Preventive
Dentistry
in Toronto

What is Preventive Dentistry?

Preventive dentistry is the practice of monitoring and caring for the teeth and gums to detect (and treat) oral health problems early. It involves both home care (e.g., daily brushing and flossing) and routine dental check-ups and cleaning. In some cases, dentists also use more specialized treatments, like deep dental cleaning, to halt the development of gum disease.

Utilizing preventive dentistry is the best way to avoid tooth decay and periodontal disease and prevent the need for major dental restorations.

LoveYourTeeth-daily-oral-hygiene

Dental Exams and Check-Ups

How Important is Oral Hygiene?

Oral hygiene is necessary for eliminating bacteria in the mouth. Bacteria builds to form plaque that can harden and lead to long-term ailments such as gingivitis, a mild form of gum disease, and periodontal disease if it is not removed. A good dental care routine and regular check ups will keep your mouth healthy and prevent inflammation, infection, decay, and tooth loss.

Why Get a Dental Exam?

Dental exams give us the opportunity to evaluate your current methods of dental care and provide suggestions for future care in order to protect you from complications such as cavities and gum disease. They also allow us to detect problems early so they can be fixed quickly and easily.

How Often Should You Get a Dental Exam?
Dental exams should generally take place every six months. However, consult with our team to decide how often you should be examined, for we may suggest that you visit more frequently based on factors such as smoking, frequency of cavities and genetic susceptibility to tooth and root decay as well as gum disease.
What Can I Expect From a Dental Exam?

At a typical dental exam, our team will thoroughly clean your teeth, removing any surface stains or deposits, called tartar or calculus, that are more difficult to remove than plaque and require the assistance of professional dental instruments. We will also check for signs of decay or gum disease. An X-ray may be performed to provide a more detailed summary of your oral health and to more closely identify any problems. We will ask you questions about your current methods of dental care, such as how often you brush your teeth, and floss, as well as whether you use a toothpaste with fluoride. With this information in mind, we will demonstrate proper dental care and provide suggestions on how to improve your habits to promote optimal oral health.

How Can You Prepare For a Dental Exam?

The best way to prepare for a dental exam is to practice good dental care. Brushing your teeth twice a day and flossing at least once a day is recommended. Be sure to clean your teeth before you arrive at your appointment. Our team will be cleaning your teeth for you, but it is helpful to remove food and plaque beforehand so we can focus on the more difficult-to-clean areas. You also want to make sure you are prepared to share pertinent information such as your medical history, insurance coverage and current dental care methods with us. Don’t be embarrassed to be honest about your oral health habits – our team is not here to judge you, but to work with you to improve your habits and ensure dental health! Lastly, be prepared to schedule a follow-up appointment or future check-up at the end of your dental exam.

Oral Hygiene

Why is oral hygiene so important?

Adults over 35 lose more teeth to gum diseases (periodontal disease) than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and periodontal disease is by good tooth brushing and flossing techniques, performed daily.

Periodontal disease and decay are both caused by bacterial plaque. Plaque is a colorless film, which sticks to your teeth at the gum line. Plaque constantly forms on your teeth. By thorough daily brushing and flossing you can remove these germs and help prevent periodontal disease.

How to Brush Teeth
If you have any pain while brushing your teeth or have any questions about how to brush properly, please be sure to call the office at North – North Campus Location Phone Number 416-675-6622 x4166.

Campus Dental recommends using a soft to medium tooth brush. Position the brush at a 45 degree angle where your gums and teeth meet. Gently move the brush in a circular motion several times using small, gentle strokes brushing the outside surfaces of your teeth. Use light pressure while putting the bristles between the teeth, but not so much pressure that you feel any discomfort.

When you are done cleaning the outside surfaces of all your teeth, follow the same directions while cleaning the inside of the back teeth.

To clean the inside surfaces of the upper and lower front teeth, hold the brush vertically. Make several gentle back-and-forth strokes over each tooth. Don’t forget to gently brush the surrounding gum tissue.

