Thursday, September 13, 2018

Struggling With Sensitive Teeth?


When you enjoy ice cream do you fear the sharp pain that may accompany the chocolate flavour? Ice cream, cold or hot drinks and foods are luxuries that some people can't simply enjoy if their teeth are sensitive to temperature.

Dentin hypersensitivity is caused by stimulation of cells located in the dentin (the layer under your tooth enamel which can become exposed through wear and tear or dental maladies). When this happens, eating and drinking hot or cold foods and beverages, touching your teeth, often even exposing them to cold air can be painful.

We have options that will allow you to enjoy all of your favourite foods.

If your teeth are sensitive to hot or cold, book an appointment for a diagnostic evaluation and to rule out more serious problems such as a cavity or abscess. If you have dentin hypersensitivity, we may seal the sensitive area or for less severe cases you may be prescribed a special fluoride gel or told to use one of several over-the-counter toothpastes for sensitive teeth containing potassium nitrate or strontium chloride.

If you have any apprehension with hot or cold foods, call our office today for a consultation, then stop for an ice cream on the way home, you'll be glad you did.

Wednesday, August 15, 2018

7 Ways to Help Prevent Tooth Decay, Gum Disease, & Dental Health Problems

An ounce of prevention is worth a pound of cure.
Proper dental prevention and regular check-ups are your best bet for a healthier, pain free, beautiful smile. But how? Isn't brushing and flossing regularly enough? You do floss regularly, right!?!?

No sweat, we're here to help! Here are 7 ways to help prevent tooth decay, gum disease, & dental health problems.

Invest In an Electric Toothbrush

Manual toothbrushes can only clean your teeth so much. Electric toothbrushes are a popular and beneficial alternative to get a deep clean in order to prevent oral health issues such as tooth decay and gum disease. A few options for electric toothbrushes are Sonicare or Oral B which have replaceable brush heads.

Tips For Using an Electric Toothbrush:

  • Press lightly when brushing - you don't need to put too much pressure with an electric toothbrush.
  • Clean brush heads by running it under water or rinsing it with mouthwash to avoid bacteria from building up.
  • Replace the brush heads regularly, especially when the bristles are out of shape or discoloured.
  • Talk to your dentist and hygienist about any questions or concerns you may have about electric toothbrushes. They'll provide you with all the information you need!


You shouldn't miss this step because flossing helps remove any extra debris that a toothbrush can't reach. Flossing daily with a proper technique will reduce your chances for cavities, gum disease and will improve your oral health overall. Ask your dentist and hygienist on good flossing techniques to ensure you're doing the most you can for your teeth.

Choose Foods & Beverages Thoughtfully

Your choices of food and beverages also play a large role in your dental health and in preventing health issues such as tooth decay.

Avoid Foods & Drinks That Are:

  • Sugary - Foods and drinks that are high in sugar, especially fruit juices are not healthy choices for your teeth and gums.
  • Acidic - Beverages that are high in acidity like soda and coffee can have adverse effects such as demineralization and tooth decay.
  • Sticky - Dried fruits like raisins or prunes are perceived as healthy, but these sugary snacks can get stuck and damage your teeth.

Choose Foods & Drinks Like:

  • Leafy Greens - Spinach, broccoli, kale
  • High-Fiber Fruits and Veggies
  • Nuts like Almonds and Legumes
  • Unsweetened coffee and tea

Rinse Regularly

Rinsing your mouth with fresh water can be more beneficial than brushing your teeth after every meal. When consuming foods or beverages with high acidity, it weakens the tooth enamel. Brushing right after can be detrimental, as the tooth is weakened after being in contact with high acidity food/drinks. Therefore, gently rinsing your mouth with water is a safer alternative. In addition, alcohol-free mouthwash freshens your breath. It is less harsh than mouthwashes that contain alcohol which can lead to dry mouth and gum disease.

Make Health a Priority in Your Life

Your dental health is influenced by your overall physical health and wellness, so it's important to take care of your whole body. For instance, untreated gum disease is directly linked to heart disease, diabetes, and many other chronic health issues. Speaking and visiting your dentist regularly can help with preventing health problems as well as identifying the early stages of oral cancers and other issues through non-invasive preventive screenings during your dental exams.

Take a Proactive Approach to Treatment

A proactive approach will help prevent oral health issues such as tooth decay, gum disease and keep your body healthy long-term. Don't wait to treat health issues when they are intolerable, especially when it comes to aches, pains, and other uncomfortable symptoms.

