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composite versus amalgam dental fillings nanalmoSilver or amalgam fillings have been used by dentists to fill cavities for over 100 years.  They are strong and long lasting, but they do have significant downside when compared to the newer dental development of composite, or tooth coloured fillings offered by Dr. Mahara at his Downtown dental clinic in Nanaimo, BC.

While there is mercury present in the silver filling material, called amalgam, in the past century there has been no evidence showing that silver fillings are harmful to patients.  The main arguments against the use of silver fillings are about the way silver fillings wear over time and the esthetics of obtrusive metal fillings.

Depending on where the tooth to be filled is located in the mouth, the appearance of a silver filling may have more impact on your decision to go with composite.  Having a dental filling anywhere in the smile line makes a silver filling much less attractive than a more natural-looking composite filling.  Composite fillings can be made to match the tooth colour of surrounding teeth and are virtually invisible to an observer.

In regard to how silver fillings wear over time, like most metals, silver fillings will eventually corrode and even leak causing decay to occur underneath the fillings. There is also a slow expansion that amalgam undergoes which can fracture the tooth next to the filling and cause the need for a much larger filling, a crown or even extraction of the tooth if the fracture is deep enough.

The Top 4 Advantages of Composite Fillings

  1. Composite fillings are primarily a resin which has been “filled” with other inorganic materials.   This compound makes a composite filling more resistant to wear, color adjustable, and easier to polish.
  2. The advantages of choosing a composite filling include a more natural appearance.  Dentists can match the filling compound to the shade and colour of your enamel, allowing the filling to blend into your teeth. Your teeth are white—why shouldn’t your fillings be as well?
  3. Composite fillings often strengthen the filled tooth, and bonding the filling to the tooth creates a better seal. Improved bondage of the filling to the tooth provides better structural support and restores the strength of the tooth. This also allows the material to repair cracked and damaged teeth.
  4. A smaller hole is necessary to place a composite filling, allowing for more healthy tooth matter to be saved.  Composite fillings can often be made smaller than a comparable silver filling as silver fillings that are too small are prone to breaking or falling out.

We welcome you to read more about composite fillings at Downtown Nanaimo Dental Group on our website and to contact us to book an appointment.  We look forward to meeting you soon!

If you’re among the 75% of the population who suffer from some degree of dental anxiety, here’s how to beat it! sedation dentistry nanaimoSedation dentistry is a solution that has helped thousands of patients with mild to extreme dental anxiety in a safe and effective way.

What is sedation dentistry and how does it work?

Quite simply, sedation dentistry helps you manage your dental fears and allow you to get on track and stay on track with the dental treatments you need to enjoy long-lasting dental health.

Sedation Dentistry involves the use of sedatives to help you attain a relaxed, easy and calm state before and during your dental visit. At our downtown Nanaimo dental clinic, we offer oral sedation.  The strength of sedatives will be prescribed to suit you and can range from mild to moderate in their effect.

Oral Sedation Dentistry

Oral sedatives are taken as pills, which our dentists prescribe to the patient in the consultation visit leading up to the treatment.  Oral sedation patients feel relaxed and remember little of the treatment, but still maintain consciousness during the treatment.

Considerations for Sedation Dentistry Treatment?

Our experienced dentists will help you decide if sedation is right for you.  One important consideration will be any medications and supplements you are taking.  It’s very important that all medications and supplements are disclosed – so bring a list to the consultation to be sure not to miss any.

Is sedation dentistry safe?

Sedation dentistry is considered to be very safe.  As in any medical procedure, dentists are trained to administer sedation and have several measures in place to ensure the safety of sedation dentistry patients.

Getting ready for your sedation dentistry visit

When having a sedation treatment you will need to be accompanied by a friend or family member both to and from the appointment. After the appointment, your friend or family member should stay with you until the effects of the sedatives have completely worn off.

For all of your sedation dentistry questions and for all of your family’s dental needs Downtown Nanaimo Dental Group is here for you!  We welcome you to book an appointment today.

missing tooth nanaimoA missing tooth could be more of a problem than you might imagine. Did you know that since each of your teeth depends on one another to keep their position, a missing tooth can cause your teeth to shift and tilt?

Another often overlooked fact is how the missing tooth affects your jawbone.  Since one of the functions of a tooth is to stimulate bone renewal, once the tooth is gone, the bone quickly starts to recede and disappear.

