Regular dental examinations are critical to maintaining good oral health. They allow Dr. Agharazii to detect any possible oral health concerns early in order to treat them the most efficient and effective way possible. Before/during your dental exam, ensure to inform us of:
Any new medical conditions since your last visit, including any new medications you are taking.
- If you’re pregnant.
- If you have any allergies.
- Any changes you’ve noticed in your teeth, such as changes in colour, looseness, or position.
- Any changes you’ve noticed in your gums, such as bleeding or changes in appearance.
- Any increased sensitivity to heat, cold or sweets.
- Any changes to your mouth’s mucus.
- If you smoke or chew tobacco (which increases the likelihood of oral cancer).
- If your neck or jaw muscles are tight or you’re aware of clenching or grinding your teeth.
As well as a complete medical history, Dr. Agharazii and our team may take dental x-rays and do a complete examination of your mouth and jaw area. These are some of the things Dr. Agharazii is looking for in a dental examination:
- damaged, missing, or decayed teeth
- early signs of cavities
- condition of your gums such, as periodontal pockets, inflammation or other signs of gum disease (which can lead to tooth loss and bone loss)
- to see how previous dental work such as root canals, fillings and crowns are holding up
- early signs of mouth or throat cancer, such as white lesions or blocked salivary glands
- other suspicious growths or cysts
- position of your teeth (e.g., spacing, bite)
- signs that you clench or grind your teeth (a treatable problem that can causeheadache or sore jaw)
- changes on your tongue and on the roof or floor of your mouth
- the overall health and function of your temporomandibular joint (which joins the jaw to skull), checking for signs of disorders that can cause pain or tenderness
- the general condition of the head and neck
Early identification of oral health issues will allow for an efficient and effective treatment at a lower cost.
(source: Canadian Dental Association)
Nightguards are custom-made appliances for patients who involuntarily grind and / or clench their teeth at night (bruxism). This causes wear and tear to the teeth, increases sensitivity, headaches and jaw (temporomandibular) pain. Dr. Agharazii can notice signs of bruxism during dental examinations and will suggest a nightguard if she sees it fit. Be sure to mention any symptoms like those mentioned above during your dental visits.
To repair cavities, Dr. Agharazii can first “freeze” the area around the decayed tooth with local anesthesia so that the procedure is painless. Thereafter, all carries will be removed and the cavity will be filled.
In most cases, you will have the choice between a metal filling (amalgam, often called “silver” restoration) or a “natural” color filling (composite resins, glass ionomer materials and dental ceramics). Both offer advantages and disadvantages. Depending on your situation, we will discuss which of the options is best and / or preferable for you.
Dental sensitivity occurs when the inner layer of the tooth (dentine) is exposed. This layer contains nerve endings causing sensitivity in contact of hot, cold or sweet.
- the dental enamel wears out due to aggressive brushing, rigid toothbrush and/or abrasive tooth paste;
- tooth erosion caused by acidic foods;
- recession of the gums (exposing the root of the tooth);
- teeth grinding and clenching;
- broken teeth, large fillings or dental caries.
The first step in treating sensitivity is to make an appointment with Dr. Agharazii to discuss your symptoms and determine the cause. Treatments vary and can be as simple as applaying a varnish. In any case, Dr. Agharazii will work with you to relieve your pain and to prevent any future tooth sensitivity.
Root canal treatment
The interior of your tooth, the root canal system, contains pulp tissue (ex. blood vessels, nerves). When bacteria enters your tooth through cracks, deep cavities or old fillings, it causes your tooth to become infected. In these situations, a root canal treatment often allows you to keep the tooth rather than having it extracted. This prevents tooth displacement, jaw pain, and the cost of an artificial tooth. Dr. Agharazii performs root canal treatments by:
- administering a local anesthetic (freezing the area around your tooth to make the procedure virtually pain-free)
- removing the pulp from the canal by cleaning and enlarging the root canal system
- filling and sealing the canal
- sealing the opening of the tooth with a temporary or permanent filling or a crown
Gum disease affects the attachments between gums and the teeth. Starting with gingivitis (inflammation of the gum), it is often caused by the buildup of plaque and tartar. Slight bleeding, swelling and redness may be noticed. If the infection is not treated, it will reach the attachment between the gum and the tooth and this will break down the bone supporting the tooth.
Regular cleanings as well as proper brushing and flossing at home will help prevent gingivitis and gum disease. Regular examinations will help detect any signs of problems with the gums so that it still at its early stages.
Removable partial denture
This type of prosthesis is essential for all people with missing one or multiple teeth. A removable partial denture is mainly supported by the gum and clasps on the adjacent healthy teeth. Partial dentures are more stable than full dentures because they rest on naturally healthy teeth.
It is important to replace missing teeth to prevent problems such as :
- Instability of the remaining teeth;
- Premature wear of healthy teeth or
- Poor digestion.
Consequently, you can avoid problems with the jaw joints as well as headaches.