Schedule regular dental checkups and appointments with your doctor. Prevention is generally an easier process than treatment. For instance, cavities that are caught early will have more treatment options and will be a less-invasive approach.

Listen To Your Body

Remember to take the warning signs of dental health problems seriously. Seek help if you're suffering from:

  • Headaches when waking up
  • Poor sleep
  • Red, bleeding, swollen, or irritated gums
  • Pain when biting or chewing
  • Sensitivity to hot or cold foods
  • Chronic bad breath

Even if these symptoms seem minor in the beginning, it may lead to serious health issues in the future. Remember to schedule dental checkups regularly!

Wednesday, July 18, 2018

Dental Makeover! Cheryl's before and after

Fixing gaps and wear on Cheryl's upper teeth gave her a bright new youthful smile! 

Procedure: Dental Crowns
Dentist by: Dr. Mark Librach

1. Why was Cheryl a good candidate for these procedures?
Cheryl was very motivated and considered all treatment alternatives.  She wanted to correct her smile but when presented with the treatment plan that was based on the protection of her front teeth by building strong back teeth, she took to the idea.

2. How did you develop a plan for treating Cheryl's concerns?
Records are always critical to the creation of a treatment plan that is customized to our patients needs.  Comprehensive photos, models and X-rays are critical in presentation to the patient, other adjunctive professionals and our lab technicians.  A temporary mock up was also used on this case that gave us and the patient a clear picture of what the final outcome would feel and look like.

The above shows the extensive wear on the inside of Cheryl's upper teeth.
 The above shows the post-treatment crowns.

3. Was her treatment out of the ordinary?
There really is no such thing as “ordinary treatment”. Every case presents with complexities that are unique to that case.  In this case, the posterior teeth were in rough shape due to erosion and bruxism( grinding).

4. How long did (Patient’s) transformation take?
A few months and approximately 5-6 appointments.

Anterior view of Cheryl's front upper teeth prior to crown placement.
Anterior view of Cheryl's front upper teeth post-treatment with porcelain crowns.

5. Are there any at-home steps patients should follow after procedures like these? 
For most patients with extensive dental care we recommend the use of a night guard to protect the teeth and the dental work at night time. This decreases wear and tear and protects her teeth while the patient sleeps. 

Read what Cheryl had to say!

1.     What made you decide to undergo these procedures?
Due to years of erosion and night grinding I was told that I was going to start losing my teeth. I had so many spaces between my front teeth that I was self conscious about smiling.

2.     Why did you choose Dentistry on Dundas/Dr. Librach?
I had been told that he was really good.

3.     What were your procedures like?
I am very nervous about going to the dentist to have anything done. I gag easily and feel claustrophobic when things are put in my mouth. A couple of the procedures were very long appointments. Dr. Librach and Joan were awesome, gentle and understanding. The procedures were basically pain free. Dr. Librach did his best to ensure that things were removed from my mouth as quickly as possible and was always checking to see if I was comfortable. Both were willing to answer any questions I had too which I appreciated.

4.     How do you feel about your results?
Great!! I have had many positive comments and now I can smile again!!

Tuesday, April 17, 2018

Dental Implants

Dr. Mark Librach has been published! Though there are a number of ways to replace missing teeth, dental implants are considered state of the art. "For the appropriate candidate, they can be a smile-changing and a life-changing experience," says Dr. Mark Librach of Dentistry on Dundas in Downtown Whitby. 

Tuesday, April 3, 2018

Meagan's Myofunctional Orthodontic Transformation

Meagan is an excellent example of how myofunctional orthodontics can transform a patients bite and profile. Meagan's bite is what we consider a class III malocclusion. In simple terms a class III malocclusion is an underbite where the bottom teeth overlap the top teeth. Megan had seen several dentists who had recommended to her that this problem could only be corrected through orthognathic surgery. This type of surgery is very invasive and requires a hospital stay of two days followed by a recovery time of several weeks where her mouth would need to be wired shut. Megan‘s parents were hesitant to go forward with the surgery. I offered them a treatment plan that would require her to wear and appliance every evening while she slept plus 2 hours per day. 

This type of treatment known as myofunctional orthodontics and works by retraining muscles of the face and jaws to reposition her maxilla and mandible to the correct relationship. Megan’s transformation was completed in one year of treatment. As you can see in the photos her teeth are now in a very good class one relationship and her profile has improved dramatically. 
Megan will need to continue to wear her appliance for two years while sleeping. This will prevent her teeth and jaw from relaxing to the original position.

We asked Meagan's Mom how she felt the treatment went....