Next you will clean the biting surfaces of your teeth by using short, gentle strokes. Change the position of the brush as often as necessary to reach and clean all surfaces. Try to watch yourself in the mirror to make sure you clean each surface. After you are done, rinse vigorously to remove any plaque you might have loosened while brushing.

How to Floss

Periodontal disease usually appears between the teeth where your toothbrush cannot reach. Flossing is a very effective way to remove plaque from those surfaces. However, it is important to develop the proper technique. The following instructions will help you, but remember it takes time and practice.

Start with a piece of floss (waxed is easier) about 18” long. Lightly wrap most of the floss around the middle finger of one hand. Wrap the rest of the floss around the middle finger of the other hand.

To clean the upper teeth, hold the floss tightly between the thumb and forefinger of each hand. Gently insert the floss tightly between the teeth using a back-and-forth motion. Do not force the floss or try to snap it in to place. Bring the floss to the gum line then curve it into a C-shape against one tooth. Slide it into the space between the gum and the tooth until you feel light resistance. Move the floss up and down on the side of one tooth. Remember there are two tooth surfaces that need to be cleaned in each space. Continue to floss each side of all the upper teeth. Be careful not to cut the gum tissue between the teeth. As the floss becomes soiled, turn from one finger to the other to get a fresh section.

To clean between the bottom teeth, guide the floss using the forefingers of both hands. Do not forget the back side of the last tooth on both sides, upper and lower.

When you are done, rinse vigorously with water to remove plaque and food particles. Do not be alarmed if during the first week of flossing your gums bleed or are a little sore. If your gums hurt while flossing you could be doing it too hard or pinching the gum. As you floss daily and remove the plaque your gums will heal and the bleeding should stop.

Caring for Sensitive Teeth

Sometimes after dental treatment, teeth are sensitive to hot and cold. This should not last long, but only if the mouth is kept clean. If the mouth is not kept clean the sensitivity will remain and could become more severe. If your teeth are especially sensitive consult with your doctor. They may recommend a medicated toothpaste or mouth rinse made especially for sensitive teeth.

Choosing Oral Hygiene Products

There are so many products on the market it can become confusing and choosing between all the products can be difficult. Here are some suggestions for choosing dental care products that will work for most patients.

Automatic and “high-tech” electronic toothbrushes are safe and effective for the majority of the patients. Oral irrigators (water spraying devices) will rinse your mouth thoroughly, but will not remove plaque. You need to brush and floss in conjunction with the irrigator. We see excellent results with electric toothbrushes called Rotadent and Interplak.

Some toothbrushes have a rubber tip on the handle, this is used to massage the gums after brushing. There are also tiny brushes (interproximal toothbrushes) that clean between your teeth. If these are used improperly you could injure the gums, so discuss proper use with your doctor.

Fluoride toothpastes and mouth rinses, if used in conjunction with brushing and flossing, can reduce tooth decay as much as 40%. Remember, these rinses are not recommended for children under six years of age. Tartar control toothpastes will reduce tartar above the gum line, but gum disease starts below the gum line so these products have not been proven to reduce the early stage of gum disease.

Anti-plaque rinses, approved by the Canadian Dental Association, contain agents that may help bring early gum disease under control. Use these in conjunction with brushing and flossing.

Professional Dental Cleaning
Daily brushing and flossing will keep dental calculus to a minimum, but a professional dental cleaning will remove calculus in places your toothbrush and floss have missed. Your visit to our office is an important part of your program to prevent gum disease. Keep your teeth for your lifetime.

Children’s Dentistry

Your Child’s First Visit to the Dentist

The first “regular” dental visit should be just after your child’s third birthday. The first dental visit is usually short and involves very little treatment. We may ask you to sit in the dental chair and hold your child during the examination. You may also be asked to wait in the reception area during part of the visit so that a relationship can be built between your child and your dentist.

