Friday, November 9, 2018

Rosemary's Before and After Dental Makeover

Beautiful Smiles are within your reach! Improvement in ones appearance can lead to greater confidence and zeal for life. See how Rosemary achieved her newly enhanced smile with the use of dental crowns.

Why was Rosemary a good candidate for these procedures?

She was motivated to improve her quality of life and her smile.  Her oral hygiene was good as well.


How did you develop a plan for treating Rosemary's concerns?

We always start with exhaustive records.  We determine the challenges of the patient's bite, teeth and the surrounding structures. We discuss the patient's concerns and goals and set forth a realistic treatment plan that takes into account the patient's budget.  In addition, a  discussion of the procedures involved and the physical and emotional tolerances of the patient. This may include fears and length of treatments.
Was her treatment out of the ordinary?

The treatment was extraordinary in that it involved rather large space between the front teeth. We discussed all options from orthodontics to close the space to going directly to the restorations (i.e. Porcelain veneers and crowns).  Consultation with our ceramics lab prior to treatment, which included a diagnostic wax up (i.e. a wax mock-up of the final restorations), revealed that a satisfactory result was possible without the use of orthodontic treatment.  This meant that treatment could be completed in several weeks instead of several months or a year. Significant savings we're possible by eliminating the orthodontic component. 

                                    Dr. Mark Librach, Dentist

Monday, October 22, 2018

Use of Cannabis and Your Oral Health


We have talked about smoking tobacco and its consequences on oral health. Now with the legalization of cannabis in Canada, let’s discuss how its regular use affects your dental health.

Regular cannabis users usually have poorer oral health, which is evidenced by higher rates of tooth decay, missing teeth, inflamed gums, and cavities as compared to non-users.

Effects of cannabis on oral health:

  • Xerostomia
  • Have you ever experienced the cotton-mouthed feeling when smoking pot? This means your mouth is dry due to lack of saliva. This oral condition of dry mouth is known as xerostomia, which is due to the reduced salivary flow. While under the influence of cannabis, the nervous system reacts by reducing the production of saliva.

    This lack of saliva can create a whole range of problems. Saliva plays an important role for your healthy oral condition. It helps with breaking down food for easy intake, rinses your teeth and gums to remove food particles after meals, helps with rebuilding tissues, and provides disease fighting substances to keep your mouth healthy.

    With the lack of saliva in the mouth, it eventually leads to cavities, as the enamel on the surface of your teeth becomes damaged, and teeth can appear worn and shorter, and extremely sensitive. Lack of saliva also causes bad breath.

  • Periodontal Disease
  • Cannabis use can lead to periodontitis, which is the inflammation of tissue around your teeth, causing shrinkage of gums and loosening of teeth. Apart from teeth and gums, regular cannabis use also damages other soft tissues in your mouth like lips, tongues, cheeks and the roof of your mouth.

  • Stained Teeth
  • It is not a surprise that heavy tobacco smokers have stained and yellow teeth. Heavy cannabis users also have similar teeth in appearance, with worn out gums, resulting in a not so 'pearly-white' smile.

  • Mouth Cancers
  • Abusing cannabis also creates a condition called cannabis stomatitis, which is the damaging of the lining of the mouth. This leads to sores that are painful to treat, and often don’t go away, and eventually take the form of oral cancers.

As dentists, we recommend to avoid consuming cannabis as much as possible. If you are a regular cannabis smoker:

  • Avoid using alcohol based mouthwashes as they dry your mouth.
  • If you are scheduled for a dental procedure, avoid cannabis at least one week prior to your procedure as epinephrine in anesthetics used for numbing, combined with high THC levels, and anxiety, can be life threatening.
  • There is an increased failure rate of a dental implant for you due to cannabis’s effect on new bone development and so this procedure may not be right for you.
  • You could use in-office teeth whitening procedures to improve the appearance and try to regain some of the whiteness of your teeth.

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.