1.     What made you decide to undergo orthodontic treatment for Maegan?

Maegan had a class 3 malocclusion. Which is a pronounced overbite. Before coming to Dr. Millman, we were told the only way to correct this overbite was surgery.

2.     Why did you choose Dentistry on Dundas, Dr. Millman, for this treatment plan for Meagan?

Dr. Millman was the only dentist we met that offered us a non surgical procedure for her overbite.  The Myobrace Dr Millman fitted Maegan has successfully corrected her overbite without surgery 

3.     How did Meagan tolerate her orthodontic treatment?

The myobrace treatment was painless and easy for a young girl to manage on her own. What was really important to my teenage daughter is this treatment was done at home. She didn't have to wear it in public.

4.     How do you and her feel about the results?

We are extremely pleased with the results. Maegan's overbite has been corrected without painful surgery or the use of braces. The Myobrace was the perfect treatment for my daughter.                   

Wednesday, March 7, 2018

Michelle's Dental Makeover!

Dr. Steven Millman explains Michelle's treatment plan....

Michelle's case is an excellent example of how we can use porcelain veneers to correct a person smile instantly without orthodontic treatment. 

The patient was very concerned with the symmetry of her smile and her mid-line being off. She also did not like the anatomical shape of her teeth.

                                                       Michelle before

A treatment plan was developed with the help of our lab technician Jonathan Murisac and our periodontist Dr. Dana Levy. Prior to treatment we created a wax mock-up of her smile in order to correct her concerns. Once the patient was able to visualize the changes we could  make to her smile, she accepted going ahead with this treatment.

The transformation was completed over a month of treatment. We started off by placing temporary veneers to correct the position of the gingival tissue and to create a symmetric smile. Once the patient was satisfied with the cosmetic result we then replaced the temporaries was permanent veneers. 

                                                           Michelle after

There are many potential patients that could benefit from this type of treatment. This is a relatively non-invasive treatment that can correct crooked misaligned teeth without orthodontic treatment. As you can see by the photos the cosmetic result was excellent. Both myself and the patient extremely pleased with the final results. 

The beautiful porcelain veneers can be easily maintained with routine brushing and flossing. We also highly recommend six month cleaning at the dental office with a skilled hygienist. 

From the Michelle....

1.     What made you decide to undergo these procedures?  Saw an orthodontist and due to the crowding of my teeth and the extended years of work that needed to be done they didn’t feel it was an good option for me at my age and I would not get the result I was looking for since I was missing the canine tooth. 

2.     Why did you choose Dentistry on Dundas/Dr. Millman?  He is my family dentist so didn’t feel the need to look elsewhere.

3.     What were your procedures like?  It was definitely time consuming, however this was due to my specific case as we were turning another tooth to appear to be a canine. Other than that, there was nothing intolerable. 

4.     How do you feel about your results?  Anyone who sees them think they look perfect and have had comments on how perfect they look from people who don’t know I had them done.  

                                                    Dr. Steven Millman

Thursday, February 15, 2018

Meagan's orthodontic before and after photos!

Meagan went through orthodontic therapy with Dr. Librach to create her new beautiful and functional smile!

1. Why was Meagan a good candidate for orhtodontics?

Meagan was keen to have her straight teeth. She is a great listener and followed instructions well.  Her Oral hygiene was also good.

2. How did you develop a plan for treating Meagan?

Starting with all the appropriate records, including photos, x-rays, and models, a thorough exam is done. We can then devise a treatment plan that would correct both tooth position issues and underling skeletal problems. We then consult with the patient and her parents, taking into account all of their concerns. 


3. Was her treatment out of the ordinary?

There really isn't any "ordinary" cases.  They all are special and treatment plans are tailored to each patient.  Some are complex and others, like this one are less so.

4. How long did Meagan's transformation take?

Her treatment plan was completed in 18 months.

5. What steps do these procedures involve?

She had six months of appliance therapy and twelve months of braces.

6. Is there an ideal candidate for these procedures?

A patient who is a good listener and follows instructions can vastly reduce the length of treatment.  Children who accept the responsibility for part of their treatment can accelerate the process and finish early. Good listeners who take responsibility for their own treatment and don't rely on their parents for day-to-day maintenance make the idea patients.


7. Are there any at-home steps patients should follow after procedures like these? 

Retention and oral hygiene are key to the long term success of any orthodontic treatment.  Retention is a lifelong endeavour as teeth are subject to changing forces as we age, any of which can affect the position of a tooth or many teeth.  Depending on the treatment done, full time retention (usually for one year) is required followed by night time wear there after.  Oral Hygiene is also key for the oral health of the patient.

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