Tuesday, March 14, 2017

Children's dental cavities are preventable

Dr. Mark Librach on Daytime Durham March 9, 2017

                                                    click here to see the full program

What does decay look like?
Although decay may appear as a discolouration or a pitted appearance on a tooth, it is actually diagnosed by feel using a sharp instrument called an explorer.  Decay will present itself as a “sticky” pit on a tooth when examined with a dental explorer.  In addition, dental x-rays can help diagnose decay in areas our instruments can’t reach, specifically the surfaces between teeth.

What is preventive dental care for children?
Preventative dental care in children includes brushing at least twice a day. The most important time for brushing is right before bed.  The second most important time is right after breakfast in the morning.  This applies to adults as well. Flossing 2-3 times a week is also important.  Parents should be active participants in their child’s oral health.  They should promote the child’s attempt to brush their own teeth and fill in the gaps for a thorough cleaning.  When it comes to flossing, the duty will fall to the parents.  Parents should also lead by example by taking care of their own oral health in front of their children.

At what age should I first take my child to the dentist? 
An infant should be seen by a dentist when their first tooth erupts and no later than one year of age.  The rational behind this early approach is to get the child’s oral health off to good start and to educate parents as to the best methods of keeping their children healthy with respect to their teeth.  

Is it necessary for me to clean or brush my baby's teeth?
Absolutely!  Tooth decay can start immediately after a tooth erupts in the mouth so oral hygiene must start immediately.  At first, baby teeth can be cleaned with a clean damp terry cloth. As the child matures, a specifically designed baby toothbrush can be used.

What is "Baby Bottle Tooth Decay"?
Baby bottle tooth decay is a completely preventable tragedy that is brought on by lack of oral health education.  It is most commonly caused by infants being put to sleep with baby bottles that contain milk or juice.  As the child pacifies itself with the nipple on the bottle, the acidity form the juice or milk bathes the teeth breaking down the enamel and causing rampant decay.

What is fluoride and does my child need fluoride treatments?
Fluoride is a natural mineral that is derived from the earths crust. It is sometimes naturally found in water supplies but many jurisdictions have added fluoride to drinking water as a matter of public health to help prevent tooth decay. It is also found in foods and is the main cavity-preventing ingredient in toothpastes.  In addition, your dentist may include topical fluoride treatments as part routine oral care appointments for children.  Fluorides in all these forms help decrease the incidence of cavities.

What are sealants and should my child have them?

Sealants are plastic coatings applied to teeth to help prevent cavities.  If required, they are usually applied to the first adult molars that erupt at age six, but can also be applied to molars that erupt at age 12 also. The determination of whether to place sealants takes into consideration the cavity history of the child and the “grooviness” of the teeth.  A child that has a history of several cavities in their baby teeth and has “groovy” teeth is a prime candidate for sealants.

Dr. Mark Librach Dentistry on Dundas

Thursday, May 26, 2016

JP's Dental Makeover

JP underwent dental treatment at Dentistry on Dundas to achieve his new smile, which included dental bleaching, anterior bonding and porcelain crowns.
1. Why was JP a good candidate for these procedures? JP was a great candidate because he had healthy gum tissues free of periodontal disease, specific treatment goals and excellent home care and compliance. 
2. How did you develop a plan for treating JP's concerns?
Understanding the specific concerns of JP was essential to a positive outcome. JP was unhappy with the appearance his existing teeth restorations (an older crown on one lateral incisor and a large composite resin restoration on the other). JP wanted to enhance his smile without appearing unnatural.

3. Was his treatment out of the ordinary?
JP’s treatment was not out of the ordinary. Our goal was to be as conservative and cost effective as possible. Multiple treatment options were recommended but together we came up with a plan that met his specific functional and esthetic concerns after evaluating the advantages and disadvantages of all treatment options.
4. How long did JP's transformation take?
The total transformation took under 2 months. 
5. What steps do these procedures involve? Our first step was the assessment of JP’s overall and oral health; because he attends his regular check up and hygiene appointments there were no unexpected complications. The next step was to fabricate customized home bleaching trays to improve the shade of JP’s teeth and smile. After the optimal shade was achieved we gently removed his previously existing restorations, digitally scanned the tooth preparations and produced lab fabricated restorations. This helped restore JP’s teeth to their natural shape and size, strengthen his teeth and enhance his overall appearance. 


