Bruxism - Teethgrinding

What Is Bruxism?

"Keep a stiff upper lip" or "get a grip!" That's often the advice we get—and give—on how to cope with stress.

If you take it literally, the result could be grinding your teeth or clenching your jaws. It's called bruxism, and often it happens as we sleep, caused not just by stress and anxiety but by sleep disorders, an abnormal bite or teeth that are missing or crooked.

Symptoms include a dull headache or a sore jaw.

You could have teeth that are painful or loose from severe grinding. This can lead to fractures in your teeth.

Dr Randhawa can fit you with a custom made mouth guard to protect your teeth during sleep.

If stress is the cause you need to find a way to relax! Physical therapy, muscle relaxants, counseling and even exercise may help reduce tension.

Don't make your teeth the brunt of your stress.

Ask Dr. Randhawa on your next visit to evaluate your teeth for possible effects of grinding or clenching.

Cosmetic Dentistry - FAQs

What should I look for in excellent cosmetic dentistry?

Excellent cosmetic dentistry should not be detectable. You will simply have a great smile. Look at the smiles of people who have had cosmetic dentistry and their gumlines. You should not see gums that are "puffy" or of any color other than a healthy pink (no purple or darker gums). Also, there should be no dark line at the base of the crown at the gum line.

How long does teeth "whitening" last?

The level of whitening you maintain depends on factors such as your diet, the amount of dark-color drinks you consume and the level of home care. You can maintain the color you desire with proper maintenance and periodic follow up touch-ups.

There's a big gap between my two front teeth. Can that be changed?

Absolutely !!

Bonded veneers

Bonded resins

Conventional braces and

INVISALIGN - 'Straight Teeth : No Braces' ...

...can all help create the smile you desire and take care of those unsightly gaps between your teeth. Bonded resins generally require one office visit, while porcelain veneering takes two.

A FREE CONSULTATION with Dr. Randhawa can help you determine which procedure is the best suited to your individual needs.

How can I make my discolored teeth whiter?

Tooth whitening, the process for lightening discolored teeth is an exciting option. Both in- office and home bleaching systems are available at Dr. Randhawa's office.

I know my smile needs some work, but I'm not sure if I can afford to have cosmetic dental work done.

Cosmetic dental work is probably not as expensive as you think. Investment in cosmetic dentistry is an investment in you. It will absolutely improve your appearance and help improve your self-esteem and overall confidence. Also, some cosmetic dental options are covered by insurance especially INVISALIGN and conventional braces. Our financial coordinator is extremely knowledgeable and well trained to help you decide in favour of your individual financial situation.

Most of my teeth are bunched too near the front of my mouth. Is there a way to get rid of that crowded look?

INVISALIGN can help treat most orthodontic problems like gaps, crowding, deep bite and crooked teeth. Conventional braces, bonding or veneering could be the option for you. A complimentary COSMETIC EVALUATION with Dr. Randhawa can help you determine what's best for you.

My back teeth have a lot of mercury and gold. Is there a less obvious and healthier way to fill cavities?

Tooth-coloured porcelain and composite resin materials are very exciting state-of-the-art cosmetic options available at Dr.Randhawa's Dental office. These fillings and restorations will surely go unnoticed, and also they are stronger and more wear-resistant than silver-mercury and gold. They are also much more healthy.

Sealants - FAQs

How does a sealant help prevent decay?

A sealant is a plastic material that is usually applied to the chewing surfaces of the back teeth—premolars and molars. This plastic resin bonds into the depressions and grooves (pits and fissures) of the chewing surfaces of back teeth. The sealant acts as a barrier, protecting enamel from plaque and acids.

Thorough brushing and flossing help remove food particles and plaque from smooth surfaces of teeth. But toothbrush bristles cannot reach all the way into the depressions and grooves to extract food and plaque. Sealants protect these vulnerable areas by "sealing out" plaque and food.

Is sealant application a complicated procedure?

Sealants are easy for your dentist to apply, and it takes only a few minutes to seal each tooth. The teeth that will be sealed are cleaned. Then the chewing surfaces are roughened with an acid solution to help the sealant adhere to the tooth. The sealant is then 'painted' onto the tooth enamel, where it bonds directly to the tooth and hardens. We at Randhawa Dental use a special curing light to help the sealant harden.

As long as the sealant remains intact, the tooth surface will be protected from decay. Sealants hold up well under the force of normal chewing and usually last several years before a reapplication is needed. During your regular dental visits, your dentist will check the condition of the sealants and reapply them when necessary.

Sealants are just for kids, right?

The likelihood of developing pit and fissure decay begins early in life, so children and teenagers are obvious candidates. But adults can benefit from sealants as well.

Key ingredients in preventing tooth decay and maintaining a healthy mouth are twice-daily brushing; cleaning between the teeth daily with floss or interdental cleaners; eating a balanced diet and limiting snacks; and visiting your dentist regularly. Ask Dr. Randhawa about whether sealants can put extra power behind your prevention program.

