sherbourne

Frequently Asked Questions

We have answers to some of the most frequently asked questions about our services and treatments. If you have any other questions, feel free to contact us directly.

Sport Guards

Custom sports guards are designed to fit your teeth, which can improve comfort, stability, and protection compared to generic options.

Sports guards can be made to fit over braces. Your dentist will take this into account when designing the guard and may recommend adjustments as treatment progresses.

Accidents can happen even during non contact activities. A sports guard provides an added layer of protection in case of unexpected impact or falls.

Sports guards should be rinsed after use and cleaned as instructed by your dentist. Storing the guard in a protective case helps maintain its shape and hygiene.

The lifespan depends on wear, growth, and changes in the teeth. Children and teens may need replacements more often due to growth and orthodontic changes.

Dentures

Dentures are one option for replacing missing teeth, but they are not the only solution for everyone. Depending on your oral health, other tooth replacement options may be discussed during your consultation.

Eating with dentures may feel different at first. Starting with soft foods and gradually reintroducing other foods can help. Your dentist will provide tips to make eating more comfortable during the adjustment period.

Dentures may need adjustments, relining, or replacement over time due to normal changes in the mouth and jaw. Regular dental visits help ensure your dentures continue to fit properly and remain comfortable.

Most patients experience an adjustment period as they learn to speak and chew comfortably with dentures. This varies from person to person and often improves gradually with regular wear and minor adjustments when needed.

This is one of the most common concerns. Dentures are designed to match your facial features and smile as closely as possible. Your dentist will review shape, size, and appearance during the planning process to help achieve a natural looking result.

Veneers

Veneers are considered a long term cosmetic option. Once placed, they are not reversible. This is why careful planning and discussion are important before treatment.

Veneers may help improve the appearance of minor alignment concerns. For more significant alignment issues, orthodontic treatment may be discussed as an alternative.

Veneers may require some tooth preparation, depending on the case. Your dentist will explain how much preparation is needed and whether veneers are appropriate for your teeth.

The lifespan of veneers varies based on care, habits, and oral health. Regular dental visits help monitor their condition and maintain long term results.

Veneers are designed to match the shape, colour, and proportions of your smile. When planned carefully, they are intended to blend with surrounding teeth rather than appear artificial.

Crowns & Bridges

Crowns and bridges may help improve chewing comfort by restoring tooth structure and bite balance. A dental exam is needed to determine if they are suitable for your specific concern.

This depends on how much of the tooth is damaged. Fillings are typically used for smaller areas, while crowns are often recommended when a tooth is weakened or at risk of further damage. Your dentist will explain why one option may be more appropriate.

The lifespan of crowns and bridges varies based on oral hygiene, bite forces, and routine care. Regular dental visits help monitor their condition over time.

Leaving a missing tooth untreated may allow nearby teeth to shift, which can affect bite alignment and chewing. Your dentist can explain potential effects and whether replacement is recommended.

Crowns and bridges are designed to restore normal function. It may take a short adjustment period, but many patients find they feel natural once they get used to them.

TMD/ Bruxism Night guards

Night guards may help reduce strain on the jaw muscles and joints caused by clenching or grinding. A dental assessment is needed to determine whether a night guard is appropriate for your symptoms.

Store bought night guards are available, but they may not fit properly and can feel bulky. Custom night guards are made specifically for your teeth and may offer better comfort and protection.

Many people are unaware they grind their teeth. Signs may include worn or flattened teeth, jaw soreness, headaches upon waking, or reports from a partner who hears grinding sounds during sleep.

The lifespan of a night guard depends on the level of grinding, fit, and care. Regular dental visits help monitor wear and determine when replacement may be needed.

Custom night guards are designed for comfort and fit. It may take a short adjustment period, but many patients find them easy to wear once they become accustomed to them.

This depends on the type of sedation used. Some forms may require you to arrange transportation. Your dental team will provide clear instructions ahead of your appointment.

Sedation dentistry may be used for both routine and more involved procedures when appropriate. A consultation helps determine whether it fits your needs and comfort level.

Sedation dentistry is commonly used when appropriate. Your dentist will review your medical history and explain whether sedation is suitable for you before treatment.

Sedation dentistry does not usually involve being fully asleep. Most options help you feel relaxed and calm while remaining awake and responsive during treatment.

Memory varies depending on the sedation option. Some patients remember most of the visit, while others recall very little. Your dentist can explain what to expect based on the type of sedation discussed.

Invisalign®

Aligners should be removed before eating or drinking anything other than water. This helps prevent damage to the aligners and supports good oral hygiene during treatment.

Invisalign treatment uses digital planning to map out tooth movement over time. You wear each set of aligners for a specified period before switching to the next set. Gradual changes occur as you progress through the series.