All things considered, it’s very important to replace a missing tooth as soon as possible – and dental implants are becoming one of the top choices to do so.

How Does a Dental Implant Work?

A small titanium post acts as a substitute for the root of the tooth and dental implant full jawcreates a very strong anchor for a custom-made dental crown. Implants can be used individually, or to support a number of dental prostheses, including implant-supported bridges and dentures.

Advantages of Dental Implants

Natural Appearance
A porcelain crown placed over the dental implant will look as natural as possible.

No Impact on Other Teeth
Since dental implants do not require restorations on the neighbouring teeth, you don’t need multiple restorations on teeth that may not need it otherwise.

Stimulates Bone Renewal
Since bone regenerates due to stimulation from teeth rooted in the bone, a dental implant stimulates the bone and gums as much as a natural tooth would.

High Success Rate
The success rate for implants is remarkable: 98 percent for lower implants and 91 percent for upper implants.

Easy Care
A dental implant can be brushed and flossed normally.

How Long Do Dental Implants Last?

As with all things, good care is required to make your dental implants last.  With regular care and good hygiene habits, it’s possible that your implants can last for a lifetime.

Find Out if a Dental Implant is Right For You

The best dental implant candidates are in good health, and have healthy gum tissues and adequate bone in the jaw to support the implant.

We welcome you to read more about dental implants at Downtown Dental Group in Nanaimo on our website and to contact us to book an appointment.  We look forward to meeting you soon!

custom mouthguardAre you or your child at risk of sports-related dental injuries?

Dental injuries while playing sports are more common than you might imagine. Dentists estimate that between 13% and 39% of dental injuries occur while playing sports.  These injuries are what every parent fears will happen to their child: knocked out teeth, injured cheeks or tongue, broken jaws and broken teeth.   To make matters worse, up to 75% of all dental injuries affect at least one of the most visible teeth in our smile, the front teeth.

A sports mouth guard is an obvious choice to reduce the chance of sports-related dental injuries.  All sports mouthguards are not created equal, however.  Low-cost sports store mouthguards can make you feel as though you’re protected, when in fact your protection is limited.  Let’s take a look at what makes an effective mouthguard to help you choose wisely.

The following are the attributes of a properly fitted and effective mouthguard:

  1. must be protective with sufficient thickness in key areas, yet not bulky
  2. fit comfortably, allowing natural breathing and speaking
  3. tear-resistant, keeps its form
  4. odorless & tasteless

Shelf-bought mouthguards often do not meet any of these criteria when they are brand new.  Once they have been used for a while and they are chewed out of shape, their condition makes them even worse.  Despite this, over 90% of the mouthguards worn are of the variety bought at sporting goods stores.

What is the alternative to store-bought mouthguards?

Fortunately, there is a choice, one that measures up to all of the criteria of a good and effective mouthguard!  A custom-made mouth guard is not only much more comfortable, and safe and allows you to breathe and talk naturally, it also has been shown to improve your physical performance.

How does a custom-made mouthguard improve your physical performance?

In a nutshell, the custom-made mouth guard is made for your perfect jaw and bite position.  When your mouth is in this relaxed position, the state of relaxation trickles down to your head and neck and even spine muscles allowing your posture to remain straighter and to keep poised and balanced.  All of this adds up to improved physical performance in golf, hockey, football, basketball and many other sports.

Custom-made mouth guards range from basic types which are suitable for kids and junior athletes to professional mouth guards for athletes looking to enhance their athletic performance.  To find out what is recommended for your needs, book an appointment with our Downtown Nanaimo Dental Group team.

Downtown Nanaimo Dental Group is proud to serve your complete dental health needs in Nanaimo on Vancouver Island.  Our Nanaimo dentists and dental hygienists believe in continuous learning to bring you the latest technology in dental medicine and our team of dental professionals aspire to the highest level of patient care.  At each visit to our office, we treat you with the respect, honesty and dignity that you deserve.

Perhaps you have a root canal-treated tooth that needs strengthening, a CEREC same day crownbroken or misshapen tooth, or one that’s been weakened by large cavities?  If this is the case you may need a dental crown –and this post is for you.