We will gently examine your child’s teeth and gums. X-rays may be taken (to reveal decay and check on the progress of your child’s permanent teeth under the gums). We may clean your child’s teeth and apply topical fluoride to help protect the teeth against decay. We will make sure your child is receiving adequate fluoride at home. Most important of all, we will review with you how to clean and care for your child’s teeth.

What should I tell my child about the first dental visit?

We are asked this question many times. We suggest you prepare your child the same way you would before their first haircut or trip to the shoe store. Your child’s reaction to his first visit to the dentist may surprise you.

Here are some "First Visit" Tips
  • Take your child for a “preview” of the office.
  • Read books with them about going to the dentist.
  • Review with them what the dentist will be doing at the time of the first visit.
  • Speak positively about your own dental experiences.

During your first visit the dentist will:

  • Examine your mouth, teeth and gums.
  • Evaluate adverse habits like thumb sucking.
  • Check to see if you need fluoride.
  • Teach you about cleaning your teeth and gums.
  • Suggest a schedule for regular dental visits.
What about preventative care?

Tooth decay and children no longer have to go hand in hand. At our office we are most concerned with all aspects of preventive care. We use the latest in dental sealant technology to protect your child’s teeth. Dental sealants are space-age plastics that are bonded to the chewing surfaces of decay-prone back teeth. This is just one of the ways we will set the foundation for your child’s lifetime of good oral health.

Tips for Cavity Prevention
  • Limit frequency of meals and snacks.
  • Encourage brushing, flossing and rinsing.
  • Watch what your child drinks.
  • Avoid giving your child sticky foods.
  • Make treats part of meals.
  • Choose nutritious snacks.

The first baby teeth that come into the mouth are the two bottom front teeth. You will notice this when your baby is about 6-8 months old. Next to follow will be the 4 upper front teeth and the remainder of your baby’s teeth will appear periodically. They will usually appear in pairs along the sides of the jaw until the child is about 2 1/2 years old.

At around 2 1/2 years old your child should have all 20 teeth. Between the ages of 5 and 6 the first permanent teeth will begin to erupt. Some of the permanent teeth replace baby teeth and some don’t. Don’t worry if some teeth are a few months early or late as all children are different.

Baby teeth are important as they not only hold space for permanent teeth but they are important to chewing, biting, speech and appearance. For this reason it is important to maintain a healthy diet and daily hygiene.

Teeth Cleaning

Dental Prophylaxis

A dental prophylaxis is a cleaning treatment performed to thoroughly clean the teeth and gums. Dental prophylaxis is an important dental treatment for stopping the progression of gingivitis and periodontal disease.

Dental prophylaxis is an effective procedure in keeping the oral cavity in proper health and halting the progression of gum disease.

The benefits of professional teeth cleaning include
  • Plaque removal. Tartar (also referred to as calculus) and plaque buildup, both above and below the gum line, can result in serious periodontal problems. Unfortunately, even with a proper home brushing and flossing routine, it can be impossible to remove all debris, bacteria and deposits from gum pockets. The experienced eye of a dentist or hygienist using specialized dental equipment is necessary to catch potentially damaging buildup.
  • A healthier looking smile. Stained and yellowed teeth can dramatically decrease the esthetics of a smile. Prophylaxis is an effective treatment in ridding the teeth of these unsightly stains.
  • Fresher breath. Bad breath (or halitosis) is generally indicative of advancing periodontal disease. A combination of rotting food particles (possibly below the gum line) and potential gangrene stemming from gum infection, results in bad breath. The routine removal of plaque, calculus and bacteria at our facility can noticeably improve halitosis and reduce infection.

Dental Sealants

Highly effective in preventing decay on the biting surfaces of your chewing teeth, dental sealants are a simple procedure in which a tooth-colored acrylic “coating” is painted onto the surface of the tooth.

Dental sealants effectively “seals” the deep grooves, acting as a barrier and protecting enamel from plaque and acids.

Dental sealants protect the depressions and grooves of your teeth from food particles and plaque that brushing and flossing can’t reach.