Treatment length varies depending on individual needs, alignment concerns, and how consistently aligners are worn. Your dentist will review expected treatment timelines during your consultation.

Invisalign aligners are made from clear material and are designed to be less noticeable than traditional braces. Visibility can vary depending on lighting and individual use, but many patients appreciate the discreet appearance.

Some patients experience mild pressure or discomfort when starting a new set of aligners. This is often temporary and may be a sign that the aligners are working as planned. Comfort levels vary from person to person.

Dental Fillings

In most cases, you can eat shortly after your appointment once the numbness wears off. Your dentist may suggest avoiding very hard or sticky foods for a short period, depending on the type of filling placed.

This is a common question. Small areas of decay may not cause pain right away, but they can progress over time. A dental exam helps determine whether monitoring is appropriate or if treating early may help prevent a larger procedure later.

Most filling appointments are completed in a single visit. The length of the appointment depends on the size and location of the cavity, which your dentist will review with you beforehand.

Mild sensitivity after a filling is common and usually improves within a short time. If sensitivity persists or feels uncomfortable, it is important to contact the clinic so the bite or filling can be checked.

Many patients are concerned about appearance. Tooth coloured fillings are designed to blend in with natural teeth, especially when used on visible areas. Your dentist can explain which options are suitable for your situation.

Tooth Whitening

Tooth whitening affects natural teeth only. Existing crowns, fillings, or veneers do not change colour. Your dentist will explain how this may affect overall appearance.

Whitening frequency depends on the method used and individual sensitivity. Your dentist will advise on appropriate timing to protect tooth enamel and gum health.

Results vary depending on the starting shade and type of staining. Your dentist will discuss realistic expectations during your consultation.

Professional tooth whitening is commonly used when appropriate. Your dentist will review your oral health and discuss whether whitening is suitable for you before treatment.

Some patients experience temporary sensitivity during or after whitening. This usually improves within a short period. Your dentist can recommend ways to help manage sensitivity.

Dental Extractions

Many patients worry that extraction is the only option being offered. A dental exam and imaging help determine whether a tooth can be treated or if removal is the safest option. Your dentist will explain why an extraction is recommended and discuss alternatives when appropriate.

Recovery varies from person to person and depends on the complexity of the extraction. Many patients feel comfortable returning to normal routines within a short time, following aftercare instructions provided by the dental team.

Saving a natural tooth is often preferred when possible. An extraction is typically recommended only when other treatments are unlikely to be effective or may lead to further issues. The decision depends on the condition of the tooth and surrounding structures.

Soft foods are usually recommended during the initial healing period. Your dentist will provide guidance on what to eat and what to avoid to help support healing and reduce discomfort.

Leaving a missing tooth untreated may affect chewing, alignment, or surrounding teeth over time. Replacement options depend on the location of the tooth and your oral health. Your dentist can explain whether replacement is recommended and discuss available options.

Root Canal Treatment

A root canal may be recommended if you have persistent tooth pain, sensitivity to hot or cold, pain when chewing, swelling, or signs of infection on dental X rays. A dental exam is needed to determine the cause of symptoms.

Treatment time varies depending on the tooth and the extent of infection. Some root canals are completed in one visit, while others may require more than one appointment.

Root canal treatment is performed using local anesthesia to help keep patients comfortable. Some pressure or mild tenderness may occur after treatment, but many patients find the procedure helps relieve the pain caused by infection.

After root canal treatment, a crown or restoration is often recommended to protect the tooth and restore normal function. Your dentist will explain next steps based on your individual situation.

Root canal treatment is a dental procedure used to treat infection or inflammation inside a tooth. It involves removing the affected tissue, cleaning the inside of the tooth, and sealing it to reduce the risk of further infection.

Scaling & Root Planing

Maintaining results involves good oral hygiene at home, regular dental visits, and periodontal maintenance when recommended. Your dental team will guide you on next steps.

Treatment time depends on the severity of gum disease and how many areas require care. It may be completed over one or more visits.

Local anesthesia may be used to help keep you comfortable during treatment. Some mild tenderness afterward is common and usually temporary.

Scaling and root planing is often referred to as deep cleaning. It is a more thorough treatment than a routine cleaning and is used when gum disease is present.

Scaling and root planing helps reduce inflammation and supports gum healing. Gum tissue does not grow back in the same way as skin, but treatment may help prevent further recession and support healthier gums.

Periodontal Therapy

Treatment depends on the severity of gum disease. Periodontal therapy may include deep cleaning procedures such as scaling and root planing, along with ongoing maintenance and home care guidance. Your dentist will recommend a plan based on your individual needs.

Most treatments are comfortable and performed with your comfort in mind. Sensitivity is typically mild and temporary.

Common signs of gum disease may include bleeding gums, redness or swelling, persistent bad breath, gum recession, or loose teeth. Some people may not notice symptoms in the early stages, which is why regular dental visits are important.

