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Smoking and Dental Implants

March 27th, 2024

Congratulations! You’ve made the decision to replace a missing tooth with an implant. While an implant will restore the appearance of your smile, you also know that there are many reasons that an implant will improve your health, too.

A missing tooth causes structural problems as well as cosmetic ones. Remaining teeth can shift to fill the gap, leading to wear and bite problems. Without the stimulation of biting and chewing, bone tissue under the lost tooth gradually shrinks and is resorbed. The shapes of our jaws, cheeks and lips can be affected. Replacing a lost tooth with an implant can not only restore the appearance of your smile, but maintain it.

And implant procedures have a very high rate of success. Implants are made of materials compatible with the body, and surgically placed in the jaw to act as anchors for replacement teeth. The implant will actually integrate with the bone growing around it for strong, stable, and long-lasting support. After the time it takes for the implant to integrate and the area around it to heal, a crown, designed to match your own teeth perfectly, will be securely attached to the implant post.

What can you do to help the healing process? Follow our instructions carefully. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will give you suggestions for the time immediately following the procedure as well as instructions on the importance of keeping the area clean while healing takes place. And one very important favor you can do yourself? If you smoke, this is the time to stop.

Studies have shown that smokers have a significantly increased risk of dental problems and implant failures, and there are several theories as to why.

  • Smoking slows the healing process. Some studies indicate that smoking impairs blood flow in the gums, so that less oxygen and fewer nutrients are delivered to healing tissue.
  • Smokers tend to be more vulnerable to gum disease.
  • Smoking has been linked to a weaker immune system, so it’s harder to fight off an infection or to heal from one.
  • More marginal bone loss around implants is seen in smokers than in non-smokers.
  • Peri-implantitis, an inflammation of the gum tissue around the implant that can lead to bone loss and implant failure, is also more common in smokers.

Now that you have decided on a dental implant at our Kingston, ON office, make one more decision to ensure the success of the procedure. Talk to us about ways to quit smoking before your implant, and how to reduce the chance of smoking-related complications. We know that quitting can be difficult, but your improved smile—and your improved health—are worth it!

Caring for Your Baby’s Teeth—Right from the Start!

March 20th, 2024

A new baby! What a joyful, exciting time! Joy, excitement, and lots of questions about the best ways to keep your child healthy and happy. So, we have some suggestions to help start your baby on the path to a lifetime of healthy, happy smiles.

  • Before Those First Baby Teeth Appear

After each bottle or breast feeding, it’s a good idea to wipe your baby’s gums with a clean, damp washcloth or gauze pad wrapped around one of your fingers.

This gentle cleaning helps wipe away food and bacteria that can irritate the gums as the teeth start to erupt and helps prepare your child for brushing once those little teeth have arrived.

  • Cleaning Your Baby’s Teeth

Most babies start getting their first teeth around the age of six months. And those first teeth mean it’s time for a first toothbrush!

Choose a brush specifically for babies. These brushes are designed to fit tiny mouths to prevent gagging. They have soft bristles to protect tooth enamel and gums. They have handles that are easy for you to maneuver. There are even silicone finger brushes available which fit over your finger and use a textured surface to brush away bacteria and food particles.

Ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about the right time to start using toothpaste. When your baby is old enough for toothpaste, it’s important to choose the right one, which means a toothpaste formulated for infants. It’s also important to use the right amount of toothpaste. A smear of toothpaste no bigger than a grain of rice grain is enough for early brushing.

Brushing twice a day, morning and night, is the normal recommendation unless your pediatric dentist has other advice. We’re also a great source of information on how to make brushing time easier and more enjoyable for both you and your baby!

  • Bottles and Baby Teeth

Cavities begin forming because oral bacteria create acids which erode enamel, the protective outer coating of the tooth. Cavity-causing bacteria love to feed on sugar. Baby formula and even breast milk contain carbohydrates in the form of sugars—which is a good thing!

Carbohydrates are essential for babies’ growth and development. Lactose, the sugar found in breast milk, is a carb which is easy for your baby to digest, and which supports healthy bacteria in the digestive system. Formulas with lactose and other types of sugars also provide your baby with these necessary, easily digestible carbohydrates.

But going to sleep with a bottle or while breastfeeding means those healthy sugars aren’t all digested. Instead, liquid pools in the mouth, bathing those beautiful new teeth in sugars over night. This can lead to a condition called “baby bottle tooth decay,” which is especially damaging to the upper front teeth. (And the chance of cavities is even greater if your child’s bottle contains juice or other sugared drinks.)

That’s why dentists recommend making sure a baby’s finished with breastfeeding or bottle before going to sleep to help prevent cavities and decay.

Baby teeth are important. They help in speech development. They allow your child to eat and chew properly when it’s time for solid foods. They hold places for permanent teeth so the adult teeth erupt where they’re supposed to. All very good reasons to finish feeding baby before bedtime!

  • Making New Friends

When your baby has those first teeth, and certainly by the age of 12 months, it’s time to add some new friends to your baby’s life with a first visit to our Kingston, ON pediatric dental office.

Pediatric dentists have specialized training in caring for children’s teeth. They can assess tooth and bite development. They are experts in treating decay and injuries in primary teeth. They can advise parents on any potential problems with pacifier or thumb sucking habits. And they know how to make sure children are comfortable in a child-friendly environment.

That first checkup will allow Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to make sure your baby’s dental development is on schedule. There will be an exam to check those tiny teeth for enamel erosion or cavities. And you dentist will have great advice for proactive dental care, for diet, and for tips on how to brush most effectively.

These early visits are also a chance for your child to become accustomed to visiting the dentist regularly. Your pediatric dentist and staff are experts at creating a dental home, with welcoming, child-oriented dental care which provides comforting continuity from infancy through the teenage years. Look after your baby’s teeth right from the start, and you can look forward to seeing your baby grow up with a healthy and happy smile!

The Consequences of Sports and Energy Drinks

March 13th, 2024

They’re refreshing and tasty. They’re easy to find and pretty cheap. They help us get through a long day or a long workout. They’re everywhere.

We know it’s hard to say no to an energy or sports drink. That’s why Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want to make sure you know the effects that energy and sports drinks can have on your smile and overall oral health. You might just think twice next time you crave one.

There’s a common misconception that sports and energy drinks are somehow healthier than soda beverages. None is particularly good for you, but because sports and energy drinks have higher acidity levels, they put you on a fast track to enamel erosion, which can lead to cavities over time. However, studies show that energy drinks may be the worst of the bunch.

In a study published in General Dentistry, the energy drinks that showed the highest acidity levels were 5-hour Energy, Monster, Rockstar, and Red Bull Sugar free. These drinks almost doubled in acidity when compared to sports drinks. The sports drinks that came in second as far as acidity levels go were Powerade, Gatorade, and Propel.

You may be thinking, “What's the big deal; lots of other drinks damage your teeth, too,” and you’re right. Even all-natural beverages like orange juice and other fruit juices, which are advertised as full of vitamins, contain acid that damages tooth enamel. The point here is that moderation is key.

We certainly encourage you to choose a glass of orange juice over an energy drink, but if you feel like you just can’t give up your sports and energy drink habit, then please consider the following tips:

  • Limit yourself to a certain number of said beverages a week and stick to it.
  • Rinse with water after consuming an energy or sports drink.
  • Brush your teeth after an hour of downing the drink, so your mouth has time to return to its normal pH level.

If you have any questions, don’t hesitate to give us a call at our Kingston, ON office. Shoot us a message on Facebook, or let us know on your next visit!

Intraoral Cameras

March 6th, 2024

It seems today’s technology has made every moment a camera-ready opportunity. (Just check your friends and their latest selfies.) What you may not expect is the opportunity to see a close-up of your teeth and gums in vivid detail the next time you’re in our office. But with intraoral cameras, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can use the most up-to-date tools to provide your most accurate diagnosis—and let you see for yourself exactly what we’re seeing.

Intraoral cameras were developed in the 1980s. This camera makes use of a sleek wand-style design to fit easily into your mouth. Using a camera lens and its own lighting, the camera is able to show hard-to-reach places in the mouth much more clearly and easily than can be seen using dental mirrors alone. Images are projected onto a monitor or screen, where both dentist and patient can get a detailed view, and images can be enlarged, if needed, to provide better definition.

What can an intraoral camera reveal? While X-rays are invaluable for discovering treatable conditions such as cavities, infections and bone diseases, there are some conditions that are not easily apparent using X-rays alone. Small cracks in a tooth, developing cavities near crowns or older fillings, fractures, early gum disease, even areas where plaque has been missed during brushing are visible in clear detail using the intraoral camera.

How does this improve your dental care?

  • We always want to use the least invasive procedure we can, and keep as much of your healthy tooth as possible. Finding small problems early prevents them from becoming large problems later.
  • If you are consistently failing to brush certain teeth, or if some areas of your gums show signs of neglect, we can show you directly what places you’ve been missing so you can adjust your brushing and flossing habits.
  • We can take photos if needed for your files so we have a detailed visual record of your dental status at any point in time.
  • Finally, you will be able to see for yourself the reasons we might suggest certain treatments, and be better informed about your own dental health.

We’re happy to offer the intraoral camera at our Kingston, ON office as one of the tools we use to provide you with the most precise and thorough care possible. Ready for your close-up?

When a Baby Tooth Shouldn’t Wait for the Tooth Fairy

February 21st, 2024

Children’s baby teeth generally start to fall out when the adult teeth underneath them are ready to arrive. Visits from the Tooth Fairy begin around the age of six, and continue until the last baby molar is gone.

But sometimes, we can’t wait for nature to take its course, and children need a dentist’s assistance to remove a primary tooth before it falls out on its own. Here are some common situations where extracting a baby tooth is best for a child’s present—and future—dental health.

  • Serious Decay

Dentists make every effort to save teeth, and this includes baby teeth. A filling or even the baby tooth version of a root canal can be used to save little teeth when a cavity appears.

But severe decay could mean that there’s not enough healthy tooth structure left to fill. Or that bacteria have caused infection inside the tooth. Left untreated, infections can spread to other tissues in the body and can become quite serious. When a primary tooth is seriously decayed or infected, an extraction is often the healthiest choice.

  • Trauma

Sometimes a baby tooth will recover on its own if it’s been jarred by an impact. Sometimes an injured tooth can be repaired with treatment. If there’s serious damage, though, a baby tooth is at risk for abscess and infection, and, sometimes, can cause harm to the adult tooth beneath it. In cases like these, an extraction is the safest option.

When an injury causes a broken or dislodged tooth, call Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough immediately. Whether the tooth can be saved or should be extracted depends on how serious the injury is and how soon you can get your child to the dentist’s office or the emergency room.

Whenever a child loses a primary tooth early, a pediatric dentist will be on the lookout for potential orthodontic problems. Remaining baby teeth tend to shift to fill any empty spot. Without the proper space to come in, the adult tooth can erupt out of place or at an awkward angle. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough  might recommend a space maintainer to keep baby teeth aligned properly and to make sure the right spot stays open for the permanent tooth when it’s ready to erupt.

We’ve talked about primary teeth which are lost early, but it’s also problematic . . .

  • When a Baby Tooth Doesn’t Fall Out

Usually, a wiggly baby tooth is a clue that the adult tooth underneath has started pushing its way up and out. The baby tooth’s root is gradually absorbed as the adult tooth moves into place. Without an intact root to hold it in place, the baby tooth grows looser and looser until it falls out. Now the permanent tooth has the perfect open space ready for its arrival.

But when baby teeth don’t fall out on their own, this can be another source of orthodontic difficulties.

Stubborn baby teeth can mean adult teeth erupt behind them, creating a double row of teeth (colorfully known as “shark teeth”) and risking crowding and misalignment. Or a baby tooth can block an adult tooth from erupting at all. When that baby tooth just isn’t budging, an extraction will create space for the permanent tooth to erupt.

If an extraction is scheduled, consult with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about these important topics in advance:

  • Preparing for the Procedure

A pediatric dentist is an expert not just in caring for little teeth, but in caring for little patients as well. Because extractions can be scary for children, talk to our Kingston, ON dental team to learn how to prepare your child for the procedure in an informative, comforting, and age-appropriate way.

  • Sedation Options

A local anesthetic could be all that’s necessary for a simple extraction. If sedation is recommended for an extraction, or if you feel sedation is better for your child’s needs, discuss nitrous oxide, oral medication, and other options with your dentist.

  • Aftercare

Whether it’s how to protect the area around the extraction, which foods and drinks are best over the days following, or how to treat pain and swelling, you’ll be given clear instructions by your pediatric dental team to help your child recover comfortably and quickly.

Little teeth can take different paths on their way to the Tooth Fairy. Your pediatric dentist is an expert both in treating children’s dental needs and in making sure their oral development is on schedule. If your dentist has recommended an extraction, it’s because this is the very best way to protect your child’s immediate oral health while ensuring a healthy future adult smile.

Can You Repair Your Tooth Enamel?

February 15th, 2024

There are lots of ads out there for toothpastes that claim to repair damaged tooth enamel.

Can you treat cavities and tooth decay at home? Well, mostly, no, you can’t.

Can you strengthen your enamel at home? Very possibly—in some circumstances. Let us explain!

Cavities and tooth decay start forming when the enamel on the tooth’s surface breaks down. To discover what causes this breakdown, we need to see how chemistry works with our biology.

Tooth enamel is mainly made from calcium and phosphate ions. These minerals combine to form hydroxyapatite, crystals which make up around 95% of our enamel. Hydroxyapatite crystals are so strong that tooth enamel is the hardest part of our bodies. What can weaken a substance this strong?

Acids. Acidic foods and drinks, as well as acids created by the bacteria in plaque, strip away calcium and phosphate ions in enamel, weakening the surface of the tooth. This is a process called demineralization, and it’s the first stage of tooth decay. Left alone, weak spots will become bigger and deeper until they form cavities.

And tooth enamel, unlike the rest of your body, isn’t living tissue. It can’t regenerate. Once bacteria and acids have created a deep enough cavity, only Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can repair it by removing decay and filling the tooth.

Wait, this sounds a lot more like “No, you can’t repair your enamel” and much less like “It’s possible to strengthen your enamel.” But we’re not through!

Demineralization doesn’t equal cavities—yet. Careful attention to your habits and your diet can make a difference in whether your enamel continues to weaken or becomes stronger.

Our body’s first defense against demineralization is saliva. Calcium and phosphate ions in saliva bathe the teeth throughout the day, restoring the minerals which have been lost. This is called remineralization. Saliva also helps neutralize acids from the foods we eat. But with a diet heavy in acids, or a lot of plaque buildup, saliva just can’t keep up with the damage.

That’s where “enamel-repair” toothpastes come in. Toothpastes are available that contain hydroxyapatite to restore calcium and phosphates to weakened enamel. But for many of the most common enamel-repair toothpastes, the not-so-secret secret to their effectiveness is fluoride.

Dentists recommend fluoride toothpastes for several very good reasons. Fluoride is attracted to the minerals in tooth enamel and bonds with them. Once bonded, fluoride attracts the calcium and phosphate ions in saliva, helping restore lost minerals to the enamel. Even better, when fluoride bonds with the calcium and phosphate in our enamel, fluorapatite is created. This is a crystal even stronger and more acid-resistant than hydroxyapatite.

If you’re concerned about the strength of your enamel, and especially if you notice any signs of acidic erosion, talk to our Kingston, ON dental team right away. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can:

  • Recommend over-the-counter toothpastes or professional fluoride applications to help reverse early demineralization
  • Provide dental bonding, a crown, or a veneer to protect a tooth with serious erosion
  • Treat a cavity caused by more advanced tooth decay.

Keeping your enamel healthy at home can take many forms. By careful brushing and flossing to remove plaque, by watching the acids in your diet, by making sure you’re properly hydrated, and by using fluoride toothpaste, you can both reduce the risk of demineralization and help restore weak spots in your tooth enamel.

So, can enamel-repair toothpastes effectively repair your teeth? Yes, they can be effective—if demineralization is in its early stages and if you make them a regular part of your daily dental routine.

It's been years since my last appointment; what should I expect?

February 7th, 2024

Feeling apprehensive or guilty for not visiting a dentist in over a year is common, but coming back to receive dental care is easier than you may think. Our dental team at Cataraqui Dental Centre provides caring, non-judgmental, personalized service, and knowing this you can truly feel at ease making your first appointment back.

During your first appointment back, we will focus on three prominent dental issues including gum disease, cavities, and wear and tear by utilizing a full mouth series of X-rays, a hygiene appointment, and a comprehensive exam.

The full mouth series of X-rays are taken every three to five years, or as needed. A full mouth series may be a panoramic X-ray and bitewings (a set of four that checks for cavities) or a set of X-rays that views the entire anatomy of every tooth. The set of X-rays will depend on your individual needs.

Your hygiene appointment will begin with a review of your medical history, personal concerns and questions, and an evaluation checking for any infection. After any necessary diagnoses are made, the appropriate level of cleaning is proposed and completed if time allows.

A comprehensive exam serves as a review of what the hygienist has already covered. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will again review your medical history and dental concerns, and confirm any periodontal diagnosis. An evaluation of any decay, breakdown or broken fillings, or areas that are at risk for future problems will also be reviewed.

After the appointment, a team member at Cataraqui Dental Centre will review any recommended treatments, payment options, insurance coverage, and scheduling. The time spent at your first visit back is an important step in the right direction, and we are committed to making this visit as comfortable and easy as possible! Come see us in Kingston, ON.

Headaches, TMJ, and Dentistry

January 31st, 2024

That ache in your head may stem from your jaw. If your jaw falls out of alignment, you could have temporomandibular joint disorder, or TMD.

It's not clear what causes TMD. Obesity may factor in. Stress and pressure on the jaw may also contribute. A misaligned bite (that is, where your upper and lower teeth don't fit together when you close your mouth) may cause TMD symptoms, too.

TMD can affect your life and your health by making it painful to eat and hard to sleep. Some people find the nagging pain difficult to bear.

Symptoms of TMD include:

  • Recurring headaches with no other cause
  • Pain along and behind your ears
  • Pain in your cheeks or lower face
  • Clicking noises when you talk or chew
  • Tired or sore jaw muscles after eating
  • Limited jaw movement

If you experience the symptoms listed here, make an appointment with our office. We’ll take an X-ray to look at your bite, and determine if TMD could be the culprit. If you have TMD we can offer a number of treatments, including:

  • Relaxation and stress reduction techniques
  • Pain reduction recommendations, which might involve visualization or medication
  • Jaw joint exercises that can help reduce stress and improve your alignment

Left untreated, TMD headaches and other symptoms can become quite severe. If you suffer the symptoms of TMD, you do not have to live in pain. Make an appointment at our Kingston, ON office to learn how we can reduce your pain and restore comfort to your life.

Keep Your Teeth Healthy While You Keep Fit!

January 25th, 2024

Whether you’re defending the goal, shooting hoops, or practicing tricks on your skateboard, sports and exercise are a great way to keep fit and healthy. Let’s make sure you keep your smile fit and healthy, too, with a few easy ideas you can use whenever you work out.

  • Eat Tooth-Friendly Snacks

Most activities use lots of energy. One simple way to keep up your energy when you’re on the go is with snacks.

And one simple way to protect your teeth from cavities when you’re working out? Cut down on snacks like dried fruits, granola bars, and chips that can have a lot of sugar and/or stick to your teeth. Sugary and sticky foods feed the bacteria in plaque, and plaque causes cavities.

There are lots of tooth-friendly choices when it comes to recharging your energy levels. Fresh fruit slices and vegetable sticks are an easy-to-carry, vitamin- and mineral-packed snack. Bring some peanut butter for dipping or add some plain nuts for protein and crunch. Whole grain crackers and hard cheeses are another tasty choice. And drink some water after snacking to rinse away food particles.

  • Drink Water When You Exercise

And, speaking of water, our bodies can’t work without it! Healthy hydration means drinking the right amount of water every day—not too little, not too much—to help every cell in your body keep going strong.

But when you’re working out, breathing harder, and sweating, your body is losing water. That’s why athletes always keep a water bottle handy.

Of course, you can hydrate with other liquids besides water, and flavored sports drinks and energy drinks are popular with a lot of people—but not with dentists! If you look at their labels, you’ll often discover lots of sugar in these drinks. And they can also be very acidic, which can make your tooth enamel weaker.  

Bring your own water, and you’ll be hydrating, protecting your teeth, and helping to keep the planet healthy with your reusable bottle.

  • Wear Your Mouthguard

You don’t play contact sports without protective gear—and part of that gear should be a mouthguard. Sports like hockey and football are obvious contact sports, but, if you think about it, baseball, soccer, biking, skateboarding, and many other activities can bring you into contact with another person, a piece of equipment, or the hard ground!

One way to make sure that any contact is easier on your teeth and mouth is to wear a mouthguard. You can get these ready-made, or in a kit which lets you mold the mouthguard around your teeth, or you can have one made at our Kingston, ON office, which will fit your teeth perfectly and provide the best protection (especially if you wear braces).

Keep your smile strong and healthy while you keep fit with these simple additions to your work out routine. And for even more good ideas for taking care of your smile, ask an expert—Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough!

Healthy Teeth and Healthy Gums Make a Great Team

January 17th, 2024

You know a lot about taking care of your teeth. You brush carefully twice each day, you floss, you (mostly!) eat healthy foods, and you see Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for checkups and cleanings. Good for you! These are some of the very best ways to make sure you don’t get cavities.

But it takes more than taking care of your teeth for good oral health. It also means taking care of your gums, because your teeth and gums are a team.

Clean and healthy gums and teeth work together. Our gums fit snugly around our teeth to help protect them from bacteria and other germs. And clean, plaque-free teeth are important for healthy gums. How? Let’s take a look.

Plaque forms all day long, and sticks to our teeth unless we brush and floss it away. The bacteria in plaque create acids. These acids make our tooth enamel weaker, which can lead to cavities. We don’t want cavities, and so we brush and floss to get rid of plaque.

But that’s not the only reason we clean our teeth well. Plaque is double trouble, because the bacteria in plaque also irritate our gums.

How do our gums react when they’re irritated? They turn darker pink or red, or they get swollen or sore, or they even bleed a bit when you brush. All these signs are symptoms of gingivitis, which is how gum disease begins. (And sometimes people can have gingivitis without any big symptoms at all.)

So, how do you make sure you keep your gums healthy? Just remember to include your gums while you’re doing all the things you already do to take care of your teeth!

  • Brush Well

Lots of people, including kids, get gingivitis, because it doesn’t take long for plaque to build up when we don’t brush often enough or carefully enough. Make sure to brush twice each day, and don’t forget to angle your toothbrush to gently brush along the gum line where your teeth and gums meet.

Gentle brushing is all you need for daily tooth cleaning. Rough brushing and hard bristles can hurt even tough tooth enamel, so you know they’re not good for your gums!

  • Floss Well

Flossing gets plaque that your toothbrush can miss. After all, it’s hard for bristles to squeeze in between those tight teeth. And flossing is especially important for your gums, because it removes plaque that is hiding near the gum line.

But figuring out the best way to floss teeth can be hard even for adults! Luckily, you have an expert to help you find out just how to use floss and just the right floss to use—your dental hygienist. When you have your teeth cleaned at our Kingston, ON office, ask about the easiest and best ways to floss for your own special teeth and gums.

  • Eat Well

All of the foods which are good for your teeth—milk, cheese, yogurt, fruits, vegetables—are good for your gums, too! And the foods which aren’t so great for your teeth—sticky, sugary foods—aren’t great for your gums, either. Sugar feeds the bacteria in plaque, and plaque irritates gums.

This doesn’t mean no treats ever. It does mean that it’s important to brush well after enjoying desserts, or chips, or candy, or any food that sticks around your teeth and gums after eating. And if you can’t brush, a drink of water helps wash away bits of food which are still hanging around.

  • See Your Dentist Regularly

Regular visits to Cataraqui Dental Centre can catch any gum problems before they become more serious. And, if you’ve been missing any spots when you brush and floss, your dentist or hygienist will let you know.

If you notice any signs of gingivitis—puffiness, redness, bleeding, or pain—tell a grownup right away. One of the fantastic things about the way our gums work is the fact that careful brushing and flossing are often all you need to make them healthy again! If you need more help, your dentist is the person who can treat gum problems to keep your smile feeling and looking great.

Work together with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to make sure your teeth and gums are their healthiest. Just like healthy teeth and gums are a great team, you and your dentist make a great team, too!

Gum Disease in Children

January 10th, 2024

When it comes to gum disease and your child, it’s a good news/bad news situation. The very good news is that children rarely suffer from advanced gum disease, or periodontitis. The not-so-good news? Early gum disease, called gingivitis, is unfortunately an all-too-common childhood problem.

  • What does gingivitis look like in children?

Childhood gingivitis has the same causes and symptoms as the adult version. Healthy gums are firm and pink. When bacteria and plaque accumulate on the teeth, your child’s gums become irritated and inflamed. Call our Kingston, ON office right away if you notice any of these symptoms of gingivitis: bleeding gums, puffiness, redness, gum tissue receding from the teeth, or bad breath even after brushing.       

  • How to Prevent Gingivitis

The most common cause of gingivitis is poor dental care. Creating a regular dental routine is the best way to prevent gingivitis from ever developing! Brushing and flossing with your child for two minutes twice a day from the very beginning helps make healthy cleaning a lifelong habit. Care should be taken to gently brush teeth at the gum line to make sure plaque doesn’t get a chance to build up there and cause gum irritation. And when your child comes in for regular cleanings, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can be sure that any plaque that might remain on the teeth is removed.

Two additional notes: as your child approaches adolescence, hormone fluctuations can make gums more sensitive and easily irritated. This is a time to really emphasize careful and gentle brushing and flossing. Also, some medical conditions may make children more pre-disposed to gum problems, so be sure to make us aware of your child’s medical history.

  • Uncommon Gum Diseases

While gingivitis is very preventable with proper dental hygiene, there are some rare gum conditions that can occur around the time of puberty that are quite different from gingivitis. Aggressive Periodontitis can cause severe bone loss around the first molars and incisors, even without any kind of plaque build-up, and Generalized Aggressive Periodontitis leads to inflammation of the gums, heavy plaque, and, eventually, loose teeth. Again, these conditions are rare, but if you have a family history of these diseases, let us know. Checkups and cleanings are a great way to catch any potential gum problems, so be sure to bring your child in for regular visits.

Almost all childhood gingivitis is preventable. With careful brushing and flossing at home, and visiting us regularly for checkups and cleanings, your child can enjoy healthy gums and teeth now and learn habits that will keep those gums and teeth healthy for a lifetime. And that is a good news/great news situation!

Three Reasons We're Fans of Fluoride

January 3rd, 2024

Why all the fuss about fluoride? Your pediatric dentist recommends it, your child’s toothpaste is formulated with it, and most of our drinking water contains it. Just what is it about this mineral that makes dental professionals sing its praises? Read on for three good reasons why fluoride is a healthy choice for healthier teeth.

  1. Fluoride Works!

Fluoride is an attractive option for protecting your child’s teeth—and we mean that literally. Fluoride protects the surface of teeth by working on a molecular level to attract minerals that strengthen enamel and help prevent cavities.

Our tooth enamel is mostly made from calcium and phosphate ions. These elements combine to form hydroxyapatite, strong crystals which make up about 95% of our enamel. Hydroxyapatite is so strong, in fact, that tooth enamel is the hardest part of our bodies. What can go wrong?

Acids. Acids created by the bacteria in plaque and the acids in our diet strip away the calcium and phosphate ions in enamel, weakening the surface of the tooth. This process is called demineralization. Over time, weak spots become bigger as acids eat through enamel to the inner tooth, causing decay and cavities.

So, what can fluoride do?

First, fluoride helps remineralize tooth enamel. Fluoride is attracted to the tooth’s surface and bonds with its minerals. It also attracts the calcium and phosphate ions which are found in our saliva to restore any minerals which have been lost. This process helps repair any weak spots which might have begun to form.

But fluoride does more than restore and repair tooth strength—it improves it! Fluoride ions join with calcium and phosphate to form fluorapatite crystals, which are larger and stronger than hydroxyapatite crystals. Even better? These new crystals are more resistant to acids.

  1. Fluoride Is Doubly Effective

Fluoride works both externally and internally. We just looked at how fluoride helps keep teeth strong when applied to the outside of the teeth. This is called a topical application. Systemic benefits come the fluoride we consume in our diets.

Fluoride isn’t found in many foods, but it is found naturally in lakes, rivers, and other water sources. When the local water’s fluoride level is low, many communities add fluoride for its proven ability to prevent cavities. Water fluoridation is safe, has been studied for decades, and has been shown to reduce the risk of cavities by 25% or more for both children and adults.

Systemic fluoride is important for baby teeth, as fluoride joins with minerals in adult teeth while they grow and develop. This creates stronger, more cavity-resistant teeth even before they erupt.

When your child’s permanent teeth come in, fluoride is still at work! When your child drinks fluoridated water, they increasing the amount of fluoride in their saliva. Just like fluoride toothpaste, saliva bathes the teeth with fluoride ions, remineralizing and strengthening the tooth surface and helping repair weak spots in enamel.

  1. It’s Easy to Get Fluoride Protection

Because so much of our drinking water is fluoridated, most of us really don’t have to think about how to get the recommended amount of fluoride in our diet each day. If your community’s water is low in fluoride, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can help you. Prescription fluoride rinses, gels, supplements, and other treatments are available at our Kingston, ON pediatric dental office to make sure that your child’s teeth are well protected, wherever you may live. We will let you know which products are best for your child and how often to use them.

Fluoride isn’t, of course, the only way to look out for your dental health. Proper brushing and flossing are still essential for removing plaque. And sealants provide long-lasting protection for chewing surfaces. But when it comes to a proven cavity-fighter that’s simple to use, effective, and easily available—is it any wonder we’re big fans of fluoride?

Five (Easy-to-Keep!) Dental Resolutions for the New Year

December 28th, 2023

It’s a new year! A blank calendar! A traditional time to make a few changes that could change your life for the better. And while we applaud big goals like learning a new language or finally getting those closets reorganized, we’d like to start small with a few simple, proactive dental resolutions suitable for anyone’s list.

  1. Floss Every Day

Yes, we know we talk a lot about flossing. That’s because flossing can be a game-changer when it comes to healthy teeth and gums.

Proper flossing removes the plaque from spots your brush often misses—between the teeth and near the gum line. When you floss, you accomplish two goals: you help prevent cavities and you help prevent gum disease. And once each day is all it takes—as long as you take your time and floss properly.

If you’re having trouble flossing properly (a very common problem!), don’t hesitate to talk with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to discover the best techniques and products to make your personal flossing experience as relaxed and effective as possible.

  1. Retire Your Brush

Brushes work hard—that’s why they should be replaced after a few months of use. Bristles start to fray over weeks of brushing, which means you aren’t getting the full benefit of your great brushing technique.

Switch out your brush every three to four months, or earlier if you notice any bristle damage, and you’ll enjoy cleaner teeth without changing your normal brushing habits.

  1. Protect Your Smile

Take some simple, everyday precautions to protect your teeth and your smile.

  • If you haven’t already, be sure to buy a soft-bristled brush when you replace your old one. Soft bristles are strong enough to brush away plaque while protecting your tooth enamel and gum tissue from abrasion.
  • Use a mouthguard when you enjoy any sports or activities where you might make contact with an object or person or the ground.
  • Ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about a custom night guard if you grind your teeth. If you have a night guard, don’t forget to wear it.
  • Protect and strengthen your tooth enamel with fluoride, a proven cavity-fighter. Fluoride toothpaste? Yes, please! And if your community doesn’t have fluoridated water, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about whether fluoride treatments are a good idea.
  1. Pay Attention to Your Body’s Signals

Don’t ignore symptoms which might indicate problems with your oral health.

  • Tooth and Jaw Pain

Pain can be caused by many conditions, including a cavity, an abscess, a pulp infection, a cracked tooth, or problems with your bite. Visit our Kingston, ON office to discover why you’re suffering and to treat any dental problem before it becomes more serious.

  • Signs of Gum Disease

Gum disease can cause symptoms like swelling, redness, pain, receding or bleeding gums, and chronic bad breath. Sometimes, more careful attention to brushing and flossing is all you need to reverse early gum disease. But when your symptoms linger, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can help you avoid more serious gum disease with periodontal treatment.

  1. Visit Cataraqui Dental Centre Regularly

Don’t wait for pain or other worrisome symptoms before you give us a call. Proactive care can catch potential problems early, reducing your risk of more serious conditions.

Start the new year off right. These five small adjustments to your daily routine can have a big impact on your oral health. Be proactive now, and you’ll enjoy a new year filled with healthy smiles.

Taking Care of Your Toothbrush

December 21st, 2023

One of the best ways to take care of your teeth is to brush them twice each day for two minutes each time. And brushing works even better when you take care of your toothbrush! Let’s look at some easy toothbrush rules to keep yourself, your teeth, and your brush healthy.

  • Don’t Share

You can share toys, or share games, or share stories—but don’t share your toothbrush! Germs can hide on your brush. If you have a cold, you don’t want to give it to others. And if your family member or friend has a cold, you don’t want to catch it! This also means that toothbrushes shouldn’t touch each other while they’re drying. Separate brushes are healthy brushes.

  • Keep Your Brush Clean

After you finished brushing your teeth, you might notice some toothpaste suds sticking to your brush—or even bits of the food you’ve just brushed off your teeth. Keep your brush clean by rinsing off all the toothpaste and food crumbs before you put it away. And it’s always a good idea to wash your hands before you brush to get rid of any germs which you don’t want to share with your brush—or your mouth.

  • Stand (It) Up Straight

Let your toothbrush dry standing up, with the bristle end on top. That way your brush can air-dry quickly.  Germs like to grow in dark, damp spaces, so don’t put your toothbrush in a case while it’s wet. If you take your brush to school or on a trip, make sure your brush is dry before you pack it away.

  • Don’t Keep Your Brush Too Long

After about three months, no matter how well you take care of your toothbrush, you’ll be needing a replacement. Bristles get worn out after weeks and weeks of brushing twice a day, and just can’t clean as well as they did when they were new.

  • Don’t Forget Regular Checkups

Regular cleanings at our Kingston, ON pediatric dental office and exams with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will remove any plaque you missed and keep your smile clean and bright.

Keep your toothbrush to yourself, keep it clean, keep it dry, and don’t keep it too long—and you’ll help keep yourself, your teeth and your toothbrush in good health!

What Your Dentist Checks During a Checkup

December 14th, 2023

You’ve been going to Cataraqui Dental Centre for a while now, so you pretty much know what to expect when you get to our Kingston, ON office.

You’ll see Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, your hygienist, and all the other members of your friendly dental team again. You’ll sit in a comfortable chair just your size. And you’ll have a checkup to make sure your teeth are healthy.

But once you’re sitting back in that comfortable chair, you might be wondering just what exactly gets checked during your checkup. The answer is, a lot!

  • Checking Your Tooth and Gum Health

It’s important to have regular checkups because finding a small problem right away, like a weak spot in your tooth enamel, means your dentist can prevent it from becoming a bigger problem, like a cavity, later!

So your dentist will carefully examine each tooth for signs of tooth decay, using a little mirror to see behind your front teeth and around those hard-to-see teeth in the back of your mouth. The visible part of your smile doesn’t always tell everything about your dental health, though. At some checkups, you might need X-rays to make sure the insides of your teeth and their roots are healthy.

Oral health means more than just your teeth. That’s why your dentist will examine your gums and the inside of your mouth, too.

  • Checking Your Bite

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will check the way your teeth fit together when you bite, and can take X-ray images to show the size and shape of your jaw bones and the size and position of your permanent teeth before they even come in.

If your teeth and jaws fit don’t together just right, or if it looks like there might not be enough room for all your adult teeth to come in without crowding, your dentist might recommend pre-orthodontic or orthodontic treatment. 

  • Cleaning Your Teeth

Plaque can hide in hard-to-reach places between your teeth and around your gums. You might know that plaque can cause cavities if it’s not brushed away, but did you know that plaque can also hurt your gums? That’s why an expert cleaning is usually part of every checkup.

Your hygienist will use special dental tools and carefully remove any plaque you might have missed or any tartar (hardened plaque) that’s built up over time. Then after flossing and rinsing, you’ll have a clean, sparkling, plaque-free smile.

Bonus: Your dental hygienist can teach you how to brush and floss better if you’ve been missing a few spots!

  • Can Your Teeth Use Extra Protection?

Once your teeth are cleaned and examined, your dentist might use a fluoride treatment or sealants to give your teeth extra protection against cavities.

Fluoride treatments help make your tooth enamel stronger. If your dentist thinks you need this kind of fluoride protection, your teeth will be coated with a special fluoride gel or varnish or foam. This treatment doesn’t take long and will strengthen your enamel for months afterward.

People’s molars get the most cavities because their uneven surfaces make good places for plaque and bits of food to hide from brushes. A sealant is a thin coating which is brushed on the top of your molars to prevent plaque from hurting your enamel.

  • Checking In with You!

Part of your checkup is talking to your dentist about how you can protect and even improve your dental health.

  • Find out whether the foods you eat make your tooth enamel stronger—or weaker.
  • Discover how brushing and flossing help prevent tooth decay and gum disease, and see if your brushing and flossing skills need any work.
  • Learn how to protect your teeth during active sports (hint: wear a mouthguard).
  • If you have habits which can hurt your teeth, like nail biting, get advice on how to quit.
  • Don’t forget to ask any questions you might have!

Your checkup might be a little different, because your exam is designed just for you, but there’s one thing which all of us can expect. Visit our Kingston, ON pediatric dental office for regular checkups, work together with your dental team, and you can expect a healthier, happier smile!

Happy Holidays! Healthy Holidays!

December 7th, 2023

It’s the holiday season! With so much to do and so much going on, you want to be at your best. We have some ideas to help make your season bright with a few easy tips for a healthy smile.

  • Keep Your Smile Merry and Bright

There’s a lot going on during the holidays. Visiting friends. Traveling to see family. Parties and get togethers. With all the enjoyable festivities on your holiday schedule, you might be tempted to overlook brushing or flossing. But, please don’t!

Many of our favorite holiday traditions and activities are centered around sharing good company, good cheer—and good food.

Indulging in more treats throughout the day, especially sugars and simple carbs, provides more fuel for the bacteria in plaque. These bacteria produce acids that weaken tooth enamel—the first stage of tooth decay. Plaque buildup also irritates the gums, causing swelling, redness, pain, bleeding, and chronic bad breath.

How to avoid these not-so-jolly consequences? Make time in your holiday schedule for dental care! Brushing twice a day for two minutes and flossing once each day removes plaque buildup and helps prevent cavities and gum disease.

  • Holiday Snacks—Naughty or Nice?

We’re no Scrooges—enjoying holiday treats is one of the ways we celebrate. But since we’re trying to prevent a plaque buffet of sugar and simple carbs, it’s a good idea to add some healthier foods to the mix.

Whether it’s platters of snacks around the game table or a stylish hors d’oeuvre array, don’t forget to add nutritional, dental-friendly items to your plate. Options such as fresh fruits and vegetables, cheeses, nuts, and whole grain breads and crackers are great partners for more indulgent selections because they’re lower in added sugars and provide vitamins and minerals to strengthen teeth and gums.

And from the candy bar? Hard candies and candy canes make our naughty list because they take a long time to dissolve while bathing your teeth in sugar. So do caramels, toffees, and gumdrops, which stick between teeth and gums. Soft chocolates? A much nicer choice, because they are more easily rinsed away by saliva or a drink of water. Which leads us to . . .

  • A Toast to Your (Dental) Health!

The holidays offer some of our favorite seasonal beverages. But spiced lattes, mochas, and hot chocolate can be full of sugar.

The answer? Enjoy in moderation, and enjoy with a glass of water. Water washes away sugars, neutralizes acids, helps increase saliva flow for tooth and gum health, hydrates, and, when it’s fluoridated, protects and repairs your enamel. That’s a lot of gifts in one convenient package!

  • Dashing through the Snow?

If you’re taking to the slopes, or the hills, or the rink for a little holiday exercise, don’t forget to protect your teeth and mouth. It’s not just sports like football and hockey that cause dental injuries—it’s any sport where you can fall or make contact with someone or something.

If you don’t have a mouthguard, they’re available at sporting goods stores in stock sizes or models that can be molded to your teeth. A custom mouthguard from our Kingston, ON office is more comfortable, fits better, and protects you better. This is a perfect gift to give yourself so you can take advantage of all those cold weather sports with confidence.

We all look forward to holiday surprises—but not when they take the form of cavities, gum disease, or dental injuries! In the flurry of holiday activities, keep up with your regular dental care, and you’ll be looking forward to a new year filled with happy and healthy smiles.

Teeth Grinding

November 30th, 2023

If you are waking up with jaw pain, tension headaches, or facial pain, you may be suffering from a condition known as bruxism. This means you could be grinding or clenching your teeth while you sleep. Some people aren’t even aware they are grinding or clenching their teeth at night, until a visit to us reveals significant tooth enamel loss. Fortunately, there is a non-invasive and effective solution for teeth grinding, and the tooth enamel damage it can cause, in custom-fabricated nightguards.

Causes of teeth grinding

Tension, stress, and anxiety experienced during the daytime can carry over to an individual’s sleep, and lead the person to grind his or her teeth together or clench the teeth unknowingly. Sleep apnea is another condition that can result in bruxism. Regardless of the cause, however, frequent clenching and teeth grinding wears down the chewing surfaces of the teeth, reduces tooth enamel, and can result in a cracked or chipped tooth, crown, or filling.

Nightguards for teeth grinding

Custom nightguards are fabricated to fit like a glove and protect your teeth from the adverse effects of bruxism. Nightguards are created through a non-invasive process that simply takes an impression of the bottom and top rows of teeth. The result is a nightguard that is flexible, comfortable, and personalized to your mouth.

Benefits of nightguards

Nightguards are helpful to reduce or eliminate the symptoms of dental damage incurred as a result of teeth grinding. They can reduce the discomfort associated with a sore jaw, headaches, tooth sensitivity, ear pain, and facial pain that many patients experience as a result of clenching or grinding of their teeth. In severe cases of bruxism, patients can develop loss of hearing, jawbone misalignment, and TMJ. Therefore, customized nightguards can help prevent the progression of teeth grinding into these more serious conditions.

At-home tips to reduce or prevent teeth grinding

Although it’s important to wear your nightguard faithfully if you grind your teeth at night, you can follow a few self-care tips to help to prevent your teeth grinding from worsening.

  • Reduce tension and stress. Whether you take a warm bath before bed, listen to soothing music, or exercise, practice stress-relieving activities to wash away the tensions of the day.
  • Avoid alcohol. In some patients, alcohol increases teeth grinding tendencies.
  • Avoid caffeine. In some individuals, caffeine increases the likelihood of teeth grinding.
  • Focus on relaxing jaw muscles. Make a conscious effort to keep your jaw relaxed. A warm washcloth against your cheek, sticking your tongue between your teeth, and avoiding chewing pencils, pens, and gum are all ways to train the muscles of your jaw to stay relaxed.

If you suspect you may be grinding your teeth at night, visit Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre for an evaluation at our convenient Kingston, ON office.

A Spot of Trouble?

November 22nd, 2023

Your smile is in the spotlight every day, helping you greet the world with confidence! But when you’re self-conscious about discolored spots on your teeth, it’s time to get some professional advice to deal with these troublesome tints.

Discolored patches, both dark and light, can develop for a number of different reasons. Some markings are cosmetic only, and some spots require treatment. Some can be removed with a professional cleaning, and some might require more serious restoration. Let’s have a look at some of the common causes of enamel discoloration.

  • Cavities

Decayed enamel can appear as a brown spot on the tooth. A dark edge around a filling might mean decay underneath.

Regular checkups at our Kingston, ON office will help catch small cavities before they become big ones. If you need a filling, the filling color can be matched to your tooth color for an undetectable restoration.

  • Demineralization

Bacteria in plaque produce acids, which attack our teeth. These acids erode minerals such as calcium and phosphorus from enamel, leaving a weak spot that is vulnerable to decay. This process is called “demineralization,” and often leaves a whiter spot on a tooth where minerals have leached away. Common reasons for demineralization are neglecting dental hygiene, failure to clean around braces, and a diet filled with sugary and acidic foods.

Fluoride and enamel-strengthening toothpastes, a healthy saliva flow, and a balanced diet help our teeth “remineralize,” bathing teeth in minerals that can help replace those that have been lost. But if you have lingering white spots due to demineralization, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can provide some options, including whitening, microabrasion, and veneers.

  • Fluorosis

Fluorosis is a cosmetic condition caused by exposure to too much fluoride while the permanent teeth are still forming (generally, during the years before a child’s eighth birthday). Small white spots and patches are a common result of mild fluorosis. In more serious cases, teeth can be pitted and stained with brown, gray, or black spots.

Preventing fluorosis begins in early childhood. Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about fluoride levels in local tap water if you have any concerns. Use only the recommended amount of toothpaste (the size of a grain of rice for children three and under; the size of a pea for children three to six), and show your child how to spit out toothpaste and rinse after brushing. Keep fluoride toothpastes and other fluoride products out of the reach of young children. Don’t give children fluoride supplements or fluoride rinses without discussing it with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough.

If your own teeth have been affected by fluorosis, talk to us. Again, this is a cosmetic condition affecting otherwise healthy teeth. Whitening treatments can be helpful in mild cases, microabrasion has been effective for mild to moderate cases, and, for severe cases, cosmetic restorations such as bonding and veneers are an option.

  • Tartar

Are you seeing an accumulation of dark brown spots and stains on your teeth, especially between the teeth and at the gum line? This might mean that you have tartar buildup. When you brush plaque away every day, your enamel stays smooth and clear. But when plaque builds up over time, it hardens and becomes tartar.

How hard is tartar? So hard that it can only be removed with a professional cleaning. Eliminate this source of spots and staining with twice daily brushing and daily flossing, and make sure regular professional cleanings are on your calendar.

  • Other Causes

Medications taken while teeth were developing (notably, antibiotics in the tetracycline family) can cause discoloration. Medical conditions such as celiac disease and enamel hypoplasia can affect both tooth color and enamel formation.

Cosmetic treatment and restorations can help with discoloration caused by medications, and restorations such as bonding, veneers, and crowns can restore tooth appearance and function when medical conditions cause imperfections in enamel color and structure.

If you’re unhappy with the overall whiteness of your smile, a professional whitening might be just what you’re looking for. If specific patches, streaks, and spots of a different color are dimming your bright smile, it’s time for an exam. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will be able to tell you the reason for any discolored enamel as well as present you with all your treatment options. Put the spotlight back where it belongs—on your healthy, confidant smile!

Avoid Brushing After Every Single Meal!

November 15th, 2023

Here is some surprising yet worthwhile advice you might be hearing for the first time: Brushing after a meal can be incredibly bad for your teeth if you do it after eating certain foods.

Enamel is an extremely hard mineral on the exterior of each of your teeth. It’s actually the hardest substance in the human body: It’s even stronger than your bones! Its only weakness is that acids in the food we eat can easily destroy enamel.

Healthy teeth thrive in an environment that has the proper pH balance. That ensures your mouth doesn’t start the process of demineralization. That’s what happens when alkaline turns into acid, which attacks and softens the enamel on the surface of your teeth. Pores and fissures form, and that’s when the harmful bacteria go to work.

Our mouth’s pH level fluctuates depending on what we eat throughout the day. Examples of the most common highly acidic foods include citrus fruits, soda, and sugary foods. Highly acidic foods tip the balance of pH in your mouth from a healthy alkaline to a dangerous acid.

Can brushing your teeth immediately after a meal lead to even more damage? The answer is yes!

Eating highly acidic foods causes your teeth to be more susceptible. If you brush your teeth when they have been weakened by acids, even more destruction can happen to your enamel. Your toothbrush’s bristles will actually wear away some of your enamel. So it’s healthier to wait at least an hour after eating or snacking to brush.

Good preventive measures to take instead of brushing after you eat include:

  • Rinsing or drinking water
  • Chewing sugarless gum
  • Consuming dairy or non-acidic foods to conclude your meal

These practices help produce saliva, which in turn restores a healthy pH level in your mouth and coats the teeth with minerals they need.

Once you’ve allowed time for your mouth to be restored to a healthy pH level, you may brush your teeth as you normally would. Keep in mind that acidic foods can weaken the enamel on your teeth and take the right measures to prevent spiking pH levels.

Most important, don’t forget to wait to brush at least one hour after you eat!

Still have questions? Call our Kingston, ON office and schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough.

Losing a Baby Tooth Prematurely

November 8th, 2023

Losing a baby tooth is often an exciting event in a child’s life. It’s a sign your child is growing up, and might even bring a surprise from the Tooth Fairy (or other generous party). But sometimes, a baby tooth is lost due to injury or accident. Don’t panic, but do call our Kingston, ON office as soon as possible.

If Your Child Loses a Tooth

It is important to see your child quickly when a baby tooth is lost through injury. The underlying adult tooth might be affected as well, so it’s always best to come in for an examination of the injured area. The Canadian Dental Association recommends that you find the lost tooth, keep it moist, and bring it with you to the office. Call Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough immediately, and we will let you know the best way to treat your child and deal with the lost tooth.

Baby Teeth Are Important

There are several important reasons to look after your child’s first teeth. Baby teeth not only help with speech and jaw development, but they serve as space holders for permanent teeth. If a primary tooth is lost too early, a permanent tooth might “drift” into the empty space and cause crowding or crookedness.

Space Maintainer

A space maintainer is an appliance that does exactly that—keeps the lost baby tooth’s space free so that the correct permanent tooth will erupt in the proper position. The need for a space maintainer depends on several factors, including your child’s age when the baby tooth is lost and which tooth or teeth are involved. We will be happy to address any concerns you might have about whether or not a space maintainer is needed.

It is important to remember that there are solutions if the Tooth Fairy arrives at your house unexpectedly. Keep calm, call our office, and reassure your child that his or her smile is still beautiful!

 

Oral Health during Pregnancy

November 1st, 2023

Pregnancy can be one of the most exciting times in a woman’s life, as you eagerly wait for the birth of the new addition. Needless to say, pregnancy comes with a lot of responsibilities. Everything you do to your own body can affect your baby’s health, so you eat right and try to avoid anything that could harm your baby.

You may not realize it, but even your oral health affects your baby. You have a lot to worry about during this time in your life, but it’s important not to let your oral health slide. Maintaining good routines before and during pregnancy can improve the health of your baby.

Gum Disease and Pregnancy

Gum disease includes gingivitis and the more severe condition called periodontitis. Pregnancy gingivitis is a condition that results from bacteria in your teeth. Symptoms include gum inflammation and bad breath. If it progresses to periodontitis, your baby is at higher risk for preterm delivery and low-birth weight. You can also develop pregnancy tumors, or pyogenic granulomas, which can interfere with speaking and eating. Throughout pregnancy, continue to visit Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at your regularly scheduled appointments to look for signs of gum disease.

Pregnancy and the Role of Our Office

Make an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office when you first learn that you’re pregnant, especially if you have unresolved oral health issues. If possible, try not to schedule necessary treatment during the first trimester or second half of the third trimester.

Oral Health Care Habits to Follow

Maintain a normal good oral health care regimen, which includes brushing your teeth at least twice daily with a fluoride toothpaste and soft toothbrush, and flossing daily. If your regular regimen is not up to par, now is a good time to develop good habits. You can use an unflavored toothpaste if you have morning sickness and regular toothpaste makes you feel nauseous. Also, rinse your mouth with water or mouthwash if you experience morning sickness to prevent acid damage to your teeth.

Adults Can Get Cavities Too

October 25th, 2023

Sure, you brush your teeth and floss regularly, so you might think you’re off the hook when it comes to the dental chair. However, it’s just as important for adults to get regular dental exams as it is for kids. Cavities are common among adults, with 92% of people aged 18 to 64 having had cavities in their permanent teeth, according to the National Institute of Dental and Craniofacial Research.

How cavities form

Our mouths are teeming with hundreds of types of bacteria. Some are helpful and maintain good health, while others are harmful. Certain types of bacteria process the sugars in food and release acid in return. Although minor decay can be naturally reversed by your body, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre will tell you that eventually the acid wears away the enamel and creates small holes in the surface of teeth.

Cavity prevention for adults

Some people are naturally more prone to cavities than others. However, making a few lifestyle changes can dramatically reduce your likelihood of developing cavities.

  • Food choices. Eating plenty of fresh fruits and vegetables increases saliva production, and reduces cavity risk. It is also important to avoid foods that get stuck in the ridges of your teeth. Candy, cookies, and chips should be eaten sparingly.
  • Beverages. Most people know that drinking soda contributes to tooth decay. However, fruit juices and energy drinks also contain large amounts of sugar. Whenever possible, replace these sugary beverages with tea or water, which rinses your mouth and prevents decay.
  • Fluoridated water. Fluoride is a naturally-occurring chemical that facilitates enamel growth. Most municipal water supplies are fortified with fluoride, so drinking tap water is a great way to keep teeth healthy. People with well water may use fluoridated toothpaste or other supplemental forms of fluoride to decrease cavity risk.
  • Brush teeth and floss frequently. Gently brushing teeth several times a day removes the harmful bacteria that cause cavities to develop. If possible, brush your teeth after each meal or when drinking sugary beverages. Flossing regularly removes small particles that get trapped between teeth, which further decreases tooth decay.

One of the most important steps in cavity prevention is visiting your dentist at least twice a year. Consistent dental exams ensure that cavities are caught early, before they cause major damage to your teeth.

For more information about avoiding cavities, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, please give us a call at our convenient Kingston, ON office!

Aftercare After Extraction

October 18th, 2023

Pediatric dentists do everything they can to save teeth, but sometimes, a tooth is so damaged by accident, injury, infection, or decay that extraction is the only option. Or perhaps your child’s wisdom teeth are starting to come in—and starting to cause problems. Or perhaps there is a baby tooth which has simply overstayed its welcome and is blocking its adult replacement.

While there are several possible reasons an extraction might be necessary, one thing is true for any extraction: you want to make sure that your child is as comfortable as possible and heals as quickly as possible after the procedure.

Aftercare and recovery time isn’t exactly the same for every extraction. Whether your child’s tooth is a baby tooth or a permanent one, whether it’s a single tooth or several, whether it’s erupted or impacted, whether a local anesthetic or sedation is recommended—these factors and more can make a difference in recovery time.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will provide you with clear, specific instructions for helping your child to a speedy recovery after an extraction. We’d also like to offer you some general aftercare ideas to make sure your child is as comfortable as possible while recovering.

  • Bleeding

Some bleeding is normal after an extraction. Follow your dentist’s instructions carefully to minimize bleeding at the extraction site. Your child will probably need to keep a gauze pack in place for as long as directed to reduce bleeding and to help a clot form. If bleeding is heavier than expected or goes on longer than expected, call our Kingston, ON office.

  • Swelling

Swelling is a normal response to extractions. Your dentist might suggest cold compresses to help reduce swelling immediately after the extraction. If you don’t have an ice pack, ask whether a bag of frozen peas or corn can substitute.

With any cold compress, it’s important to protect your child’s skin from injury. Follow your dentist’s suggestions for application and be sure not to exceed the time limits recommended. And don’t apply a compress directly to your child’s face—wrap a towel or cloth around the bag or pack to protect the skin.

  • Careful Cleaning

The area around the extraction shouldn’t be disturbed or touched. The blood clot which forms after an extraction protects the area from irritation and infection caused by food particles and bacteria. If a clot is dislodged accidentally, it can lead to a condition called dry socket, which can be very painful.

This means no brushing near the extraction site, and no heavy rinsing or spitting for as long as directed. If your child is younger, you might need to help with brushing over the days following to make sure those sturdy bristles don’t get close to the extraction site before it’s healed.

  • Soothing Foods

Have a supply of your child’s favorite comfort foods handy while healing, such as cream soups, mashed potatoes, scrambled eggs, gelatin, yogurt, and smoothies. Hot and cold foods can be irritating, so stick to cool or lukewarm foods for the first few days. Encourage your child to drink lots of liquids, but nothing carbonated. And do wait until any numbness wears off before giving your child chewable foods to avoid biting tongue or cheeks.

Remove spicy favorites from the menu, which can be irritating, as well as chewy, crunchy, or jagged foods like crackers, since tiny, sharp bits of food can make their way inside the site. Remind your child to chew on the side of the mouth opposite from the extraction site. And, since suction is an all-too-easy way to dislodge the clot over the extraction site, no straws!

  • Schedule Recovery Time

Make sure your child rests and takes it easy after the procedure. Exercise, lifting, even bending over can dislodge a protective clot, so re-schedule any physically demanding sports and activities until your child is given the dental all clear.

  • Medication

If your child has been given a prescription for pain medication or antibiotics, follow the instructions as directed. Your dentist might recommend age-appropriate over the counter pain relievers to have on hand. For severe or continuing pain, call your dentist or oral surgeon right away.

An extraction can be worrying for both patient and parent, so talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for the best ways to make this experience a positive one for your child before, during, and after treatment.

Pediatric dentists are experts in children’s extractions, while ensuring that the procedure is as stress-free and as comfortable as possible for your child. Follow their instructions for aftercare, and you’ll ensure your child’s recovery is as stress-free and comfortable as possible, too.

First Filling?

October 11th, 2023

It’s your child’s first filling at our Kingston, ON office, and perhaps you’re both a little nervous. Your child doesn’t know what to expect, and you want to make sure this is a positive experience. We have some suggestions that might help both of you!

  • Partner with Your Child’s Dentist

Because a pediatric dentist is a specialist in treating children and their dental needs, your dentist will have some suggestions for making that first filling a comfortable and comforting experience.

And because you’re the expert when it comes to your child’s needs, you can let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough know about anything that might cause your child difficulty or anxiety beforehand.

  • Age-Appropriate Explanations Are Best!

It’s a good idea not to make any explanations too complicated. “Your dentist will help your tooth get strong and healthy again” might be all a young child needs to hear. And talking about drills or needles can be scary, especially when kids have no experience with dental tools and procedures.

A pediatric dentist can help you describe cavities and the filling procedure in an age-appropriate, non-scary way—and can recommend helpful story books for reading ahead of time!

  • Discuss Sedation Beforehand

If you think your child would benefit from light sedation options such as nitrous oxide or oral medication, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about sedation procedures.

Your dentist will also have child-appropriate ways to talk about local anesthetics if they’re needed to numb the area around the tooth.

  • Tool Talk

Most adults are familiar with dental tools, but this will be a new experience with new sensations and sounds for your child. A pediatric dentist can describe what each tool is and what it does so kids are comfortable when an instrument is used.

Sometimes a tool can be noisy or vibrate. Some tools squirt water and some (loudly) suck water and debris away. If noises are a problem for your child, let your dentist know in advance, and ask about music or headphones to help minimize sounds.

  • Filling Material Concerns?

For molars, which bear the weight of chewing pressure, a silver-colored amalgam might be recommended. For a filling in the front of the mouth, a tooth-colored composite could be used to blend in. Fillings can also be made with gold or ceramic materials. A severely decayed tooth might require a crown, which is often made of stainless steel when used for a baby tooth.

If you have questions or concerns about the type or appearance of filling material, ask! Your dentist will be happy to explain which material is best suited to restore the appearance and function of your child’s tooth.

  • Getting Ready for the Appointment

Choose an appointment day with a light schedule and let your child dress comfortably. Ask if your child can bring a favorite toy or a stuffed animal friend for comfort.

Your mood will influence your child, so make the day of the appointment as stress-free as possible for the both of you! That’s why it’s a good idea not to talk about any dental fears you might have, or any discomfort your child might experience. Your child will pick up on your feelings, so projecting a calm and positive attitude will help.

  • Aftercare

Your dentist team will give you instructions for your child’s quickest, most comfortable recovery. These instructions include how to treat the extraction site, which foods are best, and over the counter pain medication.

It’s best not to plan strenuous activities immediately after a filling.

  • Partner with Your Child’s Dentist

Yes, we know we already talked about this, but it can’t be stressed enough. When your child has his or her first filling, in a way it’s your first filling, too! Your pediatric dentist is there to help you navigate this procedure and to help make sure that the experience is a positive one for both of you.

Pregnancy: What should I know about my oral care?

October 4th, 2023

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre know this is an exciting time as you anticipate the arrival of your new little one. We want to take this opportunity to provide you with some important information pertaining to your oral health during pregnancy. Just as the rest of your body is changing, the amount of bacteria in your mouth also changes. Scientists don’t understand all the reasons why, but during pregnancy, your mouth is more susceptible to bacterial complications that could result in increased risk for gingivitis or periodontal disease. What researchers do know is the change in hormones creates a more favorable environment for gum infections and diseases when you are pregnant.

You may experience an increase in gingivitis, even while continuing with regular daily brushing and flossing, and routine semi-annual month cleanings. You will likely complain of increased bleeding of the gums with routine daily care and more tenderness in the mouth. This is due, in part, to the increased blood flow and volume that naturally occurs with pregnancy. There is a greater amount of blood flowing through your veins, which translates into slightly engorged gum tissues. If gingivitis prevails, you may also experience pain and tenderness. We can help you navigate through your specific needs.

Brushing your teeth two times a day may not be quite enough. Similarly, if you only floss on occasion, consider making this activity a daily habit. Mouthwash is also advised, or sometimes a mild saltwater rinse may feel better than a commercial brand. Consider other products with xylitol and a WaterPik for additional cleaning.

Finally, we now know that bacteria in the mouth circulate throughout the body. These harmful bacteria compromise your immune system and may increase your risk for respiratory illness and cause other strains on your immune system. Remember that nutrients as well as pathogens are shared with your baby. If you feel tired or tempted to slack on your home-care routine, remember the importance and implications of your daily decisions on how your care for your oral health.

Contact our convenient Kingston, ON location if you have more specific questions. We’re here to help you!

Thirsty? We Have Some Ideas on Tap

September 27th, 2023

No, we don’t mean the latest foamy offering from your favorite microbrewery. When you’re thirsty, one of the best options available is literally at your fingertips—tap water, straight from your faucet. It might not be the most adventurous choice, but drinking a tall glass of fresh tap water is refreshing in so many healthy ways.

Physical Health

Water conveniently available at home is much more than a convenience. We need to keep hydrated, because our bodies are made to run on water. To name just a few of its benefits, water provides nutrients to organs and cells, eliminates waste, regulates our temperature, and protects our joints and delicate tissues. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our Kingston, ON team will tell you all about the importance of proper hydration when it comes to your mouth, gums, and teeth, but here are a few highlights:

  • We need to be hydrated to produce enough saliva. Saliva, which is more than 90% water, helps prevent cavities and protect enamel by both washing away bacteria and balancing acids in the mouth which can cause decay.
  • Tooth enamel is so strong because it’s made of calcium and phosphate. These minerals are leached from our enamel by both bacteria-produced acids and dietary acids. Saliva also contains calcium and phosphate, and, with fluoride, restores these minerals in our enamel, leaving teeth stronger and less likely to develop cavities.
  • As a bonus, a quick rinse with water when you can’t brush after eating is a great way to remove food particles left behand—especially healthy when you’ve had sugary or acidic foods.

Ecological Health

If you want to reduce waste, one of the easiest ways to do so is to use tap water instead of bottled water.

  • Bottled water has a carbon footprint. It takes energy (and additional water) to create plastic and glass bottles, to label them, and to transport them. Water piped into your home from local sources? No bottles, labels, or long road trips necessary.
  • Water bottles should be recycled. Unfortunately, many cities don’t offer, or have stopped offering, recycling. Plastic and glass empties end up in landfills, littering our neighborhoods, or in our waters.

Budget Health

Getting your daily hydration from bottles can add up quickly.

  • Bottled water can cost hundreds of times as much as tap water. While local water prices vary, the average gallon of tap water costs less than a penny. No matter what kind of sale your local store is offering, bottled water will never be the bargain tap water is.
  • When you buy many small bottles instead of a few larger ones, or choose more expensive “designer” water, your costs can mount up even more.
  • When you need to bring water with you for work, sports, or other activities, consider filling a reusable bottle with water from home.

Dental Health

Getting the recommended amount of fluoride in your diet is one of the single best things you can do for your dental health. Fortunately, many communities make this easy for us by providing fluoridated drinking water.

  • Fluoride works with the calcium and phosphate in your saliva to create stronger enamel, so cavities can’t form as easily when your teeth are exposed to plaque and food particles.
  • Fluoride helps strengthen your child’s permanent teeth as they develop, and helps prevent cavities in both baby teeth and permanent teeth as children grow.
  • If your community doesn’t offer fluoridated water, ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for the best way to get the fluoride you need to protect your teeth.

For the good of your body, your planet, your wallet, and last, but most certainly not least, the health of your teeth and gums, consider a glass of water. So many benefits—and you have them all on tap!

How Do We Clean Your Child’s Teeth?

September 20th, 2023

Baby teeth are very important to your child’s present and future dental health, so we want to help you keep your child free from cavities and gum disease even before those permanent teeth erupt. That’s why we recommend professional cleanings at our Kingston, ON office—to keep plaque and tartar from damaging little teeth and gums.

But a dental cleaning might be a bit stressful for young children, especially when they’re not used to the steps, the sounds, and the sensations of the cleaning process.

So, just as we strive to make every examination and visit a positive experience for your child, we do our best to make their cleanings a happy, stress-free time. How do we do this? With your help!

  • Preparation

A happy experience begins even before your child arrives in the office. If you are relaxed and positive before an appointment, you’ll help your child feel relaxed and positive, too.

Explaining what goes on during a cleaning even before your visit will help your child feel more comfortable when unfamiliar tools like dental mirrors, scalers, and polishing brushes are used. You can talk about your own experience, read a book together, watch a video, or find online resources to help your child understand what will happen during your visit, and why cleanings are so important for happy, healthy teeth.

Sometimes children benefit from a form of mild, conscious sedation (such as nitrous oxide) when they have special health needs or dental anxiety. If you feel this is an option we should discuss, please talk to us in advance and we’ll answer any of your questions.

  • Pre-Cleaning Examination

After being made welcome in the office and settled comfortably in the dental chair, we’ll examine your child’s teeth and gums for any signs of plaque and tartar.  A small, handled mirror is used to check out hard-to-see places behind the teeth and in the back of the mouth. Gum health is also important, and your child’s gums will be examined for any signs of gingivitis, or mild gum disease.

Plaque and tartar cause cavities and gum disease, even for young children. Finding any trouble spots will let us know where to concentrate on cleaning, and where you can help your child to brush more effectively.

  • Removing Plaque and Tartar

No matter how well a child (or an adult!) brushes and flosses, plaque can build up in some hard-to-reach spots, especially between the teeth and along the gumline. And if plaque isn’t removed within a few days, it starts hardening into tartar—and tartar can’t be brushed away.

That’s why removing tartar is a job for a dental professional. Using a special tool called a scaler, we gently scrape built-up plaque and tartar off tooth enamel (especially where it tends to accumulate behind and between teeth) and near the gumline. Sometimes an ultrasonic scaler can be used to dislodge tartar with sound waves.

Scalers can make a scraping noise and cause some pressure, and ultrasonic scalers use a stream of water as they clean. We’re happy to explain, in an age-appropriate way, why tools make these noises and how they work to clean little teeth.

  • Polishing & Flossing

After the plaque and tartar are removed, your child’s teeth will be polished with a power brush and a special gritty toothpaste. This is usually a bit noisy as well. A careful flossing and a final rinse will wash away any leftover particles or paste.

Once the teeth are cleaned, you may choose to have a fluoride treatment or a dental sealant applied to your child’s teeth.

  • After a Cleaning

Your praise and encouragement are always welcome! Giving children praise for helping keep those little teeth clean, shiny, and healthy makes them partners in the process.

How do we clean your child’s teeth? Gently. Thoroughly. Expertly. We want to make sure each cleaning is just one of the many positive dental experiences your child will have in our office. Help us make your child’s cleaning appointment stress-free with positive preparation and reinforcement, and together we’ll start your child on the path to a lifetime of shining smiles and proactive dental care!

Diastema, or, Mind the Gap!

September 13th, 2023

Diastema is a medical term meaning “space between”—or what Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team less formally call a gap between the teeth. Such gaps are common for children as they make the transition from baby teeth to adult teeth, and usually close when all the permanent teeth arrive. But not always!

Sometimes a gap, usually between the upper front teeth, stays with you into adulthood, but doesn’t affect your perfectly heathy teeth. Sometimes a diastema develops due to medical conditions or trauma. Whether you would like to close a gap for cosmetic reasons, or need to address gaps that have developed because of dental problems, your treatment will depend on the causes of the diastema.

  • The Relationship of Jaws and Teeth

Most of the time, we think of braces as straightening crooked teeth. For many braces wearers, the jaw can’t accommodate all of the adult teeth without crowding. But it’s also possible to have too much space for incoming teeth, and this can lead to a gap between two or more teeth. Orthodontic treatment is a common choice to close this kind of gap, using braces or clear aligners to move the teeth closer together.

  • Prominent Labial Frenulum

The labial frenulum is a band of muscular tissue that connects the upper lip and the top of the gums. If it is too large, tissue can extend beyond the top of the front teeth. A gap develops when the front teeth simply can’t meet because of the tissue between them.  Oral surgery can reduce the size of the frenulum, if necessary, and often orthodontic treatment is the go-to option to close the diastema.

  • Small Teeth or Small Gap

Occasionally, a few teeth are noticeably smaller than their neighbors. Bonding, veneers, and crowns can be used to enlarge these teeth, making them proportionate to the teeth around them. These treatments can also be successful in reducing a gap between the front teeth.

  • Missing Teeth

Sometimes people are born missing a tooth. Sometimes people lose a tooth to injury or decay. And while the space left by a missing or lost tooth is a noticeable gap in itself, the remaining teeth can shift to fill the void, causing other gaps to develop as well. A dental implant or bridge can both replace a missing tooth and maintain the normal spacing of the teeth that surround it.

  • Gum Disease

Left untreated, periodontitis (gum disease) can damage or even destroy the bone tissue which holds and supports the teeth. This, in turn, leads to “tooth mobility,” or loose teeth. Spaces between the teeth become more noticeable and larger over time. After the gum disease is treated, patient and dentist can explore options for reducing or eliminating spaces between the teeth.

  • Harmful Oral Habits

Tongue thrusting and thumb sucking are two habits that can affect the alignment of the front teeth. Both behaviors pressure the teeth to move forward, which can cause separations between them. Learning how to change these behaviors will help prevent or stop the expansion of a diastema and potentially serious malocclusions (bad bites).

If you would like to discuss your diastema for aesthetic reasons, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for ways to reduce or eliminate the gap. If your diastema is the result of a medical condition, we will be able to recommend treatment options available at our Kingston, ON office. If you’re teeth and gums are healthy, and you enjoy the individuality of your diastema . . .

  • Embrace the Space!

A diastema can be a signature look for you and your smile. Normal brushing, flossing, and regular dental care will keep your smile bright, healthy, and uniquely you. And if you’re happy, healthy, and confidant, why, there’s no reason to mind the gap at all!

Does Your Filling Need Replacing?

September 6th, 2023

No matter how wonderfully something works for us, there comes a day when a replacement might be necessary. This holds true whether it’s the latest and greatest smart phone, or your perfectly prescribed eyeglasses, or your discreet and comfortable dental filling.

Wait, dental filling?

It’s true! While most dental fillings will last for many trouble-free years, there might come a time when a replacement is in order. Here are some signs to look for:

  • Obvious Damage

Your teeth are under a lot of stress. The forces of biting and chewing place hundreds of pounds of pressure on teeth and jaws. And if you grind your teeth, your teeth are really getting a workout. What’s true for your teeth is true for your fillings. Over time, fillings can break down after years of this constant pressure.

If you notice a filling has become loose, or is cracked, or is pulling way from the edges of the tooth, give your dentist a call! A timely replacement can prevent decay from forming under the filling. Which leads us to . . .

  • Pain in a Filled Tooth

When a filling is damaged, it no longer protects the dentin and pulp inside the tooth as effectively.

Why? Because your toothbrush can’t reach beneath your filling—but cavity-causing bacteria can. This means that cavities can develop underneath a filling that’s loose or damaged. Hidden decay will eventually progress into the pulp area of the tooth, which could lead to infection, root canal treatment, or even extraction.

If you’re suffering from pain or sensitivity in or around a tooth, it’s important to see your dentist right away to rule out hidden decay or other serious conditions.

  • Cosmetic Concerns

Composite resin fillings are often used on front teeth because they can be carefully color-matched to our enamel for an almost invisible restoration. Over time, though, you might discover your composite filling has become quite a bit more visible.

Just like our enamel, composite fillings can become stained over time from foods like coffee and red wine, and from smoking. Does a discolored filling need replacement? If the filling is damaged, or if decay is present, yes. If the problem is surface cosmetic staining, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough might be able to restore the original color of your filling with polishing. If you’re concerned about the color of your filling, talk to us about all of your options.

  • Your Dentist Recommends Replacement

Part of each dental examination includes checking the condition of your restorations. If we notice a loose or damaged filling, or find decay beneath a filling, it’s time for a replacement.

You have more options that ever before when it comes to dental fillings. Gold fillings and silver amalgam fillings last from ten to 15 years or even longer, and are capable of withstanding chewing pressure and filling larger cavities. Composite fillings, although they might not last quite as long, are almost unnoticeable and perfect for visible teeth. Your dentist will recommend the filling which is best suited for your needs.

If you wait to replace a cracked or compromised filling, you’re taking a chance with the health of your tooth. Dental fillings provide years of durable, comfortable wear—but if it’s time for a replacement, don’t hesitate to call our Kingston, ON dental office for an appointment.

Clean Toothbrush/Healthy Toothbrush

August 30th, 2023

We’ve all learned a lot about staying healthy lately. As a parent, you give good advice about avoiding germs in public places, cleaning things that get touched a lot like phones and keyboards, and learning the best way to wash hands. These small daily habits can have a big effect on your child’s health.

And since you’re already taking care of your little one by making sure they brush at least twice a day, we have some good advice for small habits which can make their toothbrush even cleaner and brushing even healthier.

Brushing Habits

Don’t let germs hitch a ride on your child’s toothbrush before they even begin brushing! Make sure their hands are clean before they start, and rinse off the toothbrush before they put it in their mouth.

After brushing, be sure your child rinses their brush carefully to get rid of leftover toothpaste and bits of food. Also, clean the toothbrush holder regularly to get rid of germs and bacteria.

And while we’re talking about germs, how about . . .

  • Flushing Habits

Most toothbrushes live in the bathroom, where we also find—the toilet. Every time we flush, invisible bacteria and particles fly through the air. And while that might not make you sick, it’s still pretty gross. Closing the lid before you flush helps keep your family’s toothbrushes—and bathroom—cleaner.

  • Airing? Yes!

Keeping a toothbrush in a dark, wet environment is the perfect way to help bacteria grow. Instead of putting a wet toothbrush in a case, let it air dry standing heads up after use. Give it a shake first for a head start on drying out.

  • Sharing? No

We’re not talking about sharing a brush, which you would never do. We’re talking about sharing space. If your child’s brush touches other brushes in a toothbrush holder, it’s probably sharing germs. Toothbrushes shouldn’t be too close to other toothbrushes, no matter how close you are to the other brush’s owner!

Finally, no matter how well your child takes care of their toothbrush, there comes a time when you should let it go. After three or four months, bristles become frayed and worn out. This means the brush won’t remove plaque as well as it used to. And to be on the safe side, it’s a good idea to replace a brush if your child has been sick.

Keeping your child’s teeth and mouth healthy is one very important way to keep their whole body heathy and happy. Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office to learn more about simple habits for healthy teeth!

Just What Is a Cavity, Anyway?

August 24th, 2023

The grownups in your life encourage you to brush and floss, eat healthy foods, and visit us in the dental office for exams and cleanings. Why? Because we all want to help you prevent cavities.

So you might be wondering, just what are cavities? How do we get them? What do they do to our teeth? How can we prevent them? Let’s talk!

Our teeth need to be strong to bite and chew. That’s why they are protected by a coating called enamel, which is made up of very hard minerals. Enamel is the strongest part of our bodies—stronger even than our bones. But this doesn’t mean nothing can hurt it! And cavities, also called tooth decay, are one of the most common dangers facing our enamel.

So, what are cavities?

A cavity is a hole in your tooth enamel. If your tooth is not cleaned and repaired when a cavity is small, this hole can grow bigger until tooth decay reaches the inside of your tooth. Enamel doesn’t heal when it’s damaged, so you need to see a dentist to make your tooth healthy again.

How do we get cavities?

Bacteria are tiny little germs. Many kinds of bacteria live in our bodies, and some of them are quite helpful. The bacteria that cause cavities are not. These unhelpful bacteria join with our saliva and very small pieces of the food we’ve chewed to make a sticky film called plaque.

Like other living things, the bacteria in plaque need food. They get that food from the foods we eat, especially sugars and starches. As they eat, they change these sugars and starches into acids, and these acids attack the minerals that keep enamel hard and strong.

Because plaque sticks to our teeth, bacterial acids are able to make weak spots in enamel if the plaque isn’t brushed away. If you see a white spot on your tooth, which could mean that your enamel is losing minerals, and getting weaker.

What do cavities do to our teeth?

Over time, weak spots can grow bigger until there’s a hole in the enamel surface. If the cavity in your enamel is small, you might not notice it at first. But cavities can become wider and deeper, and even break through enamel to reach the inside of your tooth.

The inside of each tooth holds pulp, the part of your tooth that keeps it healthy. If tooth decay spreads to the pulp, it can cause more damage and infection, so it’s important to treat a cavity right away.

Dark spots on your enamel, a toothache, pain when you drink something hot or cold or when you bite down—these can be clues that you have a cavity, and you should visit us for an exam.

How can you prevent cavities?

Even better than treating a cavity is preventing one. Let’s make a list of some helpful do’s and don’ts for cavity prevention:

  • Do: Feed yourself foods that are good for you.

Foods like milk and cheese and many dark green vegetables have lots of calcium and vitamin D to help keep your enamel strong.

  • Don’t: Feed bacteria foods that are good for them.

Sugar and simple starches like potato chips are the kinds of foods bacteria like best, because they are easy to break down. This means more acids to attack your enamel.

This doesn’t mean you should never enjoy a treat! But eating lots of starchy snacks and drinking sugary sodas means more plaque, and more plaque can mean more cavities. If you’re eating something starchy or sweet, it’s a good idea to brush or rinse afterward.

  • Do: Brush at least twice a day, for at least two minutes, with fluoride toothpaste.

This is the best way to get rid of plaque, which builds up every day. And fluoride toothpaste even helps make your enamel stronger.

  • Don’t: Forget to floss.

Flossing takes a while to learn to do well, but it’s very important. Flossing helps prevent cavities between the teeth and near the gums.

  • Do: Visit our Kingston, ON office for exams and cleanings.

Not only will we look for cavities, we’ll let you know the best way to brush and floss so you can get your teeth their cleanest. We even have special coatings called sealants that can protect your teeth from plaque.

  • Don’t: Feel bad if you get a cavity!

Some people are more likely to get cavities than others, even when they brush just right and eat healthy foods. If you have a cavity, we can remove decay and repair your tooth with a filling.

And one last thing to do: talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough if you have any questions about the best ways to protect your teeth from cavities. We have lots of suggestions to help you take care of your healthy, beautiful smile!

Canker sores, cold sores, and mouth sores: What's the difference?

August 16th, 2023

At Cataraqui Dental Centre, we know many people have experienced some form of mouth sores or irritation. Some mouth sores are harmless and go away on their own after a few days, while others are more serious and should not be ignored. Mouth sores occur for many different reasons, but bacterial infections, viruses, or funguses often trigger them. The best way to tell the difference between a canker sore and a cold sore is that canker sores occur inside the mouth while cold sores occur on the outside the mouth.

The most common mouth sores are:

Canker sores: A non-contagious, small, grayish ulcer with a red border, canker sores appear inside the mouth. While outside factors such as stress, fatigue, or allergies may increase the chances of developing a canker sore, most health experts believe they stem from bacteria or a virus that attacks the immune system. Canker sores typically heal within a week or two.

Cold sores: Also called fever blisters, cold sores are contagious groups of fluid-filled blisters that often erupt around the lips and sometimes under the nose or around the chin. Cold sores are the result of the herpes simplex virus, and once infected, the virus remains in the person’s blood stream.

Leukoplakia: A potential warning sign of oral cancer, leukoplakia is a premalignant lesion that appears as a white patch on the inside of the mouth, tongue, or gums. The lesions, which are caused by excessive cell growth, usually afflict those who smoke tobacco. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough may choose to have the lesion biopsied if the outbreak appears severe.

Oral candidiasis: Also called oral thrush or moniliasis, this condition is caused by the overgrowth of a type of yeast called candida. Common symptoms of oral candidiasis include white spots inside the mouth and on the tongue, redness or discomfort in the mouth area, sore throat,difficulty swallowing, and cracking at the corners of the mouth. It is important to visit Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough if you have oral candidiasis. If left untreated, it may infect your bloodstream, which can be very dangerous. Healthy adults do not usually get thrush, and the condition is most often seen in infants, the elderly, patients undergoing chemotherapy, or people with AIDS or other diseases that are known to weaken the immune system.

Should you have a mouth sore that lasts a week or longer, we encourage you to give us a call and schedule an examination at our Kingston, ON office.

What is an Impacted Tooth?

August 9th, 2023

You may have heard this term the first time you or a friend got your wisdom teeth. That makes sense, as wisdom teeth are the teeth most often impacted in teenagers and young adults. But other permanent teeth can be impacted as well. What exactly do we mean by “impacted teeth,” and what can we do to treat them?

The term “impacted” means that somehow a tooth has been blocked from erupting properly. A tooth may be completely blocked by another tooth, erupt in the wrong space, or even come in from the wrong direction. Depending on the teeth involved, there are several different options for treatment.

From Baby Teeth to Permanent Teeth

Normally, when children lose a baby tooth, a permanent tooth is right there, ready to take its place. But teeth don’t always behave according to plan. Occasionally, that baby tooth just won’t budge, and the permanent tooth starts to erupt behind it. When this happens, a simple baby tooth extraction will often let the permanent tooth move into its proper position on schedule.

A more complicated situation develops when upper teeth are impacted because there isn’t enough space in the mouth for them. In this case, a device called a palatal expander might be used to gradually widen the upper jaw to allow the permanent teeth to erupt without crowding.

In other rare cases, a tooth (often the canine) fails to erupt and may require oral surgery to uncover it, followed by orthodontic treatment to guide it into position.

Impacted teeth can result from other causes as well, and every impacted tooth should be treated as quickly as possible. Left untreated, the teeth can fail to erupt at all or erupt in the wrong place, crowd other permanent teeth, damage the roots of the teeth near them, and lead to difficulties eating and dental pain.

Wisdom teeth

Wisdom teeth are often a problem because there is simply not enough room in the jaw for them.

Wisdom teeth that are completely impacted (still in the jawbone) can sometimes be left alone if they aren’t causing other problems. But if impacted wisdom teeth develop cysts, affect the teeth around them, or lead to other dental complications, they should be extracted.

Partially erupted teeth, those that have begun to emerge through the gums but don’t erupt fully, can be the source of different gum and tooth problems. Because the gum tissue overlaps the tooth, food particles and bacteria can become trapped, leading to rapid tooth decay and even infection. In this case, extraction is probably the best option.

Be Proactive

The term “impacted” actually comes from the Latin root meaning “pushed against.” But teeth that don’t erupt at the right time, in the right place, can have a different kind of impact on dental health and appearance. And the earlier we can catch these problems, the easier it is to treat them.

Regular exams and X-rays with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office will show the progress of the teeth even before they erupt, and if there will be the space for them to fit in the mouth properly. We may recommend a visit to the orthodontist by the age of seven to see if there are any signs of potential orthodontic problems.

Intervention at an early stage can prevent potential problems from becoming major ones. That is why it’s so important to be proactive when teeth are erupting in children and young adults. After all, a healthy, confident smile makes a real impact!

Hot Day? Three Drinks to Leave Home When You’re Packing the Cooler

August 2nd, 2023

Whew! It’s a hot one! And whenever the temperature soars, you need to stay hydrated, especially when you’re outside or exercising. But all cold drinks aren’t equal when it comes to healthy hydration. Which beverages shouldn’t have a prime spot in your cooler when you’re wearing braces or aligners?

  • Soft Drinks

You’re probably not surprised to find soft drinks at the top of the list. After all, sugar is a) a big part of what makes soda so popular, and b) not a healthy choice for your teeth.

Sugar is a favorite food source for the oral bacteria that make up plaque. These bacteria convert sugar into acids, and these acids attack the surface of your tooth enamel. Over time, the minerals which keep enamel strong begin to erode, and weakened, eroded enamel is a lot more susceptible to cavities.

So, what about sugar-free drinks? Does this make soft drinks a better choice? Unfortunately, you can take the sugar out of many sodas, but you can’t take the acids out. Most soft drinks are very acidic, even without sugar, and will cause enamel erosion just like the acids created by bacteria will.

  • Fruit Drinks

Fruit juice provides us with vitamins, which is great, but it’s also full of natural sugars and acids. And blended fruit drinks and fruit punches often contain added sugars and added citric acids. Best to choose 100% fruit content and check the labels before you buy. (And you can always get refreshing fruit flavor by adding a slice of fruit to a glass of water.)

  • Sports Drinks

You might be surprised to see these on the list—after all, they promise healthy hydration while you’re working out. And hydration is healthy—but sugars and acids aren’t. Even when the label tells you there’s no added sugar, that same label will often reveal high amounts of citric acid. In fact, some sports drinks are more acidic than sodas.

We’ll make an exception, though, for thirsty people who participate in sports or activities that require a lot of physical exercise and produce a lot of sweat. When we sweat, we lose electrolytes, those ionized minerals which help regulate many vital bodily functions. Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about which sports drinks are best for you if you need to replenish your electrolytes when working out.

So, what’s your best hydration choice on a hot day? Water! It not only hydrates you, it cleans your teeth, it helps you produce saliva, and it often contains tooth-strengthening fluoride. But if you only have sports drinks in the cooler, or if you just want to enjoy a soft drink or a bottle of juice from time to time, no need to go thirsty. We have some ways to make sure your teeth are safer, even with this tricky trio:

  • Rinse with water after you drink a sugary or acidic drink. And remember to brush when you get home.
  • Be choosy. Check labels for added sugars and acids.
  • Don’t sip your drinks all day long. Saliva actually helps neutralize acids in the mouth, but sipping acidic beverages throughout the day doesn’t give saliva a chance to work.
  • Use a straw to avoid washing your enamel in sugars and acids.

You need to keep hydrated when it’s hot. When you’re packing your cooler, choose drinks that are healthy for your entire body, including your teeth and gums. Ask our Kingston, ON team for the best choices in cold drinks to make sure you’re getting the hydration you need—without the sugar and acids you don’t!

Baby Teeth and Cavities

July 26th, 2023

We know how frustrating it can be to discover your child has one or more cavities when you come to visit Cataraqui Dental Centre. There are several ways to prevent baby teeth from forming cavities due to decay. Not to worry: If your child does develop a cavity on a baby tooth, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can help take care of the problem.

Let’s look at how cavities on your little one’s teeth can be prevented from developing in the first place. Most often, children suffer decay from eating sugary foods. You may think, “My child doesn’t eat lots of candy!” In truth, fruits and juices have plenty of natural sugars that can break down teeth if they aren’t brushed thoroughly.

A well-balanced diet that includes calcium and phosphorous is necessary to keep your child’s oral health in a good state. If your son or daughter drinks juice, avoid giving it before bedtime and dilute the juice with water. Good options for snacks include vegetables, low-sugar yogurt or dairy products, and plenty of milk for healthy teeth.

Another excellent preventive strategy consists of scheduling regular appointments with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for your child. Between your youngster’s annual cleanings, make sure he or she brushes and flosses every day. It’s worthwhile for your little one to brush thoroughly for at least two minutes to remove any decay or plaque that has accumulated in the mouth, especially before bedtime.

Brushing Techniques

  • Move the brush both back and forth, and in circular gentle strokes.
  • Brush the outer surfaces, inside surfaces, and chewing surfaces of all teeth.
  • Place the toothbrush at a 45-degree angle to the gums.
  • Brush the tongue to remove excess bacteria and keep breath fresh.

It’s not always possible to prevent cavities from appearing in your son or daughter’s mouth. If your child does develop a cavity, our staff will notify you during the regular scheduled cleaning.

The cavity will need to be eliminated, even when it appears on a baby tooth. Our staff will remove the decayed part of the tooth and fill in the hole so your child doesn’t have to experience any pain.

You may wonder why a baby tooth has to be fixed if it is eventually going to fall out. Baby teeth hold spaces where your child’s permanent teeth have to grow in. If the former aren’t taken care of, multiple teeth may shift and the permanent ones won’t be able to grow in properly.

If you still have questions or concerns about your child’s baby teeth, or notice signs of a cavity, please don’t hesitate to contact our Kingston, ON office and schedule an appointment. Remember, preventive steps can be taken to avoid bothersome cavities from forming in your child’s mouth.

How Does Your Dentist Fill a Cavity?

July 19th, 2023

The grownups in your life want you to have healthy teeth. That’s why they remind you to brush and floss, make you tooth-friendly meals, and take you to see the dentist regularly, at an office designed just for you. You’ve been visiting Cataraqui Dental Centre for a while now, so you know all about checkups and cleanings.

At every dental exam, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will look at your teeth very carefully, checking not just the outside of your teeth, but around and behind your teeth as well. (That’s what those little mirrors are for.) You might have X-ray pictures taken to show the inside of your teeth. In all these ways, we make sure your teeth are healthy, inside and out.

You expect all these things at a dental checkup because you’re used to them. When you hear that you have a cavity, you might be worried. After all, if you’ve never had a cavity before, you don’t know what to expect. And sometimes not knowing is a little scary. So let’s talk about what a cavity is, and how your dentist can help make your tooth healthy again if you need a filling.

  • What’s a Cavity?

Teeth are covered with a very hard white coating called enamel. Enamel is the strongest part of our bodies, even stronger than our bones. But when we eat too many sugary foods, or don’t brush the way we should or as much as we should, or even just because of the way some people’s bodies work, our enamel can be hurt by cavities.

A cavity is a hole in your tooth enamel. These holes are made by the bacteria in plaque, which turn sugars into acids. This is why it’s important to brush carefully to get rid of plaque, and to watch how much sugar we eat. It’s not just people who like sugar—bacteria do, too!

The acids bacteria create attack our enamel and make it weaker. If the enamel gets too weak, a hole will start to form. This is what we call a cavity.

  • How Do You Know You Have a Cavity?

Maybe you came to our Kingston, ON office because you have a toothache, or it hurts when you eat something hot or cold. Those are often clues that you have a cavity.

But small, early cavities don’t always bother us. That’s why regular checkups are so important, and why Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will look carefully at each tooth to make sure that it’s healthy.

  • Getting Ready

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough might give you some medicine to make sure you don’t feel uncomfortable while your tooth is being repaired. The area around your tooth will get numb, which means you won’t feel anything while we work.

  • Removing Decay

There are different ways to remove decay from your tooth. Some can be noisy, and some are quiet.  If noise bothers you, let your dentist know—there are ways to cover up annoying sounds.

After the decay has been removed, it’s time to clean your tooth. This makes sure that no germs or bacteria are still around when your tooth is filled.

But after all the decay is gone, you’ll still have a little hole in your tooth. That’s why the next step is . . .

  • Filling Your Tooth

Since a hole in your tooth enamel makes it weaker, this hole needs to be filled up to make your tooth strong again—that’s why it’s called a “filling.”

There are different kinds of fillings, and your dentist will tell you which one is best for your tooth. A molar, one of the big teeth in the back of your mouth, needs a strong filling for all the work it does chewing food. Your dentist might use a metal filling to help your molar do its job. If you have a cavity in one of your front teeth, you might get a tooth-colored filling. This filling is made to match the color of your enamel, so no one can see the filling when you smile.

  • After Your Filling

All done! In just a little while, the area around your tooth won’t be numb anymore, and we will let you know when you can eat and drink regular foods again.

If you do your best to keep your teeth healthy, you can look forward to cavity-free checkups in the future. But when you need a filling, or if you have a tooth which needs another kind of treatment, we are here to help you make sure your happy smile is a healthy smile!

How Tooth-Colored Fillings Improve Your Smile

July 12th, 2023

Today’s crowns, veneers, and tooth colored fillings are very natural looking compared to early counterparts. There was a time when dentists placed silver fillings exclusively. This material is still used, however the most common material used today in fillings is composite, tooth-colored fillings. Composite fillings can be made to match any shade of tooth and even let light travel through them like natural enamel.

Composite fillings are great in many different scenarios. The most obvious reason is when a cavity is present. This is an excellent way to seemingly erase the imperfection that once was. It is almost as if the cavity was never there.

Placing composite fillings to reshape teeth can also minimize excessive spacing. In the case of a diastema, (a large space between the two front teeth) composite material is a non-invasive and cost-effective choice that provides instant results. It can be an alternative to braces.

Mottled enamel is a symptom of fluorosis, which causes discoloration and imperfections in the enamel. Composites are the material of choice for masking this condition.

Composite fillings are easy to place, easy on the eyes, and easily repaired. With skill and good composite material, a filling can be easily disguised. This look is desired most in our society today, where dental perfection is now standard.

In conclusion, your smile is in good hands with composite fillings. There are some great materials that give a near perfect match to the appearance of natural tooth enamel. Smile with confidence knowing no one ever has to know. Your secret is safe with us at Cataraqui Dental Centre!

Whitening Before Veneers—A Bright Idea?

June 28th, 2023

It’s time. You’ve decided. You’re going to get veneers. Whether it’s to repair a cracked or chipped tooth, to cover discoloration brought on by a root canal or medical condition, to fill in gaps between teeth, or for any other cosmetic reason, veneers can give you back your natural, confident smile.

And now you have just one more decision to make: should you whiten your teeth beforehand?

Many dental professionals find that, for most of us, the best results occur with professional whitening before veneer placement. Why?

  • Your veneers will be carefully matched to the teeth surrounding them.

You don’t want your veneers to look anything but natural, and so Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will make sure that their color is indistinguishable from your other teeth. But there is one important difference between tooth enamel and veneers:

  • Teeth are porous.

As hard as it is, enamel is still porous. And the fact that teeth are porous means that teeth can discolor over time. Coffee, tea, red wine, sodas, darkly hued fruits, and fruit juices—teeth readily absorb pigments from foods. And smoking?  Not only one of the worst habits for your health, it’s one of the major causes of tooth discoloration. This is the downside of having porous enamel.

The upside? The fact that enamel is porous also means that you can brighten your smile with a whitening procedure.

  • Veneers aren’t as porous.

Veneers are generally made of porcelain or a composite resin, with some key differences between them.

Porcelain has a translucent quality that looks like natural enamel, and it is very durable. Porcelain veneers are recommended when teeth have significant chips or gaps. They are also especially stain-resistant.

Composite veneers aren’t as expensive, and usually don’t need as much tooth structure removed to bond them to the tooth. They might not last as long as porcelain, and they aren’t quite as resistant to staining.

When you visit our Kingston, ON office, we can discuss the pros and cons to find the perfect veneers for your needs. Just remember,

  • Once created, veneers can’t change color.

Veneer color should be considered permanent. If your porcelain veneers seem to have dimmed a bit, often a gentle professional polishing will bring them back to their original shine. Composite veneers, as well, can respond to polishing and cleaning. This is the upside of permanent veneer color.

The downside? Veneers can’t be whitened to match your newly whitened tooth enamel. If you decide to whiten your teeth at a later date, your veneers might appear darker than your surrounding teeth. If you want to change veneer color, you will need to replace your veneers. So . . .

Now that you’ve decided to transform your smile with veneers, take a little extra time to talk to your dentist. Find out if whitening makes sense for you for a perfect, uniform match between your other teeth and your veneers.  And then be ready to enjoy your matchless smile!

Why do wisdom teeth need to be removed?

June 22nd, 2023

Sometime around the late teens or early twenties, people’s wisdom teeth start to erupt. These are the third and final set of molars. When wisdom teeth come in properly — meaning they are correctly aligned — they offer more chewing power. Unfortunately, more often than not, wisdom teeth are misaligned, crowd other teeth, and need to be removed.

Why do we have wisdom teeth?

It is thought that we have wisdom teeth because — back in the day — we ate a diet that consisted of more rough foods, like roots, leaves, and meat, all of which required more heavy-duty chewing power.

Reasons Wisdom Teeth Need to be Removed

While there is no clear-cut rule that says every single person needs to have their wisdom teeth removed, there are certain situations where one or more wisdom teeth are causing a problem or have a strong likelihood that problems will eventually arise in the future that warrant their removal.

1. Fully Impacted Wisdom Teeth

When a wisdom tooth is “impacted”, it means that the tooth is covered by gum tissue, thereby preventing it from erupting through the gum. This often occurs when the mouth is too small to allow enough room for the tooth to emerge. Because bacteria, food, or other mouth substances can be lodged under the gum that covers the wisdom tooth, it can lead to an acute abscess, known as pericoronitis.

2. Partially Impacted Wisdom Teeth

When a wisdom tooth is partially impacted, meaning the tooth is partially emerged from the gums, it almost always is advised to be removed. Because of its location in the very back of the mouth, a partially erupted wisdom tooth is more susceptible to not only decay and cavities, but also gum disease.

3. Other Reasons to Have Wisdom Teeth Removed

If you experience any of the below dental issues or changes in your dental health, removal of your wisdom tooth (teeth) may be necessary:

  • Pain at or surrounding the wisdom tooth site, including the jaw or cheek area
  • Repetitive infections
  • Gum disease
  • Tooth decay (extensive)
  • Tumors
  • Cysts
  • Damage to surrounding teeth

It is important to know that the decision to have a wisdom tooth removed isn’t always cut and dry. It is essential to talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about the alignment of your wisdom teeth if they have already erupted, health of your wisdom teeth if impacted or partially impacted, and your overall dental health to determine what is best for your situation. Contact our Kingston, ON office to schedule an appointment today!

Germs living on my toothbrush? Say it ain’t so!

June 15th, 2023

You may have heard talk about the germs that can reside on your toothbrush and thought, “really?”

It’s true—there are several kinds of bacteria that can lurk on the bristles of your toothbrush, including streptococci, staphylococci, Herpes Simplex I, and the Influenza virus. To protect your toothbrush from bacteria, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want you to consider the following three tips:

  • Wash your hands before and after brushing.
  • Allow the brush to air dry after each use, as harmful bacteria dies after being exposed to oxygen. It is best to disinfect your toothbrush weekly and allow it to dry in between use. Store the toothbrush in an upright position to allow water to drain and dry faster
  • Replace your toothbrush every three to four months, or after being ill. Worn bristles are less effective in properly cleaning your teeth, and can actually be damaging to teeth if used too long!

We hope these tips help! Feel free to give us a call at our Kingston, ON office or ask us on Facebook if you have any questions!

Dental Tips for Your Summer Vacation

June 7th, 2023

Summer’s here, and it’s time to enjoy a well-deserved break! But even though school’s out, please take a few minutes to learn some tips from Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to keep your teeth and mouth healthy for a summer of great smiles.

Hydration

When you are active in warm weather, you need to keep hydrated. So choose your drinks wisely. Sodas and sports drinks can contain a lot of sugar, which encourages cavity-causing bacteria to grow. Water is always a healthy, sugar-free choice. If your tap water contains fluoride, you can even fight cavities while staying hydrated. One other benefit of hydration? It helps with saliva production, and saliva is a natural way to wash away food particles and bacteria while providing substances that help keep teeth strong.

Mouthguards

Biking, skateboarding, baseball, soccer—all great outdoor sports, but one fall or accidental contact can cause serious damage to teeth. If you have a mouthguard for school sports, don’t forget to wear it for summer activities as well. And, if you don’t have a mouthguard, now is a good time to think about getting one. You can use a ready-made guard, or we can custom-fit one especially for you. Talk to us about your favorite sports, and we’ll suggest ways to protect your teeth while you enjoy all the physical activities warm weather brings.

Vacation Plans

If you and your family are going to be traveling this summer, let us know! If you need any procedures at our Kingston, ON office, we can plan them around your time away. It’s best to get any necessary work done before you travel, and we will be happy to work with your family’s schedule. When you are away, be sure to carry our number with you in case a dental problem comes up, and it’s always a good idea to travel with a dental emergency kit.

Sticking To Your Dental Routine

Unfortunately, the bacteria that lead to increased plaque and cavities never take a vacation. Keep up with your regular schedule of two minutes of careful brushing at least twice a day, and make sure to floss. Come see us if it’s time for an exam or a cleaning, or if you have any dental problems or concerns.

However you spend your summer, we hope it is filled with happy—and healthy—smiles!

Suffer from Dental Anxiety? Not a Problem.

May 31st, 2023

If you suffer from dental anxiety, we understand that paying a visit to our office can seem like a nearly impossible mission. Regardless of what the root of that anxiety might be, we’re here to tell you that at Cataraqui Dental Centre, you have no need to be nervous. Our office is dedicated to making your dental experience as comfortable and stress-free as possible.

One of the best things to do if you experience dental anxiety is call our office in advance to let us know. By notifying us in advance, you give us the opportunity to provide you with the dental care you need in the way you need it.

We can prescribe a relaxation medication for you. During your appointment, we can provide a little bit of laughing gas to put you more at ease, teach you some behavioral techniques for relaxation, and make sure you’re never in the dark about what’s happening.

If dental anxiety makes you feel embarrassed, please be assured that you’re not alone. Studies show that as much as 75% of adults suffer some degree of dental anxiety! It might be helpful to remember that your doctor’s goal is the same as yours: We are here to keep your oral health in check so you can be your healthiest self. We certainly don’t want to make you uncomfortable in the process.

If you have any questions about other ways in which we can accommodate you during your visits, please don’t hesitate to contact our Kingston, ON office!

Keeping Your Teeth Strong and Healthy

May 24th, 2023

What is the strongest part of our bodies? Do you think it might be our bones, which help us move and protect our brains, hearts and other organs? Or could it be those tough fingernails and toenails that guard our fingertips and toes? Nope! You might be surprised to learn that the hardest thing in our bodies is the enamel which covers our teeth!

Our bones grow with us and can even knit back together in case we have a broken arm or leg. Our toenails grow more slowly, and our fingernails grow more quickly, so regularly trimming is required for both. But our enamel doesn’t grow or repair itself when it is damaged, so it needs to last us a lifetime. How can such a strong part of our bodies be damaged? And can we do anything to protect our teeth? Luckily, we can!

Prevent Chips and Cracks

You might be the fastest on your bike, or the highest scorer on your basketball team, or able to do the most amazing tricks on your skateboard. But even the strongest teeth can’t win against a paved road, or an elbow under the basket, or a cement skate park. If you’re physically active, talk to us about a mouthguard. This removable appliance fits closely around the teeth and can protect your teeth and jaw in case of accident. And protect your enamel even when you’re not being adventurous! Don’t bite down on ice cubes or hard candy, and save your pens and pencils for writing, not chewing.

Guard Your Teeth from Tooth Grinding

If you grind your teeth, you’re not alone! Many other young people do, too—mostly in their sleep. In fact, it might be a parent or sibling who lets you know you are grinding at night. But constant pressure on your enamel can lead to cracked enamel, sensitivity, and even worn down teeth. How can you protect them? Once again, a mouth guard can be a great solution. We can custom fit one to allow you to sleep comfortably while protecting your teeth.

Eat Healthy Foods & Brush Regularly

We all have bacteria in our mouths. Some are helpful, and some are not. The bacteria in plaque can change food products like sugar and starches into acids. These acids actually break down our enamel, which can lead to tooth sensitivity and decay. Making sugars and carbs a small part of your regular diet, and eating meals rich in proteins, vitamins, and minerals, will help stop acids from attacking your enamel. And careful brushing and flossing twice a day with a fluoride toothpaste can help keep those minerals in enamel from breaking down and even help restore them.

Your enamel is the strongest part of your body, and you can help it stay that way. Protect your teeth from accidents, let our Kingston, ON team know if you or a parent suspect you are grinding your teeth, eat healthy foods, and keep up your regular brushing. And remember, we are here to help keep your family’s teeth and mouth their healthiest for your strongest, most beautiful smile.

The ABCs of Vitamin C

May 17th, 2023

A as in Ascorbic Acid

Ascorbic acid is just another name for vitamin C, which is one of the so-called “essential nutrients.” These are nutrients that are necessary for our bodies to function properly, and which must be supplied through our diets. Why is ascorbic acid essential?

First and foremost, because we have to have vitamin C for the formation of collagen.

We’ve probably all seen the ads promoting collagen as a fountain of youth for our skin. Whether or not a cream can turn back time is a matter for debate, but there’s no question as to the vital role collagen performs in our own bodies. That’s because collagen is the substance that provides both structure and support to our tissues, forming the basis of the connective tissue that holds us together. (The Greek root “kolla” means glue!) Organs, blood vessels, muscles, bones, skin, even the dentin in our teeth all rely on collagen to function.  

And if that weren’t enough for one vitamin, vitamin C also helps the body repair tissue, absorb iron, form teeth and bones, produce neuro-transmitters, and acts as an antioxidant. Whew! So, how often should we be eating foods rich in vitamin C? Maybe more often that you would think.

B as in Biology

The human body is an amazing thing! We can store many of the essential nutrients we need to keep ourselves healthy in our livers and fat tissue, even if fresh food sources aren’t immediately available. Unfortunately, Vitamin C is one of those vitamins that we can’t store in the body. This means that unless we get the vitamin C we need in our diet on a regular basis, we’ll experience vitamin C deficiency. How serious is that?

The importance of vitamin C to our health can’t be overstated. Vitamin C deficiency over a period of months actually causes a serious disease called scurvy. Without vitamin C, collagen formation breaks down. And when collagen breaks down, it leads to the breakdown of all those parts of the body that rely on collagen. In the short term, scurvy causes gum pain, fatigue, weakness, and body aches. Over longer periods, scurvy can lead to bruising, skin hemorrhages, anemia, tooth loss, severe gum disease, organ failure, and even death.

Luckily for us, scurvy is largely a disease of the past, thanks to the easy availability of fresh fruits and vegetables which provide us with vitamin C. So, which items should we add to the shopping list?

C as in Citrus—and So Much More!

When we think vitamin C, we instantly picture citrus fruits. Oranges, lemons, limes, grapefruit, and all their cousins are a wonderful source of vitamin C. Looking for a little more variety? You’re in luck! Fruit fans can load up on strawberries, kiwi fruit, mangos, and papayas. Love your veggies? Red peppers, kale, cauliflower, Brussels sprouts, and broccoli contain more vitamin C per serving than a medium orange. You can also take vitamin C supplements, but be sure to follow the recommended dosage. You can have too much of a good thing.

While we’re here, let’s add one last letter to the list:

  • D as in Dental Health

So, why are we talking about vitamin C on a dental blog? Because vitamin C is essential to our dental health. Healthy gum tissue, strong connective tissues that hold our gums to our teeth and our teeth in our jaws, faster healing, antioxidants—all have been linked to a diet rich in vitamin C.

Careful brushing and flossing, regular checkups and cleanings at our Kingston, ON office, a balanced diet—these are all ways you can be proactive when it comes to your dental health. Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about the best vitamins and minerals for healthy teeth and gums. Vitamin C is a great beginning, but there’s still an alphabet from vitamin A to Zinc left to go!

 

How do OTC whitening treatments compare to in-office whitening?

May 10th, 2023

If you are unhappy with the color of your teeth, teeth whitening may be an excellent choice for you. Many patients of Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough suffer from darkened teeth due to the natural aging process, regular consumption of coffee or tea, or nicotine staining from cigarettes.

Some people may have darkened teeth due to long-term use of medication. Certain medication-related stains on the teeth cannot be lightened, but virtually every other type of teeth stains can be effectively lightened using either professional dental whitening or at-home whitening.

While both types of whitening have benefits, at-home kits are less expensive and less effective overall. Professional teeth whitening is a highly effective option, but it requires a bit more of an investment. Here is the basic info on each type of whitening.

At-Home Whitening

At-home whitening is done in a number of different ways today. Some of the most popular options include:

  • Whitening strips that are applied to teeth and then removed after a specified period. These will typically be used once a day for at least a week.
  • Whitening gels or pastes that are placed in a one-size-fits-all plastic tray. These trays are worn, retainer style, for a set period of time once a day.
  • Whitening toothpaste, which is used daily, and whitening mouthwashes are also available today. These products require constant use to realize results.

In-Office Whitening

In-office whitening is the fastest way to achieve whiter teeth. If you want an almost immediate difference in the color of your teeth and their overall appearance, this is probably the option for you.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will typically apply the whitening formula directly to your teeth. Following the application, we will have you relax in our office between half an hour and an hour.

Some office-whitening formulas are strengthened with the use of heat, specialized lighting, or laser application. Patients will usually notice whitening results after only one application, but it usually takes at least a few appointments at Cataraqui Dental Centre to notice a truly dramatic change in tooth color.

The Best DH in Baseball

May 3rd, 2023

Oh, wait—did you think we meant Designated Hitter? Oh, no, we’re not getting into that debate! What we want to talk about is the best Dental Habits you can practice when you’re on and off the field.

  • When It Comes to Safety, Touch All the Bases

Basic baseball vocabulary lets you know it’s a tough sport. Brushback. High heat. Slide. Line drive. Hit-by-pitch. Not surprising, when it’s a game where weighty bats meet balls thrown at incredible speeds. Or where players slide into bases and stop line drives. So protect yourself. Wear a batting helmet. Use protective gear. And get yourself a mouthguard!

You can choose a one-size-fits-all stock guard, or a “boil-and-bite” model which fits a bit more closely to your teeth and mouth. But your best protection comes with a custom mouthguard. Custom guards are more comfortable, more durable, and make it easier to speak and breathe. If you or your young player wear braces, mouthguards are especially important to protect both teeth and orthodontics.

  • Ball Park Snack Power Hitters

Sure, you’re not trying to match Babe Ruth’s hot dog-eating habits (a dozen dogs between two games of a doubleheader!), but we can set the bar higher than that. While it’s easy to rely on energy drinks, soft drinks, power bars, and other sugary and acidic treats to get you through nine innings, those sugars and acids put you at risk for cavities and enamel erosion.

Fresh fruits with peanut butter, vegetable sticks with hummus, cheese and whole grain crackers, yogurt, or lean meat with whole grain wraps—these and many other snacks can provide you with protein, healthy carbs, and natural sugars for an energy boost during a long game or practice. If you choose an energy bar for refueling, look for one without all the added sugars.

Hydrating is always important whenever you’re working out. And, while you can look for power drinks and energy drinks which are low in sugars and acids, a refillable water bottle is an easy, inexpensive, and effective form of hydration. Bonus: water helps wash away food particles and bacteria and helps neutralize acids in the mouth by maintaining saliva production.

  • Biggest No-No?

A “no-no” is a no-hitter to baseball fans. But for your oral health, the most important no-no of all refers to tobacco.

Chewing tobacco is one of those old-time baseball cliches which we’re not nostalgic about. Chewing tobacco greatly increases the risk of neck, head, and mouth cancers, particularly oral squamous cell cancers. Don’t start the chewing tobacco habit—or any other tobacco habit, for that matter. If you do use tobacco, ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for tips on quitting. Keep up with regular dental exams at our Kingston, ON office for early detection of any potential warning signs of oral cancer.

When it comes to your dental safety, don’t get caught looking. For your best performance on and off field, avoid errors like playing without a mouthguard, exposing your teeth to acids and extra sugars, and using dangerous tobacco products of any kind. Play ball!

Diet and Dental Health: What to eat and what to avoid

April 26th, 2023

You are probably aware that guzzling soda and drinking those sugary Starbucks Frappuccinos aren’t particularly good for your dental health. But how much thought do you give to the effects of your diet on your teeth? Practicing healthy eating habits isn’t just helpful for your waistline, it also ensures that your teeth stay strong and cavity-free.

How diet affects dental health

Our team at Cataraqui Dental Centre will tell you that your mouth is a complicated place on a microbiological level. Harmful bacteria form dental plaques which convert the sugars in food to acids that wear away at tooth enamel. Meanwhile, saliva washes away some of the detrimental acids, while minerals work to rebuild where teeth are damaged. The foods you eat are important for managing this balancing act between harmful bacteria and helpful rebuilding agents.

Rethinking your diet to prevent cavities

Carefully considering your dietary choices is a smart way to become mindful of the foods you eat and how they affect oral health.

Foods to eat

  • Calcium- and phosphorus-rich foods. We’ve all heard that milk builds strong bones, and your teeth are included in that. Milk, cheese, nuts, and chicken are strong sources of calcium and phosphorus. These minerals are used to repair damage to the teeth’s enamel.
  • Crunchy fruits and vegetables. Biting into an apple stimulates saliva flow, which washes harmful acids from the surface of your teeth. Turn to other crunchy fruits and vegetables, including carrots, celery, pears, and lettuce, to increase saliva production.
  • Sugar substitutes. If you have a sweet tooth but want to decrease tooth decay, sugar substitutes such as Stevia or Equal provide a sugary kick without harming your teeth.

Foods to avoid

  • Sugary snacks. Cookies, cakes, candies, and other sugary treats provide a feast for the acid-producing bacteria in your mouth. Furthermore, these foods often get stuck in the ridges of your teeth, and provide a breeding ground for new bacteria.
  • Acidic fruits and vegetables. Foods high in acidity, such as tomatoes, citrus fruits, berries, peaches, and lemons, wear away the enamel of your teeth. Because these foods can be part of a healthy diet, remember to brush after eating them or swish with a mouth rinse to protect your teeth.

Eating well is an essential part of keeping your teeth healthy. Consult Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about your diet for tips on food habits that keep your teeth strong and cavity-free. For more information about the link between your diet and your oral health, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, please give us a call at our convenient Kingston, ON office!

Wrong Time/Wrong Place?

April 25th, 2023

In a perfectly predictable world, your child’s teeth would come in—and fall out—right on schedule, right in place. But life isn’t perfectly predictable, and teeth can erupt—or fail to erupt—in their own time and in unexpected places. Let’s look at a few of the ways your child’s teething development can differ from “typical” schedules.

  • Leaving So Soon?

Sometimes a baby tooth is lost early because of injury or decay. And baby teeth are important for more than creating an adorable smile. These little teeth help your child with eating, speech, and jaw development. And they serve another purpose as well—they are essential place holders for your child’s adult teeth.

When a baby tooth is lost too early, the neighboring teeth can drift into the open space. Adult teeth waiting to arrive will tend to erupt in any space left available, whether it’s the right space or not. This can lead to bite problems and misaligned and/or crooked teeth. Depending on your child’s age, and which and how many teeth are affected, your dentist might recommend a space maintainer.

Fixed space maintainers are attached to the lost tooth’s neighboring teeth to keep them in place. Removeable space maintainers resemble retainers, and are usually recommended for older children. Both fixed and removable appliances serve to keep the baby teeth spaced apart just as they should be, preventing neighboring teeth from shifting to fill the empty spot, and making sure there’s enough room for the adult tooth to arrive right on schedule and right where it belongs.

  • Hangers-On

Losing baby teeth too early isn’t the only punctuality problem that can arise with little teeth—sometimes baby teeth don’t seem to realize when they’ve worn out their welcome.

The roots of baby teeth are much smaller than those of adult teeth. When a permanent tooth starts to erupt, it pushes against the root of the baby tooth above it. This pressure breaks down the root of the primary tooth, leaving the tooth loose and just waiting to fall out.

Sometimes primary roots don’t dissolve, though, which means the permanent teeth will erupt beside those lingering baby teeth. The result is a double row of teeth. Because all these teeth in one small jaw can cause crowding and misalignment, it’s a good idea to schedule a visit with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough when you see two sets of teeth where only one is welcome! This is especially true for older children, when the molars start erupting.

  • No-Shows

When a tooth fails to erupt at all, it’s called an embedded tooth. When a tooth is blocked from erupting, it’s called an impacted tooth. Factors like the jaw size, tooth size, genetics, trauma, and medical conditions can affect eruption.

There’s no perfect eruption schedule for every child. Even typical eruption charts provide a range of several months to several years during which baby teeth arrive, baby teeth are lost, and adult teeth appear.  But any time you have any concerns about your child’s tooth development, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to see whether the situation will correct itself in time or whether treatment is recommended.

If the unpredictable occurs in your child’s teething schedule, working proactively with our Kingston, ON  dental team is the best way to create a lifetime of predictably happy, healthy smiles.

Dental Emergency? Don’t Panic, We’re Here to Help

April 24th, 2023

Nobody can predict a dental emergency. That’s what makes them so terribly inconvenient. The good news is that our office is always available to assist you, so there’s no reason you should minimize an emergency.

Among the most common emergencies we see are lost fillings, lost crowns, and broken dentures. Lost fillings and lost crowns are very similar. A key difference, however, is that fillings are used to repair cavities but crowns are used to cover broken or damaged teeth.

Over time, it’s not uncommon for fillings and crowns to grow loose and fall out. If you lose a crown or a filling, hot or cold temperatures will likely begin to trigger pain because of the exposed tissue. The discomfort might seem manageable, but it’s better to get these situations fixed as soon as possible so you can avoid getting food stuck or developing an infection.

Unlike a busted filling or crown, a broken denture is more likely to make itself known constantly, every day. It can make chewing, swallowing, and eating properly difficult. Depending on the damage, you may require a new denture altogether.

If you’re experiencing any problems with your dentures, or suspect that they might be broken, it’s best to contact our Kingston, ON office immediately to avoid further damage. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team are always here to help, especially when your dental health is at risk.

These things happen, so don’t feel embarrassed and please don’t hesitate to give us a call as soon as you notice or suspect something’s wrong! Get in touch with us … the sooner the better.

Do Spring Allergies Mean (B)Looming Dental Problems?

April 5th, 2023

April showers bring May flowers, and May flowers bring . . . allergies. If you’re one of the millions of people who suffer from seasonal allergies, you might be suffering some dental side effects as well.

When you have pollen allergies, pollen triggers your body’s immune system to release histamines. Histamines are part of the body’s defense system. They cause the tissues in the nose and sinuses to become inflamed and swollen as they increase blood supply to these areas. They also cause your body to produce more mucus.

Normally, mucus from the sinus cavities drains into the nasal cavity and then down the back of the throat, where it mixes with saliva and is swallowed. We never even notice it. Until it’s allergy season. Unfortunately, our defense mechanisms can have some offensively unpleasant consequences.

  • Headache & Facial Pain

Our sinus cavities are small hollow spaces in the bones of the head which are filled with air and, like our nasal cavities, are lined with mucous membranes. It’s these membranes, not surprisingly, which produce mucus. And though we might turn up our noses at this slippery topic, mucus is actually quite helpful for trapping and filtering out unwanted hitchhikers like bacteria, viruses, dust, pollens, and other pollutants in the air we breathe before they reach our lungs.

When histamines are released, normal mucus production increases to filter out those tiny pollen invaders. At the same time, tissue around the nose and sinuses swells up, which can trap mucus inside the sinus cavities. This, in turn, causes increased pressure within the sinuses, and this pressure brings on allergy-related headaches and facial pain.  

  • Nasal Congestion & Postnasal Drip

With the occasional runny nose or sneeze, you can blow your nose once or twice and that’s that. During allergy season, greatly increased mucus production might see you spending all day within reaching distance of your box of tissues. But when the tissue in your nose is swollen as well, you now find yourself with nasal congestion.

A stuffy nose means excess mucus has to exit somewhere else, which means this extra, often thicker, mucus all drains into the back of your throat. This is postnasal drip, and it can make you miserable in several different ways. Hoarseness. Coughing during the day. Worse coughing at night. Sore throat. Nausea. Difficulty swallowing.

All these allergy symptoms are uncomfortable enough! But, to add to our discomfort, allergies can lead to uncomfortable oral symptoms as well.

  • Tooth Pain

A common result of allergies is tooth pain. How does this happen? It’s because of the way our bodies are designed. The maxillary sinus cavities are directly above the roots of our upper molars.

When sinus cavities are congested and sinus pressure builds up, it also puts pressure on these roots. The result is tooth pain, usually affecting several upper molars at once.

  • Dry Mouth

One of the natural responses to a stuffy nose is mouth-breathing—we can’t go without air, after all! But exposing the inside of the mouth to all that air dries out delicate gum and mouth tissues. It also reduces normal saliva flow. This can cause xerostomia, more commonly known as dry mouth.

Because saliva neutralizes acidity in the mouth and washes away bacteria and other germs, lower saliva production means greater risk of cavities, infections, and bad breath. Dry mouth can also cause gum irritation and gingivitis, because less saliva means more harmful bacteria build-up between the gums and the teeth.

