth” because they are thought to come during the transition from adolescence and adulthood. With age comes wisdom… right?
There will come a time where they’ve taken that big X-ray that goes all the way around your head (a panoramic x-ray) and there they are, those ominous wisdom teeth, laying sideways in your jaw bone. It will be at this point that you hear the phrase: “Well looks like its time we start thinking about getting those babies removed.”
Lets talk this through a little bit, and don’t worry, you are not alone. More and more people now a days are needing to consider having their wisdom teeth removed. Simply put, the majority of our jaws just are not growing as big as our ancestors did, making it very difficult to fit all of our 32 teeth properly. With not enough room, the teeth tend to come in at an angle or in some cases not at all.
Since dentistry is generally driven by prevention, we commonly recommend removing wisdom teeth that are impacted (stuck in the jaw bone at an angle that will not allow them to erupt), causing damage to healthy teeth and surrounding structures.
Often, we see wisdom teeth that are causing bite concerns, food/bacteria traps, cavities and damage to the roots or bone foundation to the tooth in front of it. Some people experience a lot of pain associated with problems from impacted and partially erupted wisdom teeth, but some experience no pain at all. This makes pain a poor indicator when deciding if treatment is needed or not.
Dentists start taking a close look at your wisdom teeth around the age of 18. At this age, the teeth are developed enough to determine their positions but the roots are only partially developed, making the procedure much easier.
There are many pain control options to help make the removal process as comfortable as possible. Once they are removed, give your self a couple days of rest to heal, since most people are back to their routine after that.
You will often be referred to a very competent oral surgeon to help you with your surgery. As this is something they do every day, their skills and special equipment will make the procedure quicker and less invasive.
However, not all wisdom teeth need to be removed! We can help you gain the WISDOM to make the best decisions and create treatment plans that are specific to you.
I hope you are all remaining safe and healthy after the recent blanket of snow over the city. For all the skiers out there, I’m sure the weather is perfect for trips to COP, Banff, Sunshine or any favourite ski hills. For those of us who aren’t enjoying the slopes, we are a couple weeks away from Spring (or at least for it to be declared so)! I am looking forward to the transition to sunny days and warmer weather.
As you may have heard, both from our letter and Dr. Mireault’s blog post, Dr. Mireault will be retiring from Braeside Dental Center on April 30th of this year. Over the past 24 years, it has been a pleasure to work with him, as my colleague and friend.
All the familiar faces you have grown accustomed to seeing, alongside myself, will still be here to care for you. We are committed to continuing the compassionate care and clinical excellence you have come to expect, always aiming for a healthy smile from all of our patients!
It will be my privilege to welcome Dr. Jost to Braeside Dental Centre as of May 1st, 2018. Along with attending seminars together, Dr. Jost, Dr. Mireault, and I have been members of the same PLG (Pankey Learning Group) for the last few years, sharing ideas on how to improve the level of dentistry and communication in our practices. It was immediately clear that Dr. Jost has a philosophy regarding his profession that is complimentary to our practice and will ensure the excellence of each patient’s dental care and experience. I can guarantee that any patient who sees Dr. Jost will be in good hands!
In addition to the common principles we share, Dr. Jost has exemplary technical skills. It is also wonderful that he has a special interest in IV Sedation and placement of implants. This will allow us to broaden the range of services provided to our patients.
If you have any thoughts regarding your dental experience, please let us know. We are always happy to hear from you.
- Dr. Goel
Hello and welcome to my blog.
This week it is my privilege to address the elephant in the room. By now, most of you will have received “the letter” from Braeside Dental Centre informing you of my imminent retirement. It has brought forth a myriad of questions that I was unprepared to answer.
The top two being: “What are you going to do?” and “What am I going to do?”
I’ll start with the second because it is the easiest to answer. The answer is: nothing. You and your families have entrusted your dental health to myself and our staff and I am pleased to know that your dental needs will continue to be tended under the careful watch of Dr. Goel (who just happens to be my dentist)!!
He and I have travelled a common professional road in both education (U of A, School of Dentistry and later, the Pankey Institute) and clinical practice (22+ years together at Braeside Dental Centre). Dr. Goel’s access and familiarity to your dental histories will be second to none; In fact, a large majority of you have likely already met him. I am confident that he and his team will continue to impress you with their commitment and attention to detail.