6. Is there an ideal candidate for these procedures?
The ideal candidate is someone who is engaged in preventative dentistry and regular maintenance visits. Minimizing risks and complications are enhanced when a patient presents with no active disease such as caries and inflammation. 
7. Are there any at-home steps patients should follow after procedures like these? Based on JP’s functional habits a night guard was recommended to reinforce home care and prevent future breakdown of his natural teeth and tooth restorations. In addition proper brushing and flossing techniques are always recommended.

Treatment Completed by Dr. Cara Lindsay

Thursday, October 22, 2015

Jim's Dental Makeover

Jim underwent dental treatment at Dentistry on Dundas to achieve his new smile, which included a new anterior bridge.


1) Why was Jim a good candidate for these procedures?

Jim was an excellent candidate for a porcelain bridge replacing the upper two anterior incisors.
He had a removable denture for many years which served him well. At this point of his life, he was ready to have something that felt and looked more natural. His biting forces were not excessive in this area as well, rendering it an excellent position for a bridge.
2) How did you develop a plan for treating Jim's concerns?

Jim wanted an alternative restoration to replace his anterior teeth for quite some time. He wanted something more comfortable and more "natural" looking. Many options were discussed, including implants. After considering timing and finances, he chose a fixed bridge.


4) How long did the transformation take?

It was simply two appointments. The first was 90 minutes, the second was 45 minutes.

5) What steps do these procedures involve?

During the first appointment, the patient is given a small amount of local anesthetic. The teeth are prepared and scanned with a special computer to create a model whereby the bridge is made. He leaves the first appointment with temporary restorations on the prepared teeth. At the next and final appointment, the bridge is permanently cemented with no anesthetic.
7) Are there any at-home steps Jim should follow after procedures like these?

Jim should practice excellent oral hygiene and visit the dental office for regular follow up recall cleaning appointments. For this particular bridge, as any, the patient is shown how to clean and floss with a special floss threader required for bridge work.

Treatment Completed by Dr. Michelle Lanys


Thursday, September 17, 2015

Readers Choice Award Whitby/Oshawa 2015

We need your Vote!

The Whitby/Oshawa 'This Week' Readers Choice Awards is now online!
It will also be posted in your local paper.
Online voting will be accepted from
Until Sept 27, 2015

Click here to Vote for us Now 

It is a privilege to care for you and your family's dental health needs and we appreciate your 'Vote' of confidence. It is truly an honour to be awarded the Readers Choice Award. Thank you for taking the time to let us and your community know your favourites!

Wednesday, July 29, 2015

Dental Makeover for Michael Penney!

Michael underwent dental treatment at Dentistry on Dundas to achieve his new smile, which included teeth bleaching and four anterior veneers.

1.     Why was Michael a good candidate for these procedures?

Michael had discolouration of his anterior teeth along with misalignment. This cosmetically bothered him for some time so he decided to pursue treatment. After consultation with Dr. Millman and treatment coordinator, Connie, they decided on a plan.

2.     How did you develop a plan for treating  Michael's concerns?

After evaluating the various options he decided on initial teeth bleaching followed by veneers, as this was the most conservative treatment to achieve the maximum results in the shorted time. Michael had a goal of a short time frame for an important event. Based upon Michael's expectations, we determined that all four anterior teeth must be treated in order to achieve the best cosmetic and alignment results.


3.     Was his treatment out of the ordinary?

This is a very common treatment recommendation to achieve an outstanding result in a very short period of time. He could have opted for orthodontic treatment to correct the misalignment, however this would not correct the discolouration and would have required a longer commentment from Michael. Four simple veneers solved both issues in a short period of time.

