Frequently Asked Questions
Early detection of oral cancer can improve a patient's chances of successful treatment. That's why many dentists recommend having regular oral cancer screenings that examine the entire mouth. Adults over the age of 20 should have a screening every three years while those over 40 should have annual screenings.
Your teeth stain over time due to the colourants in the food and drinks you consume. To keep teeth whiter for longer, avoid drinks that stain enamel such as coffee, tea and red wine. Smoking also causes stains on teeth so you need to avoid smoking as well. Brushing your teeth regularly and chewing on water dense fruits and vegetables also helps keep the stains away.
As a patient, you have the right to get copies of any or all of your dental records. If you and/or your authorized representative requests a copy of your complete file from your dentist (chart records, x-ray images, referral slips, study models, photographs, correspondence), this information must be provided.
This information allows your dentist to identify the type and severity of certain underlying medical conditions. Your dentist may also determine possible adverse drug interactions. Your dentist may also identify potential problems from the use of non-prescription drugs, such as an increased bleeding time with the use of Aspirin (acetylsalicylic acid) or some herbal supplements.
Dental x-rays have come a long way and with the current technology in digital x-rays, patients are exposed to up to 70% less radiation than regular x-rays, hence they are increasingly safer. Your dentist's decision to take x-rays always considers the risks and is patient specific.
Some of the early signs that your teeth and gums are unhealthy are soreness and pain in the gums, bleeding gums, tooth sensitivity, bad breath or dry mouth. It's best to see a dentist as soon as possible if you experience anything similar.
There's no getting around the need to get around your teeth daily with dental floss. It clears food and plaque from between teeth and under the gumline. If you don't, plaque hardens into tartar, which forms wedges and widens the space between teeth and gums, causing pockets.
If you are prone to anxiety when visiting the dentist, it's better to avoid caffeine, however you can drink a cup of decaffeinated coffee.
It is very important to choose a dentist that you feel comfortable with and who can relate and talk to you about your concerns. Some things to consider are:
- Is it easy to schedule an appointment and do they work with your schedule too?
- Is the office conveniently located?
- Is the office clean and neat?
- Are you comfortable and relaxed in the dental office?
- Is the dentist willing to engage with you and answer your questions?
CDA does is not responsible for handling complaints since we have no mandate to regulate dentists. Formal complaints concerning the professional services received in a dental office are handled by your provincial regulatory body.
Ask questions. It sounds simple enough, but sometimes we feel embarrassed to ask simple questions. There is no need to feel that way.
You will feel much better, and be able to make a better decision, if you understand the dental procedure that is recommended to you. If you don't say anything, your dentist may think that you already understand.
Here are some tips when asking questions. Ask:
- If you can see any pictures of the procedure or what it looks like when it is done;
- How many times your dentist has done this procedure in the past;
- How much it will cost;
- How long it will take;
- If it will need to be redone in the future;
- If there are alternatives to the procedure and if so, what are the pros and cons of each option.
The final decision about how and when to proceed with any treatment is yours. To help you understand what is involved in the treatment, your dentist may give you some printed material to read.
If you have already left the dental office without asking questions, call back later. Be careful about getting information from unknown sources, including sources on the Internet. Some of this information may not be reliable.
If, after all of your questions have been answered you are still uncertain, you may wish to get a second opinion from another dentist. Often, a second opinion will give you confidence that your dentist has planned the right treatment for you.
Dentists have been doing what's called "non-vital" bleaching for many years. Non-vital bleaching is done on a damaged, darkened tooth that has had root canal treatment. "Vital" bleaching is done on healthy teeth and has become more popular in recent years.
Vital bleaching, also called whitening, may be carried out in the dental office or the dentist may instruct the patient on how to do the bleaching at home. There is also a wide variety of products for sale in stores. Not all products are the same and not all give you the same results.
Different products, including those used by dentists, may also have different risks and side effects.
Here is an overview:
Whitening toothpastes with abrasive ingredients are really not bleaching products at all, but work on surface stain only. These products are sold in many stores.
Some whitening toothpastes do contain a chemical ingredient (or "bleach") that causes a chemical reaction to lighten teeth. Generally, they have the lowest amount of "bleach." They may not whiten as well as stronger products, but they have less chance of side effects. These pastes are brushed onto teeth and rinsed off, like regular toothpaste.
Bleaching kits sold in stores stay on your teeth longer than toothpaste and contain stronger bleach." These store-bought products do not come with the added safety of having your dentist monitor any side effects. They also come with a one-size-fits-all tray that holds the "bleach" and is more likely to leak the chemical into your mouth.
Dentists may use products with stronger "bleach", but they give patients careful instructions to follow. They are also trained to spot and treat the side effects that patients sometimes report during bleaching. In addition, if a tray is needed to apply the "bleach", dentists supply custom-made trays. Because products used by dentists are strong, they tend to produce the best results.
Patients should be aware that the long-term use of whitening or bleaching products may cause tooth sensitivity or tooth abrasion. Please consult with your dentist before using a whitening or bleaching product.
Dental plans, offered by many employers, are a means to help you pay for your dental treatment. Most Canadians enjoy dental plans and the insurance companies that provide them are actually benefit carriers. Carriers reimburse patients based on the level of coverage decided by the patient's employer.
When you visit the dentist, it's the dentist's role to make a treatment plan based on your oral health needs. Your needs may be different from what is covered by your dental plan. It is your right to decide whether or not to go ahead with any treatment.
You should not decide based on what your plan covers. If you agree to have the treatment, it's your responsibility to pay for it. It is the responsibility of the benefits carrier's to reimburse you for the amount covered by your dental plan.
Many dentists are willing to contact a patient's benefits carrier, on a patient's behalf, to find out if a treatment is covered. The patient has to pay the portion that's not covered and the dentist may offer a payment plan to help.