Periodontal therapy refers to treatments used to manage gum disease and support the health of the gums and bone around the teeth. It focuses on reducing inflammation, controlling infection, and helping maintain long term oral health.

Healthy gums help support your teeth and overall oral health. Managing gum disease may help reduce the risk of tooth loss and support long term dental stability. Your dental team will explain how periodontal therapy fits into your overall care plan.

General Questions

Gum disease can be managed and controlled. Early treatment is key to preventing progression.

How often you go for dental exams depends on your oral health needs. The goal is to catch small problems early. For many people, this means a dental exam every six months.

Your dentist may suggest that you visit more or less often depending on how well you care for your teeth and gums, problems you have that need to be checked or treated, how fast tartar builds up on your teeth, and so on.

Ask yourself the following questions:

  1. Do I floss every day?
  2. Do I brush twice a day with a fluoride toothpaste and follow my dentist’s instructions on how to brush properly?
  3. Do I eat a well-balanced diet, including food from all food groups, and limit sweets and sticky foods?
  4. Do I smoke?
  5. Do I have a history of cavities or gum disease?
  6. Is my overall health good?

The answers to these questions are all factors that affect your oral health. They will help you and your dentist decide how often you need to visit for dental exams. It’s worth noting that you should not determine your need for dental care based on what your dental plan covers.

Do I need x-rays at each visit?

How often you need to have x-rays also depends on your oral health. A healthy adult who has not had cavities or other problems for a couple of years probably won’t need x-rays at every appointment. If your dental situation is less stable and your dentist is monitoring your progress, you may require more frequent x-rays.

If you are not sure why a particular x-ray is being taken, ask your dentist. Remember that dental x-rays deliver very little radiation; they are a vital tool for your dentist to ensure that small problems don’t develop into bigger ones.

Your health is very important to your dentist. One of the ways that your dentist helps you stay healthy is by preventing the spread of germs. One of the best ways to do this is to use barrier protection such as gloves and masks.

Your dentist and other dental team members also wash their hands regularly. In addition, they sterilize equipment used in the dental office and clean the furniture and fixtures in the examining rooms. This system is referred to as “standard precautions.” It means that every patient is treated in the same way because patients don’t always know if they’re sick. It’s always better to be safe than sorry.

If you would like to know how this system is carried out in your dentist’s office, ask to be shown how it’s done. Dentists welcome the opportunity to ease their patients’ concerns, rather than have them leave the office with unanswered questions. Once you see the work that goes into making the dental office a clean and safe environment, you will feel reassured.

It is worth noting that even though standard precautions are used, it is still important to tell your dentist of changes in your health. This will help your dentist suggest the right choices of treatment for you.

Treatment time depends on the severity of gum disease. Some cases are resolved in one visit, while others require ongoing care.

Some patients benefit from more frequent cleanings, such as every 3–4 months, to maintain gum health.

The first step in choosing a new dentist is to list your needs, which might include:

  1. Location
  2. Hours of practice
  3. Language(s) spoken
  4. Generalist or specialist practice

Ask your family and friends if they can recommend a dentist. Other members of your community, such as your doctor, may be able to offer suggestions. Some provincial dental associations have websites that allow you to search for a dentist in your area (see “Other Resources” below).

Yellow Pages advertising may also prove helpful. It will list each dentist’s location and may include other details that will help you in your search.

Once you have narrowed your list to two or three names, call the dentists to see if they are accepting new patients. This initial call may also give you some sense of the office environment, but there’s nothing like the first visit to help you decide if it’s a good match for you.

How can I get my records transferred?

Original dental records belong to the dentist who provided the treatment, and not the patient, because dentists have to keep all of their records for a period of time, as set out by their provincial dental regulatory body. Once you have selected a new dentist, you can request that a copy of your records be transferred from your former dentist.

You may be required to sign a release form from your former dental office and you may also be charged an administrative fee for having your records copied and sent to another dental office. If you have questions about the records transfer process in your province, ask your dentist or contact the provincial dental regulatory body.

Ask questions. It sounds simple enough, but sometimes we feel embarrassed to ask simple questions. There is no need to feel that way.

You will feel much better, and be able to make a better decision, if you understand the dental procedure that is recommended to you. If you don’t say anything, your dentist may think that you already understand.

Here are some tips when asking questions. Ask:

  1. If you can see any pictures of the procedure or what it looks like when it is done;
  2. How many times your dentist has done this procedure in the past;
  3. How much it will cost;
  4. How long it will take;
  5. If it will need to be redone in the future;
  6. If there are alternatives to the procedure and if so, what are the pros and cons of each option.

The final decision about how and when to proceed with any treatment is yours. To help you understand what is involved in the treatment, your dentist may give you some printed material to read.

