Your first visit
It is important for us to find out your specific needs and questions.
- What do you want?
- Do you want to smile with confidence?
- Do you want to replace missing teeth?
- Are you anxious about treatment?
- Anything else?
With the combination of experience, technical expertise and warm personal approach to care, we will develop a ‘Patient-Centred Care Plan’ that meets your needs and wants. We will gather information about you so that you may be thoroughly treated. This will include:
- A review of your medical and dental history
- A complete oral & dental health evaluation and risk assessment
- Review of all your gums and soft tissues in your mouth
- Having necessary photographs & x-rays taken
- Oral Cancer Screening
- Your Oral Hygiene practice(Brushing, Flossing etc)
Whatever your concern and expectation, we will put together a personalised plan that will have you confident and happy about your dental health. We will discuss your dental treatment and all the costs involved so there are no surprises.
Your initial appointment usually will consist of an examination and discussion of your treatment options. Usually, treatment can be done or started the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.
Please assist us by providing the following information at your first appointment:
- New Patient and Medical History Questionary form
- Any treatments that were done in the past, and x-rays taken by a previous dentist, if applicable.
IMPORTANT: All patients under the age of 18 must be accompanied by a parent or guardian on the first visit.
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The connection between general health and oral health
- Heart disease – Bacteria in the bloodstream can travel to the heart and lead to a heart disease.
- Stroke – There are a number of reasons why a stroke may occur – one of them is the narrowing of artery walls and another is blood clots. It is believed that oral bacteria may be a contributing factor to the arteries narrowing as well as blood clots easily forming because of the body’s negative response to the bacteria in the bloodstream.
- Rheumatoid Arthritis – It is known that periodontal disease will worsen the pain already suffered by those inflicted with this auto immune disorder.2
- Respiratory Disease – Those already suffering from COPD (chronic obstructive pulmonary disease) and pneumonia may have their condition worsened due to an increase of bacteria in their lungs.
- Poor oral Health is significantly associated with other chronic diseases. A detailed report can be found in the link below.
What is good oral hygiene
- Your teeth are clean and free of debris
- Gums are pink and do not hurt or bleed when you brush or floss
- Bad breath is not a constant problem
If your gums do hurt or bleed while brushing or flossing, or you are experiencing persistent bad breath, see your dentist. Any of these conditions may indicate a problem.
Your dentist or hygienist can help you learn good oral hygiene techniques and can help point out areas of your mouth that may require extra attention during brushing and flossing.
How is Good Oral Hygiene Practiced?
Daily preventive care, including proper brushing and flossing, will help stop problems before they develop and is much less painful, expensive, and worrisome than treating conditions that have been allowed to progress.
In between regular visits to the dentist, there are simple steps that each of us can take to greatly decrease the risk of developing tooth decay, gum disease and other dental problems. These include:
- Brushing thoroughly twice a day and flossing daily
- Eating a balanced diet and limiting snacks between meals
- Using dental products that contain fluoride, including toothpaste
- Rinsing with a fluoride mouth rinse if your dentist tells you to
- Making sure that your children under 12 drink fluoridated water or take a fluoride supplement if they live in a non-fluoridated area.
Oral hygiene for babies and toddlers
Saliva and chewing gum
Sugar-free chewing gum has a positive benefit for dental health by increasing salivary flow during chewing, which helps to dilute and neutralise plaque acidity. There is general scientific agreement now that chewing sugar free gum amongst other things can help to protect teeth against decay.
Over the last twenty years there has been considerable clinical research into the effect of salivary stimulation and the role of saliva in oral health. Clinical evidence suggests that not only does sugar-free gum not decay teeth but that, when chewed after meals and snacks, it will reduce the acidic effects caused by other foods. In addition to brushing teeth and gums regularly with a fluoride toothpaste, it is now recognised that chewing sugar-free gum can contribute to oral health through potential prevention of tooth decay.
What does saliva do?
Saliva is the mouth’s most important natural defence mechanism. It bathes the plaque on teeth and helps to neutralise the acids and wash away sugars. This effect is enhanced if salivary flow after sugary snacks is stimulated – with fruit, vegetables, cheese, for example, or with sugar-free chewing gum, which has the advantage of prolonged chewing.