Teeth whitening - FAQs

What should you ask your dentist?

You may want to start by speaking with your dentist. He or she can tell you whether whitening procedures would be effective for you. Whiteners may not correct all types of discoloration. For example, yellow-ish hued teeth will probably bleach well, brownish-colored teeth may bleach less well, and grayish-hued teeth may not bleach well at all. Likewise, bleaching may not enhance your smile if you have had bonding or tooth-colored fillings placed in your front teeth. The whitener will not effect the color of these materials, and they will stand out in your newly whitened smile.

In these cases, Dr. Randhawa can very well help you decide in favour of the right cosmetic choice for your individual needs, like porcelain veneers or dental bonding.

What is in-office bleaching?

Also called chair-side bleaching, the in-office teeth whitening may require one or more office visits. Each visit may take from 30 minutes to one hour. A bleaching agent is applied to the surfaces of teeth, and a special light may be used to enhance the action of the agent. The dentist will monitor the progress and in most cases you are done in less than an hour. Follow up touch up visits or home bleaching systems may be required in some cases.

What are at-home procedures and products?

There are several types of products available for use at home, which can either be dispensed by your dentist or purchased over-the-counter.

Toothpastes: All toothpastes help remove surface stain through the action of mild abrasives. "Whitening" toothpastes have special chemical or polishing agents that provide additional stain removal effectiveness. Unlike bleaches, these products do not alter the intrinsic color of teeth.

Bleaching solutions: These products contain peroxide(s), which actually bleach the tooth enamel. These products typically rely on percent carbamide peroxide as the bleaching agent. Peroxide-containing whiteners typically come in a gel and are placed in a mouthguard. Usage regimens vary. Some products are used for about twice a day for 2 weeks, and others are intended for overnight use for 1-2 weeks. Currently, however, only dentist-dispensed home-use 10% carbamide peroxide tray-applied gels carry the ADA Seal.

At Randhawa Dental we offer our patients custom-fitted bleaching trays that will fit your teeth precisely. We will dispense the home bleaching gel kit along with the detailed instructions on how exactly to use the system safely and effectively. We then follow it up to ensure the optimal results for our patients.

Our patients are always made aware of any possible side effects and how to handle them. For example, teeth can become sensitive during the period of bleaching. In many cases, this sensitivity is temporary and should lessen once treatment is finished. Some people also experience soft tissue irritation - mostly from a tray that doesn’t fit properly.

How should I choose a whitening product?

Schedule a visit to Randhawa Dental today and let Dr. Randhawa examine your teeth and then help you make the right choice.

Veneer - FAQS

How are LUMINEERS ™ BY CERINATE® different than traditional veneer procedures?

LUMINEERS BY CERINATE are unique in that they are contact lens-thin (approximately 0.2 mm) and super translucent. Traditional veneers are fused or bonded to teeth, and generally will need to grind down the tooth for a good fit. Since LUMINEERS are so thin, little to no tooth reduction is necessary. In addition, LUMINEERS resists micro- leakage and micro-cracking.

Are there any other LUMINEERS?

No. LUMINEERS can only be made from Cerinate porcelain. This revolutionary porcelain is crafted through a proprietary process unavailable anywhere other than Den-Mat Corporation, one of the nation’s largest manufacturers of professional dental materials.

I’ve heard that a veneer procedure hurts? Is that true with LUMINEERS?

Although some porcelain veneer procedures require tooth structure removal, LUMINEERS are completely different because there is no need for grinding, cutting or filing of teeth in almost all cases. Consequently, no anesthetic or numbing shots are needed. Plus, no uncomfortable temporaries are required while you wait for your LUMINEERS to be created. Once the procedure is completed, there is no post-placement discomfort or sensitivity, which means they will look natural and feel comfortable from the start.

I think I need braces, but I really don't want to go through the inconvenient, unsightly and time-intensive process. Can I get LUMINEERS instead?

In most cases, yes. An evaluation of your teeth will determine whether orthodontics is necessary. If you do not have a severe problem, LUMINEERS will change the shape and alignment of teeth, making them look straighter and more uniform.

How long will LUMINEERS last?

LUMINEERS have unparalleled longevity. Clinical testing has proven that LUMINEERS may last and look great for up to 20 years.

Can LUMINEERS be taken off if I want them removed?

Yes, LUMINEERS are completely reversible. This is largely due to the no reduction in sensitive tooth structure so that your natural teeth remain intact and strong.

With LUMINEERS, do I need to use a special toothpaste or floss a different way?

LUMINEERS are similar in structure to real tooth enamel. Consequently, you should always try to choose a low-abrasion toothpaste that will remove plaque, stain and tartar gently but effectively.

With LUMINEERS, can I still chew gum and eat my favorite sticky foods like corn or candy?

There are no limitations to what you can eat or drink as LUMINEERS are placed over original teeth in the most durable way possible. However you should continue your dental visits every 6 months for a check-up and cleaning to keep your LUMINEERS in good condition.