Like most scientific fields, dental technology and knowledge have advanced in the realm of dental crowns and the traditional approach is no longer the only choice.

Downtown Nanaimo Dental Group is proud to offer CEREC, also known as same-day or same-appointment dental crowns. The whole crown process is completed in one visit with no need for a temporary crown.

CEREC is a sophisticated computer-aided system for producing durable high-quality ceramic restorations. It is simple to use, fast and excellent for conserving the natural tooth. It is ideal for patients who want a solid ceramic, authentic tooth-coloured alternative to traditional crowns made of metal or gold – all completed in one visit.

If a CEREC crown is not right for your circumstances, dental crowns done by an aesthetically trained dentist are significantly more natural looking and shaped to fit your smile, preserve more of the original tooth structure, and the temporary crown used in the process is so natural looking and functional that many people would be happy to keep it.

To discover why both aesthetic and CEREC crowns look more natural, we have to explore why teeth look white in the first place.  In essence, light reflects off of the structure of a natural tooth, so it looks relatively bright. Traditional crowns however are made of metal and are covered with a porcelain material that makes them look white.  The metal inside the crown absorbs light rather than reflecting it, therefore making it less translucent and quite noticeably not a natural tooth.  The other related downside of the traditional porcelain fused to metal crown (PFM), is that sometimes the metal inner part of the crown near the gum-line will begin to show.  This dark line stands out sharply and is not aesthetically pleasing.

Aesthetic crowns and CEREC crowns are made from a solid block of ceramic, like a statue that’s carved from a solid piece of stone.  The way it reflects light mimics that of a natural tooth and therefore looks perfectly natural among your own teeth.  Metal showing along the gum line is not possible, as there is none used.

Another huge advantage of the aesthetic crown is the comfort of the process.  All crowns are made in a dental lab, so there is a waiting period between having the tooth prepared and the crown being fitted.  Traditional dentists use a temporary crown that is meant only to cover the tooth, and not so much to be functional or to look good.  In the aesthetic crown process, the opposite is the case.  Not only is the temporary crown shaped exactly as the real crown would be, it feels as good as the real thing.

Beyond appearance and comfort, the aesthetic crown has one more significant benefit.  Since the aesthetic crown is placed with adhesive rather than cement, less surface area of the original tooth needs to be in contact with the crown.  This means more of your healthy original tooth surface can be preserved.

Contact us today to book an appointment or visit our website for more information.

Downtown Nanaimo Dental Group is proud to serve your complete dental health needs in Nanaimo.  Our Nanaimo dentists believe in continuous learning to bring you the latest technology in dental medicine and our team of dental professionals aspire to the highest level of patient care.  At each visit to our office, we treat you with the respect, honesty and dignity that you deserve.

The Canadian and American Associations of Orthodontists recommend all children have an orthodontic evaluation invisalign no more braces nanaimoby age 7. Treatment does not necessarily begin at that time, but knowing which specific problems a child may be developing can prompt early attention and correct the problem before it starts impacting the child or teen’s health.

The case of a Nanaimo teen treated by Dr. Mahara at Downtown Nanaimo Dental Group is a good example of early intervention heading off a host of serious consequences.  The Nanaimo teen’s case started with his adult teeth coming in crooked and tilted and his lower jaw in a receded position.   Since the adult teeth no longer formed a smooth chewing surface after the adult teeth came in, the child began to experience the early signs of TMD, a jaw disorder characterized by clicking of the jaw, soreness in the jaw from chewing, jaw tension and headaches.  In this case, the child could not even chew gum without complaining of jaw soreness and headaches.

Teen orthodontic before and after photos :

teen_ortho

“This was a more complicated case, “ says Dr. Mahara, “as the goal was to fix the jaw position, by moving the lower jaw forward, and straighten the crooked teeth.”

The teen recalls the time when his teeth needed straightening and his jaw was in pain.  “I was very aware of my crooked teeth and tried to hide my smile or not smile at all,” he says.  “I remember having a sore jaw and  headaches almost everyday,” he adds.

Dr. Mahara began the teen’s orthodontic and TMD treatment by correcting the jaw position with a fixed appliance that almost immediately eliminated the jaw pain and tightness which were the early symptoms of TMD.  Two years later the lower jaw had moved back into a normal position and then at age 15 the teen began the second phase of his TMD and orthodontic  treatment using traditional braces to straighten his teeth.