  • Antihistamines & Your Oral Health

If histamines are the problem, are antihistamines the obvious solution? This is a good question for Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough or your physician. Antihistamines can be very drying—so you might find you’re experiencing dry mouth even when all those other pesky allergy symptoms have disappeared. And, if you already suffer from xerostomia, it’s especially important to get your doctor’s advice before buying over the counter antihistamines.

In allergy season, just like any other time of the year, be sure to hydrate and keep up with brushing and flossing for fresh breath and healthy teeth and gums. Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough if you have persistent tooth pain, dry mouth, or irritated gums—it’s always best to rule out other causes like infection or decay.

But, if your problems are caused by allergies, you don’t have to wait until the next snowfall to get relief. Talk to your doctor or allergist for ways to reduce or eliminate your symptoms before allergy problems start blooming into dental problems. You’ll breathe easier!

What is a crown?

March 29th, 2023

If you have never had a crown before, you might be wondering why crown treatment is best, what the procedure involves, and which type of crown to choose. Let’s get down to the basics of crowns!

A crown is the best way to treat many dental conditions, either to strengthen and save the tooth or to improve its appearance. We might suggest a crown if you have any of the following conditions:

  • A filling that needs to be replaced, without enough tooth structure left to fill properly
  • A tooth that is fractured or broken, or so weak that it might fracture
  • A recent root canal
  • An implant
  • A bridge which needs a crown to serve as the base for attachment
  • A tooth that is discolored or irregularly shaped

On your first visit to our Kingston, ON office, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will prepare the tooth that will be receiving a crown. A tooth might have to be built up if there isn’t enough of the original tooth left, or the top and sides of the tooth will be shaped down so that the crown fits smoothly and evenly with your other teeth. An impression will be made and sent to a dental lab so that a crown with the perfect fit for your tooth and mouth can be created. A temporary crown will be put in place to protect your tooth while the final crown is fabricated.

 The permanent crown is a cap which covers your tooth. It can be made of various materials, which all offer different advantages:

  • Metal Crowns—made of gold, platinum or base metal alloys, these are the longest lasting. Because of their metallic color, they are often chosen for back molars where they are less visible.
  • Porcelain Over Metal—because the color of the porcelain is matched to your natural teeth, these crowns look very realistic. Porcelain is more fragile than metal, so there is the possibility that they won’t be as durable.
  • Resin—less expensive than other options, but these crowns are more fragile and do not wear as well.
  • All Porcelain/All Ceramic—the most realistic looking option, especially for front teeth, and also suitable for anyone with a metal allergy. They are, again, not as strong as metal crowns, and can be subject to damage.
  • Stainless Steel—often used for baby teeth or as a temporary crown for adult teeth.

We’ll discuss your options and help you decide on the best type of crown for you. When the crown is finished at the dental lab, you will have one more visit where the crown will be secured in place. We will make sure your bite is comfortable and the color and appearance of the crown are satisfactory. We will also give you instructions for the next few days following the procedure, and can make adjustments if needed.

A crown is a perfect example of form and function working together: a crown maintains the beauty of your smile and preserves the health of your tooth. If you need a crown, we will be happy to talk to you about your best options for a strong, long-lasting, and natural smile.

Ancient Grains for Modern Diets

March 22nd, 2023

One of the latest foods in dietary news is also one of the oldest—ancient grains. What makes these old-timers so appealing to modern tastes? Let’s run down the menu!

Why Are Some Grains Called “Ancient”?

Unlike grains such as modern wheat, which have been crossbred for hundreds of years to bring out certain qualities, ancient grains are generally considered to be grains which have been cultivated in the same way and in the same form for centuries.

Not All Grains Are the Same

Grains are harvested from the seeds, or kernels, which grow on top of cereal grasses. But because they have many of the same uses, and many of the same nutrients, ancient grains also include pseudocereals, which are seeds and fruits from non-grasses. These seeds can be ground just like grains or used whole. This is an important distinction for many diet-mindful people because grains derived from pseudocereals are gluten-free.

The Health Benefits of Ancient Grains

Ancient grains are whole grains. This means that the seeds of ancient grains have their bran, germ, and endosperm intact—which means that all their nutrients, proteins, and fiber also remain intact. Refined grains like white flour and white rice have removed many of these good-for-your-body elements by removing the bran and germ, leaving only the endosperm behind.

The Dental Benefits of Ancient Grains

Of course, any food that offers better nutrition is better for your teeth and gums. But there’s an added bonus in the more complex structure of intact grains—they take more time to digest.

With foods made with refined grains, digestion starts taking place quickly—in fact, saliva starts the digestive process right in our mouths while we eat. And as these carbs break down into sugars, they provide a feast for the oral bacteria which convert that sugar into acids.

These acids, in turn, attack tooth enamel, leaving weaker spots which can grow into cavities, and irritate delicate gum tissue. What’s more, refined carbs tend to be extra sticky, lingering in the mouth, between the teeth, and on the enamel instead of being washed away by saliva.

So, Have Any Suggestions for My Shopping List?

We do! Because all ancient grains are loaded with protein and fiber, they are all going to be a rich source of these healthy essentials. And they can offer additional minerals, vitamins, and antioxidants to your diet. If you’re inspired to add a bit of history and geography to your plate, here are some ancient grains to consider:

  • Amaranth

Cultivated by the Aztecs, this gluten-free pseudocereal seed is high in manganese, magnesium, copper, phosphorus (which helps keep your enamel strong), and also provides vitamins B1 (thiamin), B6, and B9 (folic acid).

  • Barley

Grown for thousands of years in Asia and Europe, barley is one of the first cultivated grains. In its whole grain form, barley offers us selenium, manganese, copper, vitamins B1 and B3 (niacin), and antioxidants. Whole barley has a very tough outer shell and takes quite a bit of cooking, so lightly pearled barley can be substituted with only a small loss of bran.

  • Buckwheat

Originating in Asia, buckwheat quickly spread to Europe and eventually made its way to early American fields. Another pseudocereal, buckwheat seed is often ground for flour, and is a good source of copper, manganese, magnesium, phosphorus, vitamins B2 (riboflavin), and B3. Not to mention, gluten-free!

  • Bulgur

Often used in Middle Eastern and Mediterranean cooking, bulgur is a cracked wheat cereal grain. Bulgur adds, among other nutrients, manganese, magnesium, copper, iron, and vitamins B3 and B6 to your diet.

  • Farro

“Farro” comes from an Italian word which can refer to three different varieties of wheat, with different cooking times, textures, and flavors. These grains were first cultivated in the Middle East and the Mediterranean region thousands of years ago, and are still popular today thanks to their nutty flavor and chewy texture. Try farro for a tasty serving of magnesium, zinc, vitamin B3, and antioxidants.

  • Freekeh

Common in Middle Eastern, North African, and Mediterranean cuisine, freekeh is another form of cracked wheat. It’s harvested when the plants are young, so it has extra protein and fiber, as well as being a good source of iron.

  • Quinoa

Another pseudocereal, quinoa originated in South America. It’s gluten-free, and filled with minerals such as manganese, magnesium, phosphorus, and vitamin B9. It’s also a complete protein, which means it contains all nine of the amino acids our bodies can’t produce on their own.

  • Spelt

One of the largest wheat crops in Europe, and grown around the world, spelt’s nutty taste is an added bonus to its stores of manganese, copper, phosphorus, and vitamin B3.

  • Teff

The smallest of the ancient grains, teff is an African variety of millet, a pseudocereal full of nutrients such as manganese, copper, iron, and calcium (another mineral which is vital to dental health), as well as vitamins B1 and B6. Try brown teff for its naturally sweet flavor.

This is just a taste of the ancient grains available to you, with many others from around the world waiting to be harvested for your table. But you needn’t choose ancient grains to receive all the nutritional benefits of whole grains.

Brown rice, whole wheat products, corn, oats—all these common ingredients are easily available forms of whole grains. Check the grain aisle in your local market for some new ways to brighten your recipes, to increase your dietary protein and fiber, to add minerals and vitamins, and to provide some healthy alternatives to refined grains. Your body—and your teeth—might thank you!

Symptoms That Could Mean You Need a Root Canal

March 22nd, 2023

Every tooth packs a lot of layers in a very small area. The outer, visible part of our tooth, the crown, is covered in protective enamel, and the lower root area is protected by a similar substance called cementum. Inside these very hard layers is dentin, a hard but more porous tissue which surrounds the pulp. In this central pulp chamber, we have the blood vessels which nourish the tooth and the nerves which send our bodies signals from the tooth. And if one of those signals is persistent tooth pain, you may need a procedure called a root canal.

There are a number of reasons that a tooth may cause you pain, including:

  • Fracture—a cracked or broken tooth can allow bacteria to enter the pulp chamber and cause inflammation and infection
  • Cavity—an untreated cavity can leave an opening where bacteria can reach the pulp of the tooth, and again lead to infection
  • Gum Disease—bacteria can attack from the root area of the tooth if gum disease has become serious
  • Injury—an accident or injury to a tooth can damage the nerve or the blood supply which nourishes the pulp
  • Abscess—if infection is left untreated, an abscess may form under the root

While a damaged tooth may sometimes be symptom-free, usually there are signs that the pulp has been injured or infected. What symptoms should lead you to give Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough a call?

  • Persistent pain in the tooth
  • Long-lasting sensitivity to heat or cold
  • Gum tissue adjacent to the tooth that is sore, red or swollen
  • A cracked, broke, darkened or discolored tooth
  • A bump on your gums that persists or keeps recurring—this might indicate an abscess

A root canal is performed by a trained dentist or endodontist. After an anesthetic is used to numb the area, the damaged tissue, including pulp, blood vessels and nerves, is removed from the pulp chamber and each root. The inside of the tooth is then cleaned and shaped, and filled and sealed with a temporary filling. The tooth is filled again permanently, usually on a second visit, and might require a crown in order to protect it from further damage.

The most painful part of a root canal is far more often the time spent suffering before the procedure than the procedure itself. Delaying action when a root canal is necessary can lead to infection, abscess, and even tooth loss. If you experience any of the symptoms mentioned above, please give our Kingston, ON office a call!

 

Osteoporosis and Dental Health

March 15th, 2023

What do we know about osteoporosis? We may know that this disease makes the bones more brittle and vulnerable. We may know that osteoporosis is the cause of many a broken hip or curved spine as we age. We may even know that, for a number of reasons, women are far more likely to develop this disease. What we may not be aware of is the impact osteoporosis can have on our dental health.

“Osteoporosis” means “porous bones.” It is a disease that makes the bones more likely to fracture or break, as the body’s careful balance of absorbing old bone tissue and replacing it with new healthy bone tissue is disrupted. We lose bone tissue faster than we can create new, dense bone tissue. Why is this important for our dental health? Because the fitness of our teeth depends on the fitness of the bones surrounding and securing them in our jaws.

How does osteoporosis affect dental health?

  • Osteoporosis reduces density in the bones and bone tissue that hold our teeth in place. Studies have shown that women with osteoporosis have significantly more tooth loss than women without the disease.
  • Periodontitis, or gum disease, can also cause deterioration in the bone surrounding the teeth. This is a time to be proactive with gum health to avoid infections and further bone loss.
  • Denture wearers may find that their dentures no longer fit properly due to changes in bone structure. Bone loss needs to be addressed promptly to avoid having to replace dentures.
  • Rarely, bone-strengthening medications for osteoporosis can lead to serious jaw problems after dental procedures that involve the jawbone (such as extractions). Always tell us any medications you are taking before we schedule any dental treatment.

Unfortunately, osteoporosis often has no symptoms at all—until the first bone fracture. Checking our bone density is important as we age, and one way of discovering changes in bone density is through your regular dental checkups at our Kingston, ON office. We can pinpoint changes in your X-rays through the years and will recommend that you see your physician if there is any indication of bone loss. If you have already been diagnosed with the disease, we have ideas to help maintain the health of your teeth and bones.

Many factors can increase your chance of developing osteoporosis. Age, illness, personal habits, medications, diet, genetics—any number of conditions can affect our bone health. Talk to us about osteoporosis. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough would like to work with you to provide prevention and treatment to keep your teeth and bones strong and healthy for a lifetime of beautiful smiles. And that’s certainly good to know!

Is Your Broken Tooth An Emergency?

March 15th, 2023

When you chip a tooth badly, it can be a very nerve-wracking situation. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want to provide you with some information that can help if you ever suffer a chipped or broken tooth. The most common ways people break their teeth are by biting down on something hard, getting hit in the mouth, falling down, or developing cavities that weaken the tooth and allow it to be broken easily. There are a few things you can do if you find yourself in this situation, however.

First, we recommend that you investigate whether the tooth is partially chipped or completely broken. Unless you are experiencing a lot of pain or bleeding, this should not be treated as an emergency. You may call our office and we will try to schedule an appointment with you as soon as possible. Once we have evaluated the tooth during your appointment, we can start to treat it. For minor chips or cracks, we may simply smooth out the area or fill in the space so the crack doesn’t spread.

If your teeth show severe damage such as a serious break, split tooth, split root, or a decay-induced break, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough may need to take more time to fix the problem. If you need emergency dental care because a tooth has fallen out, call our practice immediately to schedule an appointment for that day. If you’re waiting for an emergency appointment, you can rinse your mouth with warm salt water and apply slight pressure to the area to stop the bleeding. We recommend using an ice pack to reduce swelling, but do not take any aspirin because that may increase the bleeding.

If your tooth has completely fallen out of the socket, hold it by the crown and rinse it under running water. Do not let the tooth become dry; instead, place it in salt water or milk until you get to our office. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will determine whether the broken tooth can be salvaged or will need to be completely replaced.

We know how upsetting it can be to chip or break a tooth, which is why we want to guide you through this process. Most chipped teeth are usually just cosmetic problems, fortunately, but we know that dental emergencies can come up rather suddenly. Be sure to schedule an appointment at our Kingston, ON office as soon as an emergency situation occurs.

Make Tooth Brushing Fun

March 8th, 2023

The best brushing routine for parent and child is two minutes of gentle brushing in the morning and two in the evening. But if the longest four minutes of your day are spent helping your child brush and floss, here are some suggestions for making that time fly.

Options!

Children’s brushes come in a wonderful variety of colors, patterns, and shapes. Allow your child to choose a favorite the next time you go shopping for dental supplies. Just make sure to choose a soft bristle brush with a head designed for small mouths. And since toothbrushes generally wear out after three months, your child will have plenty of opportunities to pick and choose! You might also explore the many flavors of children’s toothpaste to find the one that your child finds most appealing, and let your young brusher squeeze out a dab on that new brush.

Reward Daily Brushing

You don’t have to go to great lengths to make your son or daughter feel rewarded for a job well done. Allowing children to pick out a story for you to read or posting colorful stickers on a calendar sheet will encourage them to get into the habit of brushing.

Two-Minute Countdown

Time seems to go faster when we’re having fun. Your child might enjoy listening to songs or stories for the two minutes of brushing time. You can make your own playlist, invent a story starring your child, or make use of one of the dental apps that offer children’s music, videos, and stories in perfect two-minute segments.

Do It Together

Spend these two minutes twice a day with your child. You will be doing all the brushing at first, of course, but as your children get older, brush your teeth along with them. You can model proper brushing techniques for cleaning teeth, gums and tongue, and even let your child have a chance to brush your teeth for a change.

Don’t Forget Checkups!

Scheduling checkups and professional cleanings at our Kingston, ON office is vital to maintaining your child’s oral health. And, if your son or daughter is keeping up with good hygiene at home, these visits should be a breeze!

The habits your child develops now will be the foundation for a lifetime of oral health. Make these four minutes a day count. And if you can create ways to make them fun, those four minutes will fly by for both of you!

When should I floss during the day?

March 8th, 2023

A vital step in your oral health routine is flossing. We hope our patients at Cataraqui Dental Centre maintain good oral hygiene, including daily flossing between each visit to our Kingston, ON office. A toothbrush is not always enough to get to the hard-to-reach areas of your mouth. When food remains between your teeth, bacteria starts to grow and will break down your enamel. This is where flossing comes in!

Should you floss before or after brushing?

Whatever your personal preference, you may floss before or after you brush your teeth. When you floss first, you can brush away any leftover dislodged food debris from your teeth. On the other hand, when you brush first, you will loosen the plaque between your teeth, which makes flossing more effective.

The essential aspect is that you floss thoroughly by using a fresh strand of floss and make sure to get between every tooth. Even if your teeth look and feel clean, don’t skip flossing or plaque will begin to build up on your teeth.

When is the best time to floss?

Although you should brush your teeth at least twice a day, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team recommend flossing your teeth thoroughly once a day. Many people prefer to floss before bed, so that plaque doesn’t sit between their teeth all night.

What kind of floss should I use?

You may choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine. If you have permanent oral appliances or restorations, be sure to follow the flossing instructions provided to you.

Do you need help flossing?

If you’re having trouble flossing or have questions about which floss is best for your teeth, contact our Kingston, ON office and we can provide you with support. Be sure to keep up with your daily flossing routine, and we will see you at your next appointment!

We offer Botox Therapy!

March 8th, 2023

Dr. McDonough is now doing Botox Therapy!

Want to learn more? Read below.

Botox Injection Therapy

Botox is a purified natural protein that is used for therapeutic purposes for individuals suffering with tight muscles in your jaw, neck, forehead and temples from grinding and clenching and/or tension headaches and migraines.      

Botox is a purified natural protein that is used for the treatment of tension headaches as well as chronic pain from clenching & grinding. This non-surgical procedure is done at the dental office and takes approximately 30 minutes. Most people who have completed Botox therapy will experience improvement in muscle tension and pain within 3 days.  

What to expect after Botox therapy:
-Relief from morning headaches associated with teeth grinding or clenching while sleeping
-Reduced occurrences of locked jaw due to muscle spasm
-Reduction in jaw discomfort when talking or eating
-Reduction in shoulder and neck pain due to muscle tension
-Reduced jaw tension

Five Common Reasons for Emergency Care Visits

March 1st, 2023

A dental emergency can strike anywhere, anytime, and without warning. Perhaps you’re playing a game of touch football on Thanksgiving and your brother-in-law decides to up the ante and tackles you, accidentally knocking out your two front teeth. Or maybe you’re on vacation somewhere in the tropics and decide to go deep-sea fishing, but when you’re climbing onto the boat you slip on the dock, fall, and chip three of your teeth. From misplaced fly balls to bagel seeds causing a painful bout of inflammation, there are all kinds of dental emergencies.

Here are the five most common reasons for emergency care visits.

  1. Somehow you've managed to knock out a tooth. Whether it's the result of a sports injury or because of decay, when you lose a tooth, you need emergency dental care. If the tooth is salvageable, then it can be reattached to the socket, but this needs to be done within a one- or two-hour window.
  2. A chipped tooth is the most common dental emergency. Small chips can be caused by food (chicken bones and nuts have sent many people to the dentist); however, it's usually some sort of accident or injury that more often causes a chip. While you might be embarrassed to walk around with a gaping chip in your front tooth, it is easily fixed with a bond, crown, or veneer.
  3. A broken tooth is more severe than a chipped tooth. When a tooth breaks, it might be due to a small or hidden chip. However, chances are the pain and discomfort will be more severe.
  4. It might seem comical, but getting a piece of food lodged in the wrong place can result in a dental emergency. If something gets stuck deep in a crevice, it can cause pain and inflammation.
  5. The loss of a filling happens more often than you think. When you lose a filling, you need to receive emergency care immediately. If you don’t, you risk further damage to your tooth.

When you injure your teeth or mouth, you need to seek emergency care as soon as possible. In the event of a suspected emergency, don't wait. Contact Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough immediately.

Should Children Use Whitening Products?

March 1st, 2023

As adults, we often wish our teeth could be as white as they were when we were small children. Baby teeth have thinner and whiter enamel than adult teeth, and those brilliant smiles are a result! But occasionally, you may be surprised to discover some staining or discoloration on those lovely first teeth. You might be tempted to apply a whitening product to your child’s teeth, but, please—read on!

Causes of Staining

  • Improper Brushing—Often, a loss of tooth whiteness means that plaque has built up on the tooth surface. Careful brushing is needed to remove bacteria and plaque, and if your child isn’t brushing at least twice a day for two minutes, discoloration can be the result.
  • Medications—When given in liquid form, or when added to formula or food, iron supplements can cause dark grey staining on the teeth. Medications taken by a mother while pregnant or breast feeding, such as tetracycline, can also lead to discoloration.
  • Injury—If a tooth suffers a serious injury, the tooth can darken because of changes inside the enamel.
  • Health conditions—Certain health problems can cause tooth discoloration, or sometimes children are born with weaker enamel that is more likely to stain.

If you have noticed any staining on your child’s primary teeth, call our Kingston, ON office. Simple stains can often be removed with better brushing techniques, and we can clean other surface stains in the office. Staining caused by an injury or a health condition is something we can discuss in detail with you. We can even use some professional whitening methods if those are indicated.

Why not just buy a home whitening kit for your child? There are several important reasons to leave these products on the shelf while your child is young.

  • Whitening kits are designed for adults. They have been tested for adult teeth in adult trials. Check the box for age appropriate use. Most products are not recommended for pre-teen children.
  • Remember that thinner enamel we mentioned earlier? Add to that the delicate skin of young children, and it’s sensible to be cautious about using a bleaching agent that can cause mouth and tooth sensitivity even in adults.
  • There is no body of evidence available as to the short and long term effects of using these products on children.

If you are concerned about the brightness of your child’s smile, please talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. We can recommend better ways to brush at home, clean your child’s teeth in the office, or suggest professional methods of whitening if there are physical or psychological reasons that it would be valuable. But while your child is young, those off-the-shelf whitening products can wait a few more years.

Been a While? Come See Us!

February 22nd, 2023

Guilt is a powerful feeling. It can keep you from doing many things, including going to the dentist. The good news is that Cataraqui Dental Centre is a judgement-free zone, and coming back (even after an extended period of being MIA) can be easier than you think. Our goal is to make you as comfortable as possible during your first appointment back with us — so here’s a little overview of what you can expect.

We’ll start with a series of dental X-rays, which are usually taken every three to five years. The set of X-rays will depend on your individual needs and it will help us get a more thorough look at what’s going on with your dental structure and keep an eye out for any prominent dental issues.

Next up will be your hygiene appointment. That appointment will consist of a review of your medical history and be followed by a thorough cleaning of your teeth. This is the perfect time to share concerns you may have about your oral health and ask us questions.

You’ll finish up with a comprehensive exam, which will review everything you covered with the hygienist. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will go over your medical history with you and address any dental concerns that might remain. If any special treatment is needed for such issues as cavities or broken fillings, we will discuss that with you as well.

Once all that is done, you’ll head over to the front desk to talk about payment and scheduling your next appointment. And that’s it! Your first visit back is an important step toward continuing to look out for your dental health.

Just because you slacked for a little while or life got in the way, this doesn’t mean things have to stay that way! We’re happy to help you get you back on track, so schedule an appointment at our Kingston, ON office today!

Chewing Gum: Fact and Fiction

February 22nd, 2023

Remember all the things your parents would tell you when you were growing up to scare you away from doing something? Like how lying might make your nose grow, misbehaving meant you wouldn’t get money from the tooth fairy, and swallowed chewing gum would build up in your stomach and stay there for years?

Maybe that last one stayed with you well beyond your teens, and occurred to you every time you accidentally (or purposely) swallowed a piece of gum. We don’t blame you. It’s a scary thought.

But is it true?

We hate to take the fun out of parental discipline, but swallowing a piece of chewing gum is pretty much like swallowing any other piece of food. It will move right through your digestive system with no danger of getting stuck for months, let alone seven years.

This doesn’t mean you should start swallowing all your gum from now on, but if it happens accidentally now and then, there’s no need to panic.

Another common gum myth is that sugar-free gum can help you lose weight. Although it is preferable to choose sugar-free gum over the extra-sweet variety, no studies have show that sugar-free gum will help you lose weight.

If you pop a piece of gum in your mouth after dinner to avoid dessert, it could help you avoid eating a few extra calories every day. But the consumption of sugar-free gum without any other effort will not help you shed pounds.

 If you really enjoy chewing gum, we strongly encourage you to select sugarless gum, because it lowers your risk for cavities. Many brands of sugarless gum contain xylitol, a natural sweetener that can, in fact, help fight bacteria that cause cavities and rinse away plaque.

So if you can’t kick the gum habit altogether, sugar-free is definitely the way to go!

If you have any questions about chewing gum, feel free to contact Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office.

Is Charcoal Teeth Whitening Safe?

February 15th, 2023

Health and beauty trends surface on the web every day, and it can be difficult to tell which ones are worth your time, or even safe, for that matter. Perhaps one of the biggest dental trends recently on Facebook, YouTube, and Instagram has been teeth whitening through brushing with activated charcoal.

Unfortunately, charcoal whitening isn’t everything the Internet makes it out to be. Activated charcoal isn’t what you use to grill at a summer barbecue; it’s an oxidized substance made from peat, coal, wood, coconut shell or petroleum heated with a gas.

Toxins and surface stains can cling to charcoal due to its adhesive qualities, which is why some people declare it’s perfect for removing discoloration on teeth. Although it may show quick results initially, charcoal is nothing more than a temporary solution.

The abrasive texture may roughen up enamel, which will make it easier for future stains to stick to the surface of your teeth. They may show stains shortly after you use charcoal on them, and may become even more discolored than before.

It’s crucial to emphasize the results of damaged tooth enamel because it cannot replenish itself, which means any damage is permanent. People with receding gums or sensitive teeth especially should steer clear of charcoal because it can make brushing too harsh and worsen sensitivity.

Long-time use can deplete enamel, which over time exposes dentin: the soft, yellowish layer in the tooth. This puts you at a higher risk for cavities, tooth discoloration, and complicated dental problems such as periodontal disease in the future.

The Canadian Dental Association does not approve of charcoal as a safe means for whitening teeth. If you do choose to use it, do so with caution.

Charcoal should be used once every other week at the most, even if your teeth feel fine. The only proven ways to whiten teeth safely are with CDA-approved whitening products or in-office bleaching treatments overseen by a dental professional.

Before you begin any whitening treatment at home, consult with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to make sure your teeth won’t be harmed in the process. If you are already experiencing sensitivity, stop charcoal use immediately and make an appointment with our office right away.

If you have questions about whitening or want to schedule an in-office whitening treatment, feel free to give our Kingston, ON office a call today!

Five Things You Should Never Do With Your Toothbrush

February 15th, 2023

When’s the last time you gave your toothbrush any serious thought? Sure, you use it every day (and ideally twice), and you know that with a dollop of toothpaste it waxes up your pearly whites nicely, not to mention preventing bacteria, plaque, and inflammation.

But what are the things you should never do with your toothbrush? Here’s a brush-up on five toothbrush no-nos, from Cataraqui Dental Centre.

1. If you have your toothbrush too close to the toilet, you’re brushing your teeth with what’s in your toilet. In other words, keep your toothbrush stored as far from the toilet as possible.

2. The average toothbrush harbors ten million microbes. Many families keep their toothbrushes jammed together in a cup holder on the bathroom sink, but this can lead to cross-contamination. Family members’ toothbrushes should be kept an inch apart. Don’t worry; they won’t take it personally.

3. Don’t delay replacing your toothbrush. It’s best to purchase a new one every three to four months, but by all means get one sooner if the bristles are broken down because of your frequent and vigorous brushing. If you have a cold or the flu, replace your toothbrush after you recover.

4. Store your toothbrush out of the reach of toddlers. The last thing you want is for your toothbrush to be chewed like a pacifier, dipped in toilet water, or used to probe the dusty heating ducts.

5. Sharing is caring, right? Your parents probably taught you the importance of sharing back when you were, well, dipping their improperly stored toothbrushes in toilet water. But here’s the thing: As important as sharing is, there are some things you just don’t share, and your toothbrush is one of them.

Ease up on your gums — don’t brush your teeth too hard!

February 8th, 2023

A lot of patients go at their teeth like they were sanding an old floor—that is to say, way too hard! Brushing too hard is probably the most common mistake patients make in their oral care routine, and it can be detrimental to the gums and teeth.

What can brushing too hard cause?

  • Receding gums
  • Bone loss around teeth
  • Loss of teeth
  • Tooth sensitivity, especially to hot and cold
  • Worn down enamel

Brushing too hard wears away at your gums, which can lead to the neck of the teeth being exposed. This part of the tooth isn't covered by hard enamel like the rest of the tooth and hence the soft inner layer, or dentin, is exposed. Dentin is very sensitive to hot and cold and much more susceptible to bacterial decay. Once the gums recede due to improper brushing, it’s usually irreversible.

How to brush your teeth properly

You know you're supposed to brush your teeth twice a day, so why not do it right? First and foremost, you should only ever brush with a soft bristled brush—not medium or hard—unless directed otherwise by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. Unless you have braces or specific oral health issues, brushing twice a day for two minutes is usually plenty.

The main purpose of brushing is to remove plaque from your teeth and gums. Plaque is actually soft and is a buildup of bacteria, saliva, and food debris. You really don't need to brush hard to remove it, just make sure you aim your toothbrush at the gum line (where plaque grows) and brush in small circular motions, never a back-and-forth motion.

It's also wise to hold your toothbrush gently. People tend to brush harder the tighter they hold their toothbrush.

Still have questions about proper tooth brushing technique or gum health? Ask any staff member or Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough during your next visit to our Kingston, ON office; we'd be happy to help!

Can children be at risk for periodontal disease?

February 8th, 2023

You want to check all the boxes when you consider your child’s dental health. You make sure your child brushes twice daily to avoid cavities. You’ve made a plan for an orthodontic checkup just in case braces are needed. You insist on a mouthguard for dental protection during sports. One thing you might not have considered? Protecting your child from gum disease.

We often think about gum disease, or periodontitis, as an adult problem. In fact, children and teens can suffer from gingivitis and other gum disease as well. There are several possible reasons your child might develop gum disease:

  • Poor dental hygiene

Two minutes of brushing twice a day is the recommended amount of time to remove the bacteria and plaque that cause gingivitis (early gum disease). Flossing is also essential for removing bacteria and plaque from hard-to-reach areas around the teeth.

  • Puberty

The hormones that cause puberty can also lead to gums that become irritated more easily when exposed to plaque. This is a time to be especially proactive with dental health.

  • Medical conditions

Medical conditions such as diabetes can bring an increased risk of gum disease. Be sure to give us a complete picture of your child’s health, and we will let you know if there are potential complications for your child’s gums and teeth and how we can respond to and prevent them.

  • Periodontal diseases

More serious periodontal diseases, while relatively uncommon, can affect children and teens as well as adults. Aggressive periodontitis, for example, results in connective and bone tissue loss around the affected teeth, leading to loose teeth and even tooth loss. Let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough know if you have a family history of gum disease, as that might be a factor in your child’s dental health, and tell us if you have noticed any symptoms of gum disease.

How can we help our children prevent gum disease? Here are some symptoms you should never ignore:

  • Bleeding gums
  • Redness or puffiness in the gums
  • Gums that are pulling away, or receding, from the teeth
  • Bad breath even after brushing

The best treatment for childhood gum disease is prevention. Careful brushing and flossing and regular visits to our Kingston, ON office for a professional cleaning will stop gingivitis from developing and from becoming a more serious form of gum disease. We will take care to look for any signs of gum problems, and have suggestions for you if your child is at greater risk for periodontitis. Together, we can encourage gentle and proactive gum care, and check off one more goal accomplished on your child’s path to lifelong dental health!

Amalgam Fillings vs. White Fillings

February 1st, 2023

Many varieties of fillings are available at our Kingston, ON office. Most people are familiar with traditional amalgam fillings: those big silver spots on top of teeth.

Made from a mixture of silver, tin, zinc, copper, and mercury, amalgam fillings have been used to fill cavities for more than 100 years. They offer several advantages, including:

  • High durability for large cavities or cavities on molars
  • Quick hardening time for areas that are difficult to keep dry during placement
  • Reduced placement time for children and special-needs patients who may have a difficult time keeping still during treatment

Although dental amalgam is a safe and commonly used dental material, you might wonder about its mercury content. You should know that when it’s combined with the other metals, mercury forms a safe, stable material.

The American Dental Association, U.S. Centers for Disease Control and Prevention, U. S. Food and Drug Administration, and World Health Organization all agree that based on extensive scientific evidence, dental amalgam is a safe and effective cavity-filling material.

White Fillings

Newer, mercury-free, resin-based composite fillings (white fillings) are also available at our Kingston, ON office. Composite resin fillings are made from plastic mixed with powdered glass to make them stronger.

Resin-based fillings offer several benefits for patients, including:

  • They match the color of teeth
  • Less tooth structure needs to be removed than with amalgam fillings
  • BPA-free materials can be used

Resin-based composite fillings also have some disadvantages, including:

  • Higher cost than amalgam fillings
  • Inlays may take more than one visit
  • Requires more time to place than amalgam fillings

There’s a lot to think about when you have to get a cavity filled. We recommend you do your homework and speak with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough before deciding what’s best for you or your family.

Is a Loose Tooth a Lost Tooth? Not Necessarily!

February 1st, 2023

When we were small, a loose tooth wasn’t a reason to be worried. On the contrary! It was a time to celebrate: A permanent tooth on the way. A sign that you were growing up. Perhaps even a lucrative visit from the Tooth Fairy. Losing a baby tooth had quite a few benefits.

Now that we’re grown, no such benefits are in store for us, because a lost adult tooth is gone for good. That’s why any time you notice a loose tooth you need to call Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough immediately. With prompt dental care, that tooth might be saved.

But first, a word about how our teeth stay firmly rooted in the jaw.

  • The visible part (crown) of a tooth is protected by a layer of enamel. The root below is covered with a protective layer called cementum.
  • There is a socket for each tooth in the alveolar bone of the jaw, where each root is firmly attached within the socket by the periodontal ligament which surrounds it.
  • This ligament is made up of connective tissue, which attaches both to the cementum covering the root and to the alveolar bone. It not only holds the tooth in place, it cushions the tooth from the daily pressure of biting and chewing.
  • The gums surround the teeth and bone, protecting them from bacteria.

If the tooth, bone, ligament, or gums suffer damage, the result can be a loose tooth.

Treating a Loose Tooth

The treatment you receive will depend on the reason your tooth is loose. There are many situations which can lead to a loose tooth or teeth, and many treatment options available to you. Some of the common causes and potential treatments include:

  • Accident or Trauma

If you have suffered a tooth or jaw injury as a result of an accident or trauma, it’s very important to see your dentist or doctor immediately. You should be carefully examined to determine whether there is damage to other teeth or the jaw. Serious tooth or jaw bone injury might require treatment by an oral surgeon.

In some cases of damage to the periodontal ligament or tooth, even if your tooth is loose or extruded (partially out of its socket), it can be stabilized in place so that the ligament and tissue around it has time to heal.

We’ll make sure the root, nerves, and blood vessels are still intact, position the tooth back in its socket, and then anchor it to the adjacent teeth with a flexible splint for several weeks. In the case of an alveolar or a root fracture, a rigid splint may be used.

Splinting gives the periodontal ligament and bone surrounding it time to heal while keeping your injured tooth from further displacement.

  • Bite problems & Bruxism

Your teeth are designed to withstand a lot of pressure—in fact, in some ways, pressure is essential for healthy teeth and bone. The normal pressure of chewing and biting stimulates bone tissue in the jaw. When a tooth is lost, that stimulation is gone and the result is gradual bone loss in the area underneath the lost tooth.

But sometimes, the pressure exerted by a malocclusion (bad bite) or bruxism (tooth grinding) is too forceful. The connective tissue which holds the teeth in place is damaged by these forces, and loose teeth can be the result.

If you have a serious malocclusion, an orthodontist can provide the relief you need with braces or aligners. If your bite problem is caused by a tooth or teeth which are a bit too high, the enamel can be carefully contoured and reshaped. In some cases, splints, either temporary or permanent, can also be used to stabilize several adjacent teeth so that any biting or chewing force is spread over the section as a whole.

If you grind your teeth, a night guard can be custom fitted to provide relief from the pressures and impact of tooth clenching and grinding. This special kind of mouth guard is known as an occlusal splint.

  • Osteoporosis

Osteoporosis causes a loss of bone density throughout the body. Studies suggest that this disease can affect bone in the jaw, leading to weaker bone and looser teeth. Your physician will provide your best medical alternatives, and be sure to let us now if you are taking medication for osteoporosis before we plan your dental treatment.

  • Periodontal Disease

Gum disease is one of the major causes of loose—and lost—teeth. Early gum disease, called gingivitis, should be treated promptly to avoid a more serious condition called periodontitis. Periodontitis can cause the gums to pull away from the teeth, creating pockets for bacterial growth and infection. Left untreated, this infection results in connective tissue and bone loss.

If you have serious gum disease, we might suggest a visit to a periodontist, a specialist trained in the treatment of the gums, periodontal ligaments, and bone surrounding the teeth. Deep cleaning procedures such as scaling and root planing, topical and oral antibiotics, and oral surgeries such as flap surgery or bone and tissue grafting can help reverse the effects of periodontitis. Bone loss cannot be reversed, but a graft can replace lost bone and allow healthy tissue to regenerate.

  • Pregnancy

Hormonal changes can cause the ligaments and bone around your teeth to loosen, which can lead to loose teeth. While this might be an alarming development, it’s generally a temporary condition. Talk to us about how to take care of your teeth and gums during your pregnancy.

Hormonal changes can also make your gums more vulnerable to irritation and infection. In fact, swollen and tender gums are often one of the first signs of pregnancy. That’s another reason it’s very important to keep up with dental hygiene during pregnancy. If your gums are red, swollen, bleeding, or tender, give us a call. A periodontist can be especially helpful if gum problems persist.

What to do if you have a loose tooth

  • Call us immediately. Timely professional care can mean the difference between saving your tooth and losing it.
  • Avoid wiggling the tooth. This could loosen it further.
  • Protect your loose tooth. Eat soft foods, and try not to chew near the affected area. And while a liquid diet might sound like a good idea, no straws, please. Straws require suction, which can further dislodge your tooth.
  • Keep the area clean, gently.

What to do if a tooth can’t be saved

Baby teeth become loose and fall out because the permanent teeth coming in erode the smaller roots holding them in place. That’s why it’s so easy for parents to help their child’s wiggly baby tooth find its way from mouth to Tooth Fairy.

Adult roots, however, involve alveolar bone, ligaments, blood vessels, and nerves, so an extraction really needs to be done by a professional. We will also examine you carefully to discover the reason for the tooth loss, and to prevent further damage with additional treatment as needed.

Finally, if you do lose a permanent tooth, there is still much that can be done to restore your smile. Modern implants are almost indistinguishable from natural teeth, and, what’s more, they function just like natural teeth to stimulate the bone beneath them.

If you have any worries about your teeth, contact our Kingston, ON office. A loose tooth is never a cause for celebration, but, with proper dental care, a loose tooth doesn’t always lead to a lost tooth. Restoring a firm bite and a heathy, confident smile? That’s a reason to celebrate!

Heart Disease and Oral Health

January 25th, 2023

Is there a link between oral health and heart health? This is a question that has been receiving a lot of attention in recent studies. While as yet there is no definitive study that proves oral health has an effect on overall heart health, there is also no definitive proof that oral health doesn’t affect heart health. So, what do we know, and, just as important, what should we do?

What do we know? One clear connection exists between gum disease and endocarditis, a rare, but potentially very serious, infection. When we neglect our gums, they bleed more easily. When gum disease advances, the gums pull away from the teeth. This creates pockets which can harbor more bacteria and plaque, leading to infection and even tooth and bone loss. And this bleeding and infection can be serious not only as a matter of dental health, but for your heart as well.

Endocarditis is an infection of the inner lining of the heart and the heart valves. When bacteria from other parts of the body, including your mouth, make their way into the blood stream, they can attach themselves to damaged areas of the heart. The resulting infection can become very serious, very quickly. If you have damaged heart valves or artificial valves, have an artificial heart, or have any type of heart defect, it is especially important to prevent gum disease from developing. Regular dental care will help prevent bleeding gums and infections, and reduce the danger of oral bacteria entering the bloodstream. Always let us know if you have any issues with heart health, and we will tailor our treatment for all of your procedures accordingly.

What else might link oral health and heart disease? Because an increased risk of heart disease has been found in patients with moderate or severe gum disease, there has been much speculation as to a possible cause-and-effect connection. For example, the plaque inside arteries which leads to heart attacks has been found to contain certain strains of periodontal bacteria. Other studies have searched for a causal relationship between inflammation resulting from gum disease and inflammation leading to heart disease.  The body’s immune response to periodontitis and its potential consequences for heart health have also been examined. So far, there has been no clear evidence that treating gum disease prevents the occurrence or recurrence of heart disease.

So what should we do? This is the easy part. Keeping your gums and teeth healthy will increase your quality of life in immeasurable ways. And it’s not difficult! Regular brushing, flossing, and dental exams and cleanings at our Kingston, ON office are the key to lasting oral health. If this also keeps your heart healthy, that’s the best possible side effect.

Getting to the Bottom of Chewing Gum Myths

January 25th, 2023

It's a moment many of our patients have experienced. One second you're chewing on a piece of gum, then suddenly you forget to keep chewing and swallow the entire rubbery gob whole! It's at this point you remember your mother warning you as a child that if you swallow gum it will stake a claim and take up residency in your belly for seven years. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre hate to take all the fun out of the mystery, but the truth is that chewing gum, when swallowed, will enter your stomach and move through your digestive system just like any other piece of food. So, if you ever accidentally swallow a piece of gum, there is no need to worry!

That being said, it's important to know that gum does not have any dietary benefits, so while it’s not exactly harmful to swallow, you still want to avoid swallowing it. If you are an avid gum-chewer, we encourage you to chew sugarless gum, especially if you are wearing braces, because gum with sugar can lead to cavities. Sugarless gum still has the same amount of flavor, but has fewer cavity-causing ingredients. In fact, many brands contain an additive called xylitol, a natural sweetener known to fight cavity-causing bacteria. Xylitol is also known to increase salivary flow as it rinses away plaque and acid.

The fact is, when the bacterium in your mouth breaks down sugar, what’s left behind is acid. This acid eats away at the enamel coating of your teeth, causing holes that we call cavities. Cavities can lead to other long-term mouth problems if they are not treated in time, so it is best to try and avoid overexposing your teeth to too many harmful substances!

If you have any questions about chewing gum, please contact our office. Happy (sugar-free) gum chewing!

Avoid the Emergency Room for Dental Problems

January 18th, 2023

There are certainly situations when going to an emergency room is the best response for your problem. A severe injury to your mouth, jaw, or face would qualify.

However, when it comes to long-term solutions for other dental problems, an emergency room visit may fall short. If you suffer from a major toothache, cavity, a broken tooth, crown, or veneer, it’s better to go straight to the dentist for treatment.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can provide you with a treatment plan that will be long lasting. When you visit an ER for a common dental problem, more likely you’ll only be given temporary relief for a serious and ongoing problem.

In many cases, the emergency room will give you pain medication to mask the symptoms until you can schedule an appointment at our Kingston, ON office. That results in a lot of wasted time, as well as two separate medical bills. The ER may give you a temporary crown or filling, but you will still need a follow-up appointment for a permanent restoration.

We recommend you find the nearest emergency dental clinic, or even try a home remedy to relieve the pain until you can schedule an emergency appointment at Cataraqui Dental Centre. A warm salt-water rinse or cold compress can be used to sooth tooth and gum pain in the meantime.

If you experience a dental emergency and are unsure about what to do, feel free to contact our Kingston, ON office at any time. We will fit you into our schedule right away and figure out the best course of treatment for your problem.

Let’s Talk About Fluoride

January 18th, 2023

So much of parenting is a balancing act. Making sure your child has enough play time and enough nap time. Crafting meals that are both healthy and appealing. Making sure every dental product you use is both effective and safe.

While Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team can’t recommend the perfect bedtime story, or tell you why your child just won’t go for that delicious steamed broccoli, we are more than happy to discuss the very best ways to promote healthy, strong teeth. Should fluoride toothpaste be part of your child’s dental routine? For many good reasons, the answer is yes.

Why Fluoride is Important

Our enamel is the strongest substance in our bodies, with the highest concentration of minerals, but it is not indestructible. The bacteria that live in our mouths create acids which attack our enamel. Weakened enamel leads to cavities. Fluoride is a mineral that makes the enamel surface more resistant to these acids, and can actually help our enamel repair itself in a process called “remineralization.” Fluoride helps prevent cavities and makes teeth stronger, and those are benefits that will last your child a lifetime.

Can There Be Too Much of a Good Thing?

Fluorosis is a condition that can sometimes develop when a child has been exposed to too much fluoride while the adult teeth are developing below the gum line. (Around the age of eight, children’s teeth have finished forming and are not at risk.) Fluorosis is not a disease, and doesn’t harm teeth, but can lead to faint streaks in the enamel. While this streaking is usually white and subtle, it can sometimes be darker and more noticeable. Teeth discolored by fluorosis can be treated cosmetically, but prevention is always the best option.

Finding the Perfect Balance

Talk to us about using fluoride toothpaste when your baby’s first teeth start arriving. If a very young child is at risk for tooth decay, we might recommend early use of fluoride toothpaste. And for these small children, younger than the age of three, a small smear of paste (about the size of a grain of rice) is sufficient if needed. Swallowing fluoride products increases the risk of fluorosis, so make sure to use a very small amount of paste.

Because young children can’t understand the concept of rinsing and spitting, you always want to make sure the amount of toothpaste you use is age-appropriate even as they get older.  From ages three to six, a pea-sized dab of toothpaste is enough. Children should not use fluoride rinses or supplements unless recommended, and should be monitored to make sure they spit out fluoride toothpaste or rinses after brushing.

Most drinking water already has natural levels of fluoride, which normally aren’t a problem. If you are concerned about high fluoride levels in your local water, talk to us. If your water has higher levels of fluoride than normal, you can minimize consumption when your baby is young by breastfeeding, using non-fluoridated water for mixing with formula powder or concentrate, or buying prepared formula. If your child is a toddler, don’t add fluoride rinses or supplements unless they are recommended by a dental or medical professional.

Talk to us during your visit to our Kingston, ON office about protecting your child’s teeth. We are happy to help you find just the right amount of fluoride to keep young smiles stronger and more resistant to tooth decay. Healthy teeth in a beautiful smile—that’s a perfect balance!

Suffer from tooth discoloration? Don’t panic!

January 11th, 2023

Like many other parts of the human body, teeth age. You may look at old photos and realize your smile was significantly brighter in the past than it is now. Many adults experience tooth discoloration and find it embarrassing.

The good news is there are treatment options! The first step to recovering your bright smile and finding appropriate treatment is to determine what’s causing the discoloration.

There are multiple reasons for tooth discoloration. Some are under your control, but unfortunately, others may not be. Glance at the list below and see if you can pinpoint the cause of your tooth discoloration.

  • Poor Dental Hygiene: This one is obvious. There’s a reason your parents (and dentist) always told you to brush and floss three times a day.
  • Genetics: A big part of your dental health is determined by genetics; in other words, what runs in your family. Sometimes people inherit naturally discolored teeth.
  • Diet: Do you eat sugary foods often? Drink lots of soda? Gulp more than two cups of coffee a day? Are you an energy drink fan? We’re not pointing any fingers ... but you should do the math.
  • Tobacco: Because cigarettes contain nicotine, they can readily stain your teeth. So hardcore smokers often develop prominent brown stains.
  • Medications: Medicines such as doxycycline, tetracycline, antihistamines, blood-pressure medications, and antipsychotic drugs can all create tooth discoloration as a side effect. (If you suspect this could be the case for you, don’t ever discontinue your medication without consulting your doctor first!)

Did you find the culprit? Perhaps the easiest way to avoid tooth discoloration in your case might be to make some simple adjustments to your diet and other habits.

Also, when you consume drinks or foods that are high in acid or sugar content, take a moment to rinse your mouth with water afterward. If you’re an avid tobacco user, you may want to reconsider that; especially because it can have deadly effects that go way beyond your smile.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can also suggest other treatment options. While over-the-counter agents do help, in-office whitening treatments tend to be more effective. If whitening agents don’t alleviate the problem, you may want to consider bondings or veneers.

If you’re worried about discoloration of your teeth, or have any questions about how to treat it, please feel free to reach out to our Kingston, ON office! We can help you identify what may be causing the problem and work with you to give you a smile you’ll be proud of.

Is sleep apnea linked to cancer? Studies say, ‘Yes’.

January 11th, 2023

Recently, multiple studies have concluded that people with sleep apnea, a disorder that causes snoring, fatigue, and dangerous gaps in breathing at night due to throat muscles collapsing, are five times more likely to develop cancer. In fact, one of the studies found that people with the most severe forms of sleep apnea had a 65 percent greater risk of developing cancer of any kind.

Researchers believe this could be due to the body lacking enough oxygen, a condition known as hypoxemia. When people are deprived of oxygen, their bodies react by producing more blood vessels, which can feed cancer cells, and as a result cause tumors to grow and spread.

Approximately 28 million North Americans suffer from sleep apnea, with many cases going undiagnosed. This is due to most cancer patients not mentioning any sleep problems they experience unless their physician asks them.

Patients at Cataraqui Dental Centre who suffer from sleep apnea can be treated using continuous positive airway pressure (CPAP) therapy, which produces a stream of air to keep the upper airways open while you sleep. An oral appliance may be another option if CPAP therapy isn’t an option. If you have sleep apnea, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team will help you understand all of your treatment options, finding one that suits your needs.

If you think you may have sleep apnea, please give us a call at our Kingston, ON office to schedule an appointment.

Creating a Dental Home

January 4th, 2023

As a parent, you know how important a happy, relaxed atmosphere is when it comes to making your child feel at home. We would like to make our Kingston, ON practice your dental home, where you and your family enjoy the best of dental care in a warm and welcoming environment.

What makes a dental home?

  • It’s Welcoming

From your child’s first visit, we strive to make you both feel at ease. Our office is designed to be a happy, entertaining, and relaxing place, and our staff is trained in making little ones feel calm and secure. We want to have a lasting relationship, and we want you and your child to feel welcomed back whenever you return.

  • It’s Familiar

We recommend visiting our office for the first time by the time of your child’s first tooth or first birthday. Our early visits are designed to make your child familiar with what a dentist does and how a dentist helps keep children healthy. Regular preventative care will keep those little teeth in great shape, and, if your child has a cavity that needs filling or requires any other dental procedure, we will have a history together and a familiar place to experience an unfamiliar treatment.

  • It’s Comfortable

We use state-of-the-art dentistry to make sure your child has the best and most comfortable treatment as a patient, and we also consider the psychological aspect of each visit for your particular child. We are experienced in dealing with children who might feel anxious and working with them to overcome their worries. Part of our job is to make each visit a happy one, so your child is always comfortable visiting us.

  • It’s Ongoing

We want to establish a relationship that will last through the years. Continuity of care means that we are able to follow your child’s dental development during those active growing years and the transition from primary to permanent teeth. We provide not only dental health education, treatment, and preventive care, but can track any changes or potential problems before they become major issues. In case of a dental emergency, we will be familiar with your child personally, and with a dental history at hand.

Give Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough a call to talk about your child and how we can make the dental experience a positive one from the very beginning. When it comes to establishing a happy and healthy foundation for your child’s dental history, there’s no place like our dental home!

Make this the Year You Stop Smoking

January 4th, 2023

It’s a new year, and it couldn’t come fast enough for many of us! Let’s do our part to make this a better year in every way—and you can start by making this the year you quit smoking once and for all.

You know that smoking is very damaging to your body. Smokers are more likely to suffer from lung disease, heart attacks, and strokes. You’re at greater risk for cancer, high blood pressure, blood clots, and blood vessel disorders. With far-reaching consequences like this, it’s no surprise that your oral health suffers when you smoke as well.

How does smoking affect your teeth and mouth?

  • Appearance

While this is possibly the least harmful side effect of smoking, it’s a very visible one. Tar and nicotine start staining teeth right away. After months and years of smoking, your teeth can take on an unappealing dark yellow, orange, or brown color. Tobacco staining might require professional whitening treatments because it penetrates the enamel over time.

  • Plaque and Tartar

Bacterial plaque and tartar cause cavities and gum disease, and smokers suffer from plaque and tartar buildup more than non-smokers do. Tartar, hardened plaque that can only be removed by a dental professional, is especially hard on delicate gum tissue.

  • Bad Breath

The chemicals in cigarettes linger on the surfaces of your mouth causing an unpleasant odor, but that’s not the only source of smoker’s breath. Smoking also dries out the mouth, and, without the normal flow of saliva to wash away food particles and bacteria, bad breath results. Another common cause of bad breath? Gum disease, which is also found more frequently among smokers.

  • Gum Disease

Smoking has been linked to greater numbers of harmful oral bacteria in the mouth and a greater risk of gingivitis (early gum disease). Periodontitis, or severe gum disease, is much more common among smokers, and can lead to bone and tooth loss. Unsurprisingly, tooth loss is also more common among smokers.  

  • Implant Failure

Tooth implants look and function like our original teeth, and are one of the best solutions for tooth loss. While implant failure isn’t common, it does occur significantly more often among smokers. Studies suggest that there are multiple factors at work, which may include a smoker’s bone quality and density, gum tissue affected by constricted blood vessels, and compromised healing.

  • Healing Ability

Smoking has been linked to weakened immune systems, so it’s harder to fight off an infection and to heal after an injury. Because smoking affects the immune system’s response to inflammation and infection, smokers suffering from gum disease don’t respond as well to treatment. Smokers experience a higher rate of root infections, and smoking also slows the healing process after oral surgeries or trauma.

  • Dry Socket

Smoking following a tooth extraction can cause a painful condition called “dry socket.” After extraction, a clot forms to protect the tooth socket. Just as this clot can be dislodged by sucking through a straw or spitting, it can also be dislodged by the force of inhaling and exhaling while smoking.

  • Oral Cancer

Research has shown again and again that smoking is the single most serious risk factor for oral cancer. Studies have also shown that you reduce your risk of oral cancer significantly when you quit smoking.

Quitting smoking is a major accomplishment that will improve your life on every level. It’s always a good idea to talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for strategies to help you achieve your wellness goals for the new year. Make this the year you stop smoking, and the year your health improves in countless ways because you did.

Healthy Resolutions for Healthy Teeth

December 28th, 2022

Every January 1st, you have your resolutions ready. No more nail biting. Lose ten pounds. Stop smoking. None of us are happy about those annoying bad habits we’ve picked up over the years. But if nothing else has helped you keep your resolutions, maybe seeing how they can improve your oral health will give you some extra willpower.

  • No More Nail Biting

You can easily see how nail biting affects your fingernails, but its effects are more than cosmetic. The pressure this habit puts on tooth enamel can lead to cracks, chips, and enamel erosion. Nail biters have a greater risk of bruxism, or teeth grinding. (More on that below.) And the transfer of germs from fingers to mouth and mouth to fingers is a vicious circle that can lead to illnesses and infections in both fingers and mouth.

  • Cut Down on Junk Food

Sugars and carbs help pack on the pounds, no doubt. Did you know that they can also help create cavities? Sugar is a favorite food for oral bacteria, which allows them to produce acids which attack and weaken tooth enamel. And carbs? They convert easily to simple sugars. Choose nutritious snacks and beverages, and you will keep those teeth healthy. You might even lose a few pounds!

  • Lower the Volume

If your partner complains about sleepless nights thanks to your nocturnal teeth grinding, or your friends ask you to quit chewing on that cup of ice while they’re trying to watch a movie with you, listen to them! (If you can hear them over the grinding and chewing.) Bruxism can fracture teeth, cause headaches and jaw problems, and might even lead to loose teeth. Chewing hard foods can have the very same effects. Too much pressure from any source can damage your teeth. Grinding, chewing ice, crunching down on hard candies—any habit that’s loud enough to annoy others could be a warning to be more careful of your teeth.

  • Don’t Put That in Your Mouth!

Helping you eat and chew nutritious foods—of course. Smiling—absolutely. Ripping off a piece of duct tape, tearing open a potato chip bag, holding your dog’s leash while you look for your keys, opening a tight bottle cap—no, no, no, and really no. Fractures and chips are common injuries when you use your teeth as tools. Your teeth have a crucial job to do, but that job description never includes “scissors” or “nutcracker” or “bottle opener.” Take that extra minute and find the tool you need!

  • Drink in Moderation

Along with all the other consequences of over-indulging, too much alcohol in your diet can be bad for your oral health. Alcohol, especially paired with sugary drinks, helps create that acidic environment that leads to weakened enamel. More than that, it’s dehydrating. Without sufficient hydration, we don’t have the optimal saliva production we need to fight cavities. After all, saliva helps wash away food particles and bacteria, neutralizes acids, and strengthens enamel through remineralization. Ring in the New Year—moderately!

  • It’s Time to Quit

Cigarettes, pipes, cigars, chewing tobacco—there is no tobacco product that is healthy for your body or your teeth! We’re all familiar with the discoloration tobacco can cause, but it also has serious oral health consequences. Oral cancer, gum disease, early tooth loss—all these conditions have been linked to tobacco use. Today there are more methods than ever before to help you quit. Make this your year!

You don’t have to wait for the New Year to start working on healthier habits. If you’d like to tackle teeth grinding, banish nail biting, stop smoking, or work on any other habits that can damage your health and your teeth, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at your next visit to our Kingston, ON office. And, don’t forget—resolving to see us twice a year for a checkup and a cleaning is a resolution that’s extremely easy to keep!

Resolving to Eat Better in the New Year

December 28th, 2022

It’s a new year, and a resolution found on many lists is learning to be more mindful about healthy food choices. You might have set some of these goals yourself. Gaining, losing, or maintaining your current weight. More fruits and veggies. Better proteins. Less sugar. Fewer carbs. You want to make this new year your healthiest year yet.

And while you’re making your new and improved shopping list, don’t forget your oral health! Because while brushing and flossing are extremely important, your diet can also have very real benefits for your teeth and gums.

Stronger Teeth and Jaws

We often talk about teeth and bones together, and that’s natural. Calcium and phosphorus, as well as other minerals, make them the strongest parts of our bodies. When teeth lose mineral strength, they are more vulnerable to cavities, and bone loss in the jaw can cause loose or even lost teeth.

Making sure you get the recommended daily amount of the minerals and vitamins you need will help sustain and repair both teeth and bones. A diet rich in calcium, phosphorus, and vitamin D helps build strong bones and promotes bone density. While your teeth can’t create new enamel, minerals that are eroded by acids from plaque and acidic foods can be restored, or remineralized, with the calcium and phosphates in saliva.

  • Calcium

Strong teeth and bones need calcium. More than 99% of the calcium in our bodies is located in our teeth and bones. How to make sure we get enough?

Dairy products are the traditional answer. Several servings of milk, cheese, or yogurt each day supply most of our needs. If you can’t eat dairy, though, calcium is also found in other foods, such as salmon, sardines, many dark leafy vegetables, and fortified juices, tofu, and cereals.

  • Phosphorus

Calcium gets most of the attention when it comes to creating strong teeth and bones, but it’s not a solo act. We need phosphorus to make full use of the calcium in our diets.

Proteins like meat, fish, and poultry are good sources of phosphorus, as are beans, nuts, whole grains and dairy.

  • Vitamin D

Vitamin D is a diet essential because it enables us to absorb the calcium and phosphorus that keep teeth and bones strong.

Most dairy and many other foods are fortified with vitamin D, such as cow’s milk, soymilk, orange juice, and cereals. Egg yolks and fatty fish, such as salmon, tuna, and herring, are also a rich natural source of the vitamin.

Healthy Gums

Gum disease is more than just a nuisance. Left untreated, gingivitis (early gum disease) can become periodontitis (serious gum disease). Periodontitis can cause infection, loose teeth, and tooth and bone loss.

Brushing and flossing promote gum health and help prevent gum disease, but your diet plays an important role, too.  

  • Vitamin A

Vitamin A is essential for the health and healing of mucous membranes, including gum tissue and the soft membranes in the mouth.

You can get this vitamin directly from animal products such as dairy foods and meats, or it can be formed in the body from beta-carotenes. Think orange when you hit the produce aisle, because foods such as carrots, peppers, pumpkin, squash, and sweet potatoes are a rich source of beta-carotenes.

  • Vitamin C

Vitamin C is one of the so-called “essential nutrients.” These are the nutrients that are necessary for our bodies to function properly, and which can only be supplied in our diets. Vitamin C is vital for healthy gums and soft tissue—in fact, one sign that your diet is deficient in vitamin C is inflamed and bleeding gums.

Citrus fruits, those oranges, lemons, limes, grapefruit, and all their cousins, are a wonderful source of vitamin C, but you have many other flavorful options. Fruits such as kiwis, mangos, papayas, and strawberries are rich in vitamin C. Step over to the vegetable aisle to load up on red peppers, kale, cauliflower, Brussels sprouts, and broccoli—all of which contain more vitamin C per serving than a medium orange!

Fewer Cavities

Plaque thrives on a diet of sugar. Oral bacteria in plaque use the sugars in our food to produce acids. These acids erode enamel and eventually lead to cavities. Limiting your sugar consumption and choosing complex carbohydrates over simple carbs are two ways to reduce your risk of cavities.

  • Sugars

The usual suspects—candies, desserts, pastries, sodas—are sugar-filled items you’re familiar with. What might surprise you is the amount of sugar in sports drinks, fruit juices, flavored yogurts, breakfast cereals, and other standard grocery purchases. Checking labels for sugar content is a great way to cut down on unexpected sweeteners.

  • Carbs

The refined starches in white bread, white rice, potato chips, and other simpler carbohydrates quickly break down into sugars. This is the kind of nutrition only plaque appreciates.

Instead, fill your cart with complex carbohydrates, which contain important vitamins, minerals, and fiber. Found in foods like whole-grain breads and cereals, legumes, and many vegetables, complex carbs break down slowly for longer-lasting energy.

Of course, these suggestions don’t cover everything on your healthy dental shopping list. We could add magnesium for bone density, vitamin B to prevent oral irritation and inflammation, vitamin K for bone strength, and more. To find out the best options for your healthiest smile, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough or a member of our Kingston, ON team about ideas for improving your daily diet.

Because besides leading to stronger teeth, healthier gums, and fewer cavities, a careful and conscious approach to your food choices has another wonderful benefit—a healthy dental diet is healthy for the rest of your body as well. Just something to be mindful of as we greet the new year!

When Snoring Becomes More Than Just Annoying

December 21st, 2022

Snoring occurs when the tissues in the throat relax enough to block part of our airways, or physical conditions such as enlarged tonsils or a deviated septum prevent air from flowing freely. This obstruction causes the tissues around the airway to vibrate, producing that familiar, unpleasant sound. But sometimes, loud, constant snoring is a sign of a condition called Obstructive Sleep Apnea (OSA). With OSA, the sleeper actually stops breathing for a few seconds at a time, or, in some cases, even longer. The body wakes to breathe again properly, so we move from the deep sleep we need to keep ourselves healthy mentally and physically to a lighter state of sleep or wakefulness—and this disruption of the sleep cycle can happen dozens of times an hour.

The potential problems caused by sleep apnea are many. You could suffer from daily morning headaches, sore throats, and dry mouth (which can lead to tooth and gum problems). You might find yourself moody, depressed or forgetful. Irritability and loss of libido are common consequences of sleep apnea. Any or all of these problems can make getting through each day a struggle.

Even worse, sleep apnea can lead to very dangerous situations. You could fall asleep while working, watching your children, or even driving. Sleep apnea has been linked to very serious conditions such as high blood pressure, heart disease, and stroke. And for those who suffer from this disorder, general anesthesia or pain medication can lead to severe or even fatal consequences.

You should be examined for sleep apnea if you or a loved one notice any of the following symptoms:

  • Snoring loudly enough to disturb your sleep or the sleep of others
  • Waking up gasping for air
  • Pauses between normal breathing during sleep
  • Continual drowsiness during the day
  • Waking up with headaches, sore throats or dry mouth regularly
  • Personality changes

If you are diagnosed with sleep apnea, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office. We can point you in the right direction for treatment, including the possibility of crafting an orthodontic oral appliance to maintain open airways as you sleep. But whatever treatment you and your doctors decide on, the important part is following through. Don’t let an annoying situation become a dangerous, and even life-threatening, one.

Non-Nutritive Sucking Behavior

December 21st, 2022

“Non-nutritive sucking behavior”? That’s a mouthful—literally! This term describes behaviors such as thumb sucking and pacifier use, which are generally healthy, self-soothing activities for infants and toddlers. But, if followed too long, this comforting habit can have uncomfortable consequences for your child’s dental health.

When children are nursed or bottle-fed, placing a nipple in the mouth helps trigger the sucking reflex, enabling the flow of milk or formula. This is called nutritive sucking, because nourishment is the goal. The sucking reflex is so essential that it develops even before birth. And while the purpose of this reflex is nourishment, it provides other benefits as well.

For small children, sucking can be a comfort mechanism to help them cope with stressful situations and calm themselves. That’s why you often see your child sucking on a pacifier, toy, thumb, or fingers when feeling overwhelmed or tired. Non-nutritive sucking behavior, or NNSB, refers to these habits: sucking without nutritional benefit.

Such habits are extremely common in young children. Most children stop sucking their thumbs or pacifiers between the ages of two and four, and often even earlier. But if your child hasn’t, it’s a good idea to talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about easing your child away from this familiar habit before the permanent teeth start to arrive.

Why? Because when sucking behavior lasts too long, it can have orthodontic consequences. Just as the gentle pressure of braces or aligners can help shift teeth and jaws into the proper alignment, the pressure from sucking thumb and pacifier can push growing teeth and jaws out of alignment.

  • Studies have shown a clear link between NNSB and malocclusions, or bite problems. These include overjets (protruding upper teeth), open bites (where the upper and lower teeth don’t make contact when biting down), and crossbites (where one or more upper fit teeth inside lower teeth).
  • As young bones are still growing, prolonged, vigorous sucking can affect the shape and size of a child’s palate and jaw.
  • When the teeth are pushed out of alignment, difficulties with pronunciation, such as lisps, can develop.

Sucking habits can be difficult to give up. If your child is still self-comforting with the help of thumb or pacifier past age three, and certainly if you’ve noticed any changes in teeth or speech, there are several gentle, positive steps you can take to protect your child’s dental health.

  • Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about strategies for weaning your child from pacifier and thumb, as well as possible comforting substitutes. Your healthcare team can offer suggestions for making this transition as easy as possible for your child—and for you!
  • Discuss recommendations you’ve found in books or online which might be a good match for your child’s personality. Whatever you decide on, whether it’s a gradual phasing out, small rewards, a goals chart, or any other method, use positive reinforcement and plenty of encouragement.
  • Set easy goals at the beginning, such as going thumb-free while playing a game, or enjoying a favorite video, or any stress-free activity, to give your child a feeling of accomplishment to build on.
  • Be proactive with orthodontic health. One good idea is to schedule an orthodontic visit when your child is around the age of seven—or earlier if you notice problems with tooth alignment, speech, or bite.

Thumb sucking and pacifier use can be important, instinctive sources of comfort for very young children. And, of course, NNSB is not the only cause of childhood malocclusions. Many bite problems are genetically based and/or affected by the size and shape of your child’s teeth and jaws.

But eliminating the preventable oral health problems caused by prolonged non-nutritive sucking behaviors—that’s an opportunity we can’t afford to pass up. After all, wanting to ensure healthy, confident smiles for our children is instinctive parental behavior!

What to do about Sensitive Teeth

December 14th, 2022

If you suffer from sensitive teeth, you already know the frustration of having a type of pain that is hard to deal with. Because tooth sensitivity is sometimes unpredictable, you can't necessarily take medication to ward off the pain like you could if you just felt a headache coming on.

However, there is still something you can do about sensitive teeth. Use the following tips to help put your sensitivity and pain problems with your teeth behind you!

Use the Right Toothbrush: Select a toothbrush made just for sensitive teeth, or the softest bristles possible. This helps you avoid putting any extra pressure on your teeth or gums.

Choose a Special Toothpaste: There are several good options for toothpastes made just for sensitive teeth today. Usually, toothpaste formulated for sensitive teeth will be fluoridated and use a non-abrasive formula. The toothpaste will help with the pain usually associated with brushing and flossing if you use it regularly.

Avoid Trigger Foods: You may have noticed certain trigger foods that cause tooth sensitivity and pain for you. Avoid these foods whenever possible, and if you absolutely must eat them, try to consume them in very small quantities. Trigger foods may include:

  • Foods with high acid content for example citrus fruits
  • Very hot or very cold foods
  • Hard or crunchy foods

Visit Our Office

If your sensitive teeth problem is too serious to manage on your own, a visit to our Kingston, ON office may be in order. There are a couple of ways Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can help:

  • Fluoride Treatments: We can put a special fluoride formula on the most sensitive areas to help make your enamel stronger and to help lower pain levels.
  • Sealing Exposed Roots:In some cases, your roots become exposed due to a receding gumline, which in turn causes teeth sensitivity and pain. We can apply a dental sealant that protects the exposed roots and reduces your pain dramatically.

Good Oral Health Habits When You’re Pregnant

December 14th, 2022

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre will tell you that good oral health habits when you are pregnant are very important. A plaque or infectious buildup can affect the baby in gestation, and cause some unforeseen issues during birth. There are a few steps relating to oral health that can help prevent complications and other pregnancy issues. Here are a few things to consider about oral health when you are expecting.

Proper brushing

Brushing your teeth at least twice a day is essential when you are pregnant. This will peel away any buildup that you have on your teeth, and help create a shield against future buildup. Swallowing large amounts of plaque or bacterial buildup can and will affect the gestation of the fetus, and can cause certain complications.

Floss

Flossing will also help remove a lot of the buildup in your teeth that can promote infection. Make sure you floss at least once a day. Bacterial infections fester on food buildup, and certain destructive viruses can also breed and grow on these remnants.

Morning sickness

The acidity of vomit can erode the enamel on your teeth, and create buildup of damaging particulates in your teeth. If you are experiencing regular morning sickness, rinse your teeth with a mixture of baking soda and water. This will remove buildup, and alleviate some of the acidity from the vomit.

Alcohol-free, antimicrobial mouthwash

Regardless of whether you are trying to or not, you will swallow small amounts of your mouthwash. Alcohol can affect your gestating baby. Use an antimicrobial, alcohol-free mouthwash.

Visit the dentist

If you have any dental issues, please give us a call at our convenient Kingston, ON office away. We will be able to diagnose and treat any oral health issues immediately, and make sure they do not affect your developing child. Protecting your baby includes protecting your oral health.

Is periodontal disease genetic?

December 7th, 2022

One of the most enjoyable parts of looking at family pictures is finding resemblances. You have your father’s brown eyes and your grandmother’s curly hair. You’ve got your aunt’s basketball height and your cousin’s freckles. But some similarities might not be so appealing—could one of those be a family tendency toward gum disease?

Studies have shown that periodontal disease appears to have some kind of genetic component, especially for serious diseases and those that appear early in the patient’s life. Aggressive periodontitis, for example, a relatively uncommon disease which causes rapid bone loss around certain teeth, is often more common among members of the same family. Other studies suggest there might be a genetic link between our immune response and the development of chronic periodontitis. So far, however, the link between genetics and gum disease is still under investigation.

We do know that environmental factors are an important trigger for gum disease. Failure to brush and floss, smoking, diet, stress, medical conditions such as diabetes—all can influence the health of our gums. The best way to overcome these factors is your own proactive approach! Thorough brushing and flossing, regular checkups and cleanings, proper nutrition, and avoiding smoking are all time-tested ways to keep your gums and teeth healthy. If you have a medical condition, proper treatment and medication will also help protect your oral health.

During your examination with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office, please tell us about any family history of periodontal disease, your own gum care routine, and any habits or conditions which might influence your health. We can tailor treatment and offer suggestions for prevention based on a thorough knowledge of your medical history. We have many options available today for preventing and treating gum disease. Let’s make sure all your family albums are filled with beaming smiles—that’s the most appealing resemblance of all!

The Science of Sugar

December 7th, 2022

Some languages have many different words for love. Some have many different words for snow. One language even has different words for a tasty layered sandwich. Is that a hoagie or a hero you’re having? A sub? Grinder? Po’boy?

“Sugar,” though, is a single word which has taken on many meanings, from casual endearment to monosaccharide molecule. Today, we’re examining scientific definitions, with a short and sweet look at the science of sugar.

Chemistry

First, let’s get basic—all the way down to the molecular level.

Carbohydrates, fats, and proteins are the three essential macronutrients which keep our bodies running. Sugars are molecules made of carbon, hydrogen, and oxygen atoms, and all carbohydrates are made of these sugar molecules, from single unit structures to very complicated chains.

Sugars called monosaccharides are the most basic of the carbohydrates. “Monosaccharide” comes from the Greek words for “single” and “sugar,” and monosaccharides are the sugars we mean when we talk about “simple sugars.” Why are they simple? Because a monosaccharide is a single molecule which can’t be broken down into smaller carbohydrates.

While there are several types of monosaccharides, the three major simple sugars are:

  • Fructose—the sugar we get from fruit.
  • Galactose—the sugar found in milk.
  • Glucose—the sugar our bodies use the most. It’s found in plants, and also produced when our bodies break down other carbs. Fun fact—this is the only sugar essential for brain cell function.

When two monosaccharide molecules join together, they form a disaccharide (not surprisingly, from the Greek for “two sugars”). Again, there are quite a few disaccharides, but we tend to concentrate on three in our diets:

  • Lactose (glucose + galactose)—found only in milk and dairy products.
  • Maltose (glucose + glucose)—the sugar chiefly produced by grains.
  • Sucrose (glucose + fructose)—produced in plants. These plants include sugar cane and sugar beets, from which we get our refined table sugars.

The reason sugar molecules are so important is because of how our bodies use them.

Biology

Our bodies use the glucose in carbs for energy. As foods break down, first through digestion and then in the cells, the chemical bonds which hold glucose molecules together break as well. This action releases energy, and this energy fuels all our bodily functions.

But even though we need carbohydrates to keep our bodies going, and even though sugars are the easiest carbs to use for energy, there’s a reason no one recommends a diet filled with extra sugar.

Our bodies get all the sugar they need from the natural sugar in the foods we eat. Natural sugars are found in fruits, dairy products, even some vegetables and grains. Along with that sugar come vitamins, minerals, antioxidants, fiber, and/or protein.

Extra sugars added during baking or mixing or processing for flavor and sweetness provide none of these nutrients. These sugars are known as “added sugars,” and have more serious consequences than just empty calories.

Once we have the sugars we require, there’s no need for more. Extra sugars are stored in liver, muscle, and fat cells for later use. When we eat too much sugar, this carefully balanced system is upset, with negative effects for, among other things, weight, blood sugar, insulin levels—and our dental health.

Nutrition and Dental Health

You know that a sugar-filled diet often means a cavity-filled checkup. Why? Because it’s not just our bodies that break down sugar for fuel.

The oral bacteria in plaque also need sugars for food, which they use to make acids. An acidic environment in the mouth weakens and dissolves the minerals which keep tooth enamel strong. And these weak spots are vulnerable to decay. A steady diet of sugar-filled foods means that your enamel is constantly under acid attack.

Cutting down on added sugars is one of the easiest and best ways to cut down on added cavities. Reading recipes, checking out labels, learning to recognize added sugars—this is nutritional research which has sweet results.

How to recognize added sugars? Here’s where language gives us plenty of words to fill our linguistic sugar bowl. Whether the ingredients are called agave nectar, honey, molasses, syrups, treacle, or table sugar, they’re really just sugar. More specifically, they’re all sugars made up of glucose and fructose, with at best a trace amount of vitamins and minerals—and usually not even a trace!

To make our lives easier, labels on food packaging now let us know exactly how much of the sugar in any product is “added sugar.” You expect to find a high percentage of sugar on dessert labels, but you might be surprised to read how much sugar is added to foods like energy drinks, sports drinks, flavored yogurts, cereals, spaghetti sauce, and many more of the items in your grocery cart. Spend an extra minute examining the label, and save yourself many empty calories.

Monosaccharides, disaccharides, glucose, fructose, maltose, agave syrup, treacle, and on and on—so many words for so many kinds of sugar. When it comes to dental health, let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough have the last word on sugar science. During your next visit to our Kingston, ON office, talk to us about reducing unnecessary sugars in your diet for a future filled with the sweetest of healthy smiles.

What’s the Big Deal about Sleep Apnea?

November 30th, 2022

What’s the big deal about a little snoring during the night? Or feeling a bit drowsy during the day? Or an occasional bout of insomnia? If your sleep problems are few and far between, probably not a major worry. But if your sleep disruptions are frequent, getting worse, or more noticeable to those around you, your problem might be sleep apnea. And that can be a big deal.

Sleep apnea occurs in three forms:

  • Obstructive sleep apnea

This is the most common form of sleep apnea. It can be the result of the muscles in the back of the throat relaxing during sleep to obstruct the airway. Obstruction can also be caused by a physical condition such as a deviated septum, excess throat tissue or enlarged tonsils.  Loud snoring often results as the sleeper struggles to inhale through the obstructed passageway.

  • Central sleep apnea

Central sleep apnea is caused by the brain failing to transmit the proper signals to breathe during sleep. The sleeper either stops breathing, or takes such shallow breaths that he or she can’t get enough air into the lungs.

  • Complex sleep apnea

This condition is a mix of both obstructive and central sleep apnea.

Any of these forms of sleep apnea will cause a miserable night’s sleep. Sufferers actually stop breathing for a brief time. To start breathing properly again, our bodies move from the deep sleep we need to restore our physical and mental health to shallow sleep or even momentary wakefulness. And these disruptive episodes can happen dozens of times an hour, all night long. You might think you have gotten a full night’s sleep, while in reality you are suffering from sleep deprivation.

When you suffer from obstructive sleep apnea, the immediate consequences are easy to see and hear. Loud snoring, choking, constant drowsiness—you (and your loved ones) suffer from these symptoms night and day. But the hidden consequences of this disorder are even more dangerous. Sleep apnea has been linked to high blood pressure, heart disease, and strokes. It can cause memory problems, depression, and mood changes. Loss of focus and slow reflexes can lead to accidents. Complications from general anesthetics and medications can also become a serious risk.

Snoring is not the only symptom of sleep apnea. If you notice that you often wake up with a sore throat, a dry mouth, or a headache, have difficulty going to sleep at night or staying awake during the day, can’t concentrate,  or constantly feel irritable—you should consider the possibility that you suffer from sleep apnea. Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office. We can recommend options that will have you once again sleeping soundly in your bed, waking up refreshed and healthy. And that is a big deal.

Let's Talk About Your Roots!

November 30th, 2022

You’ve learned a lot from your dentist and your family about how to take care of your teeth. You brush and floss, you wear a mouthguard when you’re active, and you have regular checkups and cleanings at our Kingston, ON office.

And everything you’re doing is wonderful! The smile you see each day in the mirror reflects your hard work.

But what about the part of your smile you can’t see? Let’s take a look beneath the surface, and talk about your roots.

While our teeth look solid from the outside, there’s really a lot going on inside each tooth.

  • The outside of every tooth is covered with a hard protective surface.

Enamel is the hardest material in our bodies, and covers the crown. This is the part of the tooth we can see above our gums.

Our roots are hidden below our gums, and are covered with cementum instead of enamel. Cementum is hard, but it’s not nearly as strong as enamel.

  • Just below a tooth’s enamel and cementum layers, we have dentin.

Dentin is a hard tissue, only a little softer than enamel. Most of our tooth is made of dentin. It surrounds and helps protect the center of the tooth and supports the enamel and cementum on the outside.

  • Inside the center of each tooth, there’s an area called the pulp chamber.

The pulp holds tiny blood vessels and nerves. The blood vessels give the pulp nutrients, and the nerves are the reason that our teeth can feel sensitivity or pain.

Inside the roots, we also find pulp in the root canals. These canals are very small tunnels that run from the pulp chamber down through the root, ending in a tiny hole in the tip of the root. Blood vessels and nerves running through the canals connect the pulp tissue to our bodies’ blood and nervous systems.

Around your roots, there’s a lot going on, too. Smaller teeth like the incisors, our front teeth, usually have only one root. Bigger teeth, like molars, usually have two or three roots. And while you’re busy biting and chewing, what’s holding these roots in place?

  • In your jaws, you have a spot where each tooth fits called a socket. But your tooth roots don’t just sit in the socket. That wouldn’t be very secure!
  • Instead, you have a periodontal ligament surrounding the roots of each tooth. Think of the ligament as groups of tissue fibers that can attach to both the cementum on your root and the bone in your jaw. This double attachment holds your teeth firmly in place. The ligament also helps cushion your teeth from the heavy pressures of chewing.
  • To make things even safer for your roots, your gums help cover them and protect them from bacteria and decay.

As you can see, your body is working hard to protect your roots. What’s the best thing you can do to keep your roots healthy? Do everything you’re already doing!

  • Keep up with your brushing and flossing, and your visits to our office. These good habits protect the teeth and gums you can see, and also the roots that you can’t see.
  • Avoid oral habits that put lots of pressure on your teeth and roots. Biting down on pencils, or ice, or nut shells, or anything not meant for regular eating means you’re risking a cracked tooth.
  • Be safe! Wear your mouthguard when you’re active.
  • Don’t wait to tell your adult if your tooth hurts. Remember, those nerves inside your teeth and roots are there to warn you if your tooth is damaged. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will be able to find out what’s wrong and have you feeling better in no time.

Even though you can’t see them, your roots are one important reason you have your beautiful smile. Taking good care of your teeth now is a way to make sure you have beautiful, healthy smiles for a lifetime!

Xerostomia: What does that mean anyway?

November 23rd, 2022

Does your mouth always feel like it’s dry? If it does you may be suffering from xerostomia. Xerostomia is defined as dry mouth resulting from reduced or absent saliva flow. There are various medical conditions that can cause this type of dry mouth, which you can ask more questions next time you visit us at Cataraqui Dental Centre.

Xerostomia can factor into both minor and more serious health problems. It can affect the ability to eat and enjoy food and it can jeopardize one’s dental health. Some of the more common symptoms can include sore throat, burning sensation in the oral cavity or tongue, and difficulty swallowing.

One of the more serious problems associated with dry mouth is an increased risk of tooth decay. Decrease in saliva causes more plaque to form and there is less saliva to act as a buffer to the things we eat and drink. Less saliva also means more food debris is retained in the mouth. These things can lead to an increase in tooth decay.

So, what causes xerostomia?

There are several things that may cause xerostomia. Among the biggest culprits are prescription medications. Some examples are antihistamines, antidepressants, anti-hypertensives, anti-anxiety agents, anti-diarrheals, bronchodilators, and muscle relaxers.

Certain diseases can also cause dry mouth. The more common ones include rheumatoid arthritis, lupus, diabetes, hypertension, and thyroid disease. Xerostomia is also common in patients being treated for cancer. Head and neck radiation as well as certain chemotherapy drugs can cause severe dry mouth.

What should you do if you are experiencing dry mouth symptoms? First make sure to hydrate with plenty of water. If you are taking medications that cause xerostomia, make sure to drink water before taking the medication as well as a full glass of water with the medication. Be diligent with brushing and flossing and discuss your condition at your next appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. We can recommend specific products to help moisten the oral cavity and reduce your symptoms such as saliva substitutes, xylitol products, and certain toothpastes. Another option may be a prescription home fluoride treatment to help prevent new cavities. You may want to try gum or candies to stimulate saliva flow but make sure they are sugar free! Avoid food and beverages that dehydrate such as caffeine and alcohol.

Xerostomia is a common problem that is currently on the rise. Our team can help you to reduce any symptoms and improve your comfort while living with a dry mouth. Contact our Kingston, ON office today!

What exactly is biofilm?

November 23rd, 2022

Biofilm is a protective home for bacteria that’s composed of microorganisms. Biofilm can be found in wet places such as ponds, sewers, and bathroom drains, and it also grows on metals and minerals.

But biofilm can also be found in your mouth, in either healthy or diseased form. Both are composed of the same compounds, but when they combine with certain amino acids or chemicals, diseased biofilm will begin to destroy your enamel. You might notice this as a slimy yellow buildup of dental plaque on the surface of your teeth.

Biofilm takes form when free-swimming bacterial cells land on a surface and attach in a cluster. The cells begin to multiply and form a micro-colony that promotes diverse bacterial species to grow. To prevent biofilm from settling in your mouth to begin with, make sure to keep up your daily oral routine.

Any mouth appliances you use should also be scrubbed or soaked in cleaner as often as possible. You should pick a toothpaste that has antibacterial ingredients, rinse with mouthwash, and floss daily.

There are many ways to treat diseased biofilm. One is to kill the microorganisms through the use of chlorhexidine, triclosan, and mineral agents that reduce the degree of plaque formed in your mouth.

Another way is to make sure to go to your regular cleanings every six months with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. During your cleaning, we remove excess biofilm that’s accumulated on your teeth over the past six months.

Don’t forget that it’s also essential to keep a healthy amount of biofilm in your mouth, though. This type of biofilm protects your body from disease and is replicated every twenty minutes. If you have a healthy amount of good biofilm, the chances of your mouth producing harmful bacteria decreases.

Ask about biofilm during your next appointment at our Kingston, ON office if you’ve noticed any irregular yellow-colored buildup on your teeth. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will make sure your mouth has a healthy balance of biofilm.

The best way to create a healthy environment in your mouth is to stay on track with your oral health regimen. Prevention is the best method when it comes to your dental hygiene and fighting diseased biofilm.

 

Charcoal Toothpaste

November 16th, 2022

Despite the extraordinary claims made for charcoal toothpaste, most dentists think that the accuracy of these claims is a very gray area. So, what is the theory behind using activated charcoal in your toothpaste?

Charcoal is in its natural form is a very porous substance. When mixed with oxidizing gases or chemicals at very high heat, the inner structure of charcoal becomes even more porous. This enables the “activated” charcoal to absorb chemicals. And activated charcoal, in fact, IS used as a treatment for certain poisons. Fans of charcoal toothpaste maintain that this same porosity enables the toothpaste to collect toxins, bacteria, and debris from the surface of your teeth, leading to a healthier mouth, fresher breath, and a whiter smile.

Sounds great! Should I buy some?

Maybe not quite yet.

  • Claims that charcoal toothpastes whiten teeth more than other over the counter whiteners are difficult to prove. But even using the best charcoal product, you are getting a superficial cleaning. Because charcoal toothpaste removes stains only from the surface of the enamel, it is no match for a professional whitening.
  • It’s abrasive. Harsh pastes and brushing could potentially cause thinner enamel. Thinning enamel reveals more of the darker dentin underneath, which can actually make your smile appear yellow. Abrasive pastes can be irritating for those with sensitive or compromised gum tissue. Any toothpaste you choose should never be so abrasive as to cause damage to teeth or gums.
  • If you use only charcoal toothpaste, you might not get the amount of fluoride needed to protect your teeth. And no toothpaste can take the place of regular brushing, flossing, and checkups at our Kingston, ON office.
  • If you’ve seen the photos posted of charcoal enthusiasts with sooty smiles and teeth, you know brushing with charcoal toothpaste can be a messy process. You might need to take extra care to clean your mouth, teeth, and tongue after using. And your sink.

If you are still intrigued by the idea of charcoal toothpaste, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team are happy to discuss it with you. And if teeth whitening is your concern, we have some proven methods to achieve your best results—even if they don’t provide an opportunity for dramatic charcoal selfies!

Bright Ideas for Your Smile

November 16th, 2022

Keeping your smile its brightest can be a challenge! The foods you eat, healthy habits, unhealthy habits, and time itself can affect the color of your enamel. Luckily, there are some everyday actions you can take to minimize staining and discoloration.

  • Limit “Food Coloring”

Some of our favorite foods and beverages cause some of the most noticeable staining. Even though enamel is the strongest substance in our bodies, it’s still porous. This means that enamel can absorb elements from our foods, including tannins and natural food colors, which darken teeth over time.

That’s why a daily cup of coffee or tea, or a glass of red wine with dinner, or frequent helpings of dark berries, can lead to a less than brilliant smile in a matter of months. What’s more, acidic foods like citrus fruits, pickled foods, and sodas erode the enamel surface, which makes it easier for food stains to penetrate.

When you eat those smile-dimming foods, it’s a good idea to rinse with water right away. (When tasty treats are acidic, it’s best to wait to brush for about half an hour to avoid enamel damage.)  And here’s a simple work-around—use a straw when you enjoy discoloring drinks.

You can also reduce staining by adding food allies to your diet. Besides bringing you the nutritional benefits of a healthy, well-balanced diet, crunchy foods such as apples, carrots, and celery can have a mild scrubbing effect on the tooth surface, and dairy foods strengthen enamel and might help prevent staining when added to coffee or tea.

If you’re mindful of your eating habits, you’ll help your smile stay its brightest. And speaking of habits . . .

  • Keep Up with Healthy Habits

Plaque is a sticky biofilm which contains oral bacteria, food particles, saliva, and fluids. This film starts forming within hours after brushing, and a buildup of plaque leaves teeth looking yellowish. If plaque is left undisturbed, it hardens into tartar within days. And the yellow and brown colors of tartar aren’t a flattering look for any of us.

Regular brushing and flossing is the best way to keep your teeth plaque-free. For a brighter smile, a whitening toothpaste can help remove superficial surface stains. But what a whitening toothpaste can’t do is to remove deep staining or tartar.

A professional cleaning every time you have a checkup at our Kingston, ON office is the best way to keep your teeth their cleanest, especially because tartar must be removed by a dental professional. And please feel free to ask for brushing and flossing tips to help maintain your sparkling smile.

  • Give Up Unhealthy Habits

Cigarettes, cigars, and other forms of tobacco are terrible for your health and terrible for your smile. While cosmetic concerns are the least of our worries when it comes to tobacco, it’s well known that smoking and chewing tobacco cause unattractive yellow and brown staining.

Quitting tobacco in any form benefits not just your appearance, but your oral health—and your overall health. When you’re ready, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about some of the methods you can use to give up the habit permanently.

  • Beat the Clock

Over the years, erosion and wear cause the enamel layer on the outside of the tooth to thin or crack. This allows the dentin underneath to show through. Because dentin is darker than enamel to begin with, and gets darker over time, teeth can take on a yellow or grey hue as we age.

Keep your smile looking its best through the years with regular checkups and cleanings. Avoid excessive erosion and abrasion by being mindful of the acidic foods in your diet, using a soft-bristled brush for cleaning your teeth, and getting treatment for harmful conditions like bruxism (tooth grinding). If you notice any changes in your smile, it’s a good idea to talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough.

While preventing staining naturally with diet and healthy habits is great, sometimes nature needs a nudge. If you have an important event coming up, or if you would simply like to feel more confident about your smile, talk to us about professional whitening. A professional treatment uses a stronger whitening formula, and often works more quickly, is more effective at removing yellowing and stains, and lasts longer than home treatments.

Finally, while you can do a lot to keep your teeth their brightest by preventing and treating external staining, other types of discoloration can also affect your teeth. For staining caused by medication, root canal work, or trauma, ask us about all the options available to you.

Yes, keeping your teeth their brightest can be a challenge, but doing your part—and working with your dental team at Cataraqui Dental Centre—will make sure you greet the world with a sparkling, confident smile.

Aging and Dental Health

November 9th, 2022

What’s life like for the average 60-year-old today? It’s complicated! We travel. Or we work out. Or we relax with friends. We pursue favorite hobbies or we develop new ones. We work, or start businesses, or volunteer for schools, museums, and charities. We practice the art of writing letters or we text our grandchildren. Whatever else we do, we do our best to stay healthy so we can live our lives to the fullest.

Part of living our lives to the fullest means caring for ourselves. And caring for ourselves means learning how to look out for the potential dental problems that might come with age, and how to keep ourselves in the best of dental health.

  • Gum Disease

Gum disease, or periodontitis, is not uncommon in older patients. Certain medical conditions, such as diabetes, can leave you more vulnerable to gum disease. Because gum disease is often symptom free, it can remain unnoticed until the disease has progressed. Good oral hygiene and regular visits to the dentist are the best means of prevention—we are trained to discover gum disease in its earliest stages, and can treat it before the disease causes serious damage to gums, teeth and bone. But if you have delayed seeing a dentist, the good news is that there are many methods of treating gum disease available, including antibiotics, professional plaque removal, and periodontal surgery.

  • Tooth Decay

As we age, our gums can recede from the teeth. The new root area that is exposed is more vulnerable to decay because it is not shielded by the hard enamel which protects the upper part, or crown, of the tooth. Maintaining your brushing and flossing routine is the best way to keep cavities from developing. If gum recession is severe, there are surgical methods we can discuss to restore gum health.

  • Time

Cosmetically, teeth can yellow with age as the dentin beneath the enamel darkens and the enamel covering it thins. Years of coffee, wine, smoking and other stain-makers take their toll. If you are self-conscious about the appearance of your smile, talk to us about suggestions for whitening and brightening.

Medically, over time our teeth are subject to damage. Enamel and tooth surfaces can wear away, leaving our teeth more at risk for breaks or fractures that can lead to infection, which can result in the need for root canal work. Simple chewing puts an amazing amount of pressure on the teeth—and if you grind your teeth, there is even more stress placed on them. See us regularly for ways to maintain strong teeth, to repair damage if necessary, and to keep your gums and bones healthy if you are a denture wearer.

  • Dry Mouth

Dry mouth can be a problem for older patients, often caused by medical conditions or medications. When we produce saliva, it helps remove sugar and the acids sugars produce which attack our enamel. Without normal saliva production, we are more vulnerable to cavities. Dry mouth can also lead to mouth ulcers, oral thrush, sores and infections. If you have been suffering from this condition, talk to us. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team have suggestions that will help.

  • Oral Cancer

Oral cancer is something we look for during every check-up. And, if you ever notice any change that causes you concern, call us immediately. Early treatment of oral cancer and other oral diseases leads to the best possible outcome.

  • Keep Up With Your Dental Care

The best way to keep our teeth and mouths healthy as we age is with prevention. Regular daily brushing and flossing and office visits twice a year for an examination and a professional cleaning are habits that should last a lifetime. Make sure to tell us about any medical conditions you may have and any medications you are taking, to avoid interactions and relieve unpleasant side effects.

What’s life like for the average older person today? There is no average older person! As we age, we are free to explore our interests in any number of creative and individual ways. But there is one goal we have in common: we all want to keep our smiles healthy and attractive. Call our Kingston, ON office for preventative and restorative care. We want to help you work toward an ageless smile!

Are you at risk for tooth erosion?

November 9th, 2022

Many people consume carbonated or sugary drinks and acidic foods every day but have no idea those beverages may be harming their teeth, making them vulnerable to tooth erosion. The acid in the foods we eat and drink can cause tooth enamel to wear away, making your teeth sensitive and discolored. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will tell you that in many cases, what’s important is not what you eat and drink, but rather how you consume it.

What is tooth erosion?

Tooth erosion is the loss of tooth structure caused by the weakening of dental enamel, which is the strongest substance in the human body. Enamel is the thin, outer layer of hard tissue that helps maintain the tooth’s structure and shape. When the enamel is weakened, it exposes the underlying dentin, causing your teeth to appear yellow.

What causes tooth erosion?

Tooth erosion may occur when the acids in the foods and beverages you eat and drink, as well as other factors we will discuss later, weaken the enamel on your teeth. Typically the calcium contained in saliva will help remineralize (strengthen) your teeth after you consume foods or drinks that contain some acid. However, the presence of a lot of acid in your mouth does not allow for remineralization to happen.

Acid can come from many sources, including the following:

  • Drinking carbonated or fruit drinks. All soft drinks (even diet varieties) contain a lot of acid and are capable of dissolving enamel on your teeth. Bacteria thrive on sugar and produce high acid levels that can eat away at enamel.
  • Eating sour foods or candies. All those sour candies may taste great, but these treats can be acidic to your teeth. Sour and fruity candy, such as Starburst and Skittles, are the worst for your teeth since these candies have a low pH value, which is known to ruin enamel.
  • Low saliva volume. Saliva helps prevent decay by neutralizing acids and washing away leftover food in your mouth.
  • Acid reflux disease. Acid reflux, or GERD, brings stomach acids up to the mouth, where the acids can erode enamel.
  • Bulimia or binge drinking. These conditions can cause tooth damage because they frequently expose teeth to stomach acids.
  • Wear and tear. Brushing your teeth too vigorously or grinding your teeth at night can erode enamel.

What are the symptoms of tooth erosion?

Acid wear may lead to serious dental problems. When your tooth enamel erodes, your teeth become more vulnerable to cavities and decay, and you may begin noticing the following symptoms:

  • Severe sensitivity or tooth pain when consuming hot, cold, or sugary foods or drinks
  • Tooth discoloration
  • Rounded teeth
  • Transparent teeth
  • Visible cracks in teeth
  • Cupping, or dents, that show up on the biting or chewing surfaces of the teeth

What you can do to prevent tooth erosion

  • Reduce or eliminate altogether your consumption of carbonated drinks. Instead, sip water, milk, or tea.
  • If you must consume acidic drinks, drink them quickly and be sure to use a straw so that the liquid is pushed to the back of the mouth. Don’t swish them around or hold them in your mouth for a long period of time.
  • Instead of snacking on acidic foods throughout the day, we suggest eating these foods just during meal times in order to minimize the amount of time the acid makes contact with your teeth.
  • After consuming highly acidic food or drinks, rinse with water to neutralize the acids.
  • Chew sugar-free gum to produce more saliva, as this helps your teeth remineralize.
  • Brush with a soft toothbrush and be sure your toothpaste contains fluoride.
  • Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough may also recommend daily use of a toothpaste to reduce sensitivity (over-the-counter or prescription strength) or other products to counter the effects of erosion.

It’s important to know that the majority of dental problems, such as tooth erosion, do not become visible or painful until they are advanced. And, unfortunately, serious oral issues are painful and expensive to treat. A deep cleaning twice a year by our team at Cataraqui Dental Centre is the best way to hit all the spots you may have missed with brushing and flossing and prevent any issues that may have gone unseen.

Make sure your teeth get the professional attention they deserve! If you are overdue for your next checkup or cleaning, please give us a call to schedule an appointment at our conv

Root Canal Procedure

November 2nd, 2022

Five words no one welcomes: “You need a root canal.” But if you are delaying treatment because you are worried about pain and an uncomfortable day in the dentist’s chair, please think again! Modern root canal procedures are designed to repair your damaged tooth gently and efficiently, and leave you with a restored natural tooth that can last a lifetime.

  • Why might you need a root canal?

First, a little tooth biology. Each tooth has a crown (the part we see above the gums) and one or more roots (the part of our tooth below the gum line that is attached to bone in our jaw). The tooth has three basic layers: the hard enamel and cementum that cover the outer crown and root, the softer dentin beneath that layer, and, on the inside, the pulp. Pulp is made of living tissue, and contains the blood vessels and nerves that nourish the tooth and keep it vital.

Even with the protection the enamel and dentin provide, sometimes the pulp can be infected or damaged. If you have suffered an injury to your mouth or jaw, or an infection has developed from an opening in the tooth caused by a deep cavity or crack, you may need a root canal to prevent further infection, pain, and even tooth loss. Call our Kingston, ON office immediately if you feel pain with chewing or pressure, prolonged sensitivity to heat or cold, swollen, and tender gums around a tooth, or tooth discoloration.

  • The Root Canal Procedure

If a root canal is necessary, the procedure is very straightforward. After the area around the tooth is numbed, we will make an opening in the crown to allow access to the pulp inside. Very small instruments will be used to clean the inner tooth and removed bacteria and dead or dying tissue. The area will be thoroughly disinfected, and the inside of the tooth shaped and then filled and sealed. A temporary filling or crown might be placed on the tooth to prevent bacteria and food from entering the site if a permanent crown needs to be created. The entire process usually takes from one to three visits.

If we suggest a root canal, it is because this is the best way to save your tooth. Please feel free to talk to us about your particular needs and concerns. Which tooth is affected, how many roots are involved, what type of filling or crown might be best—we will work with you to provide all the information you need and all the options you have available.

Common Concerns

  • Are you concerned about pain?

The most painful part of a root canal is often the severe discomfort your tooth causes before treatment. And infections and damaged nerves can affect not only the injured tooth, but the gums, tissue and even bone surrounding it. With our modern dental techniques, a root canal procedure is often no more uncomfortable than a regular filling. The local anesthetic we use will prevent you from feeling any pain during the procedure, and, while the area around your tooth might be a bit sensitive following treatment, the pain caused by the infection or injury should be gone.

  • Are you anxious about the procedure?

If dental treatment causes you anxiety, please let us know. There are several sedation options we can pursue to make this procedure less worrisome. Our goal is to make your treatment as gentle and comfortable as possible.

No one welcomes the news that a root canal is necessary, but with today’s procedures, this treatment can be just what you need to relieve your pain and keep your natural tooth where it belongs for many years to come. And that is welcome news, indeed!

Getting Ready for Winter

November 2nd, 2022

Winter Is Coming.

Okay, that sounded a lot more dramatic in a popular fantasy series. But here in the real world, winter is coming as well, so let’s look at some easy steps you can take to keep your teeth and gums healthy during this icy season.

Remember to Hydrate

Dehydration is dangerous for your health in general, and it’s also bad for your dental health. A dry mouth is more vulnerable to gum disease and tooth decay because there’s less saliva to help maintain a healthy oral environment. Saliva helps wash away food particles and bacteria, works to neutralize the cavity-causing acids they produce, and strengthens tooth enamel with its mineral content.

Summer means heat and perspiration—two obvious causes of dehydration. Winter, though, has its own more subtle ways to dry you out.

  • Just as you lose moisture through summer perspiration, you lose moisture with a winter workout as well. That foggy cloud you see when you exhale outdoors? That’s water vapor leaving your body.
  • Cold weather means it’s time to kick up the heating system a few degrees. But unlike heated summer outdoor air, heated winter indoor air is not as humid, so it’s more drying.
  • Some of us just aren’t as thirsty during winter months, and so we don’t hydrate as regularly as we do in the summer. And while summer menus tend to offer foods like salad, fruits, and iced drinks which automatically provide us with a lot of water content, winter menus? Not so much. Keep up with your daily recommended amount of water throughout the year for a healthier body and healthier teeth and gums.

Wear Your Mouthguard

Whether it’s skiing, hockey, snowboarding, or skating, those winter sports can be hard on your teeth. That’s why it’s important to wear your mouthguard when you’re getting the most out of the snow and ice. Mouthguards help prevent injuries to your teeth and provide protection for your jaw and mouth, too.

And a sport doesn’t have to involve snow and ice to be a winter hazard for your teeth. The combination of hard courts, flying elbows, and body contact make basketball a leader in the dental injuries competition. In fact, any sport which involves potential falls or personal contact is a good candidate for a mouthguard.

Mouthguards are available in several forms:

  • One-size-fits-all, pre-formed mouthguards can be found in drugstores and sporting goods stores.
  • “Boil-and-bite” models are warmed in hot water and then shaped when you bite down. The fit is somewhat more comfortable than a stock guard.
  • Custom-made guards from your dentist are precisely molded to your teeth and mouth, letting you speak and breathe more comfortably.

If you haven’t gotten a mouthguard yet, or your old high school guard was retired years ago, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about a custom guard.  While the over-the-counter options are better than going unprotected, a custom mouthguard fits your teeth perfectly—and comfortably!

Get to the Bottom of Winter Sensitivity

That first breath of frosty air might be more alarming than invigorating when tooth pain and sensitivity makes being out in the cold an unpleasant experience. Sensitivity to cold air or warm winter drinks can be an important symptom, caused by a number of dental conditions such as:

  • Cracked teeth
  • Cavities
  • Exposed dentin (the layer of the tooth underneath your enamel)
  • Receding gums
  • Over-vigorous brushing

If the cold weather is keeping you indoors because of oral sensitivity, give us a call.

Even though this can be a very busy time of year, if you’re due for a checkup and cleaning at our Kingston, ON office, or if you have any concerns about your teeth and gums, make time for your dental health. We want to make sure you’re ready to enjoy every frosty moment of the season!

Top Reasons People Choose Veneers

October 26th, 2022

Dental veneers are a way to correct and transform your smile by using “contact lens”-thin shells of porcelain or ceramic material and bonding them to the front of your teeth. They are strong and durable, look and feel like natural teeth, and improve your smile immediately. Here are some of the top reasons to consider getting dental veneers.

They Correct Multiple Cosmetic Issues

Dental veneers can help with cosmetic and dental health issues, and treat multiple problems at once. Some common reasons that individuals choose veneers is to close gaps and spaces between the teeth, fix alignment issues, change the overall shape and appearance of a tooth, whiten a smile by covering stained or discolored teeth, and cover chipped or cracked teeth.

If you have teeth that are already worn down and weakened, veneers help prevent further damage by covering them with a thin, tooth-colored shell.

Durability

Dental veneers are also extremely durable. They last several years longer than traditional composite fillings. You’ll have peace of mind when you choose veneers, knowing that you’ll have your new smile for many years. On average, dental veneers last about ten to 15 years. Just like your natural teeth, when you take good care of your veneers, they last longer.

Easy to Clean and Maintain

Keeping your veneers healthy and white is easy: You simply brush and floss them the way you do all of your teeth. Shortly after having your veneers installed, you’ll begin to think of them as your natural teeth because the thin shells lie right on top of your existing teeth. This makes it easy to floss and brush the way you normally would and keep them as clean as possible.

The Process is Simple

Getting dental veneers is a quick and easy process. You have a few short visits at Cataraqui Dental Centre and see results. On average, it only takes about four weeks from your first appointment to your last to complete the veneer process.

If you are considering getting dental veneers, schedule a consultation appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to find out exactly how they can benefit you.

Your Toddler’s First Dental Visit

October 26th, 2022

It’s common for toddlers to be wary of strangers, but their first experience at the dentist shouldn’t be a scary one. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team have five tips for you to make your child’s first visit to Cataraqui Dental Centre easy as pie!

  1. Bringing your child to one of your own appointments before his or her first dental visit can calm your little one’s nerves. This gives your son or daughter the opportunity to get familiar with our office and see a cleaning isn’t very scary.
  2. Our big dental chair can be fun! Toddlers love games, and seeing the chair go up and down can make it seem like an amusement ride rather than sitting down for an exam.
  3. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team hand out cool toothbrushes and stickers to kids after their appointment. Your child will love the fun-colored toothbrush and can look forward to a post-appointment prize at the next visit.
  4. Schedule your appointment for a time that sets you up for success. Bringing your child to our Kingston, ON office an hour before he or she is due for a nap may be a tantrum just waiting to happen.
  5. Kids love books! Try reading your toddler bedtime stories about what happens at the dentist before you come in for the appointment. We recommend Dora the Explorer’s Show Me Your Smile, written by Christine Ricci.

What's the best dental floss?

October 19th, 2022

Dental floss is similar to a lot of products that depend mainly on the consumer’s preference. Fact is, floss comes in a wide variety of flavors, coatings, and other variations, but all types of floss essentially do the same thing. After all, that is what is most important: that the dental floss you buy is functional—cleaning the areas in between your teeth. If you want to know what the best dental floss is, the answer is the kind that enables you to successfully and regularly clean those areas. So to help you find the right type of floss for you, here are some options.

Flavored Dental Floss

Many people that floss prefer a flavored dental floss because it freshens their breath even more than unscented floss. The latter can also take on the smells associated with bacteria in your mouth. And we all know how bad that can be. So, if flavored dental floss is what you prefer, and it allows you to floss your teeth regularly, then it is automatically best for your mouth.

Flossers

There are also products on the market called flossers, which usually consist of a plastic instrument with strung floss and a pick on the opposite end. This option can be both effective at cleaning the areas in between your teeth and scraping off plaque. These flossers also come flavored in mint and various other varieties.

Gentle Dental Floss

Some people find that typical dental floss is too harsh on their gums. For that reason some companies make floss with soft coatings that are less abrasive on the gums. For the most part these types of floss are just as effective as regular floss, and for those people that require a more sensitive approach to flossing, especially when just starting out, this is the best option.

Of the aforementioned options, it is difficult to name an absolute best type of floss. However, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team say that the type of floss that works best for you, giving you the greatest chance of succeeding at regular flossing, is the best. For more information on floss, contact our Kingston, ON office.

Morning Sickness and Your Oral Health

October 19th, 2022

Whether it’s your first child or you’re an experienced mom, pregnancy is an exciting time—which you’ll be able to enjoy much more once the days of morning sickness are over.

Morning sickness affects most pregnant women, and can present in any number of ways. It might take the form of mild nausea, or cause frequent vomiting. It often occurs in the morning hours, but can take place at any time of day. It’s usually over with by the second trimester, or it can last weeks longer. Because of this wide variety of symptoms, morning sickness is more accurately referred to as NVP, the nausea and vomiting of pregnancy.

Your doctor can recommend safe and effective ways to deal with NVP, especially when symptoms are more severe. We have some recommendations to minimize the effect of morning sickness on your dental health.

Wait, dental health? That’s right. Besides its more obvious unpleasant consequences, NVP can cause problems for your teeth and gums. We have a few suggestions for getting you through the weeks of morning sickness with easy and effective strategies to protect your oral health.

Prevent Acid Damage

Vomiting and heartburn with reflux expose the teeth to stomach acids. Tooth enamel is the strongest substance in the body, but it’s not safe from acid attacks.

Normally, the pH balance in our mouths is neutral, around a 7 on a scale of 0 to 14. When acidic conditions lower the oral pH to 5.5 or below, the minerals in enamel begin to dissolve, leading to sensitivity and, eventually, cavities. The pH of our stomach acid ranges from 1.5 to 2.5. This is great for digesting food, but not great at all for enamel and sensitive gum tissue.

Whenever we vomit, the immediate (and understandable!) impulse is to reach for our toothbrushes. But this is an impulse we should resist. Because acids weaken tooth enamel, scouring the teeth with a toothbrush right away can cause more erosive damage. Instead,

  • Wait half an hour or more before brushing to give your enamel time to recover its strength.
  • In the meantime, rinse with water and perhaps a bit of toothpaste or diluted, doctor-approved mouthwash.

Keep Hydrated

Another consequence of frequent vomiting is dehydration. It’s always important to keep our bodies properly hydrated, and this is particularly true during pregnancy.

Hydration is also essential for oral health. Saliva helps wash away the bacteria and food particles which cause cavities and irritate the gums—especially important now, since pregnancy hormones can leave you more vulnerable to gingivitis and other forms of gum disease.

  • Drink water as recommended by your doctor. It’s healthy, it hydrates, and it helps prevent cavities and gum disease. Win/win/win.
  • Whichever fluids are your favorites, drinking them in measured amounts through the day will be more effective and more appetizing than drinking large amounts once or twice a day to catch up.
  • You have a busy life, so make things easy on yourself. If you need to hydrate more, keep track of your hydration goals with an app or a phone notification. There are even “smart bottles” to track your intake. Or go old school, and fill a bottle marked with timed measurements to remind you to hydrate through your day.

When The Very Idea of Brushing Is Nauseating . . .

When just the thought of brushing is unappetizing, we have suggestions which might help.

  • Postpone brushing until later in the day when you feel better. Rinse with water first thing in the morning instead.
  • Trade in your regular toothbrush for one with a smaller brush head. This can help prevent the gag reflex.
  • Brush slowly, using small strokes.
  • If brushing the back teeth is particularly triggering, try deep breathing or sitting down to brush.

We want to help you enjoy a healthy pregnancy. Let us know when you first learn you’re pregnant. We have some valuable tips for the coming months, including suggestions for reducing the dental effects of NVP. Fortunately, morning sickness is temporary, and we’re here with ideas to help your beautiful smile last a lifetime!

Is Coffee Damaging Your Smile?

October 12th, 2022

Coffee is one of the most popular drinks in the world. Many people have a cup, or two, or even three a day. It’s common to drink it in the morning to wake up and get ready for the day, as an afternoon pick-me-up, or just to catch up with a coworker or friend.

These days there are many different kinds of coffee flavors to enjoy, so it’s almost impossible for a person not to like it. But as delicious as coffee is, it’s worthwhile to be aware of the effects it has on our dental health.

Coffee contains a lot of tannic acid, which is what causes its dark color. Tannic acid ingrains itself into the grooves of tooth enamel, and that leads to serious stains. In addition to containing tannic acid, the fact that coffee is generally served very hot makes your teeth expand and contract, which allows the stains to penetrate even farther into the enamel.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team know it’s not easy to kick the caffeine habit. If you find yourself needing a cup of joe every day, here are some helpful tips to consider:

  • Switch to decaf coffee.
  • Make it a habit to drink a glass of water with your coffee to rinse away the acid.
  • Try enjoying your coffee with a straw so the tannic acid makes less contact with your front and lower teeth.
  • Pop in a piece of gum after your coffee to help prevent a dry mouth.

If you’re feeling ambitious, you might find that setting a limit on the number of cups of coffee you have per week or even per day can be helpful. You are always welcome to contact our Kingston, ON office to discuss potential whitening options as well. We’re here to help!

What are the benefits of visiting a dentist regularly?

October 12th, 2022

Your regularly scheduled dental checkups with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough are not just meant to make your smile prettier and healthier. Your mouth’s health has an important impact on your overall physical health as well!

While you may brush your teeth twice a day and even floss, we would like to remind you that dental checkups with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough every six months aren’t just about addressing problems and reacting, they are about cavity and gum disease prevention.

In addition to a twice yearly thorough teeth cleaning and polishing at Cataraqui Dental Centre, these regular visits help us detect and prevent the onset of tooth decay and gum disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

It’s important to know that the majority of dental problems do not become visible or painful until they are highly advanced. And, unfortunately, serious oral issues are painful and expensive to treat.

While Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team always strive to provide unmatched dental care for you and your family, we are also committed to your overall wellness as well! A deep cleaning twice a year is the best way to prevent any problems that may have gone unseen. If you are overdue for your next cleaning, please give us a call to schedule an appointment at our Kingston, ON office!

Dental Fear in Children: Brought on by parents?

October 5th, 2022

A study conducted in Washington State in 2004 and another conducted in Madrid, Spain in 2012 both reported findings that support a direct relationship between parents’ dental fear and their child’s fear of the dentist.

The Washington study examined dental fear among 421 children ages 0.8 to 12.8 years old. They were patients at 21 different private pediatric dental practices in western Washington state. The Spanish study observed 183 children between the ages of seven and 12 as well as their parents.

The Washington study used responses from both parents and the Dental Sub-scale of the Child Fear Survey Schedule. The survey consisted of 15 questions, which invited answers based on the child’s level of fear. The scale was one to five: one meant the child wasn’t afraid at all, and five indicated he or she was terrified. The maximum possible points (based on the greatest fear) was 75.

Spanish researchers found a direct connection between parental dental fear levels and those among their kids. The most important new discovery from the Madrid study was that the greater the fear a father had of going to the dentist, the higher the level of fear among the other family members.

Parents, but especially fathers, who feared dental procedures appeared to pass those fears along to every member of the family. Parents can still have some control over fear levels in their children. It is best not to express your own concerns in front of kids; instead, explain why going to the dentist is important.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team work hard to make your child’s visit at our Kingston, ON office as comfortable as possible. We understand some patients may be more fearful than others, and will do our best to help ease your child’s anxiety.

Broken Tooth: Is It an emergency or not?

October 5th, 2022

Have you ever had that sinking feeling after biting into something soft and chewy and feeling something hard and crunchy instead? You’ve chipped or broken a tooth, but what should you do next? First try to assess the damage by determining whether it’s a chip or a whole tooth.

As Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will tell you, a broken or chipped tooth is usually not a dental emergency unless you are experiencing a great deal of pain or bleeding, but you should contact us for an appointment shortly afterward. Be sure to mention that you have a broken tooth so we can fit you into our schedule quickly. After a thorough evaluation, we’ll recommend a course of action. If it is a small chip, we may simply smooth it out. For a larger break, the dentist may fill in the space with a composite material that matches your other teeth.

Emergency Dental Care

If you are in severe pain, are bleeding excessively, have a major break, or have lost a tooth, that is a dental emergency and you should contact us. As emergency dental specialists, we’ll be able to schedule an appointment immediately and advise you on the next steps to take.

You can rinse your mouth with warm water and apply pressure to stop the bleeding. An ice pack will help reduce any swelling. Do not take any aspirin as that could increase the amount of bleeding. Should your tooth be knocked out completely, rinse it under running water but do not scrub it. Hold the tooth only by the crown, or the part you normally see above the gum line, not by the root. If you can, put the tooth back into the socket while you travel to our office, or put it in a mild salt solution or milk. Don’t let the tooth become dry, because this can lead to damage. Once you get to our office, our dentist will determine whether the tooth can be saved or if it will need to be replaced.

A broken tooth may not always be an emergency, but it’s best to have it treated with us at Cataraqui Dental Centre. While it may only be a cosmetic problem at first, if left too long without treatment, you may experience further damage to your tooth and mouth.

Forget Something? It’s on the Tip of Your Tongue!

September 28th, 2022

Let’s see…

Toothbrush? Check.

Fluoride toothpaste? Check.

Floss? Check.

Two minutes of thorough brushing? Check.

Careful cleaning around your brackets and wires? Check.

Wait… there’s something else… it’s right on the tip of your…

Ah! Your tongue! Whenever you brush, morning, evening, or any time in between, if you want the freshest breath and cleanest teeth, don’t forget your tongue.

Why your tongue? Because the tongue is one of the most common sources of bad breath. Let’s examine just why this occurs.

The tongue is made up of a group of muscles that help us speak and chew and swallow. But there’s more to this remarkable organ than mere muscle. The surface of the tongue is covered with mucous membrane, like the smooth tissue which lines our mouths. But the tongue isn’t completely smooth—it’s textured with thousands of tiny bumps called papillae.

These little elevated surfaces have several shapes and functions. Some make the tongue’s surface a bit rough, which helps move food through your mouth. Some are temperature sensitive, letting you know that your slice of pizza is much too hot. And some are covered with thousands of the taste buds, which make eating that pizza so enjoyable.

All of these papillae with their various functions combine to create a textured surface, filled with miniscule nooks and crannies. And if there’s a nook or a cranny where bacteria can collect, no matter how miniscule, it’s a good bet that they will, and the surface of the tongue is no exception. But bacteria aren’t alone—the tongue’s surface can also hide food particles and dead cells.

How does this unappealing accumulation affect you? These elements work together to cause bad breath, especially the bacteria that break down food particles and cell debris to produce volatile sulfur compounds—compounds which create a particularly unpleasant odor. Including your tongue in your brushing routine helps remove one of the main causes of bad breath.

And that’s not the only benefit! Cleaning the tongue helps eliminate the white coating caused by bacterial film, and might even improve the sense of taste. Most important, studies show that regular cleaning noticeably lowers the levels of decay-causing plaque throughout the mouth.

So, how to get rid of that unwanted, unpleasant, and unhealthy debris?

  • When you’re done brushing your teeth, use your toothbrush to brush your tongue.

Clean your tongue by brushing gently front to back and then side to side. Rinse your mouth when you’re through. Simple as that! And just like a soft-bristled toothbrush helps protect tooth enamel and gum tissue, we also recommend soft bristles when you brush your tongue. Firm bristles can be too hard on tongue tissue.

  • Use a tongue scraper.

Some people find tongue scrapers more effective than brushing. Available in different shapes and materials, these tools are used to gently scrape the surface of the tongue clean of bacteria and debris. Always apply this tool from back to front, and rinse the scraper clean after every stroke. Wash and dry it when you’re through.

  • Add a mouthwash or rinse.

As part of your oral hygiene routine, antibacterial mouthwashes and rinses can assist in preventing bad breath. Ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for a recommendation.

  • Don’t brush or scrape too vigorously.

Your tongue is a sturdy, hard-working organ, but tongue tissue is still delicate enough to be injured with over-vigorous cleaning.

Taking a few extra seconds to clean your tongue helps eliminate the bacteria and food particles which contribute to bad breath and plaque formation. Make this practice part of your daily brushing routine—it’s a healthy habit well worth remembering!

Be Good to Your Gums

September 28th, 2022

You brush and floss thoroughly twice a day. You have regular checkups. Everything seems fine on the periodontal radar. Sometimes, however, even healthy gums can become sensitive and irritated. Is it something you did? Maybe! Here are some common causes of gum irritation and sensitivity that you might not be aware of.

  • Brushing Bravado

One of the most important tools for gum health is one we use at least twice a day—the simple toothbrush. Two minutes at night and two in the morning reduce the bacteria and plaque that lead to serious gum disease, known as periodontitis. And while preventing tooth decay and gum disease are the primary goals of brushing, let’s also protect delicate gum tissue from injuries and irritation caused by too-forceful brushing.

Try using a brush with soft bristles and brushing with short strokes and gentle pressure, especially if you know you have a tendency to be a bit heavy-handed. Massaging rather than scrubbing will clean teeth and gums just fine.