At the earliest stages of the decay process, the tooth surface may ‘heal’ by deposition of essential minerals from saliva calcium and phosphate together with fluoride which accelerates the process of remineralisation. Saliva also helps to wash away the remains of food trapped in the hard-to-reach areas of the mouth.
What happens when you chew sugar-free gum?
Both the chewing action and the taste of sugar-free gum stimulate the production of extra saliva by up to 10 times its normal rate. When salivary flow is stimulated its composition changes, the concentration of bicarbonate increases, enhancing its ability to neutralise plaque acid. Also, as salivary flow increases, the availability of minerals is increased, helping to repair early tooth decay.
Dental hygiene and sugar-free gum.
The most important messages for oral health are to:
- Clean the teeth and gums thoroughly twice every day with a fluoride toothpaste
- Reduce the consumption, and especially the frequency of intake of sugar-containing food and drink
- Have an oral examination every six months or year
When tooth brushing is not practical after meals and snacks, chewing sugar-free gum is a help, but it should not replace any aspect of routine dental hygiene. If used, sugar-free gum should, ideally, be chewed for around twenty minutes in order to maximise the dental benefits.
Can sugar-free gum help relieve xerostomia (dry mouth)?
Patients with dry mouth are more susceptible to tooth decay as their flow rate, pH level and buffering capacity is lowered. Patients are often recommended to chew sugar-free gum to relieve the symptoms of dry mouth and also to help encourage the function of the salivary gland.
How much should you chew a day?
Sugar-free gum is sweet because it uses non sugar sweeteners sorbitol and xylitol especially. These sweeteners can cause short term gastrointestinal problems if taken in excess. This may occur with products where the amounts consumed are larger, but with chewing gum, the amounts consumed are very small and cannot under normal usage give rise to such problems.
Sugar-free chewing gum can be chewed by anyone from school age upwards. Dentists recommend that school-age children are advised by their parents on the appropriate use of gum for health benefit.
Will any type of gum do?
Dentists would only recommend a Sugar-Free gum.
Your Diet and Dental Health
How does the food you eat cause tooth decay?
When you eat, food passes through your mouth. Here it meets the germs, or bacteria, that live in your mouth. You may have heard your dentist talk about plaque. Plaque is a sticky film of bacteria. These bacteria love sugars and starches found in many foods and many purchased drinks which can have a surprising amount of sugar added. When you don’t clean your teeth after eating, plaque bacteria use the sugar and starch to produce acids that can destroy the hard surface of the tooth, called enamel. After a while, tooth decay occurs. The more often you eat and the longer foods are in your mouth, the more damage occurs.
Choose foods wisely
Some foods that you would least expect contain sugars or starches. Some examples are fruits, milk, bread, cereals and even vegetables. The key to choosing foods wisely is not to avoid these foods, but to think before you eat. Not only what you eat but when you eat makes a big difference in your dental health. Eat a balanced diet and limit between-meal snacks. If you are on a special diet, keep your physician’s advice in mind when choosing foods.
For good dental health, keep these tips in mind when choosing your meals and snacks. Carbonated and sports drinks are often very acidic as well as having sugar added. Understand what you eat and drink and it will help you make informed choices about your diet
Tips for better dental health
To get a balanced diet, eat a variety of foods.
Choose foods from each of the five major food groups:
- breads, cereals and other grain products,
- meat, poultry and fish
- milk, cheese and yoghurt.
Limit the number of snacks that you eat.
Each time you eat food that contains sugars or starches, the teeth are attacked by acids for 20 minutes or more. If you do snack, choose nutritious foods, such as cheese, raw vegetables, plain yoghurt, or a piece of fruit.
Foods that are eaten as part of a meal cause less harm. More saliva is released during a meal, which helps wash foods from the mouth and helps lessen the effects of acids. Brush twice a day with a fluoride toothpaste that has the Australian Dental Association Seal of Acceptance.
Clean between your teeth daily with floss or interdental cleaners.
Visit your dentist regularly.
Your dentist can help prevent problems from occurring and catch those that do occur while they are easy to treat.