This type of prosthesis is fixed in your mouth replacing one or multiple missing teeth. Like removable partial denture, the fixed denture plays a preventive role by avoiding possible problems to the remaining healthy teeth.
Since there are several types of fixed dentures, it is best to discuss with Dr. Agharazii so that she can recommend which type is the most appropriate to your situation.
Crowns or “caps” help restore shape, appearance and function to damaged or decayed teeth (ex. teeth that have had a root canal treatment, a large filling, or a broken tooth). They are hollow, artificial teeth that are placed over the tooth also serving to protect the tooth from further damage. Steps to fabrication of a crown are:
- Administering a local anesthetic (“freezing” the area to make the procedure painless).
- Filing down the tooth that needs to be restored to make room for the crown.
- Taking an impression of the filed-down tooth and surrounding teeth in order to create a custom-fitted crown.
- Placing a temporary crown until the custom-fitted crown is ready.
- Placing, verifying and cementing the crown on the next visit.
Crowns come in different materials such as metal (gold), composite (natural color), porcelain (most natural color), porcelain fused to metal, zirconium, etc… All offer advantages and disadvantages and depending on your situation we can discuss which option is best for you.
Dental implants are used to replace missing roots and to hold artificial teeth in place. The implant is an artificial root (inserted into the jawbone) made of titanium. A complete dental examination by Dr. Agharazii will determine if implant is the best option for you. The process of installing an implant will take several visits:
- The dental implant is inserted into the jawbone by a surgeon.
- An artificial replacement tooth will be made and fit once the implant is fused to the bone, after a period of 3 to 4 months.
- Sensitivity to cold
- A moving tooth
- The teeth appear longer and less aesthetic
- Tooth root exposure
Wisdom teeth extraction
- Nausea and vomiting (due to anaesthesia)
- Dizziness and fainting spells
Even if these symptoms are considered “normal” it is best to contact your Dentist to find out if your recovery is proceeding normally.
Teeth, over time, can accumulate surface stains caused by tobacco usage and/or certain foods and beverages. They also naturally darken with age, causing many people to seek a whiter smile. If bleaching interests you, an appointment with Dr. Agharazii will allow you to determine the cause of your tooth discoloration and discuss your options in order to obtain the desired result. There are various methods that can be used to bleach teeth. Some of these options include:
- Wearing a custom-made mouthguard filled with a special bleach for one hour a day for a period of around 14 days
- Or a bleaching treatment in the clinic
Dr. Agharazii will work with you to determine which option best responds to your needs.
Veneers are thin porcelain or composite coverings that attach to the front of the teeth. They are used to improve the aesthetics of teeth by:
- improving and restoring the colour of teeth
- improving teeth shape, texture, and angles
- building up teeth, changing their positions, and filling gaps between them (improving spacing)
Veneers will be either in porcelain or composite depending on what material better suits your needs. A consultation with Dr. Agharazii will help you determine if this is the type of treatment you would like in order to polish your smile.
If straightening your teeth interests you, a consultation with Dr. Agharazii will determine if you are a candidate for Invisalign® treatment: a virtually invisible and comfortable approach to straightening teeth. A custom-made series of clear, plastic aligners will be used to gradually shift your teeth into place. No wires or metal brackets are used, and the plastic aligners can be taken out at meals to be cleaned before being reinserted. They are used to fix various dental problems such as:
- crooked and protruding teeth
- malocclusion (imperfect positioning of the teeth while the jaw is closed)
- widely gapped teeth
- overcrowded teeth
There are many advantages to straightening your teeth, such as:
- aesthetics (you will be happier and more confident with your smile!)
- healthier teeth and gums
- easier cleaning (preventing tooth decay, bad breath, oral infections, etc.)
If you are a candidate for an Invisalign® treatment, Dr. Agharazii and our staff will work with you to create a customized treatment plan through x-rays, pictures, and impressions of your teeth. Approximately every two weeks, you will receive a new custom aligner. Treatment, though variable, typically lasts about one year for adults, and around the same time as braces would for teenagers. Book a consultation today to take the first step towards your new smile!
With all dental emergencies, contact your dentist immediately and explain your problem and symptoms. You should be seen as soon as possible. These are some common dental emergencies:
Chipped or broken tooth: These teeth can almost always be saved with a filling, crown and/or root canal depending on the severity of the break.
Knocked out tooth: If the tooth is clean, insert it back in place within 10 minutes of it being knocked out to give it a good chance of taking root again. If this is not possible (if there is a chance it will be swallowed, if it is dirty, etc.) submerge the tooth in cold milk and visit a dentist as soon as possible. After 2 hours the chances of being able to save the tooth are poor.
Toothache: Until you have a chance to see your dentist, the pain can be eased with over the counter pain medications.
Something stuck between teeth: If the object can not be removed with dental floss, contact your dentist. Do not attempt to remove the object yourself if doing so will cut your gums or scratch the tooth surface.