  • Fierce Flossing

Just because we can use dental floss to slice cakes or cookie dough logs doesn’t mean we should apply the same pressure to our gums! While a firm sawing motion seems like the obvious way to clean between teeth and gums, you can actually cause irritation and bleeding that way.

Insert the floss between your teeth carefully, bring it to the gumline, and move the floss with gentle pressure up and down and around the tooth surface. This technique will make sure that you remove food particles and plaque from beneath the gumline without causing your gums any trauma. Ask us about the best flossing techniques—we know them all.

  • Appliance Aches

You know how helpful your braces/retainers/mouth guards/dentures are. You just wish that your helpful appliance was a little less irritating to sensitive gum tissue.

This is a problem that often disappears as you get used to your new appliance. But if pain or irritation persists or gets worse, give us a call. We want to make sure your appliance fits properly, and make any necessary adjustments to ensure your comfort.

  • Peroxide Problems

Most home whitening kits use peroxide-based gels or treated strips to remove surface stains from the teeth. Those same bleaching agents that make enamel whiter can also cause gum sensitivity and irritation. If you use whitening strips or gel trays, be careful to keep the peroxide solution away from gum tissue. But because these systems are one-size-fits-all, that is often easier said than done.

If you have sensitive gums, one solution is a professional office whitening. We’ll check on your gum (and tooth) health first, and monitor and protect your gums throughout the procedure. If you still want to whiten at home, we can create custom trays for you that will provide more complete exposure to the whitening solution for your teeth, and less exposure for your gums, than over-the-counter products.

  • Still Smoking?

Studies have shown a strong link between gum health and smoking and other forms of tobacco use. Smokers are much more likely to suffer from gum disease than non-smokers, and those who have smoked for a long time, or who smoke heavily, have an even higher risk of developing periodontal disease. Some studies suggest that smokers don’t respond as well to treatment as non-smokers.  Unfortunately, it appears that smoking and tobacco use help mask the obvious symptoms of gum disease (redness and bleeding), which could lead smokers to delay getting treatment. If you smoke, talk to us about ways to quit.

We talk a lot about periodontal health because it is so important. Periodontitis can lead to infection, loss of bone around the tooth, and even eventual tooth loss. If you are suffering from any of the signs of gum disease—swelling, redness, bleeding, pain—give our Kingston, ON office a call. Whether it’s as simple as making a few lifestyle changes, or a problem requiring professional dental treatment, being proactive with your dental care is more than good for your gums—it’s good for your health!

The Hazards of Smokeless Tobacco

September 21st, 2022

Many smokers believe that chewing tobacco is a safer alternative to smoking cigarettes. This simply isn't the case! In fact, smokeless tobacco can cause serious health concerns.

Smokeless tobacco comes in many forms and goes by many names: dip, snuff, snus, or simply chewing tobacco. Use of these products usually involves sucking or chewing on shredded or loose tobacco leaves, sometimes flavored, for a prolonged period. There are even products that emulate a dissolvable candy-like consistency which are made of compressed tobacco powder.

What are risks and smokeless tobacco?

Whichever form a tobacco product takes, the dangers of using or consuming them is very real. According to a 2007 study by the World Health Organization's International Agency for Research on Cancer, there are upwards of 28 cancer-causing chemicals in smokeless tobacco that are known to cause cancer. And these products are habit-forming just like any other tobacco product that contains nicotine. Using them will increase your risk for many serious diseases including but not limited to: cancer (especially oral and esophageal), gum and heart disease, cavities, and pre-cancerous mouth lesions.

At the end of the day, long-term use of smokeless tobacco can cause serious health issues. These products really take a toll on both your oral and overall health. They put a strain on your immune system and make it less capable of warding off infection and disease.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team strongly advise you to stop using smokeless tobacco—or any kind of tobacco product—and not to pick up the habit if you aren't. There is no safe level of tobacco use, smokeless or otherwise.

Need to quit smoking or using smokeless tobacco products?

You can and should always talk to your doctor, healthcare practitioner, or Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for help quitting. But there are many other resources available for those who'd like to quit. The Canadian Cancer Society offers information, support (local and online), and tools to help smokers and smokeless tobacco users quit.

You can take a look at their website at cancer.ca or call them toll-free at 1-888-939-3333.

Make the best choice for your health and well-being; avoid the bad habit of tobacco products. If you have any questions about how tobacco related products affect your oral health and hygiene, please don't hesitate to ask one of our Kingston, ON staff members.

Carbs and Cavities

September 14th, 2022

The Good News

Carbohydrates are one of the body’s essential macronutrients (along with protein and fat). We use carbs to convert the food we eat into energy. How does this work? It’s a sophisticated process:

  • Carbs break down into sugars as we digest them
  • Sugars are absorbed into our bloodstream
  • The pancreas releases insulin when blood sugar levels rise
  • Insulin enables sugars to move from our blood to our cells
  • Cells throughout the body use this sugar for energy.

Without the necessary amount of carbohydrates, our bodies lose a vital source of energy. So, why are carbs a dental concern?

The Bad News

Some foods immediately begin breaking down into sugars in the mouth. Sugars are a favorite food source for the oral bacteria that form plaque. They use this sugar to produce the acids that weaken our enamel and lead to cavities. And the more often we eat these foods, and the longer they remain in the mouth, the more damage our enamel suffers.

But there’s a silver lining! We can be healthier physically and get a jump on preventing damage from sugary treats by becoming more discriminating in our choice of carbs and timing our indulgences wisely.

Good Carb/Bad Carb

Unprocessed, complex carbohydrates are found in foods like whole-grain breads and cereals, legumes, and vegetables. They contain the vitamins, minerals, and fibers which are lost when foods are refined. They are composed of larger, more complex molecules, and so they break down gradually for sustained energy.

Some simple carbohydrates break down into sugars more quickly, but also offer important vitamins, minerals, and fiber. Fruits and dairy products, for example, are an important part of a balanced diet.

But some carbs are not pulling their nutritional weight. Refined sugars (think candies, desserts, and sodas) and refined starches (white bread and rice, potato chips, pastries) break down quickly into sugar in the mouth. Worse, many of these foods tend to stick around. Sticky sugars and sticky starches cling to our enamel and hide between the teeth and in the crevices of our molars. Not only do these treats provide a sugary feast for acid-producing bacteria, they take their time doing it!

So, What to Do?

If you have a diet filled with healthy carbs (whole grains, fruit and vegetables, legumes, dairy products), you’re already on the right track. Kudos! But does this mean no desserts? Ever?

No! We all need a cookie sometimes. But you can decrease the chance of enamel damage by interrupting the carbs to cavities cycle.

First, if you are indulging in a rich dessert or some salty chips, better to do it as part of a meal. When you eat a full meal, your body produces more saliva. Saliva not only helps wash away food particles, it also helps neutralize the acids that damage enamel.

Secondly, if you eat simple carbs and sugars all day, your mouth and teeth are being treated to acids all day. If you are going for a snack, there are many great options that don’t use refined sugars and starches. Think fruit smoothies (with a big dollop of vegetables) or whole-grain crackers with hard cheese instead of a can of soda and a bag of pretzels.

Carbs aren’t really bad, they’re just misunderstood. Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at your next checkup at our Kingston, ON office for ideas for the best carbohydrate choices for healthy metabolisms and healthy smiles!

Electric or Manual Toothbrush: Why It Does (and Doesn't) Matter

September 7th, 2022

You live in the golden age of toothbrushes. Until a few decades people used twigs or brushes made from animal hair to clean their teeth: not very soft and none too effective.

Now, you have a choice of manual brushes with soft, medium, or hard bristles. Or you might choose to go with an electric toothbrush instead.

Have you ever wondered whether manual or electric brushes provide better cleaning? Actually, they both do the job. The key is to brush and floss every day, regardless of the kind of brush you prefer.

At our Kingston, ON office, we like to say the best brush is the one you'll use. So if you prefer manual, go for it. If you prefer electric, turn it on.

Both types have their advantages but both types will get the job done as far as removing plaque.

Electric Toothbrushes

  • Provide power rotation that helps loosen plaque
  • Are great for people with limited dexterity due to arthritis or other problems
  • Are popular with kids who think the electric brushes are more fun to use
  • Can come with variable speeds to help reduce pressure on sensitive teeth and gums

Manual Toothbrushes

  • Can help brushers feel they have more control over the brushing process
  • Allow brushers to respond to twinges and reduce the pressure applied to sensitive teeth and gums
  • Are more convenient for packing when traveling
  • Manual brushes are cheaper and easier to replace than the electric versions.

In many ways, the golden age is just beginning. There are already phone apps available to remind you to brush and floss. New apps can play two minutes worth of music while you brush, help you compare the brightness of your smile or help explain dental procedures. Maybe someday we’ll even have programs that examine your teeth after brushing and identify spots you might have missed.

DIY Teeth Whitening

August 31st, 2022

We all want our best and brightest smiles, and today there are many options we can explore at home to make those beautiful smiles a reality. Whether it’s healthy habits, a healthy diet, whitening toothpaste, or do-it-yourself home products, we have golden opportunities to achieve whiter teeth.

  • Healthy Habits

Proper brushing is the first step in keeping your teeth stain-free. You should devote at least two minutes twice a day to brushing, being careful to cover the areas between and at the base of teeth, where plaque you miss can form visible tartar. Ask us about the most effective brushing techniques. And please, don’t smoke. Smoking is one of the worst offenders when it comes to discoloring teeth. If you are a smoker, quitting at any point in your life will make a big difference in the whiteness of your smile—and your lasting health!

  • Healthy Eating

We all know red wine, coffee, and tea cause some of our worst enamel stains. Acidic drinks such as sodas and citrus beverages can cause even more problems by eroding tooth enamel, exposing the yellowish dentin underneath. Moderation and rinsing with water can help prevent damage. But we have some dietary allies as well! Crunchy foods like apples, carrots, and celery provide a mild scrubbing effect. Dairy products such as milk, cheese, and yogurt strengthen enamel. Fruits such as strawberries and pineapples, studies suggest, contain enzymes that are natural stain removers. While no one food takes the place of brushing or cleaning, a healthy diet and a healthy body enhance any smile.

  • Brushing with a Whitening Toothpaste

Toothpastes are available which can remove some surface stains, and which can keep teeth their whitest after a professional whitening. They won’t penetrate the enamel surface or change the natural color of your teeth. If these toothpastes are going to work on discolored tooth surfaces, you will usually see results within a few weeks.

  • Over-the-counter (OTC) Whitening Kits

These products provide a peroxide-based gel that can be applied in a tray or with strips. If you choose a tray application, make sure trays fit properly so sensitive mouth and gum tissue is not irritated. If you decide on strips, always make sure all of the tooth surface is covered to avoid uneven whitening. These kits have more powerful whiteners than toothpastes, and so you might see better results, but tooth and gum sensitivity can be a problem.

While all these whitening methods can be helpful, there are some circumstances when a professional whitening is best. Professional gel whiteners are more powerful, and can help eliminate darker stains that OTC products can’t remove. We can make sure sensitive gum and mouth tissue is protected from bleaching agents. And, if you are on a deadline, we can provide a much faster result. Some conditions, such as deep stains caused by trauma or medication, or darker-colored caps, veneers, and crowns, require more than whitening, and we are happy to present options for those situations.

If you have any questions or concerns about whitening your teeth, please give our Kingston, ON office a call. Whether it’s advice on how to brush or how to quit smoking, discussing the effects of foods and drinks on our teeth, suggesting OTC whitening products, or providing a professional whitening, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team are happy to help you achieve your best and brightest smile!

Medication Can Lead To Xerostomia in Women

August 24th, 2022

Xerostomia, otherwise known as dry mouth, can be a side effect of many common medications. Drugs used for blood pressure, birth control, antidepressants, or cancer treatments may cause the dry mouth problems you’re experiencing. When you have dry mouth, you’re more likely to experience tooth decay and an increased risk of developing periodontal disease. Medication can sometimes be the cause of dry mouth in women, and lead to an increased amount of cavities.

You may not develop a cavity for years, but suddenly find more than one when you’re on medication for several months. This is due to there being less saliva in your mouth, which normally prevents bacteria from flourishing. When there is a lack of saliva flow, your mouth will be more likely to host tooth decay and be more prone to gum disease.

You may not notice it, but birth control can lead to inflammation of the gums and bleeding because of dry mouth. The condition can also emerge if you’ve undergone cancer treatments such as radiation, because your saliva glands may be damaged in the process.

Boosting saliva production is critical for treating xerostomia. Many over-the-counter saliva products are designed to help manage dry mouth. For women with severe cases of dry mouth and decay, we may recommend in-home fluoride treatments that offer extra enamel protection. This can come in the form of fluoride trays, prescription toothpaste, or a special fluoride rinse.

Other ways to relieve dry mouth include chewing sugar-free gum, limiting caffeine intake, avoiding mouthwashes that contain alcohol, sipping water regularly, using a humidifier at night, and stopping all tobacco use.

If you believe you may be experiencing symptoms of dry mouth, contact our Kingston, ON office to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. It’s wise to take medications that have been prescribed by your doctor, but it’s also smart to watch for any side effects. If you think a medication is causing you to have dry mouth, let’s figure out how to manage your symptoms as a team!

Why Are We Recommending a Periodontal Consultation?

August 17th, 2022

The best way to protect yourself from gum disease is to be proactive: practice good oral hygiene at home and schedule regular checkups and cleanings in our Kingston, ON office.

How do you know if your dental routine is doing the job? There are specific symptoms you might notice when you brush and floss, and less obvious signs of gum disease we look for during your dental exams.

The early stage of gum disease is known as gingivitis. It’s generally caused by poor dental hygiene, although certain diseases, age, hormones, and a number of other factors can also put you at risk. It’s time to talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about your gum health if you notice any of these symptoms:

  • Bright red or purple gums
  • Swollen gums
  • Pain or tenderness
  • Bleeding when brushing or flossing
  • Persistent bad breath
  • Receding gums

And sometimes, there are no obvious symptoms at all. That’s why regular checkups are so important. If you have gingivitis, careful attention to your oral hygiene, professional cleaning, prescription mouthwash, or other treatments as needed can reverse the effects of gingivitis and restore your gums to their normal, healthy state.

Why be so proactive? Because, left untreated, gingivitis leads to more serious gum disease, called periodontitis. The bacteria in plaque and tartar cause inflammation, and inflammation leads the gum tissue to pull away from the teeth, forming pockets which become deeper over time. Here, where brushing can’t reach, bacteria continue to multiply, leading to further inflammation, infection, and the eventual breakdown of gum and bone tissues.

The results of untreated periodontitis can be very serious, including:

  • Significant gum recession, leaving roots more vulnerable to decay
  • Periodontal abscesses
  • Loose teeth, or teeth that shift from their proper positions
  • Bone loss in the area surrounding the teeth
  • Tooth loss

If we see signs of advanced periodontitis, we may refer you to a periodontist.

Periodontists specialize in the diagnosis, prevention, and treatment of gum disease. After dental school, a periodontal degree requires three years of additional advanced education. Periodontists have the training and skill to perform surgical and non-surgical procedures to treat gum disease, as well as to perform cosmetic procedures and place dental implants.

Periodontists are trained to diagnose and treat periodontitis with a number of procedures which they will recommend based on your specific needs. Among the treatments they provide to restore your gum health:

  • Topical, time-release, or oral medication
  • Scaling and root planing, non-surgical deep cleaning procedures which remove plaque and tartar above and below the gumline, and smooth tooth roots to remove bacteria and help the gum tissue reattach to the teeth
  • Flap surgery to treat persistent gum infection, reduce pocket depth, and re-secure the gums snugly around the teeth
  • Bone grafts, gum grafts, and other regenerative procedures which help restore and repair tissue damaged by gum disease

If we recommend a periodontal consultation, be proactive. The best way to protect yourself from the significant consequences of untreated gum disease is to see a specialist in this field. Your periodontist has the knowledge and experience to stop gum disease from progressing, treat damaged bone and gum tissue, and restore your healthy smile.

The Importance of Regular Dental Checkups

August 10th, 2022

When was the last time you paid Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough a visit? If you're like many people, chances are it was more than six months ago. We hear the reasons why people neglect regular dental visits all the time: lack of money or quality dental insurance, busy schedules, and fear. However, your twice-yearly checkups are so important for your dental health and for your overall health as well.

You may brush your teeth twice a day and even floss, and your teeth may feel fine, but regular dental checkups with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough aren’t about addressing problems and reacting — they are about cavity prevention. No matter how much you brush and floss, there is still a chance that food or other debris can get lodged between your teeth, and there is also a chance that food and beverages can wear down your tooth enamel in between visits, making your teeth vulnerable to decay.

In addition to a thorough teeth cleaning and polishing, these regular visits help us detect and prevent the onset of tooth decay and periodontal (gum) disease. During your visit, we’ll check the health of your mouth, teeth, gums, cheeks, and tongue. We’ll also check old fillings and restorations, as these can wear away over time from constant chewing, grinding, or clenching.

It's important to know that the majority of dental problems do not become visible or painful until they are highly advanced. And, unfortunately, serious oral issues are painful and expensive to treat. A deep cleaning twice a year by our team at Cataraqui Dental Centre is the best way to hit all the spots you may have missed with brushing and flossing and prevent any problems that may have gone unseen.

Make sure your teeth get the professional attention they deserve! If you’re overdue for your next cleaning, please give us a call to schedule an appointment at our convenient Kingston, ON office!

Periodontal disease; I have what?!

August 3rd, 2022

Our team from Cataraqui Dental Centre understands the diagnosis of periodontal disease can be scary and confusing, but the good news in most cases is that it is treatable and manageable with a little work on the part of the patient.

Periodontal disease is an infection of the gum tissue, bone, and supporting structures for the teeth. In the past it was known as pyorrhea. Diagnosis is commonly made through a combination of dental X-rays, periodontal readings (called probe depths), and visual clinical findings.

The mouth is a gateway to the rest of the body and can provide clues to the patient’s overall health. In fact, the first signs of some chronic diseases appear in the oral cavity; they can be a hint for the dentist to refer the patient to a medical doctor for a thorough exam.

If left untreated, periodontal disease can lead to premature tooth loss, sensitivity, and chronic or acute mouth pain. If you have diabetes, you are more prone to periodontal disease and can experience greater difficulty controlling your blood glucose levels. The body ends up spending so much energy fighting the infection in the mouth that it cannot achieve balance elsewhere. Studies have shown that once periodontal disease is treated, the glucose levels become more responsive to control as well.

Standard treatments can include scale and root planing, medicated mouth rinse, and in some cases antibiotic therapy or laser therapy to help control bacteria while promoting healing. Periodontal disease can range from a few localized pockets to extensive and severe infection that may require surgery.

The process of scale and root planing may entail two to four appointments for treatment, with follow-up maintenance exams every three to four months to help prevent the spread of disease. In most cases you will be numbed for comfort during the procedure. After treatment you may feel a little sore—but you are taking steps to improve your health!

Scheduling an appointment with the Kingston, ON office of Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will give you an accurate diagnosis and a range of treatment options. Periodontal disease is “silent,” which means you will not always experience pain as a signal of infection. When caught early and subjected to proper oral hygiene care on a daily basis, treatments are usually successful.

Periodontics and Braces Treatment

July 27th, 2022

Most people think braces are all about their teeth. While it is true orthodontics is meant to move your teeth into proper position, there's more to it than that. To safely move your teeth with braces, you're going to need healthy and stable gums (or periodontium—the tissues that support your teeth).

For this reason it's critical to have your periodontal health evaluated prior to getting braces. This applies particularly to adults, since a 2013 study by the Center For Disease Control found that an estimated 47.2% of adults 30 years of age and older had periodontitis (gum disease). If you do have periodontitis, moving your teeth with braces will only make things worse.

Conversely, there is also risk for periodontal disease if you don't get orthodontic treatment. Malocclusion, as well as crooked and spaced teeth, can all contribute to periodontal disease. In these situations your teeth and gums are more difficult to clean and become breeding grounds for disease causing bacteria. Bad oral hygiene combined with these traits can greatly contribute to the development of periodontitis.

So, periodontics and braces have a tricky relationship. On one hand, you shouldn't get braces if you show signs of developing or have periodontitis, while on the other hand, braces can help prevent the possibility of developing periodontitis by correcting the bite and straightening the teeth.

If you are 30 years of age or older and are considering getting braces, it would be wise to first:

  • Let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough know about your desire to get braces
  • Get an exam to make sure you're in good periodontal health and a good candidate for braces
  • If you are a good candidate, keep an eye on your teeth and gums and get regular dental checkups throughout your entire course of treatment.

If you are in any doubt about the status of your teeth and gums, it's always best to get them checked before embarking with braces treatment. For more information or to have your periodontal health assessed for braces treatment, please contact our Kingston, ON office.

Preventing Toddler Tooth Decay

July 20th, 2022

You do everything you can to protect your toddler with safeguards large and small. Installing that complicated car seat. Figuring out which sunscreen is best for delicate skin. Spending weeks childproofing your home. But all the work protecting your child is more than worth it because the rewards are so great. And one more everyday precaution that brings great rewards is protecting your toddler from tooth decay.

  • Start Early

The time to start your baby’s dental care is even before that first tooth arrives. Carefully wiping the gums with a clean, damp cloth after feeding gets your child used to the idea of brushing and removes bacteria that might irritate the gums as the teeth begin to erupt. As soon as those teeth arrive, gentle brushing with soft bristles will keep bacteria and plaque from causing tooth decay and gingivitis. We can recommend toothpastes formulated especially for toddlers and suggest the best ways to brush.

  • Mind The Menu

We know that sugary foods aren’t healthy for your toddler’s teeth. Bacteria in the mouth feeds on sugar, and a sugar-heavy diet results in more of the bacteria and plaque which cause cavities. But sugar is not the only food that is not tooth-friendly. For example, foods like citrus fruits and juices can also be a problem. Acidic foods can actually weaken enamel after eating and leave teeth more vulnerable to cavity-causing bacteria and plaque. We have suggestions for tooth-healthy snacks and the best times to brush after eating if you and your child indulge in a treat.

  • Don’t Misuse Bottles & Sippy Cups

Your toddler might still use a bottle at night or a sippy cup throughout the day. Juices and even milk contain sugar that increases the risk of cavities, and if your child goes to sleep with a bottle or cup, these liquids pool in the mouth overnight allowing bacteria to flourish.  If your toddler wants a drink at night or between meals, water is a much better option.

Those tiny teeth are important for so many reasons. They enable children to bite and chew efficiently, to pronounce sounds properly for speech development, and to save space for adult teeth so they erupt in the right place. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team recommend that your child visit our Kingston, ON office after the first tooth comes in, and always by the first birthday. We will make sure your toddler’s teeth are developing as they should be and suggest ways to keep them cavity-free. Your toddler’s healthy, beautiful smile is a reward worth protecting!

Teeth Whitening and Your Smile

July 13th, 2022

The best type of whitening for your smile depends on what you are hoping to accomplish.

Whitening Toothpastes

This is certainly the easiest method of whitening, but will brushing alone produce your whitest smile? Probably not. Whitening toothpastes use chemicals and abrasives to remove some surface stains caused by foods, beverages and smoking. They can also be used to maintain the appearance of your teeth after a professional whitening. However, toothpaste alone cannot change the natural color of your teeth or penetrate the surface of the tooth to remove deeper stains. A whitening toothpaste usually takes several weeks to produce results. Be sure to choose a product with a seal of approval from a reputable dental association and carefully follow the instructions for use.

Whitening Strips and Gel Trays

Whitening gels can be applied at home with strips or tray kits. These peroxide-based gels are stronger than the formulas used in toothpaste.

Strips come coated with the whitening gel and work when pressed to your teeth for a specified amount of time. One difficulty here is making sure each tooth is completely covered by the strip so that even whitening takes place. Tray and gel whitening systems provide a mouthguard-like appliance that is filled with whitening gel and applied to your teeth, again for a specific period of time. Because one size does not fit all, stock trays can be ill fitting and lead to problems with gums and soft tissue. You can talk to our team about a custom-fitted appliance and whether gel whitening is your best option.

Some users find gel products cause tooth and gum sensitivity and even enamel damage. These over-the-counter gel products will not work on caps, veneers, crowns, or bridges, and there might be underlying conditions in your natural teeth that will make the use of these products ineffective. Please talk to us at your next visit to our Kingston, ON office if you are interested in whitening at home, so we can advise you on how to achieve the best and safest outcome.

Office Treatment

Professional whitening makes use of a gel with a higher concentration of peroxide and should only be provided by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough or a member of our team at our Kingston, ON office. This process is generally faster, more effective and longer lasting. We take care first to examine your teeth for pre-existing conditions such as cavities and gum disease that could cause problems. We protect your gums when the gel is applied in office and monitor the procedure. We can assess the progress of the whitening and suggest further treatment if needed. Custom mouthpieces can also be an option if you would like to use a whitening gel at home. A personally molded tray will fit your teeth perfectly and allow a more precise application of the peroxide gel.

Some teeth are not good candidates for normal whitening procedures at home or in office. If you have dark stains caused by trauma, drugs such as tetracycline, discoloration due to root canals, or darker dental bonding, crowns, or other prosthetics, please talk to us about other possible solutions. We want to help you achieve your brightest possible smile.

Dental X-rays and Your Child

July 6th, 2022

We’re parents, so we worry. It comes with the job description! That’s why we make sure our children use toothbrushes with soft bristles and apply just the right amount of fluoride toothpaste. That’s why we make regular appointments with their dentists for preventive care and examinations. And that’s why we want to know all about the X-rays that are used in our children’s dental exams.

First of all, it’s reassuring to know that the amount of radiation we are exposed to from a single dental X-ray is very small. A set of bitewing X-rays, for example, exposes us to an amount of radiation that is approximately the same as the amount of radiation we receive from our natural surroundings in a single day.

Even so, dentists are especially careful when children need X-rays, because their bodies are still growing and their cells are developing more rapidly than adults. And children often have different dental needs than adults, which can require different types of imaging.

In addition to the usual X-rays that are taken to discover cavities, fractures, or other problems, young patients might need X-rays:

  • To confirm that their teeth and jaws are developing properly
  • To make sure, as permanent teeth come in, that baby teeth aren’t interfering with the arrival and position of adult teeth, and that there’s enough space in the jaw to accommodate them
  • To plan orthodontic treatment
  • To check the progress and placement of wisdom teeth

So, how do dentists make sure your child’s radiation exposure during X-ray procedures is as minimal as possible?

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

Moreover, radiologists are devoted to raising awareness about the latest advances in imaging safety not only for dental and medical practitioners, but for the public, as well. With children in mind, pediatric radiologists from a number of professional associations have joined together to create the Image Gently Alliance, offering specific guidelines for the specific needs of young patients.

And because we are always concerned about the safety of our patients, dental associations around the world, including the American Academy of Pediatric Dentistry, the American Dental Association, the American Dental Hygienists’ Association, the Canadian Academy of Pediatric Dentistry, and the Canadian Dental Hygienists Association, are Image Gently Alliance members.

The guidelines recommended for X-rays and other imaging for young people have been designed to make sure all children have the safest experience possible whenever they visit the dentist or the doctor. As dental professionals, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team ensure that imaging is safe and effective in a number of ways:

  • We take X-rays only when they are necessary.
  • We provide protective gear, such as apron shields and thyroid collars, whenever needed.
  • We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
  • We set exposure times based on each child’s size and age, using the fastest film or digital image receptors.

We know your child’s health and safety are always on your mind, so you’re proactive about dental care. And your child’s health and safety are always on our minds, too, so we’re proactive when it comes to all of our dental procedures available at our Kingston, ON office.

Please free to talk with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about X-rays and any other imaging we recommend for your child. We want to put your mind at ease, knowing that X-rays will be taken only when necessary, will be geared to your child’s age and weight, and will be used with protective equipment in place. Because ensuring your child’s dental health and safety? That comes with our job description!

Lip Service

June 29th, 2022

When you think of Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, you naturally think of your teeth. But your dental professional is concerned with more than the teeth, as important as they are. All aspects of your oral health—gums, bite, tongue, mouth—contribute to your well-being. So many elements go into creating your beautiful smile, and your lips? They’re front and center.

  • SPF—BFF

You already know that sunscreen is your best friend when it comes to protecting your skin. But don’t forget your lips when you’re slathering on the sunscreen! Delicate lip tissue is also susceptible to the sun’s damaging UV rays. Use a lip balm or lipstick with an appropriate SPF (Sun Protection Factor) for your skin type, and apply it liberally. Don’t forget to reapply every hour or two, after eating and drinking, and after going in the water. And if you’re protecting your children from the sun’s rays, check with your doctor about using sunscreen on young lips.

  • Healthy Hydrating

Dry, chapped lips are no one’s go-to look. And while moisturizers and balms can help dry lips recover, there’s a simple preventative measure you can take to avoid or reduce dryness.  You know how important water is for our bodies, and it’s essential for hydrating our lips as well. Make sure you drink the recommended amount of water each day for lips (and skin!) that are healthy and hydrated.

Not so healthy liquids? Alcohol. Alcohol is dehydrating, which undoes the benefits of that water you’ve been drinking. More than that, excessive alcohol consumption has been linked to oral cancer, especially when coupled with tobacco use.

  • Toss the Tobacco

All tobacco users have an increased risk for oral cancer. Pipe and cigar smokers are particularly at risk for lip cancers, and smokeless tobacco users have a greater risk of cancers on the inner lip surface. Need another reason to quit? Smoking leads to an increase in lip lines (wrinkles) and a decrease in lip volume.

  • Oral Exams

When you come to our Kingston, ON office for regular checkups, you can also get regular screenings for oral cancer and other oral conditions. While irregularities are often benign, lip cancer is one of the most common forms of oral cancer, and detecting cancerous or precancerous lesions as early as possible is important for treatment. If you have a sore or lump that doesn’t go away, a red or white patch of skin, bleeding or pain, or any other symptom that concerns you, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough.

Protect yourself from the sun, hydrate, use alcohol in moderation, give up tobacco if you are using it, and see your dentist regularly for examinations. These simple practices are beneficial not only for your expressive lips, but for your overall health and well-being. And feel free to spread the word—healthy habits and preventative care should be on everyone’s lips!

Treatments for Tooth Discoloration

June 22nd, 2022

Congratulations! You’re getting married! Wow! It’s your twentieth reunion! New job? Great news! No matter the occasion, large or small, you want to celebrate it with your whitest, brightest smile. How can Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough help? In a number of ways!

Professional Whitening

Because teeth are porous, over time substances in food, beverages, and tobacco products can stain the surface of the teeth. This is called extrinsic staining. If this is your concern, having your teeth whitened professionally is the fastest, most effective, and longest-lasting method of achieving your brightest smile.

We’ll examine your teeth to make sure that there are no pre-existing conditions such as cavities or gum disease that should be treated before whitening. We will use a gel with a higher concentration of whitening ingredients than over-the-counter products, protect your gums, and monitor the entire process. If you want to whiten at home, talk to us during your visit to our Kingston, ON office about custom mouthpieces and professional whitening gels for precise application and safe, effective results.

Intrinsic Stains

Intrinsic stains are below the surface of the tooth, and harder to remove. These stains might be the result of an injury to the tooth or exposure to a medication like tetracycline while the tooth is forming.

While some whitening systems and professional whiteners can improve intrinsic staining if it is not too severe, normally bonding or veneers are better options. We can use color matching to make sure bonding or veneers are indistinguishable from your natural teeth. And do consider a professional whitening first, so we can match your dental work to your whitest natural smile!

Treating Existing Dental Work

Again, when you are considering porcelain veneers or crowns, composite veneers, or tooth bonding, choose the color that works best for your whitest natural smile, because these materials cannot be whitened like natural teeth. If you have dental work already in place that you would like to brighten, both composite and porcelain dental work can be polished to remove surface stains. If the color is simply not a good match for your natural teeth any more, replacement of your dental work is an option we can discuss.

There are plenty of good reasons to get your teeth whitened—Weddings! Reunions! New jobs!—but the best reason of all is giving you the healthy, confidant smile you’ve always wanted. And that’s something to celebrate!

Healthy Summer Foods

June 1st, 2022

It’s summer—that wonderful time of year when fresh and delicious produce abounds. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will tell you that your teeth, gums, and tissues all rely on an appropriate mix of vitamins and minerals to maintain good oral health no matter what time of year. In previous studies, nutrients in fruits and vegetables such as dietary fiber, potassium, and antioxidants have all been associated with a reduced risk for cardiovascular disease and cancers, including oral cancer.

Here are four foods we want you to enjoy this summer to ensure a healthy mouth:

Watermelons and Strawberries

Watermelons have high water content, which dilutes the affects of the sugars they contain and stimulates the flow of saliva. In addition, research shows that eating foods full of water (watermelon is 92 percent water) helps keep you satiated on fewer calories. Finally, in addition to containing skin-protecting lycopene, eating watermelon can help you stay hydrated during the summer months, which not only keeps your memory sharp and your mood stable, but also helps keep your body cool.

Strawberries are juicy and delicious, and they’re also considered a superfood. Nutrient-rich and packed with antioxidants (such as vitamin C, which can help with cancer prevention), strawberries also promote eye health, help fight bad cholesterol, and regulate blood pressure.

Apples

Did you know consuming apples can help you attain whiter, healthier teeth? It’s true. Biting and chewing an apple stimulates the production of saliva in your mouth, and in the process, lowers the levels of bacteria and other harmful acids, leading to a lower likelihood of tooth decay. Apple consumption can also boost your immune system, reducing cholesterol and helping you avoid Alzheimer’s and Parkinson's diseases. Finally, eating an apple a day has been linked to heart health, including a lower risk of death from both coronary heart disease and cardiovascular disease.

Tomatoes

Tomatoes are a delicious and healthy snack and can help you ward off cancer. The yummy red fruit contains lycopene, which helps protect your skin from sunburn. Tomatoes can also help you fight heart disease due to the niacin, folate, and vitamin B6 nutrients they contain. They’re high in crucial antioxidants, such as vitamin C and vitamin A, which work to prevent DNA damage.

Is there really a link between my mouth and heart?

May 25th, 2022

Yes, indeed! While brushing, flossing, and regular visits to Cataraqui Dental Centre are all key to maintaining a healthy smile and mouth, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want you to know the state of your oral health has a significant effect on your overall health.

Our mouths are full of bacteria—some good, and some harmful. Some types of bad bacteria can cause cavities, gingivitis and even periodontal (gum) disease. Without proper oral care and hygiene, these harmful types of bacteria are capable of entering your blood stream through inflamed gums, when inhaled through the mouth or through saliva.

Gum disease, in turn, has been linked to a number of health problems, researchers have found. These include:

  • Heart disease: Gum disease may increase the risk of heart disease. Gum disease also is believed to worsen existing heart disease.
  • Stroke: Gum disease may increase the risk of the type of stroke caused by blocked arteries.
  • Diabetes: People with diabetes and periodontal disease may be more likely to have trouble controlling their blood sugar than diabetics with healthy gums.
  • Premature birth: Women who suffer from gum disease during pregnancy may be more likely deliver their baby early, and it is likely her infant may be of low birth weight.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre are experts in identifying and treating periodontal disease. Give us a call today at our convenient Kingston, ON office to schedule an appointment to improve your oral health and your overall health, too!

Three Surprising Causes of Bad Breath

May 18th, 2022

Rumor has it that the Queen of England doesn’t allow garlic in the palace. And, even if you have no royal duties in the near future, it might be a good idea to avoid foods like garlic and onion before a big presentation or a first date. But if your diet is filled with mint, fresh apples, and parsley and you still worry about your breath, here are some common causes for bad breath that you might not have considered.

  • A Slip of the Tongue

We brush and floss to remove food particles and bacteria. After all, bacteria that linger in the mouth produce acids that damage tooth enamel and cause bad breath. But there is one important brushing target you might be overlooking—your tongue.

Remove food particles and bacteria on the surface of the tongue with a gentle brushing after you have finished cleaning your teeth. With a dab of toothpaste, brush the top of your tongue gently from back to front. There are also tools called tongue scrapers available that are specifically designed to remove food particles and bacteria from the tongue’s surface. However you choose to clean your tongue, remember to move from the back to the front, and always clean gently.

  • A Dry Spell

We spend the vast majority of our day not brushing our teeth. What helps keep breath fresh even during the hours between brushings? Saliva! As saliva bathes the teeth throughout the day, it not only washes away food particles and bacteria, but also neutralizes the enamel-damaging acids that are produced by bacteria. Yet another benefit? Saliva is not a friendly environment for the oral bacteria that produce volatile sulfur compounds (VSCs). It is these compounds that cause most of the unpleasant odors we know as bad breath.

If you are drinking the recommended amount of water each day, you are helping your body produce saliva and fight bad breath. Sometimes, a medical condition called dry mouth, or xerostomia, interferes with saliva production. Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about ways to deal with dry mouth. Solutions as simple as drinking more fluids or chewing sugarless gum can help, or we can suggest over-the-counter products or prescription medications if needed.

  • A Bad Night’s Sleep

We’re all familiar with the concept of morning breath. As we sleep, our saliva production naturally decreases. It’s like a nightly version of dry mouth. Without normal levels of saliva, bacterial growth takes off, VSC’s are produced in greater quantities, and we wake up wondering what on earth happened to that fresh feeling we had after brushing the night before.

Unfortunately for snorers, nighttime brings more problems. Snoring leads to mouth breathing, and mouth breathing creates an even drier environment where oral bacteria increase more quickly. If you find you are consistently waking up with an especially unpleasant case of morning breath, you could be a chronic snorer without even realizing it. If you discover or suspect you have a snoring problem, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough or your GP. Snoring can have serious health consequences, so let’s discuss possible solutions.

One important note to end on: if you have eliminated all the obvious causes of halitosis but still have persistent bad breath, give our Kingston, ON office a call. Chronic bad breath can be a symptom of serious gum disease, oral infections, illnesses such as diabetes or kidney disease, and other medical conditions that should be treated as soon as possible. If the topic is bad breath, let’s make sure garlic is the only thing you have to worry about.

Tooth Sensitivity

May 11th, 2022

Most of us know that unpleasant feeling. You’re happily enjoying an icy milkshake with lunch or having a piping hot cappuccino break, and suddenly an innocent binge turns to cringe—your tooth sensitivity has crossed another item off the menu. If heat, cold, even the act of brushing cause you tooth discomfort, we have solutions for you. Let’s look at some of the common reasons for tooth sensitivity and how to prevent it.

  • Bad Brushing Habits

There can be too much of a good thing! Aggressive brushing, especially with firm toothbrushes, can damage enamel. When the dentin underneath is exposed, heat and cold can reach the sensitive inner tooth and trigger discomfort.

Go easy on yourself: Switch to a soft bristled or electric toothbrush and brush thoroughly but gently. It’s often suggested that we massage rather than scrub. We can also recommend toothpastes that can help reduce sensitivity.

  • Gum Disease

As gum disease progresses, the gums start to pull away from the teeth and expose their roots. Even though the roots are protected by cementum, a covering a lot like enamel, they are more sensitive to heat and cold. And if you are an aggressive brusher, the cementum is more easily damaged than enamel, leaving the sensitive roots even less protected.

Prevention is the answer: Brushing and flossing help prevent gum disease, as do your regular exams and cleanings. If you are suffering from more advanced gum disease (periodontitis), Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can suggest advanced treatment to protect your roots, such as deep cleanings and gum grafts. Don’t let periodontitis go untreated, as it can lead to infection and even tooth loss.

  • Your Diet

If your enamel is already compromised, sugary foods and acidic foods can cause tooth discomfort.

Be patient: Until your sensitivity problem is under control, avoiding these types of foods will help. On the other hand, sugary and acidic foods aren’t the ideal dental diet, so cutting back is not a bad idea.

  • Your Dental Products

Mouthwash, whitening toothpastes and home whitening products contain substances such as alcohol or bleaching agents that can cause sensitivity in some users.

Make some changes to your shopping list: Choose products without alcohol or whiteners. Talk to us about gentler alternatives for mouthwashes and whitening.

  • Tooth Injuries

If you have a cavity, a broken filling, a cracked tooth, or some other injury to the tooth, sensitivity can be a warning sign.

Take care of yourself: Call our Kingston, ON office immediately if you have prolonged sensitivity or any other painful symptom. Repairing and restoring your damaged tooth should eliminate this discomfort. And, while it is often common to experience some degree of sensitivity after dental work, if this doesn’t clear up within a short time, let us know.

  • Teeth Grinding

Because grinding also wears away enamel, tooth grinders often suffer from sensitive teeth.

Protect yourself: We can fit you for a custom nightguard that will eliminate the nightly stress on your enamel. It can also help the tooth and jaw pain caused by grinding.

Talk to us about any sensitivity you have been experiencing, especially if it has been going on for a while or is causing you real discomfort. We will explore the possible reasons for your tooth sensitivity and help you find solutions. After all, you should feel free to enjoy any item on the menu, in the very best of dental health.

Electric Toothbrushes vs. Regular Toothbrushes

May 4th, 2022

Convertible or sedan? Downtown or suburbs? Electric or manual toothbrush? As life decisions go, it’s certainly not choosing your next car, or deciding where you want to live. But, even when you are selecting a toothbrush, it helps to make a list of the pros and cons of the contenders before you make that final selection.

  • Efficiency

The most important factor in choosing a toothbrush is finding out which model works best to eliminate bacteria and plaque. And studies have shown that, used properly, both electric and manual toothbrushes do a great job of removing plaque. Some electric models can reach the backs of teeth and the gumline more easily, some manual head designs work better for your individual mouth and teeth, so your particular needs should dictate which style of toothbrush you use. Talk to us about the best methods to brush with your preferred toothbrush, and we’ll let you know if one type of toothbrush or the other might work better for you.

  • Health Considerations

Brushing too energetically can actually harm teeth and gums, causing sensitivity and damage to the enamel and gum tissue. An electric toothbrush should provide a continuous brushing motion without needing any pressure from the brusher. This might be the model for you if you have a too-vigorous approach to brushing, or sensitive teeth and gums.

An electric toothbrush can also be more efficient for older and younger brushers, those with limited mobility, and those with health conditions or injuries that make brushing with a regular toothbrush more difficult.

  • Cost

An electric toothbrush is not a one-time investment. You should change the removable head as often as you change your manual toothbrush (every three to four months, please). But this cost is offset if an electric toothbrush is more efficient in removing your plaque, easier to use, or even if you just prefer it to manual brushing. If you find that you brush better and more often with an electric toothbrush, the added expense is well worth it.

Whichever brush you decide on, the most important part of the brush is the person holding it! A regular appointment with your toothbrush for two minutes of thorough brushing in the morning and two in the evening, daily flossing, and regular visits to our office for checkups and cleanings will keep your teeth healthy and strong no matter which toothbrush you choose.

Questions about your toothbrush choices? Don’t hesitate to ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office.

What to do about Dry Mouth

April 27th, 2022

Xerostomia, commonly known as dry mouth, is a condition in which the salivary glands in the mouth don’t produce enough saliva. Saliva keeps the mouth moist and cleanses it of bacteria. A lack of it makes for an uncomfortably dry mouth that is also more susceptible to infection and disease.

Symptoms of dry mouth include:

  • Dryness or a sticky feeling
  • Frequent thirst
  • Burning sensations or redness in the throat or on the tongue
  • A sore throat or hoarseness
  • Difficulty chewing, swallowing, or tasting food

Dry mouth usually comes about as a side effect of certain medications or medical conditions, but can also be caused by damage to the salivary glands because of injury or surgery.

If you're experiencing any of the symptoms of dry mouth, here are a few tips for what to do:

Double-check medications: If you are taking any prescription or over-the-counter medications, speak with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to see if any of these could be causing the dry mouth as a side effect.

There may be ways to alleviate the symptoms.

  • Stay hydrated: Whether you have dry mouth or not, it’s essential to stay hydrated. Drink plenty of fresh and pure water throughout the day. A good rule of thumb is to drink eight eight-ounce glasses of water a day.
  • Suck or chew on a natural, sugar-free candy or gum: Sucking on candy or chewing gum will keep your salivary glands producing saliva. Healthier versions of sugar-free candy and gum are available these days. Some are made with xylitol, a sugar alcohol that actually helps prevent tooth decay.
  • Add moisture to your living spaces: Try adding a vaporizer to your bedroom or the rooms where you spend the most time. It’s best for your home to have a humidity level of between 40 to 50%. Anything less than 30% is too low. You can measure humidity with a hygrometer, which is easy to find at your local department store or online.

These are just a few general tips, but if you’re experiencing the symptoms of dry mouth often and it’s interfering with your life, pay a visit to our Kingston, ON office. That way you’re more likely to get to the root of the problem.

Infant Teething Remedies: What Might Help—And What to Avoid

April 20th, 2022

Some lucky babies wake one morning displaying a brand new tooth to the complete surprise of their unsuspecting parents! But your happy baby is irritable and drooling. Or your hearty eater doesn’t feel like finishing her food. Perhaps she finds it hard to go to sleep when she’s usually nodded off before you finish the first lullaby. A small number of children suffer little or no discomfort teething, but for the majority of babies who do, here are some helpful ways to ease their teething pain.

  • Massage--Rubbing your baby’s gums with a clean finger or piece of gauze—gentle pressure is all you need. And do be careful of your fingers once those teeth start coming in!
  • Chewing—there are many colorful and easy to grasp teething toys available, including BPA-free models.
  • Cool Relief—Cool a solid teether in the refrigerator to help ease discomfort. Placing a teething ring in the freezer is not recommended, as extreme cold can be damaging to little mouths and gums.
  • Comfort Food—If your baby is eating solid foods, try cold applesauce or other purees.
  • Skin Care—Drooling is often part of the teething process, but try to keep your child’s face free from rash and chaffing by wiping with a clean cloth when necessary.

And while you are trying to keep your baby comfortable, also be sure to keep her safe!

  • Know what your baby is putting into her mouth. All teething items should be non-toxic and free of harmful chemicals. Teethers filled with fluids may break or leak, so a solid toy is best.
  • Make teething items size-appropriate. Avoid anything small or breakable that might present a choking hazard.
  • Over-the-counter gels and liquids containing benzocaine, meant to reduce pain in the gums and mouth, may on rare occasion lead to serious health conditions in small children. Always check with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough or your pediatrician before buying an over-the-counter teething medication for your baby.

For many babies, teething can be a long and sometimes difficult process. If there is anything we can do to help you and your baby in this journey, please give our Kingston, ON office a call.

Planning Your Vegetarian Diet with Your Oral Health in Mind

April 13th, 2022

If you’ve been following a vegetarian or vegan diet, you know that there’s much more to living a healthy life than simply avoiding meat products. Making sure your diet includes enough protein, as well as any nutrients that are primarily available in animal products, takes planning, and there’s no one-menu-fits-all solution.

Why? Because there’s no one menu that will suit all vegetarians. Specific vegetarian diets can allow for many different options:

  • Vegan—a plant-based diet which excludes meat, fish, dairy, and egg products
  • Ovo-vegetarian—includes eggs as a dietary option, but no dairy
  • Lacto-vegetarian— includes dairy as a dietary option, but no eggs
  • Lacto-ovo-vegetarian—a meat-free diet which allows both dairy products and eggs

If you are a pescatarian, who eats fish on occasion, or a flexitarian, who sometimes includes meat in a meal, your menu options are even broader.

So let’s look at the big picture—a healthy vegetarian diet is really more concerned with the foods you do eat for nutrition rather than the foods you don’t. You can create a meal plan rich in all your essential nutrients with a little research, no matter which type of vegetarian diet is your go-to choice.

And while you’re constructing your ideal menu guidelines, don’t forget about your dental nutrition!

In terms of keeping your teeth and gums their healthiest, what important vitamins and minerals are often missing from vegetarian and vegan diets? Let’s look at three of them.

  • Calcium

Calcium is essential for maintaining strong bones and tooth enamel. Without enough calcium, a weakened jawbone leads to loose, and even lost, teeth. The acids in our food and the acids created by oral bacteria also weaken the minerals in enamel, including calcium. These weak spots can eventually become cavities. A diet rich in calcium not only supports the bones holding our teeth, but can even help repair, or remineralize, enamel which has been weakened by acidic erosion.

For vegetarians who include dairy in their diets, dairy products are a great way to include calcium. Milk, cheese, and yogurt are traditional and rich sources of this mineral.

For vegans, it’s a bit more challenging, but still doable! Non-dairy foods providing calcium include dark green vegetables (kale, broccoli, spinach), certain types of tofu, and fortified cereals, juices, and non-dairy milks.

  • Vitamin D

Now you’re ready to put that calcium to work by making sure you have enough vitamin D in your diet. Vitamin D not only helps keep our bones healthy, it also enables our bodies to absorb calcium. Bonus—it’s been linked to better gum health in several studies.

So how to get more vitamin D? If you eat dairy, most dairy products have been fortified with vitamin D. If eggs are a part of your diet, egg yolks are a great source. Pescatarians can enjoy the benefits of vitamin D from fatty fish such as tuna and salmon.

Because we get most of our vitamin D from sun exposure or foods derived from animals, plant-based foods are not a practical way to obtain the vitamin D you need. But, just as non-vegetarians can get plentiful vitamin D from fortified dairy products, vegans also have options. Try adding cereals, juices, and non-dairy milks fortified with this essential nutrient to your diet, or take a vegan vitamin D supplement.

  • Vitamin B12

Vitamin B12 is essential for healthy red blood cells, nerve cell development, brain function, and DNA production. (This is why it’s especially important for pregnant and nursing women.) Vitamin B12 can also impact your oral health. A B12 deficiency can cause a swollen, sore, or inflamed tongue, loss of taste, and gum, tongue, and mouth ulcers.

Unfortunately, vitamin B12 is reliably found only in animal foods and nutritional yeasts. If you would prefer an egg-free and dairy-free diet, look to B12 supplements or B12-fortified cereals, plant-based milks, energy bars, and other vegan options. This is a good subject to discuss with your physician, because even supplements and fortified foods might not provide enough B12.

In fact, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can be vital resources when you’re planning your healthiest vegetarian diet. The next time you visit our Kingston, ON office, ask for recommendations for supplements if you’re concerned that diet alone can’t provide for all of your nutrition essentials. Finally, care should be taken to ensure that, even with supplements, you get the proper amount of the vitamins and minerals you need.

As a vegetarian, you are used to the concept of care. Whether it was concern for nutrition, the planet, the animal world, or another reason that drew you to a vegetarian diet, be sure to care for your body as well as your dietary choices. Careful planning can ensure a diet which supports not only your general health, but your oral health, for a lifetime of nourishing—and well-nourished—smiles.

What are dental crowns?

April 6th, 2022

A dental crown is often called a “cap.” A dental crown covers all of the visible parts of the tooth and has many functions and reasons for placement.

There are several different types of crowns available at Cataraqui Dental Centre. They vary in their material, appearance, and functionality. A PFM, or porcelain fused to high-noble metal, is the most common. A full cast, high noble metal crown is a gold crown, and a stainless-steel crown is meant to be temporary. The most natural-looking crown is one that is all porcelain. These are often used for front teeth.

Getting a crown typically requires two appointments. The first is a preparation with impressions, shaping, and placing a temporary. The impressions are either sent to a dental lab, where the process generally takes two weeks, or done in-office with a machine that can make a crown without needing a second appointment. These crowns are made from a high-quality solid block of porcelain. The shape of the tooth is constructed from a digital 3D image of your tooth.

To accurately determine which type of crown is best, you must first know why you need the crown and in what area of your mouth is it needed, which can be answered when you visit us at Cataraqui Dental Centre. For instance, if you have a gold crown on the lower right and need a new crown directly above on the upper right, the best durability and long-lasting relationship is another gold crown.

If you need a crown on a front tooth, a gold crown may not be the best choice. A PFM has strength but is not ideal, as a dark line will appear at the gum line. A full porcelain crown is going to look as close to a natural tooth as possible, but will have less strength than a gold crown.

There are two types of porcelain crowns, depending on how they are made. A dental lab makes a full porcelain crown by baking layer upon layer to make the porcelain look like natural enamel. A full porcelain crown made in-office out of a solid piece of porcelain will have increased strength. However, the natural layered appearance is extremely difficult to achieve.

A crown is placed on a tooth when added strength is needed. Cracks, large broken-down fillings, or previous root canal treatment are all conditions where a crown is the standard care. The type of crown that is most appropriate depends greatly on location.

Using Sippy Cups Successfully

March 30th, 2022

Congratulations! Your child is beginning to leave her bottle behind and has started to use her first sippy cup. And the best training cup is one that makes the transition from bottle to cup an efficient, timely, and healthy one.

The Right Training Cup

While a “no spill” cup seems like the perfect choice for toddler and parent alike, those cups are designed much like baby bottles. The same valve in the no-spill top that keeps the liquid from spilling requires your child to suck rather than sip to get a drink. If your child’s cup has a top with a spout, she will learn to sip from it. Two handles and a weighted base make spills less likely.

When to Use a Training Cup

Children can be introduced to a sippy cup before they are one year old, and we suggest phasing out the bottle between the ages of 12 and 24 months. Use a sippy cup as the source for all liquids at that age, and only when your child is thirsty and at mealtime to avoid overdrinking. The transition from sippy cup to regular cup should be a swift one.

Healthy Sipping Habits

The best first option in a sippy cup between meals is water. Milk or juice should be offered at mealtimes, when saliva production increases and helps neutralize the effects of these drinks on young teeth. And don’t let your child go to sleep with anything other than water—falling asleep with a cup filled with milk, juice, or other sugary drinks means these liquids stay in the mouth overnight. Finally, while a sippy cup is convenient and portable, don’t let your young child walk and sip at the same time to avoid injuries.

When your child comes to our Kingston, ON office for her first visit, please bring any questions you might have about training cups. We would be glad to share ways to make the move from bottle to cup both successful and safe!

Common Emergency Care Visits: Toothaches or abscesses

March 23rd, 2022

Dental problems do not always wait for normal office hours. Broken fillings or damaged teeth are common reasons for emergency treatment. Toothaches and abscesses can also require prompt attention. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can provide you with the information and treatment you need to prevent the problem from becoming worse. Emergency dental care is only a phone call away, 24 hours a day, seven days a week.

Abscess

An abscess is a bacterial infection, and will normally cause pain and swelling around the affected tooth and gum area. Antibiotics are not always necessary, but you should seek treatment quickly. Left untreated, an infection can spread and cause serious complications.

Toothache

There are many reasons that you may develop a sudden toothache. The cause of the pain may be a particle of food lodged between your tooth and gum line. One of the first steps you can take is to rinse your mouth with warm water. You may also try gently flossing the area to dislodge the particle. Do not continue flossing if bleeding occurs.

Toothaches can occur from a carie — a cavity in the tooth — or from a fracture. Sensitivity to heat or cold may also cause tooth pain. You should make an appointment to ensure that a minor problem does not become serious. We may recommend acetaminophen or another pain reliever to reduce the pain before your visit.

Additional tips and treatments:

  • If you have fractured a tooth, rinse the area with warm water to keep the surfaces clean. Apply a cold compress to the outside of your facial area to reduce swelling.
  • A tooth that has been knocked out should be kept moist, in a clean container, until you can receive treatment.
  • Do not apply aspirin directly on a damaged tooth or gum area as it can cause tissue irritation.
  • If you suspect that your jaw has been broken, go to an emergency room immediately.
  • If you have bitten or damaged your lips or tongue, rinse your mouth well with warm water. If bleeding continues, call us or seek other medical attention immediately.

Our team at Cataraqui Dental Centre is ready to assist you when you have an emergency dental need. When you call, please provide us with as much information as possible so we can offer recommendations that will assist you until your appointment. Do not delay; emergency treatment is available and immediate treatment is the best course of action.

Common Wisdom Teeth Problems

March 16th, 2022

Have you ever wondered why people have wisdom teeth? These are a third set of molars that come in behind the rest of all your other teeth, usually during early adulthood. Scientists and anthropologists believe that wisdom teeth are a result of evolution, because our ancestors needed these extra teeth to handle their primitive diets. Nowadays, the average diet consists of fewer hard-to-chew foods, which renders wisdom teeth largely superfluous.

Most people begin to experience wisdom teeth pain between the ages of 17 and 25. Our ancestors nicknamed them wisdom teeth because they appeared at a time in life when we supposedly grew wiser.

If you’ve already had your wisdom teeth removed, you know how painful they can become if they aren’t taken care of promptly. If not, watch out for discomfort in the back of your mouth and let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough know right away if you think your wisdom teeth are coming in.

In some cases, people do not experience any problems or discomfort with their wisdom teeth. These patients may keep their wisdom teeth intact if there’s enough room in their jaw to fit them properly. But this is generally not the case, so wisdom teeth can cause several concerns, depending on which direction they grow.

Common problems include:

  • Damage to surrounding teeth due to the pressure from the emerging teeth
  • Infection that causes the surrounding gums to swell and become painful
  • Tooth decay due to the lack of room to clean the teeth properly
  • Impaction (when the tooth is unable to break through the skin)
  • A cyst that may damage the jaw, the surrounding teeth, and nerves

If you haven’t had your wisdom teeth removed yet, there are many symptoms to watch out for when they begin to grow. Symptoms may include:

  • Pain or stiffness in the jaw
  • Tooth irritation
  • Swelling of gum tissue
  • Crowding of other teeth
  • Spread of tooth decay or gum disease on nearby teeth

If you’ve noticed these symptoms, schedule an appointment at our Kingston, ON office. Don’t forget: This is a common procedure that will take some time to recover from. Allow your mouth to heal, and then you’ll be able to get back to a normal routine quickly and be free from pain!

A Variety of Dentures to Meet Your Needs

March 9th, 2022

With advancements in prosthetic dentistry, patients are now able to wear dentures that are comfortable, natural looking, and long lasting. There are different options to choose from that will meet your individual needs, whether you have a few teeth missing or have lost all of your teeth. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will be able to help you decide which denture option is best for you.

Partial Dentures

Patients who receive partial dentures have some of their original teeth still in place and therefore only need a partial to replace the missing teeth and keep their existing teeth from moving. It also makes sense that patients need them to be able to eat comfortably. All dentures are made from porcelain or plastic and are made with comfort in mind.

Complete Dentures

If you have suffered from complete tooth loss, you would typically receive complete dentures. Immediately after you have your teeth extracted you will leave the dentist office with a set of temporary dentures. These will be worn for a few months while your mouth heals. After this initial wait time, your conventional or permanent dentures will be ready to be fitted.

Implant-Supported Dentures

Implant-supported dentures involve a more invasive procedure, but are also permanent. A select number of implants are placed into the jaw. The denture is then attached to the implant posts. You will be able to chew normally and maintain normal dental hygiene, like brushing and flossing.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will be able to advise on which kind of denture would be the best based on your individual needs. Contact our Kingston, ON office to schedule an appointment!

Thumb Sucking, Pacifiers, and Your Baby's Teeth

March 2nd, 2022

Sucking is a common instinct for babies and the use of a pacifier or their thumb offers a sense of safety and security, as well a way to relax.

According to the Canadian Academy of Pediatric Dentistry, the majority of children will stop using a pacifier and stop sucking their thumb on their own between the ages of two and four years of age. Prolonged thumb sucking or use of a pacifier can have dental consequences and needs be taken care of sooner, rather than later.

Many dentists favor pacifier use over thumb sucking because it makes it easier for parents to control and even limit the use of a pacifier. If thumb sucking lingers, the same strategies used to break the baby from using the pacifier can be used for thumb sucking.

Precautions

  • Try to find "orthodontically correct" pacifiers, as they may reduce the risk of dental problems.
  • Never dip a pacifier in sugar or honey to calm the baby.
  • Give your baby a bottle of water at bedtime, never juice.

Dental Complications

Long term pacifier use can lead to an assortment of dental complications including:

  • The bottom teeth leaning inward
  • The top teeth slanting outward
  • Misalignment of the baby’s jaw

The risk of any or all of these things happening is greatly increased if thumb sucking and pacifier use is sustained after the baby’s teeth start to come in.

Breaking the Thumb Sucking and Pacifier Habit

Most toddlers and children will stop sucking their thumb or using a pacifier between the ages of two and four on their own. However, if intervention is necessary here are a few tips to help your child break the habit:

  • Slowly decreasing the use of a pacifier can be effective for many children. This method does not work very well with thumb sucking.
  • Thumb sucking can be more difficult to break. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough may recommend using an over the counter cream that you put on the child’s thumb; it doesn’t taste good and usually does the trick.
  • Rewards can also help with the process.
  • If these simple commonly used strategies do not work, there are oral devices that will prevent a child from sucking their thumb or a pacifier.

Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team, as we have many tricks up our sleeves that will be effective in breaking your child’s thumb sucking or pacifier use.

Post-Procedure Care

February 23rd, 2022

As with any surgery, post-procedure care is of utmost importance after getting periodontal surgery. Bleeding, pain, swelling, and other sensations are common and should be expected to a degree. This can manifest as small amounts of blood in your saliva, pain after anesthesia wears off, and swelling around the lips and cheeks. However, these symptoms should start improving after a several days.

Below you'll find recommendations from Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough on what you should do to make your post-procedure experience as quick and painless as possible:

Don't smoke - After your surgery you should definitely not smoke. Smoking will inhibit your body's ability to heal the surgical site.

Don't drink alcohol - If you are taking prescription or over-the-counter pain relievers, don't drink alcohol. And it is a good idea in general to avoid alcohol after surgery, since excess alcohol consumption suppresses immune system function and slows the healing process.

Take pain medication as prescribed or an alternative - Pain is to be expected for at least the first week after your procedure. If you choose to take the prescription medication that is prescribed to you, do so as directed. However some patients have found over-the-counter pain medication works for them. You may also consider natural herbs instead of pharmacological solutions. Try turmeric, arnica, or white willow bark (which is what aspirin is derived from, so the same warnings for aspirin apply to white willow bark.)

Eating with your surgical site in mind - It is best to chew on the other side of your mouth for the first several days so as not to irritate the surgical site. Avoid overly cold or hot foods as well. Softer foods like mashed potatoes, oatmeal, and fruit will be more comfortable to chew.

Avoid brushing the surgical site - You can start brushing and flossing your teeth the day after the procedure but avoid the surgical site.

Don't rinse for the first 24 hours - After the first day has passed you can rinse with a mild mouthwash to keep your mouth, dressing, and surgical site clean.

We're here to answer any questions you have after your procedure and will help you as best we can. Pay special attention to any excessive bleeding or discomfort. Contact our Kingston, ON office immediately if you have tried addressing the issue on your own but are still having trouble.

Most Valuable Dental Treatments

February 16th, 2022

At Cataraqui Dental Centre, we work to find a dental plan that will work best and most effectively for you. But we’ve found that three treatments tend to be the most common and useful. If you ever find yourself in any of the following situations, we suggest you look at these options.

If you’ve lost teeth due to trauma, fracture, or decay, dental implants are a great choice. With all the technology available to us now, dental implants look and function exactly the way a natural tooth would. They blend in perfectly and are custom made to fit you. They’re a great investment that will restore the balance to your smile.

If you struggle with stress and catch yourself clenching or grinding your jaw, you may want to consider a bite guard. Constant grinding of teeth is dangerous for fillings and crowns, as well as natural teeth. It can cause serious joint inflammation as well as headaches. Luckily, bite guards can be worn night or day (depending on what you need), and are a great way to prevent further grinding.

Finally, there’s teeth whitening. It’s not uncommon for patients to want to brighten their smile, and the best way to do it by far is with in-office tooth whitening. There are many DIY options out there, of course, but in-office whitening has greater benefits.

When the whitening gel is applied to your teeth, we make sure your gums are protected. The results are generally faster and last longer with this approach, as well. Other methods may work, but they typically don’t last as long; sometimes they may not fully whiten all areas of your teeth.

No treatment is as easy and free of challenges as it seems. You still have to care for implants like regular teeth, which means no skimping on brushing and flossing just because they’re fake. Bite guards must be worn regularly to be effective. They also must be customized for your teeth; otherwise, they can be uncomfortable.

Whitening may cause temporary sensitivity in some mouths. For others, genetics may prevent you from achieving the precise shade you want.

If you have additional questions, feel free to call our Kingston, ON office. Our team is here to help you achieve your best possible smile!

Team Dark Chocolate

February 9th, 2022

Valentine’s Day is the holiday to celebrate all the treasured relationships in your life. It’s a time to honor love in all shapes and forms with cards, social gatherings, and sometimes even binge eating of sweets.

It's hard to look the other way when grocery stores and pharmacies are invaded with goodies connected to the Valentine’s Day theme, and especially if you’re on the receiving end of some of these sweets. We get it. In fact, we’re all for it!

However, we also support a cavity-free smile. So in the interest of your dental and general health, and because we think it’s genuinely tasty, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough recommends an alternative to the Valentine treats you may be accustomed to: dark chocolate. 

Yes, Healthy Chocolate Exists

Studies have shown that dark chocolate is high in flavonoids, an ingredient found in the cocoa beans used to make chocolate. Flavonoids can help protect the body against toxins, reduce blood pressure, and improve blood flow to the heart and brain.

By opting for dark chocolate rather than milk chocolate, you get to reap these benefits! Pretty sweet, right? Just make sure to stick to high-quality dark chocolates that have undergone minimal processing.

Dark Chocolate, AKA Protector of Teeth

Not only does dark chocolate provide some nice benefits for your overall health, it also helps protect your teeth against cavities! According to the Texas A&M Health Science Center, dark chocolate contains high amounts of tannins, another ingredient present in cocoa beans.

Tannins can actually help prevent cavities by interfering with the bacteria that causes them. Think of them as scarecrows for bacteria. They don’t always prevail, but isn’t it nice to have them there?

Smooth Never Sticky

Unlike many popular candies, dark chocolate is less likely to stick in the crevices of your teeth. Chewy, gooey sweets are more likely to hang around in your mouth for longer periods of time, which means they raise the odds of your harboring cavity-creating bacteria.

While some dark chocolates have additives like caramel or marshmallow, it’s best to opt for the plain varieties, which are just as delicious. If you’re feeling festive, though, a dark chocolate with caramel is still better than a milk chocolate with caramel, so that’s the way to go!

While dark chocolate has some pretty sweet benefits, the most important thing to remember (whether you go the dark chocolate route or not), is that moderation is key. That being said, we hope you have fun satisfying your sweet tooth and shopping for treats for your friends and loved ones. Happy Valentine’s Day from all of us at Cataraqui Dental Centre!

Five Things You Didn't Know About Cavities

February 2nd, 2022

Most people know when they have a cavity—they can either see it on their tooth or... ouch! They can feel it! But there are certain things that many of our patients don't know about cavities that could save them a trip to our Kingston, ON office!

1. Not all sugars are created equal

It's quite well known that eating dietary sugars in excess along with poor oral hygiene leads to dental decay such as cavities. This is due to the fact that the bacteria in your mouth feed on these sugars and excrete acids as a byproduct of that process, thus causing decay. But xylitol, a sugar alcohol derived from birch or corn, actually prevents the bacteria from converting sugars into acids.

Xylitol is available in the form of gum, mints, toothpaste, and even in a granulated form much like regular cane sugar. You might consider trying some xylitol products between meals to keep your mouth clean and fresh.

2. It's not always what you eat but HOW you eat

Are you a grazer, always snacking between meals and never satisfied? We now know that this kind of eating can contribute to cavities and other oral health problems.

Every time you eat anything with carbohydrates in it, you're feeding the bacteria in your mouth, which in turn produce acids. If you're constantly eating, it doesn't allow your saliva time to bring the pH of your mouth back into a more alkaline, neutral state. It takes your saliva about 20 minutes to neutralize the acids in your mouth after eating.

It's especially easy to harm your teeth in this way with soft drinks, sipping all day long. So, it's best to avoid sugary drinks and junk food, and if you need a snack opt for healthy vegetables or what are known as "detergent foods." If you do decide to drink a soft drink or eat something sugary, have it all at once and not over the course of the day.

3. Flossing is one of the most important oral hygiene techniques

Although most of our patients are aware that they need to brush, sometimes they can get lackadaisical when it comes to flossing. And that's a big mistake. Flossing is one of the most important (and we daresay, easiest) things someone can do to help prevent cavities and tooth decay.

You see, as we've already mentioned, the bacteria in your mouth that cause cavities feed on the food you eat. So if you've got pieces of that food stuck between your teeth all day and night, every day, that's asking for a problem.

Flossing clears that bacteria-feeding food out from between your teeth. Floss daily and whenever you decide to do it, morning or night, just do it!

4. A dry mouth can lead to cavities and tooth decay

Your teeth's best defense against cavities and tooth decay is actually your saliva! We've already talked about the pH neutralizing effect saliva has. So if you find you have a dry mouth often, make sure to have some water to sip on. Or why not try some xylitol mints or gum to get your saliva production kicked into action?

5. Over-brushing can damage your enamel

If you brush like a construction worker with a jackhammer, you should ease up! Brushing too hard can scrape away at your teeth's enamel, which leaves them more susceptible to cavities and decay. Brush lightly, with your brush angled at the gum line for two minutes, twice a day. That's all that is required!

What is biofilm?

January 19th, 2022

Biofilm, the protective housing for bacteria, is a hot topic in the medical and dental fields. Routinely taking an antibiotic for a bacterial infection has become more complicated because of biofilm. Bacterial infections may become resistant to antibiotics in part because the biofilm allows for communication among the bacteria, allowing the infection to be sustained.

You’re probably wondering, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough , what does this have to do with teeth? Since we’re dental professionals, we can tell you why it’s important and what you should know! There is biofilm in your mouth; healthy biofilm and diseased biofilm. Both are made of the same general compounds, but when combined with certain amino acids and cellular chemicals, the diseased biofilm conquers and destroys.

Periodontal disease, otherwise known as gum disease or pyorrhea, is a biofilm disease. If you are undergoing treatment for gum disease and you do not continue with the treatment plan the disease will progress and/or spread due to the biofilm.

There are several ways to treat diseased biofilm. But remember, antibiotics cannot touch the bacterial infection if the biofilm is established.

When your exam is complete, the Ultrasonic or Piezo Scaler should be used. This method of spraying water disturbs the biofilm and provides an opportunity to treat the infection causing bacteria.

Remember, we all need healthy biofilm. Just as your skin protects your body, biofilm housing good bacteria protects your body. The bacteria in the biofilm replicate every twenty minutes. If your body has healthy bacteria, low levels of hydrogen peroxide are produced by the biofilm, preventing harmful bacteria from residing. Harmful bacteria do not like oxygen.

At your exam, we will take measurements around your teeth checking for “pockets”. The higher the number, the deeper the pocket giving more room for harmful bacteria where there is no oxygen. Ask what your numbers are and be involved in restoring your healthy biofilm.

Treatment Options for TMD

January 12th, 2022

Temporomandibular dysfunction (TMD) refers to a diverse range of disorders that relate to muscular function in the jaw and face — the temporomandibular joint (TMJ). That could mean difficulty opening your mouth, pain in the jaw or face, or any sort of problem with the jaw joint.

TMD can be difficult to diagnose because of the varied causes. Whatever the case, an accurate diagnosis from Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough helps make treatment as successful as possible.

Most often, jaw problems will resolve themselves within several weeks or months. Surgeries like arthrocentesis, arthroscopy, and open-joint surgery should be a last resort. More conservative and reversible treatments should come first and are in fact the most critical step in the treatment of TMD.

Less invasive treatments like acupuncture and splints can be helpful, but that will depend on your particular case. It’s worth your while to speak with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office to learn about solutions that could work for you.

A combination of treatments will most often produce the greatest relief for TMJ patients. It’s a good idea to avoid activities that overuse the jaws, such as chewing gum or clenching your jaws.

You can be proactive in finding relief for TMD by trying the following remedies at home:

  • Eat soft food: When you eat soft and/or blended food, your jaw gets an opportunity to rest. Avoid chewy and crunchy food, and food that requires you to open your mouth wide, like apples or corn on the cob.
  • Apply moist heat: A hot water bottle wrapped in a moist towel can help reduce symptoms.
  • Apply ice: Applying an ice pack wrapped in a cloth or towel for no longer than 15 minutes may also reduce pain and promote healing.
  • Do jaw exercises: A physical therapist can help identify the exercises that will work for you. Jaw exercises have been shown to be an effective treatment method that can be performed at home.
  • Relaxation: Actively try to relax the muscles of the face and lips, and let your teeth come apart. Many find meditation, yoga, and slow, deep breathing to be helpful for reducing stress and tension.
  • Avoid wide yawns: Keep your fist under your jaw when you feel a yawn coming on, to keep your jaw from opening too widely.

Tooth Protection and Winter Sports

January 5th, 2022

Just because it’s cold out there doesn’t mean you’ll give up keeping fit and active! Winter is the season for some of our favorite team sporting activities, and when you’re donning your protective gear, don’t forget to protect your teeth as well.

  • Basketball

This sport actually tallies one of the highest counts of dental injuries. Running, jumping, and diving for the ball on an unforgiving court can lead to tooth and jaw injuries.  And for every ten men on the floor, it seems like there at least 50 flailing elbows in the paint.

  • Hockey

Notorious for the toll it takes on teeth, hockey is a game of sticks, ice, and whizzing pucks. And when your sport’s penalties include the terms hooking, slashing, and tripping, the more protection, the better.

  • Skiing

When you are flying down the slopes, combining powdery snow and speed, mouth protection is a good idea. This also applies to snowboarding and other snow sports.

  • Wrestling

Grappling and pinning in close quarters can lead to unintended injuries after accidental contact with the mat or your opponent.

Different uniforms, different equipment, and different playing fields, but all these sports have one thing in common—the easiest way to protect your teeth while playing them is with a mouth guard.

Mouthguards generally come in three forms:

  • Over the counter, ready-made appliances. These are available in drugstores and sporting goods stores, but might not be a comfortable fit as they are pre-formed sizes.
  • The “boil-and-bite” option is a mouthguard form placed in hot water. You then bite down to shape it to your mouth and teeth.
  • Custom mouthguards can be fabricated just for you through our Kingston, ON office. These appliances are designed to fit your individual mouth and teeth, so provide a better fit and better protection. They are also usually more durable and more comfortable. If you wear braces, you definitely need a custom mouthguard to prevent an injury to your mouth or braces caused by an ill-fitting appliance.

Whether you play on a team or pursue individual athletic activities, keeping safe as you keep fit is your first priority. We would be happy to discuss your mouthguard options for any sport, any time of year.

A Brighter Smile for the New Year

December 29th, 2021

The beginning of a new year is the perfect opportunity for a fresh start for you and your smile. At Cataraqui Dental Centre, a brighter smile is quick and easy!

Given the latest in whitening technology, whiter teeth are only an appointment away. Teeth whitening is a safe, quick, and inexpensive way to create the dream smile you’ve always desired. We can offer a safe method that corrects tooth discolorations that may have been caused by staining, aging, or chemical effects.

So, start the new year off right and get a whiter smile today! Give us a call at our convenient Kingston, ON office to schedule an appointment!

Taking Charge of Your Dental Health

December 22nd, 2021

Now that you’re a teenager, you have a lot more responsibility and independence. Choosing high school classes and electives. Getting a driver’s license. Landing your first job. And those new responsibilities extend to your dental health as well.

  • Mouthguards

If you have a mouthguard for sports or athletic activities, wear it! Whether you have an over-the-counter device or a custom fabricated guard, it won’t do you any good hiding in your locker. A mouthguard cuts down on tooth and facial injuries caused by falls, physical contact, or other accidents that might happen in your active life. And if you wear braces, ask about a mouthguard designed to fit around them. These custom devices protect your braces and your mouth.

  • Gum Health

Part of adolescence is adapting to all the changes your body is going through. But an increased chance of gingivitis, perhaps caused by hormonal changes, is not something you want to adapt to. You might suspect you have gingivitis, or early gum disease, if your gums are swollen, red, bleeding, or easily irritated. Let us know about your concerns. With proper dental care (brushing, flossing, cutting down on sugars and carbs), your gums will be healthy again in no time.

  • Wisdom Teeth

Your teen years might be the time that your wisdom teeth make their appearance. We could discover them at one of your visits, or you may suddenly notice new teeth emerging behind your molars. If there’s room for your wisdom teeth and they are erupting (coming in) without problems, you might be good to go. But if there’s no room, or if you have pain or infection, or if they are causing damage to the teeth next to them, extraction might be necessary. Talk to us about all your options.

  • Tobacco

You’re making decisions now that will affect the rest of your life. Don’t start using tobacco products, or if you’ve started, stop before it becomes even more addicting. Quitting tobacco is one of the best decisions you will make for your health—and this includes your dental health. Studies have shown that smokers and other tobacco users suffer much higher rates of oral cancer, serious gum disease, and early tooth loss. Set yourself up for decades of better health!

Finally, remember that sticking with your dental routine—two minutes of brushing morning and night and thorough flossing each day—will keep your gums and teeth healthy throughout your teen years. And, if you have any questions about your dental health in general, or a specific dental concern, give our Kingston, ON office a call! We’re here to work with you for a lifetime of beautiful smiles.

Make your child’s next visit to our office great!

December 15th, 2021

If you have been bringing your baby in for regular checkups since that first tooth arrived, you might expect that he or she is already familiar with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our staff. Often, though, months pass between visits, which is a very long time for a child. How can you make your preschooler’s return visit a happy one? We have some suggestions!

Before Your Visit

  • Prepare your child for her visit. Simple explanations are best for a young child. You might tell your daughter that a dentist is a doctor who helps keep her teeth strong and healthy. Let her know a bit about what will happen. Being told, “You will sit in a special chair,” or, “Can you open wide so we can count your teeth?” will give her some idea of what it’s like to visit our office.
  • There are many entertaining books for young children about visiting the dentist. Reading some of these to her for a few days before the appointment will let her know what to expect.
  • Use playtime to prepare. You might count your daughter’s teeth or let her “play dentist” and brush the teeth of her favorite doll or stuffed animal.

When You Arrive

  • Your attitude can be contagious! If you treat a visit to the dentist like any other outing, chances are your child will too. Your calm presence is exactly what your child needs.
  • You might want to come a bit early to let your son explore the office. Bring a favorite toy or book to keep him entertained if you need to. A favorite stuffed toy can be a comfort in an unfamiliar place.
  • If you are with your child during his checkup, follow our lead. Don’t be concerned if your child seems uncooperative at first or even throws a tantrum—we are used to working with children, and have techniques to make his experience as relaxed and as positive as we possibly can.

We Are Here to Help

We are your partners in your child’s dental care. Call our Kingston, ON office anytime for suggestions about making your child’s visit a comfortable, comforting experience. Our goal is to start your child confidently on the road to a lifetime of empowering dental visits and lasting dental health.

The Truth about TMJ

December 8th, 2021

TMJ is the quick way of referring to your Temporomandibular Joint. Pardon the pun, but that’s quite a mouthful! What is this joint, what does it do, and, if your Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team have told you that you have a TMJ disorder, what can we do to help?

The Temporomandibular Joint

Your two temporomandibular joints are amazing works of anatomical design. These are the joints where the temporal bone in the skull meets the mandible bone of the jaw, and allow our mouths to open and close, move back and forth, and slide from side to side. Muscle, bone, and cartilage work together to provide easy movement and to cushion the joint. But sometimes, the joint doesn’t work as smoothly as it should, and this can lead to Temporomandibular Joint Disorder, or TMD.

When Should You Suspect You Have TMD?

You might have TMD if you experience any of these symptoms:

  • Painful chewing
  • Pain around your TMJ, or in your face or neck
  • Earaches
  • Changes in your bite
  • Jaws that are limited in movement or lock open or shut
  • Clicking, popping or grating noises when you open and shut your jaw

There are many conditions linked to TMD. If you grind your teeth at night, have arthritis in the jaw, have suffered an injury or infection in the area, or have problems with your bite, for example, you might be more likely to have TMJ problems. If you suspect you have TMD, or suffer from any of the symptoms listed above for an extended period, give us a call.

Treating TMD

During your visit to our Kingston, ON office, we will check your medical history, and examine your head and neck. We can take an X-ray or scan if needed for further examination of the joint. Because there is no real scientific agreement yet about the best way to treat TMJ disorders, a conservative treatment plan is often best. If you do show signs of TMD, we might first suggest relaxation techniques, over-the-counter pain relievers, or the use of ice packs or moist heat compresses. A change to a softer diet can help, and you should stop chewing gum and making any exaggerated jaw movements.

If these self-care practices aren’t effective, we might suggest a nightguard. This appliance is a comfortable and flexible mouthguard custom fitted for you, and will bring relief from teeth grinding when worn at night. If this treatment is not effective, talk to us about other options.

Luckily, most cases of TMD are temporary and don’t become worse over time. But any persistent discomfort is a good reason to visit us. Whether you have TMD, or any other problem causing you pain in the head or jaw, we want to help.

My gums are inflamed. What can I do?

December 1st, 2021

Inflamed gums are a fairly common dental issue, but unfortunately, many people don't take the problem seriously enough. If you ignore inflamed gums and continue your usual routine, you could be encouraging a much more severe inflammation problem, and the pain that goes along with that. Fortunately, it is quite easy to relieve inflamed gums if you use the tips below.

Use Soft Bristles

A soft-bristle toothbrush - the softest you can buy - is a must for anyone with inflamed gums. Anything that makes contact with your gums can cause you pain, so fine and soft bristles are always the best choice.

Use Sensitive Formula Toothpaste

The toothpaste marketed as “Sensitive Teeth Formula” contain special ingredients to help relieve sensitivity. When your gums are inflamed, even light brushing can cause some pain. Using a special toothpaste will help reduce that pain and make it easier to brush your teeth effectively. The effect becomes stronger as you use the toothpaste more, so use it for each brushing.

Visit Our Office

If your gums remain swollen for more than a few days or a week, set up an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. There is a long list of conditions that could be causing your swollen gums, everything from gum disease to pregnancy, so you need to find out where your issue is coming from. Most of the time, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can easily treat the swollen gum issue at our Kingston, ON office, or can give you an effective treatment to take home.

Three Must-Have Dental Treatments

November 24th, 2021

There are numerous options for dental treatments out there, so how do you choose which are right for you? Our experts at Cataraqui Dental Centre have handpicked the three must-have procedures that we believe can benefit nearly every patient.

  1. Periodontal Exam: This should happen at least once a year and is quick and painless. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough or your hygienist will carefully probe around each tooth and take measurements that indicate the health of the bone and its supporting tissue. This appointment is worthwhile because of the known fact that gum disease can increase the risk of potentially fatal conditions such as heart disease and stroke. Silent killers like diabetes can show signs in the mouth before the person becomes aware of other symptoms. Did you know adults lose more teeth to periodontal disease than to cavities? A simple screening once a year could save your smile and boost your overall health!
  2. Dental Sealant: For both adults and children, sealants provide a protective barrier from bacteria deep in the pits and grooves of the teeth where cavities often start. Sealants placed in childhood will often wear away in adulthood, so replacing them is useful because it can help prevent tooth decay later on. Dental insurance will likely not cover sealants for adults, but the cost of a sealant for prevention versus the cost of a filling is much lower, and definitely worth it.
  3. In-office Whitening: Most people develop tooth stains. in-office whitening at our Kingston, ON office is the perfect way to correct discoloration. It’s safe and produces dramatic results in a short amount of time. In two hours, you could take years off your age. Who wouldn’t want that?

 

Mall Whitening: Why You Shouldn’t

November 17th, 2021

A shopping mall is a great place to get lots of errands done in one trip. Department stores, clothing boutiques, specialty shops? So many tempting options all in one place. But teeth whitening? Maybe not.

Dental office whitening provides you with the whitest possible teeth in the safest possible manner. Your teeth will be checked first for any conditions that might make whitening a bad idea, such as tooth decay, weakened enamel, or gum disease. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will make sure your gums and mouth are protected. A gel with a higher concentration of bleaching agents than those available over-the-counter will be applied, and your whitening progress will be monitored. You can also ask about having a custom-fitted tray made for at use at home with professional whitening gel.

What is different about mall bleaching?

  • No dental exam will be provided beforehand. If you have dental issues, the whitening process might cause further problems such as tooth sensitivity or gum inflammation.
  • The amount of peroxide in the bleaching agents can vary from place to place. You might end up with something equivalent to home whitening strips, or you might be exposed to solutions that should only be available in a dentist’s office.
  • Finally, in many areas, mall whitening is actually illegal because it is considered the practice of dentistry without a license. Mall kiosks skirt this problem by having customers insert the trays full of gel themselves—a practice that does not take the place of professional training, licensing, and regulation.

A mall kiosk is a convenient place to select a new phone. Or try an unusual hair care product. Or purchase the latest in fad toys. But when it comes to your dental health, it’s worth a special trip to our Kingston, ON office if you want the safest, most effective whitening.

How do I pick the right toothpaste for my needs?

November 10th, 2021

With so many toothpastes available in so many price ranges, it can be difficult to be sure you are selecting the right one for your needs. You need a product that not only protects against tooth decay, but also addresses any special concerns that Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team have raised. Look for the Canadian Dental Association seal and do some research to find the toothpaste that best meets your needs.

Choose a Product Approved by the Canadian Dental Association

The Canadian Dental Association approves dental products such as toothbrushes, dentures, mouthwashes, dental floss, and toothpastes when they meet certain quality standards. Before products can display the seal, the Canadian Dental Association must verify that the product does what it claims to do. Look for the Canadian Dental Association seal on the toothpaste package before you buy it. Also, check to make sure that the toothpaste contains fluoride, which helps protect against decay.

Consider Special Needs

You may be depending on your toothpaste to perform extra tasks beyond cleaning your teeth. These are some common concerns that the right toothpaste can address.

  • Bad breath (halitosis)
  • Sensitive teeth
  • Plaque or gingivitis
  • Tartar
  • Yellowing teeth

The Canadian Dental Association’s website has a tool that lets users input their requirements and view a list of the toothpastes that carry the Canadian Dental Association’s seal and address those particular oral health needs.

Make Your Children’s Tooth-Brushing Experience Fun

If you select toothpaste that contains fluoride and has the Canadian Dental Association seal, most types of toothpaste will be fine for your children as long as they have no special needs. Allowing your kids to select fun toothpaste can encourage them to enjoy the brushing experience more, so that they brush more frequently and do a better job.

The following toothpaste characteristics can make brushing more fun for children.

  • Fun flavors, such as bubble gum, berry, and watermelon
  • Sparkles and swirls that make the toothpaste appear more attractive
  • Toothpaste that comes in a pump
  • Toothpaste with a container decorated with superheroes

Ways to Prevent Oral Cancer

October 27th, 2021

According to the Oral Cancer Foundation, this form of cancer kills roughly one person an hour, every 24 hours. This means that nearly 10,000 people will die this year from this type of cancer.

Often, the cancer is discovered late, which is the main reason the death rate is unfortunately so high. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want you to know the precautionary steps you can take to avoid oral cancer.

Here are some of the most effective methods:

  • Good oral hygiene is the first step in oral cancer prevention.
  • Visit our Kingston, ON office every six months for a dental exam.
  • Quit smoking or using chewing tobacco, if you do.
  • Limit alcohol consumption.
  • Maintain a healthy, well-balanced diet.
  • Consume cancer-fighting foods such as vegetables, berries, garlic, green tea, etc.
  • Change how you prepare foods; baked, boiled, or steamed foods are healthier than grilled or fried.
  • Exercise regularly to maintain a healthy immune system.
  • Limit the amount of time you spend in the sun, and be sure to use sunscreen.
  • Conduct an oral self-exam each week.

We know the thought of oral cancer can be frightening, so we hope the above advice can help patients catch it early or prevent it from ever happening. If you notice a negative change in your oral health, contact our Kingston, ON location right away and schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough.

If you’re ever concerned or have questions about this common form of cancer, don’t hesitate to ask a member of our team.  

 

Finding the Right Dental Products for Your Child

October 20th, 2021

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team know how overwhelming it can be to pick the right dental products for your children. When you visit the dental aisle at the grocery store, you see too many options to choose from. We want to help you make an informed decision based on your son or daughter’s needs.

First, you should consider your child’s age and where he or she is in terms of development. Most kids are unable to floss properly until around 12 years of age because of the necessary dexterity. If your youngster is under 12 years old, make sure to assist with flossing every night.

Another option is to use flossers for children. This will make the exercise a bit easier for your little one, because flossers have different-sized handles to fit all ages of hands.

When you’re looking for a child’s toothbrush, the head should be a little bigger than the top portion of your son or daughter’s thumb. If a toothbrush is too big, it won’t be able to reach small areas in the mouth properly. Battery-powered toothbrushes are also recommended because they improve overall brushing quality for both adults and children.

If your child is too young to spit, he or she should use toothpaste without fluoride. Small children tend to swallow toothpaste, even when they don’t intend to. Try looking for a toothpaste that has xylitol listed as the first ingredient. This is a natural sweetener that is beneficial to teeth.

You should also try to identify a flavor that appeals to your child. Same as adults, children like to brush more if they enjoy the flavor that lingers in their mouth after brushing.

It’s smart to look at the ingredients in a toothpaste for the benefits your child needs. Some toothpastes contain sodium fluoride, which fights effectively against cavities. If your child has a sweet tooth, or has already had a cavity, we recommend buying a toothpaste with this ingredient.

Stannous fluoride is another popular ingredient that discourages cavities and includes anti-bacterial properties. You should also watch for the ingredient triclosan, which also suppresses bacteria. These ingredients are both recommend for children who have a high risk for cavities.

Anti-sensitivity toothpaste should also be easy to find in the dental aisle of the store. It contains potassium nitrate to help with sore gums and teeth.

If you’re still unsure which dental products your child should be using, contact our Kingston, ON office. Once we have general information about your child and his or her dental health, we can guide you in the right direction.

When it comes to picking the right toothbrush, toothpaste, floss, and mouthwash for your child, Cataraqui Dental Centre is always here to help.

What NOT to Eat after Wisdom Teeth Extraction

October 13th, 2021

Now that you’re having your wisdom teeth removed at our Kingston, ON office, you’re probably looking forward to spending a few days on the couch with a cool dish of ice cream in hand. Good! Give yourself time to heal, and choose foods that will be soothing and safe for your mouth as you recover. We’ll provide you with detailed instructions on how to take care of yourself immediately after your surgery, and that includes suggesting the best menu options.

But while you’re making your post-wisdom teeth shopping list, there are several kinds of foods and beverages that should be crossed right off. If it’s small, spicy, sticky, or steamy, put it back on the shelf. Spirits? Not this round. Drinks with straws? Absolutely not. Items like these can undermine your healing and recovery.

  • Small and Crunchy

Any small particles, such as seeds or grains, or items like cookies, crackers, nuts, and popcorn which turn into small particles, can wind up lodged in the surgical site where your tooth was removed. These particles can also interfere with the blood clot that forms to protect the socket as it heals. If the clot is dislodged, there is a chance that a painful condition called “dry socket” can develop.

  • Spicy

Spicy and acidic foods can irritate delicate gum tissue. It’s best to wait until your gums are back to normal before uncapping the hot sauce.

  • Sticky

Sticky, crunchy, and chewy foods can be hard on the extraction site, so stick to a soft diet until you have healed. Now is the time to try all the pudding flavors!

  • Steamy

Piping hot foods and drinks can interfere with the protective clot—ask us about the best time to resume your morning coffee.

  • Spirits

Mixing pain medication and alcohol can be dangerous. Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about possible interactions. And some studies have suggested that alcohol use slows healing, so even without pain medication, it could be a good idea to wait until you are healed to toast your beautiful smile.

  • Straws

And last, but by no means least, leave the straws in their little paper wrappers! Any kind of suction brings a real risk of dislodging the protective blood clot that has formed at the surgical site. Milkshakes are delicious, but eat them with a spoon. (And please, no cigarettes!)

Follow our suggestions for a soothing, safe diet, and you will be enjoying your regular menu favorites in no time. So rest, relax, eat sensibly, and enjoy that second bowl of ice cream. Doctor’s orders!

The Secret to Fresh Breath

October 6th, 2021

Bad breath: We’ve all dealt with it. You’ve been around people who have it and, like it or not, you have had it yourself. It can be embarrassing and uncomfortable, but how do you know if you have it? There is actually a simple test you can do to see if you have bad breath.

Wash your hands well, then put your finger in your mouth, way in the back. Scrape a little saliva from the back of your tongue, and then dab it on the back of your hand. Wait for one minute, then hold your hand to your nose and sniff. Is it fresh as a daisy? Or do you need to keep reading and learn how to freshen your breath?

How Bad Breath Starts

There are several ways that bad breath starts. Knowing the causes of bad breath is a solid start toward the cure.

  • The bacteria in your mouth: Bacteria is always in your mouth. It covers your gums, hides between your teeth, and hangs out on your tongue. As it multiplies, it produces toxins that cause the foul odor in your mouth.
  • Your bad habits: If you smoke cigarettes, a pipe, or cigars, or chew tobacco, you are not only harming your mouth and body, you are creating some really smelly breath.
  • Your tonsils: If you still have your tonsils, they can be the cause of bad breath. They are pitted, so smelly substances can collect in the pits and lead to bad breath.
  • Stomach issues: A stomach virus, ulcer, GERD, and other stomach issues could be the cause of your bad breath. A low-carb diet can put your body into a state of ketosis, which causes very bad breath.
  • The foods you eat: Garlic, onion, and other pungent foods will linger with you … on your breath.

Tips for Busting Bad Breath

Achieving fresh breath isn’t difficult, but it does require a little work. Try these tips for fresher breath and a healthier mouth.

  • Brush your teeth after every meal. You can also pick up a tongue scraper to use a couple of times a day to remove any lingering bacteria on your tongue.
  • Floss once a day to remove food particles between your teeth as well as plaque. Your mouth will thank you.
  • Gargle with special mouthwash to banish bad breath. The oxygen in it will kill the bacteria in your mouth that is causing your bad breath, and leave you fresh as a daisy!
  • Drink water to avoid dry mouth, which is a common cause of bad breath.
  • Ease your tummy troubles with antacids and other remedies. Ginger tea is a great tummy tamer.
  • Chew gum that contains xylitol. Saliva keeps your mouth moist, and chewing gum makes you salivate. Bye bye, bad breath!
  • Eat yogurt. It contains “good” bacteria that helps balance your gut and gives you a healthier mouth.
  • Soothe your sinuses. Sinus infections can cause you to have bad breath. Actually, it is the post-nasal drip that causes the foul odor. Cure the infection and your breath will improve.
  • Avoid all tobacco products (cigarettes, pipes, cigars, chewing tobacco, and snuff).
  • Eat a healthy diet of fresh fruits and vegetables, lean meats, and whole grains.

And don't forget! Get regular dental checkups at Cataraqui Dental Centre.

Foods can Wreak Havoc on Your Enamel

September 22nd, 2021

It’s possible to develop tooth decay even when you take great care of your teeth. Brushing and flossing may not be enough to keep your teeth healthy, depending on your diet. Cavities, discoloration, and decay are still possible when certain foods feature in your daily intake. Keep an eye out for foods that will damage your enamel and cause the very issues you’ve been trying to avoid.

What causes enamel damage?

Tooth enamel is the hard outer layer of your teeth that is made of various minerals. Tooth decay results when the acids in your food react with the minerals in your enamel. Strongly pigmented foods may also cause unsightly discoloration on the surface of your teeth. Avoid wreaking havoc on your beautiful smile by identifying the foods that can harm your enamel.

Acid

Acidic food is your teeth’s worst nightmare! This is the greatest cause of enamel damage, even if you brush and floss regularly. To avoid damaging your teeth, make sure you can determine whether a food is acidic or not.

The pH levels are a way to determine acidity on a one-to-seven scale. This defines the relative acidity or alkalinity of a food or substance. Foods with high pH levels are not as likely to harm your enamel.

It’s wise to avoid or minimize foods that are high in acids. Highly acidic food can include fruits such as lemons, grapefruit, strawberries, grapes, and apples. Moderately acid foods may surprise you; they include tomatoes, maple syrup, pickles, and honey.

Not surprisingly, eggs and dairy products such as milk and cheese contain the least amount of acid. Red wine and coffee can also discolor your enamel if they’re drunk in excessive amounts.

What can I do to prevent enamel damage?

There are plenty of ways to avoid discoloration and decay of your enamel. The best thing to do is limit the amount of high-acid foods, including sugary juices and soda, in your diet.

Another way is to brush and floss regularly, an hour after each meal. If you can’t make time to brush, an easy solution is to swish your mouth with water or mouthwash to rinse away any leftover acidic particles.

Damaged tooth enamel may be common, but is avoidable when you know which foods to stay away from and the steps to take after you do eat highly acidic foods. Take our advice and you’ll be sure to slow down any future discoloration and decay that happens in your mouth.

For more advice on protecting your enamel, give our Kingston, ON a call to learn more!

Make Brushing With Your Child Fun!

September 15th, 2021

It’s no secret that kids and adults have different priorities: your duty is to raise a happy, healthy child, but your little one’s only priority may be to have fun. When it comes to brushing teeth, it can be hard to combine a healthy habit with having fun. You might fear it can’t be done, but with a little creativity, brushing time can be a great experience for both of you!

Make It a Party

Brushing time doesn’t have to be a chore when you throw a little party! Get Mom and Dad together so the whole family can brush their teeth at the same time.

Let your child choose a song to dance to while you all brush for the required two minutes. Your son or daughter may grow to love this silly routine, especially when the parents are clearly dedicated to brushing their own teeth as well.

Big Kid Decisions

Kids love the responsibility of making “big kid” decisions. Keep a variety of toothbrushes, colors of floss, and toothpaste flavors on hand so they can choose something “new” each time they brush, just like when they visit our Kingston, ON office.

Not only can this help them grow more comfortable with the idea of seeing the dentist, but they’ll love having the responsibility of picking what would be fun at brush time.

Practice Makes Perfect

It’s true that the only way to get better at something is to practice, practice, and practice. Have your child practice brushing on his or her favorite stuffed animal, and use that opportunity to teach your youngster how to hold the brush and use circular cleaning motions. Showing how you brush your own teeth can also be worthwhile.

There’s An App For That

Did you know there are lots of fun apps that encourage good brushing habits among children? Brands like Oral-B and Aquafresh have free apps you can download on your phone.

The child gets to select a character, scenery, and a song he or she would love to accompany the task of brushing. If you have a daughter, she might like to use the Tooth Fairy Timer, which allows her to pick her very own fairy as her brushing buddy.

The important things to remember when you seek to establish good brushing habits is to keep it fun and stay consistent with your routine. It may take some getting used to, but after a while your child will become familiar with brushing and might even look forward to the new dental routine.

Antibiotic Prophylaxis or Pre-Medication

September 8th, 2021

At Cataraqui Dental Centre, we know the human mouth contains a lot of bacteria. A bacterium can travel through your body with routine activities that are a normal part of daily living. You spread bacteria when you brush or floss your teeth, when you chew, and when you swallow.

For most people, bacteria don’t cause any problem. For some people, however, especially those who have chronic medical conditions, specific cardiac conditions, or whose immune systems are compromised, bacteria that spreads throughout the bloodstream can lead to much more serious bacterial infections.

The goal of pre-medication or antibiotic prophylaxis, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will tell you, is to prevent bacterial endocarditis, a serious infection of the endothelial heart surfaces or the heart valves. The condition is also called infective endocarditis. A small population of people with certain health problems has a high risk for contracting this potentially deadly bacterium.

The Heart and Stroke Foundation of Canada states that people at greatest risk for contracting bacterial or infective endocarditis are:

  • Patients who underwent cardiac valve surgery in the past
  • Those who have suffered past incidents of infective endocarditis
  • Patients who have mitral valve prolapse, resulting in or causing valve leakage
  • People who have had rheumatic fever or any degenerative cardiac condition that produces abnormalities in cardiac valves
  • Patients who suffer from certain congenital heart diseases

For these patients, any dental procedure may cause bleeding, and prophylactic antibiotic administration is recommended as a preventive measure.

Other patients who require prophylactic antibiotics

The Canadian Academy of Endodontists extends recommendations to patients who have undergone joint replacement surgery within the past two years, suffer from type 1 diabetes, or have immune deficiencies from diseases such as lupus, rheumatoid arthritis, or HIV; cancer patients whose immune systems are suppressed because of radiation or chemotherapy; people who have had organ transplants; and hemophiliacs.

The Canadian Academy of Pediatric Dentistry also includes people who suffer from sickle cell anemia, as well as patients who suffer from conditions that require chronic steroid therapy.

Typical endodontic procedures for which antibiotic prophylaxis is recommended include root canal therapy (when it involves going deeper than the root apex), surgical tooth extractions, and any other dental, endodontic, or periodontal procedure during which the doctor anticipates bleeding.

Although different medical societies and organizations offer these guidelines as a way of identifying patients for whom prophylactic pre-medication is essential prior to dental procedures, dentists will take each patient's medical history and personal risk factors into consideration. Some doctors may choose to administer antibiotics following a procedure, especially for patients who have previously suffered from oral infections either as a result of dental procedures or that necessitated oral surgery.

For more information about antibiotic prophylaxis, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, please give us a call at our convenient Kingston, ON office!

Back to School? Remember Your Dental Homework!

September 1st, 2021

It’s a busy time of year. Book lists! Supplies! New clothes! (How did they outgrow those shoes already?) And while you’re preparing your family’s list of back-to-school necessities, here are a few essential reminders to help your child begin the school year with a healthy smile.

  • Review

It never hurts to review the basics before the start of the school year, and that holds true for dental care as well! Make sure your child is brushing two minutes twice a day, and using floss or another interdental tool to clean between the teeth. If his toothbrush has been in use since the end of the last school year, it’s probably time to replace it. Bristles are at their best for about three months—after that, they become frayed and worn, and can’t remove plaque as effectively.

  • School Supplies for Braces Wearers

If your child is going to school with braces for the first time, send her off with the tools she needs. A travel-sized toothbrush and tube of toothpaste are perfect for a quick brushing after lunch, while dental floss and a threader or dental picks will take care of any after-lunch particles lurking in brackets and wires. Orthodontic wax is a great product to have on hand if a wire or bracket is causing irritation. If your child uses clear aligners or a retainer, make sure a protective case is always close by, ready to use every time the appliance is removed. And it’s a good idea to include the number of your dentist and orthodontist in her contacts in case of emergency.

  • Exams

If your school requires a dental exam before the start of classes, be sure to make your appointment at our Kingston, ON office now! Regular checkups with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough are vital for preventing small problems from becoming bigger ones, and a professional cleaning will remove the plaque even careful brushing can miss.

A positive, confident start can set the tone for the academic year, so your homework might include monitoring summer reading, providing required supplies, and making sure your child is well-rested and ready to go. You can also help your child to a positive, confident start by monitoring brushing habits, providing the necessary tools for appliance-wearers, and making sure your child is up-to-date with dental exams and cleanings. Because entering the classroom with a beaming, healthy smile—that’s an A+ way to begin the school year!

How do I clean my baby’s teeth?

August 25th, 2021

Creating good dental hygiene habits early in your child’s life is essential to the health of his or her teeth, even when your infant doesn’t have any. By starting now, you can set the foundation for your son or daughter’s oral health later on in life.

When do I start?

The best time to begin brushing your baby’s teeth is before that first tooth ever comes in. Wipe your little one’s gums gently with a soft washcloth soaked in warm water every day. Not only will this help to get rid of bacteria in the mouth, but it will also familiarize your child with a daily brushing routine.

What do I use?

When your child’s teeth begin to emerge, it’s time to switch to a baby toothbrush. Select one with a big grip for your hand and a small head that’s easy to maneuver in your baby’s mouth.

Your little one won’t need toothpaste until he or she is about a year old; and even then, only a small amount is necessary. Apply an amount the size of a grain of rice and move to a pea-sized amount when your infant is about two years old.

By around six years, your child will probably rinse and spit without your help. At this time, you may introduce a child-friendly fluoride mouthwash.

How do I do it?

Until about age five or six, it’s likely your child will still need your help with brushing teeth. Gently scrub over all the teeth and gums, even where teeth have yet to come in. It may be helpful to explain what you are doing and how you are doing it, so your toddler can learn to brush her or his teeth alone.

Paired with regular visits with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office, proper hygiene habits instilled in your child early on will set up a good foundation for a healthy mouth in the future.

What is Remineralization?

August 18th, 2021

“What is the strongest substance in the body?” If this question comes up on trivia night, be prepared to impress your team when you confidently answer, “Tooth enamel!”

Tooth enamel? The reason for this surprising answer lies in the biology of our teeth. Minerals make up well over 90% of our enamel, a much higher percentage than is found anywhere else in the body, including our bones. But unlike bone tissue, which can heal and regenerate, tooth enamel cannot. Even though it is extremely strong, enamel can be damaged by a process called demineralization.

Demineralization

Demineralization is a result of acids at work in our mouths. Acids actually break down the minerals in our enamel, making the enamel softer. Over time, bacteria attack deeper into the tooth, eventually leading to decay. Acidic foods like sodas, citrus, pickles, and coffee are obvious culprits in providing an acidic environment, but there are other problem foods as well. We all have bacteria in our mouths, which can be helpful or harmful. The bacteria in plaque use the sugars and starches we eat to produce even more acids.

This process is something that takes place very quickly. In fact, even brushing too soon after eating something acidic can damage the demineralized surface of a tooth. Waiting at least 20 to 30 minutes to brush gives our bodies a chance to restore the enamel surface in a process called remineralization.

Remineralization

Our bodies are actually designed to help protect our enamel, and the most important part of this process is saliva production. Saliva cleanses our teeth and reduces levels of acidity. And our saliva constantly washes important minerals over our teeth. Calcium and phosphate ions rebuild and strengthen molecules where demineralization has taken place. This process is called remineralization.

We have other ways to help the remineralization process along. Fluoride toothpastes and fluoridated water speed up the movement of mineral building blocks back to the surface of the tooth. Fluoride also strengthens our teeth so that they resist acids and demineralization better than teeth without fluoride, making them less vulnerable to cavities.

New products are available for home and professional use that are designed to increase remineralization—talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office if you would like the latest recommendations. In fact, talk to us about tooth-friendly menus, the best toothpastes, brushing techniques, and all the ways to keep your enamel its healthiest. You’ll be answering all those trivia questions with a strong, confident smile!

Keeping Our Teeth Healthy as We Age

August 11th, 2021

Decades ago, it was just expected that getting older meant losing teeth. But today’s dental practices and treatments help us defy expectations. How can we keep our teeth healthy as we age? Here are some great habits to continue or begin at any time of life:

  • Brush and Floss Regularly

Brushing and flossing two minutes carefully twice a day is a habit we should never break. If using a manual toothbrush has become difficult, an electric model might be just what you need. We also have many suggestions if you have mobility or other issues, so please talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about making regular dental hygiene as comfortable and effective as possible.

  • Keep Up with Exams and Cleanings

As we age, gum recession is common. This recession leaves the root areas of our teeth more exposed, and more vulnerable to cavities. Also, old fillings can break or loosen, and cavities can develop around their edges. Keeping a regular schedule of exams and cleanings at our Kingston, ON office helps us discover any problems before they become serious.

  • Let Us Know about Changes in Your Health and Medications

If you are taking certain medications, you are at risk for developing a condition called dry mouth, where saliva production greatly decreases. Since saliva washes away the food particles that fuel bacteria growth, reduces acidic elements in the mouth that weaken enamel, and helps fight diseases, dry mouth sets the stage for increased chances of cavities and gum disease. If you are experiencing this condition, we have suggestions for hydration, dental rinses, and sugarless gums that can help.

  • Prevent Gum Disease

Regular brushing, professional cleanings, and routine check-ups are the best way to keep your gums healthy. Since untreated gum disease is one of the leading causes of tooth loss in older adults, call us if you have any symptoms such as puffy, red, or swollen gums, bleeding, or persistent bad breath. We can treat periodontitis at any stage, but prevention is always best.

  • Don’t Smoke

Studies show a link between smoking and the health of our teeth and gums, as well as a much greater risk of oral cancer. It is never too late to stop smoking! We have suggestions on ways to quit—please let us provide them.

Feel free to talk to us about any concerns you might have. With proper dental care, your teeth can last a lifetime. And that’s a great expectation!

Just What Is Plaque?

August 4th, 2021

When you were younger, and you brushed your teeth without any help for the first time, it was a big step. It meant you’d learned the right way to brush to keep your teeth and gums healthy. But why does brushing help keep you healthy? Let’s talk about plaque!

  • What Is Plaque?

Plaque rhymes with “attack,” and that’s just what it does to your teeth. If you don’t brush for a few days (which is a bad idea!), plaque is the reason for that fuzziness you feel when you run your tongue over your teeth.

If your teeth feel fuzzy, that means that plaque has been building up for a while. But how does it begin?

Plaque is made up of saliva, bits of food, other liquids, and tiny little organisms called bacteria. While most of the bacteria in our bodies don’t bother us—and some even help us—the bacteria in plaque are not so helpful.

Plaque starts with a type of bacteria that stick to the teeth, loosely at first, and then more strongly. Within hours, they join with saliva, bits of food, and other bacteria and bacterial products to make a very sticky film. This film is plaque.

Why is it so important to brush plaque away every day? As Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will tell you, plaque can cause cavities and hurt your gums.

  • How Does Plaque Cause Cavities?

Bacteria are like us—they need food. The bacteria in plaque especially like the sugars we eat. (That’s why you shouldn’t have too much junk food or candy in your diet.) Bacteria change these sugary building blocks into a kind of acid, and because plaque is sticky, the acids stay on your teeth.

These acids breaks down the enamel, that hard coating which covers teeth. Tiny weak spots can grow and become holes in the enamel. We call these holes cavities, and your dentist can repair them by cleaning away the decay and putting a filling in your tooth to protect it.

But it’s best to prevent cavities from ever starting by brushing and flossing. Even though plaque is sticky, it is easy to brush away when you do it every day.

  • How Does Plaque Hurt Your Gums?

The gums surround our teeth and help protect them, but they are also delicate. When plaque builds up, it can irritate your gums.

You might notice that your gums get red, feel sore when you brush, or look puffy. You might have bad breath that doesn’t go away. All these are signs that your gums are reacting to the plaque around them.

The good news is that careful brushing and flossing can usually fix these problems. Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about taking good care of your gums.

  • Can We Fight Plaque?

Yes! From the time you were small and learned how to brush, you’ve been learning how to fight plaque.

  • Brush at least twice a day for two minutes, and be sure to brush all around each tooth and the gums.
  • Floss to remove plaque from where it hides between the teeth and near the gums.
  • Visit our Kingston, ON office for a cleaning, to remove plaque from hard-to-reach places and to learn the best ways to brush and floss.

As soon as you finish brushing, plaque starts to build up again. But no need to worry! Keep brushing, flossing, and visiting us for regular cleanings, and all your careful work will be rewarded will a beautiful, healthy smile.

Safety of Dental X-Ray Radiation

July 28th, 2021

We all want to live our healthiest lives. We know that part of keeping ourselves healthy is regular visits to our Kingston, ON office for checkups and necessary dental work. And that dental work might require an X-ray. Should the amount of radiation in an X-ray concern us?

First, it is helpful to know that the radiation you are exposed to from a dental X-ray is very small. A set of most bitewing X-rays, for example, produces an amount of exposure about equal to the amount of background radiation we get from our normal surroundings in a typical day. We also take care to minimize your exposure even further by using specially designed equipment and protective shielding, and taking only necessary X-rays. If your child is very young, if you are pregnant, or if you have other health concerns, talk to us about the advisability of X-rays and whether they are essential to treatment.

Second, much of our careful general examination will be done visually. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can check for cavities and other problems and assess tooth and gum health. But sometimes, there are conditions which can’t be detected without an X-ray.

  • Decay that isn’t visible in an oral exam—if a small cavity develops between teeth, or is hidden underneath a filling, an X-ray will catch it before more damage can take place.
  • Infection—An X-ray will reveal infections such as abscesses that can damage both bone and tooth, and gum disease that has harmed bone and connective tissue.
  • Orthodontic and periodontal issues—We might need an X-ray to determine the spacing and development of your child’s incoming teeth and maturing jaw structure, to properly create braces for adults or children, or to place an implant within the jawbone.
  • If you are a new patient, it is helpful to have complete X-rays taken as a baseline of your current dental health and previous dental work. This baseline allows us to track tooth and jaw development, if necessary, and to evaluate any future changes that might be a concern. (If you have had X-rays taken in another office, we can help you have them transferred so we have a background of your dental history.)

Even though the radiation from a dental X-ray is minimal, be assured that we will never request any unnecessary procedure. When we recommend an X-ray, we do so to make sure there is no decay or infection threatening the health of your gums and teeth, and that we have the essential knowledge we need to treat any dental, periodontal, or orthodontic condition. Because we all want to live our healthiest lives—and part of that healthy life is both active and proactive dental care.

What are the advantages of dental implants?

July 21st, 2021

Losing a tooth can affect a lot more than just the look of your smile. Missing teeth affect your ability to chew and can also cause problems for your other teeth. It is essential to replace missing teeth in order to maintain oral health as well as your overall well-being. Dental implants are an excellent option to replace your natural tooth and its root without affecting your neighboring teeth, and are available from Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough.

Why choose dental implants?

There are many reasons to choose dental implants to replace your lost or damaged teeth. According to the Canadian Society of Implant Dentistry, dental implants are often considered more predictable than other treatment options and are known to provide long-term successful outcomes.

Dental implants provide many benefits over other treatments such as bridgework and dentures:

  • Unlike other treatment options for missing teeth, dental implants allow Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to replace your tooth without impacting the healthy teeth surrounding the space.
  • Dental implants also protect healthy bone by preventing potential bone loss and deterioration in the jaw.
  • This treatment option allows you to speak and eat normally without worrying about slippery or uncomfortable removable dentures.
  • The closest thing to natural teeth, dental implants allow you to maintain your smile and natural face shape.
  • These implants are built to last, providing you with a long-term solution to missing teeth.

Overall, dental implants are the next best thing to natural, healthy teeth. Choosing to undergo surgery to replace your lost or damaged teeth is an important decision. To avoid the issues caused by lost teeth, consult Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough or visit our Kingston, ON office to see if you are a candidate for dental implants.

What are dental sealants, who should get them, and how long do they last?

July 14th, 2021

Dental sealants are an excellent way to protect children’s teeth from tooth decay by coating them with a thin plastic material. Their teeth look and feel like normal, but they are protected from plaque build-up and decay early on. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our staff recommend sealants as a preventive measure for children before any decay appears on their teeth.

Who should get dental sealants?

Dental sealants are intended for young children as soon as their first teeth come in. Decay is most common in the molars, so taking your child to Cataraqui Dental Centre for sealants right when you see the molars grow in gives your child the best chance to fight tooth decay.

A child’s first set of permanent molars grow in between ages five and seven, while the second permanent molars come in between 11 and 14 years of age. Some teens and adults who don’t have tooth decay may get sealants as well, but it is less common.

How long do dental sealants last?

Once the sealant has been placed on the teeth, it lasts up to ten years. Expect to have Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough check the sealant at every visit to our Kingston, ON office, which should be twice a year. We will look at the sealant and determine if it needs to be replaced.

What is the process of getting sealants?

Applying sealants is a simple, pain-free procedure that is done quickly at Cataraqui Dental Centre. There is absolutely no effect on the tooth structure from sealants.

For starters, the teeth are cleaned carefully, then dried with an absorbent material. A mild acid solution is applied to them to roughen them slightly. This is done so the sealant can bond properly to the teeth. Then the teeth are rinsed and dried, and the sealant material is painted on and dried with a special light.

Molars are susceptible to decay early on, which is why sealants are an important treatment to get for your children’s first set of teeth.

Summer Dental Health? Get into the Swim of It!

July 7th, 2021

On a sizzling hot day, there’s not much that makes us happier than heading to the water for a quick swim, some gentle laps, or even a rousing game of water polo. And this being a sizzling hot dental blog, we are happy to offer some tips on how to make your summer swim good for your dental health as well as your mental health!

  • Mouthguards

You might use your mouthguard all the time—for biking, or basketball, or skiing. But in the pool? Absolutely! Anyone who has played water polo knows what a physical workout it is. Elbows! Hard tosses! Collisions! And it’s not just pool sports. Water-skiing on the lake, surfing in the ocean—anywhere humans and solid objects are involved, tooth and jaw injuries are possible. Don’t spend valuable summer hours tending to a cracked or broken tooth as a result of sports accidents.

And, unlikely though it seems, even hanging by the pool can be hazardous to your smile. Hard concrete edges wait to greet surfacing divers. Slippery cement and tiles surrounding the pool are the downfall of many a swimmer running to jump back into the water. Be aware of possible dental dangers, and use a mouthguard as a great proactive way to avoid them.

  • Swimming Pools & Chlorine

Ah, the smell of chlorine! We all want to know that swimming pools are as clean as they can be, and one method of keeping them that way is with the addition of antimicrobials to the water. But too much exposure to chemicals can cause enamel erosion, or even a condition called “swimmer’s calculus.” Swimmer’s calculus is recognized by a hard, brownish, tartar deposit that appears on the front teeth of swimmers who spent a lot of hours in the pool. It’s a cosmetic problem, but one that’s difficult to get rid of without a professional cleaning. If you’re a competitive swimmer, or simply someone who spends many hours a week in treated water, give us a call if you notice hard-to-remove discoloration or tooth sensitivity.

  • Retainers

Different people have different opinions on whether or not your retainer should be exposed to the chlorine in pool water. (Or the salt in saltwater or the bacteria in lake water.) Ask us for ours! But you’re best off leaving it in your bag or locker, anyway, because retainers can be easily lost in the water. They might be able to survive a swimming pool, but a lake or ocean rescue is very unlikely. Just remember to put your retainer in a case, in a safe spot, and replace it when you’re out of the water for the day.

Enjoy your time on the water, and don’t forget to schedule an exam with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and a professional cleaning if you haven’t been in the office for a while. If you do have a dental problem or an accident, give our Kingston, ON office a call immediately. We want to make sure you dive in to summer fun with a healthy, beautiful smile!

What to Do When Your Child Has a Loose Tooth

July 1st, 2021

When your child loses a tooth for the first time, you both have a lot to look forward to. Sharing in the “I’m a big kid!” excitement. Tales of the Tooth Fairy or other traditions to mark the occasion. Seeing the start of a beautiful grown-up smile.

But before that baby tooth wiggles all the way out of your child’s mouth, let’s talk about how to handle a loose baby tooth.

  • Be mindful of your children’s feelings. Reassure them that this is a normal part of growing up. If they are anxious about losing a tooth, there are children’s books which can help ease their fears in a soothing and entertaining way.
  • Crunchy and healthy foods like carrot sticks and apple slices can help the tooth fall out naturally—and nutritiously!
  • Encourage careful wiggling. No need for children to yank or pull—time, and a child’s own gentle wiggling with tongue or clean hands, should do the trick. If wiggling the tooth is painful, it might not be ready to come out just yet.
  • If a tooth absolutely is ready, but just won’t come out, you can help your child without resorting to a string and a doorknob. Give our Kingston, ON office a call for some suggestions for helping that baby tooth on its way to the Tooth Fairy in a timely—and gentle—fashion.

And if a tooth is clearly loose before its time? Should you encourage its exit?

Probably not. Baby teeth are temporary, but they’re important for your child’s development. They help with speech production, eating and chewing, and serve as placeholders so that permanent teeth can erupt in the right spot at the right time.

There are some situations when a loose baby tooth means a visit to the dentist is in order:

  • Baby teeth usually fall out over a period of years, generally from ages 6 through 12. Since children’s teeth tend to fall out in the same order they arrived, if a molar is loose before the front teeth start to wiggle, give your dentist a call.
  • If your child suffers a fall, or a sports injury, or any kind of accident that leaves a tooth or teeth loose, call your doctor or dentist right away to make sure there are no serious injuries or chance for infection.
  • Any time you feel a tooth is loose that shouldn’t be, make an appointment with your child’s dentist.

Finally, we’ve been talking about loose baby teeth, but loose permanent teeth are another matter entirely.

If you child has a loose permanent tooth due to an injury, or a bad bite, or night-time bruxism (tooth-grinding), or for any other reason, it’s important to call for an appointment immediately. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will be able to pinpoint the cause of the problem and can offer some solutions. In the meantime,

  • Make sure your child eats soft foods, and tries to eat on the opposite side of the loose tooth.
  • Keep the area clean with gentle rinsing instead of brushing and flossing.
  • Tell your child not to wiggle it! If the bone or ligaments holding the tooth in place have been damaged, playing with the tooth can make it looser.

A loose baby tooth is a step in your child’s journey to a beautiful, healthy adult smile. Reassure, encourage, and help your child through this rite of passage—and don’t hesitate to call on Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for advice!