Now, the second question is much more difficult to answer.
A long-term patient once told me as I congratulated him on his retirement, “It’s like standing on the edge of a cliff!” I was taken aback because all I could think at the time was how many opportunities this gentleman and his wife had ahead of them. I get it now, what he was referring to… the regular routine and confines of what I have known for the past 28 years will be removed. To quote a line from Monty Python, ”They said I could I go and live on an island somewhere!”…
It will take some time for me and my wife of 30 years to figure out what she wants me to do.
I will dearly miss my chairside visits with each and every one of you. To be entrusted with your health and the health of your families over the years has been of great significance, one that I have appreciated more with each passing year. Thank you for sharing this journey with me and my wife.
I wish you and your families all the best.
-Dr. Adam Mireault
At Braeside Dental we are fortunate enough to have the opportunity to further our studies as a team. We accomplish this in many ways. Arrangements are made to have facilitators come into the office to teach us CPR and better, more efficient ways to help our patients. Another great opportunity we have is to watch training videos online. Dr. Frank Spear is the founder and director of Spear Education. His lectures, seminars, and workshops have transformed how dentists approach dentistry today. He is based out of Scottsdale Arizona.
Recently, I had the opportunity to watch a video online called: “Questions to Screen Children for Airway Dysfunction and Sleep Issues”. The video was presented by Dr. Rouse, whom I really enjoyed listening to.
Sleep is very important, as children require approximately 10-12 hours a night, adolescents 9 hours, and adults 6-8 hours. I am sure we’ve all noticed that after a good night sleep we’re able to make better decisions. Dr. Rouse experienced these issues first hand with his son at a very young age.
Below is some information that I have compiled:
Functions of Sleep:
In addition, breathing is the keystone of facial growth and development.
Here are some questions to ask yourself:
If you have answered yes to any of these questions or have any concerns, we are ready to help you in any way that we can or direct you to a physician.
Dr. Goel believes in fostering learning and growth for his team, supporting wholeheartedly that our expansion of skills is what allows us, as a team, to provide patients with exceptional oral health care in a comfortable environment. In addition, for a team to be fully engaged in patient care, the team also needs to be empowered.
In order to facilitate such an empowerment, this past Thursday and Friday, the clinic may have been closed to seeing patients, but the team was hard at work at a Professional Development Workshop. Dr. Goel flew in Ms. Mary Osborne from Seattle to facilitate the discussion, exchanging of ideas and the brain storming to improve the relationships and communication with our patients and within our own team.
The two days proved to be both inspiring and thought provoking. There was a lot of laughter and a few tears. However, by the end, we became a closer knit dental family that was energized and privy to new techniques, ensuring that the care for our patients will become all the more extraordinary.
As I have previously mentioned, a key belief at Braeside Dental Centre is the establishment of relationships with our patients. Essentially, phenomenal care is not just through clinical expertise, but also through authentic and genuine communication, listening, and personalized care. The team at Braeside Dental Centre truly cares about your oral health and we are committed to not only show you that we do, but to also continuously improve our skills while providing you the uniquely personalized service that you (our patients) deserve.
Thank you to our patients for your understanding while we were closed.
All the best,
What is Hand Hygiene?
Hand Hygiene is defined by either washing one’s hand with soap and water, or using an alcohol-based hand rub in either gel or foam (such as hand sanitizer).
Practicing Hand Hygiene is a simple, yet effective, way to prevent infections and cross contamination. Our hands may look clean, but many germs are invisible to our eyes. We can unknowingly transmit germs on our hands to others and our environment. Washing your hands properly is the most important thing you can do to help prevent and control the spread of germs and illnesses.
Effective Hand Washing Technique:
Hand washing should be done before and after eating, using the restroom, prior to starting work or leaving the work area, after blowing your nose or muffling a sneeze, and whenever hands become contaminated. Good Hand Hygiene will reduce the risk of things like flu, food poisoning, or any other viral infections.
Understanding insurance maximums and frequencies can be very confusing and frustrating to a dental patient, but hopefully by reading this blog, we can help those patients tackle that frustration.