Easy to apply, dental sealants take only a few minutes to seal each tooth. Sealants hold up well under the force of normal chewing and can last several years before a reapplication is needed.

Children and adults can benefit from dental sealants in the fight against tooth decay.

Tooth Extractions

You and Dr. Trotti may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal disease, or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.

The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.

To avoid these complications, in most cases, Dr. Trotti will discuss alternatives to extractions as well as replacement of the extracted tooth.

The Extraction Process

At the time of extraction the doctor will need to numb your tooth, jaw bone and gums that surround the area with a local anesthetic.

During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.

You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.

If you do feel pain at any time during the extraction please let us know right away.

Sectioning a Tooth
Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can’t expand enough to remove it. The doctor simply cuts the tooth into sections then removes each section one at a time.
After Tooth Extraction
After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to staunch the flow of blood.

After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use pain medication as directed. Call our office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.

After a few days you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.

Periodontal

Periodontal diseases are infections of the gums, which gradually destroy the support of your natural teeth. There are numerous disease entities requiring different treatment approaches. Dental plaque is the primary cause of gum disease in genetically susceptible individuals. Daily brushing and flossing will prevent most periodontal conditions.

Why is oral hygiene so important?
Adults over 35 lose more teeth to gum diseases, (periodontal disease) than from cavities. Three out of four adults are affected at some time in their life. The best way to prevent cavities and periodontal disease is by good tooth brushing and flossing techniques, performed daily.

Periodontal disease and decay are both caused by bacterial plaque. Plaque is a colorless film, which sticks to your teeth at the gum line. Plaque constantly forms on your teeth. By thorough daily brushing and flossing you can remove these germs and help prevent periodontal disease.

Periodontal diseases can be accelerated by a number of different factors. However, it is mainly caused by the bacteria found in dental plaque, a sticky colorless film that constantly forms on your teeth. If not carefully removed by daily brushing and flossing, plaque hardens into a rough, porous substance known as calculus (or tartar).

Other important factors affecting the health of your gums include
  • Smoking
  • Diabetes
  • Stress
  • Clenching and grinding teeth
  • Medication
  • Poor nutrition
Periodontal Disease
Bacteria found in plaque produces toxins or poisons that irritate the gums, which may cause them to turn red, swell and bleed easily. If this irritation is prolonged, the gums separate from the teeth, causing pockets (spaces) to form. As periodontal diseases progress, the supporting gum tissue and bone that holds teeth in place deteriorate. If left untreated, this leads to tooth loss.
Preventing Gum Disease
The best way to prevent gum disease is effective daily brushing and flossing as well as regular professional examinations and cleanings. Unfortunately, even with the most diligent home dental care, people still can develop some form of periodontal disease. Once this disease starts, professional intervention is necessary to prevent its progress.

Gum Disease Laser Therapy

Campus Dental is proud to offer the latest technology available for periodontal therapy: laser treatment. There are numerous advantages to using laser therapy as opposed to the traditional methods requiring a scalpel and sutures.

Benefits of Laser Dentistry

Comfort:
With laser treatment, there is reduced or no bleeding, minimized swelling, no charring, and no drill noise or vibration. The stress and anxiety often associated with dental work is therefore eliminated when you experience quick, effective, and essentially pain-free laser procedures. Also, postoperative sensitivity is greatly limited by laser dentistry, and recovery time is much quicker than with traditional methods. In fact, due to the less-invasive nature of the laser technique, the mouth begins to heal immediately after work is completed!

Reduced Risk of Infection:
The laser’s high-energy light beam acts as a sterilizer on the area it is working, thereby reducing the risk of bacterial infections and relapses.

Anesthesia Limited or Eliminated:
Because laser dentistry is virtually painless, no longer will you suffer with fear of injections and numbness. Often, only a light anesthetic spray is required. Laser treatment eliminates the complications and cost associated with anesthesia.