If you have already left the dental office without asking questions, call back later. Be careful about getting information from unknown sources, including sources on the Internet. Some of this information may not be reliable.

If, after all of your questions have been answered, you are still uncertain, you may wish to get a second opinion from another dentist. Often, a second opinion will give you confidence that your dentist has planned the right treatment for you.

Dentists have been doing what’s called “non-vital” bleaching for many years. Non-vital bleaching is done on a damaged, darkened tooth that has had root canal treatment. “Vital” bleaching is done on healthy teeth and has become more popular in recent years.

Vital bleaching, also called whitening, may be carried out in the dental office or the dentist may instruct the patient on how to do the bleaching at home. There is also a wide variety of products for sale in stores. Not all products are the same and not all give you the same results.

Different products, including those used by dentists, may also have different risks and side effects.

Here is an overview:

Whitening toothpastes with abrasive ingredients are really not bleaching products at all, but work on surface stain only. These products are sold in many stores.

Some whitening toothpastes do contain a chemical ingredient (or “bleach”) that causes a chemical reaction to lighten teeth. Generally, they have the lowest amount of “bleach.” They may not whiten as well as stronger products, but they have less chance of side effects. These pastes are brushed onto teeth and rinsed off, like regular toothpaste.

Bleaching kits sold in stores stay on your teeth longer than toothpaste and contain stronger bleach.” These store-bought products do not come with the added safety of having your dentist monitor any side effects. They also come with a one-size-fits-all tray that holds the “bleach” and is more likely to leak the chemical into your mouth.

Dentists may use products with stronger “bleach”, but they give patients careful instructions to follow. They are also trained to spot and treat the side effects that patients sometimes report during bleaching. In addition, if a tray is needed to apply the “bleach”, dentists supply custom-made trays. Because products used by dentists are strong, they tend to produce the best results.

Patients should be aware that the long-term use of whitening or bleaching products may cause tooth sensitivity or tooth abrasion. Please consult with your dentist before using a whitening or bleaching product.

It’s important to get an early start on dental care, so that your child will learn that visiting the dentist is a regular part of health care. The first step is to choose a dentist for your child.

It may be your own dentist or one who specializes in treating children (called a pediatric dentist). Once you have selected a dentist, call the office to find out at what age he or she prefers to see child patients for the first time. The CDA encourages the assessment of infants, by a dentist, within 6 months of the eruption of the first tooth or by one year of age.

It’s important to make the first visit a positive experience for your child — one reason why it’s best to visit before a problem develops. If you think there is a problem, however, take your child to the dentist right away, no matter what age.

If you are a nervous dental patient, ask your spouse or another family member to take the child for the appointment. If your child senses that you are nervous, he or she may feel nervous too. When you talk to your child about going to the dentist, explain what will happen without adding things like “it won’t hurt” or “don’t be scared.”

Be sure to get an early start on regular dental care at home. Start cleaning your child’s mouth with a soft damp cloth before teeth come in and continue with a soft toothbrush once he or she has a first tooth. Limit the number of sugary treats you give your child, and focus on healthy food choices from the very beginning.

Dental plans, offered by many employers, are a means to help you pay for your dental treatment. Most Canadians enjoy dental plans and the insurance companies that provide them are actually benefit carriers. Carriers reimburse patients based on the level of coverage decided by the patient’s employer.

When you visit the dentist, it’s the dentist’s role to make a treatment plan based on your oral health needs. Your needs may be different from what is covered by your dental plan. It is your right to decide whether or not to go ahead with any treatment.

You should not decide based on what your plan covers. If you agree to have the treatment, it’s your responsibility to pay for it. It is the responsibility of the benefits carrier’s to reimburse you for the amount covered by your dental plan.

Many dentists are willing to contact a patient’s benefits carrier, on a patient’s behalf, to find out if a treatment is covered. The patient has to pay the portion that’s not covered and the dentist may offer a payment plan to help.

I don’t have dental insurance and can’t afford to go to the dentist. What can I do and why does dentistry cost so much anyway?

If you do not have a dental plan and cannot afford to pay your entire bill at once, ask your dentist about a payment plan. If you cannot afford care, even with a payment plan, contact the nearest:

  1. Social services agency to see if you qualify for government-funded dental care
  2. Dental school where senior dental students provide treatment at a reduced cost

Dental services may seem expensive. In Canada, we don’t have to pay directly when we visit a doctor or hospital, so we may not realize the high cost of providing health services. Overhead costs are high for dentists. They have staff, equipment and other operating costs.

The good news is that you can avoid costly dental treatment by brushing, flossing and visiting your dentist regularly for a dental exams. Regular dental exams cost money, but they are less expensive than fixing serious dental problems that stem from neglect.

Sherbourne Dental Associates

Proudly Caring for Smiles in Downtown Toronto