Blog

At Cataraqui Dental Centre, we know that hormones affect a woman's mood, but did you know they can also impact the health of a woman’s mouth? Women are susceptible to gum disease at different times in their lives, and research shows that hormonal highs and lows are part of the problem. According to studies, there are five situations in women’s lives during which hormone fluctuations make them more susceptible to oral health problems: puberty, their menstrual cycles, pregnancy, menopause, and birth control pill usage. So just what happens and how can you help protect your oral health? Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok and our team have outlined the five hormonal situations and provided a few tips and tricks to fending off potential issues.

Puberty - The surge of hormone production that occurs during puberty can increase the blood flow to the gums and change the way gum tissue reacts to irritants in plaque. As a result, a woman's gums may bleed during the act of brushing and flossing.

Monthly menstruation cycle - Hormonal changes (especially the increase in progesterone) occur during a woman’s menstrual cycle. These changes can lead to red swollen gums, swollen salivary glands, canker sores, or bleeding gums.

Pregnancy - Hormone levels tend to fluctuate during pregnancy. As a result, women are at greater risk to develop a condition called gingivitis, the early form of gum disease. Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok may recommend more frequent professional cleanings during your second or early third trimester to help reduce the chance of developing gingivitis. Please let us know if you are pregnant during your visit.

Menopause - Women are known to experience numerous oral changes as they age. These oral changes can include greater sensitivity to hot and cold foods and beverages, a burning sensation in your mouth, or dry mouth. Dry mouth, also known as xerostomia, can result in the development of tooth decay and gum disease because saliva is not available to moisten and cleanse the mouth. It is important to know that dry mouth can also result from many prescription and over-the-counter medications. The gradual loss in estrogen that occurs with menopause also puts older women at risk for loss of bone density, which can lead to tooth loss. Receding gums, which expose more of the tooth surface to potential tooth decay, can be a sign of bone loss in the jawbone.

Birth control pills - Some birth control pills contain progesterone, which increases the level of that hormone in the body. Women who take pills with progesterone may develop inflamed gum tissue due to the toxins produced from plaque. Be sure to tell us if you are taking an oral contraceptive during your visit.

To prevent gum disease, we recommend:

• Brushing your teeth at least twice a day with a toothpaste containing fluoride
• Flossing at least once a day
• Eating a well-balanced diet
• Avoiding sugary or starchy snacks

Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok and our team at Cataraqui Dental Centre encourage you to visit our Kingston, ON office and practice good oral health habits at home.

A dental filling replaces and restores the health of a tooth that has been damaged. Often, the need for a filling results from a cavity due to a large amount of decay in a tooth.

Teeth may also require repairs after cracking from chewing on hard objects, trauma to the mouth, grinding or clenching of your teeth, uneven chewing pressure, or exposure to extreme hot and cold temperatures.

Over time, a filling may have to be replaced after normal wear and tear has occurred. There are signs and symptoms to watch out for if your tooth may need a replacement filling, or a new filling. Cataraqui Dental Centre performs various types of filling treatments, depending on the damage to the tooth.

Common signs and symptoms to watch out for if you have a cracked tooth can include sharp pain when you bite down, pain that comes and goes, discomfort when eating or drinking, or a constant feeling that something is stuck in your teeth. The crack may not be visible to the eye, which makes it hard to tell whether a tooth is actually cracked.

Pain may come and go quickly when you bite down because you’re expanding the crack with the combined pressure of your teeth. If you notice this happening, contact Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok right away so we can get X-rays of your mouth and quickly fix the problem.

If you’ve had a filling in your mouth in the past, you could be due for a replacement. The seal between the tooth and the filling may break down over time, after which bacteria can build up underneath the filling and cause more decay.

It’s vital to catch this early so a filing can fix the problem. If you wait too long, a crown or a root canal may be the only option. You may not notice that a long-time filing is cracked or worn down, because it can take a long time to feel any discomfort. This is one of the reasons we recommend a dental checkup every six months.