Uses of Dental Lasers

Our team can perform a variety of procedures using laser technology, such as a frenectomy, osseous surgery, and gum grafting. Our hygiene team is also able to use laser technology as a way to regenerate healthy gums and remove diseases areas in a virtually painless way. This method also encourages healthy gum to regenerate and attach to the teeth. There is a much lower chance of gum disease returning when laser therapy is used as opposed to traditional surgery.

Deep Teeth Cleaning

The initial stage of treatment for periodontal disease is usually a thorough cleaning that may include scaling or root planing. The objective of these non-surgical procedures is to remove etiologic agents such as dental plaque and tartar, or calculus, which cause gingival inflammation and disease. Scaling and root planing can be used as a stand-alone treatment, or a preventative measure. They are commonly performed on cases of gingivitis and moderate to severe periodontal disease.

What Do the Procedures Entail?
Our hygiene team will only perform scaling and root planing after a thorough examination of the mouth, which may include taking x-rays and visually examining the mouth. Scaling will be recommended and will depend on the condition of the gums, the amount of tartar present, the depth of the pockets and the progression of periodontitis. In some cases, a local anesthesia may be used during the procedure.

  • Scaling: When scaling is performed, calculus and plaque that attaches to the tooth surfaces is removed. The process especially targets the area below the gum line, along the root. Scaling is performed with a special dental tool called an ultrasonic scaling tool. The scaling tool usually includes an irrigation process that can be used to deliver an antimicrobial agent below the gums to help reduce oral bacteria.
  • Root Planing: Root planing is performed in order to remove cementum and surface dentin that is embedded with unwanted microorganisms, toxins and tartar. The root of the tooth is literally smoothed, which promotes healing, and also helps prevent bacteria from easily colonizing in the future.

Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, Campus Dental may place antibiotic fibers in the periodontal pockets after scaling and planing. This may be done to control infection and to encourage normal healing.

When deep pockets between teeth and gums are present, it is difficult to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.

Benefits of Treatment
If treatment is successful, scaling and planing may have many periodontal benefits. One is that it can help prevent disease. Research has proven that bacteria from periodontal infections can travel through the blood stream and affect other areas of the body, sometimes causing heart and respiratory diseases. Scaling and root planing remove bacteria that cause these conditions.

Another benefit of treatment is protecting teeth against tooth loss. When gum pockets exceed 3mm in depth, the risk for periodontal disease increases. As pockets deepen, more bacteria are able to colonize, eventually causing a chronic inflammatory response by the body to destroy gingival and bone tissue. This leads to tooth loss.

Finally, scaling and root planing may make the mouth more aesthetically pleasing, and should reduce bad breath caused from food particles and bacteria in the oral cavity. Superficial stains on the teeth will be removed during scaling and planing, adding an extra bonus to the procedures.

Opalescence Whitening

We know that brighter teeth is something that we would all like and all of our patients deserve it! That is why we offer our whitening systems at a rate so that everyone can have an opportunity to have a brighter smile, even on a tight budget!

Opalescence Teeth Whitening are our systems of choice here at Campus Dental, due to their low incidence of sensitivity both during and post treatment.

*We are aware that many products, including the products we use in-office, are available online. We do not recommend use of these products without the recommendation and supervision of your dental professional. Many of these products can cause burning of the gum and soft tissues, in some cases, very severely.

Take-Home System
Opalescence Go is the take-home system we recommend. It offers an easy-to-use tray system with no impressions required. You can use it right out of the box. It uses a 15% Hydrogen Peroxide gel that requires the tray to be worn for 20 min/day, anywhere from 5-10 days.

CLICK HERE for more information about Opalescence take-home whitening trays

In-Office System
Opalescence Boost is a 40% Hydrogen Peroxide gel that is applied in-office by one of our trained dental professionals. Two to three 20-minute sessions are required for application for best results.

CLICK HERE for more info on our Boost system.

Book an Appointment at Campus Dental

At Campus Dental, we understand that undergoing dental treatment can be intimidating – that’s why we make every effort to keep our patients comfortable before, during, and after their dental procedure. Arrange an appointment today to discover our gentle, compassionate approach to dentistry.