Aging and Dental Health

June 23rd, 2021

As you grow older, your mind may be preoccupied with the health of your bones, heart, or brain. However, our team at Cataraqui Dental Centre will tell you that keeping your teeth healthy is an equally important part of the aging process. Older adults are at increased risk for a variety of oral health conditions, which makes it essential for you to speak with your dentist to create a prevention plan that’s best for you.

Oral health conditions associated with aging

Just as the rest of your body continues to change as you age, your mouth changes, too. Certain conditions become more likely to develop as you reach older adulthood, including:

  • Dry mouth. Although your salivary glands continue to produce saliva as you get older, medications and chronic health problems often cause dry mouth.
  • Root decay. Your teeth have lasted you a lifetime, but improper nutrition or cleaning may lead to decay at the roots of your teeth.
  • Diminished sense of taste. Your eyesight and hearing aren’t the only senses affected by aging. The ability to taste naturally diminishes over the course of older adulthood.
  • Tissue inflammation. Are your gums tender, bleeding, or inflamed? Tissue inflammation may indicate gum disease or may be a consequence of wearing dentures that don’t fit well.
  • Oral cancer. Risk for most cancers increases with age, and oral cancer is no exception. Older adults are at increased risk for oral cancer compared to younger individuals.

Ways you can prevent dental problems

Fortunately, many age-related oral health problems are preventable. Begin by improving your diet to include plenty of fruits and vegetables. Choosing water over coffee or soda will keep your teeth whiter and cavity-free. Also remember to practice good brushing habits to prevent cavities and gum disease.

Visiting the dentist at least twice a year is vitally important when you reach older adulthood. Your dentist is familiar with your oral health and may be the first person to notice a sore, discolored patch, inflammation, or other abnormality that indicates oral cancer or gum disease.

If you’re experiencing any problems with dental health, let your dentist know immediately. Together, you can troubleshoot solutions and create a plan that keeps your mouth and gums healthy.

For more information, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, please give us a call at our convenient Kingston, ON office!

Is a Crown Necessary for My Child’s Baby Tooth?

June 16th, 2021

Part of the charm of your child’s smile is those delicate, diminutive baby teeth. We enjoy those smiles while we can, because soon enough, primary teeth make way for the adult teeth that will last your child a lifetime. So you might be surprised if Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team recommend a crown for your child’s baby tooth. Is this procedure necessary when the tooth is going to fall out eventually anyway?

Yes, it really is. If a primary tooth is lost before its normal lifespan, several problems can arise.

  • Biting and chewing—a full set of baby teeth is best for proper chewing and digestion. And chewing also helps develop face and jaw muscles.
  • Speech development—primary teeth help guide speech production and pronunciation.
  • Spacing—a baby tooth serves as a place holder for the adult tooth waiting to replace it. If a primary tooth is lost too early, teeth may drift from their correct location and cause overcrowding or misalignment.

When is a Crown Necessary?

The enamel in a baby tooth is thinner than the enamel found in adult teeth, and a cavity can spread quickly throughout a tooth. Within a short period, the tooth’s structure might be too weak for a regular filling. Sometimes the pulp inside the tooth becomes injured or infected and an endodontic treatment is necessary to remove pulp tissue from inside the tooth. The interior will be filled, but the delicate enamel surrounding it will be fragile. Or an accident can leave a tooth fractured or broken, but still vital.

In each of these cases, a crown will protect the tooth from further decay or damage, and will allow the tooth to function normally until an adult tooth is ready to replace it.

What Types of Crowns are Available?

By far the most common choice for a primary tooth is a stainless steel crown. These crowns are prefabricated and can be fitted snugly to your child’s individual tooth. They are easy to place, less expensive than other crown alternatives, and will last until the tooth is ready to fall out in its proper time. If your child suffers from a metal allergy, or a more natural looking crown is necessary, talk to us about other possible options during your appointment at our Kingston, ON office.

Sure, preserving a baby tooth that was never designed to be permanent seems contradictory. But saving a tooth that helps your child develop proper eating habits, speech production, and correct adult tooth alignment? Those are benefits that will last a lifetime.

Alleviating Anxiety before Your Implant Procedure

June 9th, 2021

Does the thought of getting a dental implant put knots in your stomach? There are many people who don't enjoy getting dental work done and there is a myriad of reasons why. For whatever reason you aren't at your best when you arrive at our Kingston, ON office, we'd like to offer some tips that can help put you at ease for your implant procedure.

Sedation

For lengthy visits like an implant procedure, sedation dentistry may be an option for you. With sedation dentistry you are given sedation medication, usually orally with a pill or intravenously, which allows you to drift through the entire procedure without any memory of it afterward. If you decide on oral sedation, typically you take the medication about an hour before your procedure starts.

To avoid any complications, a complete medical background check is made along with a record of any allergies before any sedation is administered. Your vital signs are also monitored throughout the entire procedure.

If you decide sedation is not the right option for you, there are other techniques that you can benefit from. Some of these include:

  • Communication: This may seem obvious, but communicating any fears or anxiety you may have about your procedure with us is extremely helpful. Not only does this build a relationship of trust but it allows us to try and alleviate your anxiety as much as we can.
  • Herbal teas: Drink some herbal tea (like chamomile or lemon balm) before you visit the office. Many patients find this is a great help in relieving anxiety and putting them sufficiently at ease.
  • Relaxing music: Bring a pair of headphones along and listen to your favorite music during treatment (preferably something low-key). Or why not catch up on your reading when you visit us — some patients like to listen to audiobooks too!
  • Meditate or practice deep breathing: Meditation and deep breathing are good to practice in general, since they relax both the body and mind. They can be effective in the case of anxiety, too!

Water Features

June 2nd, 2021

Heading for the beach! Hiking to the lake! Keeping cool with a tall, frosty glass of ice water in a foreign bistro, or taking a refreshing gulp from the fountain in the park! Hot weather has arrived, and water is something we’re more conscious of now than most other times of the year. Even so, water as a dental feature? Glad you asked!

  • Recreation

Whether you want to bask in the heat or escape it, heading out for a day in or on the water works. And while you’re protecting your skin with sunscreen, think about protecting your teeth and mouth as well. With one small slip, any physical water sport—water skiing, water polo, surfing—can result in damage to your teeth or jaw. Bring—and use—the mouthguard you wear for sports like basketball or biking, and make sure you have a summer of smiles ahead of you.

  • Refreshment

Summer has a beverage menu all its own. Iced coffee and iced tea, a cooler full of sodas, fresh lemonade, fruity cocktails—so many refreshing ways to beat the heat! And we would never suggest that you turn down every frosty summer temptation. But do be mindful that dark beverages like tea, coffee, and sodas can stain teeth, sugary and acidic ones are damaging to your enamel, and alcoholic drinks can be dehydrating. Water, on the other hand, is always a healthy choice. It’s helpful for keeping your mouth and teeth clean, it often contains the fluoride that helps fight cavities, it’s hydrating—and, it has no calories! Be sure to make water a significant part of your summer beverage menu, and your body will thank you for it.

  • Rinse & Restore

Water’s importance to our bodies can’t be overstated! From major organs to individual cells, we need water. And one major benefit of proper hydration is healthy saliva production. Why is that important? Saliva plays a vital role in preventing cavities. It washes away the food particles that oral bacteria feed on, reducing their ability to produce the acids that lead to enamel erosion and cavities. Saliva even helps neutralize acids already in the mouth. Finally, saliva contains important calcium, phosphate and fluoride ions which actually help restore enamel strength after it has been exposed to oral acidity.

Summer goes by all too quickly. Protect your teeth during these warm, active months with a mouthguard. And whether you spend your free time outdoors, or visiting people and places, or keeping cool at home, be mindful of dental-friendly beverage options and always stay hydrated. You’ll be ready to greet fall with a beautiful smile and healthy teeth. “Water Features”? Perhaps a better title would be “Water Power”!

Dental X-rays: The Inside Story

May 26th, 2021

We’re all friends here, so if you sometimes feel a bit nervous before your dental appointment, no judging! Ask us about any worries you might have. We are happy to explain procedures, equipment, and sedation options so you know just how safe and comfortable your experience can be. And if X-rays are a concern, we can put your mind at ease here as well.

What Exactly Are X-rays?

Sometimes patients feel reluctant about the process of imaging because X-rays are a kind of radiation. But the fact is, radiation is all around us. We are exposed to radiation naturally from our soil and water, sun and air, as well as from modern inventions such as cell phones, Wi-Fi, and air travel.

Why is radiation so common? Because matter throughout the universe constantly gives off energy, and the energy that is emitted is termed radiation. This radiation takes two forms—as particles (which we don’t need to consider!) and as traveling rays. This second type is known as electromagnetic radiation, created by photons traveling in regular waves at the speed of light.

We are exposed to electromagnetic radiation every day, because, whether we can see them or not, these different wavelengths and frequencies create various forms of light. Radio waves, microwaves, infrared, visible, and ultraviolet light, X-rays, and gamma rays are all part of the electromagnetic light spectrum.

Different types of radiation on this spectrum have different wavelengths and different frequencies, and produce different amounts of energy. Longer wavelengths mean lower frequencies and less energy. Because X-rays have shorter wavelengths and higher frequencies than, for example, radio waves and visible light, they have more energy.

How Do Dental X-rays Work?

An X-ray machine produces a very narrow beam of X-ray photons. This beam passes through the body and captures images of our teeth and jaws on special film or digital sensors inside the mouth (intraoral X-rays), or on film or sensors located outside the mouth (extraoral X-rays). These X-ray images are also known as radiographs.

Why are X-rays able to take pictures inside our bodies? Remember that higher energy we talked about earlier? This energy enables X-rays to pass through the softer, less dense parts of our bodies, which are seen as gray background in a radiograph. But some substances in our bodies absorb X-rays, such as the calcium found in our bones and teeth. This is why they show up as sharp white images in radiographs.  

There are different types of common dental X-rays which are used for a number of reasons:

  • Bitewing X-rays, which are used to check on the health of the back teeth.
  • Periapical X-rays, which allow us to look at one or two specific teeth from crown to root.
  • Occlusal X-rays, which show the entire arch of teeth in the upper or lower jaw.
  • Panoramic X-rays, which use a special machine to rotate around the head to create a complete two-dimensional picture of teeth and jaws.
  • Cone Beam Computed Tomography, an external device which uses digital images to create a three-dimensional picture of the teeth and jaws.

Why Do We Need X-rays?

If all of our dental conditions were visible on the surface, there would be no need for X-rays. But there are many conditions that can only be discovered with the use of imaging—infection, decay, a decrease in bone density, or injuries, for example, can show up as darker areas in the teeth or jaws. Among their many diagnostic uses, X-rays can help us find:

  • Cavities between teeth or under old fillings
  • Damage to the tooth’s pulp which might require root canal treatment
  • Injuries to teeth or roots after trauma
  • Abscesses, tumors, or other conditions that might be causing swelling or pain
  • Position and development of wisdom teeth
  • Ideal placement for implants
  • Health and density of the jaw and alveolar bone

X-rays can also serve an important preventative role, by discovering small problems before they become major ones.

How Do Dentists Make Sure Your X-rays Are As Safe As They Can Be?

First of all, the amount of radiation you are exposed to with a dental X-ray is very small. In fact, a set of bitewing X-rays exposes us to slightly less than the amount of radiation we are exposed to through our natural surroundings in just one day. Even so, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team are committed to making sure patients are exposed to as little radiation as possible.

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

The guidelines recommended for X-rays and other imaging have been designed to make sure all patients have the safest experience possible whenever they visit the dentist or the doctor. We ensure that imaging is safe and effective in a number of ways:

  • We take X-rays only when they are necessary.
  • We provide protective gear, such as apron shields and thyroid collars, whenever needed.
  • We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
  • When treating children, we set exposure times based on each child’s size and age.

And now that we’ve talked about some things you might like to know,

Please Let Us Know If . . .

  • You’re a new patient, with previous X-rays taken during regular exams or for specific procedures. Ask to have your older X-rays sent to our office. With digital X-ray technology, this transfer can be accomplished with e-mail! Having your dental history available lets us notice any changes that have taken place.
  • You’re pregnant, or think you might be pregnant. Even though radiation exposure is very low with dental radiographs, unless there is a dental emergency, dentists and doctors recommend against X-rays for pregnant patients.

X-rays play an important part in helping us make sure your teeth stay their healthiest. If you have any concerns, contact our Kingston, ON office. When it comes to making sure you’re comfortable with all of our procedures, including any X-rays that might be necessary, we’re happy to give you all the inside information!

Does Your Child Need Endodontic Treatment?

May 19th, 2021

Baby teeth come with a built-in expiration date. That charming first smile is meant to make way for a healthy, beautiful adult smile. Unfortunately, before they are ready to make way for permanent teeth, primary teeth can be affected by decay, trauma, or infection—problems which can lead to damage to the pulp within the tooth. If your dentist tells you that your child’s tooth needs specialized endodontic treatment, is treatment really that much better for your child than losing a baby tooth prematurely?

Quite often, the answer is yes!

Baby teeth do much more than serve as temporary stand-ins for adult teeth. They are essential for:

  • Biting and chewing—a full set of baby teeth helps your child develop proper chewing, which leads to healthy digestion. And chewing also helps build face and jaw muscles.
  • Speech development—primary teeth help guide speech production and pronunciation.
  • Spacing—a baby tooth serves as a place holder for the adult tooth waiting to arrive. If a primary tooth is lost too early, the remaining baby teeth may drift from their proper location. This, in turn, can cause overcrowding or misalignment of the permanent teeth when they do erupt.

Baby teeth, like adult teeth, contain living pulp tissue. The pulp chamber inside the crown (the visible part of the tooth) and the root canals (inside each root) hold nerves, blood vessels, and connective tissue. When the pulp is damaged by trauma or infected, a baby tooth can still be saved with endodontic treatment. Endodontic treatment in baby teeth can take two forms.

  • “Vital” pulp is pulp that can be saved. Vital pulp therapy uses procedures to deal with damaged pulp inside the crown, or visible part, of the tooth. Pulp therapy can be used on teeth when only the top of the pulp has been affected by decay, limited exposure, infection, or trauma, but the root pulp remains healthy. Specific treatment will depend on the nature of the pulp injury, and a crown will usually be placed over the tooth after treatment to protect it.
  • With non-vital pulp, your dentist will probably recommend a traditional root canal procedure. All of the pulp tissue will be removed from inside the crown and the roots, and the pulp chamber and root canals will then be cleaned, disinfected, shaped, and filled. Finally, because the treated tooth will be more fragile, a crown will be used to protect the tooth from further damage.

There can be good reasons for extracting a seriously damaged baby tooth, and there are situations where preserving the tooth is the best and healthiest option for your child. Discuss your options with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough when you visit our Kingston, ON office for the safest, most effective way to treat your child’s compromised tooth.

Cleaning Your Teeth—Time for a Refresher Course!

May 12th, 2021

Let’s face it, by now, brushing our teeth is something we pretty much do on auto-pilot. A quick brush after breakfast, a minute or so at night, floss when we think of it. Done. But take a few minutes to review these cleaning tips, and see if a few small adjustments to your routine could make all the difference at your next checkup at our Kingston, ON office.

  • Tools

Some of us prefer brushing with a manual brush. Some like the electric brush for ease and comfort. Whichever form of brush you choose, be sure that it fits comfortably in your mouth, reaches everywhere it needs to, and has a handle that is easy to grip. There are many bristle options available, so if you are an energetic brusher, or if you have sensitive gums, try a soft bristled brush for gentler brushing.

If you haven’t been exploring the floss aisle lately, there are now many varieties available to suit your particular needs. Besides the traditional floss, there are coated flosses for easy gliding between teeth that fit closely together, dental tape-style flosses to fit teeth with wider spacing, and even flosses designed just for braces that thread between the wires and brackets. Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at your next cleaning for product suggestions if you think there’s an easier, more comfortable option out there for you.

  • Technique

With proper technique, any toothbrush and floss you choose will do a fine job of removing plaque.

Brushing? There’s a tried and true method for success. Place the toothbrush at a 45° angle at the gum line. Be sure to brush the outside, inside, and chewing surface of each tooth thoroughly. Remember the expression, “Massage, don’t scrub.” Over-vigorous brushing can actually irritate gum tissue and damage enamel. An electric toothbrush should provide a continuous brushing motion without needing any pressure from the brusher. This might be the model for you if you have a too-vigorous approach to brushing, or sensitive teeth and gums. If you like your manual brush, again, give a soft-bristled brush a try!

As for flossing? That harmless-looking little string can cause gum damage if used too forcefully. You can accomplish the placement and cleaning power you need by easing the floss down to the gumline and flossing with gentle pressure against the tooth surface. If you have any questions about technique, remember—we are always happy to let you know the best cleaning methods for your specific needs.

  • Timing

Of course, the best tools and the best technique in the world won’t be effective unless you put the right amount of time into brushing and flossing.

The standard rule is two minutes of brushing in the morning and two minutes at night. If you wear braces or have other special circumstances, we might recommend brushing after every meal. And if you brush after breakfast, give your teeth half an hour or so to remineralize. This natural process uses the calcium and phosphate ions in your saliva to strengthen tooth enamel after it’s been exposed to any acidic foods in your breakfast.

Thorough flossing can be accomplished in a few minutes, and might be needed only once a day. But again, depending on your individual needs, we might have other recommendations. Let’s review what works for you at your next visit—we can tailor suggestions for a brushing routine to your unique needs.

It’s a great idea to review your brushing habits periodically to make sure you are getting the most out of those minutes you spend cleaning your teeth. There won’t be a test at the end of this review, and you won’t get a gratifying grade or a gold star. What you will get is much more important—better checkups, fewer cavities, and healthy teeth and gums. Happy cleaning!

Dental X-rays: The Inside Story

May 5th, 2021

Pediatric dentists strive to make your children’s visits welcoming and worry-free, and, we want the same for you! Ask us about any questions you might have. We are happy to explain procedures, equipment, and sedation options so you know just how safe and comfortable your child’s experience can be. And if X-rays are a concern, we can put your mind at ease here as well.

What Exactly Are X-rays?

Sometimes parents feel reluctant about the process of imaging because X-rays are a kind of radiation. But the fact is, radiation is all around us. We are exposed to radiation naturally from our soil and water, sun and air, as well as from modern inventions such as cell phones, Wi-Fi, and air travel.

Why is radiation so common? Because matter throughout the universe constantly gives off energy, and the energy that is emitted is termed radiation. This radiation takes two forms—as particles (which we don’t need to consider!) and as traveling rays. This second type is known as electromagnetic radiation, created by photons traveling in regular waves at the speed of light.

We are exposed to electromagnetic radiation every day, because, whether we can see them or not, these different wavelengths and frequencies create various forms of light. Radio waves, microwaves, infrared, visible, and ultraviolet light, X-rays, and gamma rays are all part of the electromagnetic light spectrum.

Different types of radiation on this spectrum have different wavelengths and different frequencies, and produce different amounts of energy. Longer wavelengths mean lower frequencies and less energy. Because X-rays have shorter wavelengths and higher frequencies than, for example, radio waves and visible light, they have more energy.

How Do Dental X-rays Work?

An X-ray machine produces a very narrow beam of X-ray photons. This beam passes through the body and captures images of our teeth and jaws on special film or digital sensors inside the mouth (intraoral X-rays), or on film or sensors located outside the mouth (extraoral X-rays). These X-ray images are also known as radiographs.

Why are X-rays able to take pictures inside our bodies? Remember that higher energy we talked about earlier? This energy enables X-rays to pass through the softer, less dense parts of our bodies, which are seen as gray background in a radiograph. But some substances in our bodies absorb X-rays, such as the calcium found in our bones and teeth. This is why they show up as sharp white images in radiographs. 

There are different types of common dental X-rays which are used for pediatric exams, including:

  • Bitewing X-rays, which are used to check on the health of the back teeth.
  • Periapical X-rays, which allow us to look at one or two specific teeth from crown to root.
  • Panoramic X-rays, which use a special machine to rotate around the head to create a complete two-dimensional picture of teeth and jaws.

Why Do We Need X-rays?

If all of our dental conditions were visible on the surface, there would be no need for X-rays. But there are many conditions that can only be discovered with the use of imaging—infection, decay, or injuries, for example, can show up as darker areas in the teeth or jaws. Among their many diagnostic uses, X-rays can help us find:

  • Cavities between teeth
  • Damage to the tooth’s pulp which might require root canal treatment
  • Injuries to teeth or roots after trauma
  • Abscesses, tumors, or other conditions that might be causing swelling or pain
  • Unusual position or development of the teeth before and as they erupt
  • Alignment and development of wisdom teeth

X-rays can also serve an important preventative role, by discovering small problems before they become major ones.

How Do Dentists Make Sure Your Child’s X-rays Are as Safe as They Can Be?

First of all, the amount of radiation patients are exposed to with a dental X-ray is very small. In fact, a set of bitewing X-rays exposes us to slightly less than the amount of radiation we are exposed to through our natural surroundings in just one day. Even so, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team are committed to making sure young patients are exposed to as little radiation as possible.

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

The guidelines recommended for X-rays and other imaging have been designed to make sure all patients have the safest experience possible whenever they visit the dentist or the doctor. We ensure that imaging is safe and effective in a number of ways:

  • We take X-rays only when they are necessary.
  • We provide protective gear, such as apron shields and thyroid collars, whenever needed.
  • We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
  • We set exposure times based on each child’s size and age.

X-rays play an important part in helping us make sure your child’s teeth stay their healthiest. If you have any concerns, contact our Kingston, ON office. When it comes to making sure you’re comfortable with all of our procedures, including any X-rays that might be necessary, we’re happy to give you all the inside information!

Pick the right electric toothbrush!

April 28th, 2021

The electronic toothbrush has undergone several technological advances since the 1960s. Everything from design and bristle motions to rotation, oscillation, and sonic vibration has led to dramatic changes in this necessary tool over time.

Rotation oscillation happens when the head of the toothbrush rotates from one direction to the other. The benefit of powered toothbrushes is that they can produce 50,000 strokes per minute, compared to 300 strokes with a manual toothbrush.

When you’re thinking about brush head size, smaller brush heads are best for hard-to-reach areas and small mouths. Brush heads should be replaced every three to six months as needed. A good way to save money is to designate a brush head for each family member which can be taken on and off a shared base motor.

Having a base motor or rechargeable toothbrush can deliver enough power on a full charge for a week of brushing, which makes it convenient for travel or when life gets busy. Some toothbrushes include audible signals that let you know when to switch the area of your mouth you’re brushing or when a full two minutes has gone by.

Do you have sensitive teeth? Studies have indicated that people tend to apply more pressure on their teeth when they use a manual toothbrush. This makes an electric toothbrush a preferable option if you’re having issues with sensitive teeth or gums.

There are even electric models with pressure sensors that will stop the brush from spinning when you press too hard against your teeth!

Everyone can benefit from having an electric toothbrush. A large handle size can be taken into consideration if a member of the household is young, or has a physical disability or arthritis. They’re even recommended for children in order to maintain good oral hygiene from a young age.

Biofilm is a term used for plaque or debris that builds up in your mouth. If not properly addressed, this can cause serious bacterial infections to your gums and teeth. If you want to remove biofilm in the most efficient way, an automatic toothbrush is the way to go.

When you're ready to make your decision, make sure to consult with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office to decide which electric toothbrush is right for you!

The Best Snacks for a Healthy Smile

April 21st, 2021

One of the most frequent questions that Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team hear is about what kinds of snacks are best for a child’s dental health. Sugary snacks are inevitable sometimes, but it’s vital for you as a parent to monitor how frequently your child is eating the kinds of snacks that may give him or her a cavity or two down the line.

Unsurprisingly, the best snacks are healthy ones, though they may not always be the most appealing to your little ones. The good news is that healthy doesn’t mean you have to compromise on taste. Once your kids give these tasty snacks a go, they might become open to all things healthy!

  • Fresh veggies and hummus
  • Apple wedges with peanut butter
  • Low-fat yogurt with berries
  • Cubes of cheese and crackers
  • Hard-boiled eggs with a little bit of salt and pepper
  • Celery sticks with cream cheese and sunflower seeds
  • A homemade milkshake with low-fat milk (or almond milk), the fruit of their choice, chia seeds, and cinnamon
  • Lean proteins such as chicken breast, fish, and turkey

These snacks aren’t high in sugar but they contain all the nutrients your children need to have the necessary energy throughout the day.

This is only a sample of all the great, healthy snacks out there for your kids. For more ideas, ask us the next time you visit our Kingston, ON office. It’s never too early to create healthy habits; they’re not only good for oral health, but overall health too. That’s a win-win, if you ask us.

When Is a “Cavity” Not a Cavity?

April 14th, 2021

Is this a trick question? After all, you and your family probably already know quite a lot about cavities:

  • It all begins when bacteria-filled plaque sticks to teeth and starts to attack enamel. How?
  • Because the bacteria in plaque use the sugars and other foods we eat to produce acids.
  • These acids gradually weaken teeth by dissolving minerals that help make up our enamel (a process called demineralization).
  • Over time, a hole, or cavity, develops in the tooth surface.
  • Left untreated, bacterial decay can spread to the inside of the tooth, creating a more serious cavity.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough might discover an unexpected cavity at a regularly scheduled dental exam at our Kingston, ON office, but there are also some symptoms that should have you calling for an appointment. A cavity can cause sensitivity when eating something hot or cold, or it can be painful, or you might even notice visible discoloration or damage to the tooth surface.

So, if your child has any of these symptoms, it’s a cavity, right? It might be—but it might not. Sometimes, because the symptoms are similar, what we suspect is a cavity is really enamel erosion.

The bacteria-created acids weaken enamel. But it’s not just bacteria that subject our teeth to acids. Acidic foods are one of the leading causes of tooth erosion.

And while we expect damage from a lifetime of acidic foods and beverages to catch up with us as we age, the fact is that erosion is becoming a problem even for young children. How is this possible? Let’s look at some food chemistry.

Our normal saliva pH level is around a 7, which is neutral. Any number lower is acidic; any number higher is alkaline. Acidic foods have a low pH (the pH of lemon juice, for example, measures between 2 and 3), and can reduce our normal, neutral pH level. When saliva pH levels drop to 5.5 or lower, tooth enamel starts to demineralize, just as it does when exposed to the acids from oral bacteria.

Regularly snacking on citrus and other acidic fruits, fruit juices, flavored drinks, sour candies, and other acidic foods can cause enamel erosion. Especially erosive are sports drinks, energy drinks, and colas, because they contain some combination of citric acid, phosphoric acid and/or carbonation.

So, when might you suspect enamel erosion? Your child might be sensitive to hot or cold foods, or feel pain, or even have noticeable enamel loss or pitting. Even though these symptoms may not have been caused by plaque and bacteria, acidic erosion from our diets leaves weakened enamel just as vulnerable to cavities and decay.

How to avoid erosion?

  • Serve acidic foods sparingly, or as part of a meal. This helps our saliva pH stay in the neutral zone.
  • Balance acidic foods with low-acid choices to neutralize acids and restore a normal pH balance. For example, mix those acidic berries with a banana.
  • Use a straw! These are not only fun, but this simple solution keeps erosive drinks from bathing young teeth in acids.
  • Encourage your child to drink water instead of an acidic beverage, or drink it afterward to rinse acids away. The pH of pure water? A perfect, neutral 7. And by using tap water instead of bottled water, you’ll be providing fluoride, which helps strengthen enamel.
  • What about brushing right after eating or drinking something acidic? Ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough if your child should rush for the brush. We may recommend waiting 30 minutes or so after an acidic treat to give the teeth time to remineralize. Otherwise, brushing might cause more wear and tear on enamel.
  • Finally, while foods are often the source of acid erosion, medical conditions can cause erosion as well. Talk to us about ways to minimize erosion while addressing these medical needs.

Be proactive. Ask your Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about healthy drinks and snacks for healthy teeth. Make sure to keep on top of brushing and flossing, and stick with fluoride toothpastes. And visit our Kingston, ON office regularly for exams and cleanings.

There’s really no trick to it—preventing enamel erosion helps keep your child’s teeth structurally strong and cavity-free for a lifetime of beautiful and healthy adult smiles.

There’s an App for That!

April 7th, 2021

Kids today are more tech-savvy than ever before. Even young children use computers, tablets and smart phones to make learning about their world more accessible and more enjoyable. And with the enormous variety of apps geared to childhood education, it comes as no surprise that you can download an app to encourage your children to learn about—and celebrate—their dental health.

What kinds of apps are available for your child?

Happy Brushing!

Children’s apps can offer helpful advice for learning effective brushing and flossing habits that will last a lifetime. Some of the apps for young brushers include:

  • Age appropriate instructions for proper brushing technique
  • Two minutes of carefully chosen songs or stories to keep them brushing the recommended amount of time in an entertaining way
  • Reminders to replace those little toothbrushes—every three months, please!
  • Educational games and stories to teach effective dental habits and tooth-healthy food choices.

The best apps not only provide lots of important information for keeping young teeth and gums their healthiest, but make learning fun with rewards such as badges, stars, games, or simply plenty of positive encouragement.

Time for the Tooth Fairy to Appear?

Losing a tooth is an important event for many young children. If you’re a fan of the Tooth Fairy, there are apps that can provide some reassuring fun while your child waits for that first loose tooth to finally come out. Tooth Fairy apps offer a wide variety of activities, including:

  • Tooth Fairy voicemails to report a loose or lost tooth
  • Tooth Fairy diaries to record lost teeth—and save photos of the adorable smiles that result
  • A video of an animated Tooth Fairy fluttering around your child’s pillow on the big night
  • A Tooth Fairy alert for forgetful Tooth Fairy assistants.

Apply the Latest in Brushing Technology

If you’ve decided that an electric toothbrush is the best brush for your child, many of the products available today come with their own apps. What can these apps do?

  • Let children know if they’ve brushed long enough
  • Alert them when they’re brushing too hard, which is not good for young gums and enamel
  • Some apps even provide a map of the mouth and teeth that lets children know just where they’ve brushed, in case they tend to neglect a few spots regularly.

Keep Those Appointments

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team are here to help keep your child’s teeth healthy. Regular examinations and professional cleanings at our Kingston, ON office not only make sure problems are caught before they become serious, they can help prevent problems from developing in the first place.

There are many apps out there that are designed to help you keep your child’s dental care on track with appointment reminders. This sounds pretty basic, but when kids have school, sports, lessons, and activities filling their days, it doesn’t hurt to get a timely reminder that Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough should be seeing someone in your family for an appointment or checkup and a cleaning in the near future.

Dentist Approved

When looking for a dental app for children, there are lots of options. The best apps provide age-appropriate educational tips for keeping young smiles healthy, and present them in a way that engages your child’s imagination and provides positive reinforcement.

If you think an app might make dental care not only more efficient, but more enjoyable for your child, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough! We might have some suggestions that will be just right for your family.

Heading Off to College? Maybe It’s Time to Graduate to an Electric Toothbrush!

March 31st, 2021

Your trusty manual toothbrush has been with you from pre-school through high school—well, obviously not the same manual toothbrush, because that would be seriously unhygienic—but it’s the kind of toothbrush you’re used to and comfortable with.

Now, though, you’re off to college, and your lifestyle will be changing. Late night study sessions complete with study session snacks. Getting caught up in a project and making dinner from dorm vending machines. Grabbing fast food on the way to the practice field, or work-study job, or evening class. You get the point—meals can be hectic, unscheduled, and less than tooth friendly.

Maybe it’s time to consider an electric toothbrush. After all, anything that can make your life easier and more efficient during busy college days deserves a spot in your dorm room.

  • Electric Brushes Are Effective

The most important reason to switch to an electric toothbrush is its effectiveness. Several studies have shown that regular use of an electric toothbrush leads to a marked reduction in plaque, that bacteria-filled film which sticks to the teeth and leads to cavities and gingivitis. And it’s really no surprise that an electric brush can out-perform a manual brush.

Electric toothbrushes offer several design options, from oscillating/rotating brushes to oscillating/rotating/pulsating models to brushes using sonic vibration technology. What these technologies all have in common is the ability to remove plaque far more efficiently than we can on our own, because electric brushes provide the equivalent of thousands and even tens of thousands of brushstrokes per minute, compared to the hundreds we can achieve by hand.

You know by now what your brushing habits are like. If you tend to be a bit cavalier with your brushing and flossing, make sure you set yourself up for success. Because you have better things to do during semester breaks and summer vacations than visiting Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough!

  • Electric Brushes Can Make Life Easier

Several of today’s electric brushes come with options designed to do more than simply remove plaque. They can let you know if you’ve brushed for the recommended two minutes, alert you if you’re brushing too hard, and even remind you when it’s time to replace the brush head.

Want more from your electric brush? Some models offer apps that can map out just where you’ve brushed, in case there are a few spots that often get overlooked. Or provide different brushing modes for daily cleaning, deep cleaning, whitening, and more. Or come with a travel case that can recharge while you’re busy exploring the world—or going home for a visit.

In the end, it’s up to you. Do some independent study and research the toothbrushes that will give you the best results for your individual brushing habits. You might not need or want a brush with all the technological bells and whistles.

If you’re comfortable with your manual brush and you get good grades when you visit our Kingston, ON office, stick with it. But if you think you might benefit from the ease and efficiency of an electric toothbrush, if an electric toothbrush makes your teeth and gums healthier and your smile brighter, that’s an extra credit project worth pursuing.

What causes tooth loss?

March 24th, 2021

When children lose baby teeth, it’s a time to rejoice. But when adults suffer from tooth loss, it may be a sign of a serious problem. That’s when it’s time to give us a call at Cataraqui Dental Centre.

What are the reasons for missing teeth?

The loss of permanent teeth can occur for a variety of reasons, ranging anywhere from hereditary factors to tooth decay to traumatic injury. Here are the following reasons why adults suffer tooth loss:

  • Gum disease: The number one cause of lost teeth in adults is gum disease, also known as periodontal disease, an infection of the structures that support the teeth. Once gum disease reaches and destroys the alveolar bone, the teeth begin to loosen and will eventually fall out or need to be extracted.
  • Tooth decay: If cavities are left untreated, they can destroy tooth structure as well as cause infection in the supporting bone.
  • Tooth injury: An injury can either knock out a tooth immediately or cause damage to the root or pulp that will later require extraction. We recommend using a mouthguard if you play sports.
  • Tooth fracture: A fracture in a tooth is often caused by teeth grinding, or what Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team call bruxism. A crown may be the answer, but depending on the location of the crack or fracture and how deeply it extends, the tooth may not respond well to repair with a crown and may need to be extracted instead.

What are the risk factors for tooth loss?

  • Poor oral hygiene: Patients who only occasionally brush or floss their teeth are more likely to develop tartar, plaque buildup, and other bacteria that cause decay.
  • Not visiting the dentist: Seeing Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough every six months for a cleaning and checkup prevents any developing oral health issues, as well as ensures that plaque and tartar do not build up over time.
  • Smoking: Smokers and users of smokeless tobacco are more likely to develop periodontal disease that can cause tooth loss. If you are a smoker it is crucial to visit us on a timely schedule.
  • Various health conditions: Patients with high blood pressure, diabetes, rheumatoid arthritis, and other chronic health issues are more likely to suffer from gum disease.

Scheduling an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office will give you an accurate diagnosis and a variety of treatment options. It’s important to know that periodontal disease is “silent,” meaning you will not always experience pain as a signal of infection. When caught early, treatments are usually successful.

Give us a call today to schedule your next visit!

Going Green for St. Patrick’s Day?

March 17th, 2021

Happily for all of us who like to celebrate with friends and family, there’s no need to be Irish to enjoy St. Patrick’s Day. Every March 17th, many of us take the opportunity to display a bit of Gaelic spirit.

  • Green Clothing (it’s tradition!)
  • Green Hat (for a jaunty look)
  • Green Shamrock (always the perfect accessory)
  • Green Hair (for the adventurous among us)
  • Green Grins?

Here’s where we draw the line. Emerald Isle? Delightful! Emerald smile? Not so beguiling.

That traditional St. Patrick’s party fare—green-frosted sweet treats and green-colored pastries and green-foamed beers—is full of green-tinted food dyes, which can leave us with teeth in subtle shamrock shades. Luckily, most of us will have only a very temporary tinge to remind us of our dietary shenanigans, and there are simple ways to rid yourself of the green sheen:

  • Indulge sparingly in colorful cuisine, and drink water afterwards to rinse away green-dyed foods and beverages.
  • Use a straw for green drinks.
  • Brush your teeth. (Not only will you brush away the green, but you’ll brush away the sugars from sweet green desserts and the acids from sour green brews.)
  • Try a whitening toothpaste.

One special note: if you’ve just whitened your smile, best to eliminate strong food dyes from your diet for a few days. Teeth are more sensitive to staining after whitening, because the whitening process temporarily makes them more porous. Give yourself a few days, and your enamel will be back to (stain)fighting strength.

So, celebrate on the 17th and feel secure that on the 18th, your smile won’t be “wearing the green” any longer. But if you find that you’re not happy with the appearance of your smile anytime during the year, if you have more permanent staining caused by natural darkening over time, or workdays fueled by black coffee, or a diet filled with tomato sauce, dark berries, red wine, and other tasty (but discoloring) food, you’re still in luck.

Ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about professional whitening procedures at our Kingston, ON office for a brighter, more confident smile. And with a bright, confident smile, every day’s a reason to celebrate!

How do I know if I’m at risk for oral cancer?

March 10th, 2021

Every year, over 50,000 North Americans are diagnosed with oral or throat cancer, which has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Because oral cancer is typically painless in its early stages and often goes undetected until it spreads, many patients aren’t diagnosed until they are already suffering from chronic pain or loss of function. However, if detected early, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre want you to know that early detection of oral cancer improves the survival rate to 80 percent or more.

If you visit our Kingston, ON office regularly, you have probably received an oral cancer screening and didn’t even realize it. That’s because the exam is quick and painless; Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team check your neck and mouth for signs of oral cancer such as discolorations, lumps, or any changes to your tissue. Oral cancer is typically found on the tongue, lips, gums, the floor of the mouth, or tissues in back of the tongue.

Factors that may influence your risk for developing oral cancer include:

  • Use of tobacco products. Smoking cigarettes, cigars, a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially is a serious risk factor because it contains substances called carcinogens, which are harmful to cells in your mouth.
  • Excessive consumption of alcohol. Those who drink alcohol regularly have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
  • Excessive sun exposure. Those who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.
  • Your age. Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
  • Your gender. Oral cancer strikes men twice as often as it does women.
  • A history with viral infections, such as human papillomavirus (HPV).
  • A diet low in fruits and vegetables.

In between your visits to our office, it is critical for you to be aware of the following signs and symptoms, and give us a call if these symptoms don’t go away after two weeks.

  • A sore or irritation that doesn’t disappear
  • Red or white patches
  • Pain, tenderness, or numbness in mouth or lips
  • Difficulty chewing, swallowing, speaking, or moving your jaw or tongue
  • A change in the way your teeth fit together when you close your mouth

During your next visit, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Kingston, ON office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

Anatomy of a Smile Makeover

March 3rd, 2021

A smile makeover is usually a combination of one or more cosmetic dental procedures. To achieve your desired result, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough may perform or suggest a variety of options. The entire process is designed specifically for your unique cosmetic needs, and Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will make sure all your concerns regarding your smile are addressed.

Here are some of the most common procedures in cosmetic dentistry and how they work:

  • Tooth whitening – Whiter teeth are achieved through a bleaching process typically using hydrogen peroxide or carbamide peroxide. Yellower teeth usually respond well to this procedure, while brown-colored teeth stained by fluorosis or taking tetracycline do not respond as well to whitening. Tooth whitening is not for everyone; if you have sensitive teeth, gum disease, or poor enamel, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough may recommend against tooth-whitening services.
  • Orthodontics – Braces are one of the tried-and-true ways of achieving a healthier smile. Braces are typically worn between 12 and 24 months to reposition the teeth in a straighter and safer alignment. Since your bite is also corrected during this process, it helps ensure you won't have any trouble down the line. There are several different types of braces available these days including: traditional metal braces, clear ceramic braces, lingual braces, and clear aligners.
  • Veneers – Veneers are thin, tooth-colored material (porcelain or resin) designed to be placed on the front surface of teeth to improve their overall appearance. They can be used in cases where the color, shape, size, or length is not as desired. Veneers are usually used in cases where teeth are discolored, chipped, worn down, misaligned, irregular, or have gaps.
  • Implants/bridges – Dental implants and bridges are used to replace missing or broken teeth. Nowadays, both implants and bridges are commonly performed procedures. Implants integrate directly with the jawbone, while bridges are placed over the adjacent teeth to the missing tooth. Implant technology has advanced a great deal in recent years and highly biocompatible ceramic materials are becoming more commonplace.

Getting your perfect smile will take time and patience, but the end result will be well worth it! Please schedule an appointment at our Kingston, ON office about the cosmetic dental services we offer, and achieve the smile you've always wanted!

Dental Implants vs. Natural Teeth

February 24th, 2021

If you're considering getting an implant, you'll most certainly have questions for Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. You might be wondering how a dental implant compares to a real tooth. Let's look at some of the differences between implants and natural teeth.

It should be noted that one of the primary goals of implant dentistry is to try to provide the same form and function as your natural teeth. However, with that in mind, know that an implant is not a tooth. An implant does not decay and does not have dental pulp or periodontal membrane like teeth.

An implant won't always work in every case, but they do have some great advantages when they are called for. Some advantages of an implant:

  • Often last for decades without needing to be replaced
  • Create a functional and aesthetically pleasing replacement for your missing tooth
  • Don't require surrounding teeth for support
  • Do not decay like natural teeth
  • Can be fixed or removable
  • Are able to replace single tooth or multiple teeth

There are downsides to implants where natural teeth win out. The disadvantages of implants include:

  • Higher cost compared to traditional dentistry
  • It's a surgical procedure which requires a period of healing afterward
  • Fracturing of fixtures and loosening of screws can occur (only in about 5% of patients)
  • Since there is no cushion between the implant and the bone, fracturing of crowns and bridges is more common with implants than with natural teeth, though this is rare.

It's best to speak with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about your options regarding implants. Let us know what you want to achieve and we'll work with you as best we can to accomplish that. And don't hesitate to contact our Kingston, ON office for further questions about the procedure.

I have sensitive teeth. What are my options?

February 17th, 2021

At Cataraqui Dental Centre, we have patients coming in asking us why a taste of ice cream or a sip of coffee becomes a painful experience, or why brushing or flossing makes them wince or cringe. The answer, usually, is sensitive teeth. Tooth sensitivity typically occurs when the underlying dentin layer of the tooth is exposed in the oral cavity, and most people experience tooth sensitivity at some point in their lives.

So, why do people experience sensitivity and how do you know if tooth sensitivity is something to be worried about? The most common cause of the sensitivity is exposure of the dentin, which is the layer surrounding the tooth’s nerve. Contributors to tooth sensitivity include teeth whitening and dental work such as fillings, periodontal treatment, and the placement or adjustment of braces. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment at Cataraqui Dental Centre. The first step is to determine the cause, and that begins with a visit to our Kingston, ON office.

The reasons your teeth may become sensitive vary, but possible causes include:

  • Tooth decay (cavities) near the gum line
  • Cracked or fractured teeth
  • Fillings that are worn
  • Gum (periodontal) disease, or recession of the gums
  • Worn tooth enamel
  • Brushing too hard
  • Consuming acidic foods

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre want you to know that sensitive teeth can be treated, and the type of treatment will depend on what is causing the sensitivity. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough may suggest one the following treatments:

  • Desensitizing toothpaste, which contains ingredients that seal off the microtubules inside the exposed dentin to reduce tooth sensitivity
  • Fluoride gel, which strengthens compromised tooth enamel, helps prevent tooth decay, and decreases hypersensitivity of the teeth
  • A crown, inlay, or bonding, which is used to treat tooth decay and prevents sensitivity
  • A surgical gum graft. If gum tissue has been lost from the root, this procedure will protect the root and reduce sensitivity.
  • Root canal: If you are experiencing severe and persistent sensitivity which cannot be treated by other means, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough may recommend you undergo a root canal to eliminate the problem.

If you are experiencing tooth sensitivity, give us a call today so that Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can provide you with some much-needed relief!

Choose Chocolate on Valentine's Day

February 10th, 2021

From a student handing out sweets for her classmates to an older married couple exchanging boxes of candy, Valentine’s Day is the time of year when people like to show affection by gifting sugary treats to their loved ones. Whether you’re on the giving or receiving end of Valentine’s Day candy, you can celebrate the holiday in a healthier way by making dark chocolate your confection of choice.

Contribute to Your Health

According to the Cleveland Clinic, studies have shown that the cocoa beans used to make chocolate contain flavonoids, which can help protect the body against damage from various toxins. Flavonoids may also help lower blood pressure and improve blood flow to the heart and the brain. Dark chocolates typically contain a higher amount of flavonoids than other types, making them a great choice for chocolate lovers. However, you should keep in mind that many companies produce chocolate that is so heavily processed that the flavonoids are largely eliminated. Your best bet is to look for high-quality dark chocolates and cocoa powders that have undergone minimal processing.

Protect Against Cavities

If you think there’s no way candy could ever be beneficial for your teeth, think again. The Texas A&M Health Science Center has reported that the tannins present in cocoa beans may actually help prevent cavities by interfering with bacteria’s harmful interaction with teeth. Just like with flavonoids, tannins have been found to be present more often in dark chocolates, rather than milk chocolates, giving you another great reason to choose the richer, sweet varieties.

Avoid a Sticky Situation

One more benefit of choosing chocolate over other candies is that it is less likely to get stuck in the crevices and spaces between teeth. Gooey sweets like taffy can stay lodged in the mouth for longer periods of time, putting you at a greater risk for developing cavities. When you choose your chocolate, be sure to avoid types that also contain sticky ingredients like caramel or marshmallow, and instead opt for the plain varieties.

Remember that the health benefits you can receive from dark chocolate are largely based on eating the candy in moderation. With that being said, it’s easy to make this delicious and health conscious switch when you’re out shopping for your sweetheart, friends, loved ones, and yourself. Have fun satisfying your sweet tooth this year and Happy Valentine’s Day from all of us at Cataraqui Dental Centre!

Questions on Dental Implants? We’ve Got You Covered.

February 3rd, 2021

Whether you’ve lost a tooth from decay, are preparing for dentures, or were born with a gap where a tooth should have been, you could be a candidate for dental implants.

Dental implants have changed a lot since their debut in 1965, thanks to continuing advances in design and technology. Today, you no longer have to worry about whether dental implants might have a negative aesthetic impact on your smile.

So what are dental implants? Pretty much what they sound like: An implant is a replacement tooth that substitutes for a missing natural one. It gets placed through several steps; it’s a process that can take a few months.

The initial step involves the surgical implantation of the implant root, which resembles a small screw. After that’s placed, the top is covered with gum tissue to enable it to heal faster. This is an essential phase in the process, since this portion of the implant will serve as the base of support for everything else.

In the second step, the implant gets uncovered and an implant restoration (or crown) is created and affixed to it. After that, you’ve got yourself a new tooth!

While dental implants require a little special care, it’s all easily manageable. All you have to do at home is make sure you brush and floss your implant daily, the same as you would for any other tooth. Although an implant can’t develop a cavity, if something were to get stuck in it, that could lead to a gum infection.

If you have any other questions about dental implants, give our Kingston, ON office a call!

I have halitosis. What can I do?

January 27th, 2021

Halitosis is the fancy, scientific word for “bad breath.” Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team know there are several reasons why you may have halitosis; let’s look at a few:

  • Gum disease (also known as periodontal disease) – There are five main types of gum disease, and each one can range from mild to severe. For example the most common one is gingivitis; it is caused by bacteria in the plaque that has been allowed to build up, usually as a result of poor oral hygiene. A more serious and uncommon type of gum disease is called necrotizing periodontal disease. It is most common in people who have a suppressed immune system.
  • Smoking
  • Dry Mouth – This can be caused by something as simple as a medication you take.
  • Food – Of course, if you eat something that is potent like garlic, it is going to give you bad breath.
  • Diseases of the Body – Some diseases such as sinus infections and diabetes, among a few other types of infections, can also cause you to have halitosis.

How to Get Rid of Halitosis

The most obvious answer to how to get rid of halitosis is to practice good oral hygiene, although, depending on the cause of halitosis it may not be that simple. If you have an infection that is causing the halitosis then you may need an antibiotic to clear up the infection and then the bad breath will go away. Here are more tips:

  • Brush your teeth after every meal and before bed.
  • Floss your teeth. The more plaque you get out of your teeth, the better chance you have of not getting cavities or bad breath.
  • Address any medical conditions that are not related to your teeth that can be causing the halitosis.
  • Ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for a prescription mouthwash that kills bacteria.

Halitosis (bad breath) can be an embarrassing condition to live with, but there are plenty of ways to get rid of it permanently. Start by talking to a member of our team at our Kingston, ON office.

Does getting a dental implant hurt?

January 20th, 2021

Getting a dental implant is a surgical procedure and everyone’s pain tolerance level is different. Therefore, what one person may perceive as pain is only a slight discomfort for another person. The general consensus about pain and dental implants is that the majority of people feel discomfort, not pain.

A dental implant is a complex procedure. Let’s take a look at what may cause discomfort:

  • Some people may find that having the IV put in is uncomfortable, especially if the healthcare worker has to try more than once. If you have a fear of needles or if you have anxiety about the procedure, we can prescribe a sedative, which you take before you arrive.
  • Of course, during the dental implant surgery, you will be asleep. Therefore, you will not feel any pain or discomfort at all.
  • When you awake from the surgery, your mouth should still be numb. In many cases, we can give you a “block” – it is basically a 24-hour pain medication, so you will not feel any pain or discomfort at all.
  • We will also provide you with a prescription for a strong pain killer, and you will most likely sleep while you are taking them. If you are still in pain, do not take more than is prescribed without calling us first. You will need someone to stay with you for 24 hours after the surgery, and they will be instructed on how to give you any prescription medication. The anesthesia tends to make people a bit loopy and forgetful the first 24 hours.
  • After the first 24 hours you may feel some discomfort. The most important thing you can do is take your pain medication regularly, whether you are taking the prescription medication or an over-the-counter pain reliever such as Tylenol or Advil.
  • You should not need pain medication for more than the first few days.

Most people do say there mouth is sore and they have to be careful what they eat, so it’s best to stick to soft foods. If you have any additional questions, please contact our Kingston, ON office and speak with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough.

Scheduling Dental Procedures When You’re Pregnant

January 13th, 2021

Pregnancy leads to so many changes in your body, so it’s no surprise that your teeth and gums are affected as well! Dental care is very important during these months, so let’s look at some of the concerns you might have about treatments and procedures.

  • Regular Exams and Cleaning

Yes and yes! Let us know you are pregnant when you make your appointment. Preventive care is especially important during pregnancy for keeping your gums healthy.

  • Periodontal Care

Swollen and tender gums are often one of the first signs of pregnancy. Hormonal changes can make your gums more vulnerable to irritation and infection. Early gum disease, called gingivitis, should be treated promptly to avoid a more serious condition called periodontitis. This form of gum disease can actually cause the gums to pull away from the teeth, leading to pockets where infection can develop. Talk to us about scheduling extra cleanings, if needed, to avoid the plaque build-up that leads to gum disease.

  • Regular Dental Work

If you need a cavity filled or a crown placed, talk to us about scheduling. It is important to keep your teeth healthy to avoid infection or more serious dental problems. If you do need restorative work, procedures are usually best treated during the second trimester, where morning sickness is less of a problem and reclining comfortably in the dental chair is easier than it would be in your third trimester.

  • Emergency Work

If there is a dental emergency, call us immediately. You shouldn’t put off emergency work, as the complications of pain and infection can be harmful to you and your baby.

  • Elective Treatments

If you are thinking about whitening your teeth or having other cosmetic dental work done, waiting until after your baby is born is usually recommended.

  • X-rays

Most studies suggest that dental X-rays, because they are so limited in focus, are probably safe during pregnancy. But since there is no definitive answer at this time, it’s recommended to wait until after your baby is born for elective X-rays. In case of a dental emergency, however, an X-ray might be a necessity. If you are worried, talk to us about the shielding we use during X-rays, as well as scientific agreement about the safety of dental X-rays.

Let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough know about your pregnancy, and we will work with you to schedule exams or treatments at our Kingston, ON office so that your dental experience is both comfortable and safe. If you have any concerns, call us immediately. We know your pregnancy brings many significant changes to your life, but our concern for your health and well-being—that’s unchanging!

Going Green for the New Year

January 6th, 2021

Does your list of New Year’s resolutions for the coming months include reducing your ecological footprint? If so, let’s ring in the year with some basic—and some innovative—dental ideas to help you meet your goal.

  • Conserve Water

This is probably the easiest –and most cost effective!—item on our list. If you leave the water running while you brush, you are watching gallons of water go down the drain every day. Luckily, toothbrushes rely on wrist power rather than water power. Wet your brush before you begin, and use water only as needed to rinse. You’ll save hundreds of gallons of water every year.

And while we’re near your sink, if you like to rinse after brushing and flossing with disposable plastic cups, consider using compostable paper products or a regular drinking glass that you can clean after using.

  • Biodegradable/sustainable /recyclable toothbrushes

Some brushes promise to be completely compostable, with handles manufactured from sustainable woods or bamboo, and heads fitted with biodegradable boar bristles. Investigate before you buy, because boar bristles aren’t for everyone. Some users complain about the taste, and boar bristles are harsher than the soft bristles we recommend to protect your enamel and gums. Organic bristles are also more prone to bacteria growth.

If you prefer the consistency and texture of regular synthetic bristles, or wish to avid animal products, you can still opt for a brush with a handle of sustainable wood or bamboo. These brushes also offer PBA-free bristles, bristles made largely from castor oil, or bristles that use natural ingredients in combination with synthetics.

And don’t forget recycling as a possibility to cut down on your plastic use. Toothbrushes are available with handles made from recycled plastic. And once you’re finished with them, these brushes can be recycled again.

  • Biodegradable dental floss

This is another innovative take on dental supplies, and one that offers lots of new options. Regular dental floss is usually made from waxed nylon. Biodegradable floss, on the other hand, can be made of silk or plant materials, and coated with beeswax or plant-based wax. Some of these biodegradable flosses even come in refillable or compostable packaging.

  • Organic toothpaste

If you’re incorporating organic foods into your diet, you know that organic options are more easily available than ever before. And now there are more organic toothpastes available, as well. Natural toothpastes can be found which are vegan, fair-trade sourced, and preservative- and artificial ingredient-free.

Before you buy, though, do discuss your choices with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. Why? Because many natural toothpastes are formulated without fluoride, a mineral shown to prevent cavities in study after study. Which leads us to . . .

  • See Your Dentist Regularly for Checkups and Cleanings

Along with your daily dental hygiene routine, don’t forget to make regular appointments for examinations and professional cleanings at our Kingston, ON office. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can help you discover the best ideas for products and practices which are good for you and good for the planet, for a lifetime of natural, sustainable smiles.

It's a Wrap: Ending the year with a smile!

December 30th, 2020

People have been ushering in the New Year for centuries but it became an official holiday in 1582 when Pope George XIII declared January 1st to be the day on which everyone would celebrate the New Year. At midnight people would yell, holler, and blow horns to scare away the evil spirits of the previous year so the New Year would be joyous and filled with opportunity. Nearly 500 years later, we still greet the New Year by whooping and hollering, but in a celebratory manner instead. Whether you intend to ring in the New Year quietly at home in the Kingston, ON area or have plans to join the countdown at a gala extravaganza, these tips can help you ring out the old and usher in the new with a smile.

Tips for a Happy New Year's Eve Celebration from Cataraqui Dental Centre

  • Be Safe. There's no way to predict the behavior of others on New Year's Eve, but you can be responsible for your own behavior to keep yourself safe. If adult beverages will be part of your celebration, plan on spending the night wherever you are or line up a designated driver to bring you home after the party is over.
  • Enjoy Family and Friends. Spending time with the important people in your life is what makes the holidays enjoyable. Coordinate your schedules and choose New Year's Eve activities that everyone in the group will enjoy. You don't have to go to a party to ring in the New Year; some people like to go bowling, see a movie, or have a great meal at home.
  • Accessorize with a Smile. Whether you dress up or have a quiet dinner with family and friends, one of the best accessories you can add to your attire is a beautiful smile.

New Year's Eve is a time to gather with friends and family, reflect on the year that's coming to an end, and look forward to the new one with anticipation. Enjoy this transitional holiday in a way that's safe, healthy, and fun. After all, counting down until the clock strikes 12 marks the beginning of a full year of opportunity ahead of you. From Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, have a great new year!.

How to get Brighter Teeth for Life

December 9th, 2020

Have you ever wondered why some people have dull and yellow teeth, while others have bright, white smiles? It’s not luck.

Everyone’s teeth naturally dull over time because of aging and the contact our teeth experience with staining foods, such as chocolate and coffee. However, teeth-whitening treatments can give you the whiter smile you’ve been after.

Get Regular Treatments

Unfortunately, the effects of teeth-whitening or bleaching treatments are only temporary, but regular treatments at Cataraqui Dental Centre can help keep your teeth white for much longer.

The effects of in-office bleaching can last for several months to a year, so you may prefer to repeat your use of at-home bleaching kits every few months to maintain your white teeth. Whitening toothpastes do not contain bleach and are safe to use every day.

Have Realistic Expectations

Not everyone’s teeth can be turned bright white. Some just don’t respond to whitening treatments. If your teeth are a light yellowish color, they may readily respond to teeth-whitening procedures, but bleach will not likely work on grayish teeth. Brownish teeth tend to fall somewhere in between.

Practice Good Oral Hygiene

For the best whitening results, it’s necessary to keep your teeth in good health. Visible fillings, implants, or bridges that are metallic stand out against the white color you’ll want to achieve.

Maintaining good oral hygiene will help you avoid tooth decay and keep your smile bright. In addition to brushing your teeth twice a day, these actions can help promote a healthy mouth:

  • Floss every day
  • Visit our Kingston, ON office every six months for professional cleanings
  • Rinse your mouth with water after each meal and snack
  • Limit sugary and starchy foods and beverages that can stain teeth, especially between meals

‘Tis the Season—for Healthy Dental Choices!

December 2nd, 2020

It might be the most wonderful time of the year, but if you’re dashing through the snow to an emergency dental appointment, you’re not feeling very jolly. And post-holiday, no one wants to start off their New Year’s Resolutions with “Get Cavities Filled.” How to survive the sweetest of seasons with enamel and fillings intact?

Candies and sweets would normally be on the naughty list, but we’re not Scrooges! Indulging in a treat or two is part of the holiday fun, and we have some advice for how to enjoy them guilt-free. But first, some treats are definitely more naughty than nice. Which are the ones that are better as decorations than desserts?

  • Candy Canes

If you’ve ever suffered a chipped or cracked tooth after an innocently biting down on a much-harder-than-expected piece of candy, you know that caution is in order. That’s why we tend to take our time with candy canes, letting them dissolve slowly in the mouth. Of course, the drawback to this strategy is that now we’re slowly bathing our teeth in sugar, encouraging the growth of plaque and cavity-causing bacteria.

Candy canes, peppermints, and other hard candies are potentially bad for your teeth when you crunch away, and definitely bad for your teeth if you let them dissolve slowly.

  • Gumdrops

Glistening, colorful gumdrops. Roofing your gingerbread house, trimming a gumdrop tree, or simply sitting in a bowl, they are one of the sweetest ways to decorate for the holidays. And when we say “sweet,” we mean that literally. Most gumdrops are basically made of corn syrup and sugar—and then rolled in more sugar.

But their sugar content isn’t the only problem. This is sugar in an extra-gummy form that sticks between our teeth and around our gums.

  • Toffees, Caramels, Taffy

They might come in lovely ribboned boxes, but these extremely sticky foods are not a gift to your teeth.

Not only do chewy candies stick to enamel, they stick to fillings, crowns (especially temporary crowns), and orthodontic wires and brackets. No one wants an unexpected trip to the dentist or orthodontist because dental work has been damaged or dislodged!

  • Gingerbread Houses

Nothing says the holidays like a gingerbread house—chewy, sticky gingerbread covered with hard sugar icing, gumdrops, and peppermints. Great for your décor; not so great for your dental health. Eat one gingerbread man if you’re in a spicy mood and leave your architectural masterpiece intact.

  • Fruitcake

If you need an excuse to turn down fruitcake, here’s a perfect one: most fruitcake is not great for your teeth. Candied fruit is, well, candied, and dried fruit is sugary, sticky, and chewy. There are delicious exceptions, of course, but even a delicious fruitcake is very high in sugar.

Well, this list wasn’t very jolly. So as a little holiday gift for you, here are some suggestions to help you enjoy your desserts in the healthiest way possible.

  • Be choosy.

Just like you search for the perfect presents for your family and friends, take the time to choose the perfect holiday treats for yourself. If you are worried about cavities, or have a temporary crown, or wear braces, or have cracked a tooth before, or are just generally concerned with your oral health, stay away from sticky, hard, and excessively sugary desserts.

What can you accept from your holiday hosts with a grateful (and relieved) smile? The occasional soft chocolate should be nothing to stress about—and if you make it dark chocolate, you’ll actually get nutritional bonuses like magnesium and antioxidants. Cakes, cupcakes, cookies, pies—yes, they are made with lots of sugar, but it is the holidays after all. Just be sure to follow our next suggestions to make that slice of cheesecake guilt-free.

  • Eat sweets with a meal.

Saliva does more than keep our mouths from getting dry. It also helps prevent cavities by washing away food particles and neutralizing the acids from food and bacteria, which damage enamel.

Eat dessert with a meal, and you benefit from increased mealtime saliva production. When you snack throughout the day, this acid-neutralizing ability is greatly reduced.

  • Rinse after eating.

Rinsing your mouth with water after a meal or a snack, especially a sugary one, also helps wash away the sticky sugars and carbs, which oral bacteria convert into acids.

  • Brush immediately. (Maybe.)

It’s always a good idea to brush right after eating—well, almost always. If you’ve been eating acidic foods like citrus or colas, the acids in the food can weaken your enamel just enough to cause some potential enamel damage if you scour your teeth immediately after eating. We often recommend waiting about 30 minutes to brush to give your enamel a chance to recover.

But every mouth is different. If you wear braces, or tend to get food stuck in your teeth or dental work, or have any other concerns, ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for the best times and methods for holiday brushing.

You don’t want to ho-ho-hope that we can fit you in at our Kingston, ON office to treat a cavity or a cracked tooth. Make your holiday dessert list and check it twice, and make sure you’re brushing and flossing more often if you’re indulging in seasonal treats—give yourself these two gifts, and you’ll be ringing in the New Year with a beautiful, healthy smile. Sweet!

Can my body reject my dental implant?

November 25th, 2020

According to the International Congress of Oral Implantologists it is rare that your body will reject your dental implants. However, this does not mean that your dental implant will not fail. A successful dental implant is one that is placed in healthy bone and is properly cared for after the surgery takes place.

There is only one major reason why a dental implant would be rejected: a titanium allergy. The majority of dental implants are made with titanium because it has proven to be the most biologically compatible of all metals. On average, less than one percent of potential dental implant recipients reported an allergy to titanium.

Dental Implant Failure

The most common cause of dental implant failure in the upper and lower jaw is bacteria. Everyone has bacteria in their mouth. If you have bacteria in your jawbone at the time of your dental implant, it can spread from implant to implant, causing dental implant failure.

If you do not take proper care of your dental implants, that could also cause them to fail. You also have to take proper care of the implant and keep your mouth clean. The development of excessive bacteria around the implant and in surrounding tissues can lead to implant failure.

Teeth grinding is another reason dental implants fail. When you grind your teeth, it can move the implants out of position. Therefore, you should wear a mouthpiece when you go to sleep if you know you grind or clench.

If you take care of your implants by practicing good oral hygiene and visit our Kingston, ON office, you should not have any problems with your new dental implants. As always, ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about any questions or concerns you have about you dental implants.

Playing “Tooth or Dare”

November 11th, 2020

Our teeth perform several vital roles for us. We use them to bite and chew, to help form words, to support our facial structure. And never underestimate the power of a smile!

But once you try to expand that job description, you are asking for trouble. Using your teeth for tasks they were not designed for is a game no one wins. What are some of the worst moves you can make? Putting your teeth into play as:

  • Ice Crushers

Crunching hard objects like teeth and ice cubes together can have one of two results—the ice will give, or your tooth will. If your tooth is the loser, you can expect cracks, fractures, worn enamel, and even dislodged crowns and fillings. If you’re tempted to chew on the ice in your drinks, try asking for a straw or using slushy ice instead. (The craving for ice can also be a symptom of other medical conditions—check with your doctor for more on that subject.)

  • Bottle Openers

If ice vs. teeth is a bad idea, metal vs. teeth must be a really bad idea. Those sharp hard metal caps can be difficult to remove even with a bottle opener. Don’t take a chance on chipped, fractured teeth and lacerated gums to get to that beverage faster/work around a lost opener/impress your friends.

  • Nut Crackers

Just because nuts offer more protein than ice doesn’t make their shells any safer to crack with your teeth. Besides the danger of fractured teeth and eroded enamel, biting on whole nuts can produce sharp splinters of shell that can damage delicate gum tissue. By all means, enjoy nuts—they pack a lot of nutrition in a small package. But buy them already shelled, or invest in a nutcracker.

  • Cutting Tools

Teeth aren’t meant to be scissors or utility knives. Even if you are trying to bite through the top of a relatively soft bag of chips, or a piece of duct tape, or a tag that just won’t come off your new clothes, you are putting pressure on your teeth in ways that they are not meant to handle. Don’t take a chance on chips and fractures.

  • A Helping Hand

Using your teeth to hold the straps of your heavy bag, or the leash of your well-trained pet—what could go wrong? How about an awkward fall? Or a squirrel? Or something that might possibly be a squirrel? Any fall or force that applies violent pressure to your teeth and jaw is a potential for dental disaster.

  • Stress Relief

You might grind your teeth or bite your nails whenever you feel nervous. Please find another form of stress relief! Grinding and clenching the teeth can lead to worn enamel, jaw pain, broken teeth and restorations, and a host of other problems. Biting fingernails is not only hard on your nails, but also introduces bacteria into your mouth and can cause damage to your tooth enamel.

If you grind your teeth at night, ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about a nightguard during your next visit to our Kingston, ON office.

This is real life, and you really don’t want to be playing “Tooth or Dare” with your dental health. Use your teeth for what they were designed for, and you’ll take home the grand prize—a lifetime supply of beautiful, healthy smiles.

Cold Comfort

November 4th, 2020

The sounds of the season are filling the air—falling leaves rustling along the sidewalk, football cheers, holiday greetings—and the coughs and sneezes of your fellow sufferers. Yes, it’s cold and flu season, and you’re one of the unfortunate people who’s caught whatever it is that’s been going around. While you’re recuperating, here are some tips for looking after yourself and your dental health.

  • Keep Hydrated

Fevers, sweating, diarrhea, and vomiting can all lead to dehydration. You know how serious that can be for your overall health, but it also leads to problems for your oral health. Lowered saliva production puts you at an increased risk for cavities, since saliva washes away food particles and bacteria, neutralizes cavity-causing acids, and helps strengthen tooth enamel. In addition to the dehydration illness can cause, many over the counter medications leave your mouth dry as well. Be sure to drink fluids throughout your illness, and, as always, try to avoid sugary beverages and acidic drinks.

  • Keep Up Your Dental Hygiene

You may feel like you never want to get out of bed again, but it’s important to maintain your dental routine. Brushing and flossing are still necessary to protect your teeth and gums. And try gargling with warm saltwater or a mouth rinse. You’ll not only soothe a sore throat and help prevent the bad breath that sinus problems can cause, but you’ll also reduce oral bacteria and plaque.

  • Keep Away from Your Toothbrush after Vomiting

Even though cleaning your mouth and teeth might be the first thing you want do to after throwing up, wait at least half an hour before brushing your teeth. Cavities occur over time when tooth enamel is weakened by the acids oral bacteria produce. When you vomit, your teeth are exposed to much stronger stomach acids, and immediate brushing simply brushes these acids on to your enamel. One common recommendation is to mix a teaspoon of baking soda with a glass of water, swish it around your mouth, and spit it out. Or simply use a glass of plain water, and repeat if needed.

  • Keep Your Cough under Control

Here’s a tip your family, friends, co-workers, and fellow public transportation users will thank you for: If you are sick, stay home. If you do find yourself coughing while around others, cover your mouth. Cough into a tissue instead of your hands or the open air. If you don’t have a tissue available, cough into your upper sleeve.  And while you’re protecting others, protect your tooth enamel. Replace overly sweet cough syrups with tablets, and, if you are using cough drops, remember that sucking on a sugary cough drop is like sucking on candy. Look for the sugar-free variety and use only as directed.

  • Don’t Keep Your Toothbrush

Now that you’re feeling better, it might be time to throw out your toothbrush. The chances of re-infection are low (unless you have a compromised immune system), but we often hang on to our toothbrushes long after their effective days are past. A toothbrush should only last around three to four months. If yours is older than that, this is a perfect opportunity to replace a brush that might be getting a bit long in the tooth with a fresh, germ-free model.

Above all, be good to yourself when you are ill. Drink healthy fluids, maintain your dental routine, and treat your teeth and your body with care. Here’s wishing you a speedy recovery, continuing dental health, and a season filled with beautiful smiles.

Can a Night Guard Mean Sweet Dreams for Your Child?

October 28th, 2020

Sometimes the reason for a poor night’s sleep is obvious. Maybe your child watched a scary movie. Or loaded up on sugar before bed. Or can’t get to sleep after a night of computer screens or video games. Not much we can do about these problems.

Sometimes, though, the cause of your child’s sleep difficulties is dental in origin, and that is something Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can help with.

Teeth grinding, or bruxism, is a very common childhood dental problem. While children with this condition sleep, their jaws clench and their teeth grind against each other throughout the night. When to suspect children might suffer from bruxism? When they experience:

  • Frequent headaches or facial pain
  • Waking with a sore jaw, or popping or clicking jaw sounds through the day
  • Teeth which are chipped, cracked, flattened, worn down, or sensitive
  • Waking up tired, because grinding affects the quality of sleep
  • Siblings who complain about nocturnal grinding noises, which affect the quality of their

Pain and fatigue are unpleasant enough, but there are additional serious consequences for those who suffer from bruxism. Our jaws are extremely powerful, and clenching and grinding can put hundreds of pounds on pressure on teeth and jaws over a few hours of sleep.

These forces can lead to damaged teeth and dental work, and problems with the temporomandibular joint, or TMJ, the complex hinge that allows our jaws to move up and down, back and forth, and side to side.

Clearly, prevention is clearly a much better option for a healthy smile. And one of the simplest and most effective treatments for preventing the damage caused by bruxism is a night guard.

Night guards fit over the affected teeth to prevent them from touching directly, saving tooth and enamel from injury and wear. Not only do night guards prevent contact, they spread the biting forces of the jaw over the surface of the guard to greatly reduce their impact. And because they also stop the jaw muscles from clenching tightly, there’s no excess stress placed on the temporomandibular joint.

For all these reasons, a night guard is pretty much a slam dunk for adults who grind their teeth. But for children, it’s not necessarily an automatic decision. Why?

  • If tooth grinding is mild and appears to be limited to baby teeth, children often outgrow the condition. Your dentist can let you know if you need to do more than monitor the situation.
  • Sometimes it seems like your child’s smile changes from day to day. Between losing baby teeth and erupting adult teeth, this beautiful smile is a work in progress. A fitted night guard might not be a perfect fit while your child’s teeth are still coming in and shifting position.
  • Finally, jaw and facial pain can also be caused by problems with your child’s bite or misaligned teeth, and that might mean that an orthodontic consultation is in order.

But if you suspect your child is suffering the effects of night time grinding and clenching, give our Kingston, ON office a call. A thorough examination will provide you with the best diagnosis and solutions for helping your child retain a healthy smile and regain a healthy night’s sleep.

And if a night guard is recommended, a dental professional is the best person to see for the most effective night guard.

While over-the-counter products are available, a custom night guard is designed to fit your child’s individual teeth and mouth perfectly. Impressions or 3D scans are taken in the office, and a guard is fabricated with the precise shape, strength, and thickness needed to protect young teeth. And, as a bonus, custom night guards offer the most comfortable fit for the most comfortable night’s sleep.

Scary movies, a late night sugar rush, mesmerizing video screens—not much we can do about those! But if your child is suffering lost sleep and painful mornings because of tooth grinding, give us a call. A night guard just might be the key to sweet dreams.

What is gum recession?

October 21st, 2020

Gum (gingival) recession occurs when gums recede from the tops of the teeth enough to expose sensitive roots. People typically experience increased sensitivity to sugary or cold foods when gums no longer cover and protect teeth roots. In addition, untreated gum recession may lead to loosening of teeth and accelerated tooth decay, something Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough see all too often.

Causes of Gum Recession

  • Periodontal disease – a serious oral disease arising from poor oral habits
  • Gingivitis – gum disease characterized by bleeding and swollen gums
  • Aging
  • Overly aggressive brushing and/or flossing – brushing hard in a scrubbing fashion will erode gum tissue at the roots of teeth
  • Genetic predisposition to gingival recession – having inherited thin, insufficient gum tissue facilitates gum recession
  • Bruxism – a condition where someone regularly grinds their teeth, usually during sleep
  • Chewing tobacco/smoking – promotes chronically dry mouth and reduced gum health

Periodontal gingivitis may also cause causing drooping of the gums instead of gum recession. A gingivectomy removes excess gum tissue weakened by bacterial decay while a gingivoplasty can reshape gums around the teeth. If sagging or receding gums are left untreated, they may develop pockets (gaps) that provide hiding places for food particles, mucus and other mouth debris conducive to anaerobic bacteria growth. As the most destructive type of oral bacteria, anaerobic bacteria is responsible for tooth decay, cavities, gum disease, and chronic halitosis.

Treatments for Gum Recession

Corrective actions need implemented as soon as possible to reverse gum recession by addressing the cause. For example, people who brush with hard-bristled toothbrushes should switch to a soft-bristled toothbrush and brush more gently. If gum recession is the result of poor oral hygiene, improve oral hygiene habits by brushing after meals, flossing, rinsing with non-alcoholic mouthwash, and getting dental checkups and cleanings every six months. For severe cases of gum recession, soft tissue grafts can add gum tissue to exposed roots by removing tissue from the person's palate and attaching it to existing gums at the area of recession via laser surgery.

If you’re worried about gum recession, visit our Kingston, ON office and talk to a member of our team.

What Are Dental Sealants?

October 14th, 2020

You’re constantly playing defense. Your child spends two minutes in the morning and two minutes at night carefully brushing and flossing with a fluoride toothpaste. You make sure sugary and acidic foods are not a major part of your diets. Your child visits our Kingston, ON office for regular exams and cleanings. Really, how can a cavity get past all that?

But even with the best defensive practices, you don’t have a level playing field—literally. The tops of our molars and premolars don’t have the smooth, easy-to-clean surfaces that our other teeth have. If you look at the chewing surfaces, you will notice deep grooves which toothbrush bristles have a much harder time reaching.  

Plaque and food particles can become trapped in these grooves (known as pits and fissures), providing perfect conditions for a cavity to develop. That is why cavities are so common in newly erupted molars. Dental sealants protect these teeth from cavities by providing a barrier which smooths out the surface of the tooth and prevents food and bacteria from reaching the molar’s crevices.

Most sealants are invisible plastic resin coatings which we apply in our Kingston, ON office. Usually the procedure is so quick and easy that no dental anesthetic is required. Each tooth will be examined first. If we find any signs of early decay, we will gently treat that area before beginning.

When the tooth is ready, it will be cleaned and dried. An etching solution will be brushed on to the dry surface to roughen the area a bit so that the sealant will hold to the tooth more effectively. A thin coat of the sealant is then painted on and hardened under a curing light. And that’s it!

Once teeth are sealed, they should be cleaned and flossed just as carefully as before. Regular exams and cleanings are still very important, and we can monitor the condition of the sealant and the sealed teeth. Properly applied, sealants can last from three to five years, or even longer.

Who should consider sealants? Sealants are typically recommended when the permanent molars first erupt. Children’s enamel takes a while to become its strongest, and so these just-erupted teeth are more at risk for cavities. Sometimes Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will recommend sealants for primary (baby) teeth if needed. But even adults can benefit—talk to us if you are interested and we will let you know if sealants might be right for you.

Sealants are a simple, safe, and minimally invasive way to prevent cavities. Studies of sealed molars and premolars show a dramatic reduction in cavities compared to untreated teeth. Sealants are one of the most effective ways to defend your teeth or your children’s teeth from tooth decay. And as we’ve all heard—defense wins championships!

Fall’s in the Air? Think Fall Dental Care

October 7th, 2020

Whether you already miss the sun’s bright rays, or can’t wait for some cool, crisp weather and colorful leaves, summer is making way for fall. And the change of seasons might mean it’s time for some adjustments to your dental care routine.

Fall’s in the Air, and You Can Feel It

You might enjoy the brisk weather and the cool autumn breezes, but you’d enjoy fall much more without the tooth sensitivity that cold weather can bring. Sensitivity can be the sign of a cracked tooth, gum disease, or even something as simple as too-energetic brushing. If you’re experiencing sensitivity outdoors or with hot and cold foods, don’t give up your nature walks and hot cider! Give Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough a call, and we’ll get to the root of your problem.

Fall Sports

The baseball mitts, surfboards, and water skis have been retired for the year, but that won’t stop you from enjoying exercise and team sports. And while you’re keeping your body healthy, remember to keep your teeth and jaws healthy as well. A mouth guard is an essential piece of equipment for any autumn contact sport like football or soccer, and is also a good idea for biking, skateboarding, and other physical activities where a fall or a collision is a possibility.

Fall Feasts

‘Tis the season for sugary Halloween treats, bountiful Thanksgiving desserts, and those over-the-top holiday lattes. By all means, celebrate the season. And celebrate your dental health (and your overall health) as well by enjoying these treats in moderation.

Why not take this opportunity to explore some of autumn’s more nutritious seasonal offerings? Brussels sprouts, sweet potatoes, carrots, pumpkins, and apples are part of a fall harvest of fruits and vegetables rich in vitamin A, vitamin C, potassium, calcium, and other nutrients that help keep our teeth and gums their healthiest. (And if the pumpkins and apples make their way into pies, no one will complain.)

Fall Semester

Many schools require a dental exam before the start of the academic year. If you haven’t made an appointment for your child, now’s the time to do it! And don’t forget a professional cleaning to remove plaque and tartar. Nothing starts a school year off better than entering the classroom with a bright, healthy smile.

And don’t forget to call our Kingston, ON office for your own regular checkup if it’s that time of year. Spring, summer, winter, fall—it’s always the right season for taking care of your dental health!

Mouthguard Protection

September 30th, 2020

Let’s talk about mouthguards and night guards—two crucial appliances that protect your child’s teeth and jaw.

We could talk about how important a mouthguard is when your family leads an active life. Mouthguards protect teeth, delicate mouth tissue, and jaws from accidents and impacts. 

Or if someone in the house grinds his or her teeth at night, waking up every morning with tooth or jaw pain, we can talk about how a night guard can be a quality-of-life-saver.

But we’re not going to talk about any of these important topics today. Instead of looking at how a guard protects your child, today we’re going to look at how you can help children protect their mouthguards.

If you want their guards to last longer, work better, and stay (and smell!) cleaner, some basic tips make all the difference. Here are some important rules to share with your child.

  • Keep your guard clean.

This can’t be stressed enough. Without a good cleaning routine, your guard can become discolored, develop an unpleasant odor, and even cause illness. Not very appealing, right? Happily, keeping mouthguards and night guards clean isn’t difficult.

When you wear your guard, whether during daytime activities or through the night, the same plaque that is present in your mouth makes itself at home your guard. And when your night guard or mouthguard is in its case, that dark, moist environment makes it a perfect breeding ground for all kinds of bacteria, viruses, and fungi.

As soon as you take your mouthguard out, rinse it off. Brush with a soft toothbrush to remove all the plaque, saliva, or food debris that might be lingering in your appliance. (If you are on the playing field, in the park, or at some other inconvenient location, rinse it and brush as soon as you can.) Toothpaste can help get your guard its cleanest, but can be too abrasive for some appliances.

Once you’ve cleaned it, let your guard air dry in a clean spot for about 30 minutes. Air drying helps prevent bacterial growth. After your guard has dried, return it to its case.

Once a week, you might need to give your guard a good soak in a mouthwash or other dental cleaning solution.

Since cleaning instructions can be different depending on which type of guard you have, be sure to follow our instructions if you have a custom guard, or follow the manufacturer’s cleaning instructions if you have a store guard.

  • Keep it safe.

When your guard isn’t in your mouth, it should be in its case. Floating loose on the bathroom counter or tumbling around in your gym bag puts your guard at risk for breakage and bacteria.

And don’t forget to clean your case thoroughly every few days and air dry it as well. Bacteria, viruses, fungi, mold, and other unwelcome guests can collect in your case, too.

  • Keep it only as long as it’s in good condition.

You can purchase mouthguards from sporting or drug stores, or Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can make a mouthguard or night guard designed to fit your teeth perfectly. These appliances are made to be strong and durable, but they’re not indestructible. Over time they can wear down or become damaged, especially if you treat them carelessly.

Bacteria can lurk in dents and cracks, and you can cut your mouth on rough, sharp, or broken edges. But if your guard isn’t fitting properly, don’t resort to self-help! Trying to repair, reshape, or trim your appliance yourself is not a good idea, because it might affect its fit and protective ability.

Any sign that your guard isn’t fitting properly or shows signs of wear and tear could mean it’s time for a replacement. You can replace a store model, or ask our Kingston, ON team about repairing or replacing your custom guard. A mouthguard that doesn’t fit, doesn’t keep you safe.

Take care of your guard, and it will take care of you. The reward for the small amount of time and effort you put into caring for your mouthguard or night guard is a smile that will last you for a lifetime. That’s a benefit we can talk about all day!

Three Signs You May Have Gingivitis

September 23rd, 2020

Gingivitis, or inflammation of the gums, is an early stage of gum disease. If you have gingivitis, it’s important to visit Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to get proper treatment, since home care isn’t enough to get rid of the plaque that leads to tartar and eventually to gum disease. Monitor yourself to see if you have these signs of gingivitis, and get help as soon as you can to prevent the progression to periodontitis. Your vigilance could save your teeth.

1. You have one or more risk factors.

Having risk factors for gingivitis doesn’t mean that you have or will get the disease, but it does mean that you should be especially watchful. You’re more likely to get gum disease if you have the following risk factors:

  • You are a smoker.
  • You are a female going through puberty, pregnancy, or menopause.
  • You have diabetes.
  • You have a compromised immune system, as is the case if you have HIV/AIDS.
  • You have a family history of gum disease.

2. You have inflammation in your gums.

Gingivitis is inflammation of the gums, and that is a tell-tale sign of the condition. Gingivitis or periodontitis can involve a bacterial infection, and inflammation is your body’s response to an injury or infection. The four standard signs of inflammation are pain, redness, swelling, and a higher temperature than normal.

If you have inflammation around your teeth, your gum disease may have progressed to the more serious condition of periodontitis. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can evaluate your case using a scope, or small ruler. The ruler is used to measure the pockets around your teeth, with a depth of one to three millimeters being normal.

3. Your teeth seem to be moving around.

Loose teeth are a classic sign of periodontitis. You may also have them if you have gingivitis. They can occur when your gum line recedes, or as the result of having soft bone in your jaw.

You might also notice other signs of your teeth moving around. For example, they may seem to be oddly spaced, or they could be separating from each other. You might also notice that your partial dentures don’t fit properly anymore, even if they’re not that old.

Gingivitis is a very treatable condition, but you need the help of Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to keep it in check. Contact our Kingston, ON office to schedule an exam today!

What type of toothpaste is right for you?

September 16th, 2020

Toothpaste no longer comes in simple choices of fluoride and fresh breath. Paste is not even the only option! You can choose gel forms and even some with ribbons of color and flavor. With so many varieties available, it may be difficult to know which features or combinations of ingredients are best for your mouth. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team are here to help!

Fluoride

The majority of all dental patients should use toothpaste with fluoride. Fluoride helps to strengthen the enamel on your teeth; it makes them stronger and more resistant to cavities. Even if you live in an area that adds fluoride to your drinking water, the fluoride protection in toothpaste is necessary.

Some individuals can have an allergic reaction to fluoride. Fluorosis can occur in children or adults that swallow too much toothpaste while brushing. If swallowing cannot be prevented, fluoride use should be reduced. The Canadian Dental Association has updated guidelines that recommend fluoride be used as soon as the first teeth erupt in children. However, the amount should be minimal and swallowing should be prevented.

Sensitivity Protection

If your teeth are sensitive to temperatures, toothpaste with sensitivity protection can work wonders for your discomfort. Ingredients in these pastes or gels work to block the pathways to the nerves that react to hot or cold. Do not give up on this type of toothpaste after a few days; the full results may take a few weeks.

Plaque, Tartar, and Gingivitis Protection

Everyone has bacteria in his or her mouth, and this bacteria is normal. Unfortunately, some bacteria also cause plaque. If the plaque remains on your teeth, it hardens into tartar or calculus. Tartar is an almost cement-like substance that cannot be removed by brushing alone. When bacteria and tartar are left behind, the deposits will form under the gum line. This leads to gingivitis and gum disease.

Since there is a wide variety of toothpastes and ingredients for preventing tartar and gingivitis, ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our staff what the best choice is for your teeth. We can help you select the right combination of ingredients.

Whitening

White teeth are desirable, and manufacturers are heavily marketing whitening toothpastes. Most brands do not contain bleaching ingredients; they use abrasives to polish stains away. Unfortunately, too much abrasive use can be damaging to your teeth. If you’re interested in teeth whitening, our Kingston, ON team can recommend a number of safe and effective options.

Feel free to ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our staff at Cataraqui Dental Centre about the best choice in toothpaste to meet your individual needs. Remember to look for the CDA approval seal on any toothpaste you are considering.

Caring for Your Smile after Invisalign® Treatment

September 9th, 2020

You went through a lot of effort and work to achieve your perfect smile. You wore your Invisalign aligner trays, brushed and flossed diligently, and now your treatment is done! What happens now?

In order to keep your teeth healthy and beautiful, you should keep several practices in play.

Retainers

Although everyone’s needs are different, many patients require a retainer after Invisalign treatment. If a retainer is recommended by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, use it as directed. Not wearing retainers could result in shifting teeth and potentially ruin your results.

It’s also recommended that you avoid hard, crunchy foods for the first few weeks as your teeth adjust. For younger patients, retainers are normally worn until the wisdom teeth come in or are extracted.

Brushing and Flossing

It should come as no surprise that flossing should still be done every day to remove plaque, which can develop into tartar or calculus. The build-up can lead to gingivitis and gum disease.

Your gums may be more sensitive for a week or two after your orthodontic work is completed. A warm saltwater rinse may relieve discomfort.

Because your teeth have been protected by your Invisalign aligners and are now fully exposed, they may be more sensitive the first few weeks after treatment. If that’s the case, we can recommend a sensitive toothpaste to relieve your discomfort. If your teeth are stained, a professional whitening treatment may be considered.

Regular Dental Checkups

Regular dental exams ensure your teeth stay healthy for life. Professional cleanings, X-rays, and cavity treatment can be addressed by staying on top of your routine checkups.

If you have any questions about how to care for your teeth after your Invisalign program, please ask our Kingston, ON team. We want you to keep your healthy smile and enjoy the results of your Invisalign treatment.

Common Causes of Gum Disease

August 26th, 2020

Your gums are responsible for a large part of your overall oral health. So keeping them healthy and knowing how to detect gum disease is extremely important.

Since it’s often painless, gum disease may go unnoticed and can progress when left untreated. Understanding the causes of gum disease will give you the ability to keep your oral health in great shape:

  • Bacteria and Plaque. Good hygiene helps remove bacteria and plaque from teeth. When plaque is not removed, it turns into a rock-like substance called tartar, which can only be removed by a dentist.
  • Smoking and Tobacco. Smokers and tobacco users put themselves at a higher risk of developing gum disease. Tobacco use can also stain your teeth, give you bad breath, and increase the risk of oral cancer. It’s best to avoid using tobacco altogether.
  • Certain Medications. Ironically, certain medications for other health conditions can increase your risk of developing gum disease. Talk with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough if you have concerns about a medication you are taking. Steroids, anti-epilepsy drugs, certain cancer therapy medications, and oral contraceptives can be among the culprits.
  • Medical Conditions. Certain medical conditions can also affect your gum health. Diabetics can have an increased risk of gum disease due to the inflammatory chemicals in their bodies. Talk to our team about your health condition so we can take that into account when treating you.

Luckily, there are actions you can take to prevent gum disease. You should make regular visits to our Kingston, ON office for regular cleanings. It’s also worthwhile to maintain good hygiene habits at home, such as flossing and brushing at least two times every day.

Good oral hygiene practice and visits to our Kingston, ON office can help you eliminate or reduce the risks of developing gum disease!

Invisalign Teen® Benefits

August 19th, 2020

You can probably see how teeth straightening can make your smile more attractive, but you might be wary of how Invisalign Teen treatment works. If you’re like most teens at our Kingston, ON office, you love hanging out with your friends, and you don’t want to be different, watch what you eat, or worry about how you look. Invisalign Teen has several benefits over traditional metal braces that can make your treatment easier.

People won’t know you’re wearing them.

Invisalign Teen consists of clear trays that are virtual impossible for others to see. Chances are, the only people who know that you are getting your teeth straightened will be your family and any of your friends whom you choose to tell. You won’t need to answer to “Tinsel Teeth” and “Metal Mouth” as some of your classmates with metal braces do.

You can eat what your friends eat.

You take your Invisalign Teen aligners out of your mouth for meals and snacks, so you can eat just like you normally would. You don’t need to worry about food getting stuck in your braces or leading to a bracket popping off. Unlike with braces, you can enjoy the following foods with your friends during Invisalign Teen straightening treatment:

  • Popcorn at the movies
  • Trail mix with dried fruit when you’re hanging out together
  • Ribs and chicken wings at a party
  • Eating a peanut butter sandwich, apple, and carrot sticks for lunch

You can take care of your teeth more easily.

It would be a shame if you took the trouble to straighten your teeth and then found out that you had developed tooth decay while wearing braces. This is less of a problem with Invisalign Teen aligners because they are removable. You can brush and floss your teeth as normal just by taking the trays out of your mouth.

Getting straighter teeth can be a serious confidence-booster in the long run, and with Invisalign Teen, the treatment isn’t that bad. You can wear these clear aligners without letting people know that you’re straightening your teeth, and they won’t interfere with your diet or dental hygiene.

What exactly is a cavity?

August 12th, 2020

We all know how discouraging can be it to hear you have a dental cavity. Knowing how cavities form can help you prevent them from popping up in your mouth. If you want to avoid a trip to see Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, pay attention to the measures you can take to prevent bothersome cavities.

Did you know that cavities are properly a symptom of a disease called caries? When you have caries, the number of bad bacteria in your mouth increases, which causes an acceleration in tooth decay. Caries are caused by a pH imbalance in your mouth that creates problems with the biofilm on the teeth.

When there are long periods of low pH balance in the mouth, this creates a breeding ground for bacteria. When you get caries, this type of bacteria thrives in an acidic environment.

Depending on which foods and beverages you consume, the biofilm pH in your mouth will vary. The lower the pH number, the higher the acidity. When your intake contains mostly acidic foods that sit on your teeth, cavities begin to form. Water has a neutral pH, which makes it a good tool to promote a healthy pH balance in your mouth.

A healthy pH balance in your mouth will prevent cavities from forming over time. Mouth breathing and specific medications may also be factors that contribute to the development of caries when saliva flow decreases. Without saliva flow to act as a buffer against acid, bacteria has a higher chance of growing.

Don’t forget: Getting cavities isn’t only about eating too many sweets. It’s also about managing the pH levels in your mouth and preventing bad bacteria from growing on your teeth.

If you think you might have a cavity forming in your mouth, schedule an appointment at our Kingston, ON office. It’s worthwhile to treat cavities early and avoid extensive procedures such as root canals from becoming necessary.

Keep up with brushing, flossing, and rinsing with mouthwash so you can prevent cavities over time.

Invisalign® and Invisalign Teen® Make You Smile

August 5th, 2020

Many adults and teens in our Kingston, ON office would love to have their teeth straightened but are unwilling to go through the long and often embarrassing process of wearing traditional metal braces. Invisalign® and Invisalign Teen® clear aligners offer the perfect solution: They’re the most advanced clear aligner systems in the world!

If you’re considering getting braces, there are several reasons why you might want to consider Invisalign clear aligners. Here are some of them:

  • You can eat whatever food you like, without worrying about it catching in wires or breaking brackets.
  • People won’t likely be able to tell you’re wearing them!
  • The aligners can be removed at any time.
  • You can brush and floss as you normally would, which helps to maintain better overall oral health.
  • Invisalign aligners are made of a smooth BPA-free plastic and are more comfortable to wear than traditional braces. You’ll need to visit our Kingston, ON office less often: only once every six weeks or so.
  • With Invisalign Teen, you’ll receive up to six replacements for lost or broken aligners.

Before starting treatment, you’ll have a consultation with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to see if Invisalign or Invisalign Teen treatment is right for you. After that, you’ll have X-rays, pictures, and impressions taken of your teeth.

That information will be used to make the 3D models of your teeth that let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough see how they will move throughout the entire treatment and approximately how long it will take.

You’ll receive your aligners based on the treatment plan we recommend. You’ll get a new set of aligners every two weeks. All you need to do is wear your aligners 22 hours a day and you’ll be on your way to a straighter smile in no time!

Ask a member of our Kingston, ON team for more information about Invisalign clear aligners today!

Generic Clear Aligners vs. Invisalign®

July 29th, 2020

You may have a talent for home repairs. You may be able to rebuild your computer. You may even be able to put together a whole room of furniture armed only with flat-box kits and an Allen wrench. But, please—don’t try do-it-yourself orthodontics!

Now that generic clear aligners are available, you might consider giving them a try to save some money. But is straightening your own teeth really a good idea? Before you are tempted, let’s look more closely at the products and the dental science involved.

Invisalign®

  • Invisalign clear aligners are used by orthodontists and dentists with experience in custom treatment for your smile. A 3D image of your teeth will be captured by the iTero Element® scanner. Using special software, your doctor can map out each projected shift in your teeth, and even show you a projection of your finished smile!
  • Your Invisalign aligners will be tailored to fit your teeth precisely using the 3D scan and 3D printing. They are made from SmartTrack® material, a product specifically engineered for a perfect, comfortable fit. Invisalign aligners are even trimmed to fit your individual gumline to prevent irritation.
  • When your first sets of Invisalign aligners arrive at our Kingston, ON office, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will check for fit, answer any questions you might have about use and care, and let you know what to look for and what to expect. Your progress will be monitored with visits every six to eight weeks. (And for parents of teens, Invisalign aligners can offer blue “compliance indicators” to let you know they are being worn the 20-22 hours a day necessary for the best and fastest results.)

Generic Aligners

  • You might be required to make a putty mold of your own upper and lower teeth, which is not the easiest thing to do well, and to take selfies of your teeth.
  • The aligners will be sent to you in the mail. They are generally made of hard plastic with generic gumlines. There will be no one to tell you if the aligners fit properly.
  • They are sometimes less expensive because there is no in-person medical supervision. A dental professional working for the company will look at the model created from molds you submit, and recommend a series of aligners to correct the problems he detects by looking at the model and your selfies. This supervisor will not be able to assess the overall dental health of each patient to make sure teeth and gums are healthy and ready to start treatment, and will not be able to tell if the teeth are moving properly or improperly once the aligners are in use.

Finally, while generic aligners may potentially have some success in minor tooth straightening, they are not created to deal with complex bite issues or malocclusions.  In fact, using generic aligners with no supervision can cause more serious dental problems than a patient started with.

Sure, sometimes a do-it-yourself project turns out well. But your teeth and bones are too important for home improvement. When it comes to creating a beautiful, even smile and balanced, comfortable bite while making sure of your dental health, it’s always best to trust a professional like Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to provide you with gentle, tested, and successful care!

Are dental implants painful? What You Need to Know

July 22nd, 2020

Whether it is the result of tooth decay, gum disease, or injury, millions of people suffer tooth loss. Dental implants provide a strong replacement tooth root for fixed replacement teeth that are designed to match your natural teeth. Of course, there is one question all patients have about dental implants: are they painful?

Dental implant placement is performed under local or general anesthesia and is not considered a painful procedure. However, if the surgery is more complicated and involves bone or tissue grafts, there may be slightly more discomfort and swelling. At the same time, every patient has a different threshold for pain, so what may bother one person may not bother another. If you experience any pain from dental implants, there are several things can do to relive it.

Relieving Pain from Dental Implants

1. The initial healing phase can last up to seven to ten days. Over-the-counter painkillers such as Tylenol, Ibuprofen, and Motrin work well to alleviate any pain or discomfort you may experience. However, only take these if instructed to by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough.

2. Once you leave our Kingston, ON office, you can reduce inflammation and any swelling to your cheek or lip by holding an ice-pack on your face over the implant area.

3. Your gum will be tender for the first few days. We often recommended that you bathe your gums with warm salt water.

4. Steer clear of crusty or hard foods for the first day or two. Ice cream, yogurt, and other soft foods are ideal as your gums will be tender.

5. Dental implants are a relatively straightforward oral procedure. Many people take time off from work to have dental implant surgery, and then return to regular activities. However, if you are feeling any pain or discomfort, there is nothing wrong with taking the day off, relaxing, and putting your feet up.

There is typically no severe post-operative pain with dental implants. When most people return for a follow-up appointment about two weeks later, they often say that getting a dental implant was one of the least painful procedures they’ve experienced.

Oral Cancer

July 15th, 2020

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want you to have the healthiest possible smile in the healthiest possible body. Oral cancer can affect the mouth, tongue, throat and jaw. Early detection is vital for the best possible outcome when treating this disease. That is why we check for symptoms of oral cancer at every dental examination.

What can you do to reduce the chance of oral cancer?  Reduce your risk factors. You can help prevent oral cancer by adopting these healthy habits:

  • Don’t smoke. Don’t chew tobacco. Don’t use a pipe. If you use any tobacco products, quit. Tobacco use is the single largest risk factor for head and neck cancers. Talk to us—we have suggestions for helping you break the habit.
  • Drink alcohol in moderation. Heavy drinkers have a higher rate of oral cancer. More than one to two drinks per day can be considered heavy drinking, depending on factors such as weight, age, and even gender. Check with your doctor to find your personal definition of moderation.
  • Eat a healthy diet. Cancer-fighting fruits and vegetables are a great addition to any menu.
  • Protect yourself from the sun. Help prevent sun-related lip cancers by always wearing a UVA/UVB blocking sun screen or lip balm whenever you are working or playing outside—and reapply frequently.
  • Some forms of the HPV virus have been linked to oral cancer, and those affected are generally younger and less likely to be smokers. Research indicates that the HPV vaccine, known for preventing several types of cancer, might also help prevent HPV-related oral cancers.
  • Schedule regular dental exams. We are trained to recognize oral cancer and precancerous conditions that you might miss.

Of course, cancer can occur even with the healthiest habits. Do come see us if you detect any of these symptoms:

  • A sore or ulcer that doesn’t heal, or persistent tenderness and pain in the mouth
  • Lingering sore throat, hoarseness, or vocal changes
  • Pain in the neck or ear that doesn’t go away
  • A lump, a rough or thickened area, or eroded tissue in the skin lining the mouth
  • Red or white patches in the lining of the mouth or on the tongue
  • Difficulties chewing, swallowing, speaking, or moving the tongue or jaw
  • Numbness in the tongue or mouth
  • Changes in the way your natural teeth or your dentures fit together.

Not every symptom is caused by cancer, but it is important to rule out the possibility. We are trained to recognize early signs of oral cancer, and can recommend further tests if needed. Call our Kingston, ON office immediately if you have any concerns. Early detection and treatment lead to the most successful outcomes.  

Your Child’s First Toothbrush

July 8th, 2020

First word, first step, first haircut, first… toothbrush? While it may not be considered a typical milestone, choosing the right first toothbrush is an important first step in your child’s future dental health.

The time to start brushing is when your baby’s first tooth appears. Until then, you have probably been using a clean, moist washcloth or gauze to carefully wipe your baby’s gums. Continue that gentle treatment with a toothbrush designed for infants. Look for a toothbrush designed especially for infants and toddlers, with extra-soft bristles and a small head for tiny mouths.

When your toddler is ready to try brushing for the first time, there are many options to make learning the proper technique enjoyable for both of you! Extra-soft bristles and small brush heads again are important for young children, and brushes are available with colorful patterns and designs to charm any child. There are brushes available with handles designed for easy gripping, right-handed and left-handed options, and even electric models.

No matter which brush you choose, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team recommend:

  • Use soft bristles and a brush head sized to fit your child
  • Use the proper amount of toothpaste (when your child is old enough to spit out toothpaste instead of swallowing)
  • Replace the toothbrush every three months, or earlier if it is frayed
  • Always supervise your young child while he or she learns to brush
  • Don’t forget to schedule checkups every six months at our Kingston, ON office!

You probably won’t be preserving your baby’s first toothbrush in your baby book, but teaching your child the proper way to brush with the right toothbrush can lead to a lifetime of dental health. And that’s a milestone to celebrate!

Summer Sports and Mouthguards

July 1st, 2020

School’s out and you’ve emptied your gym locker until next fall. But while you’re stowing away the football gear, the basketball warm-ups, the field hockey sticks, and all the other equipment you’ve collected over the school year (that’s where that other shoe went!), be sure to keep one item handy: your mouthguard.

Team and contact sports like football, basketball, and wrestling aren’t the only potential dental dangers. In fact, almost any sport or activity can be made safer when you use your mouthguard.  While you’re keeping active and fit in the summer months, remember to look out for your smile.

  • Sports on wheels

Biking, skate boarding, rollerblading—it only takes one fall to make you realize that roads, sidewalks, and concrete are not ideal landing pads. If you do take a spill, using a mouthguard, along with your helmet, will help protect your teeth and jaw.

  • Court sports

Handball and tennis are not what we consider contact sports, but an unexpected bounce from a ball, or a completely unexpected backhand from your partner, can lead to dental injuries. Ace your workout and wear a mouthguard.

  • Water sports

A fall in the water can lead to a collision with your surfboard or water skis, and water polo often seems to be a game of stamina, accuracy and elbows. Wear your mouthguard on land and sea, and help reduce your chance of dental injury.

  • Team sports

Anyone who has played summer league baseball, softball or soccer knows that occasional contact with other players is pretty much a given. Cushioning your head, mouth, and teeth with a mouthguard will not only protect you, but keep you in the game—and your teammates will appreciate that!

If you already use a mouthguard, keep up the good work! If you don’t, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about the importance of protecting your smile with a mouthguard. There are ready-made options available at drug stores and sporting goods shops. These will provide protection to your mouth and teeth, but can sometimes be bulky and uncomfortable and should never be used with braces. If you would like a mouth protector that provides the best fit and comfort, or if you wear braces, we can customize a mouthguard in our Kingston, ON office that will be a perfect fit for your teeth and bite.

Whatever activity you choose, play it smart! Don’t gear up without your mouthguard, and you’ll greet next year’s classes energized, fit, and sporting a beautiful smile!

The History of Dental Implants

June 24th, 2020

The earliest endeavors for dental implant tooth substitutes on record dates back to the Mayan civilization, to 600 AD. Archeologists recovered primeval skulls in which the teeth had been replaced with materials the ranged from wood, stones, and jewels to small pieces of seashells.

Like most scientific progresses, the finding of what makes todays dental implants so successful was unexpected. In 1952, a Swedish orthopedic surgeon, named Dr. Branemark, placed a very small titanium cylinder into a bone to learn how the bone would heal. What he discovered was that the titanium cylinder had fused (melded to the bone.) Out of this experiment dental implants would be born within two decades.

In 1970s, modern dental implants made their first appearance. Of course, over the past four decades, the original dental implant has undergone several improvements in both structure and design, but has always been based on the original theme.

Dental implants were first made available to individuals who had lost all of their teeth and had difficulty wearing dentures, mainly because they had lost of much of their jawbone were dentures set. Today, most dental implants are used in place of dentures, for multiple teeth that are missing, or to replace a single tooth.

When dental implants were first designed, they were a one size fits all. The original dental implants were all the same circumference, while the length of each tooth varied depending on the type of tooth it was replacing. The dental implants were smoothed out and polished by a machine, but still did not produce the natural looking dental implants we have today.

Now, with the help of state-of-the-art equipment and advanced technology, implants come in a wide variety of sizes and shape to match the teeth that are missing. The surfaces of today’s dental implants give them a more natural look and feel. In addition, the surface of the dental implant also attaches to the bone much easier and for a longer period of time.

Dr. Branemark's discovery has left an impression on dental professionals, all over the world, including Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. If you are considering dental implants to improve your smile’s health, beauty, and function, be sure to contact our Kingston, ON office to schedule an appointment.

What happens if I don’t have my wisdom teeth removed?

June 17th, 2020

One of the things Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre monitor during your dental appointments is the growth of your wisdom teeth, or third molars. Third molars generally begin to erupt between the ages of 17 and 25. Wisdom teeth may require removal for many reasons, including pain, infection, or growth issues. While not all patients need their wisdom tooth removed, problems can develop if removal is not performed.

Overcrowding

Many patients have smaller mouths and jaws, which do not allow room for the third molars to grow in properly. If these teeth do erupt, overcrowding can occur. Your teeth will begin to shift or overlap each other. Wisdom teeth that erupt after orthodontic care is completed can cause the teeth to shift and negate the work performed.

Impacted Wisdom Teeth

When wisdom teeth are impacted, they are trapped below your gum line. Impacted wisdom teeth can be very painful and may be prone to abscess and infection. The impaction can lead to decay and resorption of healthy teeth.

On occasion, if wisdom teeth are not monitored properly, their growth can shift parallel to the jaw line. They can also shift backward and eventually interfere with the opening and closing of your jaw.

Greater Potential for Decay

Even when wisdom teeth grow in properly, the location can make the teeth harder to care for. This in turn can lead to the growth of more bacteria, and create health issues later in life.

If you do not have your wisdom teeth removed, they will require continued monitoring. Wisdom teeth are just as subject to decay and other problems as the rest of your teeth. Those that appear above the gum surface can often be extracted at a dental office in a fashion similar to any other tooth extraction. Impacted teeth are normally handled by an oral surgeon.

Pain in the back of the jaw and swelling may indicated wisdom teeth that are beginning to rupture or are impacted. A simple set of X-rays will determine the extent and direction of growth. Please do not hesitate to discuss your concerns during your next visit our Kingston, ON office. We will be happy to explain wisdom teeth, and potential removal, as it applies to your specific case.

Nitrous Oxide Sedation

June 10th, 2020

Some patients may require nitrous oxide to remove pain or anxiety during dental treatments. If you desire any form of dental treatment at our Kingston, ON office, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough may administer nitrous oxide for its anesthetic/analgesic properties.

Commonly known as laughing gas, nitrous oxide is a gaseous sedative that’s inhaled through a mask over the nose. It was first used in the mid 1800s when practitioners didn’t know they should mix oxygen with the nitrous oxide, which wasn’t healthy alone.

These days, nitrous oxide is administered with at least a 30% oxygen mix, which makes it safe for any dental care.

Some of the effects you may experience while you’re sedated include:

  • Lightheadedness, and tingling in the arms and legs, followed by a warm or comforting sensation
  • A euphoric feeling or a sensation that you are floating
  • Inability to keep your eyes open, so it feels as if you’re asleep

The percentage of nitrous oxide can be easily adjusted if necessary. Let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough know right away if you feel uncomfortable or sick. The effects wear off quickly after you begin to breathe regular air following your treatment.

If you still have concerns about nitrous oxide, feel free to call our office about it. Our staff can go over other options for sedation and select the best one for you.

Summer Treats for Healthy Teeth

June 3rd, 2020

School’s out for the summer, and it’s great to have the kids home. After all, they deserve a break after all their hard work. And you want to keep their vacation happy, relaxing, and fun—without letting them spend those summer months cooling off with sugary treats. What are some of your options for healthy hot weather snacks?

  • Naturally Sweet Treats

Keep a supply of fresh fruit handy for summer snacking. Crispy fruits like apples and Bosc pears actually provide a little scrubbing action for the teeth with their vitamins, and softer fruits such as bananas, berries, and, of course, watermelon, provide natural sweetness along with vitamins and minerals. Yogurt has valuable calcium for strong teeth and the vitamin D our bodies need to use that calcium. Add some fresh fruit to Greek yogurt for added flavor and sweetness—and even more vitamins.

  • Savory Snacks

Cheese is a calcium-rich snack, and crunchy carrots and celery help scrub teeth while providing vitamins and minerals. Do a little mixing and matching by adding some cream cheese to that celery for extra flavor. Serve up hummus and pita chips or cheese with whole grain crackers. They’re great nutritious alternatives to chips and dip.

  • Blender Blast

Summer’s the perfect time to use your culinary creativity and expand your child’s palate with vitamin-rich smoothies. Toss your favorite fruits in the blender with a little juice, non-fat yogurt, milk, or honey, whirl away, and you have a delicious, healthy snack. You can add a few leafy greens for even more nutritional value. There are many easy recipes online for creating homemade smoothies that will please any picky palate.

  • Freezer Favorites

Ice cream is a favorite summer treat, but it can also provide quite a sugar punch. There are many homemade frozen yogurt recipes available online which combine frozen fruit, yogurt, and honey for your own summer celebration, without adding large amounts of sugar. Or choose to stock your freezer shelves with low-sugar fruit pops, store bought or homemade.

  • On Tap

A soda or a sports drink are often the go-to hydration choices in the summer. You might already be careful about handing these drinks out because they can have such a high sugar content. But they can also create a very acidic environment in the mouth, which is harmful to tooth enamel. Water is the safest, healthiest option for hydrating in hot weather, and can even provide some of the fluoride which helps keep enamel strong.

Whatever is on your child’s summer menu, keep up with all those great dental habits you’ve already established. A limited number of snacks—even healthy ones—is best, and be sure to brush after snacking, or rinse with water if brushing’s not an option. And don’t forget to maintain your child’s normal schedule of brushing and flossing, and regular visits with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office.

Have a great summer, and send your kids back to school rested, relaxed, and with a healthy, happy smile. Then take a moment, relax, and sip that smoothie—after all, you deserve a break after all your hard work!

Chipped Your Tooth? Now What?

May 20th, 2020

Accidents happen. Next time you’ll wear your mouthguard when you skateboard, never use your teeth to open anything, and carefully step away from your grandmother’s hard candy dish. But what to do now for your chipped tooth?

First of all, call Cataraqui Dental Centre. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team can offer tips on dealing with any pain and how to avoid injuring your tooth further. Make an appointment to see us as soon as possible, where one of the following options might be the best treatment for you:

  • Bonding

If the chip is small, you might be a good candidate for bonding. A tooth-colored resin is applied to the damaged area with adhesive, molded to shape, and then hardened with a curing light. It is then polished and, if necessary, further shaped to match your surrounding teeth.

  • Porcelain Veneer

A veneer is a thin shell of porcelain individually molded for your tooth. If the chip is too large for bonding, or if you would like a more translucent finish, a veneer might be appropriate. During your first appointment, some of the tooth structure will be gently removed to accommodate the size of the veneer. A mold will be taken and sent to a lab for the creation of the veneer, which will be bonded to your tooth on a later visit. Whether a veneer will be successful depends on several variables, such as the condition of the tooth and enamel, your bite, and whether you grind your teeth. We will take all these factors into consideration in discussing possible treatments.

  • Crown

A large chip or pain when eating or drinking might mean that you need a crown. This “cap” will protect your tooth from the pressures of chewing as well as restoring its appearance. On your first visit, some of the tooth structure will probably be removed to make room for the crown, impressions will be taken for the dental lab to make a permanent crown, and a temporary model will be fitted to your tooth. In a following visit the permanent crown will be adhered to your tooth.

If the crack has extended to the pulp of the tooth, you might need a root canal. If this is necessary, we will discuss the procedure during our exam.

No matter the size of the chip, it is important to contact our Kingston, ON office immediately to help avoid infection and prevent further damage. If your tooth is broken below the gumline or otherwise seriously compromised, more intensive care will be necessary. But when a minor accident happens, prompt treatment can quickly restore your smile to health.

Xerostomia: Big Word, Common Problem

May 13th, 2020

Xerostomia might sound like a serious and rare condition, but it’s more common than you think. If you’ve been feeling like your mouth is constantly dry, you may already be having your first encounter with it.

Xerostomia refers to when you have a dry mouth due to absent or reduced saliva flow. Now you might assume this is not a big deal, but a lack of saliva can threaten your dental health or worse, because it can be a sign of a bigger overall problem.

Some of the more common symptoms to watch for are a sore throat, difficulty swallowing, a burning sensation on the tongue, and of course, a significant lack of saliva. Because xerostomia entails a reduction in saliva, you have less of a buffer between your teeth and the food you eat, which makes you more vulnerable to cavities and tooth decay. It also means that food is more likely to get stuck in your mouth.

So what causes xerostomia? There can be many different culprits. One of the most common causes involves medication. If you’re taking antidepressants, muscle relaxers, anti-diarrhea medicine, anti-anxiety medicine, or antihistamines, this could be the reason for your xerostomia.

Dry mouth may also be a warning sign for other health issues. These can include lupus, diabetes, thyroid disease, arthritis, or hypertension. Patients that receive any kind of chemotherapy might also experience xerostomia as a side effect of their treatment.

If you’re experiencing symptoms of dry mouth, there are several things you can do:

  • This may seem obvious, but you should drink generous amounts of water. If you’re taking any of the medications known to cause xerostomia, a glass of water before and after administering the medication could be helpful.
  • Avoid heavily caffeinated drinks, since they will dehydrate you further.
  • Opt for a mouthwash that contains little to no alcohol.
  • Consume excessively sugary or acidic foods in moderation, if at all.
  • Try adding a humidifier to your room while you sleep, to add moisture to the air you’ll be breathing.

As always, stay on top of your brushing and flossing routines, and if you feel you might be suffering from xerostomia, please let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough know during your next visit to our Kingston, ON office. We’re happy to recommend products we’ve found to be successful in treating xerostomia.

What is Nitrous Oxide?

May 6th, 2020

Many of our young patients experience anxiety during dental appointments. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want to help your child overcome any fear he or she may feel when coming in for regular visits.

If you know your child suffers from anxiety during dental checkups, nitrous oxide sedation, popularly known as “laughing gas,” may be helpful. Nitrous oxide can be used during many types of dental procedures.

It has a sweet odor and taste, and gets mixed with oxygen when supplied through a mask. The effects typically kick in within a few minutes and leave your child feeling calm and relaxed.

Nitrous is helpful because your child will stay conscious and able to move and answer questions the doctor may ask. The drug is also convenient because the effects go away within a few minutes after the mask is removed.

Nitrous oxide is not dangerous when it’s combined with oxygen. It is non-addictive and non-allergenic. When used properly, nitrous oxide reduces anxiety, while allowing continued communication between the patient and dentist during a procedure. It can also help alleviate pain or discomfort during exams.

You should know that nitrous oxide may cause nausea in up to ten percent of patients. This drug is not recommended for people who suffer from certain medical conditions. We recommend discussing this method with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough if your child's dental anxiety begins to interfere with his or her appointments.

We want all our patients to feel comfortable during their care. Talk with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at your child's next appointment to find out if nitrous oxide is an option. If you have questions regarding nitrous oxide, call our Kingston, ON location and we’ll be happy to answer them.

 

I haven’t been to the dentist in years; what should I expect?

April 29th, 2020

Time flies when we are not at the dentist! Before you know it, years may have gone by. Let’s take a moment to explain what takes place when a patient comes back to receive care after an extended period of time.

After a while, small dental concerns or issues can grow into an unexpected journey of discovery and expense. Anxiety is common and expected. Let’s discover first of all, “What brings you here today?” It is a good place to start and once the initial concerns are addressed, a comprehensive plan to restore optimum dental health can be arranged. During the first appointment Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want you to feel comfortable, and establish a confidence allowing you to be open with any questions.

Your visit will take approximately 90 minutes. First, a complete medical and dental history will be recorded and reviewed in one-on-one interview style. This is the time to voice any concern, anxiety issues, worries, etc. Then, X-rays are taken to provide additional information about what is happening beneath the surface of your teeth and gums. Finally, a series of screenings including those for oral cancer, home care evaluation, and periodontal disease are conducted to complete your oral health evaluation.

The hygienist has a great eye for other conditions such as broken fillings, cracked teeth, active decay, and other dental concerns. Then, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will come in for a comprehensive exam and list and prioritize your dental needs. Our treatment coordinator will present scheduling options, insurance coverage, and payment plans.

Our team will coach you and help you gain control of your own dental destiny with good home care habits. You will receive a bag with a toothbrush, floss, appropriate toothpaste, and any other specialized tools for your needs. You will know how often you need to return for hygiene visits or other dental appointments.

Our patients at Cataraqui Dental Centre are our most important asset, and we strive to create a comfortable experience, no matter how long it has been since your last visit at our Kingston, ON office. From phone conversations to financial arrangements to clinical treatment, we want you to feel confident that our team will meet your needs.

Pregnancy and Oral Care

April 22nd, 2020

Pregnancy involves a lot of alterations in your health. Cataraqui Dental Centre is here to help you understand the oral health aspects of your pregnancy.

As you may already know, your body becomes more susceptible to bacterial complications. In terms of oral health, you may be at a higher risk for gingivitis and periodontal disease during the course of your pregnancy.

The hormonal changes in your body can create a more welcoming environment for gum infections, including gingivitis. Although you may continue to brush and floss on a regular basis, and maintain your schedule of cleaning appointments, you are still prone to an increased risk of gingivitis. Your gums may feel more sensitive and become more prone to bleeding because of the increased amount of blood flowing through your body. This can also be a side effect of periodontal disease, which nearly 40% of pregnant women have.

In order to avoid painful dental visits, you should attempt to brush more than twice a day and always floss regularly. We recommend investing in a good mouthwash for extra protection against plaque buildup. Other oral conditions to watch out for during pregnancy include oral gingival lesions, tooth mobility, tooth erosion, and dental caries.

Keeping your oral health in top shape will prevent bacteria from circulating to other places in your body during pregnancy. Your immune system is more likely to be compromised, which means you generally face an increased risk for illnesses.

Don’t forget that you share nutrients and pathogens with your baby, so it’s crucial to reduce your risks in every possible way. If you think you may be experiencing an oral health issue during your pregnancy, please call our Kingston, ON office to schedule an appointment, and we will be happy to help you.

Make Brushing Fun!

April 15th, 2020

It’s gratifying to know your child has good oral hygiene, especially starting from an early age. We know it can be difficult to get your son or daughter to brush those tiny teeth, let alone brush them well enough, every day. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team are here to give you some tips on how to help your youngster learn excellent oral health habits.

Your child should brush his or her teeth at least twice a day in order to prevent cavities and decay. An grownup may have to assist with flossing or using mouthwash. Always make sure your little one doesn’t swallow toothpaste or mouthwash in the process.

Only buy alcohol-free mouthwash, especially if you have young children in your household. Oral healthcare should be made fun from the start, to create good habits!

Helpful Tips

  • Set a good example. Brush your teeth with your children and make it fun! Pick a two-minute song to play while brushing and dance along to it.
  • Make it a race to the bathroom to see who can get the toothbrush and floss out first.
  • Use a sticker sheet. For every night your children brush well, give them a sticker. After they’ve earned certain number of stickers, they win a reward. Let them pick it!
  • Let your child check your brushwork, or try letting your youngster brush your teeth!
  • Allow children to play with a toothbrush if they want to. They can brush their favorite stuffed animal’s or doll’s teeth before bed as well.
  • Let your child pick his or her own toothbrush or toothpaste from a range of options you provide. Kids might pick one with their favorite cartoon character(s) on it, for example.
  • Get a two-minute brushing timer your child can flip over when he or she starts to brush. Your son or daughter can watch the sand fall until it’s empty, which notifies the kid it’s time to stop brushing.
  • Buy special children’s mouthwash that is colored to stain the areas of the child’s mouth where he or she needs to re-brush for effectiveness.
  • Be gentle when your little one makes a mistake like forgetting to brush, and remind your son or daughter about the importance of good oral health in a fun, loving way.

There are plenty of ways to make brushing your child’s teeth more fun and effective. When Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and the parents work together, we can help establish good oral health habits in children that will last a lifetime.

Take the trouble to set a great example for your children, and they will follow in your footsteps. If you’re concerned about your child’s oral health, contact our Kingston, ON office and schedule an appointment with our team.