If you need a tooth filling or a replacement filling, different filling choices vary in price. Gold fillings and porcelain fillings are more expensive options that last longer -- typically around 20 years. Porcelain fillings match the color of the rest of your teeth, however, which makes them less visible.

Another option is amalgam, or silver fillings, that less expensive but may be more noticeable in visible areas of your mouth. Composite, or plastic fillings, are another affordable option that can be matched to the color of your teeth. Composites are more likely to wear out over time and not last as long: usually around three to ten years.

If you think a past filling might be due for replacement, schedule an appointment at our Kingston, ON office. Make sure to stay on top of your routine dental appointments in order to prevent decay from breaking down problem teeth.

If we catch the problem early, we can save you both money and time. Fillings can be a great way to resolve any existing teeth issues, and prevent extensive dental care practices from becoming necessary in the future.

You’ve made an appointment at our Kingston, ON office to treat your cavity, the decayed area has been removed, and the site has been cleaned and prepared for a filling. Now it’s decision time. What kind of filling should you choose? Well, that depends. There are durability, aesthetic, and price considerations involved in any of your choices, so let’s look at some options before you decide.

Gold

This is a classic choice for a reason. Gold is very durable and can last longer than fillings made from other materials. Because they are crafted from precious metal, gold fillings are more expensive than other alternatives. They are also most often indirect fillings—that is, they are not immediately placed in a tooth, but are formed based on a mold of your tooth taken on your first visit and set in position on a second visit. A gold filling is also noticeable, which can be a matter of concern or a style statement!

Metal Amalgam

An amalgam is a mixture, and an amalgam filling is usually composed of several metallic elements, including silver, tin, copper, and mercury. This filling is also very durable and is one of the most cost-effective choices. Its silver color does not blend into the tooth, so visibility is a factor. Amalgam fillings are considered a safe option, but, if you wonder about potential metal allergies or the amount and kind of mercury involved, we will be happy to discuss your concerns. One possible drawback to amalgam fillings is that sometimes more tooth structure needs to be removed to accommodate them, so this is also a subject we can discuss.

Composite Resins

These fillings are often selected because they are both durable and almost invisible when the color is matched to your tooth. Made of acrylic resin and powdered glass, a composite filling is what is called a “direct filling”—one that can be completed and bonded to the tooth in one visit. These are often more expensive than amalgam fillings, but might be preferable for cosmetic reasons, especially when a front tooth is involved. They also need less tooth structure removed to accommodate them and can be better bonded to small excavations than some other options. They can be prone to staining over time.

Ceramic

Ceramic fillings have the virtue of being virtually undetectable. They can be color-matched to your teeth for a seamless look, and are more stain-resistant than composite fillings. They are also a more expensive option, and, like gold fillings, can involve a two-phase process with a filling molded to fit the excavation site placed in your tooth on a second visit.

Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok and our team are happy to discuss all of your options before it is time to treat your cavity, since there are a number of factors which might impact your decision. A molar will require a more durable filling than a front tooth, while being less visible when you smile or speak. Insurance plans might pay for only a portion of a filling’s cost if it is more expensive than an amalgam, or will pay for a composite filling only if it is in a visible location. We can help you decide which filling best fits all your needs, providing you with the healthy and beautiful smile you deserve!

First word, first step, first day of school—these firsts are milestones every parent celebrates. And one of the earliest and most precious milestones is your baby’s first real smile! 

Keep that smile beaming and healthy from infancy to young adulthood with the help of dental milestones. These breakthrough events mark significant stages in oral development, and are a great guide to understanding, protecting, and supporting your child’s path to adult oral health.

• First Tooth

Baby’s first tooth often arrives around the age of six months. And this is the time to start cavity prevention, with twice daily gentle brushing with a soft-bristled, child-sized toothbrush. Talk to Dr. Cosman, Dr. McDonough, Dr. Levac and Dr. Korcok or your child's pediatrician to learn how and when to brush and how much and what kind of toothpaste to use.