The breath problem
A. Mouth Odours Caused by Foods That We Eat
One of the most common causes of offensive breath is the food that we eat. For example, foods prepared with garlic or onions taste delicious at the time of the meal but often leave an unpleasant breath odour (and sometimes body odour) for many hours. Foods that are highly spiced, have a high-fat content or contain sulphur may cause a temporary problem. Breath tainted with food odours is not considered true “bad breath”. It is now socially acceptable to eat foods that contain garlic and onions.
Others in your social group who have indulged in the same foods will not find your mouth odour unpleasant, in fact may not even notice it. We choose the foods we eat voluntarily. If we find the odour unsettling, that food could be easily avoided.
B. Hunger Odour
Hunger odour is most noticeable in those individuals who eat infrequently, as many do when they are on a diet. Anyone who is in the habit of skipping meals, fasting or simply not eating enough can have hunger breath. The result is a very objectionable breath odour that remains even after brushing. This odour is ketosis and is the incomplete use of body fats for energy. It happens when there is a lack of available carbohydrate in the diet.
Fruits and fruit juices are good examples of carbohydrate-rich foods that, when used as snacks, will help to control hunger odour.
C. Morning Breath
If we experience a bad taste and odour when we first wake up in the morning, we have morning breath.
When we sleep the glands that produce saliva also rest and the amount of wetness in the mouth is minimal. This amount is not enough to wash away some of the food debris that has been left on or between the teeth even after careful brushing. These conditions allow odour producing bacteria to grow rapidly on the tongue and teeth.
Morning breath is a temporary condition that can be easily eliminated with a good tooth brushing and breakfast.
D. Systemic Diseases and Conditions
Many systemic diseases and conditions have their own characteristic breath odour when they are not under control. This odour is useful because it can help us to diagnose the condition. Some examples are the fruity odour associated with diabetes, the fishy odour that alerts us to possible kidney failure, and the strong cheesy odour of infected tonsils.
Sinusitis may contribute considerably to bad breath as the discharge can be foul smelling. Other conditions such as allergies and post nasal drip may also be factors.
There is virtually no part played by the stomach in the production of halitosis unless the person regurgitates or burps.
E. Drug Intake
Drugs such as alcohol or tranquillizers are exhaled through the lungs and add their own distinctive odour to other chemicals that make up mouth air. Some of these drugs contribute to a dry mouth that further increases the intensity of the breath problem.
F. Dental Diseases
Individuals who have cavities, inflamed gums or periodontal disease may have very unpleasant and pungent breath problems. The breath problem generally disappears when the conditions are corrected.
G. Hormonal Changes
Hormonal changes such as those that occur during menstruation can contribute to bad breath. Noticed around the time of ovulation and just before menses, it has been described as a mousy odour.
There is increasing indication that stress may play a role in bad breath. When we are stressed, our mouths are very dry. A thick coating on the tongue may result from the dry mouth. Tongue coatings can have a very unpleasant odour.
I. Subjective Halitosis
Subjective halitosis can occur and is often a serious problem for the afflicted individual. This is a condition where individuals with a disordered sense of smell believe they have severe halitosis. However, there is no detectable odour.
When there is a noticeable breath problem but the cause is not apparent, it is most often caused by bacteria present in the mouth, throat, lungs or sinuses. These bacteria prefer an oxygen-free environment and obtain their energy from proteins. Protein is very available to the bacteria in the form of plaque, food debris and dead cells.
Some bacteria attack living cell tissue as well. Most bacteria use components of proteins called amino acids, primarily cystine and methionine for their nutrition. They may utilise hydrogen and proteins from saliva. The products of their digestion are volatile (gaseous) sulphur compounds, butyric, acetic and propionic acids.
How quickly the breath returns to normal varies with each individual. Some individuals take longer to bring this problem under control. It takes time, patience and working with the staff at the clinic to achieve the proper results. It is encouraging to note that this treatment is generally very successful.Flossing helps remove food and plaque from the areas between your teeth where the toothbrush can’t reach. The bacteria in between your teeth can cause way more damage than the plaque and bacteria on the front and back of your teeth. If not removed, plaque can eventually harden into calculus or tartar, which leads to gum disease and cavities in your teeth.