Invisalign Teen®: What Parents Should Know

April 8th, 2020

Parents want the best for their teens and often ask us about the perks of Invisalign Teen clear aligners compared to traditional braces. Invisalign treatment is a style of braces that skips the usual metal and wires, and uses a clear, thermoplastic material to create removable aligners instead.

Aligners are custom-made for each patient and replaced every two weeks to attain gradually straighter teeth.

Is Invisalign treatment as effective?

As long as your child wears the aligners as directed, the answer is yes: they are just as effective as traditional braces. A small blue spot on the back of each aligner will fade after two weeks of proper wear. This enables Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to tell whether the child is wearing the aligners.

Can Invisalign aligners be removed?

The recommended amount of time to wear Invisalign aligners is at least 20 hours a day. They can be removed for up to four hours per day to eat, brush teeth, play sports, or play musical instruments. This makes brushing and flossing easier and helps maintain good oral hygiene!

How long does treatment take and what is the cost?

Each patient is different. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can determine how many months your child may expect to wear the series of aligners after a consultation.

Typically, your teen will wear Invisalign clear aligners about as long as traditional braces The cost is also similar to that of other traditional braces; however, there is no set fee. The cost will depend on your child’s unique orthodontic needs.

Overall Success

Invisalign Teen treatment has had remarkable success, and patients love having straighter teeth without the embarrassment of metal braces. As your son or daughter becomes more confident, the patient will actually be more likely to keep up with the treatment and complete it sooner.

Speak with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough today to learn more about the benefits of Invisalign Teen treatment. Give our Kingston, ON office a call!

 

Does the placement of implants hurt?

April 1st, 2020

If you're scheduled to get a dental implant, it's only natural to have questions about it. The pain involved is usually on the mind of most patients. Of course, some discomfort is possible, as with any major dental procedure. Having a well-defined plan ahead of time, which is carried out by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, reduces the risk of complications or side effects post-surgery.

During the procedure you won't feel a thing, since it is performed under general or local anesthesia that totally numbs your mouth. It's more likely that you will feel some pain or discomfort after the anesthesia has worn off.

There are usually three things that will affect the length and intensity of any discomfort:

  • The complexity of your surgery (for example if you need a bone graft or sinus lift beforehand)
  • How well-trained the dental team which works on your case is (it may be multiple people, including a periodontist, oral surgeon, and/or general dentist)
  • How quickly your body is able to heal itself post-surgery

The pain experienced from an untreated case will usually far outweigh that experienced from a dental implant. Good oral hygiene after your surgery is important to avoid infection. Salt water rinses are generally recommended 24 hours after your surgery. Brush your teeth gently around the implant.

It's also a good idea not to eat any food that is too hot, cold, or hard. Soft or pureed foods will help you to avoid chewing for the first few days after surgery and will help your mouth to heal faster. You'll typically be prescribed pain medication, but some patients find that ibuprofen or acetaminophen work well enough. Just remember, the most severe discomfort is usually experienced within the six hours after your anesthesia wears off.

Getting a dental implant is a big decision, and we want to make sure you get through it easily. Our Kingston, ON team is here to help if you have any questions about the procedure or post-surgery care.

Timing Matters!

March 4th, 2020

Many patients at Cataraqui Dental Centre are under the impression that harder brushing leads to cleaner teeth, but that is not true. Gentle brushing is just as effective, and less likely to cause damage. Other good brushing habits include brushing your teeth at least twice a day, replacing your toothbrush after a few months, and brushing for at least two minutes each time. It can be tough to keep track of the time when you are aiming for two minutes, but these tips can help.

Set a Timer

Setting a timer is a sure-fire way to hit your two-minute goal on the dot. Leave a kitchen timer in your bathroom so that it is easy to set each time you start brushing your teeth. Hit each surface of all of your top and bottom teeth, and keep brushing until the timer rings. Many electric toothbrushes have a built-in timer that you can use instead of a kitchen timer.

Entertain Yourself for Two Minutes

Time flies when you are having fun, and you can stay entertained as you brush your teeth for two minutes. These are some ideas.

  • Time your favorite song and sing it in your head as you brush your teeth.
  • Find a two-minute video on the Internet that you want to watch, and start it when you begin to brush your teeth.
  • Do squats in the bathroom as you brush. Go down for three slow counts, and up for three slow counts. By the time you get to 20 squats, your two minutes will be over.

Let Your Children Use Technology

Toothsavers is an app designed to inspire children to brush. The app was developed and released by the Ad Council and the Partnership for Healthy Mouths, Healthy Lives. It includes:

  • A game to fight an evil sorceress who causes cavities
  • A two-player version that lets children interact with friends and parents
  • Real-life reminders to brush twice a day
  • A built-in timer that helps kids brush for two minutes

What are mini implants used for?

February 26th, 2020

The use of mini dental implants (MDIs) is on the rise. MDIs are about the diameter of a toothpick (1.8 to 2.9 millimeters with lengths between ten to 18 millimeters) and are primarily used to secure loose upper or lower dentures or partial dentures.

MDIs are particularly useful for patients who suffer from osteoporosis or otherwise aren't well enough to get the bone grafts sometimes required by traditional dental implants. Their diminutive size also allows them to replace smaller teeth where the placement of a dental implant isn't feasible or called for.

Some of the benefits of MDIs include:

  • The procedure is quicker and less invasive – Since MDIs don’t require the cutting of gum tissue or sutures, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can place the implant quickly, resulting in a shorter healing process. MDIs go directly through the gum tissue and into the jawbone.
  • Lower cost – MDIs run in the range of $500 to $1500, whereas traditional dental implants can cost around $4,000.
  • Less risk of surgical error – Since MDIs don't go as deep into the tissue or jawbone, there is less risk of surgical error, like hitting a nerve or sinus cavity.
  • Can be used in thinner areas of the jawbone – Since MDIs don't require as much gum tissue or jawbone, they can be used in thinner areas of the jawbone, where a traditional dental implant would require a bone graft.

Although there are many advantages to MDIs, they aren't for everyone or every situation. There are some drawbacks, especially when it comes to their durability and stability. MDIs also haven't been studied nearly as much as dental implants.

Whatever your situation, it's best to speak with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about your options, and whether an MDI or a dental implant would work best for your specific case. Schedule an appointment at our Kingston, ON office to learn more.

Zirconia Dental Implants

February 19th, 2020

Since dental implants first started being implemented in the 1980s, they have been primarily made of titanium. Recent advances in implant technology have allowed dental implant manufacturers to shift from all-metal implants, to part-metal and part-ceramic implants, to the newer all-ceramic or zirconia implants.

Zirconia implants are made of high-impact resistant ceramic called tetragonal zirconia polycrystal (ZrO2+Y2O3). They remedy many of the issues and complaints doctors and patients have with traditional metal implants and have several advantages—let’s take a look at some of them.

Advantages of Zirconia Implants

  • Do not cause allergic reactions – Although titanium is considered non-toxic, some people still have allergic reactions to titanium. Zirconia implants are inert, non-corrosive, and hypoallergenic.
  • Have been used for decades in medical applications – Millions of patients have had zirconia used safely and effectively as the base material for their hip replacements. The zirconia used for medical applications also undergoes strict radiation monitoring to ensure its safety for use within the body.
  • They are incredibly strong – Unlike titanium implants, zirconia offers a much higher degree of resistance to scratching, corrosion, and fracture. The aerospace industry even uses zirconia (ZrO2) due to its high resistance to heat and fracture. This all means a safer and more aesthetically pleasing result for the patient.
  • One-piece design is more hygienic – Zirconia implants are a one-piece design, meaning there is nowhere for bacteria to build up or liquids to penetrate like with titanium implants. They are highly biocompatible (how a material reacts with the human body) which leads to healthier gums and no risk of corrosion.
  • Implant margin is at gum not bone level – With titanium implants the margin (or gap between the implant and the tooth) is at bone level, which can lead to bacterial buildup since you can’t brush there. The zirconia implant margin, which is at gum level, allows you to brush and clean your implant and restoration regularly.

If you are in need of a restorative dental implant, it would be wise to consider zirconia due to its many advantages. It might not work in every situation, but feel free to discuss your options with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough or one of our Kingston, ON staff members.

The Start of Valentine’s Day

February 12th, 2020

Valentine’s Day, also known as Saint Valentine’s Day, has been said to originate with a Catholic priest named Valentine several thousand year ago. Valentine defied the emperor at the time by secretly marrying men and their brides after the emperor had made it illegal to marry. Emperor Claudius II did this because he wanted as many single young men to fight in his war as he could get.

Valentine disobeyed the emperor’s edict by continuing to marry couples until he was sentenced to death. Before his execution, he sent a letter to a secret love and signed it “From your Valentine.” Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team have come up with some suggestions on how you can celebrate this Valentine’s Day, whether you have a valentine of your own or not.

Valentine's Day Ideas

  • Enjoy a tasty treat. There are plenty of options when it comes to cooking and/or baking on Valentine’s Day. Make your significant other his or her favorite meal or sweet treat, or make your own favorite dish to enjoy on this day. Oh, and be sure to make enough for leftovers!
  • Make a personalized card. Instead of buying a card from the grocery store, take the time to make your own for a loved one. People love handwritten notes, especially when it’s from someone special. If you’re single this Valentine’s Day, make a card for fellow single friend to brighten the day and remind the person that he or she is also loved.
  • Watch a movie. We all know there are plenty of romance movies out there. Put on your favorite romantic comedy, or pick up your significant other’s favorite movie to watch together. Even better, if you’re single, pick up your own favorite movies to watch to pass the time this Valentine’s Day.
  • Do nothing! We all know Valentine’s Day can sometimes get a lot of hype. If you’re worried about not making a reservation in time, don’t feel like planning an extravagant night out, or simply not in the holiday mood this year, spend your day sitting back and relaxing.

Valentine’s Day is a time to celebrate love and spend quality hours with the people you care about the most. Whether you’re in a relationship or single, take some time today to appreciate those you love in your life.

We wish you a happy Valentine’s Day celebration and look forward to seeing you at our Kingston, ON office during your next appointment.

Is Invisalign Teen® right for my child?

February 5th, 2020

Straightening your teeth with traditional braces used to be something of a public affair. While traditional teeth-straightening methods yielded high-quality results, it was also essentially impossible to wear them undetected as you went about your day. The visibility of braces could be especially troubling to teens in the high-stress environment of high school and even during the early years of college.

With Invisalign Teen, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre will tell you that many of those concerns are no longer as relevant as they once were. Because Invisalign Teen aligners are constructed out of a plastic that is both smooth and clear, in all likelihood friends and family members won’t even realize the teen is wearing them. The smooth and clear plastic also makes the aligners much more comfortable than traditional braces, which means the teenaged user won’t have to deal with something large and obstructive in his or her mouth.

Additionally, the Invisalign Teen aligners are specifically made to be removable when the need arises. Your son or daughter won’t have to worry about getting food stuck in the alignment trays because they can be pulled out before a meal and popped back in afterwards. Invisalign Teen wearers can remove the aligners before brushing, which allows them to make sure their teeth are free and clear of all obstructions.

Invisalign Teen aligners also allow wearers to keep doing all the activities they have previously enjoyed. If your teen plays sports, for example, he or she won't have to worry about a mouth filled with metal brackets getting injured during play. If your teen plays an instrument, he or she won’t have to worry about traditional braces affecting normal playing techniques. The aligners will remain both comfortable and convenient during all of those activities and more.

If your teen is concerned about physical appearance and worried that braces will adversely affect his or her life for a year or more, Invisalign Teen treatment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough is definitely the right choice. Teens don’t have to be shy about their smile, won’t have to change any of the activities they normally do, and will still get all the benefits of straight teeth when the process is completed.

For more information about Invisalign Teen, or to schedule an initial consultation with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, please give us a call at our convenient Kingston, ON office today!

Adults Can Get Cavities, Too

January 29th, 2020

There are some things we just don’t miss about being a kid. Getting grounded? A thing of the past. Curfew? Not happening. Confiscating our cell phones? As if. Cavities? While we’d like to think those are also a part of childhood we can happily leave behind, unfortunately, the potential for cavities is one thing we never outgrow.

If you are keeping up a healthy dental routine, you know that two minutes careful brushing and flossing twice a day, a sensible diet, and regular checkups and cleanings are the best way to keep cavities from ever developing. But adults face other challenges that children might not. What else should we look out for?

  • Over-Enthusiastic Brushing

Brushing too vigorously, or using a brush with hard or even medium bristles, can actually damage our teeth over the years. Enamel, as hard as it is, can erode, leading to the potential for decay, and gums can be pushed away from the lower part of our teeth, which are not covered by enamel. Talk to us about the gentle way to clean bacteria and plaque from your teeth while protecting your enamel and gums.

  • Receding Gums

Whether due to gum disease, improper brushing, genetic factors, or other causes, we often see gum recession as we age. This is not just an aesthetic problem—gum recession leaves the root area of our tooth exposed to plaque and bacteria. Because this part of our tooth is not protected by enamel, there is a greater risk for decay in this newly exposed area. Also, pockets between the teeth and gums can be home to infections which lead to more serious problems. We will examine the condition of your gums at every checkup, and are happy to suggest the best solutions for keeping your gums their healthiest.

  • Our Fillings Age, Too

Over time, fillings can become loose or damaged, allowing the bacteria that cause cavities to enter spaces within the tooth you cannot brush or floss. This is a problem we can catch at a regular checkup, but if you notice a damaged filling, lose a filling, feel sensitivity around a filled tooth, or have any other concerns, call us. Prompt replacement will stop decay before it leads to a more serious problem.

  • Life Is Unpredictable

A busy schedule can lead to unhealthy diet choices. Not just sugars, but acidic foods (like sodas, coffee, and wine) and carbs (which break down into sugars) can leave teeth more vulnerable to decay. Physical changes (working out, new medications and medical conditions) can lead to dry mouth, which creates a bacteria-friendly environment that can lead to tooth decay. Stress can have consequences such as weakened immune systems, tooth grinding, and unhealthy eating habits, all of which can lead to a higher risk of cavities.

Call our Kingston, ON office if you have any dental concerns. And talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about the changes in your life that might leave you more vulnerable to cavities or impact your overall dental health. We have suggestions and solutions for this phase of your life to protect and preserve that wonderful smile you had as a child. And that’s a great result at any age!

Dangers of Thumb Sucking

January 22nd, 2020

It’s common for children to suck their thumb at a young age. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want you to understand the potential issues that can surface down the road if the habit isn’t broken early on.

It’s normal for infants to explore the function of their mouths by putting objects like their thumbs inside it. You shouldn’t be concerned if your baby regularly sucks his or her thumb. For infants who are still growing their baby teeth, thumb sucking can help with stimulating growth and development of their baby teeth.

Thumb sucking is not a problem among infants because they generally do it to sooth and comfort themselves. Problems can occur of kids continue the habit when their baby teeth begin to fall out, around six years of age.

If you have a young child whose adult teeth are starting to come in, that’s when thumb sucking can start to be a problem. Most children stop thumb sucking between the ages of two and three years. According to the Canadian Dental Association, if thumb sucking continues as adult teeth come in, this can lead to problems involving improper alignment of teeth and growth of the jaw, gums, and roof of the mouth.

It may also affect your child’s speech after that, by causing a lisp or other speech impediments. As a parent, you may need to begin to regulate and intervene if thumb sucking starts to become a bigger problem for your child.

How to Stop Thumb Sucking

  • Provide comfort to your child if thumb sucking happens when he or she is anxious.
  • Limit thumb sucking initially to bedtime or naptime.
  • Employ positive reinforcement for good behavior.
  • Talk with your child about the potential problems that come from this habit.
  • Distract your son or daughter with activities such as fun games any time you notice it starting.
  • Involve your little one in choosing methods for stopping, like positive rewards.
  • Have Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough talk to your child to reinforce concerns about thumb sucking.

Don’t forget that thumb sucking is a common habit that many children indulge in, and it should not be a concern right away. If you’re worried about your child’s thumb-sucking habit, start to address the issue as soon as possible.

The above techniques can help to reduce the amount of time your child sucks a thumb. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team are here to help you if you have any questions or concerns about this habit.

Feel free to call our Kingston, ON office and we will be happy to help you and your child.

How long do dental implants last?

January 15th, 2020

The average dental implant can last a lifetime if taken care of properly. In fact, studies have shown that the success rate of implants after ten years is about 90%! Of course, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team know that the better you care for your implant, the longer it will last.

There are a few factors that must be taken into consideration, when you are considering dental implants. These factors all play a role in how long your dental implants will last.

  • Bone Structure – You must have enough bone in your mouth for the implants to be inserted. Over time, the bone can wear down and become too thin or to short. In cases, where you may have just enough bone for the implants, over the years, the bone will continue to become smaller and thinner and the implants will not last nearly as long as the suggested minimum of ten years.
  • Healthy Gums – Diseased gums will not support dental implants for very long. It is important to maintain regular dental visits to maintain your healthy gums.
  • Good Oral Hygiene – Just because your implants are not your “real” teeth, doesn’t mean you have to take care of them. That means brushing, flossing, and regular professional cleanings.

Bone structure, healthy gums, and good oral hygiene all play a crucial role in the length of time your dental implants will last. Whether you have full dental implants, partial implants, or a single tooth implant. The bottom line is you have to take care of them if you want them to last as long as possible.

For more tips on how to maintain the health of your dental implant, visit our Kingston, ON office!

Smile, the New Year is Almost Here!

January 1st, 2020

We’ve been celebrating the new year for a really, really long time. It goes way back, but it started formally in 1582, when Pope George XIII made January 1st the official holiday for ushering in the new year. The idea was to yell, cheer, and blow horns to scare away all the evil spirits of the previous year with the hope that the new one would be filled with happiness and opportunity.

While scaring away evil spirits isn’t what’s on our mind these days, we still ring in the New Year by cheering and hollering with friends and family. It’s a time to set new goals, refocus on old ones, and look forward to all the surprises the coming year will bring.

Whether you’re saying hello to the New Year snuggled up at home on your couch in the Kingston, ON area or by gathering your friends for a social celebration, here are some tips to help ensure you welcome this new chapter with a smile.

Tips for a great New Year’s Eve celebration from Cataraqui Dental Centre

  • Stay safe. This one’s vital, because nothing puts a damper on your party like an emergency trip to the hospital. Stay responsible and try to plan ahead, whether that means taking a taxi, staying with a friend, or recruiting a designated driver. Do what you have to do to keep yourself and everyone around you safe.
  • Spend time with the people you love most. The way we see it, the whole point of the holiday season is to cherish your family and friends. Regardless of what you’re doing, make sure there’s something for everyone. It’s essential to do something the whole group will enjoy!
  • Smile! Whether you get all dressed to go out or have a quiet gathering with family and friends, make sure you accessorize with a smile. There’s always something to smile about!

We can all agree that change can be scary sometimes, but ringing in the New Year is an observance we all welcome with open arms. We hope you’ll enjoy this transitional holiday in a fun, healthy, and safe way. You have endless possibilities ahead of you!

From Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, have a fantastic New Year!

Should You Get Dental Veneers?

December 25th, 2019

Dental veneers are a popular treatment to improve the appearance of your smile. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want to help you understand whether this dental option is right for you.

Veneers, also known as laminates, are custom-made shells that cover the front of your teeth. They can change the color, size, or length of each individual tooth. The process can require between one and three trips to our Kingston, ON office to complete.

This treatment is usually done for people who want to change the appearance of their smile: they can get rid of stains, gaps, or chips. Here at Cataraqui Dental Centre, we know how getting veneers can dramatically change your smile and help improve your confidence.

Your initial appointment entails preparing the teeth and creating an impression. The impression will help us design each veneer to the exact shape and color you desire. You’ll come back in a week or two to have the veneers placed. Your veneers should last about ten years, as long as you practice proper care and hygiene.

There are plenty of benefits to getting veneers, but you should be aware of the potential downsides of this procedure. This process is irreversible and the veneers cannot usually be fixed. If they chip or crack, they’ll need to be replaced.

It is also possible for veneers to fall off due to excessive pressure from nail biting or chewing on ice. If you grind your teeth a lot, you’re more likely to expose your veneers to damage, which can be costly to repair.

In order to know whether veneers are right for you, schedule an appointment at our Kingston, ON office for a consultation. We can decide what you’re looking to do with your smile and if this is the best option for you.

The Advantage of Invisalign Teen®

December 18th, 2019

Many teens want to improve their smile without the pain and embarrassment of having to wear metal braces. Just like metal braces, Invisalign works by gently moving teeth into position. Metal braces are worn continuously, however, and need to be adjusted by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough regularly in order to move the teeth into proper position.

Invisalign uses a series of clear trays to move teeth into position. When you are done with one tray, simply pop in the next! Invisalign Teen straightens teeth just as well as traditional metal braces, but has several advantages.

Invisible

You’ve probably figured out the most obvious advantage already: the aligners are nearly invisible. Invisalign works by using a series of clear aligners that should be worn 20 to 22 hours a day. Invisalign trays are almost undetectable when you wear them, so you can smile with confidence — even while you are straightening your teeth.

Removable

One of the best things about Invisalign Teen is that the trays are removable. This means you can remove your tray to eat, brush, and floss your teeth, or even to play sports. While Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre require you to wear the trays for most of the day, having the ability to remove your straightening trays means you have practically none of the dietary restrictions that metal brace wearers have to observe.

Teens that play contact sports often experience difficulties with metal braces. Invisalign Teen allows the flexibility to wear a mouthguard, and no metal wires or brackets means less risk of cuts or other injuries while playing a game. Musicians also benefit from being able to remove their trays during rehearsals and performances. You can even remove your tray for your school photo or to snap a quick selfie!

Finally, because you can remove your aligners, you can easily keep your teeth clean through normal brushing and flossing. You can also clean your trays by brushing and rinsing them in warm water. Brushing and flossing with metal braces can be frustrating and time-consuming. Invisalign Teen treatment at Cataraqui Dental Centre helps you keep your smile white and shiny with very little change to your normal routine.

To learn more about Invisalign Teen, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, please give us a call at our convenient Kingston, ON office!

How do I know when I have a cavity?

December 11th, 2019

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre frequently field questions about cavities and what causes them. Patients will typically ask, “I brush twice a day and floss regularly, as well as rinse with hydrogen peroxide, so a cavity is unlikely, right?”

Not quite.

When cavities, also known as caries, are in their initial stages, people often will feel no symptoms, and they won’t experience any pain or discomfort. It’s not until the tooth decay has reached a certain level that patients begin to notice the signs. If you are experiencing any of the following symptoms, you may want to consider scheduling an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough as soon as possible:

  • Dull or sharp toothache
  • Tooth sensitivity or mild to sharp pain when eating or drinking something sweet, hot, or cold
  • Persistent bad breath or a bad taste in the mouth
  • The presence of a sticky, tarry feeling when biting down
  • Puss or discharge around a tooth, especially when pressing on your gums
  • Visible holes or discoloration in your teeth (usually black or brown)

Cavities can happen at any time, to anyone, no matter how old you are. Routine dental care is important to prevent cavities or the onset of tooth decay, so it is important to visit Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre for regular cleanings. If you are overdue for a checkup or think you may have a cavity, please give us a call at Kingston, ON office to schedule an appointment.

Invisalign Teen® Treatment: Creating confident smiles for teens

December 4th, 2019

These days, fewer and fewer braces show up in school yearbook photos. Invisalign clear aligners have become a popular choice for our adolescent patients because it enables them to display metal-free smiles while straightening their teeth!  

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can help you determine whether Invisalign treatment is right for you, but below are a few reasons why so many teens are choosing it today.

More Free Time

Invisalign Teen aligners require fewer appointments, which is pretty important to teens who value their free time. Invisalign treatment gives you straight teeth without having to miss activities or skip hanging out with your friends. It’s a win-win!

Eat, Brush, and Floss Easily

Traditional braces can make eating, brushing, and flossing both difficult and tedious. Invisalign aligners are easily removable for all these important activities, and give you freedom to live your life as usual.

Metal-Free Braces

Possibly the best perk of Invisalign aligners is that you can’t see them! The Invisalign system uses a clear plastic device that fits directly over the teeth. This means no metal parts to mar the appearance of your smile, so your Invisalign aligners will straighten while allowing your pearly whites to shine through. People don’t even have to know you’re straightening your teeth with Invisalign aligners.

To learn more about Invisalign Teen treatment, feel free to reach out to our Kingston, ON office!

 

Invisalign Teen® Treatment Benefits

November 27th, 2019

Many teens want straighter teeth but dread a mouth full of metal. Because of that, Invisalign Teen treatment has become a popular choice among teens. It produces great results without the hassle of traditional braces.

If you’re like most teens at our Kingston, ON office, you love hanging out with your friends, and you don’t want to look different or have to watch what you eat. If you’re unsure about the benefits of Invisalign Teen clear aligners, we’re here to explain some of the perks.

You can eat what your friends eat

Invisalign Teen aligners can be removed easily for meals and snacks, so you can eat just like you normally would. You don’t need to worry about food getting stuck in your braces or a bracket popping off. Unlike with braces, you can enjoy the following foods with your friends during Invisalign Teen straightening treatment:

  • Popcorn at the movies
  • Trail mix with dried fruit ribs and chicken wings
  • A peanut butter sandwich, apples, and carrot sticks

You can take care of your teeth more easily

Since Invisalign Teen aligners are removable, you won’t have to worry about finding tooth decay once your braces are removed. You can brush and floss your teeth as you normally would, just by taking the trays out of your mouth.

People won’t know you’re wearing them

We’ve saved the best for last: Invisalign Teen aligners are nearly invisible. Chances are, the only people who will know you’re getting your teeth straightened are the people you tell yourself!

Getting straighter teeth can be a massive confidence-booster in the long run. With Invisalign Teen clear aligners, the treatment isn’t that bad! Learn more at our Kingston, ON office.

What is gum disease?

November 20th, 2019

Gum disease, also called periodontal disease, is an infection of the gum tissues, and is something seen all too often by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. Extending from inflammation of the gums (gingivitis) to more serious infections and complications (periodontitis), there is a wide range of gum disease severity.

Not only does gum disease affect the health of your mouth and teeth, but according to the National Institute of Dental and Craniofacial Research, it can affect your general health as well. This is because an infection in the mouth as a result of gum disease can travel to other parts of your body through the bloodstream. Gum disease is also a risk factor for heart disease, and can play a role in blood sugar levels.

Causes and Risk Factors

Gum disease is essentially caused by the build-up of bacteria in your mouth. If you brush and floss every day, this bacteria is washed away, but if not, it turns into plaque. If left unchecked, this plaque buildup can lead to gum disease.

Some of the common risk factors for gum disease include not taking good care of your teeth, failing to have one’s teeth cleaned every six months, experiencing hormonal changes, smoking cigarettes, developing diabetes, being genetically exposed to gum disease, or taking certain types of medications.

Gingivitis versus Periodontitis

There are two main types of gum disease: gingivitis and periodontitis. Both are bad for you, but gingivitis is less severe. It is typically the first stage, and involves inflammation of the gums from plaque and tartar on the teeth. If your gums are swollen and bleed, this is a sign of gingivitis.

Periodontitis, a more severe case of gum disease, occurs when your gums pull away from the teeth and pockets form. These pockets are a concern because they can harbor infection.

Treatments for Gum Disease

Treatments for gum disease depend on the cause and severity. Deep cleaning to remove the plaque underneath the gum line – called root scaling and planing – is one of the most common treatments for gum disease. Antibiotics placed under the gums to rid you of an infection or reduce the inflammation may also be advised. In some cases, surgical procedures, including flap surgery and bone and tissue grafts, are needed.

If you have bleeding or swollen gums, pockets between your gums and teeth, pain, or other issues, you might have gum disease. Visit Cataraqui Dental Centre for an exam and learn the best course of action.

The Five Most Common Reasons for Emergency Visits

November 13th, 2019

An emergency usually evokes panic, and for good reason. Emergencies don’t discriminate when it comes to time or place. They’ll happen during your vacation, at home, while you’re shopping for groceries, at the movies … whenever they can.

We’ve identified the five most common reasons for emergency visits to our office, so if you ever find yourself in one of these situations, don’t hesitate to reach out and schedule an appointment with us!

  1. Getting a piece of food stuck where it doesn’t belong. This might sound trivial, and even comical, but a piece of food stuck and left unattended can cause inflammation, pain, and a serious infection.
  2. Losing a filling. If this happens to you, it’s crucial that you receive care immediately. The purpose of a filling is to shut off a space where bacteria can enter. If that barrier is breached, your tooth becomes more vulnerable to decay.
  3. A chipped tooth. Even if the chip is small, it’s essential to get it repaired before it grows bigger. Unless chips are affecting a nerve, they are usually easy to repair with a crown, bonding, or veneers.
  4. A broken tooth. This can result from a small, hidden chip in the tooth. It’s clearly something to address quickly, because the pain will be much more severe than what you’ll feel with just a chip.
  5. Losing the entire tooth. This is the worst of the list. When you lose a tooth, you should not delay in seeking emergency care. Usually, you have a window of one to two hours during which the original tooth can be salvaged and successfully reattached.

Though any of these scenarios can be nerve-wracking, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team are here to assist you with any and all dental emergencies. Don’t wait; give our Kingston, ON office a call!

Why is replacing missing teeth important?

November 6th, 2019

When we talk about teeth, every single one of yours counts. Whether you’ve lost a tooth due to injury or poor oral hygiene, it’s worth seeing Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to evaluate all your replacement options. If you don’t, you could suffer negative effects to your teeth, gums, jawbones, appearance, and self-esteem.

Depending on how many teeth are missing and where they are located, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough may suggest an implant, fixed bridge, or a removable bridge.

Addressing missing teeth as soon as possible is in your best interests. If you don't, the consequences might include:

  • Shifting teeth: When you lose a tooth, the space it creates allows the neighboring teeth to drift and move out of alignment. A once-straight smile and correct bite can quickly turn into crooked teeth and a misaligned bite.
  • Tooth decay and/or gum disease: After teeth have shifted, it can be harder to reach all areas around them to brush and floss properly. The buildup of bacteria and plaque can result in periodontal disease and the loss of your remaining teeth due to decay.
  • Effect on jaws: Missing teeth alter your bite and how your teeth and jaws contact one another. This puts added strain on your jaw joint (TMJ) and can contribute to the development of TMJ disorder.
  • Change in face and appearance: When you lose a tooth, your gums and your jawbone are no longer stimulated in that area. A dental implant replaces the root of a tooth or several teeth, and provides stimulation to prevent bone loss. If the root isn’t replaced, this can lead to deterioration of the jawbone and alteration of the shape and appearance of your face. Your face, especially the cheeks, can look older and more sunken.

Replacing missing teeth is an essential step for your physical and emotional health. If they are replaced in a timely manner at our Kingston, ON office, you’ll continue to have the same wonderful smile you’ve always had.

Implants: Why It’s Important to Replace Missing Teeth

October 30th, 2019

Sometimes, despite our best care, we lose a tooth. If it is a front tooth, it will probably be a high priority to replace. But if a missing tooth doesn’t show when we smile, what’s the hurry? Let’s look at the reasons why prompt replacement with an implant is always a good idea, no matter which tooth is involved.

Appearance

Implants look like natural, individual teeth, but that is not the only aesthetic reason to replace a lost tooth. Without some type of tooth replacement, missing teeth can eventually affect the structure of our jawbones and change our facial appearance. Cheeks, lips, profiles—all are impacted by the changes in our bones resulting from tooth loss.

Better Bite

Nature abhors a vacuum, and so do our teeth. When a space is left by a missing tooth, the teeth around it might shift positions, affecting the even pattern of our bite. And without a tooth to keep it in place, a tooth above or below the missing one might begin to grow longer to fill the void in your bite. This lengthening, in turn, can cause even more bite problems.

Chewing

With the loss of only a single tooth, there is a negative impact on the remaining teeth. More pressure is placed on the other teeth in order to chew properly, front teeth not meant for chewing might need to be used for that purpose, or food is not chewed as thoroughly as it should be. The first two problems are not healthy for our teeth, and the last one is not healthy for digestion!

Don’t Delay

Changes in bite and chewing problems probably won’t happen overnight, so is putting off the process really a big deal? It can be! Time is not on our side when a tooth is lost. The bone tissue which supports our teeth needs the stimulation of biting and chewing to stay healthy. Without that stimulation, the bone area under the missing tooth gradually shrinks. If there is not enough bone area left, you might need surgical bone grafting to achieve the right bone height to hold an implant, or it could lead to the impossibility of placing an implant at all.

Expense

Replacing a lost tooth quickly requires less restoration of the gums and bone in the future and prevents other serious problems from developing.

We could continue through the alphabet, but instead, come talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about all the reasons a tooth implant might be your best option. Whether you have already lost a tooth, or if you have an extraction scheduled at our Kingston, ON office, we are happy to recommend the best procedure at just the right time to make your smile beautiful, healthy, and complete!

Nutrition Tips for Healthy Kids’ Smiles

October 23rd, 2019

The grown-ups in your life want you to have a healthy, happy smile. That’s why they help you brush and floss, and make sure you come see Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for checkups and cleanings. Did you ever wonder if there are other ways you can help build a beautiful smile? There are! And one of them is eating food that makes our teeth and gums strong and healthy.

Friendly Foods

  • Enamel and Bone Builders

Calcium is a very important element that helps us grow strong bones and enamel, the hard covering on the outside of our teeth. Bacteria in our mouths can create acids that weaken enamel and lead to cavities, so we want to keep our enamel as strong as possible. Dairy products like milk, cheese, and yogurt are great sources of calcium, but you might be surprised to know dark green vegetables like kale, spinach and broccoli help build strong teeth as well, and strong teeth are less likely to get cavities!

  • Good for Our Gums

Many foods have important vitamins that help keep our gums and mouths healthy. Vitamin C helps protect our gums and make them stronger. When we think of Vitamin C, we usually think of citrus fruits like oranges and lemons, but there are many other fruits and vegetables that give us this important vitamin, including mangos, potatoes, and strawberries. Vitamin A also helps keep our gums healthy. We can increase our Vitamin A by adding fish, leafy green vegetables, or orange colored foods to our diet.

  • Natural Toothbrushes

Crunchy foods like apples, carrots, and celery can help keep our teeth clean. They act like gentle brushes to remove food and bacteria left on our teeth after eating. Chewing also increases saliva, which helps wash away food particles and bacteria. And, of course, drinking or rinsing with water after a snack helps clean our teeth when we can’t brush.

What Foods Aren’t Good for Our Teeth?

  • Bacteria Builders

Plaque is a film of bacteria that sticks to our teeth. These bacteria make acids that soften our enamel and cause cavities. And what do these bacteria use for food? Sugar is one of their favorites! We can’t stop eating everything with sugar, of course, and we all deserve a treat every now and then. But to keep our teeth their healthiest, it really helps to cut down on sugary foods and drinks, and to brush or rinse with water when we do enjoy dessert.

  • Acid Attacks

Bacteria can make acids that weaken our enamel, but we can also eat foods that damage our enamel and might lead to cavities. Drinks like sodas, citrus juices and even some sports drinks are acidic enough to make our enamel softer. Drinking with a straw or rinsing your mouth with water helps, but it’s a good idea to limit foods and drinks that make our enamel weaker over time.

  • Sticky Stuff

Any food that stays on or between your teeth gives bacteria more time to grow and produce the acids that cause cavities. We can guess that hard candy and caramel would be a bad idea, but even healthy foods such as dried fruit and trail mix can be a problem when they stick to your teeth. If you eat something sticky, be sure to rinse with water or brush and floss as soon as you can.

You already know that brushing and flossing are the best way to keep your teeth clean, and that visiting us for checkups and office cleanings helps your teeth and gums stay strong and healthy. Eating well is just one more thing you can do to help. The next time you visit our Kingston, ON office, talk to us about what you and your family can add to the menu for a lifetime of beautiful smiles!

We proudly offer Invisalign Teen®!

October 16th, 2019

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team are excited to offer Invisalign Teen, a clear alternative to braces that’s just for teens! With Invisalign Teen, we are able to straighten your teen’s teeth without the hassle, discomfort, and embarrassment of traditional braces.

Invisalign Teen’s clear aligners are virtually invisible. What's more, they are removable, which means your child is free to eat anything they choose, as well as brush and floss with ease! And best of all, Invisalign Teen uses no wires or metal to straighten your teen's teeth.

Invisalign Teen aligners are made from a lightweight plastic material and fit precisely on the teeth. Invisalign Teen has become a popular treatment here at Cataraqui Dental Centre because it helps our younger patients achieve a straight, beautiful smile without their friends noticing.

Our team at Cataraqui Dental Centre is aware that most teens today have a busy lifestyle, and sometimes, they tend to lose things, including their retainers or aligners. But with Invisalign Teen, if your child happens to lose an aligner, let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team know as soon as possible and we will have the aligner replaced.

For more information on Invisalign Teen, please give us a call at our convenient Kingston, ON office today!

Caring for Your Invisalign® Aligners

October 9th, 2019

You’ve selected the Invisalign system because of the many benefits Invisalign offers: comfort, convenience, appearance, and even potentially shorter treatment time! And to add to the good news, caring for your Invisalign aligners is easy and uncomplicated. Follow these simple tips to keep your aligners in the best possible shape as you move through the stages of your treatment.

Stay Clean

  • Always brush and floss your teeth before using your aligners so that bacteria and food particles will not have a chance to collect around your teeth while you wear them.
  • When you brush your teeth, be sure to brush your aligners with a separate soft toothbrush and lukewarm water as well.
  • Rinse your aligners whenever you remove them during the day.
  • Soak your aligners as recommended. Use the Invisalign Cleaning System or ask our Kingston, ON team for other suggestions to keep your aligners free from odor and bacteria.

Stay Clear

One of the reasons you chose Invisalign is for an almost invisible appearance. Why take a chance on discoloration or scratches that will make the appliance more noticeable? Here are some common mistakes that can affect the color of your aligners:

  • If your aligner has white spots, that might mean plaque build-up. Always rinse your aligner after you remove it and clean it thoroughly night and morning.
  • Brushing with anything other than a soft brush and brushing too hard can cause scratches in the material which might be noticeable. A gentle touch will work to clean and protect your aligners.
  • Eating with Invisalign aligners can cause staining. More important, it can cause the retention of food particles in the appliance, which can lead to dental problems. Finally, aligners are not meant for chewing—they might be damaged or lose their ideal shape even with soft foods. If you are going to be eating or drinking, take your aligners out, give them a rinse, and brush before you replace them. Or stick with water! Water will have no ill effects on teeth or aligners.
  • Only soak aligners in an appropriate solution. Harsh chemicals, colored mouthwashes, and even some toothpastes can dim or discolor the clear plastic.

Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about the best products to use and the best methods for taking care of your aligners. After all, making the process of improving your smile as easy and effective as possible is yet another benefit of choosing Invisalign!

Bedtime, Bottles, and Baby Teeth

October 2nd, 2019

Your beautiful baby is finally asleep, bottle clutched in tiny hands, dreaming sweet dreams with a charming milky smile.

Unfortunately, this lovely fantasy might lead to a rude awakening. If your child goes to sleep every night with a bottle, the chance of childhood cavities greatly increases. In fact, there is even a name for it—baby bottle tooth decay.

How Can Bottles Lead to Tooth Decay?

Cavities are created when oral bacteria produce acids that erode enamel, the protective outer coating of the tooth. These bacteria love to feed on sugar. Baby formula and even breast milk contain carbohydrates in the form of sugars. And this is not a bad thing!

Carbohydrates are essential for babies (and adults as well) for growth and development. Lactose, the sugar found in breast milk, is a carb that is easy for your baby to digest and helps good bacteria in the digestive system grow. Formulas with cow’s milk also contain lactose, and even the other kinds of sugars found in formula provide your baby with necessary, easily digestible carbohydrates.

But when your child goes to sleep with a bottle, those healthy sugars aren’t all being digested. Liquid can pool in the mouth bathing those perfect new teeth with sugar all through the night. That’s why we don’t recommend letting your child go to sleep with a bottle of formula.

And if your older child’s bottle is filled with juice or other sugared drinks, the effects are potentially much more harmful. Eventually, sugar left in the mouth all night will lead to the development of cavities, and in severe cases, to infection and even tooth loss. The upper front teeth are most often affected, but other baby teeth can become decayed as well.

How Can You Help Prevent Baby Bottle Decay?

  • Start early by gently wiping your baby’s gums and erupting teeth after each bottle or breast feeding with a clean, damp washcloth or gauze pad. (Even though breastfed babies have a reduced risk of early cavities, it’s still a good idea to clean their gums and teeth after feedings.)
  • Once those little teeth have come in, use a baby-size toothbrush to gently clean them. Talk to us about toothpaste—when and how much is appropriate for your child.
  • Babies generally require breastfeeding or formula at night to get the nutrition they need. It’s best if they finish their feeding before naps or bedtime so you have a chance to clean little mouths. If your toddler carries a bottle or sippy cup through the day, or insists on a bottle at night, talk to us or your pediatrician for ideas on how and when to substitute tooth-healthy options such as water.
  • Limit unnecessary or unhealthy sugars. Never put sugar-heavy juices and sodas in your child’s bottle or cup, or sugar or honey on a pacifier.

Your Child’s Baby Teeth Are Important

Your child will start losing those baby teeth around the age of six, but primary teeth provide many irreplaceable benefits before they are, well, replaced. Using the teeth to bite and chew food helps form proper eating habits and develop jaw and facial muscles. Baby teeth help with speech development, and they serve as place holders to make sure the adult teeth erupt in the right spot. Losing baby teeth too early can interfere with all of these goals.

As soon as that first tooth makes its appearance, or by the age of one, bring your baby to our Kingston, ON office for a first checkup. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team will not only make sure everything is going according to schedule, but we will check tiny teeth for enamel erosion and even cavities. Most important, we’ll suggest ways to prevent cavities and tooth decay with proactive dental care. We have many great ideas on making sure your little one’s teeth are healthy from bottle to baby teeth, preparing your child for a lifetime of beautiful, healthy smiles. And that’s a dream come true!

How do I care for my dental implant?

September 25th, 2019

Dental implants are designed to be strong and durable, able to withstand the everyday rigors of chewing and biting, but to keep them functioning the way they should and looking their best, you need to care for them properly. Luckily, dental implant care is fairly straightforward; in fact, your implants can be cared for the same way you care for your natural teeth, with regular brushing and flossing performed correctly, as well as regular visits with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to ensure your implants, the neighboring teeth, and your gums are as healthy as possible.

Before the actual replacement tooth is attached to the implant post, you may want to avoid harshly abrasive toothpastes, such as those with baking soda or those designed to get rid of significant staining. These abrasives may damage the threads of the posts or irritate the gum and soft tissue surrounding the posts, causing inflammation or bleeding.

As the implant heals and “settles in,” a special kind of protective tissue called “keratinized” tissue will form where the implant meet the gum. This natural development in healing helps ensure the implant post and the soft tissue beneath the gum line are protected from bacteria.

As you care for your implants, always look for signs of infection, like swollen, tender, or bleeding gums – just as you would with your normal teeth. If you're nervous about caring for your implants or you feel you may be reluctant to floss around them, ask our team to provide you with care tips and walk you through the process of flossing.

Your implants represent a considerable investment both in time and money, so it's only natural you'd want to be sure you're doing all you can to keep them in top shape. Remember: dental implants are designed to replace your natural teeth, and they're also designed to be cared for in much the same way as you care for your natural teeth. Although you may be a little nervous at first, you'll soon become as used to your new implants as you are to your natural teeth, and caring for them will become second nature.

More questions? Simply as at your next visit to our Kingston, ON office!

Understanding Cavities

September 19th, 2019

Getting a cavity seems like delayed punishment for eating that special dessert every weekend or for the few days you forgot to floss. When you are doing everything right with minimal exception and a cavity is diagnosed, it is discouraging. Knowing how cavities form and what causes them is valuable in knowing how to prevent them. In this blog post, we will help you understand cavities!

A cavity is not a one-time event. It is actually a symptom of a disease called caries. Tooth decay is a result of an active infection and condition in the mouth. There are ingredients to this infection, which include bacteria, acid, your tooth, and a food source. The main bacterial culprit is S. Mutans. Bacteria live in a housing structure called biofilm. This offers them protection, food, and an ideal replicating environment.

Biofilm can be healthy if there is a balance of good bacteria. When you have caries, the numbers of “bad” bacteria increase and produce an environment where they thrive and therefore cause tooth decay. A main indicator of this is a pH measurement of your saliva.

Several factors can influence the biofilm pH. Foods and beverages all have different pH levels. The lower the number, the higher the acidity. Since acid promotes tooth decay, a beverage like soda will promote a cavity. Water, being neutral, is a good choice to promote healthy oral pH. Healthy eating can still cause cavities. Here is an example of a highly acidic, yet traditionally healthy meal:

Toast with store-bought strawberry jam, and a cup of cottage cheese topped with fresh cranberries.

Instead, here is a better choice, which involves mixing acidic healthy foods with alkaline (non-acidic) foods to reduce the overall pH:

Toast with almond butter, and Greek yogurt topped with fresh blueberries.

The first example will result in a very low pH in the mouth and even in the rest of the body. The second meal mixes highly acidic blueberries with an alkaline Greek yogurt. Dairy products from cows are highly acidic. Toast is acidic because of the yeast and almonds are alkaline.

A natural buffer is saliva. Whenever mouth breathing or medications compromise the saliva flow, the pH is going to drop and caries can go rampant. Getting a cavity is not just about the sweets or forgotten flossing sessions. It is about the pH levels and bacterial management.

For more helpful tips about how to avoid cavities, contact our office!

Why should I have my child’s wisdom teeth removed?

August 29th, 2019

The wisdom teeth are the last of the permanent molars to emerge from the gums. This can occur as early as age 17 or as late as 21. Though some teens and young adults experience a completely normal tooth eruption with ideally aligned molars that pose no health threat, this is not the case for everyone.

According to the American Association of Oral and Maxillofacial Surgeons (AAOMS), wisdom teeth must meet specific criteria to avoid a required extraction. These guidelines include:

  • Completely erupted and non-impacted
  • Completely functional
  • Painless
  • Free of decay
  • Disease-free
  • Capable of being properly cleaned

If one or more of your child’s wisdom teeth do not meet these conditions, we recommend scheduling an appointment with us; an extraction may be necessary.

Impacted wisdom teeth

One of the most common reasons for extracting a wisdom tooth is due to impaction. An impacted wisdom tooth is one that has not erupted and will not fully erupt from the gums. Usually this occurs because there is not enough room for the tooth to emerge. Impaction can be painful and can also lead to infection if left untreated. According to the AAOMS, roughly 90 percent of the teen and adult population has at least one impacted tooth. Extracting an impacted wisdom tooth early can help prevent future complications, such as periodontal disease, infections, and damage to neighboring teeth.

Extracting fully erupted wisdom teeth

Even if your child’s wisdom teeth are fully erupted, our team may recommend removing them as a preventive measure. Fully-erupted third molars often interfere with a healthy bite. This can lead to problems with tooth and jaw alignment and may also contribute to the development of headaches. Your child’s wisdom teeth may also be more prone to tooth decay and gum disease, because their location in the back of the mouth makes them more difficult to reach for brushing and flossing.

To learn more about wisdom teeth, or to schedule an appointment with us, please give us a call!

Kids and Teeth Grinding

August 12th, 2019

Grind, grind, grind… if your little one happens to be a teeth grinder, you may be familiar with this unpleasant sound. Teeth grinding, or what our team also calls bruxism, is common in children. In fact, three out of ten kids grind or clench their teeth, usually in response to stress, jaw growth, malocclusion, losing teeth, or other discomforts, such as allergies. Kids typically outgrow teeth grinding by the time they reach their teenage years.

Many kids who grind their teeth in their sleep have no idea they’re doing it. In fact, when they wake up in the morning they feel no jaw, facial, neck, or shoulder pain. In most cases, if it hadn’t been for a parent or sibling telling them about it, the teeth grinding would have gone unnoticed.

There are children, however, who wake up with jaw pain, shoulder pain, neck pain, and headaches. Teeth grinding can cause a host of dental complications, from cracked teeth and receding gums to a misaligned jaw. Our team will tell you that teeth grinding is not something to take lightly. Teeth grinding can have serious consequences that, if left untreated, can lead to tooth fractures and damage to the temporomandibular joint, also known as TMJ.

The first step in helping your child recover from teeth grinding is noticing and diagnosing the problem. Symptoms of teeth grinding typically include:

  • Grinding noises when your child is sleeping
  • Complaints of tightness or pain in the jaw
  • Complaints of headaches, earaches, or facial pain
  • Complaints of pain when chewing
  • Tooth sensitivity
  • Chipped, worn down, or loose teeth

If you suspect your child is a teeth grinder, our team will be able to help. Please give us a call at our office! We look forward to treating your child!

5 Food Swaps for Healthy Teeth

July 25th, 2019

When it comes to taking care of our teeth, striving for perfection is unrealistic. Rather than completely cutting out foods that may harm your smile, try swapping them for less damaging alternatives.

Below are 5 easy food swaps you can make for clean, shiny teeth!

  1. Swap sticky candies or dried fruit for the fresh stuff. It’s no surprise that sour gummies and caramel are not dentist approved snacks, but did you know that dried fruits are also concentrated with sugars that get stuck in your teeth? Curb that sugar craving with fresh fruits instead. Because the fruit fibers are less likely to stick to your teeth, they are also less likely to invite bacteria to sit in your mouth. Really craving candy? Choose chocolate instead, which easily melts or washes away.

  1. Drink carbonated water instead of soda. Soda and sports drinks are loaded with sugar and often contain phosphoric and citric acids that wear away tooth enamel. If you can’t give up carbonated beverages or sweet drinks, opt for fresh fruit juice (with as few ingredients as possible) or sparkling waters with natural flavoring!

  1. Cut back on citrus fruits. – You may be thinking, “What? I thought fruits were good for me?”They are in moderation, but the acid in citrus fruits like lemons and oranges can wear down tooth enamel over time, so be careful how much you eat and drink. Keep in mind, also, that all citrus is not created equal. Grapefruit for example tends to cause more damage, while orange causes the least.

  1. Chew sugar-free gum. When chewing gum, saliva spreads sugars around your teeth and gums and bacteria can build up. However, sugar-free gum can actually help to clean your teeth. The saliva it produces can naturally wash away bacteria.  Plus, many sugarless gum brands are sweetened with xylitol, an alcohol that reduces bacteria. Double whammy!

  1. Eat anything but white bread! You know the feeling: you take a bite of a sandwich and the bread sticks to the roof of your mouth or between your molars. When this happens, sugar (and cavity causing bacteria) are sticking too. All bread contains sugars that can be harmful to teeth, but white bread has the highest sugar content of all breads. We suggest choosing whole grain bread instead. The tougher consistency makes it less likely for sticking to occur.

Your child’s oral hygiene habits are being created right now! Making small changes like those suggested above can have a big effect on their long term oral health.

Should You Get Dental Veneers?

July 16th, 2019

Dental veneers are a popular treatment to improve the appearance of your smile. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want to help you understand whether this dental option is right for you.

Veneers, also known as laminates, are custom-made shells that cover the front of your teeth. They can change the color, size, or length of each individual tooth. The process can require between one and three trips to our Kingston, ON office to complete.

This treatment is usually done for people who want to change the appearance of their smile: they can get rid of stains, gaps, or chips. Here at Cataraqui Dental Centre, we know how getting veneers can dramatically change your smile and help improve your confidence.

Your initial appointment entails preparing the teeth and creating an impression. The impression will help us design each veneer to the exact shape and color you desire. You’ll come back in a week or two to have the veneers placed. Your veneers should last about ten years, as long as you practice proper care and hygiene.

There are plenty of benefits to getting veneers, but you should be aware of the potential downsides of this procedure. This process is irreversible and the veneers cannot usually be fixed. If they chip or crack, they’ll need to be replaced.

It is also possible for veneers to fall off due to excessive pressure from nail biting or chewing on ice. If you grind your teeth a lot, you’re more likely to expose your veneers to damage, which can be costly to repair.

In order to know whether veneers are right for you, schedule an appointment at our Kingston, ON office for a consultation. We can decide what you’re looking to do with your smile and if this is the best option for you.

Three Must-Have Dental Treatments

July 9th, 2019

There are numerous options for dental treatments out there, so how do you choose which are right for you? Our experts at Cataraqui Dental Centre have handpicked the three must-have procedures that we believe can benefit nearly every patient.

  1. Periodontal Exam: This should happen at least once a year and is quick and painless. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough or your hygienist will carefully probe around each tooth and take measurements that indicate the health of the bone and its supporting tissue. This appointment is worthwhile because of the known fact that gum disease can increase the risk of potentially fatal conditions such as heart disease and stroke. Silent killers like diabetes can show signs in the mouth before the person becomes aware of other symptoms. Did you know adults lose more teeth to periodontal disease than to cavities? A simple screening once a year could save your smile and boost your overall health!
  2. Dental Sealant: For both adults and children, sealants provide a protective barrier from bacteria deep in the pits and grooves of the teeth where cavities often start. Sealants placed in childhood will often wear away in adulthood, so replacing them is useful because it can help prevent tooth decay later on. Dental insurance will likely not cover sealants for adults, but the cost of a sealant for prevention versus the cost of a filling is much lower, and definitely worth it.
  3. In-office Whitening: Most people develop tooth stains. in-office whitening at our Kingston, ON office is the perfect way to correct discoloration. It’s safe and produces dramatic results in a short amount of time. In two hours, you could take years off your age. Who wouldn’t want that?

 

Should Adults Continue Fluoride Treatments?

July 2nd, 2019

Many adults wonder if they should continue to receive fluoride treatments. Our team at Cataraqui Dental Centre wants to set the record straight about the usefulness of fluoride treatment for adults.

There are several reasons fluoride treatments could be beneficial to you as a grownup. If you have a high risk for cavities, topical fluoride applications can cut down on that risk.

If you’re experiencing gum recession that’s softening your enamel, fluoride treatments can slow down that process. Fluoride treatments may also protect expensive restorative work on crowns or bridges that may be adversely affected by plaque.

In addition, fluoride can also protect teeth in adults who have orthodontic braces or who sometimes neglect to keep up with daily oral hygiene regimens such as flossing and using mouthwash.

Do you have sensitive teeth? Consuming foods that are highly acidic or using teeth-whitening products can lead to irritated gums. Fluoride treatments remineralize your enamel and reduce sensitivity.

If you’ve undergone radiation treatment for cancer, fluoride can help restore any dry-mouth damage that may have developed during that time. Saliva acts as a buffer against the foods we eat, and without enough of it you may be more likely to get cavities.

In general, fluoride treatments are not always necessary for adults, but they can be beneficial to your overall oral hygiene depending on your situation. If you fall into one of the general areas listed above, ask about a fluoride treatment during your next visit at our Kingston, ON office.

We can also go over your options to treat other issues you may experience in terms of your oral health. Until then, make sure to take care of your teeth properly and use toothpaste or mouthwash that contains fluoride on a regular basis.

How do I know if I’m at risk for oral cancer?

June 25th, 2019

Every year, over 50,000 North Americans are diagnosed with oral or throat cancer, which has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Because oral cancer is typically painless in its early stages and often goes undetected until it spreads, many patients aren’t diagnosed until they are already suffering from chronic pain or loss of function. However, if detected early, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre want you to know that early detection of oral cancer improves the survival rate to 80 percent or more.

If you visit our Kingston, ON office regularly, you have probably received an oral cancer screening and didn’t even realize it. That’s because the exam is quick and painless; Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team check your neck and mouth for signs of oral cancer such as discolorations, lumps, or any changes to your tissue. Oral cancer is typically found on the tongue, lips, gums, the floor of the mouth, or tissues in back of the tongue.

Factors that may influence your risk for developing oral cancer include:

  • Use of tobacco products. Smoking cigarettes, cigars, a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially is a serious risk factor because it contains substances called carcinogens, which are harmful to cells in your mouth.
  • Excessive consumption of alcohol. Those who drink alcohol regularly have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
  • Excessive sun exposure. Those who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.
  • Your age. Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
  • Your gender. Oral cancer strikes men twice as often as it does women.
  • A history with viral infections, such as human papillomavirus (HPV).
  • A diet low in fruits and vegetables.

In between your visits to our office, it is critical for you to be aware of the following signs and symptoms, and give us a call if these symptoms don’t go away after two weeks.

  • A sore or irritation that doesn’t disappear
  • Red or white patches
  • Pain, tenderness, or numbness in mouth or lips
  • Difficulty chewing, swallowing, speaking, or moving your jaw or tongue
  • A change in the way your teeth fit together when you close your mouth

During your next visit, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Kingston, ON office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

What to Look for when Choosing a Mouthwash

June 18th, 2019

Mouthwash is important for more than just keeping your breath fresh and smelling great. Combined with other forms of dental hygiene, it can help prevent plaque, cavities, gingivitis, and other gum diseases. But it may be difficult for you to choose the right mouthwash off the shelf. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre wanted to share a few things to look for when choosing a mouthwash.

Fluoride mouthwashes

Fluoride has been the subject of many debates in the oral health community. If you live in Canada, most tap water already contains small amounts of fluoride to promote dental health. You may not need to use a fluoride mouthwash if this is the case. However, if you are cavity-prone, fluoride creates a protective film over the teeth that protects against these buildups. It also helps strengthen the enamel over the teeth, maintain good dental hygiene, and keep your teeth strong for the rest of your life.

Alcohol mouthwashes

Alcohol in mouthwash works as an antiseptic: it clears the mouth of germs and some viral infections. However, if you have issues relating to dry mouth, alcohol can exacerbate the problem. If this is the case, consider using an alcohol-free mouthwash. This will free your mouth from the drying effects of the alcohol base. Also, if you have children, you will want to get an alcohol-free children’s mouthwash, because kids are prone to swallowing the substance, and this can lead to toxic side effects. Even if you are an adult using the mouthwash, if it contains alcohol, you should avoid swallowing it.

Antibacterial mouthwashes

Antibacterial mouthwashes have chemicals to help fight gum disease and other infections. Most mouthwash products contain at least trace amounts of these antibacterials; however, some mouthwashes are made specifically to fight bacterial infections. Remember that mouthwash is prevention, not a cure, so if you are presently suffering from a bacterial infection, you should visit our Kingston, ON office right away. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough may be able to recommend a more powerful antibacterial mouthwash that can help you reduce your pain and other symptoms.

Make Brushing Fun!

June 11th, 2019

It’s gratifying to know your child has good oral hygiene, especially starting from an early age. We know it can be difficult to get your son or daughter to brush those tiny teeth, let alone brush them well enough, every day. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team are here to give you some tips on how to help your youngster learn excellent oral health habits.

Your child should brush his or her teeth at least twice a day in order to prevent cavities and decay. An grownup may have to assist with flossing or using mouthwash. Always make sure your little one doesn’t swallow toothpaste or mouthwash in the process.

Only buy alcohol-free mouthwash, especially if you have young children in your household. Oral healthcare should be made fun from the start, to create good habits!

Helpful Tips

  • Set a good example. Brush your teeth with your children and make it fun! Pick a two-minute song to play while brushing and dance along to it.
  • Make it a race to the bathroom to see who can get the toothbrush and floss out first.
  • Use a sticker sheet. For every night your children brush well, give them a sticker. After they’ve earned certain number of stickers, they win a reward. Let them pick it!
  • Let your child check your brushwork, or try letting your youngster brush your teeth!
  • Allow children to play with a toothbrush if they want to. They can brush their favorite stuffed animal’s or doll’s teeth before bed as well.
  • Let your child pick his or her own toothbrush or toothpaste from a range of options you provide. Kids might pick one with their favorite cartoon character(s) on it, for example.
  • Get a two-minute brushing timer your child can flip over when he or she starts to brush. Your son or daughter can watch the sand fall until it’s empty, which notifies the kid it’s time to stop brushing.
  • Buy special children’s mouthwash that is colored to stain the areas of the child’s mouth where he or she needs to re-brush for effectiveness.
  • Be gentle when your little one makes a mistake like forgetting to brush, and remind your son or daughter about the importance of good oral health in a fun, loving way.

There are plenty of ways to make brushing your child’s teeth more fun and effective. When Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and the parents work together, we can help establish good oral health habits in children that will last a lifetime.

Take the trouble to set a great example for your children, and they will follow in your footsteps. If you’re concerned about your child’s oral health, contact our Kingston, ON office and schedule an appointment with our team.

Healthy Summer Foods

June 4th, 2019

It’s summer—that wonderful time of year when fresh and delicious produce abounds. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will tell you that your teeth, gums, and tissues all rely on an appropriate mix of vitamins and minerals to maintain good oral health no matter what time of year. In previous studies, nutrients in fruits and vegetables such as dietary fiber, potassium, and antioxidants have all been associated with a reduced risk for cardiovascular disease and cancers, including oral cancer.

Here are four foods we want you to enjoy this summer to ensure a healthy mouth:

Watermelons and Strawberries

Watermelons have high water content, which dilutes the affects of the sugars they contain and stimulates the flow of saliva. In addition, research shows that eating foods full of water (watermelon is 92 percent water) helps keep you satiated on fewer calories. Finally, in addition to containing skin-protecting lycopene, eating watermelon can help you stay hydrated during the summer months, which not only keeps your memory sharp and your mood stable, but also helps keep your body cool.

Strawberries are juicy and delicious, and they’re also considered a superfood. Nutrient-rich and packed with antioxidants (such as vitamin C, which can help with cancer prevention), strawberries also promote eye health, help fight bad cholesterol, and regulate blood pressure.

Apples

Did you know consuming apples can help you attain whiter, healthier teeth? It’s true. Biting and chewing an apple stimulates the production of saliva in your mouth, and in the process, lowers the levels of bacteria and other harmful acids, leading to a lower likelihood of tooth decay. Apple consumption can also boost your immune system, reducing cholesterol and helping you avoid Alzheimer’s and Parkinson's diseases. Finally, eating an apple a day has been linked to heart health, including a lower risk of death from both coronary heart disease and cardiovascular disease.

Tomatoes

Tomatoes are a delicious and healthy snack and can help you ward off cancer. The yummy red fruit contains lycopene, which helps protect your skin from sunburn. Tomatoes can also help you fight heart disease due to the niacin, folate, and vitamin B6 nutrients they contain. They’re high in crucial antioxidants, such as vitamin C and vitamin A, which work to prevent DNA damage.

Why do wisdom teeth need to be removed?

May 28th, 2019

Sometime around the late teens or early twenties, people’s wisdom teeth start to erupt. These are the third and final set of molars. When wisdom teeth come in properly — meaning they are correctly aligned — they offer more chewing power. Unfortunately, more often than not, wisdom teeth are misaligned, crowd other teeth, and need to be removed.

Why do we have wisdom teeth?

It is thought that we have wisdom teeth because — back in the day — we ate a diet that consisted of more rough foods, like roots, leaves, and meat, all of which required more heavy-duty chewing power.

Reasons Wisdom Teeth Need to be Removed

While there is no clear-cut rule that says every single person needs to have their wisdom teeth removed, there are certain situations where one or more wisdom teeth are causing a problem or have a strong likelihood that problems will eventually arise in the future that warrant their removal.

1. Fully Impacted Wisdom Teeth

When a wisdom tooth is “impacted”, it means that the tooth is covered by gum tissue, thereby preventing it from erupting through the gum. This often occurs when the mouth is too small to allow enough room for the tooth to emerge. Because bacteria, food, or other mouth substances can be lodged under the gum that covers the wisdom tooth, it can lead to an acute abscess, known as pericoronitis.

2. Partially Impacted Wisdom Teeth

When a wisdom tooth is partially impacted, meaning the tooth is partially emerged from the gums, it almost always is advised to be removed. Because of its location in the very back of the mouth, a partially erupted wisdom tooth is more susceptible to not only decay and cavities, but also gum disease.

3. Other Reasons to Have Wisdom Teeth Removed

If you experience any of the below dental issues or changes in your dental health, removal of your wisdom tooth (teeth) may be necessary:

  • Pain at or surrounding the wisdom tooth site, including the jaw or cheek area
  • Repetitive infections
  • Gum disease
  • Tooth decay (extensive)
  • Tumors
  • Cysts
  • Damage to surrounding teeth

It is important to know that the decision to have a wisdom tooth removed isn’t always cut and dry. It is essential to talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about the alignment of your wisdom teeth if they have already erupted, health of your wisdom teeth if impacted or partially impacted, and your overall dental health to determine what is best for your situation. Contact our Kingston, ON office to schedule an appointment today!

Ways to Prevent Oral Cancer

May 21st, 2019

According to the Oral Cancer Foundation, this form of cancer kills roughly one person an hour, every 24 hours. This means that nearly 10,000 people will die this year from this type of cancer.

Often, the cancer is discovered late, which is the main reason the death rate is unfortunately so high. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want you to know the precautionary steps you can take to avoid oral cancer.

Here are some of the most effective methods:

  • Good oral hygiene is the first step in oral cancer prevention.
  • Visit our Kingston, ON office every six months for a dental exam.
  • Quit smoking or using chewing tobacco, if you do.
  • Limit alcohol consumption.
  • Maintain a healthy, well-balanced diet.
  • Consume cancer-fighting foods such as vegetables, berries, garlic, green tea, etc.
  • Change how you prepare foods; baked, boiled, or steamed foods are healthier than grilled or fried.
  • Exercise regularly to maintain a healthy immune system.
  • Limit the amount of time you spend in the sun, and be sure to use sunscreen.
  • Conduct an oral self-exam each week.

We know the thought of oral cancer can be frightening, so we hope the above advice can help patients catch it early or prevent it from ever happening. If you notice a negative change in your oral health, contact our Kingston, ON location right away and schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough.

If you’re ever concerned or have questions about this common form of cancer, don’t hesitate to ask a member of our team.  

 

Caring for Your Invisalign® Aligners

May 14th, 2019

You’ve selected the Invisalign system because of the many benefits Invisalign offers: comfort, convenience, appearance, and even potentially shorter treatment time! And to add to the good news, caring for your Invisalign aligners is easy and uncomplicated. Follow these simple tips to keep your aligners in the best possible shape as you move through the stages of your treatment.

Stay Clean

  • Always brush and floss your teeth before using your aligners so that bacteria and food particles will not have a chance to collect around your teeth while you wear them.
  • When you brush your teeth, be sure to brush your aligners with a separate soft toothbrush and lukewarm water as well.
  • Rinse your aligners whenever you remove them during the day.
  • Soak your aligners as recommended. Use the Invisalign Cleaning System or ask our Kingston, ON team for other suggestions to keep your aligners free from odor and bacteria.

Stay Clear

One of the reasons you chose Invisalign is for an almost invisible appearance. Why take a chance on discoloration or scratches that will make the appliance more noticeable? Here are some common mistakes that can affect the color of your aligners:

  • If your aligner has white spots, that might mean plaque build-up. Always rinse your aligner after you remove it and clean it thoroughly night and morning.
  • Brushing with anything other than a soft brush and brushing too hard can cause scratches in the material which might be noticeable. A gentle touch will work to clean and protect your aligners.
  • Eating with Invisalign aligners can cause staining. More important, it can cause the retention of food particles in the appliance, which can lead to dental problems. Finally, aligners are not meant for chewing—they might be damaged or lose their ideal shape even with soft foods. If you are going to be eating or drinking, take your aligners out, give them a rinse, and brush before you replace them. Or stick with water! Water will have no ill effects on teeth or aligners.
  • Only soak aligners in an appropriate solution. Harsh chemicals, colored mouthwashes, and even some toothpastes can dim or discolor the clear plastic.

Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about the best products to use and the best methods for taking care of your aligners. After all, making the process of improving your smile as easy and effective as possible is yet another benefit of choosing Invisalign!

What causes tooth loss?

May 7th, 2019

When children lose baby teeth, it’s a time to rejoice. But when adults suffer from tooth loss, it may be a sign of a serious problem. That’s when it’s time to give us a call at Cataraqui Dental Centre.

What are the reasons for missing teeth?

The loss of permanent teeth can occur for a variety of reasons, ranging anywhere from hereditary factors to tooth decay to traumatic injury. Here are the following reasons why adults suffer tooth loss:

  • Gum disease: The number one cause of lost teeth in adults is gum disease, also known as periodontal disease, an infection of the structures that support the teeth. Once gum disease reaches and destroys the alveolar bone, the teeth begin to loosen and will eventually fall out or need to be extracted.
  • Tooth decay: If cavities are left untreated, they can destroy tooth structure as well as cause infection in the supporting bone.
  • Tooth injury: An injury can either knock out a tooth immediately or cause damage to the root or pulp that will later require extraction. We recommend using a mouthguard if you play sports.
  • Tooth fracture: A fracture in a tooth is often caused by teeth grinding, or what Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team call bruxism. A crown may be the answer, but depending on the location of the crack or fracture and how deeply it extends, the tooth may not respond well to repair with a crown and may need to be extracted instead.

What are the risk factors for tooth loss?

  • Poor oral hygiene: Patients who only occasionally brush or floss their teeth are more likely to develop tartar, plaque buildup, and other bacteria that cause decay.
  • Not visiting the dentist: Seeing Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough every six months for a cleaning and checkup prevents any developing oral health issues, as well as ensures that plaque and tartar do not build up over time.
  • Smoking: Smokers and users of smokeless tobacco are more likely to develop periodontal disease that can cause tooth loss. If you are a smoker it is crucial to visit us on a timely schedule.
  • Various health conditions: Patients with high blood pressure, diabetes, rheumatoid arthritis, and other chronic health issues are more likely to suffer from gum disease.

Scheduling an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office will give you an accurate diagnosis and a variety of treatment options. It’s important to know that periodontal disease is “silent,” meaning you will not always experience pain as a signal of infection. When caught early, treatments are usually successful.

Give us a call today to schedule your next visit!

What is Nitrous Oxide?

April 30th, 2019

Many of our young patients experience anxiety during dental appointments. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want to help your child overcome any fear he or she may feel when coming in for regular visits.

If you know your child suffers from anxiety during dental checkups, nitrous oxide sedation, popularly known as “laughing gas,” may be helpful. Nitrous oxide can be used during many types of dental procedures.

It has a sweet odor and taste, and gets mixed with oxygen when supplied through a mask. The effects typically kick in within a few minutes and leave your child feeling calm and relaxed.

Nitrous is helpful because your child will stay conscious and able to move and answer questions the doctor may ask. The drug is also convenient because the effects go away within a few minutes after the mask is removed.

Nitrous oxide is not dangerous when it’s combined with oxygen. It is non-addictive and non-allergenic. When used properly, nitrous oxide reduces anxiety, while allowing continued communication between the patient and dentist during a procedure. It can also help alleviate pain or discomfort during exams.

You should know that nitrous oxide may cause nausea in up to ten percent of patients. This drug is not recommended for people who suffer from certain medical conditions. We recommend discussing this method with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough if your child's dental anxiety begins to interfere with his or her appointments.

We want all our patients to feel comfortable during their care. Talk with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at your child's next appointment to find out if nitrous oxide is an option. If you have questions regarding nitrous oxide, call our Kingston, ON location and we’ll be happy to answer them.

 

What are dental crowns?

April 23rd, 2019

A dental crown is often called a “cap.” A dental crown covers all of the visible parts of the tooth and has many functions and reasons for placement.

There are several different types of crowns available at Cataraqui Dental Centre. They vary in their material, appearance, and functionality. A PFM, or porcelain fused to high-noble metal, is the most common. A full cast, high noble metal crown is a gold crown, and a stainless-steel crown is meant to be temporary. The most natural-looking crown is one that is all porcelain. These are often used for front teeth.

Getting a crown typically requires two appointments. The first is a preparation with impressions, shaping, and placing a temporary. The impressions are either sent to a dental lab, where the process generally takes two weeks, or done in-office with a machine that can make a crown without needing a second appointment. These crowns are made from a high-quality solid block of porcelain. The shape of the tooth is constructed from a digital 3D image of your tooth.

To accurately determine which type of crown is best, you must first know why you need the crown and in what area of your mouth is it needed, which can be answered when you visit us at Cataraqui Dental Centre. For instance, if you have a gold crown on the lower right and need a new crown directly above on the upper right, the best durability and long-lasting relationship is another gold crown.

If you need a crown on a front tooth, a gold crown may not be the best choice. A PFM has strength but is not ideal, as a dark line will appear at the gum line. A full porcelain crown is going to look as close to a natural tooth as possible, but will have less strength than a gold crown.

There are two types of porcelain crowns, depending on how they are made. A dental lab makes a full porcelain crown by baking layer upon layer to make the porcelain look like natural enamel. A full porcelain crown made in-office out of a solid piece of porcelain will have increased strength. However, the natural layered appearance is extremely difficult to achieve.

A crown is placed on a tooth when added strength is needed. Cracks, large broken-down fillings, or previous root canal treatment are all conditions where a crown is the standard care. The type of crown that is most appropriate depends greatly on location.

Headaches, TMJ, and Dentistry

April 16th, 2019

That ache in your head may stem from your jaw. If your jaw falls out of alignment, you could have temporomandibular joint disorder, or TMD.

It's not clear what causes TMD. Obesity may factor in. Stress and pressure on the jaw may also contribute. A misaligned bite (that is, where your upper and lower teeth don't fit together when you close your mouth) may cause TMD symptoms, too.

TMD can affect your life and your health by making it painful to eat and hard to sleep. Some people find the nagging pain difficult to bear.

Symptoms of TMD include:

  • Recurring headaches with no other cause
  • Pain along and behind your ears
  • Pain in your cheeks or lower face
  • Clicking noises when you talk or chew
  • Tired or sore jaw muscles after eating
  • Limited jaw movement

If you experience the symptoms listed here, make an appointment with our office. We’ll take an X-ray to look at your bite, and determine if TMD could be the culprit. If you have TMD we can offer a number of treatments, including:

  • Relaxation and stress reduction techniques
  • Pain reduction recommendations, which might involve visualization or medication
  • Jaw joint exercises that can help reduce stress and improve your alignment

Left untreated, TMD headaches and other symptoms can become quite severe. If you suffer the symptoms of TMD, you do not have to live in pain. Make an appointment at our Kingston, ON office to learn how we can reduce your pain and restore comfort to your life.

What are Sealants?

April 9th, 2019

Sealants offer many benefits, but the best is their ability to protect your molars. Molars are full of small caverns that can be the perfect breeding ground for tooth decay and plaque buildup.

Use of protective sealants prevents this buildup from happening. Although children often receive sealants for routine preventive care, they aren’t the only ones who can benefit from this treatment. Sealants can also help adults who have deep canyons or grooves in their teeth.

They are commonly placed on the rear molars that tend to suffer the most decay. Because your molars are used substantially as grinding surfaces, food is more likely to be trapped among them.

Sealant solution consists a composite material that contains bonding agents that seal the top of your teeth. The process is quick and painless, which makes it a great solution for both children and adults who have had trouble with cavities and tooth decay. Sealants also last for several years, and repair is a simple process that can be completed by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough.

The process of putting sealants on teeth starts with the tooth getting cleaned. We clean it with a type of baking soda spray called sodium bicarbonate. Then acid is etched onto the teeth to rough up the surface.

We apply an alcohol-based liquid to dry the area where the sealant is supposed to go. After it completely covers the surface of the treated teeth, the sealant is cured with a light that makes it hard and long-lasting.

Getting sealants can prevent the possible restorative costs that come from cavities. Sealants help to protect your tooth’s enamel from harmful acids and prevent decay, which can be an investment in itself. The whole process is quick, so it should be easy to schedule an appointment at Cataraqui Dental Centre.

Feel free to call our Kingston, ON location and we can answer any questions you have about this service.

Periodontics and Pregnancy

April 2nd, 2019

Periodontal health — which refers to the condition of the structures that support your teeth — is an important part of your oral and overall health. However, periodontal health becomes even more important when you're pregnant. Bad oral health can have detrimental effects on the health of your unborn child and can lead to low-birth weight babies and giving birth to a pre-term baby, according to reports by the American Academy of Periodontology (AAP), the European Federation of Periodontology (EFP), and several research studies.

Periodontal disease (gum disease) is a set of chronic, bacteria-induced, inflammatory diseases that attack the gum tissue and in more severe cases, the bones supporting the teeth. Early signs of periodontal disease usually include tenderness, swelling, and redness. Symptoms can also include bleeding gums when flossing or brushing, receding gums, loose teeth, and bad breath. These signs shouldn't be ignored, especially if you're pregnant.

Prevention is the best tool you have to fight periodontal disease. Here are some steps you can take to keep your gums in tiptop shape:

  • Brush your teeth properly twice a day – angle your toothbrush at the gum line to help disrupt the bacterial growth that eventually leads to periodontal disease, and make sure you don't brush too hard.
  • Floss daily and clean behind the back molars on the top and bottom of your mouth.
  • Use antiseptic mouthwash to rid your mouth of the bacteria that can cause gum disease.
  • Get regular checkups at our Kingston, ON office to ensure you have no signs of periodontal disease and that your oral hygiene habits are effective.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team urge women to care for their periodontal health during pregnancy to avoid complications. If you have any questions regarding periodontal health and how it affects you and your baby's overall health, please contact our Kingston, ON office for more information.

How can veneers improve my smile?

March 26th, 2019

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre believe everyone’s smile should be a something they can be proud of. Most of us aren’t born with naturally perfect teeth, though, so it’s fortunate that cosmetic dentistry and veneers make it possible to achieve the smile of your dreams!

Dental veneers are a great option to improve your smile and are highly accessible to patients around the world. They’re made of porcelain and will be customized to fit the surface of your teeth perfectly. Our team will note your tooth size, color, and shape so your veneers will look completely natural.

Benefits of dental veneers

Appearance: Dental veneers can be undetectable to others because they look so natural. One of the best perks is that they are resistant to stains, so you don’t have to worry about discoloration over time.

Improvements: Not only will your smile look better, but many minor imperfections can be improved with dental veneers as well. Chipped teeth, discoloration, and gaps will be covered by your veneers.

Durability: Veneers are made from long-lasting porcelain materials, which means they are resistant to scratches and chipping. If you take care of them properly, they can look as good as new for years!

Flexibility: Patients have the option of choosing single veneers to repair chips or cracks in teeth or go for multiple teeth to create a completely new smile.

Considerations

Just because dental veneers can cover imperfections, that doesn’t mean your oral hygiene is any less vital. Your teeth and gums should be healthy and disease-free in order to be eligible for veneers.

Set up an initial consultation at our Kingston, ON office today, and we can address any underlying issues you may have. Your perfect smile could be just a phone call away!

 

Invisalign® and Invisalign Teen® Make You Smile

March 19th, 2019

Many adults and teens in our Kingston, ON office would love to have their teeth straightened but are unwilling to go through the long and often embarrassing process of wearing traditional metal braces. Invisalign® and Invisalign Teen® clear aligners offer the perfect solution: They’re the most advanced clear aligner systems in the world!

If you’re considering getting braces, there are several reasons why you might want to consider Invisalign clear aligners. Here are some of them:

  • You can eat whatever food you like, without worrying about it catching in wires or breaking brackets.
  • People won’t likely be able to tell you’re wearing them!
  • The aligners can be removed at any time.
  • You can brush and floss as you normally would, which helps to maintain better overall oral health.
  • Invisalign aligners are made of a smooth BPA-free plastic and are more comfortable to wear than traditional braces. You’ll need to visit our Kingston, ON office less often: only once every six weeks or so.
  • With Invisalign Teen, you’ll receive up to six replacements for lost or broken aligners.

Before starting treatment, you’ll have a consultation with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to see if Invisalign or Invisalign Teen treatment is right for you. After that, you’ll have X-rays, pictures, and impressions taken of your teeth.

That information will be used to make the 3D models of your teeth that let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough see how they will move throughout the entire treatment and approximately how long it will take.

You’ll receive your aligners based on the treatment plan we recommend. You’ll get a new set of aligners every two weeks. All you need to do is wear your aligners 22 hours a day and you’ll be on your way to a straighter smile in no time!

Ask a member of our Kingston, ON team for more information about Invisalign clear aligners today!

Airplane Oral Health Tips

March 12th, 2019

What’s in your carry-on bag? You’ve got your passport, ticket, and currency, but what about dental floss? Of course! You’re preparing for the trip of a lifetime, and we want to help make sure everything goes according to plan.

Part of your preparation before a long vacation should be a complete check-up at our Kingston, ON office well in advance of your trip. If there is dental work to be done, now is the time to do it. No one wants to be stuck over the Atlantic with a toothache, and changes in atmospheric pressure can cause serious problems if you have a severely compromised tooth. Tell us when you are planning on traveling, and we can schedule any procedures that should be finished before you fly.

Now that you have the all clear to travel, what about maintenance once you’re on board for a long flight? Some airlines provide toothpaste and brushes for travelers. If you have questions about the quality of the water in the airplane restroom, use bottled water to brush. There are also single-use mini-brushes available for travelers that come loaded with paste and ready to use without any water at all. Crisp fruits and vegetables can help clean teeth on-flight if brushing isn’t an option, and drinking plenty of water will not only keep you hydrated, but help cleanse your mouth and teeth as well. Be sure to travel with floss, a travel-sized tube of toothpaste, and a brush in a well-ventilated container in case you face airport delays between flights.

Taking your electric toothbrush with you? Usually there is no problem bringing your electric toothbrush in your carry-on, but do check in advance to make sure this is allowed on your flight. Most electric toothbrushes have region-specific battery chargers, so find out in advance if you will need a voltage converter or plug adaptor if you are visiting another country. Check to make sure the head is in good condition before you go and replace it if necessary.

Once you’ve landed, try to keep your dental routine as close to normal as possible while you enjoy your visit. Regular brushing and flossing are still necessary, especially if you take the opportunity to explore the local desserts. We’ve given you some tips to make your flight more comfortable—now that you’ve reached your dream destination, the rest is up to you!

The Purpose of a Dental Crown

March 5th, 2019

A dental crown, otherwise known as a cap, covers an infected tooth and can vary in function, depending on the position of the tooth. Crowns cover all the visible parts of a tooth and vary in size, appearance, and functionality.

A crown can be used to protect a weak tooth from breaking, hold together an already broken or worn tooth, cover the tooth with a large filling or dental implant, hold a dental bridge in place, or support a cosmetic modification.

Several types of crowns are available, depending on the tooth to be treated. Stainless-steel crowns are used on permanent teeth, usually as temporary measures in children because they’re more cost-effective for baby teeth that naturally come out over time.

Metal crowns are another option that includes gold alloys, or base-metal alloys. Metal crowns are notable for their ability to withstand biting forces, rarely break or chip, and therefore offer the best results in terms of normal wear and tear.

Porcelain fused to metal crowns most closely resemble a normal tooth and are a good choice for front or back teeth. Other, less common types include all-resin, all-ceramic, all-porcelain, and zirconia crowns.

If you’re getting a crown, you can expect a few things during your visit with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. Crown placement usually requires two appointments. The first entails preparation to get an impression of the tooth, shape it, and place a temporary crown. The impression is sent to a lab where a technician makes the crown to be fitted.

During the second appointment, the high-quality porcelain crown is placed on the problematic tooth.  

If you notice any signs of discomfort in your mouth, always let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough know by calling our Kingston, ON office. We will determine which type of crown is best for your tooth to give it the added strength it needs. Crowns can be very helpful for your oral health if you have any teeth that need extra support.

Brushing Mistakes You Don’t Know You’re Making

February 26th, 2019

It’s great that you’re enthusiastic about your dental health! Here are some tips from Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team to make sure you are getting the most out of your brushing by avoiding common mistakes.

Choose the right brush

In almost every case, a soft brush provides the right amount of bristle-strength to clean your teeth and gums effectively. Hard bristles can damage sensitive enamel and gum tissue, so treat yourself kindly. Also, choose a brush head that’s the right size for your mouth, since a toothbrush that’s too large can be uncomfortable and unable to reach all the areas you need to brush.

Don’t keep your brush too long

Three months is about the average life of a toothbrush. Over time, bristles become frayed or worn and lose their effectiveness. It’s also a good idea to replace your brush after an illness.

Be gentle

Even with a soft brush, it’s possible to brush so hard that your enamel and gums are affected. Think of yourself as massaging your teeth and gums rather than scrubbing them.

Use proper technique

Using a “sawing” back-and-forth motion is hard on your enamel and misses plaque and debris between the teeth. Hold your toothbrush at a 45-degree angle, especially at the gumline, to gently remove plaque. Use short strokes or a circular motion to clean as much of the surface and between the teeth as possible. Make sure you cover all the surfaces of your teeth: outside, inside, and chewing. And don’t forget your tongue!

Take your time

Brushing twice a day for two minutes each time is the standard. Most people brush much less; try using the stopwatch on your phone or a two-minute timer to make sure you are spending enough time brushing. On the other hand, if you brush too hard or too often, remember that over-brushing can lead to problems for your gums and enamel.

Your daily routine might be fast and furious, but your dental routine requires a gentle, methodical approach. Ask at your next visit to our Kingston, ON office, and we will be happy to help you design the perfect brushing practices for your busy life.

Pick the right electric toothbrush!

February 19th, 2019

The electronic toothbrush has undergone several technological advances since the 1960s. Everything from design and bristle motions to rotation, oscillation, and sonic vibration has led to dramatic changes in this necessary tool over time.

Rotation oscillation happens when the head of the toothbrush rotates from one direction to the other. The benefit of powered toothbrushes is that they can produce 50,000 strokes per minute, compared to 300 strokes with a manual toothbrush.

When you’re thinking about brush head size, smaller brush heads are best for hard-to-reach areas and small mouths. Brush heads should be replaced every three to six months as needed. A good way to save money is to designate a brush head for each family member which can be taken on and off a shared base motor.

Having a base motor or rechargeable toothbrush can deliver enough power on a full charge for a week of brushing, which makes it convenient for travel or when life gets busy. Some toothbrushes include audible signals that let you know when to switch the area of your mouth you’re brushing or when a full two minutes has gone by.

Do you have sensitive teeth? Studies have indicated that people tend to apply more pressure on their teeth when they use a manual toothbrush. This makes an electric toothbrush a preferable option if you’re having issues with sensitive teeth or gums.

There are even electric models with pressure sensors that will stop the brush from spinning when you press too hard against your teeth!

Everyone can benefit from having an electric toothbrush. A large handle size can be taken into consideration if a member of the household is young, or has a physical disability or arthritis. They’re even recommended for children in order to maintain good oral hygiene from a young age.

Biofilm is a term used for plaque or debris that builds up in your mouth. If not properly addressed, this can cause serious bacterial infections to your gums and teeth. If you want to remove biofilm in the most efficient way, an automatic toothbrush is the way to go.

When you're ready to make your decision, make sure to consult with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office to decide which electric toothbrush is right for you!

The Start of Valentine’s Day

February 12th, 2019

Valentine’s Day, also known as Saint Valentine’s Day, has been said to originate with a Catholic priest named Valentine several thousand year ago. Valentine defied the emperor at the time by secretly marrying men and their brides after the emperor had made it illegal to marry. Emperor Claudius II did this because he wanted as many single young men to fight in his war as he could get.

Valentine disobeyed the emperor’s edict by continuing to marry couples until he was sentenced to death. Before his execution, he sent a letter to a secret love and signed it “From your Valentine.” Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team have come up with some suggestions on how you can celebrate this Valentine’s Day, whether you have a valentine of your own or not.

Valentine's Day Ideas

  • Enjoy a tasty treat. There are plenty of options when it comes to cooking and/or baking on Valentine’s Day. Make your significant other his or her favorite meal or sweet treat, or make your own favorite dish to enjoy on this day. Oh, and be sure to make enough for leftovers!
  • Make a personalized card. Instead of buying a card from the grocery store, take the time to make your own for a loved one. People love handwritten notes, especially when it’s from someone special. If you’re single this Valentine’s Day, make a card for fellow single friend to brighten the day and remind the person that he or she is also loved.
  • Watch a movie. We all know there are plenty of romance movies out there. Put on your favorite romantic comedy, or pick up your significant other’s favorite movie to watch together. Even better, if you’re single, pick up your own favorite movies to watch to pass the time this Valentine’s Day.
  • Do nothing! We all know Valentine’s Day can sometimes get a lot of hype. If you’re worried about not making a reservation in time, don’t feel like planning an extravagant night out, or simply not in the holiday mood this year, spend your day sitting back and relaxing.

Valentine’s Day is a time to celebrate love and spend quality hours with the people you care about the most. Whether you’re in a relationship or single, take some time today to appreciate those you love in your life.

We wish you a happy Valentine’s Day celebration and look forward to seeing you at our Kingston, ON office during your next appointment.

Common Emergency Care Visits: Toothaches or abscesses

February 5th, 2019

Dental problems do not always wait for normal office hours. Broken fillings or damaged teeth are common reasons for emergency treatment. Toothaches and abscesses can also require prompt attention. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can provide you with the information and treatment you need to prevent the problem from becoming worse. Emergency dental care is only a phone call away, 24 hours a day, seven days a week.

Abscess

An abscess is a bacterial infection, and will normally cause pain and swelling around the affected tooth and gum area. Antibiotics are not always necessary, but you should seek treatment quickly. Left untreated, an infection can spread and cause serious complications.

Toothache

There are many reasons that you may develop a sudden toothache. The cause of the pain may be a particle of food lodged between your tooth and gum line. One of the first steps you can take is to rinse your mouth with warm water. You may also try gently flossing the area to dislodge the particle. Do not continue flossing if bleeding occurs.

Toothaches can occur from a carie — a cavity in the tooth — or from a fracture. Sensitivity to heat or cold may also cause tooth pain. You should make an appointment to ensure that a minor problem does not become serious. We may recommend acetaminophen or another pain reliever to reduce the pain before your visit.

Additional tips and treatments:

  • If you have fractured a tooth, rinse the area with warm water to keep the surfaces clean. Apply a cold compress to the outside of your facial area to reduce swelling.
  • A tooth that has been knocked out should be kept moist, in a clean container, until you can receive treatment.
  • Do not apply aspirin directly on a damaged tooth or gum area as it can cause tissue irritation.
  • If you suspect that your jaw has been broken, go to an emergency room immediately.
  • If you have bitten or damaged your lips or tongue, rinse your mouth well with warm water. If bleeding continues, call us or seek other medical attention immediately.

Our team at Cataraqui Dental Centre is ready to assist you when you have an emergency dental need. When you call, please provide us with as much information as possible so we can offer recommendations that will assist you until your appointment. Do not delay; emergency treatment is available and immediate treatment is the best course of action.

Dentistry around the World

January 29th, 2019

From the clinical perspective, dentistry is similar around the world. Dentists, like Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, go to school, obtain a license, and work hard to prevent and treat tooth decay, gum disease, oral infections, throat or oral cancer, tooth loss, and other conditions that might limit a person’s ability to smile, bite, chew, or speak. The quality of dental care, however, and the payment method for dental services varies between nations.

Dentistry throughout the World

Developed countries have more dentists per capita than do developing nations, according to the World Health Organization. There is one dentist for every 150,000 people in Africa, for example, as compared to about one dentist for every 2,000 citizens of an industrialized nation. The lack of dentists in developing nations means that dental care is restricted to pain management and emergency care.

Dentistry often reflects the cultural views of a nation. Some cultures acknowledge only the functional aspect of teeth, so dentists focus on preventing tooth decay, gum disease, and tooth loss. Other cultures emphasize aesthetic appearances, so dentists there provide cosmetic procedures in addition to essential oral care.

Each nation imposes its own education and licensure requirements for dentists but most require some college before four years of dental school. The graduate must then pass local or national exams to practice in that region. European schools and standards are similar to the United States.

From the business perspective, dentistry varies between nations. In the United States, a dentist presents to the patient one bill that includes all of the treatment costs, such as the dentist, his assistant, tools, and labs. This allows the dentist to charge a single, easy-to-pay fee for individual procedures, and gives him an opportunity to mark up items and make a profit.

Across much of Europe, a dentist presents two bills to her patient – one for the dentist and another for the lab. This approach may stem from a cultural belief that profiting from healthcare is unethical and that healthcare should be available to consumers at actual cost; public dental clinics and subsidies ensures all citizens have access to dental care, regardless of ability to pay. In most cases, the government is both overseer and provider of dental care.

While the role of the dentist is nearly the same in every country – to ensure the oral health of the citizens – dental care is different in each nation. Regardless, you can rest assured that the care you receive at our Kingston, ON office is held to the highest standard.

The Link Between Dental Hygiene and Your Overall Health

January 22nd, 2019

When patients of Cataraqui Dental Centre hear any mention of oral or dental hygiene, they probably think of brushing and flossing their teeth. Although these are extremely important, the term dental hygiene encompasses much more than that. Your mouth’s health, including your teeth, has an important impact on your overall physical health. The National Institute of Dental and Craniofacial Research published the surgeon general's first ever report on dental health. It is called A National Call to Action to Promote Oral Health. In that report, the Surgeon General states that the 1948 World Health Organization expanded its earlier definition of health to "a complete state of physical, mental, and social well-being, and not just the absence of infirmity."

The Importance of Oral Health to Total Overall Health

One of the most important themes that the dental health report stressed is that you cannot be healthy without oral health. It went on to explain that oral health and general health are inextricably linked, and therefore can't be seen as two separate things. Because oral health is so critical to overall health, it should be included in all community health programs. For individuals, this means that it is just as important to take care of your mouth, your teeth, and your overall oral health as it is to take care of the rest of your body. The two most prevalent dental diseases are caries (cavities), also known as tooth decay, and periodontal (gum) disease.

Ways that Oral Health Impacts Overall Health

One important way in which good oral health contributes to better overall health is seen in the findings of several studies in which the blood sugar levels of diabetic patients were significantly lowered when their periodontal (or gum disease) was successfully treated. Your mouth has roughly 500 different species of bacteria. Many are harmless, and some are even good bacteria that help maintain the balance of your intestinal flora. Harmful bacteria can infect your gums, causing gingivitis. Your body's immune system may try to fight off the alien invaders, but they attack your gums, causing inflammation and bleeding when you brush.

Now that you know how important good dental hygiene is, be sure to see to get your teeth cleaned every six months, have regular dental checkups, brush and floss your teeth at least twice daily, and replace your toothbrush at least every couple of months. Call us to schedule your next appointment at our convenient Kingston, ON location.

Oral Health during Pregnancy

January 15th, 2019

Pregnancy can be one of the most exciting times in a woman’s life, as you eagerly wait for the birth of the new addition. Needless to say, pregnancy comes with a lot of responsibilities. Everything you do to your own body can affect your baby’s health, so you eat right and try to avoid anything that could harm your baby.

You may not realize it, but even your oral health affects your baby. You have a lot to worry about during this time in your life, but it’s important not to let your oral health slide. Maintaining good routines before and during pregnancy can improve the health of your baby.

Gum Disease and Pregnancy

Gum disease includes gingivitis and the more severe condition called periodontitis. Pregnancy gingivitis is a condition that results from bacteria in your teeth. Symptoms include gum inflammation and bad breath. If it progresses to periodontitis, your baby is at higher risk for preterm delivery and low-birth weight. You can also develop pregnancy tumors, or pyogenic granulomas, which can interfere with speaking and eating. Throughout pregnancy, continue to visit Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at your regularly scheduled appointments to look for signs of gum disease.

Pregnancy and the Role of Our Office

Make an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office when you first learn that you’re pregnant, especially if you have unresolved oral health issues. If possible, try not to schedule necessary treatment during the first trimester or second half of the third trimester.

Oral Health Care Habits to Follow

Maintain a normal good oral health care regimen, which includes brushing your teeth at least twice daily with a fluoride toothpaste and soft toothbrush, and flossing daily. If your regular regimen is not up to par, now is a good time to develop good habits. You can use an unflavored toothpaste if you have morning sickness and regular toothpaste makes you feel nauseous. Also, rinse your mouth with water or mouthwash if you experience morning sickness to prevent acid damage to your teeth.

Gum Disease Prevention

January 8th, 2019

What to do to prevent gum disease? If left untreated, gum disease can lead to discomfort, infection, and even tooth loss. Bacteria in our mouths form a film called plaque. Plaque sticks to our teeth and can lead to gum inflammation. This inflammation can cause our gums to pull away from the teeth creating “pockets” which are home to infection and result in tooth and bone loss. Since the early stages of gum disease are often invisible, what is the secret to keeping our gums healthy?

Luckily, there is no secret to it at all! Preventing most gum disease is a simply a matter of following well-known guidelines, at home and in our Kingston, ON office.

 Healthy Habits at Home

  • Regular brushing and flossing

At least two minutes of careful brushing twice a day will help reduce bacteria and plaque. Use floss, picks, and other interdental tools to remove plaque from tight areas between the teeth that your brush might miss.

  • If you smoke, now is the time to quit!

Smoking weakens your immune system, making it harder to fight infections and to heal. If you need another reason to quit, improving your oral health is a great one. Talk to us about ways to stop.

  • Eating well

We all know sugar is no friend to dental health, and encourages bacterial growth. But eating apples, carrots and other crunchy vegetables can help remove food particles and stimulate the production of saliva, which fights bacteria production. Vitamins and minerals help strengthen bones and build healthy gum tissue. And a balanced diet supports not just your oral health, but the health and well-being of your entire body. Ask us for suggestions for a dental-healthy diet.

Regular Checkups and Cleanings

  • We recommend a visit to our Kingston, ON office every six months for a checkup. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can discover and treat gingivitis (early periodontal disease) and recommend a periodontal exam if there are signs of more severe gum disease. There are some individuals who develop gum disease even with great brushing and flossing habits, so it’s important to have a dentist’s evaluation.
  • Having your teeth cleaned every six months will remove plaque that brushing alone can’t handle. If there are signs of more serious gum disease, a periodontal cleaning will remove plaque and tartar from both above and below the gumline.

Brushing, flossing, avoiding smoking, eating well, seeing Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough regularly—there’s no secret here! Talk to us about what you can do and what we can do to keep your gums healthy for a lifetime of beautiful smiles.

It's a Wrap: Ending the year with a smile!

January 1st, 2019

People have been ushering in the New Year for centuries but it became an official holiday in 1582 when Pope George XIII declared January 1st to be the day on which everyone would celebrate the New Year. At midnight people would yell, holler, and blow horns to scare away the evil spirits of the previous year so the New Year would be joyous and filled with opportunity. Nearly 500 years later, we still greet the New Year by whooping and hollering, but in a celebratory manner instead. Whether you intend to ring in the New Year quietly at home in the Kingston, ON area or have plans to join the countdown at a gala extravaganza, these tips can help you ring out the old and usher in the new with a smile.

Tips for a Happy New Year's Eve Celebration from Cataraqui Dental Centre

  • Be Safe. There's no way to predict the behavior of others on New Year's Eve, but you can be responsible for your own behavior to keep yourself safe. If adult beverages will be part of your celebration, plan on spending the night wherever you are or line up a designated driver to bring you home after the party is over.
  • Enjoy Family and Friends. Spending time with the important people in your life is what makes the holidays enjoyable. Coordinate your schedules and choose New Year's Eve activities that everyone in the group will enjoy. You don't have to go to a party to ring in the New Year; some people like to go bowling, see a movie, or have a great meal at home.
  • Accessorize with a Smile. Whether you dress up or have a quiet dinner with family and friends, one of the best accessories you can add to your attire is a beautiful smile.

New Year's Eve is a time to gather with friends and family, reflect on the year that's coming to an end, and look forward to the new one with anticipation. Enjoy this transitional holiday in a way that's safe, healthy, and fun. After all, counting down until the clock strikes 12 marks the beginning of a full year of opportunity ahead of you. From Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, have a great new year!.

I haven’t been to the dentist in years; what should I expect?

December 25th, 2018

Time flies when we are not at the dentist! Before you know it, years may have gone by. Let’s take a moment to explain what takes place when a patient comes back to receive care after an extended period of time.

After a while, small dental concerns or issues can grow into an unexpected journey of discovery and expense. Anxiety is common and expected. Let’s discover first of all, “What brings you here today?” It is a good place to start and once the initial concerns are addressed, a comprehensive plan to restore optimum dental health can be arranged. During the first appointment Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want you to feel comfortable, and establish a confidence allowing you to be open with any questions.

Your visit will take approximately 90 minutes. First, a complete medical and dental history will be recorded and reviewed in one-on-one interview style. This is the time to voice any concern, anxiety issues, worries, etc. Then, X-rays are taken to provide additional information about what is happening beneath the surface of your teeth and gums. Finally, a series of screenings including those for oral cancer, home care evaluation, and periodontal disease are conducted to complete your oral health evaluation.

The hygienist has a great eye for other conditions such as broken fillings, cracked teeth, active decay, and other dental concerns. Then, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will come in for a comprehensive exam and list and prioritize your dental needs. Our treatment coordinator will present scheduling options, insurance coverage, and payment plans.

Our team will coach you and help you gain control of your own dental destiny with good home care habits. You will receive a bag with a toothbrush, floss, appropriate toothpaste, and any other specialized tools for your needs. You will know how often you need to return for hygiene visits or other dental appointments.

Our patients at Cataraqui Dental Centre are our most important asset, and we strive to create a comfortable experience, no matter how long it has been since your last visit at our Kingston, ON office. From phone conversations to financial arrangements to clinical treatment, we want you to feel confident that our team will meet your needs.

When should I floss during the day?

December 18th, 2018

A vital step in your oral health routine is flossing. We hope our patients at Cataraqui Dental Centre maintain good oral hygiene, including daily flossing between each visit to our Kingston, ON office. A toothbrush is not always enough to get to the hard-to-reach areas of your mouth. When food remains between your teeth, bacteria starts to grow and will break down your enamel. This is where flossing comes in!

Should you floss before or after brushing?

Whatever your personal preference, you may floss before or after you brush your teeth. When you floss first, you can brush away any leftover dislodged food debris from your teeth. On the other hand, when you brush first, you will loosen the plaque between your teeth, which makes flossing more effective.

The essential aspect is that you floss thoroughly by using a fresh strand of floss and make sure to get between every tooth. Even if your teeth look and feel clean, don’t skip flossing or plaque will begin to build up on your teeth.

When is the best time to floss?

Although you should brush your teeth at least twice a day, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team recommend flossing your teeth thoroughly once a day. Many people prefer to floss before bed, so that plaque doesn’t sit between their teeth all night.

What kind of floss should I use?

You may choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine. If you have permanent oral appliances or restorations, be sure to follow the flossing instructions provided to you.

Do you need help flossing?

If you’re having trouble flossing or have questions about which floss is best for your teeth, contact our Kingston, ON office and we can provide you with support. Be sure to keep up with your daily flossing routine, and we will see you at your next appointment!

What is a water pick and do I need one?

December 11th, 2018

Water picks, sometimes called “oral irrigators,” make an excellent addition to your regular home care regimen of brushing and flossing. Especially helpful to those who suffer from periodontal disease and those patients of ours undergoing orthodontic treatment with full-bracketed braces, water picks use powerful tiny bursts of water to dislodge food scraps, bacteria, and other debris nestled in the crevices of your mouth. Children undergoing orthodontic treatment may find using a water pick is beneficial if their toothbrush bristles tend to get caught on their wires or brackets.

When you use a water pick, you’re not only dislodging any particles or debris and bacteria you might have missed when brushing, you are also gently massaging the gums, which helps promote blood flow in the gums and keeps them healthy. While water picks are an excellent addition to your daily fight against gingivitis and other periodontal diseases, they are incapable of fully removing plaque, which is why Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre want to remind you to keep brushing and flossing every day.

If you have sensitive teeth or gums and find it uncomfortable to floss daily, water picks are a good alternative to reduce discomfort while effectively cleaning between teeth. Diabetics sometimes prefer water picks to flossing because they don't cause bleeding of the gums, which can be a problem with floss. If you have a permanent bridge, crowns, or other dental restoration, you may find that a water pick helps you keep the area around the restorations clean.

So how do you choose the right water pick?

Water picks are available for home or portable use. The home versions tend to be larger and use standard electrical outlets, while portable models use batteries. Aside from the size difference, they work in the same manner, both using pulsating water streams. A more crucial difference between water picks is the ability to adjust the pressure. Most home models will let you choose from several pressure settings, depending on how sensitive your teeth and gums are. Most portable models have only one pressure setting. If you want to use mouthwash or a dental rinse in your water pick, check the label first; some models suggest using water only.

Please give us a call at our Kingston, ON office if you have any questions about water picks, or ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough during your next visit!

Suffer from tooth discoloration? Don’t panic!

December 4th, 2018

Like many other parts of the human body, teeth age. You may look at old photos and realize your smile was significantly brighter in the past than it is now. Many adults experience tooth discoloration and find it embarrassing.

The good news is there are treatment options! The first step to recovering your bright smile and finding appropriate treatment is to determine what’s causing the discoloration.

There are multiple reasons for tooth discoloration. Some are under your control, but unfortunately, others may not be. Glance at the list below and see if you can pinpoint the cause of your tooth discoloration.

  • Poor Dental Hygiene: This one is obvious. There’s a reason your parents (and dentist) always told you to brush and floss three times a day.
  • Genetics: A big part of your dental health is determined by genetics; in other words, what runs in your family. Sometimes people inherit naturally discolored teeth.
  • Diet: Do you eat sugary foods often? Drink lots of soda? Gulp more than two cups of coffee a day? Are you an energy drink fan? We’re not pointing any fingers ... but you should do the math.
  • Tobacco: Because cigarettes contain nicotine, they can readily stain your teeth. So hardcore smokers often develop prominent brown stains.
  • Medications: Medicines such as doxycycline, tetracycline, antihistamines, blood-pressure medications, and antipsychotic drugs can all create tooth discoloration as a side effect. (If you suspect this could be the case for you, don’t ever discontinue your medication without consulting your doctor first!)

Did you find the culprit? Perhaps the easiest way to avoid tooth discoloration in your case might be to make some simple adjustments to your diet and other habits.

Also, when you consume drinks or foods that are high in acid or sugar content, take a moment to rinse your mouth with water afterward. If you’re an avid tobacco user, you may want to reconsider that; especially because it can have deadly effects that go way beyond your smile.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can also suggest other treatment options. While over-the-counter agents do help, in-office whitening treatments tend to be more effective. If whitening agents don’t alleviate the problem, you may want to consider bondings or veneers.

If you’re worried about discoloration of your teeth, or have any questions about how to treat it, please feel free to reach out to our Kingston, ON office! We can help you identify what may be causing the problem and work with you to give you a smile you’ll be proud of.

Generic Clear Aligners vs. Invisalign®

November 27th, 2018

You may have a talent for home repairs. You may be able to rebuild your computer. You may even be able to put together a whole room of furniture armed only with flat-box kits and an Allen wrench. But, please—don’t try do-it-yourself orthodontics!

Now that generic clear aligners are available, you might consider giving them a try to save some money. But is straightening your own teeth really a good idea? Before you are tempted, let’s look more closely at the products and the dental science involved.

Invisalign®

  • Invisalign clear aligners are used by orthodontists and dentists with experience in custom treatment for your smile. A 3D image of your teeth will be captured by the iTero Element® scanner. Using special software, your doctor can map out each projected shift in your teeth, and even show you a projection of your finished smile!
  • Your Invisalign aligners will be tailored to fit your teeth precisely using the 3D scan and 3D printing. They are made from SmartTrack® material, a product specifically engineered for a perfect, comfortable fit. Invisalign aligners are even trimmed to fit your individual gumline to prevent irritation.
  • When your first sets of Invisalign aligners arrive at our Kingston, ON office, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will check for fit, answer any questions you might have about use and care, and let you know what to look for and what to expect. Your progress will be monitored with visits every six to eight weeks. (And for parents of teens, Invisalign aligners can offer blue “compliance indicators” to let you know they are being worn the 20-22 hours a day necessary for the best and fastest results.)

Generic Aligners

  • You might be required to make a putty mold of your own upper and lower teeth, which is not the easiest thing to do well, and to take selfies of your teeth.
  • The aligners will be sent to you in the mail. They are generally made of hard plastic with generic gumlines. There will be no one to tell you if the aligners fit properly.
  • They are sometimes less expensive because there is no in-person medical supervision. A dental professional working for the company will look at the model created from molds you submit, and recommend a series of aligners to correct the problems he detects by looking at the model and your selfies. This supervisor will not be able to assess the overall dental health of each patient to make sure teeth and gums are healthy and ready to start treatment, and will not be able to tell if the teeth are moving properly or improperly once the aligners are in use.

Finally, while generic aligners may potentially have some success in minor tooth straightening, they are not created to deal with complex bite issues or malocclusions.  In fact, using generic aligners with no supervision can cause more serious dental problems than a patient started with.

Sure, sometimes a do-it-yourself project turns out well. But your teeth and bones are too important for home improvement. When it comes to creating a beautiful, even smile and balanced, comfortable bite while making sure of your dental health, it’s always best to trust a professional like Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to provide you with gentle, tested, and successful care!

Diabetes and Dental Care

November 20th, 2018

Diabetes is a disease that affects the health of the entire body, including, of course, your mouth, gums, and teeth. We are trained to look for issues that might arise in our patients with diabetes, and are eager to help you maintain your dental health. What do we consider in order to give you the best treatment?

Your Teeth

Dry mouth can be a problem for diabetic patients, whether caused by blood sugar levels or medication, and this condition can lead to tooth decay. When we produce saliva, it not only helps wash away sugar in our mouths, it also helps remove the acids sugars produce which attack our enamel and lead to cavities.

Your Gums

People with diabetes are at higher risk for gum disease. With diabetes, the body is more susceptible to infection and finds it harder to fight bacteria. Early gum disease, called gingivitis, is inflammation caused by the body’s reaction to bacteria. Periodontitis, serious gum disease, leads to infections that can cause bone and tooth loss.

Other Oral Concerns

Dry mouth can lead to mouth ulcers, oral thrush, sores, and infections. And oral infections of any kind can be slower to heal when you have diabetes. We will give careful attention to any concerns you might have for your oral health, and will work with you to prevent any future problems.

Preventive dental care is important for all our patients, and we have special suggestions for you to help maintain your dental health and reduce the possibility of dental complications. Diabetes can lead to oral problems, and oral infections can in turn cause problems with controlling blood sugar, so a healthy mouth can lead to better health in general.

  • Home Care

If dry mouth is a problem, talk to us about possible causes and treatments. Hydrate throughout the day, and avoid foods or beverages that lead to dehydration. Talk to us about the best products for use at home to prevent dry mouth.

Brush and floss after meals to reduce the presence of harmful bacteria and prevent the plaque buildup that leads to gum disease.

Above all, monitor your blood sugar carefully to ensure your body is at its best when combatting infection or when healing.

  • Professional Dental Care

Be sure to visit our Kingston, ON office at least twice a year for a full examination and a professional cleaning. We can reduce the plaque that leads to gingivitis and more serious periodontal infection. We can monitor your oral health and recommend solutions for problems such as dry mouth. We will make your appointments based on what is best for your schedule. If any type of oral surgery is needed, we will schedule it with an understanding of the importance of healthy blood sugar levels for healing and recovery.

It’s important to make Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough part of your health support system. If you have diabetes, let us know. We will work with you to monitor the well-being of your teeth and gums and to suggest ways to promote your overall oral health. Let’s work together for healthy, happy smiles!

Pros and Cons of Veneers

November 13th, 2018

You might have a small chip in a tooth from an unfortunate encounter with peanut brittle, or even several chips from a touch football game that got a little out of hand. Perhaps you have a gap in your teeth that you’ve always wanted to address. Or it could be that you are not happy with the shape or color of your teeth, and are looking for a straighter, brighter smile. In all these cases, veneers may the perfect solution for you.

Veneers are one of the most dramatic ways to improve your smile:

  • Realistic Appearance: A dental veneer is a thin shell of porcelain that is bonded to your tooth. Because they are semi-translucent, much like actual enamel, veneers look like natural teeth.
  • Rapid Transformation: Normally, the application of veneers requires only a few visits. Your tooth will be shaped to accommodate the veneer for a smooth, flat appearance. A mold will be made to ensure an exact fit. On a subsequent visit, the new veneer will be bonded to the tooth permanently.
  • Whiteness that Lasts: Veneers are stain-resistant, so if you are looking for a long-lasting bright smile, they are a good option. (If you are getting only a few veneers, it is a good idea to have your natural teeth whitened to the shade you desire before the veneer color is selected. Veneer color is permanent.)

There are also some aspects to consider before going ahead with the procedure:

  • Be Sure About Your Decision: Veneers are a permanent choice. Some enamel might need to be removed for the veneer to fit and the surface of your tooth will be treated to allow the veneer to bond to it properly.
  • Check Your Overall Dental Health: You should have a check-up before starting the process to make sure your teeth and gums are healthy enough for veneers. If you have severe orthodontic issues, grind your teeth, or have a habit of clenching your jaw, your veneers will be put under pressure they were not designed to take. We can let you know if you are a good candidate for this procedure.
  • Expense: Veneers are more expensive than some other options, such as whitening and bonding, but can offer more benefits. Veneers will cover staining that whitening cannot eliminate. Their translucent quality makes them look more realistic than bonding, and they are also far more stain resistant. The cost of a crown might be comparable, and a crown is recommended if there is significant damage to the underlying tooth. If you are looking for cosmetic improvement only, veneers leave more of the tooth intact.
  • Longevity: Veneers do not last forever, and will need to be replaced eventually. However, they can have a life expectancy of ten to 15 years, and we can give you tips to keep your veneers looking and lasting their best.

If you decide veneers are right for you, give our Kingston, ON office a call. We will be happy to discuss the procedure with you and help you discover the best possible path to your best possible smile.

Amalgam Fillings vs. White Fillings

November 6th, 2018

Many varieties of fillings are available at our Kingston, ON office. Most people are familiar with traditional amalgam fillings: those big silver spots on top of teeth.

Made from a mixture of silver, tin, zinc, copper, and mercury, amalgam fillings have been used to fill cavities for more than 100 years. They offer several advantages, including:

  • High durability for large cavities or cavities on molars
  • Quick hardening time for areas that are difficult to keep dry during placement
  • Reduced placement time for children and special-needs patients who may have a difficult time keeping still during treatment

Although dental amalgam is a safe and commonly used dental material, you might wonder about its mercury content. You should know that when it’s combined with the other metals, mercury forms a safe, stable material.

The American Dental Association, U.S. Centers for Disease Control and Prevention, U. S. Food and Drug Administration, and World Health Organization all agree that based on extensive scientific evidence, dental amalgam is a safe and effective cavity-filling material.

White Fillings

Newer, mercury-free, resin-based composite fillings (white fillings) are also available at our Kingston, ON office. Composite resin fillings are made from plastic mixed with powdered glass to make them stronger.

Resin-based fillings offer several benefits for patients, including:

  • They match the color of teeth
  • Less tooth structure needs to be removed than with amalgam fillings
  • BPA-free materials can be used

Resin-based composite fillings also have some disadvantages, including:

  • Higher cost than amalgam fillings
  • Inlays may take more than one visit
  • Requires more time to place than amalgam fillings

There’s a lot to think about when you have to get a cavity filled. We recommend you do your homework and speak with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough before deciding what’s best for you or your family.

Your Snoring Might Be More Serious Than You Think

October 30th, 2018

Sleep apnea is a disorder in which breathing stops and starts repeatedly throughout the night. It’s most common among middle-aged adults, and the most prevalent symptom is loud snoring.

Sleep apnea occurs when the muscles in the back of your throat relax to the point where they inhibit your natural breathing. It can cause your breathing to stop for anywhere from ten to twenty seconds. In the worst cases, it can even stop your breathing for up to a few minutes.

In addition, people who suffer from sleep apnea wake up feeling tired and unrested. The condition may even lead to depression, high blood pressure, irritability, and memory loss. It puts you at a greater risk for heart attack and lowers oxygen levels in your brain.

All of this sounds scary, but the good news is that sleep apnea can be treated! One of the most common ways Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can treat sleep apnea is by creating an oral device for you to wear while you sleep.

The device brings your jaw forward, which keeps the airway open and lowers the incidence of snoring. Another method is to use a continuous positive airway mask, often referred to as a CPAP. The mask fits over the mouth and forces oxygen through the throat while you sleep.

If you’re unsure about whether you may suffer from sleep apnea, visit our Kingston, ON office and let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough know. We can determine the appropriate treatment if any is needed. Don’t risk losing another night’s sleep over something we can easily treat!

Dry Mouth and How to Treat It

October 23rd, 2018

In fancy medical terms, dry mouth is known as xerostomia. It’s really just what it sounds like: a condition in which you don’t have enough saliva to keep your mouth moist. Dry mouth can be the result of certain medications you’re taking, aging, tobacco use, nerve damage, or chemotherapy.

Depending on whether you’re aware of the cause of your dry mouth, here are some simple ways to keep it at bay:

  • Avoid drinks that contain alcohol or caffeine
  • Avoid tobacco use, or lower your consumption of tobacco
  • Floss after every meal
  • Brush your teeth after every meal using a fluoride toothpaste
  • Avoid foods that have a high level of salt
  • Stay hydrated and drink water frequently
  • Consider using a humidifier at night

If you have any questions about dry mouth and how it is affecting you, give our Kingston, ON office a call or make sure to ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough during your next visit!

Is Invisalign® Right For You?

October 16th, 2018

When patients ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about who benefits from Invisalign clear aligners, the simple answer is this: almost everyone. Unlike conventional braces, they are removable, which makes eating and cleaning your teeth much easier.

They are molded to fit each patient’s mouth and are practically invisible. Because aligners apply less force in straightening teeth than metal braces, the risk of harm to your teeth is reduced.

Benefits to adults

Traditional braces are associated with children and teenagers. Many adults want to have their teeth straightened but hesitate to wear metal braces. They also worry about having to change their diet and not be able to eat the foods they normally enjoy.

If you are an adult who’s considering braces, our team at Cataraqui Dental Centre will tell you Invisalign aligners is a great option for discreet teeth straightening. Your teeth will be straightened with virtually invisible braces.

The aligners are easily removable when you eat, so you can enjoy any food you normally would consume. You simply clean your teeth normally after eating and you won’t have to worry about getting food stuck in your braces.

If there is a special occasion during which you do not want to have any braces in your mouth at all, you can remove the aligners for up to four hours without causing any damage.

Benefits to teenagers

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team know that teenagers are often involved in sports and other after-school activities, and generally lead pretty busy lives. If your teen plays a musical instrument, you may be concerned that having metal in his or her mouth will interfere with ability to play. Invisalign aligners avoid the damage that can happen with traditional metal braces.

For sports that require players to wear mouthguards, the expense of specially constructed mouthguards to fit over braces is also eliminated. The aligners can be removed during sports activities and teens can easily wear a mouthguard. Teenagers who play musical instruments simply remove the aligners while practicing or playing in the band or orchestra.

Teenagers routinely have trouble flossing teeth between the wires and brackets of traditional braces, but Invisalign allows for easy dental cleaning. Since Invisalign aligners are removable, brushing and flossing are simpler and more likely to be performed.

For more information about Invisalign or Invisalign Teen® treatment, or to schedule an initial consultation with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, please give us a call at our convenient Kingston, ON office!

Can I use mouthwash instead of flossing?

October 9th, 2018

While mouthwash goes a long way in improving your oral care, it is not a substitute for flossing. Mouthwashes and flossing provide different benefits that you should understand.

Mouthwash Benefits

Mouthwash comes in two categories. Some are considered cosmetic. This type of rinse provides temporary relief from bad breath and has a pleasant taste. These do not actually kill any bacteria.

Therapeutic mouthwashes provide the healthier benefits. These may contain different ingredients including fluoride or antimicrobial agents. This type is used to remove plaque buildup and reduce the potential for calculus formation. Therapeutic rinses can also help prevent cavities, bad breath, and gingivitis. In addition, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can prescribe special rinses to assist patients after periodontal surgery or other procedures.

Flossing Benefits

Flossing is what removes the plaque formation before it can harden and become calculus. While a rinse reduces buildup, only flossing will fully remove plaque, especially between teeth. The bristles on a toothbrush do not get between teeth completely. If plaque is not removed, it hardens into tartar or calculus. When this builds below the gum line, gum disease can start.

Types of Floss

Floss is available in a thin string form or a tape. It can be waxed or unwaxed. If you find flossing difficult, you might want to try a different type of floss. You can buy bulk floss in containers or purchase the disposable type with a plastic handle attached. This style can be easier for many individuals to use. Interdental picks are available for bridgework or other situations where regular floss cannot be used.

If you have questions regarding the best mouthwash or floss, or need tips for easier flossing, please ask our Kingston, ON team for advice. We will be glad to give you solutions to help keep your mouth clean and healthy.

Which toothpaste should I use?

