GENERAL DENTISTRY

Dental check-up and teeth cleaning

The dental check-up includes the assessment of the teeth, of the gums, the tongue, the palate, the inside of the cheeks and soft tissues under the tongue. It makes it possible to prevent any dental problem, to establish a diagnosis on the state of your mouth and to propose a plan of treatment, if necessary. It is recommended to have one done every six months but according to your condition the dentist can suggest another frequency. The dental check-up is often carried out during the cleaning of your teeth which made by the hygienist. This procedure makes it possible to soften and clean surfaces of the teeth and the fillings, to remove the scale formation, the dental plaque and the stains. That makes it possible to reduce the probability of gum diseases and restore your glowing smile. It can be necessary to take X-rays in order to establish a good diagnosis. They are not very harmful; the patients are only being exposed to very low levels of radiation directed to the target areas.

Dentisterie Operatoire

Dental sealants

Recent Quebecers studies showed that 80% of tooth decay in the children are formed on dental surfaces as grooves (or fissures) and pits.

Often, it is difficult for the children to clean well their molars which have deep grooves and pits, more especially as the bristles of the toothbrush cannot reach the interior of these grooves and pits. These fissures easily imprison the food particles which, accompanied by bacteria (dental plaque), cause the decay for a child.

 

For this reason, the application of a sealing resin (sealant) on the chewing surfaces of the molars can prove to be an effective preventive measure to avoid the dental decay.

Since the cavities generally occur on the molars, its usage is highly recommended. This sealant constitutes thus a protective barrier preventing the dental plaque and the food to take shelter on the tooth and consequently, decreases the risk of cavities. The sealant is a transparent or translucent plastic liquid which infiltrates the grooves and pits.

Fillings

A filling is necessary in the presence of decay or when an old filling is flawed. They are mainly made out of composite resin (white fillings). Other situations require a filling in dental amalgam (grey filling). In all the cases, the dentist removes the decay and then fills the cavity with the filling material.

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Root Canal

The root canal treatment is necessary in these situations: deep decay which reached the dental pulp (nerve of the tooth), very damaged tooth where a traditional filling is not enough to restore, irritated pulp by a trauma or following a very subsequent restoration. Under local anaesthesia, the dentist cleans the root(s) inside the tooth and then fills it with a material similar to rubber (gutta-percha). Then a filling or a crown is necessary to protect the tooth.

Periodontics

Periodontics aims at the prevention and the treatment of the periodontal diseases (gum diseases). These diseases constitute the first cause of the majority of the dental losses among adults. Unfortunately, nine people out of ten are impacted by it at some point in their life and all the age groups are concerned. In spite of not feeling any discomfort, the tissues surrounding and supporting the teeth are destroyed and as the disease progresses, the damage is irreversible.

You can cure the gingivitis by adopting a perfect hygiene buccodentaire (regularly brushing your teeth and using dental floss) topped up with regular visits at your dentist. This later will be able to scale your teeth and perhaps will suggest a cleaning and a check-up every 3 or 6 months. However, if you neglect this intervention, the disease will advance at the following stage, which is named: periodontitis.

Periodontitis appears when the dental plaque was not well removed. This plaque is then calcified into tartar and progressively throughout its formation; there will be a progressive detachment of the tooth. If there is no intervention at this stage, there will possibly be destruction of the bone as well as damage to the ligaments which keep the teeth in place.

Periodontitis appears when the dental plaque was not well removed. This plaque is then calcified into tartar and progressively throughout its formation; there will be a progressive detachment of the tooth. If there is no intervention at this stage, there will possibly be destruction of the bone as well as damage to the ligaments which keep the teeth in place.

At a more advanced stage, where the bone destruction has begun, various solutions could be considered. Indeed, descaling and gingival curettage could be associated to a minor surgery of the gums. This intervention aims at eliminating the tartar and the loose infected tissue in order to decrease the probing depths of tartar. Among the most practised gingival transplants, we find those aiming at consolidating the gum and those who have as aim to cover up the root of the exposed teeth. It is sometimes necessary to undergo both types of transplants in order to obtain optimal results.

In the case of a weak gum, a transplant can be planned in order to prevent or to stop the tissue recession. Then the patient finds himself with a more resistant and thicker gum. Finally, the laser is more often used in order to disinfect and regenerate the gums; the laser makes it possible to stabilize or stop the evolution of the disease. The laser used by Dr. Grenier is the Waterlase MD.

Gum Transplant

The goal of the gum transplant is to prevent the progression of the tooth loss by thickening the gum. This minor surgery is made under local anaesthesia. We normally opt for a type of transplant does not require any incision in the palate. We use a tissue membrane inserted under the gum. This procedure gives a fast and more comfortable cure and allows the treatment of several teeth at the same time. Please note that sometimes, for certain conditions, a palate graft (2nd site) must be used.

Crowns and Bridges

The dentist resorts to the installation of a crown when a tooth is too damaged to be repaired by a normal restoration. He also uses this technique for a tooth having undergone a root canal treatment, to repair a broken tooth or of inadequate shape or non-aligned or to give a natural colour to a faded tooth. In short, the crown covers a tooth which is made in an external laboratory, whereas the one made out of ceramics is made on the spot in the dental office, in one or two appointments.

Partial Prosthesis

 

The dental prosthesis is used to replace several missing teeth. The partial prosthesis is used when some teeth are missing; it clings on to the remaining teeth. The dentist will take initially various prints and measures of your mouth. Then a qualified technician will receive the models as well as the dentist’s prescription. He will then be able to manufacture your prostheses. This process requires usually a few visits in order to obtain an aesthetic and comfortable result.

Bite Splint

The bite splint will be proposed to you if you have problems with your temporomandibular joints (TMJ) and/or if you are grinding or clenching your teeth. Following the examination of the TMJ, prints of your mouth will be sent to the laboratory which will manufacture the custom-made bite splint. The splint acts like an orthosis. It balances the forces between the upper and lower teeth. It helps the relaxation of the joints and the muscles of the jaw. A follow-up will make sure that your splint is always properly calibrated according to the condition of your mouth and joints.

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Montréal - QC - H1M 1A9

(514) 613-7527