Most insurance plans start over every calendar year (January 1 to December 31). This means the maximum dollar amount patients are eligible for on their plan also starts over. The denomination of this maximum is either pre-set by the employer with the insurance company, or by whichever option the patient chose with the insurance company (if it is a personal plan). Plan maximums can range anywhere from $500 to $5000, however it is ultimately the patient’s responsibility to know this maximum, and to keep track of how much they have accumulated towards it. At Braeside Dental Centre, we are more than happy to send an estimate to insurance companies before any treatment is done so our patients can be aware of what could be covered. Most insurance companies will only send the response to the member, whether it is the patient or their spouse or parent. Therefore, we will kindly remind the patient to forward that to us once they have received it, ensuring that we become aware of what could be covered as well. While we understand that insurance can be a large factor in making decisions regarding your dental work, we also want to ensure that every patient receives the care that they need to maintain healthy smiles. Sometimes, the care necessary to conserve great oral health is not covered under the patient’s insurance plan. We are all unique, and so are our dental needs. In these instances, we will most definitely prioritize your health, but we will have also established a relationship with our patient that allows for us to work together to maximize what we can out of their plan.
Another aspect that patients need to remember when it comes to the annual maximum under their plan, is if it is a combined maximum. Some insurance companies may provide two separate maximums for basic treatment (exams, hygiene, x-rays, fillings, etc.) and major treatment (dentures, crowns, bridges) or combine the two. At Braeside Dental Centre, we encourage our patients to become familiar with the details of their plan so we have a better understanding of what is expected by patients regarding their appointments.
Patients may have been asked from their dental providers: What are the frequencies and amount of scaling units on your plan? This simply means that we are asking how frequent patients are covered to come in for their regular exams with the dentist and hygiene. When patients hear scaling, they are most likely not inclined to know what that is. Scaling is done by the hygienist, who uses a scaler to remove the plaque from patients’ teeth. Scaling units are determined by time. One scaling unit is approximately 8 to 15 minutes, and two units would be approximately 15 to 30 minutes. Some insurance plans have a maximum amount of scaling units included per year, though that may fall short of what is necessary to a patient’s health. However, as I mentioned before, Braeside Dental Centre wants to make sure your dental needs are being met above all else.
I hope that by reading this blog post, our valued Braeside Dental patients will be more secured in their understanding of their insurance benefits. I, as well as Jody and Faye, are always happy to assist our patients with any questions they may have regarding their insurance.
Cold weather, shorter days, holiday stress, and indulging in lots of food and sweets, can make us all feel sluggish and tired. The winter blues are normal, but feeling tired all the time, all winter, can be hard. These are some ways to help you get out of the winter blues and start feeling like yourself again:
Getting up and moving around can improve your mood. Even just making a point of taking a short walk during your lunch break at work can give you a burst of energy to take on the rest of your day.
If it’s nice enough, take that walk outside. Getting that natural daylight while you absorb the extra Vitamin D can give you the energy needed to boost your system.
Staying warm can help reduce those winter blues. Grab a warm drink, put your favourite scarf on, and put on some nice cozy boots. Keeping warm can also help fight off those winter colds and flus.
It’s not often that we see the sun during the winter. It’s dark in the morning on our way to work/school and the sun is setting by the time we are coming home. Other times, it might just be cloudy and we don’t see the sun at all. Getting outside, while the sun is out, is important to making you feel happier (get that Vitamin D into our systems while we can). Try taking that walk mentioned above outside in the sunshine (bundled up) and feel that warm sun on your face for even just 15 minutes.
Now that we’ve all eaten too much from the holidays, you likely feel tired, slow, and crave those sweets after meals. It’s hard to want to eat healthy again but it can help make you feel better. Eating healthier will make you feel lighter and less bloated, giving you more energy throughout the day. Try kicking those sweets cravings and get that sugar kick from fruit.
Make the effort
It’s easy to want to just stay in bed on a cold, dreary day and sleep the day away. You might feel tired, but it’s important to see your friends and family. Making the effort to get out with some people (even if it’s just a quick visit over coffee) can improve your mood and energy.
Staying positive can be hard when you know you have go outside in the cold when you’d rather be inside your nice warm house. Try to make the best of the situation you’re in to make it more bearable. Perhaps shovel the snow with the kids while making a game out if it. Maybe you could help them build a snow fort while you’re there, or go out and buy some new winter gear you’ll be excited to wear. Staying positive is the going to be the most important aspect in helping you make it through the winter.