By age 16, the Nanaimo teen had completed his TMD and orthodontic treatment and couldn’t be happier with his nearly perfect straight teeth and a normal, pain-free bite.

If your child has crooked adult teeth or complains of jaw soreness and discomfort from chewing, talk to your dentist.  As with the Nanaimo teen treated at Downtown Nanaimo Dental Group, a positive ending to this story is possible with early intervention and a sound treatment plan.

Downtown Nanaimo Dental Group is proud to serve your complete dental health needs in Nanaimo on Vancouver Island.  Our Nanaimo dentists and dental hygienists believe in continuous learning to bring you the latest technology in dental medicine and our team of dental professionals aspire to the highest level of patient care.  At each visit to our office we treat you with the respect, honesty and dignity that you deserve.

A child having a cavity or two in their baby teeth can seem insignificant.  Those teeth will fall out after all.  Thedental health education nanaimo habit however, of taking care of our teeth is often learned or not learned in childhood.  With poor dental health habits, cavities in baby teeth, later in life become cavities in permanent teeth and then possibly lost teeth, root canals or a host of other dental problems.  

To bring the importance of developing proper habits to children, Dr. Mahara, a Nanaimo dentist is taking dental health education to the schools.  “The best dental treatment,” he says, “is prevention” – learning about brushing and flossing and eating right.  

“Kids learn best when they are interested, engaged and having fun,” says Dr. Mahara of Downtown Nanaimo Dental Group.  This is what the “catch a smile” program is all about.

Realizing the importance of kids learning about dental health in a relaxed and positive environment, Dr. Mahara decided to take the learning to the kids in school.  The “Catch A Smile Dental Program” was originally designed and piloted by the Rotary Club of Kihei Sunrise–Maui, Hawaii in 2012. Donna Allen, a long-serving Rotary member, liked the idea and partnered with Dr. Mahara to bring it to Nanaimo.

The concept was adopted and funded by the Rotary Club of Nanaimo – Daybreak for implementation in kindergarten classes in eight schools in the Nanaimo – Ladysmith School District 68 in 2015 and is going strong into 2019.

“We play games, sing a song and have a laugh with Mr. Chewy, a big blue stuffy dragon with big teeth. Mr. Chewy happily squirts water which makes kids laugh and giggle.”

To add to the show, a fellow Rotarian and a couple of Vancouver Island University dental assisting students, who dress up like tooth fairies, come along to help out Dr. Mahara. 

The kids also get to play a food game with Mr. Chewy. All kids are randomly given pictures of different foods. They are asked to identify foods that are healthy or unhealthy for our bodies and teeth. Then they learn to sing a brushing song while practicing good brushing techniques.

Currently, schools are contacted individually. We’d like to reach to as many schools as we can.  School principals can feel free to reach out to us to arrange this program for their schools.

Dr. Mahara also hopes that parents can get involved at home and participate with the kids. And, if teachers continue the singing and pretend brushing in the class routine, it will create a habit.

Are you a dentist or an educator? We would be happy to tell you more about bringing this program to your community.  Contact Us.

 

 

We’ve all heard that poor oral hygiene leads to cavities, bad breath and can lead to more serious conditions like dental cleaning denal hygiene gum disease.  Since the body is interconnected, poor oral health has even been scientifically linked to other health conditions like heart disease and diabetes.

What is the role of dental cleanings in maintaining oral hygiene and how often should we have them?

Here’s a scenario:
Your dental hygienist seems troubled that you haven’t been in for a dental cleaning for over 2 years and your dentist is emphasizing how important it is for you to come in at least every 6 months for a dental cleaning.  You brush your teeth and floss every day and since your dental insurance only covers you for cleanings every year, you secretly wonder if the dentist just wants you to come in often so they can stay in business.

It seems rational that if you brush and floss daily you’re doing everything necessary towards excellent oral health, but there is a technical problem with this reasoning.  The problem is that plaque and bacteria that cause cavities and gum disease can be out of reach of your tooth brush and floss. This is especially true if you have deep pockets in the gum line between your teeth.  Normal pockets are 2 – 3 millimetres deep, whereas 4 – 5 millimetre pockets are considered deep and unreachable by home dental care measures.