4.     How long did Michael's transformation take?

Two weeks bleaching his teeth and two consecutive appointments, two weeks apart, for the veneers to be placed.

5.     Is there an ideal candidate for these procedures?

The ideal candidate is always one which is healthy, complies with all appointments and instructions, and of course protects the final prosthesis in keeping all dental maintenance appointments.

6.     Are there any at-home steps patients should follow after procedures like these?
It's essential to maintain the margins of the new restorations, therefore, good oral hygiene is vital, at home and in keeping all regular dental cleanings and check-ups.

Treatment completed by Dr. Steven Millman

Jonathan Mursic                                                        Connie
 5 Axis Lab                                                                Treatment Coordinator


Wednesday, November 26, 2014

Martin's Dental Makeover

Martin underwent dental treatment to achieve his new smile, which included orthodontics, 6 anterior crowns and bonding of his lower anterior teeth.

What were Martin's initial concerns, and what was your plan for addressing them?

Martin's teeth were badly broken down.  Through many years of wear and tear from grinding, Martin's teeth were now wider than they were long.
Martin hated his smile or the lack of it.  He had to really try hard to show any teeth at all and what he could show were not aesthetically pleasing.
Since Martin's teeth were edge to edge with no overlap, just placing new crowns or veneers were impossible.  Something had to be done to get some space between his incisors.

What procedures did you perform and why?
In order to get some space we had to use orthodontics to move teeth.
Instead of standard braces we used invisalign to open the bite to accommodate the crowns he would need from canine to canine.  This took about two years to accomplish.
We used bonding along the way to mock up his teeth to a comfortable bite and aesthetically pleasing position.  Once Martin was comfortable, his final crowns were placed.
The results are spectacular!!

  Dr. Mark Librach - Dentist

Thursday, November 13, 2014

Diane's Dental Makeover

Diane underwent several months of dental treatment to achieve her new smile. This included periodontal therapy, dental implants to support an anterior implant bridge and additional crowns on her upper teeth.


1. Why was Diane a good candidate for these procedures?
This patient presented with an advanced chronic Periodontal infection which required many steps in order to achieve healthy tissues and improve her overall health.
The fundamental basis of implant treatment is to make sure that the overall condition of the patients mouth is absolutely healthy. Otherwise, we can compromise the health and longevity of implant and prosthetic treatment. After treating the Periodontal disease and achieving a stable and healthy condition of the patients gums,then we proceeded with planning for the replacement and rehabilitation of the missing teeth.
2. How did you develop a plan for treating Diane's concerns?
The front teeth required removal as they were too compromised to keep them and treat them periodontally. The patient knew this from the outset and she also knew that the ultimate replacement will be done with an implant supported fixed prosthesis.
Once her teeth were extracted in the upper front, a bone graft was placed in order to maintain and regenerate her jaw bone which would provide an adequate anatomical area to place two implants. We allowed a period of 6 months of healing from the time of tooth extraction, bone grafting and implant placement.
A cone beam CT scan was done at the 6 month period and a virtual implant surgery was done in order to make a custom surgical guide. This guide was used during surgery I. Order to place the implants in he exact position required for this particular case.


3. Was her treatment out of the ordinary?
Her treatment consisted of first bringing back health to her gums and teeth, making sure that a stable periodontal condition was present in order to continue with her implant treatment plan. It's a very detailed plank which requires many steps in order to prepare the mouth for dental implant surgery.

4. How long did Diane's transformation take?
The treatment time was 16 months (?) I don't have marks notes so not sure when re placed the final bridge.
5. Is there an ideal candidate for these procedures?
The ideal candidate is always one which is healthy, complies with all appointments and instructions, and of course protects the final prosthesis with wearing a night guard and keeping all maintenance dental visits.


Jonathan Mursic                                                        Connie
 5 Axis Lab                                                                Treatment Coordinator