I don't have dental insurance and can't afford to go to the dentist. What can I do and why does dentistry cost so much anyway?
If you do not have a dental plan and cannot afford to pay your entire bill at once, ask your dentist about a payment plan. If you cannot afford care, even with a payment plan, contact the nearest:
- Social services agency to see if you qualify for government-funded dental care
- Dental school where senior dental students provide treatment at a reduced cost
Dental services may seem expensive. In Canada, we don't have to pay directly when we visit a doctor or hospital, so we may not realize the high cost of providing health services. Overhead costs are high for dentists. They have staff, equipment and other operating costs.
The good news is that you can avoid costly dental treatment by brushing, flossing and visiting your dentist regularly for a dental exams. Regular dental exams cost money, but they are less expensive than fixing serious dental problems that stem from neglect.
It's important to get an early start on dental care, so that your child will learn that visiting the dentist is a regular part of health care. The first step is to choose a dentist for your child.
It may be your own dentist or one who specializes in treating children (called a pediatric dentist). Once you have selected a dentist, call the office to find out at what age he or she prefers to see child patients for the first time. The dental association encourages the assessment of infants, by a dentist, within 6 months of the eruption of the first tooth or by one year of age.
It's important to make the first visit a positive experience for your child - one reason why it's best to visit before a problem develops. If you think there is a problem, however, take your child to the dentist right away, no matter what age.
If you are a nervous dental patient, ask your spouse or another family member to take the child for the appointment. If your child senses that you are nervous, he or she may feel nervous too. When you talk to your child about going to the dentist, explain what will happen without adding things like "it won't hurt" or "don't be scared."
Be sure to get an early start on regular dental care at home. Start cleaning your child's mouth with a soft damp cloth before teeth come in and continue with a soft toothbrush once he or she has a first tooth. Limit the number of sugary treats you give your child, and focus on healthy food choices from the very beginning.
Your health is very important to your dentist. One of the ways that your dentist helps you stay healthy is by preventing the spread of germs. One of the best ways to do this is to use barrier protection such as gloves and masks.
Your dentist and other dental team members also wash their hands regularly. In addition, they sterilize equipment used in the dental office and clean the furniture and fixtures in the examining rooms. This system is referred to as standard precautions. It means that every patient is treated in the same way because patients don't always know if they're sick. It's always better to be safe than sorry.
If you would like to know how this system is carried out in your dentist's office, ask to be shown how it's done. Dentists welcome the opportunity to ease their patients' concerns, rather than have them leave the office with unanswered questions. Once you see the work that goes into making the dental office a clean and safe environment, you will feel reassured.
It is worth noting that even though standard precautions are used, it is still important to tell " . DR . " of changes in your health. This will help your dentist suggest the right choices of treatment for you.
Original dental records belong to the dentist who provided the treatment, and not the patient, because dentists have to keep all of their records for a period of time, as set out by their provincial dental regulatory body. Once you have selected a new dentist, you can request that a copy of your records be transferred from your former dentist.
You may be required to sign a release form from your former dental office and you may also be charged an administrative fee for having your records copied and sent to another dental office. If you have questions about the records transfer process in your province, ask your dentist or contact the provincial dental regulatory body.
How often you go for a dental exams depends on your oral health needs. The goal is to catch small problems early. For many people, this means a dental exam every six months.
Dr. Flor Malave may suggest that you visit more or less often depending on how well you care for your teeth and gums, problems you have that need to be checked or treated, how fast tartar builds up on your teeth, and so on.
Ask yourself the following questions:
- Do I floss every day?
- Do I brush twice a day with a fluoride toothpaste and follow my dentist's instructions on how to brush properly?
- Do I eat a well-balanced diet, including food from all food groups, and limit sweets and sticky foods?
- Do I smoke?
- Do I have a history of cavities or gum disease?
- Is my overall health good?
The answers to these questions are all factors that affect your oral health. They will help you and your dentist decide how often you need to visit for dental exams. It's worth noting that you should not determine your need for dental care on what your dental plan covers.
Do I need x-rays at each visit?
How often you need to have x-rays also depends on your oral health. A healthy adult who has not had cavities or other problems for a couple of years probably won't need x-rays at every appointment. If your dental situation is less stable and your dentist is monitoring your progress, you may require more frequent x-rays.
If you are not sure why a particular x-ray is being taken, ask your dentist. Remember that dental x-rays deliver very little radiation; they are a vital tool for your dentist to ensure that small problems don't develop into bigger ones.
Learn more about cosmetic dentistry to see if it's right for you. In addition to whitening, cosmetic dentists use a variety of techniques to produce an even, white smile.
Bonding involves applying tooth-colored resins to your teeth in order to fill in chips or excess spaces and to cover stains.
Veneers are porcelain or composite covers that last longer than bonding and cost less than crowns. They also improve the appearance of chipped, stained, or misshapen teeth and create a perfect smile offering the same contour, shape and color. The dentist will take an impression of your tooth and then have a custom veneer made in a laboratory.
Crowns cover an entire tooth. In addition to cosmetic improvement, crowns are used to restore or protect a broken or weak tooth and in order to stabilize large fillings.
Implants replace the root of a tooth by fusing to the jawbone. Then, the implant will require a crown similar to the natural tooth. This is a surgical procedure which must be done by a specialist.
Inlays/Onlays are indirect fillings made from porcelain or other composite materials used to treat tooth decay or structural damage. They are created in a dental laboratory and then fitted and bonded into the damaged tooth.
Smile makeovers involve one or more cosmetic treatments, such as dental implants, dental veneers, teeth whitening to improve the overall appearance of your mouth.
Full mouth reconstruction is needed to correct functional problems of your teeth, muscles, bite and bone structure.
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