The fact that your dental insurance provider only provides for cleanings once per year is a poor indicator of how often you really require a cleaning.  After all, how often has your dental insurance provider looked in your mouth lately?   And if you become one of the many adults who lose teeth due to gum disease, blaming your insurance carrier won’t change the grim fact.

So how often do you need a dental cleaning?

In truth it depends on your current oral health.  If you haven’t been in for a professional cleaning for awhile, it would be wise to book an appointment to have one done and ask your dentist and hygienist what your dental hygiene needs are.  Following your dentist’s advice might take more effort now, but will save you tremendously in the long term.

Find out more what you can do today to create and maintain excellent oral hygiene. Contact us to book an appointment.

Downtown Nanaimo Dental Group is proud to serve your complete dental health needs in Nanaimo.  Our Nanaimo dentists believe in continuous learning to bring you the latest technology in dental medicine, and our team of dental professionals aspire to the highest level of patient care.  At each visit to our office, we treat you with the respect, honesty and dignity that you deserve.

Hockey players may make missing teeth look like no big deal – but the reality is quite the opposite! In fact, everythe health effects of missing teeth tooth in your mouth serves a valuable function, even a missing tooth in the back of the mouth which is not visible in your smile.

Why is this?  You could say that each tooth in your mouth depends on the others to keep its proper position and furthermore that even your face and lips depend on your teeth to maintain its ideal shape.

The fact is that missing teeth create a space that eventually will lead to shifting and tilting of adjacent teeth or opposing teeth, or if many teeth are missing, allow significant changes to the shape of the face and mouth.

The more teeth that are lost and not replaced, the increased chance that wrinkles and lines will form and the cheeks and lips will collapse, causing you to look older than you are.

The jawbone is another major consideration.  As soon as a tooth is lost, either from gum disease or an extraction, the supporting bone in the jaw begins to dissolve. Over time, loss of bone and shifting of teeth can limit dental options for replacing the missing teeth.

The ideal solution is to replace a missing tooth as soon as possible after it is lost. This will retain your oral health by preventing bone loss and reducing movement of surrounding teeth.

Keep in mind that your teeth are there to serve you with more than the ability to chew alone. A full set of teeth are necessary for the health of the gum and jaw tissues as well, not to mention the obvious effects on your confidence and well-being.

If you’re missing one or more teeth, you have several options for making your smile complete:

  • a fixed bridge
  • a complete denture
  • implants

Our team at Downtown Nanaimo Dental Group is here to help you get a healthy smile back after losing a tooth or several teeth.  After a consultation with our Nanaimo dentists on Vancouver Island, we’ll advise you on the most suitable treatment option for your unique situation.

If finances are holding you back, we have a convenient and low-cost financing option to help you get your full and healthy smile back. Contact us today to book an appointment.

Downtown Nanaimo Dental Group is proud to serve your complete dental health needs in Nanaimo on Vancouver Island.  Our Nanaimo dentists and dental hygienists believe in continuous learning to bring you the latest technology in dental medicine and our team of dental professionals aspire to the highest level of patient care.  At each visit to our office, we treat you with the respect, honesty and dignity that you deserve.

If you’re not happy with your smile and ready to make a change, Dr. Mahara at Downtown Nanaimo Dental Group is here to help you get there.

The smile makeover process includes 3 steps after the initial consultation:

1) The Treatment Plan
2) The Smile Makeover Prep Session
3)  The Finishing Session

Of great importance, each step of the process has carefully planned quality checks built in to ensure your maximum comfort and the maximum success in creating your perfect smile.

What makes Downtown Nanaimo Dental Group’s approach to a smile makeover successful?

  • Each person’s smile is unique. Your smile makeover will be designed and planned to identify your ideal smile and ensure that your investment in your smile is protected from early wear.
  • We take the time to listen to your concerns and answer all of your questions.
  • We do our best to maximize your comfort.  Does the thought of temporary veneers or crowns sound uncomfortable? Today’s temporary veneers and crowns feel and look so real that no one will even know they are not permanent.  Does the thought of dental procedures make you uncomfortable?  Downtown Nanaimo Dental Group prides itself on providing options to improve your comfort during procedures.
  • Is cost an issue? Apply for no-fee financing to put your smile makeover in your budget.

Contact Downtown Dental Group today to book a smile makeover consultation.