October 2nd, 2018

Toothpastes come in many forms and boast different flavors, benefits, and endorsements. All are designed to remove surface bacteria and prevent the buildup of plaque that can cause tooth decay. With so many choices, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre know that selecting the right toothpaste can be intimidating. After all, some benefits are welcome bonuses, while others are absolutely essential. So how can you know which toothpaste is best for you?

CDA Seal of Recognition

While all toothpastes must first be approved by Health Canada’s Health Products and Food Branch for sale to consumers, the Canadian Dental Association puts these products through further rigorous tests for safety and effectiveness. Toothpaste that boasts the CDA Seal of Recognition can be trusted to do exactly what it claims.

Fluoridated

Fluoride is an essential ingredient in a daily toothpaste. It helps to protect the tooth from decay by removing plaque and strengthening the enamel. Although fluoride is found in many public water supplies, many people are deficient in it due to the consumption of bottled water instead of tap water. All toothpastes with the CDA Seal of Recognition contain fluoride.

Other benefits

If a toothpaste meets the CDA’s standards and contains fluoride, the next step is to clear it with your dentist. This is especially true if you decide to use a whitening toothpaste, which often contains abrasives to remove surface stains. Though abrasives are an effective aid in tooth whitening, they may not be recommended if you have weak tooth enamel.

Specialty toothpastes

In certain situations, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough may suggest or prescribe specialty toothpaste, depending on your oral health needs. For example, patients who are prone to tooth decay and cavities despite frequent brushing and flossing may benefit from prescription-strength fluoridated toothpaste to help prevent the weakening of tooth enamel. Others who suffer from tooth sensitivity may benefit from the use of desensitizing toothpaste. Talk with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough if you think a specialty toothpaste could be right for you by scheduling an appointment at our Kingston, ON office.

What are dental sealants, who should get them, and how long do they last?

September 25th, 2018

Dental sealants are an excellent way to protect children’s teeth from tooth decay by coating them with a thin plastic material. Their teeth look and feel like normal, but they are protected from plaque build-up and decay early on. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our staff recommend sealants as a preventive measure for children before any decay appears on their teeth.

Who should get dental sealants?

Dental sealants are intended for young children as soon as their first teeth come in. Decay is most common in the molars, so taking your child to Cataraqui Dental Centre for sealants right when you see the molars grow in gives your child the best chance to fight tooth decay.

A child’s first set of permanent molars grow in between ages five and seven, while the second permanent molars come in between 11 and 14 years of age. Some teens and adults who don’t have tooth decay may get sealants as well, but it is less common.

How long do dental sealants last?

Once the sealant has been placed on the teeth, it lasts up to ten years. Expect to have Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough check the sealant at every visit to our Kingston, ON office, which should be twice a year. We will look at the sealant and determine if it needs to be replaced.

What is the process of getting sealants?

Applying sealants is a simple, pain-free procedure that is done quickly at Cataraqui Dental Centre. There is absolutely no effect on the tooth structure from sealants.

For starters, the teeth are cleaned carefully, then dried with an absorbent material. A mild acid solution is applied to them to roughen them slightly. This is done so the sealant can bond properly to the teeth. Then the teeth are rinsed and dried, and the sealant material is painted on and dried with a special light.

Molars are susceptible to decay early on, which is why sealants are an important treatment to get for your children’s first set of teeth.

Detergent Foods: Clean your teeth while you eat!

September 18th, 2018

Did you know that there are certain foods you can eat which help to clean your teeth? We call them "detergent foods." In dentistry we look at the impact of food in three ways: the kind of food, how often it is eaten, and when it is eaten. Detergent foods should be the last piece of food you consume during a meal for best results. Think of them as the closest you can get to brushing your teeth.

A healthy diet is important for oral health as well as overall health, but here are some particular foods that can help clean your teeth and mouth:

  • Carrots
  • Apples
  • Celery sticks
  • Popcorn
  • Cucumbers
  • Pears
  • Lettuce
  • Cheese

As you can see, detergent foods are usually foods that are firm and crisp. They act like scrubbers on and around your teeth and gums and bring your mouth's pH back to 7.0, which is optimal.

Which foods are the worst for your teeth?

Cookies, cakes, breads, chips, crackers, soft drinks, dried fruit, and candies (what many people’s diets are full of) provide carbohydrates (sugar) to the bacteria in your mouth causing an acidic environment and increasing the chance of cavities and decay. These foods are sticky and don't rinse easily from your mouth. Avoid letting these foods sit on your teeth after eating them.

It also depends on how often you consume these foods throughout the day. For example, if you drink soft drinks, it's best to have it all in one sitting instead of sipping it all throughout the day. Doing so causes the perfect environment in your mouth for bacteria to flourish and your saliva never gets the chance to neutralize its pH.

This is where detergent foods can come into play. When you're about to finish your meal, have an apple, celery stick, or carrot. It will act like a "natural toothbrush." Also, try to make these detergent foods the basis for snacks you have throughout the day.

Always remember, these foods are not a replacement for brushing and flossing. You still need good dental hygiene regardless of what you're eating! For more tips and tricks for ideal oral health, ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough the next time you visit our Kingston, ON office!

What to do about Dry Mouth

September 11th, 2018

Xerostomia, commonly known as dry mouth, is a condition in which the salivary glands in the mouth don’t produce enough saliva. Saliva keeps the mouth moist and cleanses it of bacteria. A lack of it makes for an uncomfortably dry mouth that is also more susceptible to infection and disease.

Symptoms of dry mouth include:

  • Dryness or a sticky feeling
  • Frequent thirst
  • Burning sensations or redness in the throat or on the tongue
  • A sore throat or hoarseness
  • Difficulty chewing, swallowing, or tasting food

Dry mouth usually comes about as a side effect of certain medications or medical conditions, but can also be caused by damage to the salivary glands because of injury or surgery.

If you're experiencing any of the symptoms of dry mouth, here are a few tips for what to do:

Double-check medications: If you are taking any prescription or over-the-counter medications, speak with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to see if any of these could be causing the dry mouth as a side effect.

There may be ways to alleviate the symptoms.

  • Stay hydrated: Whether you have dry mouth or not, it’s essential to stay hydrated. Drink plenty of fresh and pure water throughout the day. A good rule of thumb is to drink eight eight-ounce glasses of water a day.
  • Suck or chew on a natural, sugar-free candy or gum: Sucking on candy or chewing gum will keep your salivary glands producing saliva. Healthier versions of sugar-free candy and gum are available these days. Some are made with xylitol, a sugar alcohol that actually helps prevent tooth decay.
  • Add moisture to your living spaces: Try adding a vaporizer to your bedroom or the rooms where you spend the most time. It’s best for your home to have a humidity level of between 40 to 50%. Anything less than 30% is too low. You can measure humidity with a hygrometer, which is easy to find at your local department store or online.

These are just a few general tips, but if you’re experiencing the symptoms of dry mouth often and it’s interfering with your life, pay a visit to our Kingston, ON office. That way you’re more likely to get to the root of the problem.

What is biofilm?

September 4th, 2018

Biofilm, the protective housing for bacteria, is a hot topic in the medical and dental fields. Routinely taking an antibiotic for a bacterial infection has become more complicated because of biofilm. Bacterial infections may become resistant to antibiotics in part because the biofilm allows for communication among the bacteria, allowing the infection to be sustained.

You’re probably wondering, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough , what does this have to do with teeth? Since we’re dental professionals, we can tell you why it’s important and what you should know! There is biofilm in your mouth; healthy biofilm and diseased biofilm. Both are made of the same general compounds, but when combined with certain amino acids and cellular chemicals, the diseased biofilm conquers and destroys.

Periodontal disease, otherwise known as gum disease or pyorrhea, is a biofilm disease. If you are undergoing treatment for gum disease and you do not continue with the treatment plan the disease will progress and/or spread due to the biofilm.

There are several ways to treat diseased biofilm. But remember, antibiotics cannot touch the bacterial infection if the biofilm is established.

When your exam is complete, the Ultrasonic or Piezo Scaler should be used. This method of spraying water disturbs the biofilm and provides an opportunity to treat the infection causing bacteria.

Remember, we all need healthy biofilm. Just as your skin protects your body, biofilm housing good bacteria protects your body. The bacteria in the biofilm replicate every twenty minutes. If your body has healthy bacteria, low levels of hydrogen peroxide are produced by the biofilm, preventing harmful bacteria from residing. Harmful bacteria do not like oxygen.

At your exam, we will take measurements around your teeth checking for “pockets”. The higher the number, the deeper the pocket giving more room for harmful bacteria where there is no oxygen. Ask what your numbers are and be involved in restoring your healthy biofilm.

Five Tips for Taking Tots to the Dentist

August 28th, 2018

Toddlers are notoriously balky about strangers. But their first dental visit should not be cause for fear and tears. Nor should you assume that getting your toddler to Cataraqui Dental Centre is going to involve a full-blown tantrum or Mafia-style bribery. “Honey, don’t worry. We’ll go get ice cream after…” sort of defeats the purpose of making that first dental appointment.

These five tips will make your toddler’s trip to see Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough as fun as a stop at an amusement park.

1. Before you make a dental appointment for your child, take him or her on a ride-along to one of your dental appointments. Let your son or daughter experience the office and get the lay of the land. Toddlers don’t like surprises. But if your little one is already familiar with the big chair that goes up and down, the next time he or she will have no problem taking a seat.

2. About the big dental chair … well, it’s really an amusement park ride. See how it goes up and down? Toddlers love games, and turning the trip to the dentist into a game is among the oldest (and most successful) tricks in the parent playbook.

3. Positive reinforcement is a good thing. That's why Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our staff hand out cool toothbrushes or stickers to children after their appointment. A fun-colored toothbrush with a suction bottom is a good incentive to come back for another cleaning.

4. Timing is everything. Don’t take your child to the dentist an hour before the daily nap. Make the appointment with your child’s schedule in mind. This increases the chances of success.

5. A few days before the scheduled appointment, start reading your toddler bedtimes stories about what happens at the dentist. Dora the Explorer’s Show Me Your Smile, written by Christine Ricci, is a popular dental story that your child might relate to.

Your Child’s First Toothbrush

August 21st, 2018

First word, first step, first haircut, first… toothbrush? While it may not be considered a typical milestone, choosing the right first toothbrush is an important first step in your child’s future dental health.

The time to start brushing is when your baby’s first tooth appears. Until then, you have probably been using a clean, moist washcloth or gauze to carefully wipe your baby’s gums. Continue that gentle treatment with a toothbrush designed for infants. Look for a toothbrush designed especially for infants and toddlers, with extra-soft bristles and a small head for tiny mouths.

When your toddler is ready to try brushing for the first time, there are many options to make learning the proper technique enjoyable for both of you! Extra-soft bristles and small brush heads again are important for young children, and brushes are available with colorful patterns and designs to charm any child. There are brushes available with handles designed for easy gripping, right-handed and left-handed options, and even electric models.

No matter which brush you choose, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team recommend:

  • Use soft bristles and a brush head sized to fit your child
  • Use the proper amount of toothpaste (when your child is old enough to spit out toothpaste instead of swallowing)
  • Replace the toothbrush every three months, or earlier if it is frayed
  • Always supervise your young child while he or she learns to brush
  • Don’t forget to schedule checkups every six months at our Kingston, ON office!

You probably won’t be preserving your baby’s first toothbrush in your baby book, but teaching your child the proper way to brush with the right toothbrush can lead to a lifetime of dental health. And that’s a milestone to celebrate!

Post Oral Surgery: Signs of Infection

August 14th, 2018

Oral surgery can be intimidating, especially if you show any signs of an infection afterwards. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want you to be informed about what to watch for after you’ve undergone surgery.

Oral surgery procedures are intended to reduce pain and prevent infection. Sometimes complications occur after your surgery, and if infection ensues, it will require swift medical attention.

People undergo oral surgery for many reasons, such as:

  • Impacted or infected teeth
  • Tooth loss, jaw problems
  • Facial injuries or infections
  • Birth defects
  • Sleep apnea

Symptoms of Infection

  • Pain that won’t go away with medication
  • Steadily swelling of gums, jaw, or face
  • Redness or oozing of pus from the area
  • Fever that doesn't subside
  • Difficulty opening the mouth or jaw
  • Excessive bleeding for 24 hours
  • Difficulty breathing or swallowing (emergency situation)

After the initial surgery, don’t become worried right away if you notice any of these symptoms. It’s normal to show some blood and swelling after surgery, but that should stop fairly soon with the help of gauze and medication.

You will most likely be numb from the procedure and we will advise you to avoid hard foods for the first day. Pain medication will be administered, and you should take it before you begin to notice pain. A cold compress can also help with swelling and initial pain.

You will be advised not to brush your teeth in the region where the surgery occurred. You may use a prescription mouth rinse, or you can gargle with warm salt water to reduce the swelling. If you follow these directions, you can speed the healing process for a quick recovery.

Don’t fret: a post-surgery infection is not a common development. It happens most often to people who have a compromised immune system or diabetes. Let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough know beforehand if you have either of these and we may prescribe an antibiotic to help prevent the spread of infection in the areas of your mouth that get worked on.

If you think you may be experiencing complications after a surgery, please don’t hesitate to reach out to our Kingston, ON office for advice.  

Caring for Your Smile after Invisalign® Treatment

August 7th, 2018

You went through a lot of effort and work to achieve your perfect smile. You wore your Invisalign aligner trays, brushed and flossed diligently, and now your treatment is done! What happens now?

In order to keep your teeth healthy and beautiful, you should keep several practices in play.

Retainers

Although everyone’s needs are different, many patients require a retainer after Invisalign treatment. If a retainer is recommended by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, use it as directed. Not wearing retainers could result in shifting teeth and potentially ruin your results.

It’s also recommended that you avoid hard, crunchy foods for the first few weeks as your teeth adjust. For younger patients, retainers are normally worn until the wisdom teeth come in or are extracted.

Brushing and Flossing

It should come as no surprise that flossing should still be done every day to remove plaque, which can develop into tartar or calculus. The build-up can lead to gingivitis and gum disease.

Your gums may be more sensitive for a week or two after your orthodontic work is completed. A warm saltwater rinse may relieve discomfort.

Because your teeth have been protected by your Invisalign aligners and are now fully exposed, they may be more sensitive the first few weeks after treatment. If that’s the case, we can recommend a sensitive toothpaste to relieve your discomfort. If your teeth are stained, a professional whitening treatment may be considered.

Regular Dental Checkups

Regular dental exams ensure your teeth stay healthy for life. Professional cleanings, X-rays, and cavity treatment can be addressed by staying on top of your routine checkups.

If you have any questions about how to care for your teeth after your Invisalign program, please ask our Kingston, ON team. We want you to keep your healthy smile and enjoy the results of your Invisalign treatment.

Is gingivitis preventable?

July 31st, 2018

The earliest sign of gum disease is called gingivitis (sometimes called periodontal disease), and is an inflammation of the gums. If left untreated, gingivitis can lead to gum tissue loss, loss of bone that supports the teeth, and eventually tooth loss. The good news is that gingivitis is easily treatable at Cataraqui Dental Centre. Better yet, gingivitis is nearly 100 percent preventable.

Gingivitis is usually caused when plaque and bacteria accumulate on the gums, generally due to poor oral hygiene. A patient with gingivitis will have red and puffy gums that will likely bleed when he or she brushes or flosses.

It is almost entirely within our patients’ power to prevent gingivitis by brushing and flossing on a daily basis. In addition to good oral health habits, regular visits to see Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will also help with early detection. We can often detect minor inflammation and other signs of gingivitis before it causes any discomfort or issues.

If left untreated, gingivitis will eventually progress to periodontitis, a breakdown of the tissue and bone that support the teeth. Smokers, women who are pregnant or menopausal, people with heart disease, diabetes, epilepsy or HIV infection, and people who suffer from poor nutrition are more likely to have gum disease.

To learn more about gingivitis, or if you suspect you have gingivitis, we encourage you to give us a call at our Kingston, ON office today!

I don't brush while I'm at work. Should I?

July 24th, 2018

Yes, absolutely. A recent survey by Oral-B® reveals that despite knowing that a healthy, good-looking smile affects not only their personal wellness but their professional image as well, very few people (only 14 percent) brush and floss at the office regularly. What’s more, three quarters of people who responded to the survey said they ate twice or more a day at work.

Today, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team thought we would provide some tips for brushing at work.

  • Leave a toothbrush at work to increase your likelihood of brushing
  • Brush your teeth twice a day with fluoride toothpaste. Replace your toothbrush every three or four months, or sooner if the bristles are frayed. A worn toothbrush won’t do a good job of cleaning your teeth.
  • Clean between teeth daily with floss or an interdental cleaner; this helps remove plaque and food particles from between the teeth and under the gum line. Tooth decay-causing bacteria still linger between teeth where your toothbrush bristles can’t reach.

And remember to brush for 30 to 45 seconds across visible parts of the teeth. Brushing after breakfast or lunch will eliminate any remaining food particles and odors. We recommend people brush their teeth twice and floss once a day to remove plaque and other harmful bacteria.

To schedule your next appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at our Kingston, ON office, please give us a call!

What's the connection between gum disease and diabetes?

July 17th, 2018

People who have diabetes are usually familiar with many of the other health risks they face, including damage to the nerves, eyes, heart, and kidneys. But did you know that if you have diabetes you also have a much greater chance of developing gum disease? It's true, and like other diseases related to diabetes, the risk potential severity of gum disease is directly related to how well blood sugar is controlled.

The Causes

In diabetics, there are two primary mechanisms that increase the risk of developing gum disease, also called periodontal disease:

  • Bacterial growth: Bacteria love sugar including the glucose found in blood and bodily fluids. Elevated levels of sugar in saliva can provide a very hospitable environment for bacterial growth. The risk may be elevated if your gums bleed.
  • Circulatory changes: In diabetes, the blood vessels become thick, making it more difficult for blood to carry oxygen to the gums and to carry away harmful waste products. This decrease in circulation can weaken the mouth's natural resistance to decay. If you smoke, circulation can become even more compromised, significantly increasing your risk of periodontal disease.

Preventing Gum Disease

If you're diabetic, the number-one key to preventing gum disease is to make sure you do all you can to keep your blood sugar under control. In fact, studies show diabetics who have excellent control of their blood sugar levels have no more risk for gum disease than those who don't have diabetes. Here are some other tips to keep your gums healthy:

  • Floss your teeth gently, curving the floss so it can gently reach just below your gum line to remove plaque and food particles. Rinse your mouth when you're done flossing.
  • Use a soft-bristle brush to brush teeth twice daily, using small circular motions. Avoid pressing too hard on tooth surfaces.
  • Brush your tongue gently to remove germs that can hide there.
  • Use an anti-bacterial mouthwash to kill germs that are hard to reach.
  • Keep track of how well your blood sugar is controlled and let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough know at each visit.
  • Be aware that having diabetes may mean it takes you longer to heal after undergoing oral surgery.

Most importantly, be sure to visit our Kingston, ON office for regular checkups and tell Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about your diabetes so you can be sure to get the care you need. Follow these steps, and you can enjoy healthy teeth and gums for years to come.

Dental Emergencies in Children

July 10th, 2018

Dental emergencies are bound to come up when you have young children. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want to you to be prepared in case you run into a difficult situation. Problems can vary, from minor gum irritation to knocked-out teeth. Take a look at the different possibilities and how you can handle them.

Teething

Depending on the age of your child, there are common things to watch for when it comes to his or her teeth. Starting from a young age, your son or daughter may experience teething pain. This starts at about four months and can last up to three years.

Teething may cause your little one to become irritable and more prone to drooling due to tender gums. This is very common in young children who are teething, and can be alleviated by giving them a cold teething ring or by rubbing their gums with your finger.

Teething pain is as normal as your child’s first set of teeth falling out. On the other hand, if a baby tooth is knocked out in a forceful accident, make sure you bring him or her into our Kingston, ON office to check that other damage hasn’t occurred in the mouth. On occasion, permanent teeth may grow in before baby teeth have fallen out. This may not cause any discomfort, but Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough should make sure the teeth are growing in properly. Catching teeth that are coming in incorrectly can prevent issues from arising in adulthood.

Gum Issues

If you’ve noticed your child’s gums bleeding often, this could result from a number of things. Bleeding gums may be an early sign of periodontal disease, which is caused by poor oral hygiene when it appears in children. Excessive gum bleeding can also occur when children brush their teeth too hard, or suffer an injury to their gum tissue.

If bleeding is continuous, rinse your child’s mouth with warm salt water and apply light pressure to the area. If you become concerned about the amount of blood, contact our Kingston, ON office and we will schedule an appointment for your youngster as soon as possible.

Depending on what type of dental issue your child is experiencing, you should make sure to treat it quickly and properly. If you have questions or concerns about what you can do to help your son or daughter develop better oral hygiene habits, ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for tips during your next appointment.

Don’t forget: As a parent, you can provide the best education to your children on the importance of proper oral hygiene by setting a good example. 

How do I avoid bad breath?

July 3rd, 2018

At Cataraqui Dental Centre, we see a lot of patients who are concerned about their bad breath, also known as halitosis. So today we thought we would educate our patients about what you can do to keep your pearly whites clean and your breath minty fresh!

Naturally, good oral hygiene on your part is the first step. With proper brushing and flossing you can keep halitosis in check. Even though you may have done an excellent job of brushing and flossing your teeth, if you fail to brush your tongue, you may still have bad breath. Bad breath is caused by odor-producing bacteria that grow in your mouth. Certain foods, medications, smoking, sinus issues, or even gum disease can cause bad breath.

Besides proper brushing and flossing, bad breath can be prevented if you:

Stop smoking/chewing tobacco-based products: Ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team for tips on kicking the habit.

Keep your mouth hydrated: Because a dry mouth typically leads to bad breath, drinking water or eating oranges or celery may help.

Visit our Kingston, ON office for regular dental checkups: By visiting Cataraqui Dental Centre at least twice a year, you will keep bad breath at bay. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will conduct an oral exam and will be able detect and treat periodontal disease, dry mouth, or other problems that may be the cause of bad mouth odor.

Ask Us about These Dental Treatments

June 26th, 2018

There are a few dental treatments that Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team recommend for all patients to get if they wish to protect their oral health. Sometimes it’s hard for patients to decide which treatment plan would be best for their teeth. Learn about these three must-have treatments and how they can help protect your teeth in various ways.

Professional Cleanings

First, get a professional dental cleaning every six months. Regular cleanings can protect you from potential gum disease because they enable us to catch it early.

Cleanings also will get rid of plaque and tartar that have collected on your teeth over time. Oral health has been linked to your body’s overall health. We recommend scheduling your appointments in advance: Feel free to contact our practice’s Kingston, ON location if you forget when you scheduled your next visit. Our staff will be happy to assist you.

Periodontal Exams

We also recommend that all our patients at Cataraqui Dental Centre receive a complete periodontal exam each year. You can ask about this during your regular, scheduled cleanings.

It’s a quick and painless procedure in which our hygienist probes each tooth to make sure the bone and soft tissue are healthy. If there’s a sign of infection, we will be able to treat it effectively before painful symptoms kick in.

Many adult patients are unaware that they have periodontal disease, and they may suffer the loss of a tooth if it goes untreated. Make sure you schedule a periodontal exam each year and save yourself a lot of time and pain.

Sealants

We also recommend dental sealants, particularly to protect your molars. Many people assume this treatment is just for kids to prevent cavities, but it can be used for adults too!

Sealants provide a protective barrier on your teeth that can help block against the buildup of plaque in those hard-to-reach areas in the back of your mouth. If you received sealants as a child, chances are they’ve worn off over time.

So if you want to save dental costs over the long haul, we recommend getting sealants again for cavity protection.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team hope you take our advice when it comes to your oral hygiene and schedule regular appointments for your dental cleanings. We look forward to seeing you at your next appointment!

Do adults need fluoride treatments?

June 19th, 2018

Many dentists and hygienists recommend fluoride treatments for their adult patients. You might ask yourself, “Do I really need a fluoride treatment? I thought those were just for my kids.” After all, most insurance plans cover fluoride treatments only up to the age of 18.

What you need to know as a dental consumer is that studies have shown topical fluoride applications performed by a dental professional create a significant benefit for adults who have moderate to high risk for cavities.

There are several circumstances that warrant extra fluoride protection among adults. Many prescription medications reduce saliva flow or otherwise create dry mouth. A reduction in saliva increases cavity risk.

Adults often experience gum recession, which exposes part of the root surface of teeth. These areas are softer than the hard enamel at the top of the tooth, which makes them more susceptible to decay.

In addition, adults often get restorative work such as crowns or bridges. Fluoride can help protect the margins of these restorations, ultimately protecting your investment.

Today many people opt for orthodontic treatment (braces) as adults. Braces make it more challenging for patients to maintain good oral hygiene. Just ask your kids! Fluoride can keep the teeth strong and cavity-free even with the obstacle of orthodontic appliances.

Have you had a restoration done within the last year due to new decay? If you have, that puts you at a higher risk for cavities. Fluoride treatments are a great way to prevent more cavities in patients who are already prone to them.

How is that flossing coming along? You know you should floss daily, but do you? If your oral hygiene is not ideal, fluoride could be just the thing to keep your neglect from leading to cavities between your teeth.

Fluoride can also help with the growing problem of sensitive teeth. Diets high in acidic foods and beverages, general gum recession, and increased use of whitening products all tend to produce sensitive teeth. Fluoride treatments re-mineralize tooth enamel and reduce that sensitivity.

Patients who undergo radiation treatment for cancer also benefit from topical fluoride applications. Radiation damages saliva glands, thus greatly reducing the flow of saliva. Saliva acts as a buffer against the foods we eat and beverages we drink. Once again, less saliva greatly increases the risk of cavities.

If one or more of these conditions applies to you, consider requesting a topical fluoride treatment. Be sure to ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough at your next appointment whether you might benefit from a topical fluoride application.

Tooth-Colored Fillings

June 12th, 2018

Once upon a time, silver fillings ruled in dental offices everywhere. For a long time, they were the only option dentists used to close off the spaces on teeth where bacteria could easily enter.

Most patients did not regard a pearly white and silver smile as something to be super excited about. Luckily, we have a range of more aesthetically pleasing options today. The most common material used for fillings now is composite, also known as tooth-colored fillings.

Composite fillings are made to match the shade of your teeth, so they offer a seamless addition to your smile. They even let light travel through them the same way that natural enamel does. Composite fillings are great because they erase imperfections and can even reshape your teeth by minimizing excessive spacing. If you have a gap between your two front teeth, for example, a composite filling is an easy, non-invasive, and most important, cost-effective way to give you the instant fix you desire.

Overall, tooth-colored fillings make an easy choice all around. Easily placed, readily repaired, and well disguised. In a world where a perfect smile seems to have become standard for everybody, why not get composite fillings for yourself?

You can smile with the confidence of knowing that nobody will spot a shiny silver thing in your mouth. Visit our Kingston, ON office to get a consult or give us a call! We’re always happy to answer your questions.

Getting Ready for Summer Sports

June 5th, 2018

With the warmer and longer days here, we know many of our patients at Cataraqui Dental Centre will be much more active in the summer. Though most of our patients are probably already ready to hit the field for some summer fun, we thought we would discuss a few precautions to take when it comes to keeping your teeth safe as you enjoy playing your favorite sports.

Use a Mouthguard

Are your kids participating in contact sports this summer? If the answer is yes, we strongly encourage you to have them fitted for a mouthguard at Cataraqui Dental Centre before the season starts. Athletes can avoid serious mouth and jaw injuries by using a mouthguard.

Be Mindful of Sports Drinks

While sports drinks can be refreshing after a game, they unfortunately contain high levels of sugar and citric acid, which are known to erode the teeth and reduce the minerals in the outer tooth enamel. The simplest way to prevent sports drinks from damaging your teeth? Avoid them completely and drink water instead. Water is a great option to keep you hydrated before, during, or after a game.

Floss, Floss, Floss

While we always tell our patients about the importance of flossing, it is especially important on the day of the game. Athletes are likely to consume more sugar; from energy bars and chews to gum, you are not doing your teeth any favors. All that sugar may give you that extra bounce in your step when out on the field, but we want you to remember to floss when you get home, or else contend with an increased risk of cavities down the road.

If you have any questions about keeping your teeth and mouth healthy while participating in summer sports, please give us a call at our Kingston, ON office! Have fun!

Is it possible to over brush?

May 29th, 2018

Our team at Cataraqui Dental Centre will tell you brushing on a regular basis is critical for a healthy mouth, but you can definitely overdo a good thing. Known as “toothbrush abrasion,” over brushing can lead to sensitive teeth and receding gums, not to mention the wearing down of the protective layers of your tooth enamel. Over brushing can also push back your gums, and in the process, expose the dentin layer under the enamel.

“So, how do I avoid over brushing?”

  • Use a soft or extra-soft bristled toothbrush to prevent gum damage and wear on the soft tooth dentin
  • Keep in mind which direction bristles face when you brush. They should be perpendicular, not parallel. Place the head of your toothbrush with the tips of the bristles at a 45-degree angle to the gum line and brush away!
  • Move the toothbrush with short strokes and a scrubbing motion, several times in each spot – don’t saw back and forth across the teeth with your toothbrush.
  • Apply just enough pressure to feel the bristles against the gums. If you are squashing the bristles, you're brushing too hard.
  • Replace your toothbrush when you notice frayed and bent bristles.
  • Brush for two minutes at a time

If you have any questions about proper brushing techniques, ask us about it at your next appointment or give us a call today!

How to Choose the Best Mouthwash

May 22nd, 2018

As we all know, or should by now, the key to maintaining great oral health is keeping up with a daily plan of flossing, brushing, and using mouthwash. These three practices in combination will help you avoid tooth decay and keep bacterial infections at bay.

At Cataraqui Dental Centre, we’ve noticed that it’s usually not the toothbrush or floss that people have trouble picking, but the mouthwash.

Depending on the ingredients, different mouthwashes will have different effects on your oral health. Here are some ideas to take under consideration when you’re trying to decide which type of mouthwash will best fit your needs.

  • If gum health is your concern, antiseptic mouthwashes are designed to reduce bacteria near the gum line.
  • If you drink a lot of bottled water, you may want to consider a fluoride rinse to make sure your teeth develop the level of strength they need.
  • Generally, any mouthwash will combat bad breath, but some are especially designed to do so.
  • Opt for products that are CDA approved, to ensure you aren’t exposing your teeth to harmful chemicals.
  • If you experience an uncomfortable, burning sensation when you use a wash, stop it and try another!

Still have questions about mouthwash? Feel free to ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough during your next visit to our Kingston, ON office! We’re always happy to answer your questions. Happy rinsing!

Caring for Your Smile While Wearing Invisalign®

May 15th, 2018

Getting your braces off is exciting. You’ve been working on your new smile for months or years, and it’s time for the trips to our Kingston, ON office to pay off. Can you imagine how bad it would be to discover that your teeth are straight, but that there’s decay?

Caring for your smile while wearing Invisalign goes beyond just waiting for your teeth to get straighter. It involves cleaning your teeth regularly and thoroughly to prevent tooth decay. That way, your smile will be more beautiful than ever when you’re done with your Invisalign treatment.

Take Your Trays Out

The first difference you may notice between Invisalign and traditional metal braces is that Invisalign aligners are invisible, but there’s another important distinction as well. Invisalign braces are removable. You can take the trays out, and you should. Remove the trays while you’re eating so you don’t get food stuck in them. Also, remove them while you’re cleaning your teeth so that you can have full access to all the nooks and crannies in your mouth.

Brush Normally

The guidelines for brushing your teeth with Invisalign don’t change compared to braces. Brush your teeth at least twice a day using a soft toothbrush and a fluoride toothpaste, being sure to get all surfaces of your teeth. If possible, brush after each meal.

If you can’t, be sure to drink some water and swish it around in your mouth when you’re done eating to get rid of the extra food on your teeth. Leaving carbohydrates, such as sugar and starch, on your teeth opens the door to tooth decay.

Floss and Wash

Flossing your teeth gets out the bits and pieces stuck between them. It’s a time-consuming task when you need to navigate the wires of traditional metal braces, but thanks to Invisalign’s removable design, flossing is no problem. Rinsing your mouth with a fluoride antibacterial mouthwash also helps clean your teeth because it gets into all of the spaces. Floss and rinse one or two times daily.

Cleaning Your Trays

Cleaning your Invisalign trays keeps them from getting riddled with bacteria, and it helps keep your teeth free from excess food. You can use the Invisalign cleaning system, which involves placing the trays in a tub with cleaning crystals. The plastic trays are clean after 15 minutes. You can also ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for other ways to clean your trays.

Overall Health Can Be Influenced By Oral Hygiene

May 8th, 2018

Keeping on top of your oral health is key when it comes to making sure your whole body stays healthy. The bacteria that occur naturally in your mouth can produce harmful bacteria such as strep and staph, which can lead to serious infections and sickness.

When you follow good dental habits like daily brushing and flossing, and eat a healthy diet, you can discourage harmful bacteria from traveling from your mouth to other parts of your body. Protect yourself and learn more about the link between oral hygiene and a healthy body.

Until recently, tooth decay was more common because of the lack of regular dental care and research behind fluoride. Tooth decay is much less problematic today, due to fluoridated water and toothpastes that contain fluoride.

Nowadays, gum disease has replaced tooth decay as the most frequent dental problem. Periodontal disease is on the rise among adults because people don’t floss regularly and then ignore gum tenderness and bleeding. If left unchecked, periodontitis can cause inflammation that may cause harm to other parts of the body.

Oral Health and Chronic Disease

Many scientists believe inflammation-related infections can trigger systemic disease or intensify existing conditions. Remember, bacteria overgrowth in inflamed gum tissue is able to enter the bloodstream through your eating processes, which is why it’s so vital to visit our Kingston, ON office if you notice sustained gum irritation and inflammation in your mouth.

Caring for your teeth and gums every day can prevent the onset of disease and save you trouble in the future with regard to your body’s health. If you think you may be showing signs of periodontal disease, or notice anything else out of the norm, please contact Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and schedule an appointment.

We want you to be proactive about your health!

Children and Halitosis

May 1st, 2018

Many parents are unaware that children can also suffer from symptoms of halitosis, better known as chronic bad breath. This common oral problem affects a majority of the population, including both adults and children. During treatment for this condition, it’s worthwhile to focus on the cause of the problem. Take a look at the most common reasons why your child might develop bad breath.

Having constant bad breath can be embarrassing and troublesome. Most often, boys and girls develop halitosis as a side effect of some sort of upper respiratory infection. It may be a common cold, allergies, or flu symptoms.

When the nasal passages are blocked, it’s more likely that your child will breathe through the mouth. Mouth breathing may also occur if your youngster is put on medication that decreases saliva flow. Mouth breathing can make bad breath much worse if there isn’t enough saliva to cleanse the area.

Another cause of halitosis in children can be tonsillitis. When your child’s airway is constricted, he or she is more likely to mouth-breath. When the tissues in your mouth dry out, bacteria will grow and increase in potency. If you notice symptoms of tonsillitis in your child such as a fever, swollen throat, trouble swallowing, chills, or congestion, get your little one to treatment right away.

Halitosis in children is can also be caused by an infection of the mouth. If your child’s teeth or gums are infected, odor will developed if untreated. Infection can occur due to inadequate brushing and flossing, which can lead to gum disease or cavities. If cavities are left untreated, they can develop a strong, noticeable odor. If you think your child has an infection or cavity, contact Cataraqui Dental Centre and schedule an appointment.

Other causes of halitosis may be certain pungent foods your child eats, or bacteria built up on the tongue. Make sure your son or daughter brushes and flosses thoroughly every day. Some mouthwashes may be beneficial for your child to alleviate bad breath caused by leftover bacteria in the mouth. Other ways of treating of halitosis can vary, based on the cause of the problem.

If you’re unsure about why your child has halitosis, contact Cataraqui Dental Centre and we can help you figure out where the issue originated. Remember, masking symptoms of bad breath with gum or mints will be only a temporary fix. Your child’s bad breath problems can be helped with a little investigation from Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. Always feel free to call our Kingston, ON office if you are concerned about your child’s oral health.

Love your new smile? Tell us about it!

April 24th, 2018

At Cataraqui Dental Centre, we have been creating beautiful smiles for years. Whether you have visited Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team for a week or for your entire life, we would love to hear your thoughts about your experience! In fact, we encourage you to leave a few words for us below or on our Facebook page!

We look forward to reading your feedback!

Oral Health for the Young Adult

April 17th, 2018

Young adults often have the reputation of not taking good care of themselves. You may feel invincible, and not realize how much your behaviors now can affect your health later in life. Oral health is one area that is easy to neglect now, but that can lead to serious financial and quality of life consequences later.

Follow a Good Oral Care Regimen

If you don’t already do so, it’s time to brush, floss, and rinse as Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough taught you. Brush at least twice a day or after meals, and floss your teeth every day. If recommended, use mouthwash to kill germs in your mouth. If you are not able to brush your teeth after eating, swish water around in your mouth to remove the food from your teeth. Leaving carbohydrates in your mouth allows bacteria to ferment it and produce acid, which can destroy your tooth enamel and put you at risk for decay.

Visit Our Office Regularly

Young adulthood can be a challenging time when it comes to medical care. Your parents are no longer paying for your health insurance or taking you to your appointments. You may not worry much about getting regular cleanings and exams, especially if you’re paying for them yourself.

However, young adults have a lot to gain from visiting our Kingston, ON office regularly. We can check for signs of problems and fix them early, which can save thousands of dollars and, ultimately, your teeth. These are some examples of what Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our hygiene team can do for you.

  • Get rid of plaque so it does not develop into tartar and cause periodontitis.
  • Identify and fill small areas of tooth decay to prevent it from progressing.
  • Examine your gums for signs of gingivitis, or early gum disease.

Consume a Tooth-Healthy Diet

A nutritious diet is not just for preventing heart disease and diabetes later in life. It also supports your teeth. Make sure to get plenty of calcium, such as from dairy products, canned fish, and leafy green vegetables to allow for strong teeth. Also, limit sticky foods and sugary sweets.

The Most Common Causes of Gum Disease

April 10th, 2018

Unless you're aware of the signs and symptoms of gum disease and how it's caused, it's possible that you may have unknowingly developed it. Often painless, gum disease -- or periodontal disease -- becomes progressively more serious when left untreated. As you learn more about the common causes of gum disease, you'll be better-equipped to maintain the best oral health possible.

Gingivitis & Periodontitis: Common Causes of Gum Disease

  • Bacteria & Plaque. Bacteria in the mouth creates a sticky film over the teeth. Good hygiene practices help remove the bacteria and the plaque they cause. When plaque is not removed, it develops into a rock-like substance called tartar. This can only be removed by a dental professional.
  • Smoking & Tobacco. If you're a smoker or use tobacco, you face a higher risk of developing gum disease. Additionally, tobacco use can lead to stained teeth, bad breath, and an increased risk of oral cancers.
  • Certain Medications. Some medications that are taken for other health conditions can increase a person's risk of developing gum disease. If you take steroids, anti-epilepsy drugs, certain cancer therapy medications, or oral contraceptives, speak to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about how to maintain healthy gums.
  • Medical Conditions. Certain medical conditions can impact the health of your gums. For instance, diabetics face an increased risk of gum disease due to the inflammatory chemicals present in their bodies. Always talk to our team about other health conditions to ensure we take that into account when treating you.

Take a Proactive Stance

Good oral hygiene practices and regular visits to our Kingston, ON office can help you eliminate or reduce the risks of developing gum disease. A thorough cleaning with your toothbrush and dental floss should take about three to five minutes. Brush your teeth a minimum of twice per day and floss at least once each day. Keep these tips in mind and you’ll be ready to prevent gum disease.

Top Five Best Foods for Oral Health

April 3rd, 2018

Some foods are just terrible for your teeth — think cookies and candy bars — but there are certain foods that are beneficial to your oral health. Below, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team have covered five of the top foods to keep your teeth and gums healthy!

1. Crispy, low-acid fruits and vegetables: Fruits like apples and vegetables such as carrots and celery act like “natural toothbrushes,” helping to clear plaque from your teeth and freshen your breath.

2. Kiwis: These little green superstars are packed with vitamin C which is essential for gum health. The collagen in your gums is strengthened when you consume foods that are high in vitamin C, like kiwis, thus helping to prevent periodontal problems.

3. Raw onions: Onions have long been studied for their antimicrobial, antibacterial, and antioxidant properties. Proliferation of bacteria is what leads to tooth decay and cavities. By including raw onions in your diet, you'll be doing your part to wipe out those little microbes before they can multiply!

4. Shiitake Mushrooms: A specific compound in shiitake mushrooms, lentinan, has been shown to have antibacterial properties that target the microbes that cause cavities while leaving other beneficial bacteria alone. It may also help prevent gingivitis, or inflammation of the gums.

5. Green Tea: Often lauded for its high antioxidant content and many health benefits, it turns out green tea also benefits your oral health! A Japanese study found men who drank green tea on a regular basis had a lower occurrence of periodontal disease compared to men who drank green tea infrequently. It's believed this is due to the catechins in green tea, a type of flavonoid that may help protect you from free radical damage, but more research needs to be done. Either way, drink up for your overall health, as well as your teeth!

If you have any questions about your oral health, or are looking for even more oral health tips, contact our Kingston, ON office!

How do I handle my child’s dental emergency?

March 27th, 2018

With children undergoing developmental dental changes and engaging in rough-and-tumble activities, dental emergencies can sometimes arise. If your child knocks out a tooth or experiences any type of oral discomfort, call Cataraqui Dental Centre right away so we can provide you with a quick assessment and pain-free treatment.

Before an emergency occurs, it’s a good idea to stay informed about the problems your child may encounter. Here are a few things you should keep in mind about teething pain, loose baby teeth, and other common dental issues.

Teething Pain

Typically occurring in babies that are between four months and two and a half years old, teething may cause excessive drooling, tender gums, and some irritability. Giving your baby a cold teething ring or gently rubbing her gums with wet gauze or your finger may also make her feel better.

Loose Baby Tooth

It is normal for a child’s first set of teeth to become loose and fall out. On the other hand, if your child’s baby tooth is knocked loose, schedule an appointment with our office so we can assess whether any damage has been done.

Issues with Permanent Teeth

Sometimes a child’s permanent teeth will grow in before the baby teeth have fallen out. Even if this condition isn’t causing any discomfort, you should schedule an appointment with our office so we can determine whether your child’s permanent teeth are growing in correctly.

Bleeding Gums

Bleeding gums can result from a number of factors, including periodontal disease, rough brushing, or an injury to the gum tissue. If your child’s gums are bleeding heavily, call our office right away so we can address the situation. If you have time before your appointment, wash your child’s mouth with salted water and gently put pressure on the affected area.

Regardless of the type of dental issue your child has, you can always consult Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough for further guidance. We make sure our emergency services are available, so you have ready access to convenient and professional dental care that will have your child feeling better in no time.

Oral-Systemic Health

March 20th, 2018

Oral-systemic health is the idea that oral health is a critical and interconnected component to a patient’s overall health and well-being. Studies show that people who have poor oral health are more likely to have other health conditions such as heart disease, diabetes, or a high likelihood of stroke.

Some of the data suggests that oral pathogens may trigger up to 50% of heart attacks, and that the oral bacteria P. gingivalis may cause a 13.6-fold increase in patients’ risk of a heart attack.

Still, the exact relationship between oral and overall health isn't fully known — whether one causes the other or how treating one might affect the other. But it should serve as a warning call to anyone suffering with poor oral health, especially periodontal disease.

More studies need to be conducted to establish the precise link between the two, but whatever it is, one thing is certain: good oral hygiene makes for good oral health. Many dentists and doctors realize the need to work together as a cohesive healthcare team to improve and maintain the health of their communities.

The Canadian Dental Association says oral health is essential to overall health, and not just a luxury. They are setting goals to reduce the amount of tooth decay in low-income communities for both children and adults.

So what is a patient about this information regarding oral-systemic health? Here are some tips to increase and maintain your overall well-being:

  • Have an effective oral hygiene routine. Brush twice a day for two minutes each time, floss daily, clean your tongue, and avoid sugary beverages.
  • Visit your dentist regularly. Regular cleanings and checkups at your dentist’s office will keep your mouth clean and ensure you’re taking good care of it.
  • Eat a healthful diet. A diet rich in fruits, vegetables, whole grains, and natural, unprocessed foods contributes to the overall health of your body.
  • Stay hydrated. Drink plenty of pure, clean water throughout the day. A good rule of thumb is to drink eight eight-ounce glasses a day.
  • Relax, destress. Stress can play a big role in all forms of disease. Take time during your day to relax, meditate, stretch, and allow your body and mind to rest.

If you have questions about your oral health and how it may be affecting your general health, feel free to ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough during your next visit to our Kingston, ON office.

I can't stop grinding my teeth! How can a dentist help?

March 13th, 2018

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will tell you that while you are sleep, your mouth may be very active. If you find yourself waking up with headaches, facial pain, neck aches, or a sore jaw, you may have tooth grinding, a condition we also call bruxism.

We see many people who experience some extent of tooth grinding, but a very small percentage of the population actually experiences symptoms severe enough to warrant visiting a doctor. If you continually experience any of the symptoms listed above, we encourage you to give us a call at our Kingston, ON office so that we may be able to diagnose and treat the problem.

The most common treatments include:

  • Reducing your stress level to help relax your jaw muscles and prevent grinding
  • A custom-made night guard to cushion your teeth and protect them from damage
  • Changing your eating habits. Coffee, tea, or alcohol before bed can increase your chance of nightly grinding
  • If your jaw or teeth are misaligned, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough may also recommend a brace to decrease grinding.

Grinding your teeth can have serious consequences that, if left untreated, can lead to tooth fractures and damage to the TMJ (temporomandibular joint).

If you think your teeth may not be getting the rest they need at night, we encourage you to give us a call and schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. Call us today!

Is sedation dentistry right for me?

March 6th, 2018

At Cataraqui Dental Centre, we are well-aware of the millions of Canadians who fear having to visit the dentist. Dental phobias are known to range anywhere from feeling mildly nervous to experiencing sweaty palms and even a racing heartbeat upon entering a dentist’s office. This anxiety can sometimes be so severe that it prevents people from visiting a dentist for years, postponing dental procedures that often result in costly problems down the road.

For those of our patients who have dental anxiety or dental phobia, it may be time to look into sedation dentistry, a safe and effective option for patients who are anxious or afraid, have a bad gag reflex, limited jaw opening, or for those who have a difficult time getting numb.

Sedation dentistry, a term that we use to refer to the use of anesthesia during treatment to put patients into a relaxed state, comes in many forms of sedation, from simply easing anxiety, to “conscious sedation,” which places patients in what we call a “twilight sleep.” Sedation dentistry at our Kingston, ON office allows our patients to drift through their appointments—including complex dental work—as well as feel completely relaxed throughout their visits, without any discomfort or pain. Sedation dentistry can turn a nerve-wracking visit into a comfortable and enjoyable one.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team will be more than happy to discuss any concerns, issues, or fears you may have before or during your visit, and will be able to tell you if you are a candidate for sedation dentistry.

By talking with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about sedation dentistry, you can feel more comfortable and relaxed during your next visit to Cataraqui Dental Centre. Give us a call today!

Tooth Discoloration: Common causes and what you can do to stop it

February 27th, 2018

Looking back at childhood photos, you may notice picture after picture of yourself with a mouthful of shiny white teeth. When you look in the mirror today, you wonder what happened to that beautiful smile. Many adults struggle with tooth discoloration and find it embarrassing to show off their teeth in a smile. Once you identify the cause of your tooth discoloration, there are treatment options at Cataraqui Dental Centre that can restore your teeth and your confidence.

What Causes Tooth Discoloration?

There are a host of factors that may cause your teeth to discolor. Some are directly under your control, and others may not be preventable. Here is a list of common reasons that teeth become discolored.

  • Genetics: Much of your dental health is determined by genetic factors beyond your control. Some people naturally have thinner enamel or discolored teeth.
  • Medications: Several medications lead to tooth discoloration as a side effect. If you received the common antibiotics doxycycline or tetracycline as a child, your teeth may have discolored as a consequence. Antihistamines, high blood pressure medications, and antipsychotic drugs can also discolor teeth. If you think a medication may be leading to tooth discoloration, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. Never discontinue the use of a medication without consulting your doctor, however.
  • Medical Conditions: Genetic conditions such as amelogenesis or dentinogenesis cause improper development of the enamel, and can lead to yellowed, discolored teeth.
  • Poor Dental Hygiene: Failing to brush your teeth at least twice a day or regularly floss may lead to tooth decay and discoloration.
  • Foods and Tobacco: Consumption of certain foods, including coffee, tea, wine, soda, apples, or potatoes, can cause tooth discoloration. Tobacco use also causes teeth to turn yellow or brown.

Treatments for Tooth Discoloration

There are a variety of treatments available to individuals with discolored teeth. One of the easiest ways to reduce tooth discoloration is through prevention. Avoid drinking red wine, soda, or coffee and stop using tobacco products. If you drink beverages that tend to leave stains, brush your teeth immediately or swish with water to reduce staining.

After determining the cause of tooth discoloration, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can suggest other treatment options. Over-the-counter whitening agents might help, but in-office whitening treatments provided at our Kingston, ON office would be more effective. When whitening agents do not help, bondings or veneers are among the alternative solutions for tooth discoloration.

If you are worried about your teeth becoming yellow or brown, think carefully about your diet and medication use. Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough to identify substances that may be causing the problem. After treatment for tooth discoloration, you will have a beautiful white smile you can be proud to show off.

How do I make my child’s diet safe for his or her teeth?

February 20th, 2018

The food you feed your child can have a lasting effect on his or her oral health. In fact, diet plays a major role in whether a child develops cavities and decay, which can lead to many dental visits and potential tooth loss. So what should you feed your child to ensure he or she has a healthy smile for life?

Foods to Avoid

It is normal for your child to take interest in many foods -- especially those filled with sugar and carbohydrates. But as tasty as these foods are, they can cause rapid decay when eaten in excess. That’s not to say your child can never have sugar again. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our staff suggest limiting starchy and sugary foods such as candy and potato chips as much as possible.

Remember that some seemingly healthy foods can present the threat of decay too. Some of the most common culprits are sticky foods like peanut butter, raisins, and granola bars, which can stick to the teeth after eating. If you serve these foods to your child, be sure to have him or her brush immediately after eating to remove any lingering sugary residue.

Beverages

Many beverages marketed toward children contain sugar servings that far exceed the daily recommendations from national health organizations. They suggest no more than three to four teaspoons of added sugar per day for young children.

Make an effort to serve only water to your child any time other than meal times. During meals, allow your child to have milk or juice, but in limited serving sizes. Most importantly, never allow your young child to sleep with a bottle or “sippie cup” full of juice or milk. Doing so can cause rapid tooth decay: a condition known as “baby bottle caries.”

A Healthy and Balance Diet

So long as your child is brushing regularly and eating a healthy, balanced diet full of fruits, vegetables, lean proteins and whole grains, you should have little or no problem with tooth decay. For more questions about how your child’s diet affects his or her oral health, contact our Kingston, ON office to schedule a consultation.

The Origins of Valentine's Day

February 13th, 2018

When we think of Valentine’s Day, we think of cards, flowers, and chocolates. We think of girlfriends celebrating being single together and couples celebrating their relationship. We think of all things pink and red taking over every pharmacy and grocery store imaginable. But what Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team would like to think of is when and how this joyous, love-filled day began.

Several martyrs’ stories are associated with the origins of Valentine’s Day. One of the most widely known suggests that Valentine was a Roman priest who went against the law at a time when marriage had been banned for young men. He continued to perform marriage ceremonies for young lovers in secret and when he was discovered, he was sentenced to death.

Another tale claims that Valentine was killed for helping Christians escape from Roman prisons. Yet another says that Valentine himself sent the first valentine when he fell in love with a girl and sent her a letter and signed it, “From your Valentine.”

Other claims suggest that it all began when Geoffrey Chaucer, an Englishman often referred to as the father of English literature, wrote a poem that was the first to connect St. Valentine to romance. From there, it evolved into a day when lovers would express their feelings for each other. Cue the flowers, sweets, and cards!

Regardless of where the holiday came from, these stories all have one thing in common: They celebrate the love we are capable of as human beings. And though that’s largely in a romantic spirit these days, it doesn’t have to be. You could celebrate love for a sister, a friend, a parent, even a pet.

We hope all our patients know how much we love them! Wishing you all a very happy Valentine’s Day from the team at Cataraqui Dental Centre!

Hypersensitive Teeth

February 6th, 2018

It is common to experience dentine hypersensitivity, with symptoms ranging from moderate to severe. Why does it happen and how do you know if this sensitivity is something to be concerned about? The first step is to determine the cause.

The most common cause of the sensitivity is exposure of the dentin. Dentin is the layer immediately surrounding the nerve of the tooth. It is alive and usually covered by the gum tissue. When gum recession is present hypersensitivity is common. Other contributors to temporary tooth hypersensitivity include teeth whitening and dental procedures such as fillings, periodontal treatment, and braces placement or adjustment. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment. To understand the cause of sustained hypersensitivity, let us explain the structure of dentin and why it serves as a ‘hot spot’.

The dentin contains a large numbers of pores or tubes that run from the outside of the tooth to the nerve in the center. When dentin tubes are exposed, there is a direct connection between the mouth and dental pulp, which houses the nerve and blood supply of the tooth. External stimuli, such as mechanical pressure (tooth grinding or clenching - bruising the ligaments holding the teeth in place), temperature changes, as well as chemical stimuli (sweet–sour) are transmitted to the pain-sensitive dental pulp and activate nerve endings. A short and sharp pain is the result. These external stimuli cause fluid movement in the open tube that is transmitted as pain sensations. Something needs to be placed into the dentin tube to plug it and stop this fluid movement.

The first step in doing something about dental hypersensitivity is to determine the cause; our professional team at Cataraqui Dental Centre can help you with this. Whether the sensitivity is due to exposed dentin or an underlying cause such as abscess or decay, corrective measures are needed. Contact us sooner rather than later so Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can reduce the sensitivity, and provide you with some relief!

Do You Have an Ageless Smile? Let Us Help You Keep It!

January 30th, 2018

In your golden years, you’ve become a pioneer in tooth care. Yours is probably the first generation in history that can expect to keep most of their natural teeth for a lifetime. You can probably guess the reasons: better oral care, advances in dentistry, improved nutrition, and a lower risk for diseases that could weaken teeth and gums.

As a pioneer, you’re learning with your dentists, and one thing we’ve found is that teeth change with age, just like the rest of the body. Even if your teeth can remain strong and white, here are a few things you may have to cope with:

Cavities: Tooth decay is not just for kids anymore. Seniors often develop cavities on the lower part of the tooth near the root. Thorough flossing and brushing along the gum line is the best preventive measure.

Sensitivity: Gums recede over time, and good dental habits only slow the process. Receding gums leave more of each tooth exposed, and the newly uncovered areas have less enamel. As a result, these teeth may be much more sensitive to hot and cold. If you find your teeth become more sensitive, try a toothpaste designed for sensitive teeth and be sure to tell Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough about it at your next checkup.

Difficulty brushing: If you have arthritis or limited motion you may have a hard time brushing your teeth. Consider switching to an electric toothbrush. There are also assistive devices available that make it easier to grip a manual toothbrush.

Other health problems: Diabetes, heart disease, and other chronic illnesses can cause symptoms in your mouth. Be sure to let us know if you have any health conditions, or if your condition changes. We can help treat symptoms that affect your teeth and recommend ways to maintain good oral health habits as part of your overall health program.

Protecting Your Child’s Smile with Mouthguards

January 23rd, 2018

If your child participates in sports or other physical activities, it’s wise to consider getting a mouthguard. Also known as mouth protectors, mouthguards are a device worn over the teeth to lessen the impact of a blow to the face.

This reduces the chance that your child might lose teeth or sustain other serious oral injuries. We recommend that all patients involved in a contact sport such as wrestling, football, or hockey wear a mouthguard because of the high risk of such injuries.

However, anyone involved in a physically demanding sport or activity should wear a mouthguard as well.

Can you imagine what it would be like to lose a few of your front teeth? The way you talk, eat, and smile would all change.

Injuries that can be sustained when not wearing a mouthguard include:

  • Chipped and broken teeth
  • Fractured jaws
  • Root damage
  • Concussions
  • Injury to the lips, cheeks, or gums

Types of Mouthguards

There are three different types of mouthguards — typically made of a soft plastic material or laminate. You can decide which works best for your child in terms of budget, fit, and comfort.

  • Stock mouthguards are prefabricated to a standard size. They offer adequate protection, but you need to find one that fits your child properly and comfortably. Stock mouthguards are readily available at department stores, sporting goods stores, and online.
  • Boil-and-bite mouthguards are placed in boiling water to soften them, then into the mouth so they can conform to the shape of the teeth. Boil-and-bite mouthguards are more expensive, but offer a more customized fit than stock ones. You can find these in department stores, pharmacies, sporting goods stores, and online.
  • Custom-made mouthguards are created just for your child by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough. These offer the best fit and comfort of all the options, but they are also the most expensive. Ask a member of our Kingston, ON team for more information.

The Canadian Dental Association says a good mouthguard should be easy to clean, fit properly, be comfortable, and resist tearing or damage. It shouldn’t restrict speech or breathing.

Still not sure if your child needs a mouthguard or which kind is right for his or her smile? Ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough or one of our staff members for more information.

Solutions for Dry Mouth (Xerostomia)

January 16th, 2018

Dry mouth, or xerostomia, is a common side effect of many medications. It can also be a side effect of cancer treatments, or the result of certain auto-immune diseases. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre will tell you that for most people, discontinuing their medication isn’t an option. The solution is two-fold: find ways to increase saliva production and eliminate specific things that are likely to increase dryness in the mouth.

Lack of saliva creates a situation in the mouth that allows harmful organisms such as yeast and bacteria to thrive. It may also make it difficult to swallow food, create a burning feeling in your mouth, or cause bad breath, among other problems.

Medications that are known to cause dry mouth include:

  • Anti-depressant drugs
  • Anti-anxiety medications
  • Drugs for lowering blood pressure
  • Allergy and cold medications — antihistamines and decongestants
  • Chemotherapy drugs
  • Medications to alleviate pain
  • Drugs used in the treatment of Parkinson’s disease

Saliva helps people digest their food. It also functions as a natural mouth cleanser. Xerostomia increases the risk you will develop gum disease or suffer from tooth decay.

Solutions for dry mouth

  • Carry water wherever you go, and make a point of taking regular sips.
  • Avoid oral rinses that contain alcohol or peroxide.
  • Chew sugarless gum or suck on sugarless hard candies that contain xylitol.
  • Limit your consumption of caffeine, carbonated beverages (including seltzer and sparkling waters), and alcoholic beverages.
  • Brush your teeth at least twice a day, and use dental floss or other inter-dental products to remove food particles that get stuck between your teeth.
  • Look for oral rinses and other oral hygiene products that bear the Canadian Dental Association (CDA) Seal of Recognition.
  • Brush your teeth and use oral rinses that contain xylitol. Certain gels and oral sprays are equally helpful. Biotene is one over-the-counter brand that makes products designed to treat dry mouth.
  • Make sure you get your teeth checked and cleaned twice a year. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will be able to examine your mouth for problems and treat them before they turn into something more serious.

You may not be able to solve your dry mouth problem altogether, but you’ll be able to deal with it by following these recommendations. You’ll be able to increase saliva production while reducing your risk of more serious dental problems. To learn more about preventing dry mouth, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, please give us a call at our convenient Kingston, ON office!

What to Expect if You Haven’t Been to the Dentist in Forever

January 9th, 2018

It’s easy to miss a dental appointment. Life and duties intervene, and suddenly you have to push your appointment back once, then again, or forget about it.

We get that. These days, we all have a lot going on. But what we don’t want is for a lengthy absence to make you anxious about returning. It doesn’t matter how long it’s been, we always love to see you! So let’s take a moment to explain what you can expect when you pay us a visit.

Your appointment will last roughly 60 to 90 minutes, so keep that in mind when you schedule it and plan accordingly. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team want you to feel comfortable.

One of the first things we will ask is the reason for your visit. You’ll have the opportunity to let us know about any concerns or questions you may have. No question is too small, so ask away!

Next, we will go over your medical and dental history to make updates to your file as necessary. This will usually be followed by X-rays to give us a better idea of what is currently happening with your teeth. We will finish with a screening for oral cancer and periodontal disease. If you haven’t visited us in a while, we want to make sure nothing serious is going on.

After that, you will undergo a cleaning with one of our hygienists. Your teeth will be cleaned and checked for such things as broken fillings, cracked teeth, or active decay. Finally, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will come by for a final look and a rundown of your dental needs.

Then you’re ready to go! On your way out, you’ll discuss options for scheduling your next appointment, insurance coverage, and payment plans if applicable. You will also receive a goodie bag with a new toothbrush, floss, and toothpaste to get you started (and motivated) on the path to great dental health!

We always want our patients’ experience to be as comfortable and as easy as possible. From the moment you pick up the phone to make your appointment, our team is here to make sure we always meet your needs.

No matter how long it’s been since your last visit, we hope you’ll give us a call to make your next appointment at our Kingston, ON office.

What exactly is a root canal?

January 5th, 2018

Hearing that you need a root canal can be highly intimidating. What is a root canal? It is the removal of the nerve supply from the tooth. Here, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough will describe the parts of a tooth and explain the reasons for a root canal and how it is done when you visit us in our Kingston, ON office.

Your tooth is made up of many layers. The outside layer is called enamel and is made of minerals. The middle layer is dentin, which is also a calcified tissue, but less dense. The center of the tooth is called the pulp, and that hosts the nerves and blood vessels. A root canal is the removal and replacement of this center with a sterile filling.

A root canal is needed when an infection spreads to the center of the tooth. This can be from trauma (recent or previous), a cavity, a severe crack, or other compromise that causes nerve damage. An X-ray and examination are required to see if a root canal is needed. Symptoms may include but are not limited to pain, swelling, change in tooth color, and over-reaction to temperature change or pressure.

When it is time to begin, you’ll receive local anesthesia (via injection) to make you most comfortable. A rubber dam is used to isolate the tooth, while other equipment determines the nerve location and maintains a sterile working environment. All of the infected area is removed including the nerve tissue and blood vessels. Then, medicines are used to sterilize and alleviate any pain. Next is the placement of a filling material in the spot where the nerve used to be.

When your nerve and blood supply are taken away, the tooth is non-vital, or dead, and can become weak and fragile. If your tooth is badly decayed, a large portion of it will have to be removed. It is recommended to place a crown on the tooth to keep the enamel from breaking or falling apart. If you do not get a crown, you could eventually lose the tooth to more decay or infection. The tooth could also break off completely and you would have to have an extraction. The crown fits over the top of the tooth and secures it from breaking down.

A root canal saves the life of a tooth that would otherwise succumb to further infection and eventually extraction. Infection is the cause of most-needed root canals. If you are ever unsure what is happening at your appointment, don’t be afraid to ask questions so you understand the procedure completely.

Things You Probably Didn’t Know About New Year's Eve

December 26th, 2017

It’s no secret that New Year’s Eve is one of the most widely celebrated holidays in the world. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team love it too. It’s a fresh start, another year of surviving the crazy world we live in, a time to refocus on the things we want for ourselves, a celebration with those we love … the list goes on.

Dozens of countries welcome the New Year with over-the-top parties and celebrations. Because it’s a public holiday, many offices, businesses, and schools close for the day. As you think about your plans for this holiday, here are some fun facts about New Year’s that might surprise you!

Can you guess what the most common New Year’s resolutions are? You may already have one or two of these on your own personal list. The top five New Year’s resolutions are: to quit smoking, get a new job, lose weight, increase personal savings, and return to school. Just remember that coming up with a concrete plan to reach your goals is the surest way to achieve your resolutions!

About one million people brave the cold to watch the New Year’s Eve ball drop in New York City’s Times Square in person. Yes, that’s one million! This event is one of the most iconic celebrations in the world. People travel from all over just to experience it, but you can watch from the warmth and comfort of your living room.

If you’re not a fan of cabbage, collard greens, black-eyed peas, or ham hocks, you might want to revise your tastes. All these foods are all regarded as lucky fare on New Year’s Day. Unless you’re allergic, of course!

For many people in Mexico and Latin America, eating 12 grapes at midnight is a tradition that brings good luck in the 12 coming months. Most people even make a wish per grape!

Whether you’re celebrating in Kingston, ON or traveling elsewhere to observe the holiday, New Year’s Eve is a time to enjoy the company of your friends and family. Don’t forget to send warm wishes to your loved ones, and snag a midnight kiss with that special someone if you can!

Is periodontal disease contagious?

December 19th, 2017

According to the Centers for Disease Control and Prevention, half of adults age 30 and over suffer from some form of gum disease. Caused by plaque buildup, gum disease is an infection of the tissue that surrounds and supports the teeth. In its advanced stages, it is known as periodontal disease. If left untreated, it can result in the loss of tissue and bone that support the teeth, causing teeth loss. It’s a preventable condition seen far too often by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough.

Research between periodontal disease and other diseases is ongoing. Some studies have indicated that gum disease is linked to other health conditions such as stroke or diabetes. Furthermore, while most factors that lead to periodontal disease are dependent on the individual (genetics, diet, poor oral hygiene) there is a possibility that periodontitis is capable of spreading from one person to another.

What the Research Says

Periodontitis is a gum infection, and the bacteria that cause the gums to become infected travels in saliva. Researches have used DNA coding techniques to track the path of infection from one person to another. In other words, kissing and close contact play a role in the transmission of the infection, so if you’re married to a spouse with periodontal disease, then your chances of having gum problems are slightly increased. Other studies have indicated that saliva contact is common in family settings through coughing, sneezing, and shared utensils and food. Children with parents who have periodontal disease are at a somewhat higher risk of developing it. At the same time, just because you exchange bacteria with your loved ones doesn’t mean you will get periodontal disease.

It is important to note that the scientific evidence supporting the spread of periodontal disease is limited and ongoing. The best way to prevent gum disease is through proper plaque control, which includes brushing, flossing, mouthwash, and twice a year trips for professional cleanings. Contact our Kingston, ON office if you have any questions about periodontal disease.

Why Professional Cleanings are Important

December 12th, 2017

Regular dental cleanings and checkups at our Kingston, ON office are an excellent way to ensure everything is A-OK in your mouth. There’s a reason the Canadian Dental Association recommends a professional cleaning every six months!

Here’s what you can usually expect during your visit with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough:

  • Head and neck examination: The dentist or dental hygienist will look for anything out of the ordinary. He or she will check your lymph nodes and lower jaw joints (also known as TMJs).
  • Dental examination: The dentist or hygienist will check for any signs of gum disease, tooth decay, loose or broken teeth, or damaged fillings. We’ll also check your bite, the contact between your upper and lower teeth, and the condition of any dental appliances you’re wearing. Sometimes we’ll also take a set of X-rays.
  • Dental cleaning: Plaque and tartar will be removed and the dentist or hygienist will polish your teeth. Your teeth and gums will be flossed, and we’ll also make recommendations about proper brushing and flossing technique if we think you need them.

When you visit our Kingston, ON office regularly, we’ll be able to compare the status of your teeth and gums from one appointment to another. That ensures we will be able to tell where you’re doing great in taking care of your teeth, and if needed, where you’re doing not so well.

If you’re in need of serious help, we might recommend more frequent visits. But remember, the most important factor in your oral health is how you take care of your teeth and gums at home between appointments.

We strive to help our patients achieve and maintain radiant, healthy smiles! If you'd like to know more about exams and cleanings at our Kingston, ON office, or what you need to do at home to maintain an effective oral health routine, please let us know.

Fluoride Treatment: Do You Need One?

December 5th, 2017

Over the past decade, most people have been ingesting less and less fluoride. This is not such a great trend, since fluoride has a history of successfully reducing tooth decay and promoting good dental health. Most of us drink bottled water now, so many children and adults are not getting the optimum amount of fluoride they need. Of course, dental needs vary, depending on such factors as age, tooth sensitivity, medical conditions, and risk for cavities, but there are several ways to make sure you get the proper amount of fluoride.

Fluoride can be applied in the form of foam, varnish, or mouthwash. For children, topical fluoride can be useful in the early stages of development to ensure the future strength of enamel. For people who have a dry mouth as the result of medication to treat anxiety, diabetes, high blood pressure, depression, or high cholesterol, a daily fluoride rinse is recommended, as well as a varnish treatment.

If you’ve received or are receiving any form of cancer treatment, that could be affecting your dental health. If such is the case, fluoride varnish treatments are recommended prior to, during, and after chemotherapy. Getting an oral infection during cancer treatment can be especially harmful, so it’s worthwhile to do as much as you can to prevent that.

If you suspect you might be in need of a fluoride treatment or have any questions about the treatments Cataraqui Dental offers, please feel free to give our Kingston office a call!

Do you suffer from sleep apnea?

November 28th, 2017

At Cataraqui Dental Centre, we know our patients love a good amount of rest each night in order to be energized for the day and week ahead. After all, without enough sleep, exhaustion during the day is the most immediate consequence.

Sleep apnea is a sleep disorder that could be an indicator of serious health problems. The most common symptom is loud snoring, but the condition is characterized by breathing that repeatedly starts and stops throughout the night, leaving you feeling tired in the morning. Other serious effects from sleep apnea could be potentially dangerous to your health if left unaddressed, a great reason to visit Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough.

Besides losing precious hours of sleep, sleep apnea also elevates the risk of heart attack and stroke, and may cause other conditions such as depression, irritability, high blood pressure, memory loss, and sexual dysfunction.

Anyone can develop sleep apnea, but it is more common among middle aged adults who are overweight. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough can help you determine the cause and suggest possible treatment.

A common treatment for sleep apnea is an oral device that is designed to help keep the airway open. By bringing the jaw forward, the device opens the airway and discourages snoring. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team are experienced in sleep apnea appliances, and can prescribe a fitted device, as well as monitor its success each time you visit.

A continuous positive airway pressure mask, also known as a CPAP, is among the other treatment options you may opt for. A mask is fitted over the mouth and forces oxygen through the throat while you sleep, and the pressure holds the soft tissue and throat muscles open.

If you think you may be suffering from sleep apnea, visit our Kingston, ON office. Our team at Cataraqui Dental Centre can help you return to getting a better night’s sleep.

Is there a correlation between my dental and cardiovascular health?

November 21st, 2017

YES!  Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care. Cardiovascular diseases are the leading cause of death in adult Canadian men and women, according to our friends at the Public Health Agency of Canada. Added to that, an estimated 70 percent of Canadian adults will have some form of gum disease, also known as periodontal disease, during their life.

Studies suggest that people with gum disease are believed to have an elevated risk of heart attack and stroke. Since most patients are not regularly visiting a heart specialist, their regular visits to our Kingston, ON office can help detect early warning signs of heart issues, prevent gum disease, or at the very least catch it at its early stage. We’d also like you to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25).

There are many benefits to visiting Cataraqui Dental Centre in addition to maintaining your dental health. If it has been a while since your last visit, please give us a call!

Understanding Dental Insurance Terminology

November 14th, 2017

If you have a hard time understanding your dental insurance plan, particularly the treatments and services it covers, you’re not alone. That’s why Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our team have put together a cheat sheet to help you through them.

It’s common for patients to get lost in the morass of the terms and phrases that surface when you’re dealing with a dental insurance plan. Knowing the commonly used terms can help speed up the process and enable you to get the most out of your coverage.

Common Terms

Annual Maximum: The most your policy will pay per year for care at Cataraqui Dental Centre. It is often divided into cost per individual or per family.

Co-payment: Typically, a small amount the patient has to pay at the time of service before receiving care, and before the insurance pays for any portion of it.

Covered Services: A list of all the treatments, services, and procedures the insurance policy will cover fully under your contract.

Deductible: An amount you must pay out of pocket each year before the insurance company will contribute for any treatments or procedures. The amount can vary according to your plan.

Diagnostic Services: A category of treatments or procedures that most insurance plans will cover before the deductible, which may mean services that occur during preventive appointments with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough, including X-rays or general screenings.

Exclusions: Dental services not covered under a dental benefit program.

In-Network: An insurance company will usually cover a larger portion of the cost of the care if you see an in-network provider for treatment.

Out-of-Network: If you visit someone who is not a part of your provider’s network, the insurance company may pay for a portion of the care, but you will be responsible for a significantly larger share out of your pocket.

Lifetime Maximum: The most that an insurance plan will pay toward care for an individual or family over the entire life of the patient(s).

Limitations: A list of all the procedures the insurance policy does not cover. Coverage may limit the timing or frequency of a specific treatment or procedure, or exclude some treatments altogether.

Member/Insured/Covered Person/Beneficiary/Enrollee:  A person who is eligible to receive benefits under an insurance plan.

Premium: The regular fee charged by third-party insurers and used to fund the dental plan.

Provider: Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough or other oral-health specialist who provides treatment.

Waiting Period: A specified amount of time that the patient must be enrolled with an insurance plan before it will pay for certain treatments.

It’s essential to understand the various insurance options available to you. Knowing what your insurance covers can save you major costs in the future.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Brett Empringham, and Patrick McDonough and our dental staff hope this list of terms will help you understand your dental insurance plan better. Be sure to review your plan and ask any questions you may have about your policy the next time you visit our Kingston, ON office.

Radiation and the Safety of Dental X-Rays

November 7th, 2017

It is not uncommon to be concerned about your safety when you have dental X-rays performed. Putting on a heavy lead vest may make you apprehensive. The benefits of dental X-rays far outweigh the risks when safety procedures are followed and the number of X-rays is limited to the required number.

About Dental X-rays

Intraoral X-rays are the most common, and include bitewing X-rays. These allow Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre to detect caries (cavities) and check the health of your bone and root structure. Extraoral X-rays provide the information we need to monitor your jaw and temporomandibular joint (TMJ), as well as look for impacted teeth and tooth development.

X-ray Safety

A set of four bitewing X-rays exposes you to about 0.005 mSv (millisievert) of radiation, which is equal to the amount of radiation you receive in an average day from natural sources. A panoramic X-ray exposes you to about twice the amount of a bitewing. In both cases the risk is negligible and worth the diagnostic benefits.

Guidelines from the Canadian Dental Association are offered for individuals who are not at high risk for cavities. Children in this group should have X-rays every one or two years. Teenagers should have X-rays every one-and-a-half to three years. Adults can go two to three years between X-rays. If you are at higher risk, yearly X-rays are not harmful and can save your teeth.

No matter what type of X-ray you are having, it is extremely important to tell Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough or one of our technicians if you are pregnant or may be pregnant. If you are concerned about the number of X-rays you are having done, or about any radiation you are exposed to, please give us a call at our convenient Kingston, ON office and talk to us about your concerns.

Don’t procrastinate about dental work!

October 31st, 2017

When you have dental issues or just need routine care, you may try to put off making an appointment at Cataraqui Dental Centre. Common reasons for procrastination are not having the time or fear of pain. Avoiding Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough is not a good idea, though. Putting off dental care can turn small problems into large ones. Short appointments turn into long ones with significantly more work and expense.

What happens when you wait?

The small cavity that could have been filled easily has turned into a large cavity. The larger the cavity, the more work required to fill it. However, this is only a minor problem compared to more advanced issues. The minor toothache you are trying to ignore could be a small fracture or an abscess. Small fractures can sometimes be repaired, but if you wait and the fracture increases, you may need to get a crown.

An abscess can be treated in the early stages. Ignoring an abscessed tooth may lead to root damage and the need for a root canal. Infection can spread to other teeth, which multiplies the damage. These treatments will require more of your time than you would have spent taking care of the problem early.

Perhaps you are just putting off a routine cleaning. Even if you brush, rinse, and floss the way you are supposed to, you need a professional cleaning at Cataraqui Dental Centre. Plaque that is left behind hardens into calculus or tartar that you cannot remove by yourself. A build-up of calculus can also lead to gum disease.

Unfortunately, avoiding appointments due to a lack of time may mean that you have to give up substantially more time later on. You also can experience needless pain from tooth problems. It’s always best to visit Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough for regularly scheduled cleanings and exams to ensure your smile stays healthy and beautiful.

Dentin Tooth Sensitivity Treatments

October 24th, 2017

Dentine hypersensitivity can be described as a sharp and sudden pain caused by cold food and beverages. It’s present in more than half the population and result from receding gums that expose the root surfaces of your teeth.

That being said, hypersensitivity can be triggered by forceful tooth brushing, teeth whitening products, gum disease, and erosion from acid reflux, bulimia, or highly acidic foods. Symptoms can range from moderate to severe, depending on the cause and how quickly it’s treated.

Tooth sensitivity begins when the dentin develops some exposure. This layer that surrounds the nerve of the tooth is usually covered by gum tissue, but when recession takes place, the dentin can get exposed and the pain begins. The dentin contains numerous pores that run from the surface of the tooth inward. This direct connection to the nerve and blood supply of the tooth can be affected by external stimuli, such as the triggers cited above.

The good news is there are several different ways to treat dentinal hypersensitivity at Cataraqui Dental Centre.

Treatment of dentin tooth sensitivity begins by making an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough. We encourage you to begin treatment sooner rather than later in order to figure out the cause and to reduce the pain you’re experiencing. In most cases, quick treatment options will solve the problem, including the use of desensitizing toothpaste, switching to a soft-bristled toothbrush, starting a daily fluoride rinse treatment, or minimizing teeth grinding with the help of a custom mouthguard.

For more serious cases, we may recommend you get crowns put on problematic teeth, start a gel or varnish fluoride treatment, or even schedule a surgical gum graft or root canal, depending on the cause and severity of your pain.

If you’re concerned about any tooth sensitivity you’re experiencing, please give our Kingston, ON office a call and schedule an appointment. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team want to help you identify the cause of your pain, and give you the best possible treatment plan. We look forward to seeing you to help alleviate discomfort and solve your tooth sensitivity.

The Secret to Lifelong Teeth Whitening

October 17th, 2017

Have you ever noticed your attention being instantly drawn to peoples’ teeth when they smile at you? Some people have dull and yellowing teeth, while others have teeth that appear bright white. Everyone’s teeth naturally dull over time because of aging and the contact your teeth have with staining foods, such as chocolate and coffee. However, teeth-whitening treatments can help you keep your teeth white for life.

Get Regular Treatments

The effects of teeth whitening or bleaching treatments are only temporary, so regular treatments at Cataraqui Dental Centre are necessary to keep your teeth white for life. Bleaching too frequently, though, can wear away your tooth enamel. The effects of in-office bleaching can last for several months to a year, while you may need to repeat your use of at-home bleaching kits every few months to maintain your white teeth. Whitening toothpastes do not contain bleach, so you can use them daily. The Canadian Dental Association suggests asking your dentist for advice on which treatment is best for you.

Have Realistic Expectations

Not everyone’s teeth can be turned bright white, according to the Canadian Dental Association. Your teeth may naturally be a light yellowish color that lends itself well to teeth-whitening procedures, but bleach is not likely to be effective for grayish teeth. Brownish teeth fall somewhere in between.

Practice Good Oral Hygiene

Your teeth whitening efforts will not be as effective if your teeth are in poor health. Visible fillings, implants, or bridges that are metallic stand out against the white color you want to achieve. You can help prevent tooth decay and reduce your risk of needing these unsightly treatments by maintaining a good oral hygiene routine. In addition to brushing your teeth twice a day to remove dirt and potential staining agents, the actions below can promote a healthy mouth.

  • Floss every day
  • Visit Cataraqui Dental Centre regularly
  • Rinse your mouth with water after each meal and snack
  • Limit sugary and starchy foods and beverages, especially between meals

Dental X-Ray Safety

October 10th, 2017

It's easy to be skeptical about X-rays whether we speak of a full-body X-ray or a dental X-ray. Radiation is radiation. It's vital to know all the facts before judging too harshly, though. Dental X-rays can be one of the best preventive tools for your dental health. We offer various treatments at Cataraqui Dental Centre, but helping you become better informed is one of the best ways to decide what will be best for you.

According to the Canadian Dental Association, healthy adults typically receive routine dental X-rays every two to three years. The timeline for children is every one or two years, and one and a half for teens. Children and teens require more X-rays than adults because their teeth are still developing, which makes them more susceptible to cavities.

In general, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough will determine how often dental X-rays need to be taken for each individual patient, taking into consideration physical symptoms, clinical findings, and risk for infection. Most dental professionals use Caries Management by Risk Assessment (CAMBRA) to help them determine how often X-rays should be taken, so you can rest assured that we are making an informed decision.

In addition to that, it should be reassuring to know that these days, most dental X-rays are digital, which significantly reduces your exposure to radiation. In fact, you’re likely to pick up more radiation just from being in the sun! Lead aprons and thyroid collars are also tools that Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team use to keep X-ray exposure to a minimum.

At our office, we believe that diagnosing cavities and other potentially harmful conditions by dental X-ray does you more good than harm. If you have any questions about our X-rays, feel free to give our Kingston, ON office a call or bring up the subject during your next appointment!

Avoid Brushing After Every Single Meal!

October 3rd, 2017

Here is some surprising yet worthwhile advice you might be hearing for the first time: Brushing can be incredibly bad for your child’s teeth if done right after eating certain foods.

Enamel is an extremely hard mineral on the exterior of each tooth. It’s actually the hardest substance in the human body: It’s even stronger than bones! Its only weakness is that acids in the food we eat can easily destroy enamel.

Healthy teeth thrive in an environment that has the proper pH balance. That ensures the mouth doesn’t start the process of demineralization—the process when alkaline turns into acid, which attacks and softens the enamel on the surface of your child’s teeth. Pores and fissures form, and that’s when the harmful bacteria go to work.

A mouth’s pH level fluctuates depending on what is eaten throughout the day. Examples of the most common highly acidic foods include citrus fruits, soda, and sugary foods. Highly acidic foods tip the balance of pH in the mouth from a healthy alkaline to a dangerous acid.

Can brushing your child’s teeth immediately after a meal lead to even more damage? The answer is yes!

Eating highly acidic foods causes your child’s teeth to be more susceptible. If your child brushes when the teeth have been weakened by acids, even more destruction can happen to the enamel. Your child’s toothbrush bristles will actually wear away some of the enamel. So it’s healthier for your child to wait at least an hour after eating or snacking to brush.

Good preventive measures to take instead of brushing after your child eats include:

  • Rinsing or drinking water
  • Chewing sugarless gum
  • Consuming dairy or non-acidic foods to conclude a meal

These practices help produce saliva, which in turn restores a healthy pH level in your child’s mouth and coats the teeth with minerals they need.

Once your child’s mouth is restored to a healthy pH level, he or she may brush normally. Keep in mind that acidic foods can weaken the enamel on the teeth and take the right measures to prevent spiking pH levels.

Still have questions? Call our Kingston, ON office and schedule an appointment for your child with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough.

What is gingivitis, and how can I treat it?

September 26th, 2017

Gingivitis is an early stage of gum disease that results when bacteria in your mouth cause inflammation in your gums. This is a common condition, and you can treat it effectively if you are aggressive. Otherwise, it could develop into more advanced gum disease, or periodontitis, and you could lose one or more teeth.

Watch for symptoms of gingivitis so you can ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough for help as soon as you need it. Strategies for treating gingivitis include thoroughly cleaning your teeth and assessing the scope of your gingivitis and how serious the problem is.

Gingivitis: Early Gum Disease

Your mouth contains many bacteria that form plaque, which is a sticky substance. You can get rid of plaque by brushing well, but if you don’t, it can build up on your teeth and form tartar. Bacteria can make your gums inflamed and cause pain and bleeding, or gingivitis. Other symptoms include loose teeth, bad breath, receding gums, and sensitive teeth. You’re at higher risk for gingivitis if you’re a smoker, if you have a weakened immune system, or if you have diabetes.

Assessment and Diagnosis

If you think you recognize the symptoms of gingivitis, contact our Kingston, ON office to make an appointment. We will ask you about your risk factors for gingivitis and examine your teeth and mouth for signs of red and swollen gums. We may also measure the pockets around your teeth. If they are larger than usual, your gingivitis may be more advanced. Finally, will take some X-rays to get a picture of the bone structure of your jaw.

Deep Cleaning

You can’t get rid of the tartar on your teeth just by brushing at home. Instead, you need a deep cleaning consisting of scaling and root planing. Scaling involves scraping the plaque off of your teeth, both below and above the line of your gum. In root planing, the rough surfaces of your teeth where tartar is more likely to build up are smoothed. A laser may be used to make the procedure more effective, more accurate, and more comfortable.

How to Handle a Dental Emergency

September 19th, 2017

Whether it’s a broken tooth or injured gums, a dental emergency can interfere with eating, speaking, or other day-to-day activities. According to the Canadian Dental Association, you can sometimes prevent dental emergencies like these by avoiding the use of your teeth as tools or by giving up hard foods and candies.

Even if you take excellent care of your mouth, however, unexpected dental problems can still arise. Our team at Cataraqui Dental Centre is available 24 hours a day, seven days a week to assess and resolve your individual situation. When an emergency arises, you should immediately make an appointment with our office so we can put you at ease, give you the best possible care, and help you return quickly to your regular routine.

Damaged Teeth

For tooth damage in particular, don’t hesitate to call and schedule an emergency dental appointment. You should come in as soon as possible. However, if you have some time before your appointment there are a few things you can do to avoid further injury. If you break your tooth, clean the area well by rinsing it with warm water. To ease any discomfort, put a cold compress against your skin near the area with the affected tooth.

A dislodged tooth should be handled carefully in order to keep it in the best possible condition. Gently rinse off the tooth without scrubbing it and try to place it back into the socket of your gums. If it won’t stay in your mouth, put the tooth in a container of milk and bring it along to your dental appointment.

Injured Soft Tissues

For other problems, such as bleeding gums or an injured tongue, cheek, or lip, our office recommends gently rinsing your mouth with salt water and applying pressure to the site with a moist strip of gauze or a tea bag. If you’re also experiencing some discomfort, you can put a cold compress on your cheek near the area of the bleeding. If the bleeding continues, don’t hesitate to contact our office so you can receive further help.

A dental emergency may catch you off guard, but Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough can provide fast, pain-free treatment. Follow the advice above and set up an appointment with us as soon as possible so you can put your teeth and mouth on the road to recovery.

Best Ways to Prevent Bad Breath

September 12th, 2017

Nobody likes bad breath, and although it can sometimes be difficult to tell if you have it, it is always better to practice good oral health than risk having a smelly mouth. There are many ways to reduce or eliminate bad breath, some are definitely more effective and longer lasting than others. Check out ways to do so below.

Floss Regularly

As difficult as it can be to remember to floss regularly, when it comes to bad breath, flossing is one of the easiest and most cost effective ways to freshen your mouth. See, flossing reduces the plaque and bacteria found in areas of your mouth that a toothbrush simply can't reach, and in turn, it rids your mouth of the smell associated with that bacteria. While flossing may not eliminate bad breath on its own, if you do it along with other health oral hygiene habits like brushing, then you may just develop a fresher smelling mouth.

Use Mouthwash

Using some sort of mouthwash can really freshen up your breath, especially if you find it still smells after brushing and flossing. There is a wide variety of mouthwash products on the market, however, you can also create your own by simply using baking soda mixed with water.

Always Brush after You Sleep

Whether after taking a nap, or having a full night of sleep, you will want to brush your teeth in order to reduce bad breath. The truth is, bacteria accumulates in your mouth while you are sleeping (even during a short nap) and that is ultimately the source of bad breath. So next time you wake from a good slumber, give your mouth some brushing and you will find it makes a big difference in the freshness of your breath.

There are many ways to freshen your breath beyond just using gum or mints, the above mentioned are just a few for you to try. Test them out and you will likely find your bad breath problem is solved, or at least considerably reduced. Of course, you can always ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough at your next visit to our Kingston, ON office.

Is your child a mouth breather?

September 5th, 2017

Have you ever watched to see if your child is breathing through his or her mouth? Breathing through the mouth instead of the nose may lead to trouble for youngsters. Kids who typically breathe through their mouth—most often children who suffer from allergies—experience problems getting enough oxygen into their blood, a condition that affects their weight, size, sleep, and even their performance in the classroom and daily life.

Mouth breathing as a child can also lead to sleep apnea, behavior and learning problems, delayed speech, dental and facial abnormalities, and even breathing problems as your child grows. There are a multitude of reasons for an individual to mouth breathe, such as enlarged tonsils, adenoids, and deviated nasal septum, but the cause is usually allergies.

As bad as the condition sounds, we want you to know mouth breathing is a treatable condition. Doing so, though, requires early diagnosis and treatment. Since our team at Cataraqui Dental Centre sees our patients every six months, we may be in a position to identify the symptoms of mouth breathing.

If you suspect your child is a chronic mouth breather, please give us a call at our convenient Kingston, ON office to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough.

How long will a root canal last?

August 29th, 2017

According to the Canadian Academy of Endodontics, root canals have a success rate of over 95% and in most cases they last a lifetime.

There are a few factors that ensure the root canal will last and should be followed.

  • You want to make sure you allow Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough to perform a permanent restoration of the tooth. That means getting the filling and the crown immediately after the canals have been cleaned of all bacteria and debris.
  • Practice good oral hygiene; that means brushing and flossing at least three times a day especially after meals and before bed.
  • Just because a tooth has had a root canal that does not mean the tooth is safe for as long as it remains in your mouth. That tooth can still get a cavity. Since the nerves are no longer present in that tooth you will not feel any pain or experience any other signs of a cavity. That’s why it is important to get regular cleanings and checkups.
  • If the tooth becomes fractured or you develop an abscess, you will feel pain and know there is a problem with the tooth.

Why do root canals fail?

As mentioned above, only about five percent of root canals fail, and sometimes it is not actually a “failure.” In cases, of teeth that have more than one root, it is possible that only one root was infected and filled. If the remaining root(s) become infected in the future, they will also need a root canal performed on them.

There are a few other reasons why your root canal may fail:

  • The first reason is you may not have taken good care of your tooth (teeth). This is commonly seen in children and teens who often have inconsistent oral hygiene habits.
  • If the tooth has more than one root, and one of the roots has a minute infection that is undetectable and goes unnoticed it can cause the root canal to fail. While this scenario is very unlikely, it does occasionally happen.
  • Over time, the seal can become weak and bacteria can enter the tooth. This is also very uncommon but it does happen.

No procedure dental or medical comes with a 100% guarantee to last a lifetime, but if you take care of your treated tooth, the chances of success are great.

If you have any additional questions about root canals and your oral health, be sure to ask a member of our team at our Kingston, ON office.

Invisalign® and Invisalign Teen®

August 22nd, 2017

There are so many adults and teens in our Kingston, ON office who would love to have their teeth straightened but that are unwilling to go through the long and unsightly process of traditional metal braces. Well, that's where Invisalign® and Invisalign Teen® come to the rescue; the most advanced clear aligner systems in the world!

There are several reasons why, if you're considering getting braces, you should consider Invisalign too. Here are some of them:

  • You can eat whatever food you'd like, without worrying about it getting caught in wires or breaking brackets.
  • Most people won't even know you're wearing them!
  • If you need to, you can remove your aligners at any time.
  • The removable aligners let you brush and floss as you normally would, making for better overall oral health.
  • Since they are made of a smooth BPA-free plastic, Invisalign aligners are simply more comfortable to wear than traditional braces. No metal means no more roughed up gums or irritated tongue!
  • You'll need to visit our Kingston, ON office less often — only once every six weeks or so.
  • With Invisalign Teen, you’ll receive up to six replacements for lost or broken aligners.

Before you get started with treatment, you’ll have a consultation with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough to see if Invisalign or Invisalign Teen is right for you. If your case is a good fit, then you’ll have X-rays, pictures, and impressions of your teeth taken. That information will be used to make the 3D models of your teeth that let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough see how they will move throughout the entire treatment and approximately how long it will take.

After that, you’ll receive your aligners based on the treatment plan we recommend. You’ll get a new set of aligners every two weeks. Then all you need to do is wear your aligners 22 hours a day and you’ll be on your way to a straighter healthier smile. Don’t hesitate to a member of our Kingston, ON team for more information about Invisalign!

How can veneers improve my smile?

August 15th, 2017

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre know your smile is an important part of your appearance; it can be a source of pride or embarrassment. Everyone deserves beautiful, straight teeth that complement their features, but few are born with natural dental perfection. Fortunately, cosmetic dentistry has come a long way in recent years, with veneers making it possible to make over your smile completely.

With dental veneers, the smile of your dreams can become a reality. These thin, wafer-like shells are crafted of porcelain and completely customized to fit your smile. Once your tooth size, shape, and color have been determined, veneers are adhered to the surface of your natural tooth, instantly transforming your appearance. What used to be a secret of the rich and famous is now highly accessible to dental patients around the world.

Benefits of dental veneers

Appearance

Dental veneers are very natural in appearance and virtually undetectable to other people. Their non-porous surfaces make them resistant to staining, which ensures they do not change color over time.

Improvements

Dental veneers can be used to improve the appearance of many kinds of imperfections. In fact, an entirely new smile can be crafted from veneers, to cover up chipped teeth, discoloration, and gaps between teeth.

Durability

Veneers are long-lasting cosmetic enhancements that can survive many years with appropriate care and maintenance. They are specially fabricated to be resistant to scratches and chipping, which makes them a practical solution for the average person.

Flexibility

Dental veneers are highly adaptable. You can opt for only a single veneer to repair a chipped or cracked tooth, or you can modify multiple teeth at once for a smile makeover.

Considerations

Keep in mind that cosmetic treatments like dental veneers are secondary to primary dental care. You must have healthy teeth and disease-free gums to be a candidate for cosmetic procedures. An initial consultation at our convenient Kingston, ON office will reveal any underlying decay or other problems that must be addressed prior to getting veneers. Give us a call today!

Early Detection is Key to Treating Oral Cancer

August 8th, 2017

Every hour of every day, someone in North America dies of oral cancer, the sixth most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved.

This grim statistic may make you think that oral cancer is a particularly deadly form, when in fact the high death rate has more to do with how late in its development oral cancer is detected. Routine screening is the key to early detection and survival, and in our continuing efforts to provide the most advanced technology and highest quality care available to our patients at Cataraqui Dental Centre, we proudly screen our patients for oral cancer.

So, who’s at risk for oral cancer?

Anyone can develop oral cancer, but some people are at a higher risk. These high-risk groups include those over the age of 50 and men, who are twice as likely as women to develop the disease. Smoking or chewing smokeless tobacco products, consuming alcohol excessively, and constant exposure to the sun at a young age are also risk factors.

How is oral cancer detected?

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre suggest our patients perform a monthly self-examination to check for unusual red or white patches, sores, lumps, or thickenings anywhere inside the mouth, on the lips, or in the throat and neck area.

We encourage you to give us a call at our convenient Kingston, ON office if you find any of these symptoms or if you have trouble swallowing or experience a chronic sore throat and hoarseness. During your visit, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough will inspect the oral tissues and neck to determine if abnormalities are present.

What happens if oral cancer is detected?

If we discover abnormal tissues during your visit, a biopsy will be required. The results from the biopsy will be sent to a laboratory to determine if the cells are cancerous or precancerous. If a diagnosis of cancer is made, surgery, as well as treatment such as chemotherapy or radiation may be necessary. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team will work closely with your oncologist and other members of your medical team to ensure that you achieve the best possible oral health care both during and after treatment.

Finding out you have oral cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk. Through a routine visual inspection, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre can often detect premalignant abnormalities and cancer at an early stage when treatment is both less expensive and more successful, and can potentially save your life. Ask us about a screening during your next visit!

The Clear Benefits of Invisalign®

August 1st, 2017

Straighter teeth is something many people desire. A nice smile is one of the most attractive things about a person. However, wearing a mouth full of braces for two, three, or more years can be a major pain, both literally and figuratively.

Luckily, there is another option. Invisalign is an alternative to traditional braces. Learn more about the benefits Invisalign offers and why you should consider this exciting method of straightening teeth.

  • When you have straight teeth, your mouth is healthier in general and there is less chance of tooth decay and gum disease. Invisalign makes it possible for more people to straighten their teeth.
  • Invisalign is essentially invisible. You can straighten your teeth without unsightly metal in your mouth.
  • The average cost is similar to that of traditional braces, which makes it affordable for many families.
  • With Invisalign, the aligner trays are smooth and comfortable to wear. Traditional metal braces can be uncomfortable and cause irritation to the mouth.
  • Invisalign is removable, so you do not have to wear the system during special occasions, or when you’re eating. With normal metal braces, you are stuck with them for the entire straightening process.
  • Brushing and flossing are simple. Since the system is removable, you can brush and floss just like normal.

As you can see, Invisalign is an exciting option we provide at Cataraqui Dental Centre for those who want straighter teeth. If this is something that sounds interesting to you, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and find out if it would work for your particular situation. Get started today, and before you know it you will be enjoying your straighter teeth.

For more information about Invisalign, or to schedule an initial consultation with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough, please give us a call at our convenient Kingston, ON office today!

What are the benefits of Invisalign®?

July 25th, 2017

A popular option for straightening teeth at Cataraqui Dental Centre, Invisalign can be a great method for improving your smile, and can help patients with crowded teeth, crossbites, overbites, underbites, and more.

Invisalign, which is different from traditional braces, works by applying a series of clear, retainer-like aligners in order to eventually move your teeth into their ideal positions. Patients typically swap aligners approximately every couple of weeks.

At Cataraqui Dental Centre, we have lots of experience using this technology to give our patients the beautiful and healthy smile they’ve always wanted. During your initial visit at our Kingston, ON office, the first thing we do is take an impression of your teeth as they are now and digitize it. Using special software, we look at the current positioning of your teeth and compare it to the way your teeth should look.

Not only are the aligners invisible, they are also removable, so you can eat and drink what you want, and brushing and flossing are easier. Invisalign’s aligners are also comfortable, with no metal to cause mouth abrasions during your treatment. And, no metal and wires usually means you spend less time at our office getting adjustments. With Invisalign, you can view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete!

Depending on the severity of the problem, Invisalign treatment may take anywhere from three to 18 months to complete. You should be aware that Invisalign is not as effective as traditional braces in treating bite problems, teeth that are lower or higher than others, or severely overcrowded teeth. Both teens and adults are now great candidates for Invisalign, so we invite you to contact our Kingston, ON office to set up an initial consultation and learn more on how Invisalign can give you the smile you’ve always wanted!

My son is turning one. When should I bring him in for a visit?

July 18th, 2017

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team know that cavities know no age boundaries, and that is why we recommend a visit to our Kingston, ON office by a child’s first birthday. That also happens to be the opinion of our friends at the Canadian Academy of Pediatrics, as well as the Canadian Dental Association.

Research has shown that more than one in four kids has had at least one cavity by the time they’re four years old. In fact, many children get cavities as early as age two, which is a critical reason why you should pay us a visit sooner rather than later. Your child’s appointment at Cataraqui Dental Centre also covers topics such as the importance of baby teeth, nutrition, development, and any concerns you may have with your child’s dental health. We believe that your child’s first visit with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough should be an enjoyable and positive one, and we strive to teach good oral care that will enable your child to have a beautiful smile that lasts a lifetime.

To learn more about baby teeth, or to schedule your child’s next visit with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough, please give us a call today! We look forward to seeing you!

My teeth don't line up any more. Why?

July 11th, 2017

If your teeth don't line up like they used to any more, you may be suffering from temporomandibular joint disorder, often called TMD. This is a term that can actually be applied to any condition that occurs because the temporomandibular joint (TMJ) is inflamed.

The temporomandibular joint is essentially the hinge that holds your lower jaw to your skull, and when it is inflamed or damaged in any way, it can be extremely painful. You have two temporomandibular joint, one on each side of your jaw, and it is typical to experience TMD in both sides at the same time.

Shifting of the Teeth

The reason that your teeth may not line up as they once did is that the ball and socket joints are often out of alignment and, as mentioned above, often very inflamed as a result. In order to correct the problem, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough may prescribe dental orthotics such as a lower jaw splint.

Sometimes, the wisdom teeth can play a role in the shifting of the teeth as well. If shifting wisdom teeth is combined with TMD, it may be necessary to have your wisdom teeth removed. Dental splints may follow if your teeth don't shift back to their proper positions on their own.

TMD is certainly a difficult thing to deal with, so if you experience your teeth shifting, scheduling an appointment at our Kingston, ON office is the smartest course. We want to help you get your smile back, so give us a call anytime.

Don’t let a dental emergency ruin your summer vacation!

July 4th, 2017

For many of our patients at Cataraqui Dental Centre, summer means a season of relaxation, vacation, and outdoor fun and activities. While you can’t take a vacation from dental emergencies, you can always be prepared for anything that can happen. Today, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team thought we would give our patients a few tips on handling a dental emergency when you’re far from home (and our office).

Throbbing Toothache – Try brushing and flossing to ease the pain; the issue could be simply that a piece of food is nestled in an uncomfortable spot between your teeth. If that is the case, try to gently remove the object with dental floss. If it still hurts, stick to soft foods, try an over-the-counter pain reliever, or dip a cotton ball in clove oil and insert it on the affected area until you can get to a local dentist.

Bitten Lip or Tongue – Clean the area gently with a cloth and apply cold compresses to reduce swelling. If the bleeding doesn’t stop, go to a hospital emergency room immediately.

Lost Filling or Crown – Dental wax will work to keep the sharp edges of your tooth from bothering you. If you can, save the crown or filling, and if you happen to have denture adhesive handy, you can use it to temporarily reattach the crown until you can get to a local dentist.

Broken Tooth – Hold the tooth by the crown and rinse off the root of the tooth in water if it’s dirty. If possible, gently insert and hold the tooth in its socket. If that isn’t possible, put the tooth in a cup of milk and get to a local dentist as quickly as possible.

Broken Jaw – Apply cold compresses to control swelling. Visit a hospital emergency room as soon as possible.

If you have a dental emergency after regular office hours and you happen to be in town, please give us a call. If you are calling us after hours, please follow the emergency prompts to contact Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough.

Tips for Using Invisalign®

June 27th, 2017

More than one patient has come into our office and asked, “What can I do to help my teeth when wearing Invisalign?”

While everyone’s teeth and dental needs are different, there are certain things everyone can do to make wearing their Invisalign aligners a more rewarding experience. Always follow the list of instructions and tips from Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough, and add the following advice to your daily routine.

Always ask us about teeth whitening. Our team at Cataraqui Dental Centre knows how important it is for you to keep your teeth white and stain-free from the foods and drinks you consume daily. If you have attachments to your teeth, they will not whiten properly. Ask our office about teeth whitening when wearing your aligners; it might be best to wait until your treatment is complete.

Continue flossing every day. You should be flossing in any case. But it can be easy to assume that Invisalign will protect your teeth from bacteria. This is not true. Bacteria can get behind the aligners and affect the health of your teeth and gums, so keep up with your flossing schedule.

Follow the 48-hour rule when wearing your aligners. When you insert every new set of aligners, you should leave them in as much as possible during the first 48 hours. Your teeth will move more during this timeframe, and the aligners do the most good during this time.

You may experience slight discomfort while wearing your Invisalign aligners. You can take a pain reliever to help with the discomfort, but if you experience too much pain, please give us a call at our convenient Kingston, ON office to schedule an appointment!

The Invisalign® Treatment Process

June 20th, 2017

Invisalign is gaining traction as a sought-after solution for orthodontic problems. Unlike traditional braces, which require the placement of brackets on teeth and the connection of unsightly wires, Invisalign works nearly invisibly (as its name suggests). Particularly for those who do not wish to draw attention to their orthodontic work, Invisalign provides an attractive solution.

Consultation with a Treatment Provider

Our practice has received specialized training to work with Invisalign. During your consultation appointment, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough will assess your smile needs. In some cases, the type of problem may not lend itself to correction through Invisalign, and we may offer an alternative solution.

Creation of a Custom Treatment Plan

Invisalign works using a series of customized clear trays that fit almost perfectly over the teeth. To create these trays, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough will take X-rays and impressions of your teeth. These are submitted to a specialized laboratory that makes a 3D image of your smile. This is used to create a specialized treatment plan that provides an estimate of how long treatment will take.

Arrival of Custom Trays

Once your customized trays have arrived, the treatment begins. For Invisalign to work properly, you must wear the aligners 20 to 22 hours per day, removing them only to eat, drink, and brush your teeth. The trays gently draw your teeth into proper alignment, correcting your orthodontic problems as you go about your everyday life.

In general, you will replace your aligners with a new set every two weeks. This is to encourage your teeth to continue moving throughout the treatment process. You’ll need to check in with our Kingston, ON office every six weeks or so to ensure treatment progresses smoothly.

Beautiful Smile: Complete!

Once you complete your individualized treatment plan, you’ll have the smile you’ve always dreamed of. Like with traditional braces, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough may recommend that you wear a retainer to ensure that your teeth remain in their new positions.

How does a tooth decay?

June 13th, 2017

When acids are allowed to erode tooth enamel long enough to leach calcium and other minerals from your enamel and dentin, a process called demineralization occurs. This rapidly leads to tooth decay unless reversed by good oral hygiene and professional dental cleanings at our Kingston, ON office. Acids responsible for tooth decay come from the wastes of mutans streptococci and lactobacilli bacteria that thrive in dental plaque, a substance that is the leading cause of periodontitis.

Where do demineralizing acids come from?

Dietary sugars comprise the bulk of tooth-decaying acids, including table sugar, cooked starches, fructose, glucose, and lactose. In fact, as soon as you bite down on a sugary cookie or into a French fry, bacteria start digesting sugars, breaking them down and eventually excreting them as demineralizing acids. As this bacteria colony grows and becomes organized, plaque develops and forms that tough, yellowish coating you often see on the tops of teeth at the gumline.

Plaque is the Problem

Dental plaque is a filmy type of nesting place for bacteria that also keeps acids pressed against tooth enamel. Since plaque cannot be removed by brushing, it is important that a person who suffers tooth decay visit Cataraqui Dental Centre immediately so we can use special tools to scrape and thoroughly clean teeth.

Signs of Tooth Decay

Early tooth decay and cavities remain asymptomatic until demineralization creates a hole deep enough to reach the tooth’s inner tissues and nerve endings. Eventually, tooth decay will cause tooth sensitivity, toothache, vague pain when biting down on the affected tooth, and possibly pus seeping around a tooth’s gum line if the decay creates an infection. If treatment is delayed long enough, a decaying tooth may loosen, crumble, and ultimately fall out, which leaves an empty or partially empty socket.

Preventing Tooth Decay

Getting regular checkups with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough, brushing and flossing twice a day, and eating fruits or crunchy vegetables at snack time instead of a candy bar or doughnut are the three best ways to keep your teeth healthy, white, and where they should be: in your mouth.

Summer Break: An ideal time for wisdom teeth removal

June 6th, 2017

After your son or daughter departs for college, the last thing you want to get is a call or text to learn he or she is in pain. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre will tell you there aren’t many emergency situations that can be avoided when it comes to dental health, but one crisis that can easily be prevented before your teen heads hundreds of miles away for college is wisdom tooth extraction.

What are wisdom teeth?

Wisdom teeth are the third set of molars that erupt in the late teen years to early 20s. Spacing and crowding problems often cause impaction and infections, which is why many people elect to have their wisdom teeth removed. Wisdom teeth can go from barely noticeable to extremely painful in a very short period of time.

When your teen’s wisdom teeth erupt, they may cause overcrowding of his or her teeth, which can have a negative effect on their alignment. Most people’s mouths do not have enough room for wisdom teeth to erupt fully and remain perfectly aligned. Thus, pain, swelling, infection, damage to adjacent teeth, and decay are often the most common problems associated with wisdom teeth. These problems can brew beneath the surface for weeks or months, offering no warning before painful symptoms hit.

If your child does elect to go through wisdom tooth extraction, we want to inform you that the first few days of recovery consist of careful measures to control bleeding and swelling, an adherence to a special soft diet, as well as a medication routine that must be followed as recommended by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough after surgery.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team are dedicated to providing exceptional service before, during, and after your wisdom tooth procedure, so you can have peace of mind knowing that your child’s oral health is in good hands. We will do everything we can to minimize discomfort and help your child heal safely and quickly.

Summer break is the perfect time to remove wisdom teeth so that your child can avoid the stressful scenario of experiencing this medical emergency far away from home. If you have any questions on wisdom teeth removal or to schedule an initial consultation with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough, give us a call today!

What’s the advantage to Invisalign®?

May 30th, 2017

Invisalign, which we happily provide at Cataraqui Dental Centre, is a great alternative to traditional orthodontic treatment if you've been apprehensive about the thought of metal braces. During your initial visit, the first thing we do is take an impression of your teeth as they are now and digitize it. Using special software, we look at the current positioning of your teeth and compare it to the way your teeth should look.

Invisalign treatment, which consists of a series of aligners that you switch out approximately every couple of weeks, can help patients with crowded teeth, crossbites, overbites, underbites and more. Invisalign gradually shifts your teeth into place, creating the dazzling smile you’ve always wanted. During treatment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough, patients wear the aligners all day and night, except for during meals and when they’re brushing and flossing; cleaning your teeth and eating are a snap since you can easily remove your aligners! And because they’re clear, no one will know that your teeth are steadily straightening!

To find out if you are the right candidate for Invisalign treatment, we invite you to give us a call at our convenient Kingston, ON office and schedule a consultation.

Invisalign® Q&A

May 23rd, 2017

It’s estimated that up to four million people at any one time are wearing braces in the United States and Canada. But Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre know that braces have come a long way from the early days of orthodontics, so much so that these days, options are available that are not visible to onlookers. The most popular of these “invisible” braces is Invisalign. Here’s a list of FAQs regarding Invisalign:

Are they really invisible?

Yes, the clear liners are virtually invisible, so they enable patients to feel good about themselves and their appearance, while getting the orthodontic treatment they need.

Are there wires, rubber bands, and brackets with Invisalign?

Nope. Invisalign is truly an alternative to conventional braces. The treatment consists of clear liners that can easily be removed and cleaned throughout the day. There are no wires, so there’s less poking and mouth irritation compared to braces. There’s also no wire tightening at adjustment appointments, so patients don’t have to worry about a sore mouth in the days that follow in-office visits.

I’ve heard that if I get braces, I won’t be able to eat certain foods like popcorn and hard candy. Is this true with Invisalign too?

No. With Invisalign, there are no food restrictions. You simply remove your aligners when you’re eating, and replace them after you’ve finished and brushed any leftover food particles away.

Does Invisalign cost more than braces?

While overall cost varies on a patient-by-patient basis and is based largely on the level of treatment, Invisalign costs about the same as traditional braces, which makes this treatment option a truly affordable alternative.

How does brushing compare with conventional braces?

Brushing your teeth while wearing conventional braces takes some getting used to. Patients have to brush around the metal brackets and floss with a specialty tool to get into the hard-to-reach areas of the mouth. By contrast, Invisalign can be removed at any time to permit regular brushing and flossing.

Every patient is different and Invisalign might not be the best course of orthodontic treatment for everyone, but it's an option that's gaining more and more popularity, and it's an orthodontic alternative that doesn't sacrifice comfort and convenience for results. For more information, or to schedule a consultation, please give us a call at our convenient Kingston, ON office!

Who benefits from Invisalign®?

May 16th, 2017

One problem with trying to answer the question as to who benefits from Invisalign is that the simple answer is “almost everyone.” The see-through, almost invisible aligners for straightening teeth are specifically molded to fit each individual’s mouth. Unlike conventional braces, they can be removed when eating and when cleaning the teeth. Because they use less force in straightening teeth than metal braces, the risk of harm to teeth is lessened.

Benefits to adults

Traditional braces are associated with children and teenagers. Many adults want to have their teeth straightened but cannot decide which is worse: having crooked teeth or wearing metal braces. They also worry about having to change their diet by not being able to eat the foods they normally enjoy.

If you are an adult considering braces, our team at Cataraqui Dental Centre will tell you Invisalign aligners will give you the best of all worlds. Your teeth will be straightened with virtually invisible braces. You can remove your aligners when you eat so you can enjoy any food you normally would consume. You do not have to worry about embarrassing yourself by getting food stuck in your braces. You simply clean your teeth normally after eating and replace your aligners. If there is a special occasion during which you do not want to have any braces at all, you can remove the aligners for a few hours without causing any damage.

Benefits to teenagers

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team know that teenagers are often involved in contact sports or gymnastics. Others find that having metal in their mouth interferes with their ability to play a musical instrument. Traditional metal braces contain wires and brackets that can cause damage to the mouth and gums; this is not a risk with Invisalign aligners.

For sports that require players to wear mouthguards, the expense of specially constructed mouthguards to fit over braces is avoided. The aligners can be removed during sports activity, and a normal mouthguard is worn. Teenagers who play musical instruments simply remove the aligners when practicing or playing in the band or orchestra.

Teenagers often feel they are too busy to spend time and trouble flossing teeth between the wires and brackets of traditional braces. Since the Invisalign aligners are removable, brushing and flossing are simpler and more likely to be performed.

For more information about Invisalign or Invisalign Teen, or to schedule an initial consultation with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough, please give us a call at our convenient Kingston, ON office!

What's on your child's reading list?

May 9th, 2017

What better way for children to spend their time than cuddled up by the fireplace or out in the yard with a book in hand? Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team encourage you to inspire your child’s mind with a few great books. Sure it may be easy to put off reading when balancing a busy schedule, but reading is vital to kids’ brain development. Plus, reading is always fun!

This week, we thought we’d ask: What are you or your child reading? Do you have any suggestions for must-read books? Out of ideas for great reads? Ask us during your next visit, and Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team would be happy to provide a few suggestions. You may also ask a local librarian here in Kingston, ON for some ideas.

Happy reading! Be sure to share your book picks or your all-time favorites with us below or on our Facebook page!

The History and Mythology of the Tooth Fairy

May 2nd, 2017

While the last baby teeth generally aren’t lost until age ten or 11, most children stop believing in the tooth fairy by the time they're seven or eight. Of course, children are more than happy to play along with the game when there’s money at stake! While it is impossible to know what the tooth fairy does with all those teeth (are they labeled and stored like museum pieces in a giant fairytale castle?), it is possible to trace the history and myth of the tooth fairy to several cultures and traditions. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team learned about some interesting myths about the tooth fairy!

The Middle Ages

Legend has it that Europeans in the Middle Ages believed a witch could curse someone by using their teeth, so it was important to dispose of baby teeth correctly. Teeth were swallowed, buried, or burned. Sometimes baby teeth were even left for rodents to eat. Despite being pests, rodents were valued for their strong teeth; it was generally believed a tooth fed to a rodent would lead to the development of a healthy and strong adult tooth.

Eighteenth Century France

The tooth fairy myth began to show more characteristics of a conventional fairytale in 18th century France. La Bonne Petite Souris, a bedtime story, tells the strange tale of a fairy that changes into a mouse to help a good queen defeat an evil king. The mouse secretly hides under the evil king’s pillow and defeats him by knocking out his teeth.

Scandinavian Lore

So, why does the tooth fairy leave money under the pillow? The idea of exchanging a tooth for coins originated in Scandinavia. Vikings paid children for a lost tooth. Teeth were worn on necklaces as good luck charms in battle. While the idea of exchanging a tooth for coins quickly spread throughout the rest of Europe, a fierce, horn-helmeted Viking is far cry from the image of a fairy collecting teeth.

While the tooth fairy as children know her today didn’t make an appearance until the 1900s, tooth myths and rites of passage have existed in numerous cultures since the dawn of time.

How Our Office Makes Your Child’s Visit Anxiety-Free

April 25th, 2017

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre specialize in pediatric dentistry, and we understand that children can be frightened of things they do not understand. This anxiety is often heightened by an unpleasant dental experience or stories they hear from classmates. We have many methods at our Kingston, ON office to make your child’s dental visit pleasant and anxiety-free.

Listening

The first thing Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team do is talk to your child, listen to any concerns he or she may have, and take the time to explain the dental work that will be done. Often children will lose their fears by simply understanding what is happening and why. In addition, you are welcome to be in the room with your child during exams and treatments. When a child is able to see that the parent is relaxed, this is more conducive to the child’s relaxation.

Relaxation

When you arrive at Cataraqui Dental Centre, let your child to play with the toys we provide. This starts the visit in a positive manner. Taking your child’s mind off the exam is useful. While your child is undergoing an examination or procedure, listening to music or watching a video can support a sense of relaxation. When children understand that we care, their anxiety levels are reduced.

Sedation

Nitrous oxide is a sedation technique commonly used to reduce anxiety and alleviate any pain. It is beneficial partly because the effects wear off quickly. Topical pain relievers can also be useful for children with sensitive teeth, and this will eliminate discomfort.

Deeper sedation is useful for complex dental issues, extreme anxiety, or a fear of needles. A liquid or tablet sedative can be given before your child’s appointment. This type of sedation is also helpful for children with a fear of the masks used for nitrous oxide.

We welcome you and your child to discuss any concerns that you have regarding his or her dental appointment. We want your child to be free from anxiety about visiting Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough. The earlier your child’s fears are addressed, the less likely the fear will carry into adulthood.

Make Every Day Earth Day

April 18th, 2017

Earth Day began in 1970 as an event to raise awareness of our environment. What began as a single day in April is now recognized around the world to bring attention and education to global environmental issues. Conserving our natural resources, reducing water and air pollution, and developing green technologies are all ways in which we can improve the environment around us.

Reduce, Recycle, and Reuse

One of the easiest ways to participate in Earth Day is by simply reducing the amount of refuse that ends up in landfills. Many communities have recycling programs for paper, plastic, and metal refuse. By keeping recyclable items out of landfills, we reduce the need for new disposal space and the amount of energy needed for burning refuse. Recycling products also helps conserve the resources that are used in making new products.

You can save money by reducing your consumption of many everyday products. Single disposable water bottles can be recycled but they are costly. By using filtered faucet water, you can conserve your financial resources. Disposable paper towels can also be wasteful. Consider reusable cleaning rags for the majority of your chores.

Reusing items saves both the environment and your finances. A large number of products can be re-purposed to create a new item. Old furniture can be remade into a new piece. Old clothing can be used for craft items. If you are not able to find ways to reuse your old items, donate them to a charity. Remember to continue your positive environmental steps on a daily basis.

Other things you can do to improve the environment

Everyone, young or old, can find ways to participate in improving the environment. Some ideas include:

  • Planting trees
  • Picking up litter
  • Reducing energy consumption
  • Walking, bicycling, or carpooling to work or school
  • Disposing of hazardous waste properly
  • Using rain barrels to conserve water for plants

Earth Day is designed to appreciate and celebrate the health of the earth. Keeping the earth healthy is important, but keeping your mouth healthy is important, too. Healthy teeth and gums contribute to your overall health and well-being, so remember to call our team at Cataraqui Dental Centre to schedule an appointment. Have a happy and healthy Earth Day, from Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough!

I’m on a diet and getting MORE cavities!

April 11th, 2017

Health gurus rave about replacing unhealthy food choices with healthy ones in your diet. If you want to maintain your beautiful smile as well as your waistline, choose foods that are good for your teeth and good for losing weight. This article will discuss some of the worst healthy foods for your teeth and gums, and what you can do to continue to enjoy them.

When watching your weight, snacks heavy in sugar and starch are the first target for elimination. You want to trade those empty calories for something with more nutritional value. A healthier snack is fruit and vegetables. When you are substituting empty calories with whole foods such as fruits and vegetables, consider a few implications for your dental health.

The most acidic fruits are grapes, grapefruit, and strawberries. Want to know the number-one worst healthy food for your tooth enamel? Apples! An apple a day may keep the doctor away but you may soon be calling your dentist.

Another healthy food often incorporated into dieting is salads. But consider what you put in those salads. Salad dressings are filled with vinegar and sweeteners. These make a salad very acidic and can change the pH of your mouth from alkaline, which is good for your teeth and gums, to acidic, which puts your smile at risk for erosion and decay.

Last but not least is diet soda. You might be cutting down on the calories but you are still putting your teeth at risk for decay. Though calories are reduced, the acid is not.

You do not need to eliminate any of these foods from your diet. Simply alter what you do after eating these foods to decrease the amount of acid your teeth are exposed to.

During your next visit to Cataraqui Dental Centre in our Kingston, ON office, we can discuss your diet. We may recommend using certain products to fortify your teeth or change the way you routinely care for your teeth.

Please enjoy the wonderful whole foods that are great for a healthy waistline. A healthy waistline and a healthy smile have a positive influence on your general health. A healthier you is a happier you. The happier you are, the more you smile. Keep your smile brilliant and beautiful with the care your teeth deserve at the practice of Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough.

We are committed to your oral health!

April 4th, 2017

Dental visits are often negatively associated with discomfort in many people’s minds. But at Cataraqui Dental Centre, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team have created an atmosphere focused on dispelling those myths. Our team is truly passionate about dentistry, and we are trained to gently accommodate each individual patient’s needs, with every procedure and visit performed with the utmost focus on your comfort.