By the age of three, toddlers typically have all of their 20 baby teeth, and these little teeth are essential to children’s health. They help kids chew and eat, assist speech development and pronunciation, and act as placeholders so adult teeth can erupt in the proper place. Keep your child’s baby teeth their healthiest by partnering with the dental team at Cataraqui Dental Centre in Kingston, ON.

• First Visit to the Dentist

Once that first tooth has come in, or around age one, it’s time to bring your little one to the dentist for a first visit. Your dentist will do a careful exam to see if your child’s teeth and jaws are developing as they should, check the health of the teeth, and answer your questions about brushing, flossing, toothpaste, teething, pacifiers, thumb-sucking, or any other concerns. 

Early visits are important. They allow you and your child to establish a “dental home”: a place where the dental team is familiar and comforting, and where regular preventative care will help keep young smiles their healthiest.

• First Lost Tooth/First Permanent Tooth

Around age six, most children start to lose baby teeth, typically in the order in which they arrived. Losing a baby tooth is a big step for children and might be a bit scary. You can celebrate this milestone with a visit from the Tooth Fairy, or a certificate, or a new toothbrush in your child’s favorite color. 

As the permanent teeth come in, continue to encourage twice daily brushing and flossing, and consider proactive treatment with dental sealants. Even when children have learned to brush properly, and brush twice each day, it can be hard for kids to remove all the plaque and food particles from the grooved chewing surfaces on top of molars. That’s why molars are much more vulnerable to decay than any other teeth. 

Around the time your child’s first permanent molars erupt, the team at Cataraqui Dental Centre might suggest sealants. Sealants protect the chewing surfaces of the molars from food particle and plaque buildup. This safe and invisible protective coating, usually a plastic resin, is applied in the office and typically lasts from three to five years. 

• First Orthodontic Visit

Dentists and orthodontists recommend an orthodontic examination by age seven (or earlier, if you have any concerns). At this point, children have a mix of primary and permanent teeth, allowing an orthodontist to assess tooth spacing and alignment and the way the jaws fit together. 

Your orthodontist might find no issues with your child’s teeth or bite. Or, perhaps, follow-up appointments might be scheduled to determine if and when future treatment is advisable. Sometimes, because some problems can be treated more easily when your child is young, early intervention with a fixed or removeable appliance is recommended right away. 

Having an orthodontic plan in place helps ensure that children benefit from the most effective and timely treatment at any stage of their development.

• Orthodontic Treatment

Orthodontic treatment commonly begins in early adolescence (ten to 14) when most or all of the permanent teeth have erupted. The facial and jaw bones are still growing in preteens and young teens, which makes it easier to reposition teeth and guide jaw alignment.

More treatment options are available than ever before—and today’s braces, clear aligners, smaller and more comfortable appliances, and even 3D technology make treating malocclusions and misalignments more efficient than ever before.

A healthy bite and properly aligned teeth are a foundation of lasting oral health. Orthodontic treatment helps prevent decay, gum disease, jaw pain, and even early tooth loss. And, of course, the value of your child’s increased self-confidence is impossible to overestimate!

• Wisdom Teeth

Wisdom teeth, or third molars, generally start to erupt in the late teens or early twenties and often have a harmful effect on oral health.

Erupting or impacted wisdom teeth can push neighboring teeth out of position, damage adjacent tooth roots, and cause inflammation and infection in gum and bone around the wisdom tooth. For these reasons, preventative extraction is often recommended. 

If your teen shows any symptoms of erupting or impacted wisdom teeth—irritated, swollen, or bleeding gums, bad breath, jaw pain or swelling—a visit to the dentist is in order.

As parents, you do your best to guide your child’s journey from infancy to healthy adulthood. Each dental milestone marks a new stage in your child’s oral health journey, and new ways for you to encourage and protect that oral health. Use these milestones to set your child up for a lifetime of good dental habits—and a lifetime of healthy smiles!