If you are a patient of record at Cataraqui Dental Centre, we are committed to your oral health and are available to you. If you would like to learn more about stress-free dentistry at our Kingston, ON office, or to schedule an appointment, we encourage you to give us a call!

Five Nutrition Tips for Healthy Kids' Smiles

March 28th, 2017

If your child could have it his way, chances are he would eat Lucky Charms for breakfast, a peanut butter and fluff sandwich for lunch, and chicken fingers slathered in ketchup for dinner.

Kids will be kids, and maintaining a healthy diet is often the farthest thing from their minds. Do you remember the old saying “an apple a day keeps the doctor away”? Well, that folksy wisdom can be applied to oral health, too. Think of it like this: an apple a day keeps the dentist at bay. Here are five nutrition tips Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre wanted to pass along that will give your child a healthy, bright smile.

  1. Eat a well-balanced diet of fruits and vegetables. We weren't joking about the apple. An apple naturally scrubs and cleans your teeth. The nutrients and antioxidants in vegetables are good for the entire body.
  2. According to the Centers for Disease Control and Prevention, calcium is a mineral needed by the body for healthy bones and teeth, and proper function of the heart, muscles, and nerves. Dairy products like milk, cheese, and yogurt are good sources of calcium. Dark leafy vegetables and calcium-fortified foods like orange juice and tofu are also healthy options.
  3. Keep snacking to a minimum. Sticky and gummy snacks can increase a child’s risk of tooth decay. Unless a child brushes after every snack (and what child does?), sticky snacks can easily get lodged between the teeth.
  4. Limit soda intake. Drinking large amounts of soda has been linked to childhood obesity. Soda is loaded with sugars and acids, and these ingredients also damage the teeth. Soft drinks have long been one of the most prominent sources of tooth decay. Have your child drink water throughout the day or juice that’s low in sugar concentrate.
  5. Chew sugarless gum. After all those fruits and vegetables, sooner or later your child is going to want a treat. Chewing gum stimulates saliva, which in turn helps keep teeth clean and bacteria-free. Sugarless gum contains xylitol. The combination of excess saliva and xylitol reduces plaque, fights cavities, and prevents the growth of oral bacteria.

For more information on keeping your child’s smile looking its very best, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough, please give us a call at our convenient Kingston, ON office!

Crushing the Ice-Chewing Habit

March 21st, 2017

It's a habit many people have and not only can it be annoying to the people around you, it can be detrimental to your dental health. Chewing ice is so common that it even has its own name, pagophagia. We're not talking about a slushy or shaved ice (although those artificially sugary treats should be avoided too!) but more like the hunks of ice rattling around in the bottom of your glass.

Ice chewing can be a sign of emotional problems like stress or obsessive-compulsive disorder, but it can also be a marker for iron deficiency anemia and other physical problems. Then again, some people just like to have something to chew on. For whatever reason you find yourself chewing on it, it's a habit you need to break.

Chewing on ice can cause:

  • Chipped and cracked teeth
  • Damaged enamel
  • Sore jaw muscles
  • Damage to dental work such as crowns, fillings, or other appliances

If chewing on ice is becoming a problem in your life, don’t hesitate to speak with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough about it. But if you find yourself still wanting to chew on something, here are a few alternatives to ice:

  • Baby carrots
  • Celery sticks
  • Sugar-free (xylitol) gum

We know you need to chill sometimes, but chomping down your entire glass of ice is not the way to do it. If you have any other questions on the topic, feel free to talk with a member of our Kingston, ON team. It may be beneficial in solving the issue and helping to remediate any damage to your teeth.

St. Patrick's Day

March 14th, 2017

On March 17, everyone has a little Irish in them. St. Patrick’s Day is a joyous celebration of Irish heritage. The holiday originated as a commemoration of Saint Patrick, who brought Christianity to Ireland. The saint arrived in Ireland in 432 and earned the reputation of a champion of Irish Christianity. March 17th, the day of St. Patrick’s death, has been commemorated by the Irish for over 1,000 years. St. Patrick’s Day is still observed as a religious feast day by several Christian denominations, but it is better known in the public imagination as a rich celebration of Irish culture.

St. Patrick’s Day has been an official public holiday in Ireland since 1903. Each year, the Irish celebrate with a several-day festival that includes theater performances, music, fireworks, and festive parades. The celebration is also a public holiday in Northern Ireland, Montserrat, and Newfoundland and Labrador. In other parts of the world with heavy Irish populations, it is an unofficial celebration of Irish heritage. Parts of Great Britain, Canada, Argentina, South Korea, Switzerland, New Zealand, the United States, and Australia commemorate the holiday each year. Typical celebrations in these countries include drinking green beer, wearing green, eating traditional Irish foods, parades, and shamrock decorations.

Many people, Irish and non-Irish alike, take part in the “wearing of the green” on St. Patrick’s Day. In fact, the color originally associated with Saint Patrick was blue. His use of shamrocks to explain the Holy Trinity to the Irish made the green clover emblematic of the holiday, leading to the traditional green attire worn by thousands on St. Patrick’s Day. Other little-known facts about St. Patrick’s Day include the following:

  • Each year, the United States and Ireland face off in a rugby competition called the “St. Patrick’s Day Test.”
  • Montreal celebrates the holiday with an annual parade, which has been held each year since 1824. The Montreal city flag even features a shamrock in its corner, as a nod to its Irish heritage.
  • The Guinness World Records named St. Patrick’s Day the “Friendliest Day of the Year.”
  • Along with Valentine’s Day, St. Patrick’s Day is one of the most widely celebrated saint’s day in the world.

No matter your cultural heritage, St. Patrick’s Day is a great time to let loose and celebrate your inner Irish-ness! Don your greenest attire and exclaim “Erin go Bragh!” (Ireland forever!) to everyone you meet. From Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough - have a great St. Paddy’s day!

Are your teeth ready for the big day?

March 7th, 2017

Capturing the Moment

At Cataraqui Dental Centre we know that just about anyone who has taken on the challenge of planning her own wedding could tell you how important the little details can be. Things like having complementary colors, the right location, show-stopping flowers, and delicious food are all a big part of planning your spring wedding. Another little detail that has a big "I do" related role? Your smile.

Whether you’re the bride, or an attendant, looking your best when you tie the knot (or help someone tie the knot) is essential. If your teeth aren’t ready to make an entrance, turning to one of the many available teeth whitening solutions is a great option.

Reliable Solutions

Before the wedding day arrives, you should take your smile into consideration. If diet and daily wear-and-tear have caused your teeth to lose their original luster, our team can help! In-office procedures do cost more than kits you use at home, but with an in-office treatment, you benefit from a professional taking proper care of your teeth.

In addition, relying on our office to handle teeth whitening before the wedding can give you access to trustworthy advice on how to keep your teeth looking their best for a longer period of time. It’s common for someone experienced in assisting people with their oral health to suggest investing in an in-office whitening technique and then following up with a teeth-whitening kit at home.

This is a season of new beginnings and beauty. Take the time to bring out your most beautiful smile before the big day. Don’t let your smile hold you back on your wedding. With our in-office teeth whitening, you can be sure that you’ll be more confident and comfortable interacting with friends and family. So remember, when in need of some quality oral care in Kingston, ON to think of Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough!

Thanks to Invisalign®, you can have a perfect smile without metal wires or brackets!

February 28th, 2017

When it comes to straightening your smile, our team at Cataraqui Dental Centre knows that having a mouth full of metal braces may not be your idea of fun. Luckily for you, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough can offer a cosmetic alternative: Invisalign!

Using a series of clear, comfortable, and completely customized aligners, you can get the smile you’ve always wanted without traditional braces.

Since Invisalign aligners are discreet, they’re hardly noticeable when you speak and smile, and because they’re removable, you can eat and drink whatever you want. Just remember to brush and floss before putting your aligners back in! Treatment with Invisalign is just as effective as with metal braces, and the results are just as amazing!

If you want to know more about Invisalign, contact our Kingston, ON office to schedule an appointment.

How Smoking Increases the Risk of Oral Cancer

February 21st, 2017

Cigarette smoke contains more than 6,000 chemicals, and at least 200 of those chemicals are known to be harmful to your health. When smoke is inhaled, moist oral tissues are saturated with excessive amounts of carbon monoxide, hydrogen cyanide, and a host of other known carcinogens. Most oral cancers originate in abnormal squamous cell activity, which are cells found on the lips, inside the mouth, and in the throat.

How Oral Cancer Begins

Cells exposed to consistently high levels of cigarette smoke may eventually suffer abnormal mutations within their DNA. Since deoxyribonucleic acid (DNA) is responsible for providing cells with instructions about growth, reproduction, and death, these instructions become distorted, which causes the cells to reproduce uncontrollably.

Essentially, that is what cancer is: rapid, unchecked growth of genetically mutated cells that encourages the development of malignant tumors. Unfortunately, the chemicals in cigarette smoke are strongly associated with oral cancer.

Signs of Oral Cancer

Early-stage oral cancer is often asymptomatic, which means symptoms appear only after the cancer intensifies and spreads. Possible signs of oral cancer include:

  • Ulcers inside the mouth or on the lips that do not heal
  • White or dark red patches inside the mouth
  • Lumps inside or around the mouth (a lump could appear on your neck)
  • Bleeding, numbness, and soreness in the mouth
  • Chronic halitosis
  • Loose teeth in the absence of tooth decay

Diagnosis and Treatment of Oral Cancer

Squamous cell oral cancer is the most common type diagnosed in smokers. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our staff often discover squamous cell carcinoma lesions during dental examinations or cancer screenings. Depending on the stage of the oral cancer, treatment may begin with a biopsy or an exfoliative cytology procedure that involves collecting cells from the oral cavity using a scraper.

According to the Oral Cancer Foundation, oral cancer patients may need surgery, radiation therapy, a combination of surgery and radiation therapy, or chemotherapy to eradicate oral cancer.

Smoking, Cancer, and Tooth Decay

Not only is smoking the number-one cause of cancer but it is also detrimental to the overall health of your teeth and gums. Yellow teeth, bad breath, dry mouth, and expedited tooth decay are all caused by smoking, not to mention the damage smoke does to the heart, lungs, and kidneys.

In other words, don’t smoke!

Valentine's Day History

February 14th, 2017

Valentine’s Day is best known as a celebration of love in all its forms. Pink hearts, red roses, and cute greeting cards adorn every surface you see. What many people don’t realize is that the modern Valentine’s Day celebration arose from a religious holiday.

St. Valentine’s Day was originally celebrated as a religious feast day in honor of early Christian martyrs. Three martyrs named Valentine were honored: a priest in Rome, the persecuted bishop of Interamna (a town in central Italy), and a saint martyred in Africa. This saint’s day was celebrated throughout Christendom, although it was removed from the Roman Catholic Calendar of Saints in 1969.

The origin of Valentine’s Day as a holiday for lovers began with Geoffrey Chaucer in his 1382 poem “Parlement of Foules.” Chaucer wrote, “For this was on Saint Valentine’s Day, when every bird cometh there to choose his mate,” and the modern romantic holiday was born. William Shakespeare and other writers mentioned Valentine’s Day as a day of love.

Valentine’s Day as we know it came about in the early 19th century. In Victorian England, printers began manufacturing small numbers of cards with romantic verses, lace, ribbons, and other frills. Anonymous Valentine’s Day card were a popular way for young lovers to exchange romantic sentiments in an otherwise prudish time. As the 19th century progressed, printers began mass manufacturing Valentine’s Day cards. People in the United States give an estimated 190 million valentines every year, and up to one billion if you count children exchanging cards at school! With the rise of the Internet, Valentine’s Day e-cards have become a popular mode of communication, with millions of e-cards sent each year.

The other items associated with Valentine’s Day include chocolate and flowers. The tradition of giving chocolates has been around for decades, and Richard Cadbury created the first box of Valentine’s Day chocolates nearly 150 years ago. Today, purchases of chocolate total over $1 billion in the United States alone, with 35 million heart-shaped boxes sold each year. Loved ones also exchange flowers, with red roses being associated with Aphrodite, the Greek goddess of love. On Valentine’s Day itself, florists sell nearly 200 million stems of roses.

Although many people dismiss Valentine’s Day as a commercialized “Hallmark holiday,” it is beloved to couples and romantics across the United States and other countries. The team at Cataraqui Dental Centre wants to remind all patients that no matter what your celebratory plans, February 14th can be a wonderful day to celebrate the loved ones in your life. Happy Valentine’s Day!

February is Heart Month

February 7th, 2017

Our friends at the Canadian Academy of Periodontology stress the importance of good oral health since gum disease may be linked to heart disease and stroke. Thus far, no cause-and-effect relationship has been established, but there are multiple theories to explain the link between heart disease and periodontal disease. One theory suggests that oral bacteria may affect heart health when it enters the blood and attaches to the fatty plaque in the heart's blood vessels. This can cause the formation of blood clots. Another theory suggests the possibility that inflammation could be a contributing link between periodontal disease and heart disease. Gum disease increases plaque buildup, and inflamed gums may also contribute to the development of swollen or inflamed coronary arteries.

What is coronary artery disease?

Coronary artery disease is caused in part by the buildup of fatty proteins on the walls of the coronary arteries. Blood clots cut off blood flow, preventing oxygen and nutrients from getting to the heart. Both blood clots and the buildup of fatty proteins (also called plaque) on the walls of the coronary arteries may lead to a heart attack. Moreover, periodontal disease nearly doubles the likelihood that someone will suffer from coronary artery disease. Periodontal disease can also worsen existing heart conditions, so many patients who suffer from heart disease need to take antibiotics before any dental procedures. This is especially true of patients who are at greatest risk for contracting infective endocarditis (inflammation of the inner layer of the heart). The fact that more than 2,400 people die from heart disease each day makes it a major public health issue. It is also the leading killer of both men and women in the United States today.

What is periodontal disease?

Periodontal disease is a chronic inflammatory disease that destroys the bone and gum tissues around the teeth, reducing or potentially eradicating the system that supports your teeth. Eighty percent of Canadians will be affected with periodontal disease by age 45, and four out of five patients with the disease are unaware they have it. Periodontal disease is the leading cause of adult tooth loss. People who suffer from periodontal disease may notice that their gums swell and/or bleed when they brush their teeth.

Although there is no definitive proof to support the theory that oral bacteria affects the heart, it is widely acknowledged better oral health contributes to overall better health. When people take good care of their teeth, get thorough exams, and a professional cleaning twice a year, the buildup of plaque on the teeth is lessened. A healthy, well-balanced diet will also contribute to better oral and heart health. There is a lot of truth to the saying "you are what you eat." If you have any questions about you periodontal disease and your overall health, give our Kingston, ON office a call!

Caring for Your Smile after Invisalign® Treatment

January 31st, 2017

You have done a lot of work to get the perfect smile. You wore your Invisalign aligner trays and cared for your teeth, and now your treatment is done. You still need to take care of your teeth to keep your beautiful smile. Keeps these things in mind when you think about your oral care routine.

Retainers

Many patients do require a retainer after Invisalign treatment. This will be based on your unique situation. If a retainer is recommended by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough, use it as directed. Retainers prevent your teeth from shifting back into their original position. You should also avoid hard, crunchy foods for the first couple of weeks as your teeth adjust. For younger patients, retainers are normally used until the wisdom teeth come in or are extracted.

Brushing and Flossing

Brushing and flossing must be part of your daily oral care. Flossing helps remove the plaque, which becomes tartar or calculus. This build up can lead to gingivitis and gum disease. Your gums may be more sensitive for a week or two after your orthodontic work is completed. A warm salt water rinse may relieve discomfort.

Your teeth may be slightly sensitive for a short time. They have been protected by your Invisalign aligner trays and now are fully exposed. You might want to try a sensitive toothpaste to get through the transition. Just ask; we will be glad to recommend the best type for your needs. If your teeth are stained, a professional whitening treatment can be considered.

Regular Dental Checkups

You still need to have regular dental exams. Professional cleanings and X-rays make sure that both your teeth and gums stay healthy so you can keep your teeth for life. If cavities or other problems are found, they can be taken care of quickly.

If you have any questions about how to care for your teeth after your Invisalign program, please ask our Kingston, ON team. We want you to keep your healthy smile and enjoy the results of your Invisalign treatment.

Who’s afraid of the dentist?

January 24th, 2017

Is the sound of a drill enough to make your child flinch or cringe? Does he or she worry about the twice-yearly dental checkup at Cataraqui Dental Centre? Trust us when we say your child is not alone!

To help eliminate that distress, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team put together five steps to help your child overcome his or her dental anxiety when visiting Cataraqui Dental Centre.

1. Ask your child what they’re most afraid of. Is it the sound of the drill? Do you have needle phobia? Has your child been traumatized by previous dental visits? Have children write down their fears, one by one, and talk about them.

2. Don’t wait. The more frequently your child visits our office, the less work will need to be done at any given visit. Simply having Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough professionally clean your child’s teeth twice a year prevents many, if not most, problems down the road.

3. Bring a distraction such as music to your child’s appointment. Just plug in those earphones, have your child close his or her eyes, and get lost in the music. Listening to tunes can also be a pain killer.

4. Remind your child to unwind. Inhaling slowly and counting to five helps. Encourage children to hold their breath for ten seconds, then exhale slowly to the count of eight, and repeat as needed. It’s easier if they’re not focused on the work going on inside their mouth.

5. Ask us. Before any procedure your child undergoes, we encourage you to ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough or one of our assistants why we’re using the tools we’re using. Ask us what we’re doing during your child’s procedure, what the tool is used for, and how it benefits your child. Also, please ask about anti-anxiety medications we may prescribe to help your child relax during his or her appointment.

Remember, our team at Cataraqui Dental Centre are health care professionals who strive to improve your child’s oral health, and will do all we can to ensure a trauma- and pain-free experience during his or her visit!

We hope these tips help! For more on pediatric dental anxieties, ask us during your next visit to our Kingston, ON office! Or, ask us below or on Facebook!

DIY Cures for Bad Breath

January 17th, 2017

Are you afraid to open your mouth because you have bad breath? You’re not alone bad breath or Halitosis happens to everyone, at one time or another. If you have chronic bad breath there could be a number of reasons, including:

  • Gum disease
  • Sinus problems
  • Bacterial infection in your mouth
  • Stress
  • Strong odor from something you ate
  • Dry mouth

The good news is, none of the causes of bad breath are serious, and they can all be treated. There is a long list of DIY home remedies that have proven effective. Before you try any of them you should be evaluated by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough to make sure you do not have a serious oral infection. Of course, you should also always practice good oral hygiene. If you go a week without brushing your teeth, your bad breath is going to be horrible!

1. Cinnamon Mouthwash

Cinnamon is known to help prevent bacteria in your mouth, and lemon has strong citrus properties that will eliminate your bad breath problem.

Preparation

  • Put a half teaspoon of cinnamon in a jar or bottle that has tight fitting lid.
  • Next add the juice from two lemons freshly squeezed lemons.
  • Combine all of the ingredients in a cup of lukewarm water and pour into your jar.
  • Shake the jar well and set it aside for two to three hours.
  • Before using the mouthwash always shake it well.
  • Gargle and swish one to two tablespoons of the mouthwash for about a minute

2. Tea

Black and green tea are beneficial in prevent bad breath. Black tea aids in controlling plaque and bacteria that can cause bad breath. Green tea contains antibacterial properties that fight off the natural occurring germs in your mouth, keeping your breath fresh. Both black and green tea contains polyphenol, a property that can prevent the formation of the foul odor caused by bacterial growth.

Preparation

  • Steep a black of green tea bag in one cup of hot water and drink one to two cups a day to keep your bad breath away.

3. Tea Tree Oil

Tea tree oil contains natural antiseptic and anti-fungal properties that help kill bacteria and fungi in your mouth, caused by particles of food left behind.

Preparation

  • You will need one teaspoon of tea tree oil, peppermint oil, and lemon oil.
  • Combine all three in eight ounces of lukewarm water and stir well. Use daily as a mouthwash to get rid of your bad breath.

Tooth Eruption Timeline

January 10th, 2017

Parents, and even older children, can become concerned about tooth development. Wondering when teeth should erupt, and being concerned when the teeth do not appear on schedule, is common. First, you need to remember that each individual is different. Guidelines are just guidelines, but Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre thought we would pass on this information to help you.

Primary teeth

Children normally have 20 primary or baby teeth. The first two to appear are usually the lower central incisors between six to ten months of age. These fall out between five and seven years of age.

  • Two upper central incisors – eight to 12 months
  • Two upper lateral incisors – nine to 13 months
  • Two upper cuspids or canines – 16 to 22 months
  • Two upper first molars – 13 to 19 months
  • Two upper second molars – 25 to 33 months
  • Two lower lateral incisors – ten to 16 months
  • Two lower cuspids or canines – 17 to 23 months
  • Two lower first molars – 14 to 18 months
  • Two lower second molars – 13 to 31 months

As you can see, all the primary teeth normally have erupted before three years of age, but the timeline can vary by four to six months. Except for the lower central incisors and second molars, upper teeth tend to appear before lower teeth.

Permanent or adult teeth

Adults normally have 32 permanent teeth. However, four of these are wisdom teeth or third molars, which are often removed.

  • Two upper central incisors – seven to eight years
  • Two upper lateral incisors – eight to nine years
  • Two upper cuspids or canines – 11 to 12 years
  • Two upper first premolars or bicuspids – ten to 11 years
  • Two upper second premolars or bicuspids – ten to 12 years
  • Two upper first molars – six to seven years
  • Two upper second molars – 12 to 13 years
  • Two upper third molars or wisdom teeth – 17 to 21 years
  • Two lower central incisors – six to seven years
  • Two lower lateral incisors – seven to eight years
  • Two lower cuspids or canines – nine to ten years
  • Two lower first premolars or bicuspids – ten to 12 years
  • Two lower second premolars or bicuspids – 11 to 12 years
  • Two lower first molars – six to seven years
  • Two lower second molars – 11 to 13 years
  • Two lower third molars or wisdom teeth – 17 to 21 years

Please discuss any of your dental concerns during your visit with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough. If there is a problem with tooth development, the earlier we address it, the better the outcome. We specialize in pediatric dentistry and look forward to helping you and your child with all your dental needs. To learn more about tooth eruption, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough, please give us a call at our convenient Kingston, ON office!

Eating and Invisalign®

January 3rd, 2017

One of the greatest advantages to using Invisalign is that it provides maximum results with minimal impact on your everyday life. Invisalign is comfortable, easy to insert, and simple to remove. Because you can remove Invisalign aligners, you can enjoy all your favorite foods and beverages without worries about getting food stuck in the wires and brackets of traditional braces.

Eating and Invisalign

While the aligner is durable and strong, you should remove it before you eat or drink beverages, as the chewing action inside your mouth can break, crack, or distort the aligner. Even minute damage to the Invisalign tray will prevent it from aligning your teeth properly. Furthermore, eating with Invisalign in your mouth can be quite messy.

Beverages and Invisalign

Repeated exposure to hot liquids may also cause the Invisalign aligner to distort. This distortion changes the shape of your aligner in a way that will affect how it straightens your teeth. Contact our Kingston, ON office if your Invisalign aligner has distorted after consuming a hot beverage.

Fluids can settle inside the aligner to “bathe” the teeth. Bathing teeth in acidic fluids can be especially problematic, as the acids can wear away tooth enamel. Exposure to acidic fluids is not normally a problem, as saliva neutralizes and buffers the acid then washes it away. Wearing an aligner, however, prevents the saliva from doing those jobs, increasing your risk for tooth decay.

Colored drinks may also change the color of your teeth. Most discoloration is temporary but stubborn stains may occur.

To prevent discoloration and tooth decay, brush your teeth after every meal or beverage before putting in your Invisalign aligners. If you do not have access to clean water, chew sugar-free gum to remove bacteria, acid, and food particles from your teeth. As a last resort, you may leave your aligners out for an hour or two until you can brush and floss properly. Before inserting Invisalign, rinse the aligner in lukewarm water or use the Invisalign cleaning kit.

Contact our Kingston, ON office for more information about eating and Invisalign.

New Year's Day Around the World

December 27th, 2016

New Year’s Day marks the beginning of the calendar year in most parts of the world. The holiday is celebrated on January 1st of each year. Customs and celebrations vary by country, religion, and even individual desires. Whether celebrated quietly or with gusto, the day brings the start of new opportunities for those that observe it.

United States and Canada

In both the US and Canada, celebrations begin on New Year’s Eve. At midnight on January 1st the New Year is welcomed with bells, horns, whistles, and other noisemakers. Fireworks are often part of the celebrations. In New York City, Times Square comes alive with revelers. In Toronto, there are large celebrations which may feature concerts, late-night partying, sporting events, and fireworks, with free public transit service during peak party times. Many individuals in North America greet the year by making resolutions for improvements in their lives.

China

In China, many people celebrate two forms of a new year. They may observe January 1st, but the traditional Chinese New Year is based on a lunar calendar. Parades with paper lanterns and dragons made from silk are a significant part of the festivities. Legends say that the dragon spends most of its time in hibernation so fireworks are used to keep the dragon awake.

Jewish Celebration

Jewish New Year’s observances begin with Rosh Hashanah, the first day of the New Year, and end with Yom Kippur, the Day of Atonement. This ten-day celebration is held in September or October, based on the Hebrew calendar. The New Year is not marked as much with loud celebrations as with personal insight to mend wrongs and resolve to better oneself.

Other countries and cultures also have different dates for New Year’s Day observances:

  • Vietnam observes the New Year in February
  • In Iran, the day is celebrated on March 21st
  • Islamic cultures often observe the tenth day of the month of Muharram
  • Russian Orthodox observers use the Julian calendar and celebrate on January 14th
  • Buddhist celebrations are held from April 13th through 15th

If you observe New Year’s Day by making healthy resolutions, include dental care in your plans with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough. The health of your teeth and gums contributes to your overall health. Caring for your mouth now can prevent many dental problems later in life. Cataraqui Dental Centre wishes you a healthy, prosperous, and happy New Year!

Dreaming of a stunning smile without using braces?

December 20th, 2016

Most of us aren’t born with a red carpet smile. And if you’ve thought about straightening your teeth but are apprehensive about doing so with traditional orthodontic treatment, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre want you to know there is another option – Invisalign®!

Invisalign is an ideal solution for most adults looking for a less noticeable way to achieve a better smile. In fact, Invisalign has increasingly become a very popular choice for adults looking for a more comfortable, convenient and cosmetically-appealing treatment for straightening their teeth.

Our team at Cataraqui Dental Centre is proud to offer Invisalign, which uses a series of invisible, removable and comfortable aligners that no one can tell you’re wearing, which allows you to smile more during treatment, as well as after. Not only are the aligners invisible, they are also removable, so you can eat and drink what you want; brushing and flossing is easier with Invisalign than with traditional braces.

Invisalign’s aligners are also comfortable, with no metal to cause mouth abrasions during your treatment. And no metal and wires usually means you spend less time at our office getting adjustments. Invisalign also allows you to view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete!

A consultation with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough can determine if Invisalign is right for you. We encourage you to give us a call at our friendly Kingston, ON office if you’re interested in learning more about Invisalign or if you are ready to visit us for an initial consultation! We look forward to seeing you!

What’s the advantage of Invisalign®?

December 13th, 2016

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team know it is natural for you to feel some concern when you need to wear any type of dental device to correct a problem with your teeth. Both braces and Invisalign can produce good results in giving you the smile you’ve always wanted. Both methods can straighten your teeth and alleviate such issues as crowding, spacing, cross bite, overbite, and underbite. Both methods of treatment have a similar cost.

You can take a cross-country road trip in a ten-year-old economy car or you can make the trip in a brand-new luxury sedan. Both will get you to your destination, but you will be far more comfortable traveling in the luxury sedan. Similarly, your journey to a great smile is much more comfortable and convenient with Invisalign as opposed to braces.

Comfort

Some of the discomfort you may experience with braces is greatly reduced with Invisalign. Because Invisalign is custom-fit to your mouth and made of plastic, you will feel less pain, irritation, and soreness. Unlike braces, there are no food restrictions; you can eat anything that is on your diet.

Brushing and flossing

Of course you will want to brush and floss your teeth to prevent plaque buildup, tooth discoloration, and dental decay. If you wear braces, these simple tasks can become quite a challenge. Invisalign aligners are very easy to remove and replace, so you can brush or floss like normal without having to work your way around any metallic framework covering your teeth.

Appearance

You do not have to be embarrassed to show your teeth when you are using the Invisalign system. Since the aligners are practically invisible, no one will even notice you are wearing them! Whether you are a teenager or an older adult, you can live your life normally.

If you want to learn more about Invisalign, or are wondering what your treatment options are at Cataraqui Dental Centre, feel free to give us a call at our convenient Kingston, ON office!

How many times a day should I floss?

December 6th, 2016

Flossing is one of the most important parts of your oral care routine. Many patients know they need to do it but find it difficult to fit into their busy lives. Well, here's the good news: flossing once a day is enough if you're doing a good job!

Some patients like to brush before they floss and others like to floss before they brush. Some like to floss in the morning when they have more energy, others like to floss at night so they can go to bed with a clean mouth. Don't get hung up on any of this, the important thing is that you floss and floss effectively no matter when you do it.

Effective flossing contributes to oral health in these ways:

  • It reduces the chance of cavities between teeth, since cavities can only form on teeth covered with dental plaque and you're scraping that plaque away when you floss.
  • Along with brushing, it reduces the amount of time the plaque is left on your teeth, allowing them to be in a state of healing and remineralization for longer.
  • It removes plaque that accumulates at or below the gum line, aiding in the prevention of gum disease.

As you can see, flossing offers many benefits for such a simple and inexpensive technique. So if you're still wondering how much to floss, don't worry about it. Don't mistake the frequency of your flossing with the effectiveness of it. Choose a dental floss that you like and one time during the day when you can floss thoroughly and just do it! If you need more tips on how to floss correctly, ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough or any member of our Kingston, ON team—we'd be glad to help you pick up this healthy habit!

How do you accommodate a child with special needs?

November 22nd, 2016

Providing dental care for patients with special needs can be a challenge at times, both for the dentist and the family of the individual. Fortunately, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team at Cataraqui Dental Centre have the experience needed to provide optimal care for your special-needs child. Here are just a few of the ways our office works to help those who need a little extra care.

Assistance with at-home dental health care

We understand that sometimes at-home dental care can be extremely difficult for those with special needs. Individuals with physical difficulties, which may prevent them from holding the toothbrush, and those with developmental issues, who may have difficulty understanding the importance of dental hygiene, need extra attention with regard to home hygiene care. Our team at Cataraqui Dental Centre can provide support and education to ensure your child will achieve and maintain a healthy smile. For example, devising improvised toothbrushes to help patients get a properly grip, creating a specialized meal plan, and establishing a more frequent office visitation schedule to monitor overall dental health are all areas where our office is happy to help.

Coordinating office care

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team understand that sometimes special-needs patients feel anxiety when it comes to receiving dental care. In many cases, reliably seeing the same dental health professionals can help to promote a relationship and soothe the patient. We encourage special-needs patients to make appointments at the optimal time of day for them to help everything go smoothly as well. We also encourage preparing your child in advance of the appointment so he or she is not surprised in the office. In certain situations, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough may also recommend sedation dentistry. Occasionally, special-needs patients are too overwhelmed by the thought of dental care and exams are best performed with the support of light sedation.

Accommodating physical needs

We also understand that special needs patients sometimes need physical accommodations. Two of the more common examples we face are patients in wheelchairs who need access to the office. We are fully compliant with all accessibility regulations to make sure our patients receive the care they need. Other patients need physical props for their mouth to help keep it open if they are physically unable to do so.

Dental care for patients with special needs requires knowledge and experience of limitations and how to address them. In our Kingston, ON office, you will find an accommodating staff ready to help, so your child can receive optimal dental care.

What is a pediatric dentist?

November 15th, 2016

Our team at Cataraqui Dental Centre hears this question a lot. According to our friends at the Canadian Dental Association, "Pediatric dentistry is a branch of dentistry concerned with providing primary and comprehensive preventive and therapeutic oral health diagnosis, care, and consultative expertise for infants and children through adolescence, including those of all ages with special care needs.”

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough, are dedicated to the oral health of our young patients from infancy through their teen years. Our team at Cataraqui Dental Centre has the experience and knowledge to care for your child’s teeth, gums, and mouth throughout his or her various stages of childhood.

At Cataraqui Dental Centre, we know children are not born with a fear of the dentist, but they can fear the unknown. And that is why Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough and our team know how to examine and treat children in ways that make them relaxed and comfortable.

To learn more about what our office can offer for your child's dental health, or to schedule your child's next visit at our Kingston, ON office, please give us a call today!

The Thumb-Sucking Habit

November 8th, 2016

At Cataraqui Dental Centre, we are often asked “should I be concerned with my child’s thumb sucking?” So, our team thought we’d share what our thoughts are on your child sucking his or her thumb.

Infants Who Suck Their Thumbs

As infants begin experimenting with the basic functions of their mouths, from sucking on a bottle to beginning to speak, it is natural for them to suck their thumbs. Parents with young babies who regularly suck their thumbs probably don’t need to feel overly concerned, so long as fingers are kept clean and the habit is kept in check. For most children, the exploratory stage of thumb sucking ends after just a few short years. Problems with thumb sucking occur when infants grow into young children but the habit has not been resolved.

Dangers of Thumb Sucking

One of the main differences between an infant and a child sucking his thumb is the formation of the mouth and teeth. An infant’s mouth is barely beginning to grow and develop, so sucking a thumb might actually help to stimulate the process. For a child with a mouth full of teeth, however, a thumb-sucking habit might cause some serious problems. As a parent, it can be very important to watch your child carefully to make sure the sucking habit is regulated.

As a child grows and develops, baby teeth begin to fall out. A child sucking his or her thumb during the baby teeth stage may not run any great risks. Our team at Cataraqui Dental Centre often sees that once a child has developed his or her permanent teeth, the problems with thumb sucking can become more serious. KidsHealth.org states that children who suck their thumbs beyond the age of four or five might increase their risk of developing an overbite, infections, and other dental problems.

What You Can Do To Help

Parents who want to prevent possible problems for their child would be wise to begin preventive care early on. While you don’t need to be overly concerned about an infant sucking a thumb, it might be a good idea to help your toddler break the habit before permanent teeth begin to show.

  • Try to use positive rewards for good behavior instead of negativity or threatening behavior.
  • Talk openly with your child about the potential dangers of a thumb-sucking habit.
  • Help your child find other productive things to do with the hands as a means of distraction. Playing a game of blocks, for example, might be a great diversion.
  • Support and encourage your child while he or she is trying to break the habit.

As children develop, they have many things to learn and to think about. By understanding a few simple facts about thumb sucking, you can help your child develop in a healthy and positive way. If you have any other questions, feel to contact us at our Kingston, ON office, or ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough during your next appointment!

Treatment and Diagnosis for Your Child’s Teeth Grinding

November 1st, 2016

The habit of grinding teeth can be both painful and harmful for your children. If you discover that they are frequently grinding their teeth—a condition called bruxism—here is some helpful information on the problem, and how you can find help to put a halt to it.

How to Know if Your Child is Grinding

Sometimes, identifying a child that grinds teeth is as simple as checking in while he or she is asleep. At other times, you may not be able to readily identify the grinding problem. A few of the most common symptoms associated with bruxism include:

  • Frequent teeth grinding or clenching of the jaw (in some cases it may be more subtle; in others it may be loud enough that you can hear it)
  • Teeth that are worn down
  • Complaints of sensitive teeth
  • Pain or tightness in the jaw muscles, or an earache or other jaw pain
  • Frequent unexplained headaches

In most cases, if your children are grinding their teeth, they will do it at night. If the teeth grinding is a result of excessive amounts of stress, it may also happen during the daytime. Some of the most common reasons children grind their teeth involve:

  • Improper alignment of top and bottom teeth
  • As a response to pain, especially for tooth, jaw, or gum pain
  • Excessive stress, tension, or anger

Treatment Options for Bruxism

In many cases, children will grow out of the teeth grinding as their permanent teeth develop, replacing poorly aligned or painful baby teeth. If your child grinds his or her teeth more frequently, or you begin to notice significant damage, it may be more serious and need to be addressed by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough before it causes more permanent pain or problems.

In some cases, our team at Cataraqui Dental Centre may recommend that your child wears a protective mouthguard to prevent grinding, or work with a therapist or other specialist to develop awareness of the grinding. If the grinding is caused by stress or anxiety, it may be helpful for you to sit down and talk to your child each day about how she is feeling, and why, to help her work through the stress.

Teeth grinding can be a painful, problematic condition for some children. However, a combination of parental vigilance and frequent visits for regular checkups at our Kingston, ON office can help. If you are concerned that your child may be grinding his or her teeth, and it could cause permanent damage before the child grows out of it, come talk to us about strategies for dealing with bruxism, and ways for you to help your child.

Halloween: Candy, costumes, and more!

October 25th, 2016

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the dental office of Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough hopes that Halloween is fun and enjoyed by all of our awesome patients!

Trick or Treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

  • Limit the amount of candy they can consume each day
  • Have them brush their teeth after eating candy
  • Avoid hard, chewy candies as they can stick in hard to brush places
  • Keep candy out of sight to reduce temptation
  • Don't buy candy too far in advance to limit pre-Halloween consumption
  • Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is a North American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun, stepping outside our normal lives, and donning a costume or gathering with friends to knock on doors and ask for candy. Have a safe and happy Halloween from the team at Cataraqui Dental Centre!

What is nitrous oxide and is it safe?

October 18th, 2016

Our team at Cataraqui Dental Centre understands that the sights, sounds and sensations at a dental office can be unsettling for some patients. One effective technique that we use to comfort you is to offer the gas nitrous oxide. Nitrous oxide is a common anesthetic used during many dental procedures.

What is nitrous oxide?

Nitrous oxide is an oxide of nitrogen which has a slight sweet odor and taste. During medical or dental procedures, the gas is mixed with oxygen then inhaled through a mask that covers your nose. Within minutes, you should feel calm and experience an overall sense relaxation. You will be able to breathe on your own, move your limbs, and be conscious enough to hear and respond to our dentist's questions. The effects of nitrous oxide disappear shortly after the mask is removed and the drug is quickly eliminated from your body.

Is nitrous oxide safe?

Recreational use of nitrous oxide for its euphoric effects can be dangerous, however, the drug is combined with oxygen at dental offices. This ensures oxygen reaches the brain and prevents dangerous side effects or hypoxia. Nitrous oxide inhalation is a safe and effective technique to reduce anxiety, produce analgesia, and enhance effective communication.

Nitrous oxide is non-addictive and non-allergic, however, it may cause nausea in up to ten percent of patients. The drug is not recommended for people with some medical conditions such as chronic pulmonary disease. We recognize that all patients are different and encourage you to talk with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Brett Empringham, and Patrick McDonough about whether nitrous oxide would be a good option for you.

Our team wants to help all patients in Kingston, ON to overcome dental anxiety, so please, give us a call at Cataraqui Dental Centre.

When should a filling be replaced?

October 11th, 2016

There is no substitution for a natural healthy tooth. Dental fillings are intended to replace tooth structure and restore a tooth damaged by decay (a cavity) back to its normal function and shape. Silver (amalgam) and tooth-colored (composite) fillings last a long time, though they can develop decay when the integrity is compromised by open margins, fracture, or recurrent decay. In this blog, we discuss the signs and symptoms that indicate your filling may need to be replaced in order to prevent further complications.

Amalgam fillings are made of an alloy (mixed metals) that expands and contracts. They have no bonding properties, and so to place an amalgam filling, the hole in the tooth may need to be larger. Because of these two factors, fractures frequently occur. There are three types of cracks that are commonly associated. Craze lines are superficial with no treatment needed. Fractures extend along other parts of the tooth and may require a filling replacement or crown. Cracks extend toward the root and can require a root canal and crown or, if too severe, extraction.

A filing needs to be sealed to the tooth. If the seal between the tooth and the filling breaks down, food debris and bacteria can seep down under the filling and cause recurrent decay. If the decay is treated early, replacing the filling is adequate. If not, a crown and even a root canal may be needed. The biggest mistake you can make is waiting to do something about a broken or unsealed filling until it is painful. Doing this will only make the treatment more involved and often times more expensive.

Regular dental exams and X-rays are used to evaluate dental fillings. You will not be able to tell on your own when your fillings start to fail. Just as a car mechanic will change the oil, correct your alignment, or change your tires, a dental checkup will help you identify small concerns to fix as you go in order to avoid a critical emergency.

Pay attention to any bite or temperature sensitivity in teeth that have fillings. This can be an indicator for some of the problems listed above. You know your teeth better than anyone. Your observations are most valuable when evaluating a filling for replacement. If replacement is needed, know you are doing what is best to prevent future dental calamities and make an appointment to see Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham.

They're just baby teeth, right?

October 4th, 2016

“But they are only baby teeth; won’t they just fall out?” Our team at Cataraqui Dental Centre has had these questions asked many times from parents over the years. Primary teeth, or “baby teeth,” will indeed come out eventually, to be replaced by permanent teeth as the child grows and develops. These teeth serve a great purpose as the child continues to develop and require specific care.

Because baby teeth are temporary, some parents are unenthusiastic about fixing cavities in them. This may be due to the cost or having to force a child undergo the process—especially having to receive an injection. But if a cavity is diagnosed early enough, an injection can often be avoided. More important, failure to fill cavities in primary teeth when they are small and manageable can have lasting consequences in cost and health concerns. Serious illnesses in children have been diagnosed which began as a cavity.

Primary teeth act as a guide for permanent teeth. When decay reaches the nerve and blood supply of a tooth, this can cause an abscess. Severe pain and swelling may result. At that point, the only treatment options are either to remove the tooth or to perform a procedure similar to a baby root canal. When a primary tooth is lost prematurely—to decay or a painful abscess—the adjacent teeth will often shift and block the eruption of a permanent tooth. Braces or spacers become necessary to avoid crowding or impaction of the permanent tooth.

There is nothing more heartbreaking for Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham than to have to treat a child experiencing pain and fear. To all the parents of my little patients our team strongly recommend filling a small cavity and not waiting until it becomes a larger problem such as those described above.

Prevention is the key to a healthy mouth for our smallest patients. Parents should allow the child to brush his or her teeth using a pea-sized amount of fluoride toothpaste and then take a turn to ensure the plaque gets removed from all surfaces: cheek side, tongue side, and chewing edges of all the teeth.

How does whitening toothpaste work and how effective it is at whitening teeth?

September 27th, 2016

Brushing your teeth twice a day with fluoride toothpaste that has the Canadian Dental Association seal of approval can help prevent tooth decay and relieve other conditions, such as bad breath, sensitive teeth, and gingivitis.

Beyond these health effects, another motivation for frequently brushing your teeth with high-quality toothpaste is to keep your teeth white. If you want whiter teeth but do not want to undergo in-office or at-home bleaching treatments, you might consider choosing whitening toothpaste for your daily brushing.

Why Consider Whitening Toothpaste

Whiter teeth are more attractive, which can help you feel more confident in your smile. Your smile is also one of the main components of the first impression you make on people in your professional and personal life. Having a whiter smile and greater self-assurance can send the message that you take care of yourself and are confident in your abilities.

How Whitening Toothpaste Works

The Canadian Dental Association explains that all toothpaste has whitening properties because they help remove food particles from your teeth. To carry the Canadian Dental Association seal for whitening, however, toothpaste must contain certain chemicals that help remove stains.

Unlike bleaching products, which contain carbamide peroxide or hydrogen peroxide, whitening toothpaste only cleans the enamel rather than changing the color of your teeth. To obtain the benefits of whitening toothpaste, you need to use it regularly.

The Effectiveness of Whitening Toothpaste Varies

Due to individual variations in the color of your teeth, some people are more likely than others to achieve the desired results with whitening. Teeth that are tinted grayish are unlikely to respond well to bleaching, while brown teeth can sometimes respond, and yellowish teeth are most likely to become pearly white with bleaching.

If Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our staff believe that bleaching is not a viable option for you, proper oral hygiene and the use of a whitening toothpaste are your best bets for keeping your teeth as white as possible. In addition, avoid using tobacco products, and rinse your mouth after drinking coffee.

Oral Health Concerns Specific to Pregnant Women

September 20th, 2016

A lot of changes occur in a woman's body during pregnancy. Hormone fluctuations are responsible for many of those changes, including the need for additional attention to the teeth and gums. Women who are expecting are at an increased risk for oral health complications, including gingivitis and tooth decay, which can lead to irreversible damage. Fortunately, there are steps pregnant women can take to keep their teeth and gums in optimal health from the first trimester to delivery day. Today, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our team at Cataraqui Dental Centre thought we would share them.

At-home dental care

At-home dental care should not vary much from what you did prior to pregnancy. The American Dental Association recommends brushing at a minimum of twice per day using fluoridated toothpaste. Follow up with floss to keep bacteria from accumulating in hard-to-reach spaces.

Dental checkups

It is safe and recommended to continue visiting Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham for routine dental checkups and cleanings during pregnancy. However, it is very important to inform Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham about an existing pregnancy. Special steps must be taken to protect pregnant women from certain medications or X-ray radiation that could be harmful to a growing baby. On the other hand, avoiding teeth cleanings during pregnancy can lead to serious consequences, including advanced tooth decay and infection.

Food and cravings

It is no secret that pregnancy can cause a woman to crave specific foods. Sugary treats like candy, cookies, or sodas may satisfy a sweet tooth, but they can also cause serious dental problems when consumed frequently or without brushing afterward. Trade out these treats for naturally sweet fruits when possible, and never forget to brush and floss thoroughly after eating sugar-filled foods.

Signs of complications

It is important to know and recognize the signs of oral health problems during pregnancy; an early diagnosis usually translates to an easier, less-invasive treatment. Symptoms of potential problems include gums that easily bleed or are swollen, reddened, or painful. These are symptoms of gingivitis, which can lead to a receding gum line and tooth loss if left untreated.

Call our Kingston, ON office if you experience any of these symptoms or pain in a tooth, loss of a tooth, a broken tooth, or bad breath that does not go away with brushing.

Preventing Tooth Decay in Children

September 13th, 2016

Childhood tooth decay is the most common chronic childhood disease, affecting nearly one in three children between the ages of two and five. In fact, the Canadian Academy of Pediatric Dentistry reports that tooth decay can appear in children as young as six months old. As a parent, it is possible to spare your child from early childhood tooth decay, and potentially prevent a lifetime of oral health problems in one fell swoop.

Birth to age two

Good oral health begins before your child’s teeth ever erupt from the gums. During the first few months of life, you should be wiping your child’s gums with a damp cloth after eating. As soon as teeth appear, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our team at Cataraqui Dental Centre recommend you start brushing them with a toddler toothbrush and water, and call our Kingston, ON office to schedule your child’s first visit. Never allow your child to go to bed with a bottle, and try to limit beverages other than water only to meal times. Children who walk around or go to sleep with bottles or sippy cups full of juice or milk are exposed to more sugars and are more likely to develop tooth decay.

Ages two to six

All of your child’s primary teeth should erupt by age three. Brush your toddler’s teeth at least twice daily with a toddler toothpaste and toothbrush. As your child gets older and learns not to swallow toothpaste, you may begin to use oral care products specially designed for preschoolers and elementary-age children. Be sure to maintain regular dental appointments and cleanings as recommended by your child’s dentist, and encourage your son or daughter to begin drinking from a regular cup. This is also the time to teach your child the importance of healthy eating habits, which includes limiting sweets and sugary desserts to mealtime.

By first grade, your child will begin to lose primary teeth. This is the time to start talking with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham about dental sealants, which can prevent tooth decay from forming on the chewing surfaces of the teeth. Sealants are painless, easy to apply, and undetectable to other people.

Tips

Fluoride is an important ingredient for healthy teeth. Check to make sure the water your child drinks is enriched with fluoride. Also, brush your child’s teeth with fluoridated toothpaste, and talk to our office about whether fluoride treatments could be right for your family. For more information about preventing your child’s tooth decay, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham, please give us a call at our convenient Kingston, ON office!

Some Benefits to Giving Your Smile an Extra Boost

September 6th, 2016

For many individuals, autumn brings with it a number of new beginnings. Fall is the time that many people return to school, get back to the daily grind after an enjoyable summer, and even get married. As the weather cools down, it’s easier to enjoy the outdoors. And regardless of what fall-related events are on your calendar, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our team at Cataraqui Dental Centre know you’ll want to look your best.

One of the very first things that people will notice about you is your smile. And if yours has become less dazzling over the years — as teeth tend to do — you know how disappointing it is not to have the beautiful, pearly white look you’re used to.

Benefits to Teeth Whitening

For school-bound students and autumn brides, fall calendars are certainly filled. School and weddings call for large financial investments, loads of social interaction, and a large amount of personal dedication. So the last thing any bride or student wants to think about is a less-than radiant smile.

For many, there is a lack of confidence associated with their smile and investing in teeth-whitening techniques can be an effective solution. Studies suggest that not only can you experience a boost in your level of confidence, but also you may find that other advantages quickly fall into place.

A confident smile can affect:

  • Personal and work-related relationships
  • Job interviews and meetings
  • Success when dealing with customers and potential clients
  • Your personality and general happiness with your age
  • Overall outlook on daily interactions

A Real Effect on Daily Living

All of these benefits can relate directly to how you see yourself. When you are insecure with something as prominent as your smile, it can affect the way that you handle your life, everything from social gatherings to professional situations.

Now is the perfect opportunity to rejuvenate your smile. With the right teeth-whitening product and regular hygienic practices, walking down the aisle or starting the new semester with the utmost confidence has never been easier.

Beat the Brushing Battle

August 30th, 2016

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our team know it can be a challenge to get our children to brush, brush well, and brush often. Here are some tips that can help you keep those beautiful little teeth healthy.

Make it Fun, Make it a Habit!

We should all brush twice a day. The most important time to brush is at night before bed. When we sleep, our saliva production decreases, and this creates an environment for oral bacteria to cause greater destruction to our teeth and gums. Brushing should last at least two minutes, followed by flossing and mouthwash if you choose.

Here are some ideas to make this nightly ritual more entertaining.

  • Set a good example. Brush your teeth with your children and make it fun! Pick a song to play while brushing.
  • Make it a race to the bathroom to see who can get their toothbrush and floss ready. But don’t make it a race to finish; make sure brushing lasts at least two minutes.
  • Try using a sticker sheet. For every night your children brush well, give them a sticker. (Be sure to check their work.) After a certain number of stickers, they earn a reward. Let them pick the reward! As the child improves at brushing every night without reminders, you can wean her or him from the reward.
  • SPECIAL TIP: Let your child check your brush work!

As parents, we should help our children make health and wellness something to take pride in. Be gentle with your children when they make mistakes, whether forgetting to brush or maybe developing a cavity. Tell them even our team at Cataraqui Dental Centre gets cavities. Thankfully, there is always room for improvement. Happy brushing!

What is a crown?

August 23rd, 2016

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, Dr. Patrick McDonough and Dr. Empringham and our team at Cataraqui Dental Centre hear this question all the time. Millions of people have dental crowns that artificially restore the chewing surface of a tooth. Also known as caps, these restorations surround the entire portion of the tooth that is above the gum line. Crowns are custom fabricated to match the color, shape, and size of other teeth and are visually undetectable to others. Several types of materials can be used to create crowns, including stainless steel, resin, metal alloys, porcelain fused to metal, or ceramic. When properly cared for and accurately fit, crowns can stay in place for a decade or more.

There are many reasons to get a dental crown, including:

  • To restore a broken or cracked tooth
  • To protect a tooth after a root canal
  • To restore a severely decayed tooth
  • To help anchor a dental bridge
  • To complete a dental implant
  • To protect a tooth that is at high risk for developing decay
  • For cosmetic purposes

Getting a dental crown

The process of getting a dental crown begins at our Kingston, ON office. X-rays are used to ensure the teeth are healthy enough to receive a crown. If the roots and surrounding bone are in satisfactory condition, the tooth will be numbed, filed, and reshaped in preparation for the crown. If the tooth root is not healthy, a root canal may be necessary first.

After the tooth is prepared, a special paste is placed over the upper and lower teeth to make impressions. These impressions serve as blueprints for the dental laboratory responsible for making the crown. They also help ensure the position of the new crown will not negatively affect a patient’s bite. The prepared tooth is protected by a temporary crown while the permanent one is made. When ready, the permanent crown replaces the temporary crown and is cemented in place.

To learn more about crowns, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham, please give us a call at our convenient Kingston, ON office!

How to Care for Your Invisalign® Aligners

August 16th, 2016

Is it possible to straighten the teeth without braces? Yes, it is. Welcome to the world of Invisalign aligners. Invisalign aligners are made from a clear, thermoplastic material that is custom made to fit your teeth. Unlike conventional braces, Invisalign aligners are removable. More importantly, the clear thermoplastic material makes the aligners invisible, which is ideal if the thought of metal braces and elastics make you self-conscious. For the best results, proper handling and care of your Invisalign aligners is important. Follow these steps to take care of your aligners:

1. Do not eat or drink hot beverages while wearing aligners. It's a good idea to get in the practice of removing the aligners before eating and drinking. Because the aligners are made of plastic resin, heat can distort and damage them. Also, eating while wearing the aligners will cause sugar and other food particles to stay on your teeth, which contributes to plaque and tooth decay.

2. Clean the aligner trays regularly. Invisalign aligners are exposed to the same bacteria and plaque that your mouth is, so you need to clean them as regularly as you clean your teeth. However, avoid cleaning the aligners with harsh chemicals. We recommend using a cleaning kit or some other type of specific solution. When it comes to cleaning Invisalign aligners, carefully follow the instructions given by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham.

3. Store aligners in a cool, dry, safe place. When you’re not wearing the aligners, store them in the case provided by our office. If you don’t use the case, they can easily be lost. Keeping them out of reach of small children and pets is also a good idea. The last thing you want is for Fido to think your Invisalign aligners are chew toys.

4. Don’t chew gum while wearing aligners. There’s one thing that conventional braces and Invisalign aligners have in common: chewing gum damages both of them.

5. Don’t soak aligners in mouthwash. Many popular mouthwashes contain a color pigment. It’s possible that soaking Invisalign aligners in mouthwash will tint or stain them.

For more tips and tricks for a successful Invisalign experience, contact our Kingston, ON office!

Periodontal Disease Associated with Cardiovascular Risk

August 9th, 2016

We all know that brushing your teeth and flossing regularly keeps your smile sparkly and bright, but did you realize that cleaning your teeth can actually help your heart? Recent research suggests that people with periodontal disease also have a higher cardiovascular risk, which means they are more vulnerable to heart attacks or stroke. It’s probably not time to throw away those running shoes in favor of a new toothbrush, but this is an added incentive to maintain good oral hygiene.

Relationship between Periodontal Disease and Cardiovascular Health

In 2003, researchers from the University of Buffalo conducted analyses which suggested that patients with gum disease were also at elevated risk of cardiovascular problems. Furthermore, people with more severe cases of gum disease have even poorer heart health. Although the exact causes of this relationship remain unknown, scientists continue to explore the impact of oral hygiene on broader health.

One hypothesis is that poor oral hygiene leads to inflammation, which negatively affects the heart. Gum disease occurs when bacteria build up in the mouth, and feed off sugars found in food. These bacteria release compounds that contribute to inflammation and red, swollen gums. The same inflammatory compounds may affect the heart, increasing overall cardiovascular risk.

Protect Your Teeth, Protect Your Heart

Taking a few commonsense measures can go a long way to improving your oral health and your cardiovascular risk. Consider the following:

  • Brush twice daily, and floss at least once per day. Brushing your teeth at least twice a day cleans away the harmful bacteria that contribute to gum disease. Similarly, flossing your teeth ensures that dangerous bacteria that build up between each tooth get swept away. These simple steps are the easiest ways to reduce your risk of periodontal disease.
  • Eat healthy foods. Those sugary snacks that you love so much don’t help your teeth. Whenever possible, stick to a healthy diet of fruits, vegetables, and whole-grain foods. For example, grab an apple or a few celery sticks for a mid-afternoon snack, rather than indulging in that candy bar.
  • Drink water. Staying hydrated doesn’t just help your body – it also swishes bad bacteria away from your tooth and gum surface. Drinking plenty of water improves your overall oral health. It’s particularly helpful after eating a sugary or sticky snack, because water can reduce plaque buildup.
  • Visit Cataraqui Dental Centre. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our staff will monitor your mouth for signs of periodontal disease and can make specific recommendations to keep your mouth – and your heart – safer.

Why Baby Teeth Matter

August 2nd, 2016

The primary teeth are the initial teeth that erupt from a child’s gums in the first few years of childhood. There are a total of 20 primary teeth, most of which will have appeared no later than age three. Because they are only temporary, some parents believe they are less important than the permanent teeth that will emerge around age five or six. However, primary teeth hold a special significance and are important for a child’s long-term oral health.

Function and importance of baby teeth

Baby teeth have several basic functions. Decay can interfere with these functions, and potentially lead to life-long complications. For example, severe tooth decay that causes tooth loss during childhood, perhaps due to sleeping with a bottle at night, can obstruct a child’s speech development. It can also hinder his or her ability to sufficiently chew food.

The primary teeth also serve as place-holders for the permanent teeth. When a primary tooth falls out or must be removed before its time, surrounding teeth may shift into the space the tooth once held. This can cause orthodontic complications once the permanent teeth begin to erupt, which can lead to serious tooth alignment problems and call for extensive orthodontic treatment.

Caring for baby teeth

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our team at Cataraqui Dental Centre will tell you it is never too early to begin caring for your child’s teeth. Baby teeth require the same care and attention that permanent teeth do. The Canadian Dental Association recommends that children see a dentist as soon as the teeth begin to erupt from the gums. Early childhood dental visits usually include examinations, cleanings, fluoride treatments, and hygiene education for parents. It is also important to adopt an oral care routine at home that includes daily brushing, flossing, and dietary modifications that support a lifetime of good oral health.

To learn more about baby teeh, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham for your little one, please give us a call at our convenient Kingston, ON office!

Five Easy Ways to Prevent Gum Disease

July 26th, 2016

Gum disease can be painful and lead to missing teeth if you don’t treat it properly. However, there are plenty of things you can do to lower your risk of getting gingivitis and periodontitis. Here are five easy ways to prevent gum disease.

1. Brush your teeth.

Basic oral hygiene is the first line of defense against gum disease. The reason is due to the way gum disease progresses. There are bacteria in your mouth that produce a sticky substance called plaque. Plaque can build up and form tartar. Together, plaque and tartar lead to the painful symptoms of gum disease. You can remove plaque from your teeth with regular careful brushing, but you can’t remove the tartar with your regular toothbrush. So, it’s best to brush at least twice a day, or after each meal, to continuously remove plaque from your teeth. Also floss your teeth and use mouthwash to prevent the bacteria in your mouth from having anything to eat.

2. Stop smoking.

Smoking is a major risk factor for gum disease. Your risk of getting gum disease if you’re not a smoker is one-seventh the risk of someone who does use tobacco. It’s also worth quitting smoking even once you do get gum disease, since treatment is less effective when you’re using tobacco.

3. Eat right.

Gingivitis is a bacterial infection, and a strong immune system helps fight it. Many nutrients are essential for a well-functioning immune system. For example, eat plenty of fruits and vegetables, such as citrus fruits, broccoli, and strawberries, for their vitamin C, which is an antioxidant. Vitamin E, which is another antioxidant, is in nuts, plant-based oils, and wheat germ.

4. Visit our Kingston, ON office regularly.

You might not be able to detect that you have gum disease, even if you watch for symptoms. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham can detect signs of gum disease before you do.

5. Catch it early.

Since only we can remove tartar once it forms, keep watching for signs of gum disease. They include sensitivity while brushing your teeth or when eating hot, cold, or sugary foods, painful or bleeding gums, and loose teeth. You might also notice that you have bad breath for no reason. Make an appointment with at our Kingston, ON office if you think you may have gum disease.

How do I overcome my dental anxiety?

July 19th, 2016

Do you feel anxious before every dentist appointment? If the answer is yes, you are not alone—more than 16 percent of Canadians feel anxious when visiting their dentist. Today, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our team thought we would provide some tips to reduce your stress about visiting our Kingston, ON office.

The first thing we want you to do is plan ahead. If at all possible, book an appointment at a time when you know you won’t be in a rush to get somewhere else, such as picking up your children from school or an important meeting at the office. We also recommend you avoid caffeine and sugar prior to your visit as too much of either can make you feel even more anxious, not to mention jittery.

Once you’re here at our office, take some slow, deep breaths to relax. Then, try to relax your muscles by sitting back comfortably. If you are still feeling anxious, let Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham or someone on our team know. We deal with nervous patients all the time and may have additional relaxation techniques for you to try. If you’d like, we also encourage you to bring headphones and listen to music of your choice to distract yourself while we work on your teeth.

If you have additional questions about relaxation techniques, or would like to schedule an appointment, please give us a call!

Five Fun Snacks for Healthy Teeth

July 12th, 2016

Snacks can taste good and give your child’s energy a boost, but they can also be bad for teeth. Sugary, sticky snacks, such as candy, cookies, and snack cakes can lead to tooth decay if eaten regularly between meals. Still, there are plenty of fun snacks for healthy teeth.

The trick when selecting snacks is to avoid too many added sugars and refined carbohydrates that stay on the teeth and give bacteria a chance to ferment and produce acid from them, which can lead to tooth decay. In addition, snacks should provide nutrients to support a healthy mouth. These are five fun snacks you can feel good about giving to your child.

1. Yogurt and cereal.

Yogurt contains calcium, which is an essential mineral for strong and healthy teeth. Select plain yogurt or yogurt flavored with real fruit, rather than flavored yogurt that is sweetened with added sugar. We recommend choosing a whole-grain cereal, which is less likely to lead to dental caries. Choose a low-sugar or unsweetened cereal to avoid accidentally making the snack as sugary as a candy bar.

2. Tuna and whole-wheat crackers.

Canned tuna contains vitamin D, which is an essential vitamin for helping your body absorb and use calcium. Whole-wheat crackers are natural sources of antioxidants for a strong immune system, and they’re lower in refined carbohydrates than white crackers.

3. Bell pepper strips and hummus.

Red, yellow, and green bell peppers are excellent sources of vitamin C, which is an antioxidant. Vitamin C is also a good choice for supporting regeneration or maintenance of healthy gum tissue. Vitamin E is another antioxidant, and it also supports a healthy immune system. A strong immune system is protective against infections, such as bacterial infections associated with gum disease.

4. Turkey and cheese roll-ups.

Turkey is carbohydrate-free, so it doesn’t leave residues of sugars on teeth for bacteria to ferment. Lean ham is another good choice. Low-fat cheddar, mozzarella, or Swiss cheese is a good source of calcium as well as protein. For a more substantial snack that’s still low in carbohydrates and sugar, add a few celery sticks.

5. Peanut butter and carrots.

Peanut butter is another source of vitamin E. Carrots provide vitamin A, which is essential for a strong immune system. You can also substitute cauliflower or broccoli florets for the carrots, and ranch dressing for the peanut butter, and still have a snack that’s fun to eat and good for your child’s teeth.

For more great snack tips, ask a member of our Kingston, ON team at your child’s next appointment!

When snoring becomes more than just annoying: The dangers of sleep apnea

July 5th, 2016

Sawing wood. That’s what your wife calls it when you wake her up with your snoring. This type of scenario plays out in homes around the world, and couples have to find a way to make light of the nocturnal annoyance. Snoring can become more than just an irritating nighttime disturbance, however. It can be the first sign of a potentially serious sleep disorder.

Sleep apnea is a disorder in which breathing repeatedly pauses throughout the night. Possible symptoms of sleep apnea include snoring loudly and feeling tired after a full night’s sleep.

Three health problems linked to sleep apnea

Sleep apnea often goes undiagnosed and untreated, which puts you at a greater risk of developing health problems. While being robbed of quality sleep can take its toll on you, sleep apnea can also result in the following.

  1. High blood pressure. When you wake frequently throughout the night, it causes your body's hormonal systems to become unbalanced and go into overdrive. This results in high blood pressure.
  2. Heart disease. The disrupted oxygen flow caused by sleep apnea increases your chances of having a heart attack or stroke. The cutoff of oxygen makes it difficult for the brain to regulate the flow of blood in the arteries.
  3. Excessive daytime sleepiness. Daytime fatigue often results in impaired judgment and slow reaction times, and this may increase your risk of being involved in a motor vehicle accident.

Lifestyle changes like losing weight, avoiding alcohol, and quitting smoking are often enough to cure sleep apnea. Medical treatment is also a potential solution. Surgery, oral appliances, and continuous positive airway pressure (CPAP), which is a treatment involving a specialized breathing mask, are all possible ways to resolve the problem of sleep apnea.

If you think you may be suffering from sleep apnea, or to schedule a visit with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham at our convenient Kingston, ON office, please give us a call! Our entire team at Cataraqui Dental Centre look forward to giving you back a full night’s rest!

Pacifiers and Your Child's Oral Health

June 28th, 2016

Children are born with a natural sucking reflex. In fact, sonogram images from the womb often reveal an unborn baby practicing by sucking on his or her fingers or thumb. Not only does sucking aid in your baby’s ability to acquire food and nutrients, but it is also a security and possible analgesic outside of meal times.

Though it is both normal and beneficial for parents to soothe their children with pacifiers during infancy, long-term use could interfere with oral health and development. Most children will stop using a pacifier on their own. However, the Canadian Academy of Pediatric Dentistry recommends halting pacifier use after age three. Prolonged thumb sucking or pacifier use after this time can cause the upper front teeth to begin to lean outward. It can also cause new teeth to erupt crookedly, and it can negatively affect jaw alignment.

If your child is not showing signs of self-weaning by age two, you may begin the process by limiting pacifier usage to specific times, such as nap time or when getting vaccinations. Offer an alternative security item, such as a blanket, and be sure to praise your child when he or she chooses the blanket over the pacifier.

Tips

  • Never under any circumstances should you dip your baby’s pacifier in something sweet. Though it is a tempting way of encouraging your child to take a pacifier when crying, it can also lead to early childhood tooth decay.
  • If your child has not discontinued pacifier use by age three, talk with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham about behavioral modifications or appliances that can help your child wean.
  • Never use negative reinforcement to discourage pacifier use. Punishment for pacifier use is not effective for changing your child’s habits.

If you have any questions or concerns about your child’s pacifier usage or which types of pacifiers are best for your child’s oral health, please give our team at Cataraqui Dental Centre a call at our convenient Kingston, ON office!

How to Make Brushing Fun

June 21st, 2016

Let’s call it the cranky phase. Let’s call it the “Mom, I don’t want to” stage. When kids are little, getting them to brush can be a challenge. They bite the toothbrush and eat the toothpaste. They make faces in the bathroom mirror, brush for two seconds, and run away. When it’s time to brush, some kids even resort to kicking and screaming, which makes the bedtime chore a lot like, well, pulling teeth.

As a parent, you know the importance of good oral hygiene, so when the dreaded “brushing hour” arrives, if you want to prevent your child from turning into an angry pumpkin, you better have a few tricks up your sleeve to make brushing fun.

Game time

Kids love games, so it’s time to get creative and turn tooth brushing into game time. Whether you’re playing a hide and seek, peek-a-boo game with your child as he or she brushes, or singing the ABC’s as your child brushes for two minutes, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our team at Cataraqui Dental Centre recommend turning the process into play. Games are based on a reward system, right? If your child does a good job, put a sticker on the calendar. Tell your son or daughter that five stickers will earn a treat at the end of the week.

Fun accessories

A toothbrush that lights up and blinks when you turn it on is more fun than a traditional toothbrush from the dentist’s office. The same is true of a toothbrush that’s shaped like your child’s favorite animal or features a cartoon character. A fun accessory like a Smurfs or Angry Birds toothbrush might make all the difference. A timer is another fun accessory. Give your child the special responsibility of setting it for two minutes before brushing.

The Great Toothpaste Experiment

Kids can be notoriously picky eaters, so it stands to reason that they would be picky about their toothpaste flavors too. Little Johnny might like strawberry, whereas Suzie prefers mango. Spend a night experimenting with different flavors (yes, it’s another game). Say something like, “It’s just like sampling different flavors of ice cream, right kids?”

Eventually, your child will develop the healthy habit of brushing on a regular basis, and think nothing of the time it takes to clean his or her teeth. Just remember to make it fun, and it can be a great experience for you both!

To learn more about making brushing fun for your little one, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham, please give us a call at our convenient Kingston, ON office!

My gums are shrinking!

June 14th, 2016

Have you ever looked in the mirror and noticed that your teeth looked longer? Does it seem like your gums are shrinking? This condition is called recession—many adults have it. Let’s look at some of the causes and what you can do about it.

During your exam at Cataraqui Dental Centre, we will take measurements to check for periodontal disease. Dental professionals take recession measurements to see how much attached gingiva is present. This is the kind of tissue that is most resilient to infection.

The more recession, the less attached gingiva. The less attached gingiva, the less bone support. The less bone support, the higher your chances of tooth loss. It is quite a domino effect.

Don’t lose hope. The effect can be halted once you know the cause of your recession.

Do you ever wake up with your jaw clenched, and/or a headache that originates just above your ears? Clenching or grinding your teeth can cause recession. When there is added stress on a tooth, it flexes at the gum line.

Over time this causes microscopic breaks in the enamel and then a notch appears. The gum line is forced to move away from its original position. If this is something you see in your mouth, we can discuss the possibility of an occlusal guard at your next visit.

How do you brush your teeth? Do you brush in a straight line or circles? What kind of bristles do you use? Are the bristles on your toothbrush frayed?

When you brush in a circle, you are sweeping all along the gum line, removing the plaque from most angles. When you brush in a straight line, you may often miss the concave portion of the gums. This leaves plaque behind and leads to gingivitis. Whenever gingivitis occurs, the body attacks supporting structures like bone while trying to get rid of the infection. This is periodontal disease, which can cause recession.

Recession may also result from an irritant on the gums, such as a bar from a partial denture or orthodontic appliance (braces).

Gums do not “grow back.” The most common treatment for advanced recession is a tissue graft. There are many different kinds of tissue grafts.

Other factors can cause recession. If you think recession is happening in your mouth, schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham to discuss your options, so you can make the appropriate treatment choice.

Aging and Oral Health

June 7th, 2016

As you age, it becomes even more important to take good care of your teeth and dental health. According to the Centers for Disease Control and Prevention, approximately one-fourth of adults age 65 and older have no remaining teeth. What's more, nearly one-third of older adults have untreated tooth decay.

Oral health, regardless of age, is crucial to overall good health. Ideally, we all want to keep your natural teeth, but whether you're caring for natural teeth or dentures, advancing age may put older adults at risk for a number of oral health problems, including:

  • Dry mouth
  • Diminished sense of taste
  • Root decay
  • Gum disease
  • Uneven jawbone caused by tooth loss
  • Denture-induced tissue inflammation
  • Overgrowth of fungus in the mouth
  • Attrition (loss of teeth structure by mechanical forces)
  • Oral cancer

These conditions may not be diagnosed until it is too late. If you want to feel good, stay healthy, and look great throughout life, you might be surprised what a difference a healthy mouth makes.

Here are some tips for maintaining and improving your oral health as you become older:

  • Brush twice a day with a toothbrush with soft bristles. You may also benefit from using an electric toothbrush.
  • Clean between your teeth once a day with floss or another interdental cleaner.
  • If you wear full or partial dentures, remember to clean them on a daily basis. Take your dentures out of your mouth for at least four hours every day. It’s best to remove them at night.
  • Drink tap water. Since most contains fluoride, it helps prevent tooth decay no matter how old you are.
  • Quit smoking. Besides putting you at greater risk for lung and other cancers, smoking increases problems with gum disease, tooth decay, and tooth loss.
  • Visit Cataraqui Dental Centre regularly for a complete dental checkup.

If you have any questions about keeping up with your oral hygiene at home, please give us a call!

Help! My gums hurt when I floss!

May 31st, 2016

By no stretch is it rare for your gums to hurt during and after flossing. Even some bleeding is to be expected. This is especially true if you have not flossed in a long time. However, if your gums do indeed hurt when you floss, and unbearably so, there are some things you can do.

Be Gentle

Perhaps the most obvious way to combat gum soreness and bleeding is to be gentle. One of the most common occurrences of these gum problems is over-aggressive flossing. In other words, if you are too rough on your gums while flossing, either because you are out of practice or because you are in a hurry, soreness and hurting is to be expected. Instead, try taking your time and be gentle. Also, if you are just starting out, be patient and consistent, your gums will become more conditioned over time.

Use an Alternative Method

If being consistent and gentle does not work, there are other alternative methods of flossing that you can try. You can also try a water floss machine, or what is sometimes called a water pick. The device essentially shoots water into the crevasses between your teeth, and in other areas of your mouth, in order to dislodge food and plaque. These oral instruments also come with different attachments that allow you to reach many of the hard to see and reach areas of your mouth. And lastly, you can always buy floss that is not as abrasive to your gums. There is floss that comes with soft and gentle coatings that will do less harm to your gums while they are adjusting to the good oral hygiene habit you are creating.

Flossing is one of the easiest parts of oral hygiene to overlook. When you first start out, it is common that you may want to stop because of the pain it can initially cause. However, if you try one, or all, of the above mentioned methods, you will give yourself the best chance of being success with your flossing, and it won't hurt as much.

For more flossing tips, schedule an appointment at our Kingston, ON office and askDrs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham or a member of our team!

What is baby bottle tooth decay?

May 24th, 2016

Great question! Baby bottle tooth decay is the development of cavities caused by the frequent and long-term exposure of a child's teeth to liquids containing sugars. These liquids include milk, formula, fruit juice, sodas and other sweetened drinks. The bacteria in the mouth thrive on this sugar and produce acids that attack the infant's teeth and gums. After numerous attacks, tooth decay can begin.

The first rule is to make sure your child does not fall asleep with a bottle containing milk, formula, juice or other sweetened liquids. Giving an infant a sugary drink before bedtime is harmful because the flow of saliva decreases during sleep, allowing the sugary liquids to linger on the child's teeth for an extended period of time. If left untreated, pain and infection can result.

So, how can you prevent baby bottle tooth decay? Be sure to clean and massage the baby's gums once a day to help establish healthy teeth and to aid in teething. When brushing your child's teeth, use a soft toothbrush, as well non-fluoride toothpaste. Once your little one is able to spit, around the age of two, you should begin using fluoride toothpaste. From the beginning, have your little one practice spitting the toothpaste out after brushing. That way, he or she will already have the good habit of spitting when you switch to fluoride toothpaste, which should never be swallowed.

Also, be aware that children should visit Cataraqui Dental Centre when they are between six and 12 months old. Please give us a call if your child hasn't visited our Kingston, ON office in the last six months!

Top Ten Ways to Improve Heart Health

May 17th, 2016

The human heart truly appreciates it when we eat healthy foods, don’t smoke, and exercise regularly. But there’s something else that can improve your heart’s longevity and you may not know about: keeping your teeth and gums in tip-top shape.

Bacteria responsible for periodontal disease have been found in the heart area of subjects who suffer from artery inflammation, high cholesterol, and heart disease. Physicians and dentists, like Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham, think that it is not difficult for oral bacteria to enter the bloodstream through diseased, bleeding gums, and abscesses that reach from the gums into veins and capillaries that carry blood to and from the heart.

In addition to practicing good oral hygiene and visiting Cataraqui Dental Centre every six months, here are ten other ways you can make your heart love you for the rest of your life:

  1. Avoid eating foods that contain saturated fat (fatty meats, processed meats, pastries, butter).
  2. Craving a crunchy snack? Grab a handful of tree nuts: pecans, almonds, walnuts. They’re rich in monounsaturated fats (the “good” kind of fat) as well as vitamin E, magnesium, and potassium.
  3. Eating a bowl of oatmeal for breakfast nourishes your heart with a soluble fiber called beta-glucan that can reduce cholesterol and help prevent atherosclerosis.
  4. Think “fish” the next time you shop for groceries, especially sardines, salmon, fresh tuna, and mackerel. These fish provide omega-3 fatty acids that lower triglycerides and blood pressure, and may help prevent blood clots from forming.
  5. Opt for whole grains over processed white breads and cereals.
  6. Put that remote control (or computer mouse) down right now and get moving! Walk, swim, ride a bike, plant flowers; your heart likes to pump, so make it pump.
  7. Refresh your brain and improve your heart health with at least eight hours of sleep every night.
  8. De-stress your life as much as possible: relax, stay optimistic, and don’t sweat the petty stuff!
  9. Watch your weight and get regular health examinations, especially if you have a family history of heart disease.
  10. And don’t forget to brush, floss, and rinse twice a day!

What do I do if I fall and loosen my teeth?

May 10th, 2016

Although teeth are strong enough to tear through food, they are also fragile. An accident such as a fall may loosen teeth or knock a tooth out entirely. When a child loses a baby tooth in this manner, no permanent damage is usually done. However, adults who loosen permanent teeth may need to visit our Kingston, ON office.

The Anatomy of a Loose Tooth

The hard external layer of teeth covers a more vulnerable interior. The center of a tooth consists of the pulp, which contains blood vessels and nerves. The entire tooth extends below the surface of the gums into the jaw. Special tissue called cementum and the periodontal ligament hold teeth in place, preventing them from moving.

When a fall or blow to the face loosens a tooth, the tissues anchoring a tooth to the jaw may be damaged. This results in a loosened tooth that wiggles in place. There may be inflammation or bleeding of the gums, which signals dental damage.

Dental Treatments for a Loose Tooth

The range of dental treatments for loose teeth varies by the severity of the problem. If your teeth are just slightly loose following a fall, it may be fine to wait a few days. Teeth often retighten on their own. Simply avoid chewing with that tooth and enjoy softer foods for a few days.

If a tooth is very loose or nearly falling out, call Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham immediately. Immediate placement of the tooth back into the socket is needed to ensure its survival. In general, a tooth must return to its socket within two hours or it may be lost.

In some cases, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham may recommend splinting, in which teeth are joined together to strengthen them and reduce strain on an individual tooth. Tightening or straightening the tooth can restore your ability to chew regularly without stressing the loosened tooth.

Regardless of the extent of the problem, it is essential to keep the tooth clean to prevent decay. Brush carefully with a soft-bristled brush, and use mouthwash regularly to kill bacteria.

How safe are dental X-rays?

May 3rd, 2016

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our staff rely on digital X-rays to help us diagnose oral conditions and process images at incredibly high speeds. You can also view digital X-rays in real time while we examine your mouth with an intraoral camera and upload the images to a software program. A chairside computer monitor lets you see these images as we refine areas of concern to ensure an accurate diagnosis.

But are dental X-rays safe?

Yes! They emit 80 percent less radiation than exposure-type X-rays and provide detailed images to improve diagnosis and treatment. We can now detect dental problems in their earliest stages without subjecting you to unnecessary radiation. The amount of radiation released by digital X-rays is “negligible,” which means the amount is so small, that it can be safely disregarded.

Safe enough for children and pregnant women, digital X-rays detect microscopic pitting in tooth enamel and other abnormalities in the oral tissues that might have remained undetected with traditional X-rays. When Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our staff discover dental caries in their earliest stages, we can initiate treatment measures that will effectively prevent cavity development, tooth decay, and potential tooth loss.

Patient appointment lengths are shortened with digital X-rays as well, because images are immediately viewable and do not require the exposure time associated with old-style X-rays.

How Digital X-Rays Differ from Traditional X-Rays

Instead of using cardboard-contained film, we insert a small sensing device about the size of a pen in your mouth and engage the digital X-ray machine by manually manipulating control buttons. Within seconds, images appear on the monitor that can later be stored in your file or sent to another doctor for further examination.

The increased resolution afforded by digital X-rays means that patients are able to understand the seriousness of their dental issues better, and are more inclined to follow through with procedures recommended by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham.

Safer, Better and Faster

For detection of cancerous tumors in their early states, digital X-ray technology offers vast improvements over film X-rays because of its cutting-edge image processing capability. Early detection of oral cancer and dental caries is the best way to prevent any type of oral health problem from exceeding the treatable stage.

Seven Foods that will Give You a Smashing Smile

April 26th, 2016

As the saying goes, you are what you eat. But did you know that what you eat also affects your smile? Chow down on these seven tasty treats, recommended by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our staff, for a healthier mouth and a smashing smile!

Sesame Seeds

These tiny seeds that you find in some Chinese and Thai dishes (as well as on top of your hamburger bun) are packed with bone-building calcium. They help to preserve and protect the bone that supports your teeth and gums. As a bonus, they also help to build up your tooth enamel while sloughing away plaque.

Kiwi

This funny little fruit has the highest amount of Vitamin C of any fruit, including oranges! What does this mean for your chompers? Well, you need Vitamin C to keep your gum tissue healthy and strong. Without it, they are more susceptible to periodontal disease.

Sweet Potatoes

These are not just for Thanksgiving and Christmas dinner! You should add sweet potatoes to your regular diet. These tasty spuds are rich in Vitamin A, which your body uses to form tooth enamel and heal gum tissue.

Onions

You know those strong vapors from onions that make you cry? Well, they come from the sulfur compounds in the vegetable, which gives them a superpower-packed antibacterial punch. Get ready, though: Onions are most effective for your smile when you eat them raw!

Cheese

If you love cheese, you will love this news! Munching on some cheese helps prevent gum disease and cavities. The reason is that cheese is very high in calcium and phosphate, which help to balance the pH levels in your mouth. This in turn helps to preserve your tooth enamel and kill harmful bacteria.

Green Tea

Sipping on some green tea can not only help prevent cavities and gum disease, it can also kill the bacteria that cause bad breath. Score! Green tea has catechins, which actually kill the bacteria that cause plaque. So drink up! Your smile depends on it!

Celery

Have some fun with that crunchy stuff because, guess what? It is great for your smile! When you chew celery you produce saliva. Your saliva neutralizes cavity-causing bacteria. As a little added bonus, while you are chewing, it is giving your gums a little massage and cleaning between your teeth.

So grab some of these healthy snacks and give your mouth something to smile about!

Every Day is Earth Day

April 19th, 2016

During the early days of the environmental awareness movement, those who demonstrated against pollution, toxic chemicals, and the general public health were known as hippies. The early 1970s were a time of change, and assertions that we needed to pay more attention to the Earth's atmosphere were generally dismissed. But within a couple decades, it had become clear that the previous generation was right; the citizens of the world needed to become more environmentally conscious.

Many people feel that they can't make a difference if they don't do something big. But caring for the environment doesn't have to be an all-or-nothing concept. In fact, the little things you do can add up to make a great impact, especially in our community. Here are a few ways you can help the environment on Earth Day, April 22nd and all year around.

Four Small Ways to be Environmentally Friendly

  • Recycle Your Textiles. Nearly 21 million tons of textiles are added to American landfills each year, according to the Environmental Protection Agency. Donating your unwanted clothing to a secondhand store or an organization that repurposes fabric helps cut down on solid waste and conserves natural resources.
  • Reduce Usage of Disposables. Plastic bottles and bags, disposable diapers and other things we can use and toss out are convenient, but they're not necessary. Simply choosing to replace one of type of disposable with a reusable product can help you cut down on waste that has a large negative impact on our environment.
  • Conserve Water. If everyone in the United States turned off the water while brushing their teeth, more than 1.5 million gallons of water could be conserved. Turn the water on long enough to wet your toothbrush for brushing and rinsing, and then immediately turn the water off again.
  • Turn Off the Lights. Flip the light switch to "Off" if you're going to leave a particular room for 15 minutes or more. This will conserve energy on incandescent light bulbs and cut down on cooling costs.

It's not necessary to be an activist or install solar panels all over your home to help the environment. Although you can do these things, the little everyday measures make a big difference in helping to conserve energy and the environment, while reducing your carbon footprint. Our team at Cataraqui Dental Centre wants to remind you to celebrate Earth Day and help the environment, knowing that it will benefit your and your children's generation.

What kind of toothbrush and toothpaste should my child use?

April 12th, 2016

Imagine that you sit down for some evening television, and during the course of the evening, you see five commercials regarding dental products. They all claim to be the best. Then remember your last visit to the dental aisle at a local grocery store. The choices are overwhelming and there seems to be no sure answer as to which would be the best choice for your child.

Cataraqui Dental Centre recommends that parents break down the decision process. First, consider your child’s age and stage of development. Up until age ten to 12, your child cannot adequately brush or floss independently. It is not a maturity issue, but rather dexterity. Automatic toothbrushes are highly appropriate for all ages. Brushing quality improves when using a battery-powered toothbrush. Use it together with your child, and always play an active role in your child’s oral home care.

As a general rule, the brush head of the toothbrush should be a little larger than the child’s upper portion of the thumb. This will help ensure it will fit in all the places it needs to.

Flossers are great for children. These will have a horseshoe shape on one end with floss in-between. A particular brand name does not matter. Some have a higher quality and this should be evident when you use them. You can make a choice for individual preference with color, handle size, or shape, etc.

There are many brands of toothpaste and there are also differences in the ingredients. Some contain sodium fluoride, the standard ingredient in cavity prevention. Others have stannous fluoride, which is anti-bacterial and anti-cavity. Potassium nitrate is commonly found in anti-sensitivity, and triclosan is found in one particular brand for anti-bacterial properties. It is most common for children to be at a high risk for cavities. Therefore, our team at Cataraqui Dental Centre recommends toothpaste with fluoride once your child is old enough to spit.

Before a child can spit, use toothpaste without fluoride. This is an ideal time to use toothpaste with xylitol. Xylitol should be listed as the first ingredient; this way you’ll get the almost medicinal property of this natural sweetener. After you have found the right type of toothpaste, consider its flavor. The best kind of toothpaste is one that will be used, so choose a flavor that your child will love!

If you have any other questions, our would like specific brand recommendation feel free to call us at Cataraqui Dental Centre or ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham during your next appointment!

Are you at risk for oral cancer?

April 5th, 2016

According to the Canadian Dental Association, oral cancer is the 13th most common cancer diagnosed each year in Canada. Oral cancer has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our team want you to know that cancers of the mouth and throat, which account for about three percent of all cancers in the United States, are largely preventable. However, we want you to know about certain risk factors that affect the likelihood of developing the disease.

  • Use of tobacco products including smoking cigarettes, cigars or a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially, is a serious risk factor because it contains substances called carcinogens, which harm cells in your mouth.
  • Consumption of alcohol in excess can also increase your risk. If you drink alcohol regularly, you have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
  • Excessive sun exposure. People who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.

If you notice unusual lumps, bumps, or red or white patches in your mouth that don’t go away, sores that won’t seem to heal, persistent soreness, or pain or difficulty swallowing please consult Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our team immediately.

Other factors that may influence your risk for developing oral cancer include:

  • Age: Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
  • Gender: Oral cancer strikes men twice as often as it does women.
  • A history with viral infections, such as human papillomavirus (HPV)
  • A diet low in fruits and vegetables

During your next visit, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Kingston, ON office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

Easing the Teething Blues

March 29th, 2016

Every moment of your baby’s first year of life is precious, since every day your child grows a little, develops new skills, and discovers new things. Most of it is wonderful, but parents don’t like to see their babies in pain. That’s why teething can be such a hard experience. However, you can take steps to make it easier for you and your baby.

What to Expect

Most babies begin teething around the age of six months, when the lower central incisors start to appear. Shortly after this time, the upper central incisors poke through, followed by the lateral incisors, first molars, canines, and second molars. Unfortunately, you’ll probably know that your baby is teething not because you see these teeth come in, but because your baby will be in discomfort. These are some of the signs to watch for when you’re expecting your baby to begin teething.

  • Tender and sore gums
  • More drooling than before
  • Being crankier than usual
  • Chewing on hard objects

What You Can Do

As a parent, you want to do everything you can to make your child more comfortable. These are some approaches that Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our team recommend:

  • Take a clean moistened wash cloth or use your own washed finger to rub your baby’s gums and provide relief due to the pressure.
  • Provide a firm rubber teething ring for your baby to use, but don't use the type that is filled with liquid.
  • Use a bottle. A bottle filled with cold water can be soothing. Don’t give your baby formula, milk, or juice constantly because the sugar can cause tooth decay.
  • Medications can help for extreme crankiness. Infant Tylenol is an example, but it’s best to check with your pediatrician before giving your baby medications.

You might also want to take special care to dry the drool. It’s not just to keep yourself and your baby dry. Keeping your baby’s skin dry can help prevent irritation.

When to Visit Us

Once your child’s first tooth comes in, it’s time to start thinking your baby’s first trip to our Kingston, ON office. The Canadian Dental Association suggests that you bring your child to the dentist within six months of the appearance of the first tooth, or at about one year of age. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham can do a quick check for tooth decay, and we’ll make sure you know how to take care of your child’s new teeth.

What are the five things I should do in between visits?

March 22nd, 2016

When it comes to keeping your smile looking its best, good oral hygiene is a must! Good oral health habits should start early and continue throughout your lifetime. Here, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our team at Cataraqui Dental Centre suggest five habits worth adopting that will help keep your teeth healthy:

  • Brush and floss regularly. Brush gently at least twice a day, paying special attention to the gum line to rid your mouth of food and bacteria that may lurk in between your teeth. Floss at least once a day. Replace your toothbrush every three to four months or sooner if the bristles are frayed.
  • Make regular visits to see Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham. Regular checkups (twice yearly) will help diagnose any dental problems early on when they can be more easily treated.
  • Stop smoking. Did you know smokers are four times as likely as nonsmokers to develop periodontal (gum) disease? Tobacco, whether in the form of cigarettes, pipes, cigars, or chewable tobacco, increases oral and throat cancer risks, and raises the risk for candidiasis, an oral fungal infection. Smokeless tobacco contains sugar, which furthers your risk for cavities.
  • Limit your alcohol intake. Heavy drinking dramatically increases the risk of developing mouth and throat cancers.
  • Eat healthy. Avoid snacking on foods that contain high levels of sugar or starch. We encourage you to eat plenty of fruits and vegetables, which are known to help stimulate the flow of saliva to re-mineralize tooth surfaces and neutralize cavity-causing bacteria.

To learn more about the habits you should practice in between your visits to Cataraqui Dental Centre, or to schedule an appointment, please give us a call today!

Go Green for St. Patrick's Day

March 15th, 2016

Millions of people, around Kingston, ON and beyond, wear green on St. Patrick’s Day so they can show their spirit for the holiday and avoid getting pinched. While it may be easy for you to throw on a green shirt, sport a St. Patrick’s Day button, or wear a pair of emerald-hued shoes, if you’re an avid St. Patty’s Day enthusiast you may want to try something different this year. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham thought of a few ideas that will help you take your holiday spirit to the next level:

Visit Montreal

One of the longest-running and largest Saint Patrick's Day parades in North America occurs each year in Montreal, whose city flag includes a shamrock in its lower-right quadrant. The annual celebration has been organized by the United Irish Societies of Montreal since 1929. The parade has been held annually without interruption since 1824, However, St. Patrick's Day itself has been celebrated in Montreal as far back as 1759 by Irish soldiers in the Montreal Garrison following the British conquest of New France.

Don Green Face Paint

Just like an avid sports fan on game day, you can use green face paints to showcase your enthusiasm for this holiday. Avoid breakouts or allergic reactions by only using paints that are specifically meant to be applied to the skin. A little bit of face paint can cover a large area, so feel free to get creative and decorate the whole family on St. Patrick’s Day.

Eat Green All Day

Not a fan of green eggs and ham? With the increasing popularity of green smoothies, there’s no better time to get in on this health craze. To create a green smoothie without the aid of food coloring, you can simply blend a generous amount of a leafy green vegetable, such as spinach or kale, with the ingredients that you would typically use to make a smoothie, like fruit, ice, milk, or juice. Keep the trend going throughout the day by using those same vegetables to create a green soup, egg salad, or a batch of bright green pastries. As an added bonus, you’ll get a healthy dose of vitamins without changing the taste of most of these foods.

If your old holiday routine has gotten stale, leave your green T-shirt in the drawer and try one or all of these tips. Don’t be surprised if you have so much fun that you decide to start a new, annual St. Patrick’s Day tradition! Have a happy St. Paddy’s day from Cataraqui Dental Centre!

When was your last dental checkup?

March 8th, 2016

While Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham and our team tell you daily oral hygiene habits, such as brushing and flossing, are essential to optimal oral health, regular dental checkups at Cataraqui Dental Centre ensure your teeth are treated to a deeper level of cleaning.

We recommend for most of our patients to have a cleaning at our Kingston, ON office at least every six months. In addition to a thorough cleaning and polishing of your teeth, visits with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham help us detect and prevent the onset of tooth decay and gum disease, also known as periodontal disease. During your visit, we will check the health of your mouth, teeth, gums, cheeks, and tongue for signs of any decay or disease. We will also check old fillings and restorations as these can wear away over time due to chewing, clenching, or grinding.

If you are predisposed to any oral diseases, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham may recommend checking in with us more often than every six months. We want your teeth to get the professional attention they deserve! If you are overdue for your next cleaning, give us a call at our Kingston, ON office to schedule a checkup! See you soon!

What should I use to clean my baby’s teeth?

March 8th, 2016

You might think babies don’t need to brush their teeth, especially when they don’t have any. But by starting good habits like brushing when your child is young, you can lay the foundation for them to continue those good habits into adulthood.

When do I start?

The best time to start brushing your baby’s teeth is before he or she has any. Develop the habit of wiping your baby’s gums with a wet, soft washcloth or gauze every day. There is no need to use toothpaste, just wrap the gauze or cloth around your finger, moisten it with a little water, and gently rub it over the gums.

This helps your little one get used to brushing while it eliminates bacteria in the mouth that can harm emerging teeth. You don’t need to apply a lot of pressure or even take very long: just a quick, gentle rub over the gums will do it.

What do I use?

When your child’s teeth begin to come in, you will need to switch from a cloth to a baby toothbrush. Find one that has a grip big enough for your hand, but a head that is small enough to maneuver easily in your infant’s mouth.

You don’t need to use any toothpaste until your son or daughter is about a year old. Even then, though, you’ll want to use just a tiny amount: about the size of a grain of rice. When your toddler is about two years old, you can use a pea-sized amount.

By around six years of age, your child will probably rinse and spit without your help. At that point, you may want to introduce a child-friendly fluoride mouthwash.

How do I do it?

Your child probably won’t be able to brush his or her teeth alone until about the age of five or six. This means that you will need to do it. To brush your child’s teeth, gently use the brush over all the teeth and gums, even areas where the teeth have not come in yet.

As your child grows and becomes more independent, you can allow him or her to hold the toothbrush while you guide your child’s progress. Make sure you talk to your child while you are brushing, and explain why you brush: what you are doing and how you are doing it.

In addition to regular visits with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham, instilling good oral health habits in your child early on will ensure a lifetime of good dental health.

Use Pediatric Dentists to Treat Children

February 23rd, 2016

There are many different types of dental specialties out there, so how do you know when you should see a general dentist (your regular dentist), and when you should seek the help of a dentist with specialized training? This article covers the basic differences between a pediatric dentist and a family or general dentist, and why it may be beneficial to find a specialized doctor to work with your children’s teeth.

What is a pediatric dentist?

All dentists, regardless of which specialty they practice, attend a four-year dental school for either a Doctor of Dental Surgery (DDS) or a Doctor of Dental Medicine (DMD) degree. Once they have completed the initial degree program, some dentists choose to proceed to additional training in an area of dental specialty. Pediatric dentistry is one of those specialties.

A pediatric dentist will study the development of teeth from infancy through the teen years. Babies, toddlers, school-age children, and teenagers experience different growth phases and have different needs for their oral health care from adults. A dentist with post-graduate training in this specialty can often provide a more comprehensive approach to treatment to meet those needs.

Specialized Needs Pediatric Dentists Can Address

Starting with the first teeth that grow in your child’s mouth (usually around six months of age), you need to begin caring for your child’s teeth. However, it’s not as simple as just doing the same things you do for your adult teeth, because children have specific needs and may have concerns and issues that you do not face for your oral health care as an adult.

There are several concerns unique to younger dental patients. Beginning with babies, parents need to be aware of the specific oral care required for children. For example, babies who drink from bottles can develop baby bottle tooth decay if parents do not properly clean their teeth. Young children may develop a habit of sucking their thumb, which can contribute to poor oral hygiene. Children who have trouble with teeth grinding may need specialized care. And children have specific dietary needs that serve their need to develop strong teeth and gums.

All these concerns can be addressed by a pediatric dentist with specialized knowledge of childhood oral health and teeth development. General dentists often know some of this information, but without the specialized training they may not be able to provide the care that is geared toward the needs of your children. In addition, pediatric dentists will often have a practice that is built entirely with children in mind, with décor, staff, and other elements that can help put children at ease when it’s time to visit the dentist.

If you have young children, consider our pediatric dentistry office. At Cataraqui Dental Centre, our specialized care for young patients features a caregiver with the knowledge and training to provide your children with the best possible care.

Warning Signs of Impacted Wisdom Teeth

February 16th, 2016

When your wisdom teeth start to emerge it can definitely be painful, but it can be even worse if your wisdom teeth become impacted. Impacted wisdom teeth are trying to erupt but are unable to do so because there is not sufficient room for them to emerge. This usually means that your wisdom teeth are painfully lodged in your jawbone.

While you may not see any real signs of the emerging wisdom teeth when they are impacted, what you can’t see can still definitely hurt you. Some of the indicators of impacted wisdom teeth are listed below.

  • Jaw Pain: Pain in the back of your jaw is a common indicator of impacted wisdom teeth. The pain often concentrates in the area around your gums.
  • Changes in the Mouth: You may notice some changes in your mouth when you have impacted wisdom teeth. Reddish gums, swelling in the jaw, bleeding gums, and bad breath can all be indicators that you are dealing with impacted wisdom teeth.
  • Headaches: If you suddenly start having headaches, especially at the same time as some of the other issues mentioned above, they may indicate impacted wisdom teeth.
  • Chewing Issues: Problems with chewing normally can indicate impacted wisdom teeth. If you are having trouble making the chewing motions because your mouth won’t quite open and close as easily as it used to, impacted wisdom teeth may be the culprit.

The Solution

If you are suffering from impacted wisdom teeth, the best solution is usually going to be removal. This is not a problem that will resolve naturally, and in fact, your pain and other symptoms may worsen as your wisdom teeth become increasingly impacted. At Cataraqui Dental Centre, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham can review the details of wisdom teeth removal surgery with you and help you determine if this is the best solution for your situation.

How do I know if my gums are receding?

February 9th, 2016

Gum recession, a common result of gum disease, occurs when the gum tissue that surrounds the teeth wears away or pulls back, forming pockets between the gumline and exposing more of the tooth. Gum recession occurs gradually, so you might not know that you have it. Left untreated, gum recession can result in tooth loss. In addition, there are several studies that suggest that gum disease is associated with modest increases in coronary heart disease. Here are five ways to know if your gums are receding.

1. Healthy gums are firm, light pink, and very elastic. If your gums don’t fit that description, then it’s time to visit our Kingston, ON office. Red, swollen gums are a common symptom of gum disease, and may lead to gum recession.

2. Do your gums bleed easily when you brush or floss? If you have gum recession, even if you brush gently and with toothpaste specifically designed for sensitivity, it may still result in bleeding.

3. When you look in the mirror, do you see more of a tooth than you used to? This is one of the easiest ways to tell if you have gum recession. When gums recede, more of the tooth is visibly exposed. Look for lines or notches along the bottom of the teeth, as this typically indicates areas where the gums have receded.

4. One of the first signs of gum recession is tooth sensitivity. Does it hurt when you bite down or chew? The more gums recede, the more painful it is going to be. However, before you experience tooth sensitivity or pain, you may notice awkwardness when you bit down. When gum recession occurs, teeth can shift slightly, making it feel as if they are not properly aligned.

5. Loose teeth are a symptom of advanced gum recession and periodontal disease. In other words, the supporting bone structure of the teeth has already begun to deteriorate. If left untreated, it will result in tooth loss.

From deep cleaning (scaling) to gingival tissue grafting surgery, there are several ways to combat gum recession and periodontal disease. How gum recession is treated depends on how far advanced it is. Talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, Nick Cosman, Chuck Burgess, and Dr. Empringham about what options are best for you.

My child has autism. What should we expect at your office?

February 2nd, 2016

At Cataraqui Dental Centre, we know that as many as one in 88 children today have some form of autism, a complex brain disorder that affects a child's ability to communicate or form relationships, and makes a child appear distant, aloof, or detached from other people or surroundings. Autism varies widely in symptoms and severity, and some people have coexisting conditions such as intellectual disability or even epilepsy.

That is why Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team are specially trained to provide dental care to the entire special needs community, including autistic children. We know that a visit to the dentist with an autistic child can be difficult. In addition to the common fears associated with strangers, there are also unfamiliar sounds, sensations, bright lights, and tastes with which your child may not be comfortable. We work with parents to make sure visiting the dentist is not so traumatic for our autistic patients.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team also know that patients with autism may be more interested in equipment and instruments than in us. We show our patients every piece of equipment we are going to use in a way that they can understand. We also allow a patient to sit in a parent's lap in the open bay if he or she is not feeling at ease. We want your child to enjoy getting to know us and to be comfortable while under our care.

A pleasant, comfortable visit at our Kingston, ON office builds trust and helps put your child at ease for future appointments. Before a visit, we ask parents or guardians to bring their child's favorite toy, comfort item, music, or other coping device their child requires. We have a caring and compassionate team and know how to help autistic children acclimate themselves to a dental environment. We may not get everything done at the first visit, but we are able to schedule several appointments so that your child can get used to our office, the dentist, instruments, and our staff.

Children, especially those afflicted with autism, are not born with a fear of the dentist, but they can fear the unknown. Our team at Cataraqui Dental Centre genuinely cares for our patients beyond their teeth, and are more than happy to discuss any concerns you may have, as well as answer questions about your child's ongoing dental treatment. Please give us a call to learn more or schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman.

When should I begin brushing my baby's teeth?

January 26th, 2016

One question our team at Cataraqui Dental Centre hear all the time is, “When should I start brushing my baby’s teeth?”

You should begin regular cleanings even before your baby has teeth. After each breast feeding (or bottle-feeding) use a clean, damp washcloth to gently rub your baby’s gum tissue. You may wrap the material around one finger to make it easier to remove any food bits from your baby’s mouth.

When your baby’s first tooth comes in, switch to a baby toothbrush. Look for special baby toothbrushes in your drugstore; they have just a few bristles and are very soft. There are even brushes shaped like finger puppets that fit over the tip of your pointer finger! All you need at this point is water (no toothpaste yet).

After a few more teeth appear, you may start using toothpaste, but you only need a tiny bit, and make sure it doesn’t contain fluoride for the first two years. From the beginning, have your little one practice spitting the toothpaste out after brushing. That way, he or she will already have the good habit of spitting when you switch to fluoride toothpaste, which should never be swallowed.

If you have any questions about caring for your baby’s teeth, or to schedule an appointment at our convenient Kingston, ON office, please contact Cataraqui Dental Centre.

Ways to Make Brushing Fun for Your Child

January 19th, 2016

According to the Canadian Academy of Pediatric Dentistry, your child should visit a dentist, like Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman, when his or her first tooth pops through the gum, or by time they are one year old.

Children do not always want to brush their teeth. In fact, the average child has three cavities by the time they reach their third birthday. However, if you make brushing fun for them, they will look forward to it, and develop a lifelong habit of good oral hygiene.

How to Make Brushing Fun

  • Let them pick out their own toothbrush, like one with their favorite cartoon character.
  • Allow your child to choose their own special toothpaste, as long as it adheres to CAPD guidelines for safety.
  • Brush to a fun song that is two to three minutes long. When the music stops they are done brushing.
  • Brush your teeth with them. Make it a family affair!
  • Toddlers may be afraid of having their teeth brushed or brushing them by themselves. Allow them watch as you brush your teeth; this will help them to see that brushing their own teeth will not hurt them.
  • Reward systems are great incentives for children, just don’t overdo it. You’re trying to instill good brushing habits, not simply reward them for something they need to do.
  • Try an app on your phone; you’ll be surprised how many there are and how much fun your child will have using them.
  • It’s important to make sure every tooth gets brushed, so as you child brushes their teeth, count them. Then when they are finished ask them how many teeth they have. You can switch it up a little by giving each tooth a silly name or make up a short rhyme about each tooth as your child brushes.
  • Use educational tools, such as the movie “The Adventures of Timmy the Tooth.”
  • Read books to your child about brushing their teeth and good oral hygiene.

All you need is a little imagination to help your child learn to love brushing their teeth!

Mouthguard Q&A

January 12th, 2016

Today, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre thought we would talk about mouthguards, what they are, where to get them, and when to use them.

Q: What is a mouthguard?

A: A mouthguard, which is made of soft plastic, is a flexible, removable device that fits in your mouth and is adapted to fit comfortably to the shape of your upper teeth. A mouthguard will protect not only the teeth, but also your jaws, lips, tongue, cheeks, and gums, and should be worn anytime you are participating in full-contact athletic or recreational activities that may result in injury.

Q: How do mouthguards work? Why are mouthguards important?

A: A mouthguard works as a shock absorber to cushion your mouth from the effects of a blow to the face, head, or neck. Mouthguards protect teeth from not only fractures, but also hold the tongue, lips, and cheeks away from the teeth to avoid lacerations. Using a mouthguard as instructed by Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman can lessen the possibility of concussion and temporomandibular joint (TMJ) dislocation while you are out on the court or field. Increasingly, organized sports are requiring mouthguards to prevent injury to athletes, and research shows most mouth injuries occur when athletes are not wearing mouth protection.

Q: When should I wear a mouthguard?

A: Whenever you are participating in an activity that involves a risk of falling or head contact with other players. This includes football, baseball, basketball, soccer, hockey, and other competitive sports.

Q: How do I choose a mouthguard?

A: Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team encourage you to choose a mouthguard that you can wear comfortably. There are several options of mouthguards you may choose from. First, preformed or what we call “boil-to-fit” mouthguards are found in sports stores. But your best choice is asking us for one during your next visit as we can fabricate a custom mouthguard for you at our Kingston, ON office. A custom mouthguard will be more comfortable to wear and more effective in preventing injuries.

If you have any additional questions about mouthguards, please give us a call or ask us during your next visit!

Should I use mouthwash?

January 5th, 2016

Mouthwashes are commonly used as a part of a daily oral care regimen. Not only do they freshen breath, but some are capable of improving dental health too. Using a mouthwash daily can rinse fine debris away and out of reach while brushing. It can also make the teeth and gums more resilient to decay and disease.

Types of Mouthwashes

There are several types of mouthwashes available today that Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre want you to be aware of. Some do little more than freshen breath and are known as cosmetic mouthwashes. These are ideal for quickly eliminating odors that linger after eating, drinking, or taking medication. Using a cosmetic mouthwash does not offer any health benefits.

Other mouthwashes offer more comprehensive benefits; they can potentially prevent tooth decay and gum disease. Mouthwashes that contain antimicrobial agents work by preventing the buildup of plaque that can lead to gingivitis and decay of the tooth enamel. However, it should be noted that the use of a mouthwash is never a substitute for regular brushing and flossing.

In some cases, prescription mouthwashes are necessary to treat patients with gum disease or who have undergone periodontal surgery. These specialty mouthwashes are designed specifically for the treatment of gum disease and should not be used outside of their intended use. The majority of mouthwashes require no prescription.

Tips for Choosing a Mouthwash

The choice to use a mouthwash and which one to use is between you and your dentist, depending on your individual oral health needs. If you determine that a mouthwash is right for you, look for one that contains fluoride, if possible. Fluoride provides an added layer of protection for your teeth, and helps them become more resistant to decay. As always, if you have any questions or concerns when choosing a mouthwash, please give our team at Cataraqui Dental Centre a call for assistance in selecting the rinse that is best for you. Or, we invite to ask us during your next visit to our Kingston, ON office!

Pediatric Dental Emergency Know-How

December 29th, 2015

First aid training is a must when you are a parent. You can put on a bandage with your eyes closed. Perhaps even apply butterfly tape to avoid stitches. What about a dental injury? Do you have a checklist in mind on what to do when a tooth is knocked out, broken, or displaced from impact? All of these situations happen often and should be in a parent’s emergency training regiment. Luckily Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team are here to be a resource for such an incident!

Children’s most common dental injury is chipping a front tooth. It is so common that it seems like a right of passage. Say, for example, a two year old trips and hits her front teeth on the tile floor. First, check to see if the teeth have been broken to the nerve. You can tell if you see layers and a pinkish center. Then, wiggle each tooth and make sure it is not loose. If the teeth feel firmly in place, that is a good sign. Even if they are a little loose, the teeth will tighten again with time. If she develops a severe temperature or bite sensitivity then you know treatment is needed, which may include a root canal. If there are minor symptoms that diminish with time, continued observation will be fine.

Knocking out a tooth is also common and requires more attention than observation alone. As soon as possible, locate the tooth, touch only the crown (not the root), and rinse any debris gently with milk or water. Place it back into the tooth socket as soon as possible. The American Association of Endodontists states a tooth has a high chance of survival and retention for life if it is re-implanted within five minutes or up to 60 minutes if soaking in milk or saline solution. Our team at Cataraqui Dental Centre know many parents are nervous about the thought of doing this alone, but not to worry, our team is here to help!

Here’s another dental emergency example: Your child takes an elbow to the mouth during a basketball game and severely displaces a tooth but does not knock it out. What to do? First, apply light pressure in an attempt to move it back into place. Be extremely careful not to use excessive force. Place a cold pack for swelling and contact our office as soon as possible.

A dental emergency can be frightening. It is often messy and painful. The best initial reaction is to remain calm, and remember that we are here to help! Contact us at our Kingston, ON office if your child encounters a dental emergency.

I’ve lost a filling; now what?

December 22nd, 2015

Dental fillings usually protect our teeth, but sometimes they need to be protected, too. If you lose a filling, contact our Kingston, ON office immediately and let us advise you on the next steps to take.

Fillings serve an important function in oral health by preserving the structural integrity of your tooth. With the materials we use today, dental fillings usually last for many years, but they are subjected to the same stresses as your natural teeth are.

You can wear down, chip, crack, or break your fillings by eating, clenching, and grinding, and sometimes they can fall out completely. While you may not notice normal wear and tear, you should not ignore any fillings that loosen or fall out. Contact us as soon as possible so we can advise you about whether you need to be seen immediately.

If your fillings get damaged or fall out, a timely response can be important. There may be gaps or holes in your tooth which provide an easy access point for bacteria. Once bacteria begin working into your tooth structure, your tooth could become damaged even worse. Since cavities usually form in hard-to-reach places, it will be difficult for you to remove these bacteria through brushing alone.

When is a lost filling an emergency?

A lost or cracked filling is usually not an emergency unless you are in great pain or are bleeding excessively. In that case, contact our office immediately so we can schedule an emergency appointment. Otherwise we will schedule a regular appointment to evaluate and repair your filling. Before coming in for your appointment, try to avoid chewing on that side of your mouth, rinse with warm salt water, and be sure to brush and floss thoroughly after every meal.

Once you come to our office, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman will examine your tooth, assess the situation, and advise you of your options. We may be able to replace the filling and can discuss whether an amalgam or composite material would be the best for your teeth. If the filling was large, a root canal or a dental implant and crown may be necessary.

A lost or cracked filling may not always pose a dental emergency, but it’s always important to contact us so our team can help you take the proper action to preserve your oral health.

Can children be at risk for developing periodontal disease?

December 15th, 2015

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team hear this question a lot. While many people believe periodontal disease is an adult problem, studies have indicated that periodontal disease, also known as gum disease, as well as other serious infections such as gingivitis and periodontitis, are prevalent among kids and adolescents. First, let’s identify the differences between gingivitis, periodontitis, and periodontal disease.

Gingivitis

Gingivitis is a type of periodontal disease in which only your child’s gums are affected. Characterized by swollen and red gums that bleed easily, gingivitis causes an inflammation of the gums, and is the first stage and mildest form of periodontal disease. The good news is that gingivitis is often reversible. Treatment for gingivitis includes having your child come in for a professional teeth cleaning. It also includes daily brushing, which will help eliminate plaque from the surfaces of your child’s teeth. Your child should also get in the habit of flossing daily to remove plaque and food particles wedged in the crevices between his or her teeth.

Periodontitis

If left untreated, gingivitis can progress to periodontitis, the advanced stage of gum disease that can not only damage your child’s gum tissue, but also destroy the underlying bone which supports the teeth. Eventually, teeth can become loose and may have to be removed. In some cases, the bacteria from the ensuing infection may also be distributed to other areas of the body via the bloodstream.

Periodontal Disease

Periodontal disease is a chronic bacterial infection of the gums, periodontal ligament, and bone that surround and support your child’s teeth. Periodontal disease causes gums to become red, swollen, and tender, and can even cause the gums to recede (pull away) from the teeth. If left untreated, periodontal disease can lead to tooth loss.

Having persistent at-home oral care regimen is a critical step in your child’s fight against periodontal disease. But sometimes brushing and flossing are simply not enough. Having your child’s teeth cleaned twice a year, or as recommended, is crucial.

Early diagnosis of gingivitis, periodontitis, and periodontal disease can give you and your child peace of mind. If you are concerned your child is suffering from gum disease, we recommend that you give us a call at our Kingston, ON office. We look forward to working with you and giving your child a smile to last a lifetime!

Steer clear of that candy!

December 8th, 2015

At Cataraqui Dental Centre, we know how tempting candy can sometimes be on our sweet tooth, but it’s important to remember that every candy and sugary treat you consume elevates your risk of developing tooth decay, which can break down your teeth.

While not all bad in moderation, when eaten in excess, candy can lead to big problems, especially if good oral hygiene habits are not followed. We have a few helpful tips if you just can’t stay away from all those treats:

1. Consume candy and other sweets during meals when your saliva can help neutralize the acids that are found in some candies, especially the sour variety.

2. Avoid sticky or hard candies, which can stay in your mouth longer than you think, resulting in acids being constantly exposed to your teeth. That leads to cavities and tooth decay.

3. Make sure the water you drink is fluoridated. Water that is fluoridated has been shown to help prevent cavities.

4. Make sure to maintain your daily oral hygiene habits. This includes brushing twice a day, and flossing at least once.

5. Visit our office twice a year for regular dental checkups and cleanings with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman. During your visit, we can help catch problems such as cavities early to reduce the effects they have on your teeth, as well as give you tips for improving your oral health.

We hope these tips have helped! To learn more about cavity prevention, or to schedule your next visit at our convenient Kingston, ON office, please give us a call!

My child is getting blood blisters; is this normal?

December 1st, 2015

Thanks for the question. The “blisters” you are referring to are actually a normal part of losing baby teeth. Sometimes when teeth start to come through, children experience some bleeding under the skin, which typically causes small blisters or bruises on your child’s gums. The blisters, bluish in color, will disappear once the tooth comes through, and the tooth itself will still come through as it should.

Even though they can look a little frightening at first, there is no treatment required to treat blisters, nor are these blisters preventable. In fact, our bodies do a great job of cleaning up the loose ends of baby tooth loss and permanent tooth emergence, and not too long after, it’s as if no blisters ever happened. It’s important to note, however, that these blisters should not be pricked or cut as doing so may cause an infection in your child’s mouth.

If you are worried about blisters or bruises in your child’s mouth, please give us a call at our convenient Kingston, ON office to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman. We especially encourage you to give us a call if your child has had one of these blisters for more than a month and the tooth has yet to come through.

Can my child really avoid tooth decay?

November 24th, 2015

Great question! Yes, in fact, tooth decay is preventable! Decay, which is caused by sugars left in your child’s mouth, can turn into an acid, which in turn can break down his or her teeth. Children are at high risk for tooth decay for a simple reason: many children and adolescents tend to be lax in their oral hygiene habits.

So, how can your child prevent tooth decay?

  • Start early. After the age of two, brush your child’s teeth with fluoride toothpaste twice a day. And, if possible, clean between the teeth with dental floss at least once a day, preferably before they go to bed.
  • Don’t allow your little ones to eat after cleaning teeth at bedtime, as salivary flow decreases while they sleep and their teeth become vulnerable to cavities.
  • Do not allow your little ones to nibble food or sip drinks continuously, and keep in mind that a low-sugar diet also helps keep tooth decay at bay. Allow time between meals for saliva to neutralize acids and repair the teeth.
  • Drinking water frequently throughout the day can also reduce the possibility of new cavities forming.
  • Dental sealants can also protect your children’s teeth from cavities. Sealants, which are applied to the chewing surfaces of molars, act as a shield between the tooth and harmful bacteria.

Finally, make sure your child visits Cataraqui Dental Centre approximately every six months for a checkup and routine cleaning! Please give us a call at our Kingston, ON office.

Sleep Apnea: How we can help

November 17th, 2015

At Cataraqui Dental Centre, we understand that getting high-quality sleep is vital to maintaining your overall health. Insufficient sleep can lead to an inability to concentrate, motor vehicle accidents, and difficulty performing at work. Since over 850,000 Canadians suffer from sleep apnea, this poses a significant public health problem. If you think you may have sleep apnea, talk to Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team about devices that can help you get a good night’s rest.

What is sleep apnea?

Sleep apnea is a relatively common disorder in which breathing stops or becomes very shallow during the night. These bouts of paused breathing may last a few seconds or as long as several minutes. When 30 or more breathing interruptions occur per hour, sleep apnea leads to dramatic reductions in sleep quality. In many cases, this condition is caused by your airway becoming blocked or collapsed during sleep.

Anyone can get sleep apnea, but there are certain factors that increase your risk. Having small airways, being overweight, being male, or having a family history of sleep apnea increases the likelihood that you will develop the disorder. If you think you have sleep apnea, visit highly encourage you to visit our Kingston, ON office for a thorough physical exam, comprehensive medical history, and a sleep study.

Treatment Options

Several treatment avenues are available for people with sleep apnea. One popular option is to wear an oral appliance. For example, a mandibular advancement device (MAD) looks like a sports mouthguard and slightly repositions your jaw, to keep your airway unobstructed. Another option is a tongue-retraining device (TRD), which holds your tongue in place to ensure that your airway stays open during the night.

For individuals with mild-to-moderate sleep apnea, dental devices are a smart option. Many patients enjoy improved sleep, reductions in snoring, and less fatigue during daytime hours. If you’re curious about getting an oral appliance to help with your sleep apnea, please consult our team at Cataraqui Dental Centre. After a consultation and examination, we can fit the type of device that works best for your condition.

Sealants Protect Your Child’s Teeth from Decay

November 10th, 2015

Sealants provide a thin coating over molars that can be a powerful tool to protect your child’s teeth from decay. This simple and painless solution can be applied in a matter of minutes by our team at Cataraqui Dental Centre, forming a protective shield and avoiding costly and painful cavities or other forms of tooth decay later.

The Causes of Tooth Decay

Our mouths are routinely filled with germs and bacteria. Some of these bacteria can be helpful in converting the foods we eat (especially sugars in the food) into acids that our bodies use to break down food. However, when we eat too much sugar, the excess acids can cause cavities and other decay in teeth.

Molars (our chewing teeth) are prime sites for tooth decay because they have rough surfaces with lots of little grooves where small food particles and germs find places to stay for extended periods of time. If you can prevent tooth decay in your child’s teeth now, you may be able to avoid treatments for decaying teeth later in life—costly and painful procedures like crowns and fillings.

Protecting Against Decay

A comprehensive plan for mouth care can protect against tooth decay. This plan should include:

  • Drinking water with fluoride in it or using other fluoride supplements
  • Eating a healthy diet (avoiding excessive sugar)
  • Brushing teeth regularly
  • Applying sealants

On their own, each of these activities is good but does not provide enough protection against decay. Fluoride is best for protecting the smooth surfaces of our front teeth, but may not provide enough of a shield for our rough, uneven back teeth. In addition, toothbrush bristles may not get to all the tiny food particles and germs in our mouths. For these reasons, sealants are the recommended preventive measure for molars in the fight against germs.

Who needs sealants, and when?

The best time to get a sealant is when your child’s adult teeth are just growing in. Between the ages of about five and seven, children grow their first permanent molar teeth, and they grow a second set of permanent molars between the ages of 11 and 14. Sealants placed on these teeth as soon as they grow in will be most effective in preventing tooth decay before it occurs.

If your child still has his or her baby teeth, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman may recommend sealants for teeth that are especially rough or uneven and may be prone to tooth decay. When your child loses his or her baby teeth, we will apply new sealants to the permanent teeth when they grow in. In addition, our team may recommend sealants for adults in special cases; for example, if a previously placed sealant falls out, if you never had sealants put in as a child, or if your teeth are prone to decay and the preventive treatment may help.

Talk to us during your next visit at our Kingston, ON office to learn more about how dental sealants can help protect your child’s teeth.

Best Tips to Make Your Teeth Look Whiter

November 3rd, 2015

Your teeth were once naturally white and bright. Wouldn't it be great to keep them that way all of your life? Unfortunately, everyday living can dim our smiles. Food, coffee, some juices, and soft drinks can stain your teeth. Poor brushing and flossing can also leave tooth stains. Injuries to teeth or gums can cause some yellowing as well, and in some cases, medicines can discolor teeth.

So, you may need some extra help to maintain or restore your teeth's natural beauty. Here are some of the best ways to whiten your teeth:

1. Reduce additional staining by drinking with a straw or cutting back on coffee and soft drinks.

2. Brush and floss every day.

3. Try a whitening toothpaste or mouthwash.

4. Visit our office for teeth cleaning and an exam every six months.

We can also help you whiten your teeth with in-office professional teeth whitening at our Kingston, ON office. These whitening products are much more effective than whiteners you can buy at the store and are completely safe. Since they're stronger, application by a member of our team is essential to achieve the best results.

Some teeth can resist bleaching. If that's the case, we can try several techniques:

  • Deep bleaching that applies whitening agents over several visits.
  • Veneers and bonds that cover existing stains with a whiter, brighter surface.
  • Laser whitening that uses light to clean stubborn stains off teeth.

Take Care!

You may come across “bleaching stations” in shopping malls or at fairs. Avoid using these as the so-called whitening techniques can irritate your teeth and gums, leaving them highly sensitive to pain. Note too, that the operators of these whitening stands will make customers apply the bleach themselves, to avoid charges of practicing without a license. That should serve as a red flag and a caution to seek trained professionals, like Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman, instead.

How can I protect my child's teeth during sports?

October 27th, 2015

Sports are great for children for a variety of reasons. Children can develop their motor skills, learn how to solve conflicts and work together, and develop their work ethics. As a parent, you may recognize the benefits of sports, but also naturally worry about your child’s health and safety. Your job goes beyond providing a water bottle and making sure your child follows the rules of the game.

Although you may not think of your child’s teeth first when you think about sports, accidents can happen that affect your children’s teeth. A stray hockey stick, an errant basketball, or a misguided dive after a volleyball are examples of ways a child could lose a tooth. In fact, studies show that young athletes lose more than three million teeth each year.

Becoming a Better Athlete to Protect Teeth

Becoming a better athlete involves refining skills, learning the rules of the game, and being a good sport. These components are not just about winning. They are also about safety. Young athletes who are better ball-handlers and who are careful to avoid fouls and penalties are less likely to have harmful contact with the ball, teammates, or opponents. Children who are better roller-bladers are less likely to take a face plant into the blacktop, and more likely to save their teeth. Being a good sport and avoiding unnecessary contact is one way to protect teeth.

Proper Protective Equipment for Teeth

If your child is in a sport that poses a high threat to teeth, it is essential for your child to wear a mouthguard. Mouthguards fit your child’s mouth and consist of soft plastic. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman can custom fit a mouthguard if generic ones are uncomfortable. While children may resist wearing a mouthguard initially, your persistence in insisting that they wear it should be enough to convince them. A helmet or face mask provides additional protection.

While prevention is best, rapid treatment can improve the situation if your child does happen to lose a tooth during sports. Rapid implantation can work in about ten percent of cases. To learn about ways to save a lost tooth, contact our Kingston, ON office.

IV Sedation Dentistry: What is it, and how can it help?

October 20th, 2015

While Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre strive to offer a comfortable and unmatched experience for all our patients, we realize that fear or anxiety while visiting the dentist still affects some of our patients. For those of our patients who need extra comfort and relaxation during their visits, we are more than happy to offer IV sedation, a safe and effective option that provides a deeper and more complete relaxing state than most common oral medications.

Sedation dentistry at our Kingston, ON office can turn a nerve-wracking and sweaty-palmed visit into a comfortable and pleasant one, and allows our patients to drift through their appointments, including complex dental work, feeling completely relaxed and without any discomfort or pain.

During sedation, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team will monitor your comfort, providing as much medication as necessary to keep you relaxed. We will also use the best tools we have at our disposal to monitor your vital signs so that you can have peace of mind before your procedure.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team will be able to tell you if you are a candidate for sedation dentistry and will be more than happy to discuss any concerns, issues, or fears you may have before or during your visit. By talking with us about sedation dentistry, you can feel more comfortable and relaxed during your next visit to Cataraqui Dental Centre. Give us a call today!

Top Five Reasons to Choose Veneers

October 13th, 2015

If you notice every imperfection in your smile and you are aiming for a more ideal-looking smile, veneers might be for you. Veneers are common tools in cosmetic dentistry for improving the look of your teeth. They are thin layers, either made of resin composite or dental porcelain, that go over your teeth. If you are considering dental veneers, these five reasons to choose them may help persuade you.

1. They hide imperfections.

The basis of cosmetic dentistry is providing an attractive smile, and veneers are designed to hide imperfections such as chipped, uneven, or badly aligned teeth. With veneers, teeth are even and uniformly colored.

2. They are durable.

Dental veneers can last for a decade to up to 30 years, so you do not need to continually go back to our Kingston, ON office to replace them. On average, veneers last longer than standard fillings.

3. You can get the process done quickly.

Often, you can get a full set of dental veneers in a three visits and within a few weeks. The first appointment is a consultation to evaluate your teeth and plan your treatment. At the next visit, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team prepare your teeth for veneers and take an impression of your teeth so the laboratory can custom-make your veneers. During the final visit, we bond the new veneers to the surfaces of your teeth.

4. They can whiten the appearance of your teeth.

Coffee, smoking, excessive fluoride, and certain drugs can yellow your teeth over time. Dental veneers can be colored to have a bright white appearance so your teeth appear noticeably whiter. This can be especially beneficial for individuals whose teeth are naturally off-white and do not respond well to bleach-based whitening treatments.

5. They can fix minor dental problems.

Dental veneers are not solely cosmetic. They can improve a variety of dental concerns, such as teeth with uneven spaces. They can hide the appearance of chipped and broken teeth, and make more even teeth that are worn down, spaced unevenly, or shaped irregularly. Since Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman can manufacture the veneers to match your natural tooth color, these thin layers are more attractive than unsightly fixes such as metal fillings.

How to Brush a Two-Year-Old’s Teeth Effectively

October 6th, 2015

Our team at Cataraqui Dental Centre would like to offer some tips regarding the sometimes dreaded task of brushing a toddler’s teeth.

Much of the trick lies in the positioning. Before you begin, make sure you are in a position of control. This protects both you and your child from injury. Consider how well you can see. If you cannot see clearly, the quality of brushing drops significantly. For instance, if your child is standing, you are likely to see only the bottom teeth well.

Our team finds that the best position for brushing and flossing a toddler is when your child is calm. Have your child lie down on his or her back with arms out to make a T. Sit down just above the head and lightly place your legs over your child’s arms. Using a circular motion, brush all sides of the teeth.

It may sound odd, but approaching the routine this way can make brushing time a cinch! After you’re done, give your child the toothbrush and let him or her have a turn. The benefit of doing the brushing and flossing first is that it gives an example, which your child is more likely to repeat when you’re done.

Different methods work best for different families and children. These practices need to be performed with kindness and care. Be gentle and make this time a happy learning time. Don’t forget to bring your child to our Kingston, ON office for regular dental checkups and cleanings. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman can advise you on ways to implement portions of these tips in a way that may work bests for you and your child.

Understanding Cavities

September 29th, 2015

Getting a cavity seems like delayed punishment for eating that special dessert every weekend or for the few days you forgot to floss. When you are doing everything right with minimal exception and a cavity is diagnosed, it is discouraging. Knowing how cavities form and what causes them is valuable in knowing how to prevent them. In this blog post, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman will help you understand cavities!

A cavity is not a one-time event. It is actually a symptom of a disease called caries. Tooth decay is a result of an active infection and condition in the mouth. There are ingredients to this infection, which include bacteria, acid, your tooth, and a food source. The main bacterial culprit is S. Mutans. Bacteria live in a housing structure called biofilm. This offers them protection, food, and an ideal replicating environment.

Biofilm can be healthy if there is a balance of good bacteria. When you have caries, the numbers of “bad” bacteria increase and produce an environment where they thrive and therefore cause tooth decay. A main indicator of this is a pH measurement of your saliva.

Several factors can influence the biofilm pH. Foods and beverages all have different pH levels. The lower the number, the higher the acidity. Since acid promotes tooth decay, a beverage like soda will promote a cavity. Water, being neutral, is a good choice to promote healthy oral pH. Healthy eating can still cause cavities. Here is an example of a highly acidic, yet traditionally healthy meal:

Toast with store-bought strawberry jam, and a cup of cottage cheese topped with fresh cranberries.

Instead, here is a better choice, which involves mixing acidic healthy foods with alkaline (non-acidic) foods to reduce the overall pH:

Toast with almond butter, and Greek yogurt topped with fresh blueberries.

The first example will result in a very low pH in the mouth and even in the rest of the body. The second meal mixes highly acidic blueberries with an alkaline Greek yogurt. Dairy products from cows are highly acidic. Toast is acidic because of the yeast and almonds are alkaline.

A natural buffer is saliva. Whenever mouth breathing or medications compromise the saliva flow, the pH is going to drop and caries can go rampant. Getting a cavity is not just about the sweets or forgotten flossing sessions. It is about the pH levels and bacterial management.

For more helpful tips about how to avoid cavities, contact our Kingston, ON office.

Snacks for Healthy Teeth

September 22nd, 2015

Concerned parents often ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman about which kinds of snacks are best for a child's teeth. While most know that candy isn't always the best choice, many parents are confused about which kinds of after-school snacks can actually be beneficial for teeth. Left to their own devices, children might pick the sugary snack that comes in colorful packaging. There are, however, choices that are much better for your child's teeth.

Go Natural

The foods that are best for your children's teeth are also the best for their overall health. Choosing whole foods, such as fruits and vegetables, is always the best option for snacks. Try sticks of celery and let your kids dip it into all-natural peanut butter, or a juicy and crunchy apple cut into wedges.

Lean Proteins

Lean protein, such as chicken breast, fish, turkey, and lean cuts of pork also make good snacking options. For the best overall health, avoid giving your child a lot of lunch meats, because such products are often higher in sodium. However, these proteins are also low in sugar, which is always a preferable choice when it comes to teeth.

Avoid Packaged Foods

Sugars are unhealthy partly because they stick more readily to the surface of the teeth. Even foods that appear to be healthy, such as many brands of granola bars, can in fact be loaded with hidden sugars. Sugar can also be found in higher concentrations in dried fruit, honey, and syrups. The rule is that if a foodstuff has been altered in any way from its original state then there are perhaps better choices.

Beverages

Drinks are another murky area. Parents often presume that fruit juices are an acceptable beverage when in reality many of them are loaded with excessive sugar as well. The best beverages for your child's teeth are water and low-fat milk. Milk has the added benefit of containing calcium, which is highly beneficial for the bone structure that supports the teeth.

An apple a day might keep the doctor away, but it is also a great snack to keep teeth healthy. The next time your children are looking for an after-school snack, guide them toward healthier, low-sugar options that are beneficial to their overall health and their teeth.

Do I lose my wisdom if I lose my wisdom teeth?

September 15th, 2015

The third molars have long been known as your “wisdom teeth,” because they are the last teeth to erupt from the gums – usually sometime during the late teens to early twenties. This is a time in life that many consider an “age of wisdom”; hence the term, “wisdom teeth.”

Extracting the third molars does not have any effect on your actual wisdom … and Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our staff are sorry to say that holding on to them can’t make you smarter, either. So if you somehow feel that you became wiser and smarter when your wisdom teeth appeared, chalk it up to age rather than teeth.

In fact, you may just be showing how smart you are by having your wisdom teeth removed. Mankind once relied on the wisdom teeth to replace teeth that were damaged or missing, thanks to a poor diet. But dietary changes and advances in modern dentistry make it possible for many people to hold on to their teeth for many decades, which eliminated the need for third molars.

For many people, wisdom teeth cause nothing but problems: becoming impacted, irritating surrounding gum tissue, or even causing other teeth to become crooked or overlap. By removing them, patients often enjoy a lower risk of decay, infection, and aesthetic complications.

So rest assured that extracting your wisdom teeth will have no effect on your immediate or long-term intelligence.

Pediatric Dentistry Q&A

September 8th, 2015

Today, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre thought we would answer some of the most frequent questions about pediatric dentistry and oral health we hear from parents.

What constitutes a “healthy, balanced diet” for my child?

A healthy, balanced diet contains all the nutrients your child needs to grow, including one serving each of fruits and vegetables, breads and cereals, milk and dairy products, and meat, fish and eggs per day. Make sure your child limits snacking in between meals and limits how frequently they consume food or beverages that contain sugar, which is known to cause tooth decay. Besides pastries, cookies, and candy, sugars are usually found in processed foods such as crackers, cereals, and soda, as well as in condiments like ketchup.

Should my kid give up all foods that contain sugar?

Absolutely not, we simply recommend choosing and serving sugars sparingly. A food with sugar is safer for teeth if it is eaten with a meal, not as a snack. When your child chews during his or her meal, the saliva produced helps neutralize the acids that are found in sugary and starchy foods. Foods that are not easily washed away from your child’s teeth by saliva, water, or milk have more cavity-causing potential.

What causes cavities?

Many types of bacteria live in our mouths—some good, some bad. When these bacteria come into contact with sugary foods left behind on your child’s teeth after eating, acids are produced. These acids then attack the enamel, and eventually eat through the enamel and create holes in the teeth, which Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team call cavities, or caries.

How can I help my child avoid cavities?

This is a great question that we hear a lot. Make sure that your child brushes his teeth twice a day with fluoride toothpaste. Flossing daily is also important, as flossing can reach spots between the teeth that brushing simply can’t. And finally, we encourage you to schedule regular appointments with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman at our Kingston, ON office so that we can check the state of your child’s teeth and gums, as well as provide a professional cleaning to protect him or her from cavities and gum disease.

What is the best way to clean my baby’s teeth?

We recommend you clean your baby’s gums after feedings with a damp, soft washcloth. This is even before your baby’s first tooth appears. As soon as his or her first tooth does appear, you may begin using a toothbrush with soft bristles and a small head. You can most likely find a toothbrush designed for infants at your local drugstore or ask us for one during your next visit.

What should I do if my child has a toothache?

First, we recommend rinsing the irritated area with warm salt water and placing a cold compress on his or her face if it is swollen. If you have any at home, give your child acetaminophen for any pain, rather than placing aspirin on the affected teeth or gums. Finally, give us a call as soon as possible to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman.

We hope that helps! Please give us a call if you have any questions or ask us next time you visit our office for your child’s appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman! If you have any other questions, or would like to schedule an appointment, we would love to hear from you.

Common Emergency Visits: From lost fillings to broken dentures

September 1st, 2015

You never know when you're going to experience a dental emergency, but if you do, it should give you peace of mind to know that emergency dental care is available at our office.  Whether you chip your front tooth playing softball, or your child knocks out a couple of teeth in a playground fall, receiving the emergency dental treatment you need is accessible and convenient.

If you're experiencing a dental emergency, our team at Cataraqui Dental Centre is here to help you.  Dental emergencies should not be taken lightly, so don't delay. Contact our office as soon as possible. Common dental emergencies include the following:

Lost Fillings and Crowns

Fillings are used to repair cavities. Crowns, on the other hand, are used to cover broken or damaged teeth. Over time, it’s possible for both of these items to loosen and fall out. A lost filling or crown can be painful, because the exposed tissue may be sensitive. Hot and cold temperatures will cause discomfort. While a lost filling or crown might not be as severe a dental emergency as a broken or chipped tooth (most people respond quicker to pain than self-consciousness about their looks), you need to get it fixed as soon as possible.

Broken Dentures

If your dentures are broken, everyday tasks may become trying and arduous. If you can’t chew, swallow, or eat properly, the situation calls for emergency care. Depending on how damaged your dentures are, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman may need to send out a mold of your mouth in order to have the manufacturer make a new pair. On the other hand, if the dentures are not damaged too badly, then we may be able to fix them in-house. If you're having problems with your dentures, you should give us a call as soon as possible.

From chipped and cracked teeth to lost fillings and broken dentures, dental emergencies come in all shapes and sizes. Emergencies are unexpected, but we want you to know that treatment is available, day or night. When your dental health is at risk, we are here to help. In the case of a dental emergency, don't wait; contact our Kingston, ON office at your earliest convenience.

Are you a tooth grinder?

August 25th, 2015

Perhaps you had a particularly irritating commute home from work, and you realize at the end that your jaw was clenched tight the entire time. Or maybe you grind your teeth when you are nervous or anxious about an upcoming business meeting. Most people grind their teeth from time to time, but it’s important to recognize the signs and symptoms of chronic tooth grinding. Known as bruxism, this condition can lead to oral health problems and dental issues later.

Signs and symptoms of bruxism

  • Your partner might complain about the fact that you grind your teeth while you sleep. People who grind their teeth on a regular basis often do so during the night, and aren’t necessarily aware it is happening. However, your partner will more than likely notice if you develop this condition. If he or she mentions that it happens often, you might want to contact our team at Cataraqui Dental Centre.
  • You may experience a persistent and unexplained headache if you grind your teeth too often. You may not realize why you have this headache, because you are not aware of the fact that you have been grinding your teeth. Take note of any headaches you have, and if you cannot attribute them to another source, please give us a call to set up an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman.
  • Your jaw will more than likely become sore if you suffer from bruxism. If you wake up in the morning and have any discomfort in your jaw, you might have spent the night grinding your teeth. Our team can give you tips and advice for managing bruxism.

While many people associate their teeth grinding with stress, it actually is caused more often by crooked teeth, an overbite, or an under bite. If left untreated, bruxism can lead to a variety of complications, including dental injuries, hearing loss, and the onset of TMD. If you think that you might be a chronic tooth grinder, it might be time to set up an appointment at our Kingston, ON office in order to find out which treatment options are available to you.

Teeth Grinding: Not just a bad habit, but a dental concern

August 18th, 2015

Perhaps you don't even know you grind your teeth. Maybe a spouse or loved one woke you up in the middle of the night and made you aware of what was happening.

For many people, teeth grinding is a habit and a mechanical reflex; when they’re awakened and informed they were grinding their teeth, they have no recollection of it at all. According to the American Dental Association, this is the nightly situation for roughly ten percent of Americans. From young children to the elderly, teeth grinding, known in the dental community as bruxism, is a serious concern.

Many people who grind their teeth in their sleep have no idea they're doing it. In fact, when they wake up in the morning they feel no jaw pain and their teeth are fine: if it hadn’t been for someone telling them about it, the teeth grinding would have gone unnoticed.

There are other people, however, who wake up with jaw pain, shoulder and neck pain, and headaches. Teeth grinding can cause a host of dental complications. From cracked teeth and receding gums to a misaligned jaw, teeth grinding is not something to take lightly.

Preventive measures are the key to combating bruxism, and a visit to Cataraqui Dental Centre can set you on the path to a healthy and safe night sleep.

The Reasons for Teeth Grinding

There are many reasons for teeth grinding. For some people, it’s a habit they acquired when they were a child and never grew out of. On the other hand, some research claims that the condition is related to stress, anxiety, or some other type of psychiatric issue.

Still other studies point to everything from poor muscle control or over-eating before bed to gastro-esophageal issues. However, the root cause of the teeth grinding is less important than identifying preventive measures against it.

Common solutions to teeth grinding include:

  • Wearing a protective nightguard
  • Stress management techniques
  • Medications and muscle relaxers

When you make an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman at our Kingston, ON office, we will assess your situation and determine what the best course of action is. Teeth grinding is a dental concern that can cause serious health issues down the road, so be sure to take preventive measures today.

Tooth Worms? The History of Cavities and Tooth Fillings

August 11th, 2015

Scientists have discovered tooth decay in specimens that are more than 15,000 years old. The ancients once thought that cavities were caused by something called “tooth worms” … Eew! They didn’t exist, of course, but how else could humans explain the holes that cavities make in teeth?

The appearance of cavities on a widespread basis is often traced to the rise of farming. The new diet filled with grains and carbs made our mouths a haven for cavity-causing bacteria. As we added more sugar to our diets, our teeth got worse.

The “tooth worm” idea didn’t completely disappear until the 1700s when scientists finally began to understand the process of dental caries. Once that part of the puzzle was solved, they began focusing on filling existing cavities and preventing new ones.

Dental Fillings Come of Age

Many different materials, including beeswax, cork, aluminum, tin, and even asbestos, have been used to fill the holes caused by dental decay. Sometime in the mid-1800s, however, dentists began to use metal fillings such as gold, platinum, silver and lead amalgams.

The amalgam we use today is mixed from liquid mercury, silver, tin, copper, zinc, and other metals, but some patients still like the look of a gold filling. Newer options include composite-resin fillings, which are made from a tooth-colored mixture of plastic resin and finely ground glass-like or quartz particles that form a durable and discreet filling. Porcelain or ceramic fillings are natural in color, but more resistant to staining.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman can help decide which filling is best for you, based on cost as well as your dental and lifestyle needs. You may not have “tooth worms,” but if you have cavities, contact our Kingston, ON office so we can take the proper action to protect the health of your mouth.

Should I have TMD treated? Why?

August 4th, 2015

TMD occurs when your bite is not properly aligned. It can cause the jaw to experience unnatural stresses and prevent it from resting properly when your mouth is closed. If you have TMD, you may have noticed a clicking noise when you chew, speak, or yawn; you may even experience pain and discomfort during these actions. In some cases, your jaw may feel “locked” following a wide yawn.

TMD can cause pain and discomfort in the jaw as well as headaches that occur when the muscles that help the joints open and close become overtired. But beyond the pain and discomfort, TMD can also cause serious dental problems if left untreated.

Because TMD is associated with a poor bite or malocclusion (which literally translated means “bad closure”), your teeth do not meet properly. As a result, extra tension and stress may be placed on your teeth, resulting in chips and cracks that allow cavities to form and may even result in tooth loss. Over time, TMD can cause teeth to break, which requires cosmetic treatment to rebuild your healthy smile, and ensure the broken tooth and its neighbors are protected from decay.

While treating TMD used to mean expensive and invasive surgery to reposition or even rebuild the jaw joints, today’s approach at Cataraqui Dental Centre is much more patient-friendly. By restoring broken, chipped, or cracked teeth, replacing missing teeth, and using braces or other dental devices, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team can help realign your jaw so it’s able to function properly, and eliminate pain and discomfort. And there’s more good news: By restoring damaged teeth and tooth surfaces and straightening crooked teeth, you’re also left with a more attractive smile once treatment is completed.

Every patient is different, and that means your course of treatment will be different too. After a thorough examination of your teeth and jaw, our experienced staff at Cataraqui Dental Centre will work with you to develop a treatment plan that will have you feeling better – and looking better – sooner than you ever expected. Don’t let your untreated TMD cause more pain and problems; give us a call at our convenient Kingston, ON office today to schedule a consultation.

Sealants: What are they and how do they help?

August 4th, 2015

Molars are made up of canyons, caves, pits, and seemingly endless caverns that are a breeding ground for decay. The protective solution is a sealant. When done correctly, a sealant from Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman of Cataraqui Dental Centre can be most effective in preventing cavities.

A sealant is made up of composite (a plastic-like) material that contains bonding agents to seal to the edge of the tooth. Sealants placed on the chewing surfaces of back teeth block food from being trapped. The process in which a sealant is placed is quite precise and painless.

First the tooth is cleaned with a sodium bicarbonate (baking soda) spray. Then an acid etch is applied to “roughen up” the surface. No saliva is to touch the tooth. This will re-mineralize the area, then a repeat etching is needed. An alcohol-based liquid then dries out the area and it must remain completely dry. The sealant is placed and guided through all the caverns, pits, fissures, and grooves. It is then cured with a special light, which makes it a hard, plastic-like material.

Sealants can last for several years. It is wise to have them examined on a semi-annual basis. If there is a break in the sealant, a high risk for decay is common. If a sealant is damaged, repair is simple, painless, and quick to complete.

Who can benefit from sealants? Anyone! Children often receive sealants as routine preventive care. Adults with deep canyons with stained grooves on their teeth can also benefit from a sealant. The process is quick, painless, and does not require any anesthesia. It is an effective way to lower dental restorative costs.

An investment in dental sealants can reap great benefits as properly cared for teeth will remain cavity free. Our Kingston, ON location is available to answer your questions so give us a call today!

What should I do if my child has a toothache?

July 28th, 2015

Toothaches in children can be tricky ordeals that cause distress for both the child and the parent. You may feel helpless and frustrated because you cannot pinpoint the location of the pain. It is so hard to see your little one experience discomfort and feel like there is nothing you can do about it. But there are ways you can help. Try these tips the next time your child has a toothache.

Zero in on the Painful Area

The first thing you need to do is find out where the pain is coming from. If your child is old enough, ask him or her to point to the painful area. In younger children, look for swelling and redness on the gums and cheek, dental caries (discolorations on the tooth), or broken teeth. Try to get as close to the location of the pain as possible so you can determine an effective course of action to relieve it.

Try to Find the Cause

Not all toothaches are actually toothaches. A child can bite his or her tongue or cheek, have sore gums, or develop ulcers in the mouth. Teeth that are coming in can also be quite painful. If a tooth is discolored, broken, loose, or has spots that are either darker or lighter than the rest of the tooth, those could be causes of pain.

Five-Step Approach to Dental Pain Relief

  1. Floss. Help your child floss to remove any food particles that may be wedged between the teeth and could be causing pain.
  2. Rinse with warm salt water. Use a warm salt-water solution and have your child rinse well by swishing or holding the salt water over the painful area.
  3. Use a cold compress. This can relieve pain and swelling. If there is no swelling, you can try it anyway to subdue the pain. Try it on for about 15 minutes, then off for 20.
  4. Give the child ibuprofen or acetaminophen. Use the appropriate dosage for your child’s age and administer it regularly as directed.
  5. See Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman. If you determine that the tooth or gum is damaged, or if the pain simply cannot be relieved, call our Kingston, ON office.

If your child is experiencing throbbing pain, fatigue, or fever, you should call your pediatrician as soon as possible. If your child is experiencing mouth pain accompanied by trouble breathing or swallowing, it can indicate a more serious situation and you should take your son or daughter to the emergency room.

Most mouth pain in children can be remedied with the simple steps here. The important thing is that you remain calm, no matter what. You child is taking cues from you and if you panic, he or she will panic.

What’s an intraoral camera?

July 21st, 2015

One of the greatest features our team at Cataraqui Dental Centre offers is the ability to see first-hand how we can help our patients. While X-rays help us detect any problems in your mouth and give us valuable information on what is bothering you, they often don’t give Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman a complete view of everything that is going on inside your mouth. With the use of an intraoral camera, we can see every aspect of your teeth and mouth with incredible detail, uncovering cracked or fractured teeth, excessive wear, carious lesions, cavities, or other issues that may be hidden. When we can discover oral problems early on, your treatment is much less invasive and often saves you money down the road.

An intraoral camera allows Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman to view clear, precise images of your mouth, teeth, and gums and allows us to make an accurate diagnosis.  With clear, defined, enlarged images, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team see details that standard mirror examinations may miss. It’s much easier to understand what is happening in your mouth if you can see the problem on a computer monitor, and it means faster diagnosis and less chair-time for our patients!

Intraoral cameras are small, about the size of a dental mirror, and emit a light onto the tooth. The tooth will emit a color that lets Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman determine if the tooth is healthy or diseased. Intraoral cameras also allow us to save your images on our office computer to provide a permanent record of treatments. These treatments can be printed for you, other specialists, and your lab or insurance companies.

For any questions about the intraoral camera, we encourage you to ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman or our team during your or your child’s next visit or by giving us a call at our convenient Kingston, ON office.

The Importance of Oral Cancer Screenings

July 14th, 2015

In our continuing efforts to provide the most advanced technology and highest quality care available to our patients at Cataraqui Dental Centre, we proudly screen our patients for oral cancer. The fact is, every hour of every day in North America, someone dies of oral cancer, which is the sixth most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved.

Oral cancer can occur on the lips, gums, tongue, inside lining of the cheeks, roof of the mouth, and the floor of the mouth. Symptoms of oral cancer may include a sore in the throat or mouth that bleeds easily and does not heal, a red or white patch that persists, a lump or thickening, ear pain, a neck mass, or coughing up blood. Difficulties in chewing, swallowing, or moving the tongue or jaws are often late symptoms. While there is no way to predict exactly which individuals will get oral cancer, there are some potential causes we want you to know about. In some cases, it is possible to minimize these risk factors.

  • Age (most patients diagnosed with oral cancer are over the age of 40)
  • Tobacco use, either from cigarettes or smokeless chewing tobacco
  • Excessive alcohol consumption
  • Persistent viral infections, such as HPV16
  • A diet lacking or low in fruits and vegetables

Finding out you have oral cancer can be devastating news. If you are concerned that you might be at risk for developing oral cancer, talk to us about screenings and other things you can do to reduce your risk. Through a routine visual inspection, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre can often detect premalignant abnormalities and cancer at an early stage, when treatment is both less expensive and more successful, and can potentially save your life. Ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre about a screening at your next appointment!

Tell us about your summer!

July 7th, 2015

The dog days of summer are upon us, and what better time for Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team to ask our patients about their summer!

Whether you traveled to another country, went on a camping trip, or just stayed in Kingston, ON and relaxed, we want to know how you’re all spending your summer! Please feel free to share your summer plans and experiences with us below or on our Facebook page as summer rolls on!

Are baby teeth really that important?

June 30th, 2015

Your infant’s first teeth will begin to appear around six to 12 months of age. You might wonder how important these primary teeth really are. After all, baby teeth are destined to fall out within a few years and be replaced by a full set of permanent teeth. However, baby teeth have important functions, and proper care can set the stage for excellent oral and overall health.

Promote Better Nutrition

The appearance of your baby’s primary teeth around six to 12 months of age coincides with changes in your infant’s nutritional needs. Beginning at six months, exclusive breastfeeding is no longer nutritionally sufficient; this is the age at which you should introduce solid foods.

At six to eight months, when your baby can start to chew, strained or pureed fruits and vegetables are appropriate. As your little one’s teeth grow in and chewing abilities progress through 12 months of age, you can gradually add cereal, bread, cooked meats, and other adult foods to his or her nutritious diet.

Increase the Life Expectancy of Baby Teeth

Although baby teeth are inevitably going to fall out and be replaced by permanent ones, making baby teeth last serves an important role that can have benefits into the future. Baby teeth serve as placeholders for permanent teeth. If they decay and fall out too soon, permanent teeth are more likely to grow in crooked.

How to Take Care of Baby Teeth

Your baby’s primary teeth are already in his or her mouth at birth; they are just invisible because they have not broken through the gums. Since they are already present, your baby can get cavities if you do not practice proper oral hygiene from the beginning.

  • Do not let your baby fall asleep with a bottle in his or her mouth.
  • Brush your child’s baby teeth twice a day as soon as they come in.
  • Floss your child’s teeth as soon as he or she has two teeth that touch.
  • Visit Cataraqui Dental Centre for your baby’s first checkup when the first tooth arrives.

Are you at risk for sleep apnea?

June 23rd, 2015

If you are one of the more than 12 million North Americans who suffers from sleep apnea, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team want you to know we can help. Sleep apnea, a disorder that causes frequent disruption to your body’s sleep patterns, is also potentially dangerous, as it causes abnormal pauses in breathing or very shallow breathing during the night.

For those who suffer from sleep apnea, it may seem impossible to wake up feeling rested and energized. You may, for example, sleep for eight hours, but your body might have only received three or four hours of quality sleep.

Besides losing a good night’s sleep, the risk of heart attack and stroke have been linked to sleep apnea. Other conditions associated with sleep apnea include depression, irritability, high blood pressure, memory loss, and sexual dysfunction.

Sleep apnea occurs when the muscles in the back of the throat relax to the point of inhibiting natural breathing. The muscles used to support the soft palate relax and the airway closes, causing breathing to stop for anywhere from ten to 20 seconds, which is dangerous because it lowers the oxygen level in the brain.

Sleep apnea can affect anyone at any age, and CPAP devices (continuous positive airway pressure), among other treatments, are often prescribed for sleep apnea treatment. Another treatment option is an oral sleep apnea appliance, which positions your mouth in a way that brings your lower jaw forward and opens up your airway for unobstructed breathing.

At Cataraqui Dental Centre, we truly care about the health and well-being of our patients. In fact, we regularly screen our patients for sleep disorders during their regular checkups, and we will refer you to a sleep apnea specialist if an issue is detected. Please don’t hesitate to give us a call at our Kingston, ON office if you think you have sleep apnea or if you have any questions or concerns!

Why should I have my child’s wisdom teeth removed?

June 16th, 2015

The wisdom teeth are the last of the permanent molars to emerge from the gums. This can occur as early as age 17 or as late as 21. Though some teens and young adults experience a completely normal tooth eruption with ideally aligned molars that pose no health threat, this is not the case for everyone.

According to the Canadian Association of Oral and Maxillofacial Surgeons (CAOMS), wisdom teeth must meet specific criteria to avoid a required extraction. These guidelines include:

  • Completely erupted and non-impacted
  • Completely functional
  • Painless
  • Free of decay
  • Disease-free
  • Capable of being properly cleaned

If one or more of your child’s wisdom teeth do not meet these conditions, we recommend scheduling an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman; an extraction may be necessary.

Impacted wisdom teeth

One of the most common reasons for extracting a wisdom tooth is due to impaction. An impacted wisdom tooth is one that has not erupted and will not fully erupt from the gums. Usually this occurs because there is not enough room for the tooth to emerge. Impaction can be painful and can also lead to infection if left untreated. According to the CAOMS, roughly 90 percent of the teen and adult population has at least one impacted tooth. Extracting an impacted wisdom tooth early can help prevent future complications, such as periodontal disease, infections, and damage to neighboring teeth.

Extracting fully erupted wisdom teeth

Even if your child’s wisdom teeth are fully erupted, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre may recommend removing them as a preventive measure. Fully-erupted third molars often interfere with a healthy bite. This can lead to problems with tooth and jaw alignment and may also contribute to the development of headaches. Your child’s wisdom teeth may also be more prone to tooth decay and gum disease, because their location in the back of the mouth makes them more difficult to reach for brushing and flossing.

To learn more about wisdom teeth, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman, please give us a call at our convenient Kingston, ON office!

When do children usually lose their baby teeth?

June 9th, 2015

Many parents worry that their children’s teeth are not falling out on time. A lot of concerned parents want to know: When will my child lose his or her first baby tooth? At what age should the last tooth fall out? Is there a specific order in which the teeth are lost?

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team explain that a child's 20 baby teeth (primary teeth) typically come in by age three and begin to loosen and fall out on their own to make room for permanent teeth, which usually appear by the time your child is six. It is important to know that timing may vary, and girls typically lose their baby teeth earlier than boys. The last baby teeth will likely fall out by the time your child is 13.

So, which teeth do children lose first? Baby teeth tend to fall out in the order in which they came, which means the lower center incisors are usually the first to go when your child is between six and seven years old. The next teeth your child will lose are his or her top center pair, also called the upper central incisors.

It’s important to note that if a child loses a baby tooth early as a result of decay or an unforeseen accident, his or her permanent tooth may erupt early and potentially come in crooked due to limited space. If your child suffers an injury or has tooth decay, we encourage you to give us a call to set up an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman.

While we know some children couldn’t be more excited to lose their baby teeth, we know others are anxious about this childhood milestone. When your child starts to lose teeth, our team at Cataraqui Dental Centre encourages you to stress the importance of proper dental care on a daily basis.

Remember to:

  • Remind your child to brush his or her teeth at least twice a day. Supervise and offer assistance as needed.
  • Help your child floss his or her teeth at bedtime.
  • Limit eating and drinking between meals and at bedtime, especially sugary treats and drinks, such as candy and soda.
  • Schedule regular dental visits for your child every six months.
  • Ask about the use of fluoride treatments and dental sealants to help prevent tooth decay.

To learn more about baby teeth, or to schedule your child's next visit with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman at our Kingston, ON office, please give us a call today!

June is National Dairy Month!

June 2nd, 2015

People have known for a long time that including dairy in their diets can help maintain healthy bones and even help promote weight loss. But what you may not know is that the routine intake of dairy products may also help promote periodontal health. Since June is National Dairy Month, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre want you to know that patients who consume at least 55 grams of dairy products, such as milk, cheese, and yogurt, may significantly reduce instances of gum disease.

Have questions about which foods to choose when trying to improve your oral health? Contact our Kingston, ON office and ask our team!

What are dental sealants and how do they work?

May 26th, 2015

A dental sealant is a liquid that is applied to the teeth. The sealant hardens and provides a protective coating that is designed to reduce cavities and create a smoother tooth surface. Dental sealants are clear or white; they do not take away from the appearance of teeth. You can think about this treatment as being similar to varnish that protects a wood floor.

Sealants are not the same as fluoride treatments. The application is similar, but sealants are a semi-permanent protective coating. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our staff recommend that sealant applications for children begin soon after molars erupt, first molars around the age of six, and second molars around the age of 12.

Simple Application

Having sealants applied is not uncomfortable at all. First, your child's teeth will be cleaned and dried. A gel is applied, which helps the sealant adhere to the tooth, and then is rinsed away. Your child's teeth are dried again and the sealant is applied. A few seconds of exposure to a light source may be used to cure the sealant and make it semi-permanent. Sealants should last for a long time, normally between five and ten years.

Sealant Benefits

The coating on the surface of your child's teeth reduces the amount of acid contact. Normal acids in foods that are consumed can eat away at the surface of teeth. Bacteria also react to plaque formation and create more acid in the mouth. These small pits or weakened areas are prone to caries or cavity formation. Preventing cavities is a much better choice than drilling and filling damaged teeth.

A sealant also helps to smooth the chewing surfaces of your childn't teeth. The smoother surface is not as likely to retain small particles of food and bacteria. Your child's mouth stays cleaner and food is not left behind to form acids. The protective application can also be used on other teeth that have a rough surface, to protect the grooves or pits from decay.

After the sealant is applied, your child still needs to take proper care of his or her teeth. Regular brushing and flossing is required. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman may recommend fluoride treatments to strengthen and protect your child's teeth further.

If you have any concerns about sealants, please discuss them with during your child's next appointment at Cataraqui Dental Centre. We want your little one's teeth to stay healthy for life.

Are thumb sucking and pacifier habits harmful for a child’s teeth?

May 19th, 2015

Depending on how long the thumb sucking or constant pacifier use continues, and how aggressively the child sucks a thumb or the pacifier, it can indeed be an oral health issue. Generally speaking, most children outgrow these behaviors or are able to be weaned off them successfully sometime between ages two and four. When children wean off the behaviors in this age range, long-term damage is unlikely.

Why Kids Suck Their Thumb or Pacifier

Both of these habits are actually a form of self soothing that your child likely uses when he or she is very upset, or feeling stressed, confused, frustrated, or unable to properly express the emotions. If your son or daughters is a regular thumb sucker, or the child wants to use the pacifier almost constantly, it is best to try to taper off these habits at a young age.

If your child continues to suck a thumb or request a pacifier consistently after leaving toddler-hood, this could be a source of concern, and it should be addressed with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our staff. We will be able to evaluate your child's mouth to look for any signs of damage such as palate changes or teeth shifting.

Say Goodbye to Old Habits

In the event that your child is quite reluctant to give up a pacifier or thumb-sucking habit, there are a few things you can do to discourage these behaviors.

  • When you notice that your child is not using a pacifier or sucking a thumb, offer effusive praise. This type of positive reinforcement can be much more effective than scolding the child.
  • Consider instituting a reward system for giving up the habit. If the child goes a certain amount of time without this behavior, award him or her for being such a “big kid.”
  • Employ the help of older siblings or relatives that your child admires. When a child’s role model says that he or she stopped sucking thumbs at a certain age, your child is likely to try to emulate that.

Dental Veneers

May 12th, 2015

Are you looking to improve the appearance of your front teeth? Dental veneers are widely used to improve the appearance of front teeth and are a much more conservative option than a full dental crown. Veneers can be used to improve the appearance of staining, large gaps, large fillings, chipped teeth, or overall shape. Veneers are a thin covering over the front and biting end of the tooth used to restore the beauty of a smile. Over the years we have helped many patients who opted for veneers and now have the confidence to smile again.

Dental veneers are made in a lab from long-lasting porcelain materials. The shade can be chosen to a desirable color to whiten the appearance of your smile. Dental veneers are usually placed on the anterior, or front teeth, where the chewing forces are not as hard as the back teeth. The process of placing veneers is relatively easy requiring only two dental appointments. In some cases, only one appointment is needed. It depends on the fabrication process.

The first appointment is to “prep” the teeth and take an impression to be sent to a lab to fabricate the veneers. Veneers are fairly conservative in the preparation as it requires a small amount of space to be created on the face (front), bottom, and sides of each tooth to allow space for the veneer to be placed and look natural. You will leave the office with temporary veneers for the next week or two while the permanent veneers are being made.

The second appointment is to place the veneers and make minor adjustments if needed. What a difference it makes in the appearance of the teeth! If you’re interested in learning more, give Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman a call today!

Summer is Almost Here: Tips for a bright, white smile!

May 5th, 2015

Summer is almost here, which means a season full of vacations, adventures, and great memories is just around the corner for our patients at Cataraqui Dental Centre.

Everyone wants a glowing and radiant white smile when the sun comes around and we have a few reminders to keep your pearly whites healthy and beautiful over the summer! Try to stay away from drinks that will stain your teeth like coffee, soft drinks, or dark colored juices. Not only will drinks like this weaken your enamel but they will also darken that fabulous smile you're working on! Another tip is to try and focus on brushing your teeth; everyone knows that when busy schedules start picking up, getting a good brushing session in tends to take the backseat! A good tip for keeping your mouth safe from staining and other possible pitfalls is to rinse your mouth with water after any meal you can’t fully brush your teeth after. Your teeth, inside and out, will benefit!

And remember, whether you are headed to a barbecue, a camping trip, or just having fun in the backyard this summer, we want to hear all about it! Make sure to let us know what you’re up to below or on our Facebook page! We also encourage you to post any photos from your adventures!

Gum Disease and Your Child

April 28th, 2015

At Cataraqui Dental Centre, we know that unfortunately, gum disease can exist in your child’s mouth without you even knowing. In fact, your child may be suffering from the beginning stages of periodontal (gum) disease without noticing any pain or discomfort. Since gum disease can be undetectable, it’s critical to watch for the warning signs in order to prevent the disease from growing worse!

If your child is experiencing any of the following symptoms, you may want to consider scheduling an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman as soon as possible:

  • Gums that are red or swollen
  • Gums that feel tender
  • Gums that bleed easily during brushing or flossing
  • Gums that are receding
  • Persistent halitosis (bad breath)
  • Loose teeth
  • Any change in the way teeth come together in the biting position

If your child is experiencing these symptoms, schedule an appointment right away by calling our Kingston, ON office. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team can diagnose the problem and begin treatment to save your child’s teeth!

Our team at Cataraqui Dental Centre looks forward to seeing you!

Earth Day

April 21st, 2015

The idea for Earth Day was the brainchild of Gaylord Nelson, a senator from Wisconsin. He envisioned an Earth Day that would be a kind of environmental teach-in. The first Earth Day celebration took place on April 22, 1970, and a surprising 20 million people participated on that day. Ultimately, it became the largest organized celebration in US history.

Earth Day Over the Years

Over the years, the recognition of the day, and the number of people celebrating it all over the world, turned Earth Day into an international celebration. Because it is celebrated throughout the world, it is not only the largest international environmental observation, but it is also more widely celebrated than any other environmental event in the world. Today, Earth Day is celebrated in 175 countries where over 500 million people participate in celebrations.

The Earth Day Movement

The Earth Day movement is credited with developing the idea that people should “think green”. It encouraged congress to enact laws, including one that resulted in the creation of the Environmental Protection Agency. It also inspired the passage of the Endangered Species Act.

The Five R's and Their Importance

  • Reduce – Reduce by avoiding unnecessary purchases. Reduce your use of materials that wind up in landfills. Reduce the use of chemicals around your house. Reduce your use of disposable bags, plates, cups, eating utensils, and batteries.
  • Reuse – Instead of using plastic bags for your groceries or purchases, bring your own reusable bags. When you go to buy coffee at Starbucks, take a travel mug so you don't have to get your coffee in a disposable paper cup. Instead of storing food in disposable refrigerator containers, buy containers that can be washed and reused. Don't use regular batteries. Whenever possible, opt for rechargeable batteries that you can reuse.
  • Recycle – Most cities offer a recycling program to collect used bottles, cans, and newspapers. Recycling includes collecting recyclable materials that would otherwise be considered waste, sorting and processing recyclables into raw materials such as fibers and manufacturing raw materials into new products.
  • Re-buy – Make an effort to purchase things that are made through recycling. When purchasing furniture, look for items that are made from reclaimed wood. When buying paper for kids school work, computer printer paper, holiday cards, or anything else, make a point of purchasing recycled paper products. Instead of buying clothing at full retail price, shop for second hand clothing. You will save a lot of money by doing so!
  • Rethink – Rethink the way you do things so that you do them in an eco-conscious way at all times. Instead of driving to work alone, consider taking the bus or going in a carpool. Walk or ride your bike when you're only going a short distance. Plan your shopping trips and errand runs so that you can do everything on one day, and do it in a way where you can save time and gas.

Other ways to "think green" include growing your own food, composting yard waste and food scraps, or by participating in local recycling programs. Join a group like Freecycle so you can share your unneeded and unwanted possessions with people who can use them. Likewise, you'll be able to get things you need or want for free.

Earth Day teaches people that the planet belongs to everyone, so everyone is equally responsible for protecting it. Although Earth Day is an environmental celebration, our team at Cataraqui Dental Centre wants to remind you that you don't have to wait until then to make changes that will allow you and your family to live a greener life.

Happy Earth Day from the team at Cataraqui Dental Centre.

Minimally Invasive Dentistry

April 14th, 2015

As the field of dentistry advances and the use of technology in the field increases, the concept of minimally invasive dentistry has emerged. Preservation of a healthy set of natural teeth for each patient should be the objective of every dentist. Minimally invasive dentistry is characterized by the following core beliefs:

  • Regard original tissue as more valuable than its artificial counterpart.
  • Preserve, rather than replace, original tissue.
  • Focus on the prevention of disease above its treatment.
  • When treatment is necessary, use invasive means as little as possible.

Prevention

  • Prevention begins with good oral hygiene.
  • Dental caries are considered an infectious disease.
  • Early detection of caries and other diseases can prevent the spread of infection and, consequently, further damage to healthy tissue.
  • Infection control can reduce the incidence of restoration practices by as much as 50 percent.
  • Focus on remineralization of enamel and dentin as a preventive effort in treating caries.

Preservation

Our team at Cataraqui Dental Centre will tell you the goal of minimally invasive dentistry is to preserve as much original tissue as possible. The preservation of original tissue leaves a tooth stronger in structure than one which has been modified through invasive measures.

When a restoration, such as a filling, must be made to a tooth, a greater amount of healthy tooth tissue than actual decayed tissue is often removed. An estimated 50 to 71 percent of the work a dentist completes involves repair or replacement of previous restorations. The use of durable restoration materials decreases the need for later repair or restoration work.

Treatments

Tooth tissue can be preserved at a greater percentage through the use of innovative adhesive materials. Glass ionomer cements release minerals into the surrounding tooth tissue and help prevent future cavities. Resin-based composite and dentin bonding agents are designed to bond to the enamel and preserve it.

New technology and the invention of small, hand-held tools allow for a less-invasive form of restoration. One such form is air abrasion, a technique that involves using powerful air pressure to direct aluminum oxide particles toward the tooth, which results in a gentler, less-damaging cut to the tooth.

For more information about minimally-invasive surgeries, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman, please give us a call at our convenient Kingston, ON office!

Choosing the Dental Filling Option that's Best for You

April 7th, 2015

Did you know there are as many types of dental fillings as there are flavors of ice cream? Okay, maybe that’s an exaggeration. Still, when you visit the dentist with a cavity, there are many filling options. Most of us just sit in the chair, open our mouths, and let the dentist work his or her magic. But have you ever stopped to consider what the dentist is filling and restoring your decayed or broken tooth with?

Five types of dental fillings

There are five basic kinds of dental filing material. The dentist decides which type to use based on the degree of the decay, the cost of the material, and the type of dental insurance you have.

  1. Dental amalgam, or silver fillings, have been used to fill cavities for more than 150 years. Dental amalgam is the most common type of dental filling. It's strong, durable, and less expensive than other types.
  2. Composite fillings, or white fillings, are popular because the color matches the rest of your teeth. Composite fillings are a combination of resin and plastic. They are more aesthetically pleasing than silver fillings, but are also less durable.
  3. Ceramic fillings are durable and visually appealing (tooth-colored), but they are expensive. They are made of porcelain and have been shown to be resistant to staining.
  4. Glass ionomers are typically used on children whose teeth are still changing. Constructed from glass and acrylic, glass ionomers are designed to last fewer than five years. The benefit of these dental fillings is that they release fluoride, which protects the changing tooth from further decay.
  5. Unless you’re a rock or movie star, gold fillings aren’t common. While a gold filling is durable, non-corrosive, and can last more than 15 years, it not only takes more than one dental visit to place, but, as you can imagine, it is expensive.

For more information about fillings, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman, please give us a call at our convenient Kingston, ON office!

The Effects of Biting Your Nails

March 31st, 2015

Also known as onchophagia, the habit of nail biting is one of the so-called “nervous habits” that can be triggered by stress, excitement, or boredom. Approximately half of all kids between the ages of ten and 18 have been nail biters at one time or another. Experts say that about 30 percent of children and 15 percent of adults are nail biters, however most people stop chewing their nails by the time they turn 30.

Here are four dental and general reasons to stop biting your nails:

1. It’s unsanitary: Your nails harbor bacteria and germs, and are almost twice as dirty as fingers. What’s more, swallowing dirty nails can lead to stomach problems.

2. It wears down your teeth: Gnawing your nails can put added stress on your pearly whites, which can lead to crooked teeth.

3. It can delay your orthodontic treatment: For those of our patients wearing braces, nail biting puts additional pressure on teeth and weakens roots.

4. It can cost you, literally: It has been estimated that up to $4,000 in extra dental bills can build up over a lifetime.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team recommend the following to kick your nail biting habit:

  • Keep your nails trimmed short; you’ll have less of a nail to bite.
  • Coat your nails with a bitter-tasting nail polish.
  • Ask us about obtaining a mouthguard, which can help prevent nail biting.
  • Put a rubber band around your wrist and snap it whenever you get the urge to gnaw on your nails.
  • Think about when and why you chew your nails. Whether you are nervous or just bored, understanding the triggers can help you find a solution and stop the habit.
  • If you can’t stop, behavioral therapy may be an effective option to stop nail biting. Ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team for a recommendation.

Dental Visits Are Not So Bad

March 24th, 2015

Many people dread going to the dentist. Dental visits have the reputation of being painful and uncomfortable, and it is common for people to compare unfortunate situations such as having a root canal or feeling the dentist’s drill. However, at Cataraqui Dental Centre, dental visits are not that bad.

Your regular cleaning and checkup are noninvasive. They require no drilling, Novocain, or needles, and you go home with refreshingly clean teeth. When your hygienist cleans your teeth, you are literally receiving individualized care from a professional as you sit back and relax.

In the days before the use of Novocain or other anesthetics, dental work could be painful. Thankfully, those days are gone! Now you are unlikely to feel a thing, even during the most extensive procedures. In addition, most dental work such as fillings, root canals, and crowns can be performed in one to two visits, so you do not need to keep returning to Cataraqui Dental Centre.

An incentive for getting over your fear and coming to the dentist is that getting your dental work done can dramatically improve your quality of life. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman can address tooth problems that have caused toothaches or prevented you from eating the foods you like. As a bonus, regular visits with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our staff allow us to identify conditions such as periodontal disease, which can indicate risk for seemingly unrelated health conditions, such as heart disease and diabetes.

St. Patrick's Day: Celtic pride, green shamrocks, and lucky charms!

March 17th, 2015

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold – it must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

Wondering what our team at Cataraqui Dental Centre is doing to celebrate March 17th? Well, we’ve thought about doing everything from handing out lucky gold coins (you know, the fake ones that are made of chocolate) to shamrock stickers. Maybe we’ll even give away green toothbrushes and floss! You’ll never know unless you come in to see Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman !

All kidding aside, St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and Canada, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the street parades of Montreal to the annual three-day festival of celtic music and culture in Manitoba, it is a day of celebration, and many Canadians of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s Day!

Oral Health Problems: An indicator of overall health problems?

March 10th, 2015

If you are like many people, you might think of your oral health as separate from your overall health. After all, most dental coverage plans are distinct from health care coverage. However, your oral health goes far beyond being able to chew nutritious and enjoyable foods. Oral health problems may be an indicator of a variety of other health problems.

Links between Oral Health and Overall Health

In the late 1980s, researchers noticed a trend among patients who had recently suffered from heart attacks. As the Journal of the American Dental Association reported, they observed that these patients were more likely to have dental caries or cavities, periodontitis or inflammation around the tooth, and other forms of gum disease. Later studies found similar results, and dentists and doctors now recognize poor oral health as a risk factor for a variety of heart conditions, such as heart attacks, atherosclerosis, and coronary heart disease.

There are even more links between oral health problems and overall health problems. Some individuals do not find out that they have Type 2 diabetes until a dentist sees that they have periodontitis. If you have diabetes, worsening periodontitis can indicate that your diabetes is not under control.

Poor oral health is also associated with rheumatoid arthritis. Furthermore, poor oral health puts you at higher risk for respiratory infections, such as pneumonia, because harmful pathogens can enter your body through your mouth.

Take Care of Your Teeth

Keeping your teeth healthy remains important, especially as you grow older. Older adults are more prone to dental caries and other oral health problems, as well as to chronic diseases. While taking care of your oral health might not prevent a specific disease, a healthy mouth is a significant factor in your overall health.

You can take care of your teeth by continuing to brush twice a day and floss every day. Avoid consuming too many sugary and starchy foods, and drink water after each meal or snack to rinse your teeth. See Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman for regular checkups, and contact Cataraqui Dental Centre if you have any concerns about your teeth or gums.

Child Development Centre Run/Walk

March 5th, 2015

Cataraqui Dental Centre is very proud to be sponsoring the Child Development Centre’s annual Child Development Centre Run/Walk event on April 12!

The Child Development Centre is one of twenty Children’s Treatment Centres in Ontario and provides services for children and youth who have neurological/physical or developmental disabilities or impairments.

We are very excited to be part of such a fantastic event and we invite you to take part as well!

For more information on the race, please visit their website at: http://www.kingstoncdc.ca/news_events/

You can also download an entry form by clicking on the form posted below.

Healthy Diet for Adolescents

March 3rd, 2015

Adolescence is a critical period for oral hygiene. By the teenage years, kids will have lost all their baby teeth and replaced them with permanent teeth. Furthermore, many oral hygiene habits solidified in adolescence carry through to adulthood. Teaching adolescents to follow a healthy diet not only benefits their physical fitness but helps them maintain strong teeth and healthy gums.

Fruits and vegetables

Parents know that eating broccoli is important, but were you aware that it can keep teeth and gums healthy, too? Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre will tell you that eating plenty of crunchy fruits and vegetables, such as broccoli, carrots, celery, apples, and pears, increases your saliva production. Saliva works to brush away bad bacteria that produce dangerous acids that wear away tooth enamel.

It’s also important to avoid acidic foods, which can exacerbate cavities and other dental problems. Although oranges, tomatoes, grapefruit, lemons, and berries are healthy, they can also wear away the enamel of your teeth. To be safe, it’s important to brush after each meal or swish with mouthwash to remove excess acid from your mouth.

Sugar-free foods

Many candies and treats are chock-full of sugar, making them dangerous for your child’s dental health. If you have a sweet tooth, fear not: you don’t have to give up the sweet stuff entirely. Whenever possible, opt for sugar-free substitutes rather than regular sugar. For example, chewing sugar-free gum or drinking sugar-free beverages is better for teeth. These sugar substitute molecules don’t wear away enamel, which makes them safer for dental health.

Watch the beverages

Most adolescents have been told that soda will rot your teeth, but you may not realize that other beverages can be just as sugary. Many fruit juices, even those that boast 100% fruit, contain dozens of grams of sugar per serving. Similarly, popular energy drinks pack a sugary punch. When possible, drink water or milk. If your child is craving a hot beverage, turn to tea over hot chocolate or a sugary latte.

Dairy products

Teeth are like any other bones; they rely on calcium and other minerals to stay strong. To help build strong teeth, have your child drink milk or eat other dairy products to get his or her daily calcium. Yogurt, cottage cheese, and cheese are good options as well. If your child can’t tolerate dairy, consider calcium-fortified soy milk or orange juice to provide that daily dose of vitamins and minerals.

For more information on this topic, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman, please give us a call at our convenient Kingston, ON office!

Dental X-Rays, Teeth Cleanings Are Safe During Pregnancy

March 3rd, 2015

We receive quite a few questions about whether or not it is safe to perform routine oral health procedures during pregnancy. Recently, The American College of Obstetricians and Gynecologists sent out an announcement stating that it is indeed safe for pregnant women to have teeth cleanings and dental X-rays.

We encourage you to read the announcement in its entirety on the ACOG website.

Good Dental Hygiene Impacts Overall General Health

February 24th, 2015

There are many ways in which your oral health has an impact on your overall general health. There are naturally occurring bacteria in the mouth. Some of those bacteria, including strep and staph, are harmful, while other bacteria are essential for the balance of intestinal flora. The healthier your mouth is, the less likely it is the harmful bacteria will travel to other parts of your body to infect it and make you sick. There is much more to good dental hygiene than brushing and flossing.

Historical Methods of Maintaining Oral Health

Ancient civilizations relied on natural remedies for maintaining oral health. Around 250 AD, the Kemetic Egyptians used myrrh and other herbs as antiseptics for treating infected gums. Two centuries later, the Nubians, who lived in the Nile River valley, drank beer to ease the pain of infected teeth. That probably sounds crazy, but their beer was effective because they used grains that were contaminated with the same bacteria that produce the antibiotic tetracycline.

Today's Biggest Dental Hygiene Challenge

In the past, tooth decay was more of an issue because there was no routine dental care, and problems that are routinely treated today went untreated. Thanks to fluoridated water and toothpastes containing fluoride, tooth decay is far less problematic than it was a century or more ago. Gum disease has replaced tooth decay as the most serious dental problem facing people today. According to the Canadian Dental Association, 70 percent of Canadians suffer from some form of periodontal disease some time in their lives.

Ironically, if that infection attacked any other part of your body, especially in a place where it was clearly visible, you would head to your doctor for treatment immediately. People tend to ignore gum tenderness and bleeding. When the tenderness and bleeding aren't treated, the inflammation can turn into periodontitis. The longer you allow the inflammation to go untreated, the greater the likelihood that it will affect other body parts. Make sure to visit Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman at Cataraqui Dental Centre regularly to be proactive about dental health!

Researchers are now discovering that untreated inflammation in the mouth acts as a driving force for multiple chronic illnesses, including clogged arteries, heart attacks, arthritis, and even cancer. That inflammation is one of many hypotheses that may explain how chronic infections can trigger systemic diseases, and even intensify existing ones. Bacterial overgrowth in the inflamed gum tissue can enter the bloodstream through the food you eat, and from daily brushing.

Caring for your mouth at home is just as important as visiting our office for exams!

Dr. Cosman and the Pikos Institute

February 19th, 2015

Dr. Cosman from our practice recently attended a conference in Florida that focused on bone grafting. There were 40 participants from around the U.S. and Dr. Cosman was one of four Canucks—there was even a dentist from Denmark!

In addition to learning some great information that he will bring back to the practice, Dr. Cosman got to enjoy some fantastic 68 degree and sunny weather.

If you are interested in seeing photos from the event, you can check them out on their website at: http://www.pikosinstitute.com/gallery/?galAlbum=17

Kids and Teeth Grinding

February 17th, 2015

Grind, grind, grind… if your little one happens to be a teeth grinder, you may be familiar with this unpleasant sound. Teeth grinding, or what Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre also call bruxism, is common in children. In fact, three out of ten kids grind or clench their teeth, usually in response to stress, jaw growth, malocclusion, losing teeth, or other discomforts, such as allergies. Kids typically outgrow teeth grinding by the time they reach their teenage years.

Many kids who grind their teeth in their sleep have no idea they’re doing it. In fact, when they wake up in the morning they feel no jaw, facial, neck, or shoulder pain. In most cases, if it hadn’t been for a parent or sibling telling them about it, the teeth grinding would have gone unnoticed.

There are children, however, who wake up with jaw pain, shoulder pain, neck pain, and headaches. Teeth grinding can cause a host of dental complications, from cracked teeth and receding gums to a misaligned jaw. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman will tell you that teeth grinding is not something to take lightly. Teeth grinding can have serious consequences that, if left untreated, can lead to tooth fractures and damage to the temporomandibular joint, also known as TMJ.

The first step in helping your child recover from teeth grinding is noticing and diagnosing the problem. Symptoms of teeth grinding typically include:

  • Grinding noises when your child is sleeping
  • Complaints of tightness or pain in the jaw
  • Complaints of headaches, earaches, or facial pain
  • Complaints of pain when chewing
  • Tooth sensitivity
  • Chipped, worn down, or loose teeth

If you suspect your child is a teeth grinder, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team will be able to help. Please give us a call at our convenient Kingston, ON office! We look forward to treating your child!

The Transformation of Valentine's Day

February 10th, 2015

Did you know the actions leading to the beginnings of Valentine's Day were actually centered on the avoidance of war? A Catholic priest named Valentine defied the orders of the Emperor Claudius II and secretly married young men and their brides after the emperor had declared it illegal because only single, young men could be sent to war. Rather than lose potential soldiers to fight his war, Claudius attempted to hoard them by proclaiming marriage illegal.

Valentine continued to marry young couples anyway and, eventually, was put to death for it in 270 AD. Before his death, he sent a letter to a secret love and signed it “From your Valentine”. Nearly 1,800 years later, people are still signing letters and cards in this manner. This year, carry on the tradition started long ago, while adding your own twist. Here are a few suggestions.

Simple and Creative Valentine's Day Ideas

  • Memorialize it with a Photo. Couples often have photos taken around Christmas, but Valentine's Day photos allow you to capitalize on romance. Famous couple Julia Child and her husband, Paul, had their picture taken together every Valentine's Day and included their sense of humor with silly props.
  • Return to Your First Date Location. Even if your first date together was at a local hotdog stand, its sentimental value can make it a fun part of your Valentine's Day agenda. Be creative and make a treasure hunt with clues that lead your partner to the original date location, where you can express your love with flowers or a gift.
  • “From Your Valentine” Messages. Deliver your message in a creative way to make this Valentine's Day stand out from the others. Bake your partner's favorite treat and write a message on it with a tube of icing, or draw a note on the steamed up mirror so it shows up when your partner takes a shower.

Although Valentine's Day is a day to celebrate love, it doesn't have to be a special day only for couples. If you're single, use this special day to shower yourself with love, because you're worth it! After all, the priest Valentine believed so strongly in the sanctity of love that he was willing to risk his life for it. Whether you're in a relationship or single, young or old, romantic or not, Valentine's Day is for you. Happy Valentine’s Day from the dental office of Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman.

Are dental X-rays safe?

February 3rd, 2015

YES! X-rays have been used in dentistry for a long time, and the amount of radiation has significantly decreased with advances in technology. While there is risk in every health diagnostic procedure at Cataraqui Dental Centre, the benefits must outweigh the risks. Dental X-rays do indeed fall into this category.

X-rays are exposed to a type of film to produce an image. The amount of X-rays required to produce this image differs with film speeds. Speed E or F is highly recommended, and digital X-rays require up to 50% less than speed E or F film. The digital X-ray software can adjust the exposure to produce a quality image. Digital X-rays are becoming a new standard and are most common.

Lead aprons have been used to reduce the amount of scatter radiation. All X-ray units have a cone to focus the X-ray beam so the exposure is highly localized. Lead aprons continue to be worn as a precaution for pregnant women, and a thyroid collar should also be worn. In most cases, this is sewn into the lead apron.

We get radiation exposure from environmental factors as well as healthcare diagnostic and treatment tools. To place this in perspective, in one year a person is expected to have 360mRem per year from the sun, air etc. By comparison, a single set of bitewing X-rays is 0.3mRem. Radiation can accumulate in our body over a lifetime, and additional exposure should be avoided whenever possible.

The Invisalign® Treatment Process

February 2nd, 2015

Invisalign is gaining traction as a sought-after solution for orthodontic problems. Unlike traditional braces, which require the placement of brackets on teeth and the connection of unsightly wires, Invisalign works nearly invisibly (as its name suggests). Particularly for those who do not wish to draw attention to their orthodontic work, Invisalign provides an attractive solution.

Consultation with a Treatment Provider

Our practice has received specialized training to work with Invisalign. During your consultation appointment, we will assess your smile needs to see if Invisalign is right for you.

Creation of a Custom Treatment Plan

Invisalign works using a series of customized clear trays that fit almost perfectly over the teeth. To create these trays, we will take X-rays and impressions of your teeth. These are submitted to a specialized laboratory that makes a 3D image of your smile. This is used to create a specialized treatment plan that provides an estimate of how long treatment will take.

Arrival of Custom Trays

Once your customized trays have arrived, the treatment begins. For Invisalign to work properly, you must wear the aligners 20 to 22 hours per day, removing them only to eat, drink, and brush your teeth. The trays gently draw your teeth into proper alignment, correcting your orthodontic problems as you go about your everyday life.

In general, you will replace your aligners with a new set every two weeks. This is to encourage your teeth to continue moving throughout the treatment process. You’ll need to check in with us every six weeks or so to ensure treatment progresses smoothly.

Beautiful Smile: Complete!

Once you complete your individualized treatment plan, you’ll have the smile you’ve always dreamed of!

Halitosis in Children: Causes and treatment

January 27th, 2015

Halitosis is the scientific name for bad breath. It is one of the most common oral concerns, and it affects a large percentage of the population, including children. Having bad breath can be embarrassing and a nuisance. When considering what to do about halitosis, the team at Cataraqui Dental Centre highlights that you need to focus on the cause, rather than just masking the problem.

Children commonly have bad breath because of an upper respiratory infection. This includes a common cold, postnasal drip, or allergies. When this is the case, treatment may be complicated if one or more of these issues is chronic.

Another cause of halitosis in children is a condition with their teeth or gums. Just as in adults, gum disease has a distinctive malodor. The quality of brushing and flossing in children directly influences the presence of gum disease. If there is a large untreated cavity, there will be a strong smell causing bad breath. Both of these issues need professional attention, including a visit to the dentist.

Tonsillitis can also cause halitosis in children. It happens because of a constricted airway, resulting in mouth breathing. Mouth breathing is a concern because of how much it dries the tissue in the mouth. This makes any bacterial infection in the mouth worse and causes an increased potency within the bacteria in the mouth.

Treatment of halitosis is as varied as the causes listed above. Beware of ingredients in products that mask bad breath. Sucking on a mint on a regular basis will cause more harm than good because of potential decay. Chew sugarless gum and mints.

If you have any other questions, feel free to call us at Cataraqui Dental Centre or ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman during your next appointment!

Sensitive Teeth

January 23rd, 2015

Have you ever taken a drink of an ice cold beverage, taken a bite of ice cream, or had a hot drink and felt a stinging pain on a tooth? If so, you are not alone. Studies show that one in four people suffer from what is commonly known as sensitive teeth. There are various reasons that someone may suffer from sensitive teeth such as brushing too hard, consume more than usual amounts of wine or citrus drinks, have had treatment for gum disease, or have special medical conditions. The problem area is usually near the gum margin where the nerve may be exposed because of a receding gumline.

Many factors can contribute to the sudden and sharp pain felt if you have sensitive teeth. The aforementioned cold food drinks are the primary cause; however, everything from sweet foods to cold weather can impact the condition. The good news is that sensitive teeth is a common issue and it is a relatively easy problem to solve! Desensitizing toothpastes and using a soft-bristled brush while not pressing too hard over a period of time is usually enough to resolve the issue. However, if you find the problem to be persistent, give us a call to have an examination. If left untreated, sensitive teeth can lead to overall poor oral hygiene.

How can parents help prevent tooth decay?

January 20th, 2015

Children are born with a set of primary teeth – 20 to be exact – that help them learn to chew and speak, and develop enough space in the jaw for the permanent teeth that will appear several years later. Kids are especially susceptible to decay, which can cause pain and tooth loss – a problem that could interfere with oral development. As a parent, it is important that you take proactive steps to keep your child’s teeth as healthy as possible.

Bottles and “Sippie Cups”

One of the biggest culprits of childhood tooth decay is poor diet. This begins as early as a few months old, when children are often allowed to go to bed with bottles and “sippie cups” of milk or juice. The sugars in these beverages – even natural sugars – can steadily decay the teeth.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our staff suggest serving children milk and juice only at meal times, and limiting juice intake to just a few ounces per day. If your child becomes thirsty between meals or likes to go to bed with a bottle, serve water during these times.

Hygiene

As a parent, you can establish healthy dental habits long before your child’s first tooth erupts. Start by gently wiping your baby’s gums with a clean wash cloth during the first months of life. By age one, graduate to an appropriately sized toothbrush with fluoridated toothpaste, and brush at least twice a day.

Dental Visits

Dental visits should start young and continue on a regular basis throughout your child's life. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our staff recommend parents bring their children to Cataraqui Dental Centre for the first time no later than the child’s first birthday. Initial visits concentrate on parental education, while later visits may include thorough cleanings and fluoride treatments as your child grows.

For more information about keeping your child’s teeth cavity-free, contact our Kingston, ON office to schedule a dental consultation and checkup.

How often does my child need to see the dentist?

January 13th, 2015

According to the Canadian Academy of Pediatric Dentistry, checkups at Cataraqui Dental Centre are recommended for all children two times a year. Children should be evaluated for cavities and other emerging dental issues every six months, because these problems can lead to more serious dental problems and health issues if left untreated.

While it is always good to follow the official guideline mentioned above, it is also important to understand that each child is unique and his or her dental needs are equally unique. If your child shows signs of dental or orthodontic problems, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman might recommend more frequent visits.

One way to help your son or daughter maintain good oral health between pediatric dental visits is to monitor brushing and oral care habits, especially if the child is still very young. Children who are two to five years of age will usually still require at least some degree of monitoring during their dental care routine.

The Checkup Visit

During your child’s regular dental care checkups, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman will evaluate the current state of oral health and will be able to recognize any issues. The twice-yearly checkup visits are typically the time at which problems like cavities, irregular growth patterns of the teeth, and oral decay are discovered. Thus, making these appointments for your child, and following through with them, is extremely important.

Learning and Maintaining Good Oral Health

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our Kingston, ON staff are your partners in terms of your child’s health care. Even when your child is an infant and a toddler, good brushing and other oral care habits can be taught. We will help you to educate your child about how to care for teeth in the most effective way, and you can carry those lessons home and help your child to follow them for the ultimate in oral health.

Proper Brushing Techniques

January 6th, 2015

Brushing your teeth properly removes the food particles and bacteria that can lead to tooth decay and gum disease. However, you do not want to scrub your teeth or gums heavily. A heavy hand can lead to tooth and gum erosion, as Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our staff see all too often.

You should also use a soft bristle toothbrush to avoid damaging the surface of your teeth. Make sure the head of the brush fits in your mouth, because if it is too large you will not be able to reach all tooth surfaces. Follow these steps to ensure you are brushing properly.

  1. Use a small amount of toothpaste on your brush. The recommendation is a pea-sized amount or thin strip on the bristles.
  2. Hold your toothbrush at a 45-degree angle to the surface of your teeth, angling towards your gums. Use a circular motion on all exterior tooth surfaces, and avoid back-and-forth “scrub” brushing.
  3. Once you have cleaned the outer surfaces, hold the brush vertically and clean the inner teeth surfaces — the side of your teeth that face your tongue. Do not forget the inner surfaces of your front teeth.
  4. Finally, finish by cleaning all the chewing surfaces of your teeth. You need to maintain a gentle touch, but make sure you get into the full depth of your molars. The entire process should take about two minutes.

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our staff recommend changing your toothbrush every three to four months for best results. Do not forget to clean your tongue, which helps remove excess bacteria from your mouth. Special brushes are available just for cleaning your tongue, and they are easy to use.

Proper care of your teeth also requires flossing on a regular basis. Flossing can be performed before or after you brush. Following up with a quality mouthwash will provide you with even more protection. Do not be afraid to ask the Cataraqui Dental Centre team for tips on proper brushing and flossing.

New Year's Eve

December 30th, 2014

Watching the clock tick down the final seconds until midnight, many of us- Cataraqui Dental Centre included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:

  • Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
  • The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
  • The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
  • Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.

Whether you plan to stay in Kingston, ON, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!

Quit Smoking to Save Your Smile

December 23rd, 2014

You’ve likely heard that smoking increases risk of lung cancer and emphysema. But did you realize that your cigarette habit also has an impact on your smile? Chronic smokers suffer from increased dental problems that make their smiles unsightly. Understanding how smoking affects your oral health may provide the momentum you need to kick the habit for good.

Cosmetic Changes Associated with Smoking

Cigarettes contain more than 600 ingredients that, when lit, create in excess of 4,000 chemicals. Of these chemicals, many are known carcinogens while others have been shown to have serious negative effects on health. The nicotine and tar in tobacco products are absorbed by the enamel of your teeth. The result is yellowed teeth that look unsightly; with heavy smoking, your teeth may eventually turn nearly brown in color.

The chemicals in cigarettes and cigars also cause your teeth to become less clean. Smoking is associated with a build-up of tartar and plaque on the surface of your teeth. Over time, this increases your risk of developing cavities and other oral health problems. Furthermore, pursing your lips while smoking leads to wrinkles around your mouth, which detracts from your smile.

More Serious Dental Conditions

In addition to having unsightly teeth, smoking can cause serious health conditions. Because of the carcinogens in cigarettes, smoking is associated with an increased risk of oral cancer, which can be deadly. Smokers are also more likely to develop gum disease, which can lead to tooth loss. You may experience an increased loss of bone within your jaw, which will cause significant problems later in life.

Treatment for Smoking-Related Oral Health Problems

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre will tell you that the best defense against smoking-related oral health problems is to ditch your nicotine habit. By decreasing the amount of nicotine and other chemicals you consume, you can decrease your risk of oral cancer and gum disease. Remember to mention your smoking habit when you’re at our Kingston, ON office. We frequently treat smokers and can recommend smoking cessation programs to help you quit. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman can also advise you about whitening treatments and gum disease prevention activities that ensure you’ll have a beautiful smile for years to come.

Common Dental Problems

December 18th, 2014

Ever feel something a little off with your teeth or mouth? Many times it is just temporary. However, it is possible that many common dental problems may have a bigger underlying cause.

Read about some of the common dental problems listed below for more information on warning signs and when you should call us to set up an appointment!

Bad Breath That Doesn’t Go Away:
Cause might be gum disease, food, drinking, smoking, medicine you’re taking or a health condition. If you cannot get rid of bad breath with daily brushing and flossing, see your dentist.

Bleeding Gums When You Brush or Floss:
If you’ve just started flossing, a little bleeding is normal. If you bleed almost every time you brush or floss your teeth, see your dentist.

Dry Mouth:
For women, menopause may be the cause. It’s also a side effect of many common medicines. It does not feel good and can make dental problems worse. You need to tell your dentist if you have this problem.

A Tooth That is a Little Loose:
A loose tooth could be caused by gum disease or by a blow to the mouth. It is a serious problem and you should see your dentist.

A Sore Mouth:
May be caused by false teeth that don’t fit well. It could also be from leaving false teeth in your mouth overnight. “Burning mouth syndrome” is a problem that affects some older women. Not eating the right kind of food may also be the cause.

Bleeding That You Can’t Explain/Mouth Sores That Don’t Heal in 7-10 Days/White or Red Patches in Your Mouth/Feeling Numb or Sore Inside Your Mouth:
Could be signs of oral cancer. You must see your dentist right away.

Teeth That Are Sensitive to Hot/Cold/Sweetness/Pressure:
Teeth can become sensitive all of a sudden, or can happen over time. In most cases, the pain means there’s something wrong. Check with your dentist.

Relax with Sedation Dentistry

December 16th, 2014

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre understand that many of our patients have a fear of dentistry. You may be concerned about experiencing pain from sensitive teeth or routine procedures. General anxiety is also common. Do not put off visiting our Kingston, ON office; we offer various types of sedation to take the pain and fear out of your dental procedure.

Nitrous Oxide Sedation

For many patients, nitrous oxide, combined with local anesthetics, will both provide pain relief and reduce anxiety. Nitrous oxide is beneficial because the dosage can be regulated during treatment and patients are normally capable of driving shortly after the procedure is completed.

Oral or Injected Sedation

With oral sedation, you may be given a pill or liquid to consume several hours before your procedure. You will not be able to drive yourself to the appointment. An oral liquid is often given to children before any shots or intravenous anesthesia. An intramuscular injection may be given at the office that provides relaxation benefits for 20 to 30 minutes.

Nitrous Oxide with an Oral Sedative

If you experience higher levels of anxiety, an oral or injected sedative can be offered before nitrous oxide is started. This is also effective for reducing anxiety regarding the injection of local anesthetics. A liquid medication followed by nitrous oxide is beneficial for children. This combination can produce a deep sedation level.

IV Sedation

This type of anesthesia can be offered as an inhaled gas or intravenous liquid. If no oral sedative is given before the general anesthesia is administered, you should wake up quickly after your procedure is complete. An injection, pill, or liquid medication can be offered to reduce anxiety before intravenous sedation begins. Intravenous sedation can also be used at moderate-to-deep sedation levels without complete loss of consciousness.

Do not hesitate to ask Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman about receiving sedation or pain prevention when you visit. We will be glad to explain the options we have available and answer all your questions to ensure that your exam is pleasant for you.

Nutrition and Oral Health

December 12th, 2014

Most of us know that our diet is important to our waistline. But did you know that what you eat plays a huge role in your oral health as well?

Walk down the aisle of any supermarket and you are bound to see endless foods that have been processed. While these are usually are packed with unhealthy amounts of sodium and fat—the added sugar to these snacks and many other foods is the main culprit in turning your teeth and gums into a disaster area.

Your mouth works to maintain a delicate balance of chemicals that helps keep your teeth and gums healthy. When too much sugar is introduced into the body, your immune system is weakened. To help counter this action, your mouth becomes more acidic. When your saliva becomes acidic, it creates nasty bacteria that stick to the teeth and tongue. This bacteria—plaque—wreaks havoc on your teeth and gums unless it is removed. People that leave plaque untreated run the risk of developing gum disease. Gum disease can lead to many other serious health problems such as increasing your risk of strokes, heart attack, pregnancy problems, and also contributes to bronchitis, pneumonia and emphysema.

The average Canadian eats the equivalent of 40 kg of sugar each year. While we enjoy the occasional dessert as much as anyone, there are many other ways to cut down on your sugar intake!

  • Try to choose sugar-free snacks
  • Add less sugar to coffee or tea (or use sugar substitutes)
  • Avoid sugar-sweetened soft drinks
  • Look for fruit juices and drinks with no added sugar (better yet, make your own!)
  • Read lists of ingredients when you’re grocery shopping (note that sugar can be under many names: honey, molasses, liquid invert sugar, glucose and fructose, etc.)
  • Avoid sticky sweets as they stick to teeth and are harder to brush away
  • Carry a travel-size toothbrush and use it after eating sweets (if you can’t brush, at least rinse your mouth with mouthwash or water)
  • Chew sugarless gum

There are also many ways to get that afternoon pick me up that won’t hurt your teeth OR your waistline!

  • Plain milk and buttermilk
  • Fruit and raw vegetables
  • Plain yogurt, cheese and cottage cheese
  • Hard boiled or deviled eggs
  • Nuts, sunflower or pumpkin sees

These are just a few suggestions—but the possibilities for healthy snacks and meals are endless! So before you reach for that soda, candy bar or extra helping of dessert, take a moment to think about how skipping the sugar will help not only your teeth but your whole body become a healthier environment!

Canker Sores and Stress

December 9th, 2014

Canker sores are painful lesions that form in the soft tissues of the mouth, usually along the inner lips, under the tongue, and along the cheek walls. They are usually small and round, and take on a white or yellow hue. Though most are generally harmless and tend to heal on their own within a week or two of appearing, canker sores can be very irritating.

Only about one in five people develop canker sores. Of those who do, many develop them recurrently as a result of external factors. Though canker sores have been connected to allergies and hormonal changes, many people who are prone to developing canker sores find that their outbreaks are stress-related.

A combination of emotional stress and fatigue can be a perfect storm for the development of mouth sores. Some people say they are not under stress when canker sores form, but the sores appear several days after a stressful event or situation instead. Managing stress, reducing anxiety, and getting plenty of sleep may help prevent canker sores from forming and ensure that existing ones heal more quickly.

What to do if you develop canker sores

Do not be alarmed if you develop a canker sore. They are not contagious and are not harmful to your health. Over-the-counter oral numbing products can be used to manage pain, as can ice chips. Canker sores may heal faster if you apply milk of magnesia to them daily and avoid spicy foods that could irritate them.

You should contact your doctor if you find that your canker sores are unusually large or persist without healing for several weeks. Our team at Cataraqui Dental Centre also recommends seeking out professional treatment if you experience extreme pain or a fever develops in association with a canker sore outbreak.

For more information about canker sores, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman, please give us a call at our convenient Kingston, ON office!

The Importance of Baby Teeth

December 2nd, 2014

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team know it can be easy to underestimate the significance of baby teeth. At Cataraqui Dental Centre, we sometimes meet parents who assume that since their child's baby teeth, also known as primary teeth, eventually fall out and are replaced, they are less important. But did you know baby teeth serve purposes other than biting, chewing, and digesting food properly?

Baby teeth are essential not only for your child’s language development, but they also serve other important functions, like contributing to the normal development of your child’s jaw bones and facial muscles. Baby teeth also reserve space for your child’s future permanent teeth.

So, when do baby teeth fall out?

A baby tooth is intended to remain in your child’s mouth until the permanent tooth underneath it is ready to take its place. Sometimes, either due to a tooth being knocked out accidentally or being removed because of tooth decay, kids lose baby teeth before the permanent teeth are ready to erupt. If a tooth is lost, the teeth on either side of the open space may possibly push into the open space. The result? There may not be enough room for the permanent tooth when it is finally ready to erupt.

If you have any questions about your toddler’s teeth, or if your child is experiencing issues that concern you, please give us a call to set up an appointment at our convenient Kingston, ON office.

What is hand-foot-and-mouth disease?

November 25th, 2014

Hand-foot-and-mouth disease, or HFMD, is a type of contagious viral illness that causes a rash in the mouth and on the hands and feet of infants and young children, and, while rare, adults. Characterized by sores in the mouth and a rash on the hands and feet, hand-foot-and-mouth disease is most commonly caused by a coxsackievirus, a bacterium that lives in the human digestive tract. HFMD can spread from person to person, typically via unwashed hands.

What are the symptoms of HFMD?

Symptoms of HFMD usually begin with a fever, sore throat, poor appetite, or general malaise. A couple of days after the fever starts, kids may develop painful sores in the mouth. A skin rash characterized by red spots may also develop, usually on the palms of your child’s hands and soles of their feet. It’s important to note some children may only experience a rash while others may only have mouth sores.

Is HFMD serious? Should we be concerned?

Usually not. Nearly all children infected recover anywhere between seven to ten days without medical treatment. Rarely, however, a child can develop viral meningitis and may need to be hospitalized. Other rare complications of HFMD can include encephalitis (brain inflammation), which can be fatal.

How can my child prevent HFMD?

There is no known vaccine to defend your child against HFMD. However, the risk of your child contracting the disease can be reduced by:

  • Making sure your child washes his or her hands often
  • Thoroughly cleaning objects and surfaces (these include doorknobs and toys)
  • Making sure your child avoids close contact with those who are infected

To learn more about hand-foot-and-mouth disease or to schedule an appointment for your child, please give us a call at our Kingston, ON office!

Xylitol: A significant factor for improving your oral health

November 20th, 2014

Xylitol is a naturally occurring sweetener found in tree bark, plants, fruits, and vegetables. The human body also produces it in small amounts. It looks and tastes like sugar, so as part of a health regimen, most people require no willpower to use it.

Xylitol is safe (approved by the World Health Organization) because only a small amount is needed for health benefits. With a glycemic index of seven, it is safe for diabetics. It has less than three calories per gram and 40% fewer calories than other carbohydrates. If eaten in extremely large amounts too quickly, it has a laxative effect in humans.

Tooth decay happens when bacteria in your mouth consume the sugars you eat. When you eat food that contains ordinary sugar, it gives energy to the bacteria on your teeth, allowing them to multiply and start making acids that destroy the enamel on the teeth.

Since xylitol is a natural sweetener derived from the fibrous parts of plants, it does not break down like sugar, so it helps maintain a neutral pH level in the mouth. Xylitol also prevents bacteria from sticking to the teeth because they are unable to digest it. That is how it protects the teeth from cavities.

With xylitol, the acid attack is diminished. With less bacteria and acid, your teeth stay healthier. The frequency of xylitol ingestion is important: aim for five grams a day, or one gram every three hours.

Studies of xylitol use as either a sugar substitute or a small dietary addition have demonstrated a dramatic reduction in new cavities. It has also stopped and even reversed some existing cavities. This effect is long lasting and possibly permanent. Low cavity rates persist even years after the trials have been completed.

Xylitol needs to be one of the first ingredients in a product to be effective. It is convenient and easy to use. You can find it in health food stores and specialty grocery stores. Xylitol can be delivered to your teeth in chewing gum, tablets, or even candy and mints. You can also use it before bed—after brushing and flossing—to protect and heal your teeth as you sleep.

It also comes in toothpaste, mouth rinse, baby oral wipes, gel and pacifiers, nasal wash, dry mouth spray, a granulated form for cooking, granulated packets to add to drinks, and commercially prepared foods. It can replace sugar on a one-to-one ratio.

Sweet rewards in xylitol are good for the body and the teeth of infants, children, adolescents and adults!

If you have specific questions please feel free to contact us at Cataraqui Dental. We look forward to seeing you soon!

How to Care for a Teething Baby

November 18th, 2014

After hours of juggling a wailing baby, you’re probably desperate to address teething pain. If your baby is irritable, drooling, and chewing on hard objects, he or she is likely teething. Although some discomfort while your baby is teething is inevitable, learning a few basic approaches can ease painful gums and soothe your frazzled nerves.

  • Offer your finger. Simply chewing on your nice, plump finger may be enough to ease your little one’s pain. Make sure you clean your finger before placing it in your baby’s mouth.
  • Use a teething ring. A firm rubber teething ring allows your child to gnaw, and alleviates pain. If your baby seems to like sucking on a bottle, replace the milk or formula with water during teething periods. This reduces sugar intake and decreases the risk of tooth decay.
  • Cool it down. Stick a clean, moist washcloth in the freezer (place it on a tray for cleanliness) and offer that to your baby. The cooler temperature of the chilled cloth eases the pain of teeth erupting through the gums. Soaking the washcloth in non-caffeinated tea, such as chamomile, may reduce inflammation associated with teething.
  • Grab some hard foods. Certain foods allow your kiddo to gnaw, and can ease teething pain. For example, frozen bananas, large chunks of chilled carrots, an apple, or frozen bagels make good teething pain relievers. If you’re offering your child solid food, watch carefully to ensure that your infant doesn’t bite off a piece and choke.
  • Try a natural remedy. Years of grandmotherly wisdom suggest that home remedies might help with teething. Try rubbing clove oil, peeled ginger root, or vanilla extract onto your child’s gums. Although there isn’t scientific evidence to prove these remedies are effective, they may help your little one through the painful teething process. Just remember to test the method out on your own gums first to ensure any tingling or numbing is bearable for your child.
  • Use medications. If your baby seems to be especially uncomfortable, over-the-counter medications may be appropriate. Giving an age-appropriate dose of acetaminophen (Tylenol) or ibuprofen (Advil) may reduce discomfort. Make sure you check with your child’s pediatrician or our office first to ensure the medication is safe.

If nothing seems to be helping your child’s teething pain, you can always schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman. Our team at Cataraqui Dental Centre understands the unique health needs of your little one, and are more than happy to help ensure he or she grows up with a beautiful smile.

For more information about teething, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman, please give us a call at our convenient Kingston, ON office today!

Dental Infections

November 11th, 2014

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre will tell you that dental infections can be very serious; sometimes, they develop into a life-threatening situation. Cavities are caused by acid-generating microorganisms that deposit themselves on teeth surfaces. Over time, acid erodes tooth enamel, compromising tooth strength. The major culprit or cause of cavities is sweets, but even diet soda plays a substantial role in tooth erosion, largely because the phosphoric acid it contains alters the oral pH. Cavities can pave the way for other, more serious infections to develop.

Types of infections

Pulpitis

Pulpitis is an inflammation of the tooth pulp. It typically occurs when cavities get deep enough to allow infection to reach the pulp. When this happens, bacteria travel through the pit or fissure that the cavity created. It can also develop from a fractured tooth. The symptoms may include moderate pain that comes and goes. Pain may intensify when cold liquids touch the pulp.

Periodontitis

Periodontitis is a consequence of chronic gingivitis, which occurs when the supportive bone structure of the tooth erodes, causing the periodontal tooth ligament to detach from the tooth. Kids between the ages of 12 and 17 and adults over age 30 are most likely to develop this disease. In severe cases of periodontitis, a periodontal abscess may form. Symptoms of the infection typically include redness, sensitivity to touch, and swelling.

Pericoronitis

Pericoronitis is an infection that occurs when food particles and other microorganisms get trapped under gum flaps. It typically happens when impacted wisdom teeth erupt. Pain at the site of the infection is a common symptom. You should try to prevent food particles from lodging in the gingivitis flaps.

Dental abscesses

A dental abscess is one of the most serious dental infections anyone can get. It begins at the base of the tooth, but without treatment can spread rapidly. When the abscess is more severe, the bacteria spread, often very rapidly, and cause severe facial swelling, pain, and discomfort.

The best way to minimize the risk of developing a dental infection is by practicing good oral hygiene, making sure that food or other particles aren’t trapped between the teeth for too long, flossing, using oral rinses that bear the ADA seal of approval, and seeing the dentist regularly. If or when there are any symptoms of infection, even if the only symptom is pain, be sure to visit the dentist. Early intervention may prevent the infection from escalating into something far more severe, painful, and costly to treat.

To learn more about dental infections, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman, please give us a call at our convenient Kingston, ON office!

Oral Health Concerns for Infants

November 4th, 2014

Because babies’ teeth don’t appear until around six to eight months of age, it’s a natural misconception that they don’t need dental care. But the steps you take as the parent of an infant can help your baby maintain good oral health and develop healthy dental habits in the future.

It’s easy to take care of a baby’s teeth and gums, especially when oral hygiene for your infant becomes part of the normal daily routine. Learn more about how you can promote good dental health for your baby with these tips and considerations.

Taking Care of Baby’s Oral Hygiene

  • Dental Hygiene for Birth to Six Months. Cleaning your infant’s gums is as important as cleaning teeth will be later. Hold your baby in your arms, and with a clean, moistened washcloth wrapped around your index finger, gently massage his or her gums.
  • Dental Hygiene for Six to 12 Months. After teeth begin to appear, it’s time to switch to a soft, children’s toothbrush for teeth cleaning. New research has shown that fluoride toothpaste is safe and recommended for use once your baby’s first tooth arrives. Gently brush your baby’s teeth after each feeding, in the morning, and before bedtime, just as you did before teeth appeared.
  • Good Bedtime Habits. One of the most important things you can do to protect your infant from tooth decay is to avoid the habit of putting baby to bed with a bottle. Use other soothing bedtime activities, such as rocking and lullabies, to help your baby drift off to sleep.
  • A Note about Dental Decay. Many people are unaware that dental decay is transmissible. Avoid placing your baby’s bottle, sippy cup, or pacifier in your own mouth to test the temperature. Likewise, don’t share utensils with your baby.

Partner With Your Dentist

Your baby should receive his or her first dental health checkup by the age of six months. Even though your infant may not have teeth yet, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman can assess the risk your baby might face for oral diseases that affect hard or soft tissues. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman can also provide you with instructions for infant oral hygiene, and explain what steps to add as your baby grows and develops.

Cataraqui Dental Centre is your partner for good oral health, and we’re here to make caring for your baby’s dental hygiene and health easier and more enjoyable for you.

The Intriguing History of Halloween

October 28th, 2014

Halloween is fast approaching, and Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman wanted to be sure to wish our patients a happy day, no matter how you might celebrate this holiday. The Halloween that is familiar to most people today bears little resemblance to the original Halloween; back in the "old days" it wasn't even called Halloween!

Festival of the Dead

Halloween started out as a Celtic festival of the dead that honored departed loved ones and signified a change in the cycle of the seasons. The Celtic people viewed Halloween, then called "Samhain," as a very special day – almost like our New Years day in fact, as their new calendar year began on November 1st. Samhain was the last day of autumn, so it was the time to harvest the last of the season's crops, store food away for winter, and situate livestock comfortably for the upcoming cold weather. The Celts believed that during this day, the last day of winter, the veil between this world and the spirit world is the thinnest, and that the living could communicate with departed loved ones most effectively on Samhain due to this.

Modern Halloween

Halloween as we know it today started because Christian missionaries were working to convert the Celtic people to Christianity. The Celts believed in religious concepts that were not supported by the Christian church, and these practices, which stemmed from Druidism, were perceived by the Christian church as being "devil worship" and dangerous.

When Pope Gregory the First instructed his missionaries to work at converting the Pagan people, he told them to try to incorporate some of the Pagan practices into Christian practices in a limited way. This meant that November 1st became "All Saints Day," which allowed Pagan people to still celebrate a beloved holiday without violating Christian beliefs.

Today, Halloween has evolved into a day devoted purely to fun, candy, and kids. What a change from its origins! We encourage all of our patients to have fun during the holiday, but be safe with the treats. Consider giving apples or fruit roll-ups to the kids instead of candy that is potentially damaging to the teeth and gums.

Remind kids to limit their candy and brush after eating it! Sweets can cause major tooth decay and aggrivate gum disease, so to avoid extra visits to our Kingston, ON office, make your Halloween a safe one!

All About Dentures

October 23rd, 2014

For many patients, dentures offer a cost-effective option for having a beautifully natural looking smile when replacement teeth are needed for health and aesthetic reasons. In our office, we offer three types of denture solutions:

Full – When all natural teeth are removed, full dentures are placed immediately. These dentures require frequent adjustments during the first few months, and will need to be relined every few years.

Partial – These dentures are attached to a metal frame that is then connected to natural teeth to fill in the gaps of missing natural teeth. Partials are considered a removable alternative to bridges.

“All-on-4” or Implant supported Dentures”  – This denture option utilizes implants surgically placed in the mouth, combined with the fabrication of an implant supported denture.  The implants are used to secure the denture in place and stop it from slipping and popping out of the mouth. “All-on-4” or  implant supported denture treatment vastly improves mouth function, aesthetics, speech, and self-esteem for many patients.

Much like natural teeth, dentures need to be properly cared for. If you have dentures, here are some tips for cleaning and caring for them:

Cleaning:

  • Remove from mouth and run under water (cleaners and toothpaste are too abrasive!)
  • Wet denture brush or regular soft-bristled brush and apply denture cleaner or mild soap
  • Gently brush all surfaces, including under clasps where bacteria collect
  • Do not bend plastic or attachments
  • Rinse dentures well in water before putting back in mouth
  • Clean and massage gums while dentures removed
  • If you have partial dentures, brush natural teeth with soft-bristled brush and floss
  • If toothbrush hurts gums, run under warm water to soften

Care:

  • Remove dentures at night
  • Soak in cleanser in lukewarm water (never use hot water)
  • If cracks in denture are present, be sure to take to the dentist
  • Dentures need relining, as your mouth is always changing
  • Poorly fitted dentures may cause dental sores and make oral cancer hard to spot
  • Broken dentures don’t fit properly and cause irritation to gums and mouth
  • Keep up with your regular 6 month checkups

If you are experiencing any discomfort or pain with your denture, or if you find cracks in the denture, please call us immediately. Of course, if you have any questions about dentures, just give us a call - we’re always here to help!

Ten Fun Things to Do with Your Old Toothbrush

October 21st, 2014

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our staff recommend that you replace your worn-out, germy toothbrush with a new one every three months. But most people either forget or resist getting rid of something that is still “working.”

Maybe if they had a few ideas for putting that old toothbrush to good use, more people would take our advice? To encourage good oral practices, we offer these ten fun things you can do with your used toothbrush:

1. Let your five-year-old budding Da Vinci create a masterpiece with some paint and your old toothbrush.

2. Scrub oily areas on your face with your toothbrush. The bristles are perfect for removing embedded dirt and oil that clogs pores.

3. Pamper your hamster by brushing his fur with an old toothbrush.

4. Dab a bit of Vaseline on the bristles and comb your eyelashes: instant glamour! Got dry, flaky lips? Slough away by using a toothbrush on your lips.

5. Remove the bristles: instant small plant stakes!

6. Old toothbrushes are great for spot-cleaning just about anything.

7. When nobody is around to scratch an unreachable itch on your back, turn that old toothbrush into your personal backscratcher.

8. Is your dog’s breath so bad that all your houseplants have died? Try brushing his teeth with your old toothbrush so that his kisses (and breath) are more tolerable.

9. Give your fish the cleanest tank in the neighborhood by scrubbing it with your old toothbrush.

10. Did you notice a few gray hairs sprouting from your hairline this morning? Old toothbrushes were made for touch-up dye jobs; works for dyeing your eyebrows, too!

Providing the Right Dental Care for your Children

October 14th, 2014

You already know that Cataraqui Dental Centre recommends you come in for a checkup and cleaning at least every six months, but do you know what your child’s dental needs are? From the time children are babies and growing in their first teeth, their oral health care needs may be different from adults. It’s important to know what they need, and when, to help them grow strong, healthy teeth.

When to See Our Team at Cataraqui Dental Centre

While dental care (at home) can begin as soon as your baby starts to show signs of that first tooth, most experts do not recommend you see a dentist until your child is at least one year old. The child will likely be too young at this point to have a full dental exam, but we can take a look at your baby’s teeth and give you tips for brushing and flossing properly.

By the time your child has all of his or her baby teeth—usually around 24 to 30 months of age—we can begin scheduling regular checkups and cleanings.

What to Expect on the First Visits

The first visit to our Kingston, ON office for a full exam will mostly involve getting to know Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and staff members, and making your child feel comfortable. Let us know if you would like to sit in the exam room during the appointment, but keep in mind that it may be beneficial to leave your child alone with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman for a portion of the appointment so we can start building trust with your child.

Our team at Cataraqui Dental Centre will likely do some or all of the following during your child's visit:

  • Look for signs of decay or other tooth or gum problems
  • Examine your child’s bite, checking for misalignment that could lead to problems in the future
  • Clean the teeth, and apply fluoride if your child is old enough
  • Talk to you about proper oral health care for your children
  • Answer any questions you may have about caring for your child’s teeth, which may include topics like fluoride needs, nutrition and diet, teething, and the frequency of future checkups

In most cases, we will recommend that you bring your child in every six months for regular checkups, the same as your recommended frequency.

Understanding your child’s unique dental needs is important for providing the best possible care when it becomes necessary. We look forward to building a good relationship with your child so coming to the dentist is a fun, rewarding experience and not a frightening one.

Thanksgiving in North America

October 7th, 2014

Thanksgiving marks the start to the holidays; a season filled with feasting, indulging, and spending time with family and friends are always special. Thanksgiving is a holiday meant for giving thanks, and while this may seem like such a natural celebration, Canada is only one of a handful of countries to officially celebrate with a holiday.

Unlike many holidays, Thanksgiving is a secular holiday, and it is celebrated on the fourth Thursday in November in the United States. In Canada, it is celebrated on the second Monday of October, which is, oddly enough, much closer to a time when harvests were likely gathered. In addition to the different dates, the origins of the celebration also share different roots.

Canadian Thanksgiving

An explorer of early Canada named Martin Frobisher is accredited for the first Canadian Thanksgiving. He survived the arduous journey from England through harsh weather conditions and rough terrain, and after his last voyage from Europe to present-day Nunavut, he held a formal ceremony to give thanks for his survival and good fortune. As time passed and more settlers arrived, a feast was added to what quickly became a yearly tradition. Another explorer, Samuel de Champlain, is linked to the first actual Thanksgiving celebration in honor of a successful harvest; settlers who arrived with him in New France celebrated the harvest with a bountiful feast.

Thanksgiving in the United States

Giving thanks for a bountiful harvest are not new, but the modern day holiday in the US can be traced to a celebration at Plymouth in Massachusetts in 1621. This feast of thanksgiving was inspired by a good harvest, and the tradition was simply continued on. At first, the colony at Plymouth didn't have enough food to feed everyone present, but the Native Americans helped by providing seeds and teaching them how to fish, and they soon began to be able to hold a feast worthy of the name. The tradition spread, and by the 1660s, most of New England was hosting a Thanksgiving feast in honor of the harvest.

A Modern Thanksgiving

From feasts and football games to getting ready for the start of the Christmas shopping season, Thanksgiving means roasted turkey, pumpkin pie, and green bean casserole. No matter how you celebrate this momentous day, pause for a moment to give thanks for your friends, family, and all the bounties you’ve received. Happy Thanksgiving from Cataraqui Dental Centre!

Diabetes and Dental Care

September 30th, 2014

When most people think of complications of diabetes, they think of an increased risk of blindness, limb amputation, heart disease, and neuropathy. However, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team want you to know that emerging research is revealing a possible connection between uncontrolled diabetes and dental problems. Whether you have type 2 diabetes or type 1, uncontrolled high blood glucose level increases the risk of certain oral health conditions, including:

  • Cavities
  • Tooth decay
  • Gingivitis (early gum disease)
  • Periodontal disease (advanced gum disease)

Diabetes and proper dental care

If you have diabetes, it is more important than ever to take your dental care seriously and practice excellent oral hygiene. These recommendations will help:

  1. Manage your diabetes. First and foremost, it is vital to control your high blood sugar in accordance with your physician’s instructions — not only for the sake of your oral health, but your overall health. With properly controlled blood sugar, you reduce your risk of developing gingivitis and other oral health issues.
  2. Practice good at-home oral hygiene. This means brushing at least twice a day AND flossing. At a minimum, brush your teeth in the morning and at night, but after meals and snacks if you can. Use a soft toothbrush to avoid injuring your gums. Don’t neglect flossing, because it helps to remove plaque below the gumline and between teeth.
  3. Visit the dentist regularly. While it is important to see the dentist every six months even if you don’t have diabetes, it is even more crucial to have a professional teeth cleaning and dental exam if you have the disease. As dental professionals, our team at Cataraqui Dental Centre is able to detect early dental conditions before they develop into something more serious and costly.
  4. Tell your dentist that you have diabetes. If you were recently diagnosed with diabetes, be sure to let us know as soon as possible, and remind us at every appointment.
  5. Be conscientious about examining your own gums and teeth. By looking for early signs of gum disease, which can include bleeding gums, irritated gums, gums that are red (versus a healthy pink), or swelling, we can get started on treatment right away.

Managing diabetes takes effort, not only in watching your diet, exercising, monitoring your blood sugar levels, and taking your medication, but obtaining proper dental care.

To learn more about the link between diabetes and oral health, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman, please give us a call at our convenient Kingston, ON office!

Reminding you to protect your mouth this fall!

September 29th, 2014

With fall sports under way for a lot of our patients, the team at Cataraqui Dental Centre thought it would be a good time to remind our young athletes how important mouthguards are while participating in contact sports (and non-contact sports) this winter.

Whether you wear braces or not, protecting your smile while playing sports is essential. Injuries to the mouth and jaw are some of the most common injuries received by athletes. Mouthguards help protect your teeth and gums. If you participate in basketball, boxing, hockey, football, gymnastics, lacrosse, martial arts, racquetball, rugby, track and field, skateboarding, skiing and snowboarding, skydiving, soccer, surfing, volleyball, water polo, weightlifting or wrestling, it is recommended by the Canadian Dental Association that you wear a mouthguard.

Types of Mouthguards

Choosing the right mouthguard is important. There are three basic types of mouthguards: the pre-made mouthguard, the “boil-and-bite” fitted mouthguard, and a custom-made mouthguard. When you choose a mouthguard, be sure to pick one that is tear-resistant, well fitted for your mouth and easy to keep clean. Also make sure it does not prevent you from breathing properly during use. If you wear braces or a retainer, it is imperative for you to wear a mouthguard. We can show you how to wear a mouthguard properly and how to choose the right mouthguard to protect your smile.

Taking Care of Your Mouthguard

Similar to a retainer, braces, or any other special dental appliance, it is important to take care of your mouthguard by storing it properly and keeping it clean. You should also know when to replace your old mouthguard with a new one. Here are a few simple ways to keep your mouthguard clean and working correctly:

  • Gently scrub your mouthguard after each use with a toothbrush and toothpaste.
  • Store your mouthguard in a protective case.
  • Do not leave your mouthguard in the sun or in hot water; it may melt or become deformed.
  • Replace your mouthguard at the beginning of every new sports season. You should also replace your mouthguard if you notice it has become worn and no longer fits properly.
  • Do not chew on or cut pieces off of your mouthguard.
  • Bring your mouthguard to each dental checkup, and we can check to make sure it’s still in good shape.

Our goal is to help minimize your chances of a sports related injury. Be sure to ask your dentist about mouthguards at your next dental checkup!

We hope this helps you remember to always wear a mouth guard and other forms of protective gear when participating in winter sports! We encourage you to give us a call if you have any questions or ask us on Facebook!

The Secret to Keeping Your Teeth for Life

September 23rd, 2014

The secret to keeping your teeth for life involves more than one secret. The first is that there is no secret; and in fact, there really is no difficulty involved. Follow this simple four-step process – brush, floss, rinse, and visit our Kingston, ON office regularly – and you will have healthy teeth for life!

Brush

You should brush your teeth twice a day, preferably once in the morning and once at night. Three times a day will not hurt. Use a soft-bristled toothbrush and light pressure; you do not want to scrub away your gums or tooth enamel.

Brush for a minimum of two minutes, and carefully clean all tooth surfaces. Three minutes is better. Use quality toothpaste; Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our staff can recommend the best type for your needs. Keep your toothbrush clean and replace it about every three months.

Floss

Make flossing part of your daily routine, at least once a day. Flossing is important for more than just removing food particles between your teeth. The process also helps to remove bacteria that you cannot see. Bacterial build-up turns into plaque, or calculus: a cement-like substance that cannot be removed by brushing alone.

Use floss gently; you do not want to cut your gums. There are many different types of flosses and flossing tools. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our staff will be happy to help you find the style that works best for you.

Rinse

Mouthwash does more than freshen your breath. Rinses help kill the bacteria that lead to plaque formation and gum disease. This extra step can go a long way toward having healthy teeth for life.

Keep your appointments

You should have a professional cleaning at Cataraqui Dental Centre twice a year. Some patients benefit from more frequent cleanings. Your hygienist will remove any plaque build-up to prevent gingivitis, which left untreated becomes full-blown gum disease. Periodontitis leads to tooth loss.

You also need to see Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman twice a year for a teeth and mouth exam. We can find problems such as cavities, and treat them before the situation becomes critical. Ask our Kingston, ON team any questions you have; together we can make your teeth last for life.

You broke your tooth; now what?

September 16th, 2014

You may have bitten down on a hard food or object, or perhaps you had a cavity that weakened your tooth. Either way, your tooth is now broken, and the steps you take to care for it will determine whether you get to keep your natural tooth or not. Millions of people suffer from broken teeth every year, so you are not alone. However, that does not mean your newly cracked tooth does not need immediate attention.

What is a broken tooth?

A broken tooth is one that has been fractured, chipped, cracked, broken apart, or completely knocked out of the mouth. You may or may not feel your tooth break, depending on the extent of the break and whether your tooth was decaying prior to the break. It is usually very easy to diagnose a broken tooth, because the evidence will be visible. In the case of hairline cracks in the teeth, you may start to note a sensitivity to hot or cold in the neighborhood of the fracture.

The Right Way to Handle a Broken Tooth

As soon as you know your tooth is broken, chipped, or fractured, make an appointment to visit our emergency dental office. Even the tiniest fractures require attention: bacteria can infect the fractured area, which could cause you to lose the tooth altogether.

Until you are in our office, you can manage your pain using over-the-counter pain medication, such as Tylenol, or you can apply a cold compress to prevent swelling and inflammation. Be sure to rinse your mouth with warm salt water after every meal until you are able to visit us.

Keep in mind that while pain medication is an effective way to manage a broken tooth at home, it is only a temporary fix. Broken teeth should not be treated solely at home, and over-the-counter solutions are not substitutions for professional dental care. Failing to make an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman after breaking or chipping a tooth can place your health at risk.

Treatment

Treating your broken tooth will depend on the type of break you have and how much of the tooth is affected. A minor chip or tiny fracture line may easily be repaired with bonding. On the other hand, a more serious break that exposes the tooth's pulp may require a root canal or extraction to prevent infection. Ultimately, our team here at Cataraqui Dental Centre will explain to you the best treatment plan based upon our evaluation of the condition and extent of your break.

If you have broken, cracked, chipped, or fractured one or more of your teeth, don’t hesitate to contact our office immediately. We are available to help during the week and can provide an emergency dental line if we are unable to assist you.

Easing Your Allergies with Latex-Free Dentistry

September 9th, 2014

Imagine this scenario: you go to the dentist to have a cavity filled, and an hour after the procedure you have a runny nose, scratchy throat, and your arms are breaking out in blotchy, red hives. In other words, you’re in worse shape after the visit to the dentist than you were before you walked in to have the cavity fixed. If you experience any of these types of symptoms or side effects, chances are you have a latex allergy.

What is a latex allergy?

A latex allergy is a hypersensitivity to latex proteins. If you have this allergy, the Centers for Disease Control and Prevention recommend that you avoid direct contact with any materials that contain latex. While latex gloves are known to cause allergic reactions in people with a latex allergy, certain metals, plastics, and other materials used in dental care can also cause an adverse response.

A runny nose and itchy eyes are common allergic reactions to latex. However, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre want you to know it can also trigger more severe symptoms, including asthma, wheezing, and cardiovascular and gastrointestinal ailments.

A latex-safe dental environment

Many dental offices screen patients for a latex allergy. This is only beneficial, however, if you’re already aware you have a latex allergy. The best thing you can do to ease your allergies is to find a dentist who has a latex-safe environment. A latex-safe dental environment observes the following protocols:

  • All patients are screened for a latex allergy.
  • No personnel use latex gloves.
  • All latex products are removed from the patient’s vicinity, including rubber dams and elastics.
  • Work areas contaminated with latex powder are cleaned frequently.
  • Signs are posted to communicate all latex allergy procedures in case of an emergency.

If a latex allergy is part of your medical history, then it’s in your best interest to find a latex-free dental environment. To learn more about latex-free dentistry, or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman, please give us a call at our convenient Kingston, ON office!

Periodontal Disease in Adolescents

September 2nd, 2014

Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre know that periodontal disease isn't something exclusive to adults. It can affect adolescents as well. Gingivitis, which is a milder form of periodontitis, is a form of periodontal disease, and a warning that more serious problems may arise. Untreated gingivitis can develop into full-blown periodontitis.

The Canadian Academy of Periodontology (CAP) explains that research proves that younger people may develop more severe forms of gingivitis. Gingivitis is linked to periodontal disease. Children and adolescents who have type 1 diabetes or immune deficiencies are more likely to suffer from periodontal disease.

There are three types of periodontal diseases Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team see in children and adolescents.

Chronic gingivitis

Parents may suspect that their adolescent has chronic gingivitis if he or she shows or complains of symptoms such as redness, swelling, or bleeding gums. Early treatment may prevent gingivitis from developing into a more severe form of periodontal disease.

Aggressive and/or chronic periodontitis

Once called adult periodontitis, the term chronic replaces “adult” because periodontitis can occur in people in their early teenage years, and progress throughout their teens. Chronic and aggressive periodontitis primarily affects incisors and first molars. One of its distinguishing characteristics is bone loss. Curiously, patients who suffer from this form of the disease have minimal dental plaque on examination.

Generalized aggressive and chronic periodontal disease

This form of periodontal disease has many of the same characteristics of the chronic and aggressive form, but this more severe type of the disease affects the entire mouth. Symptoms include major plaque and calculus accumulation, and inflamed gums.

In both forms of more severe periodontal disease, the overall gum structure may change. The severity of these changes may alter gum strength enough to loosen teeth, or even worse, cause them to fall out.

The success of any treatment is largely contingent on early diagnosis. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman should conduct a thorough periodontal exam as part of an adolescent’s twice-yearly complete dental examinations.

The mouth is full of bacteria. Some of it is necessary for food digestion. Diseases are more likely to develop if bacteria travel to open places in the mouth, such as exposed gum pockets or cavities. Proper dental hygiene is essential for a healthy mouth, and a healthy mouth offers greater protection against painful dental diseases.

Be sure every member of your family has a complete dental exam and cleaning twice a year, and contact Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman when you or your young kids or adolescents complain of pain, sensitivity, or other oral problems. Early detection at our Kingston, ON office leads to treatment of oral problems and prevents them from turning into serious periodontal disease and potentially irreversible problems.

Fluorosis: What is it?

August 26th, 2014

Many people think dental fluorosis is a disease, but it’s not; it’s a condition that affects the appearance of your tooth’s enamel, not the function or health of the teeth. These changes may vary from tiny, white, barely noticeable spots to very noticeable staining, discoloration, and brown markings. The spots and stains left by fluorosis are permanent and may darken over time.

Dental fluorosis occurs in children who are excessively exposed to fluoride between 20 and 30 months of age. Only children ages eight years and younger can develop dental fluorosis. Why? That is the period when permanent teeth are still developing under the gums. For kids, fluorosis can cause significant embarrassment and anxiety about the appearance of their teeth. No matter how much they might brush and floss, the fluorosis stains do not go away.

Many well-known sources of fluoride may contribute to overexposure, including:

  • Fluoridated mouth rinse, which young children may swallow
  • Bottled water which is not tested for fluoride content
  • Inappropriate use of fluoride supplements
  • Exposure to water that is naturally or unnaturally fluoridated to levels well above the recommended levels

One way to reduce the risk for enamel fluorosis is to teach your children not to swallow topical fluoride products, such as toothpaste that contains fluoride. The city of Kingston’s water does not contain fluoride in it, so it is important for children to use fluoride toothpaste. For children under the age of three, a smear of toothpaste (the size of a grain of rice) should be used. For children three to six years of age, a pea –sized amount of toothpaste should be used.

Dental fluorosis can be treated with tooth bleaching, microabrasion, and conservative composite restorations or porcelain veneers. Please give us a call at our office to learn more or to schedule an appointment with Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman.

Wisdom Teeth Emergencies: Causes and treatment

August 19th, 2014

When you think of a dental emergency, you may picture teeth that have fallen out or severe tooth pain. But it is not uncommon for wisdom teeth to develop conditions or problems that require urgent care from Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our team at Cataraqui Dental Centre. Wisdom teeth are the third set of molars that erupt in the late teen years to early 20s. Spacing and crowding problems often cause impaction and infections, which is why many people elect to have their wisdom teeth removed. If you are experiencing discomfort or pain related to your wisdom teeth, call our office to schedule a wisdom teeth consultation.

Perisoronitis and Infections

You may develop perisoronitis if you have a partially-erupted wisdom tooth that has become inflamed. Often, inflammation is caused by food lodged beneath the gum. Here at Cataraqui Dental Centre, we can gently search for and remove food debris, as well as clean the affected area and treat it with antibiotics. Do not avoid treatment, however, as untreated perisoronitis can lead to infection, which ultimately places your health at risk.

Crowding and Impaction

When your wisdom teeth erupt, they may cause overcrowding of your teeth, which can have a negative effect on their alignment. This can make it harder for you to clean your teeth properly, and it also increases the chances for developing tooth decay and other oral health problems in the future. For some people, the wisdom teeth never erupt, becoming impacted beneath the gum and causing problems with the neighboring teeth.

If you have an impaction or wisdom tooth crowding, make an appointment with our office soon. We will be happy to evaluate the progress of your wisdom teeth, as well as their effect on the rest of your jaw. Depending on our analysis, we will then discuss your options for treatment and whether extraction might be right for you.

Complications from Wisdom Tooth Extraction

If you have recently had your wisdom teeth extracted, blood clots will have formed in the open sockets the teeth previously occupied. In most cases, the gums heal normally, assuming you follow post-surgical care instructions. However, a small percentage of wisdom tooth extractions do not heal according to plan. If you continue to experience pain or other unusual symptoms following a wisdom tooth extraction, please give us a call. We’ll do everything we can to minimize discomfort and help you heal safely and quickly.

Remember, our team is here to support your dental health in every capacity. We are dedicated to providing excellent service before, during, and after all wisdom tooth procedures, so you can rest assured that your oral health is in good hands.

Oral Health Concerns for Teens

August 12th, 2014

You have a lot more freedom as a teenager than you did as a young child. You also have a lot more responsibilities, and one of your jobs is to take care of your teeth. Develop and maintain good dental habits now so you can have great dental health for life!

Tooth Decay

As a teenager, you risk tooth decay, or dental cavities, if you are not careful. In fact, 59% of adolescents aged 12 to 19 have at least one cavity, according to the National Institute of Dental and Craniofacial Research. Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman and our staff recommend keeping your teeth strong and healthy by brushing at least twice a day and flossing every day.

If you suspect that you have tooth decay, do not be embarrassed. Instead, ask your parents to bring you to Cataraqui Dental Centre to get it looked at. When you do not treat your dental cavities, they can turn into more serious problems. A severely damaged tooth may need to be treated with a root canal or even an extraction.

You can take easy steps to prevent tooth decay when you are at school or hanging out with your friends. Carry a bottle of water around with you so you can take a sip after you eat any kind of food. Choose water or milk instead of soda or sports drinks, and if you chew gum, select a sugar-free flavor.

Other Oral Health Concerns

You can probably think of many reasons why you should not smoke or use tobacco. Your oral health is another one. Tobacco gives you bad breath and stains your teeth yellow. It also increases your risk for gum disease and cancer of the mouth. Smoking even slows the speed of healing after you have dental procedures done.

Here are a few more tips that can keep your mouth attractive and healthy during your teen years.

  • Drink plenty of milk.
  • Limit candies and sugary snacks.
  • Wear a mouthguard if you play a contact sport.
  • Visit Cataraqui Dental Centre twice a year.
  • Reduce infections and avoid piercing your tongue and lips.

You only get one set of permanent teeth in your life, so get in the habit of taking care of them now!

Care for Your Dentures

August 5th, 2014

Just like natural teeth, Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman will tell you that dentures have a tendency to get coated with plaque, which is a sticky, transparent film that attracts food and bacteria. When you don’t take care of your dentures adequately and regularly, plaque can build up, harden, and become difficult to remove. More importantly, it can result in dental problems, including gum disease and infection. Proper care for your dentures also helps them maintain their shape, fit the way they are supposed to, and last longer.

Cleaning your dentures

Your dentures should be cleaned with the same diligence as you clean natural teeth.

  • Take out dentures and rinse them after eating. To remove food particles, run water over your dentures.
  • Clean your teeth after denture removal. Once dentures have been removed, use a soft-bristled toothbrush to brush existing teeth, gums, and tongue.
  • Scrub your dentures on a daily basis. At least once per day, gently scrub your dentures with a soft-bristled toothbrush and denture cleanser.
  • Soak dentures overnight. In order to keep their shape intact, many dentures must remain moist. Always use a mild denture solution recommended by our office. Never use hot water on your dentures, as they may warp their shape.
  • Rinse dentures prior to placing them back in your mouth. This is especially important if you soak your dentures in a denture solution.
  • Dentures are fragile and can break when dropped. It’s a good idea to hold them in a soft cloth or towel to keep them from falling and breaking.

Over time, even with diligent daily care, your dentures may form difficult-to-remove tartar. When this happens, our team at Cataraqui Dental Centre uses a powerful ultrasonic cleaner to remove stubborn, denture build-up.

Proper care for your dentures can help retain their shape, prevent oral issues, and increase their longevity. Visit Drs. Tom Holmes, Gordon Lansdown, Karen Nesbitt, and Nick Cosman regularly at our convenient Kingston, ON office to maintain your oral health and keep your dentures in tip-top shape.