Dentistry on Dundas

Oral health and heart health, the mouth-body connection

2011-10-05T08:27:00.000-07:00

The connection between periodontal disease and cardiovascular disease encourages cardiologists and periodontists to work together to ensure your health.

Gum disease and cardiovascular disease are two major public health issues that impact a large number of Americans and Canadians every day. Cardiovascular or heart disease contributes to 2,400 deaths per day, while gum or periodontal disease affects nearly 75 percent of Americans. Despite impacting separate areas of the body, research has indicated that periodontal disease and cardiovascular disease may be connected. In fact, according to Dr. Dana Levy, Periodontist, having one of these diseases may actually increase your risk of developing the other.

“Both periodontal disease and cardiovascular disease are considered inflammatory diseases, and inflammation is the common mechanism that connects them,” says Dr. Dana Levy. “Inflammation is the body’s instinctive reaction to fight off infection. Although it is initially good for you because it helps in the healing process, exposure to chronic and prolonged inflammation can lead to severe health complications. Periodontal disease and cardiovascular disease are both examples of ensuing complications from inflammation.”

Periodontal disease is caused by a chronic inflammatory response to bacteria under the gums and around the teeth. The bacteria irritate the gums and generate this inflammatory response which over time can break down and destroy the gums and bone that support the teeth. Researchers have found that people with periodontal disease are almost twice as likely to suffer from heart disease as those without periodontal disease.

Because of this connection, it is imperative that periodontists, dentists with advanced training in the treatment and prevention of periodontal disease, and cardiologists, doctors who specialize in treating diseases of the heart, work together to provide the best care to patients. A recent consensus paper developed in concert by periodontists and cardiologists summarizes the evidence that links periodontal disease and cardiovascular disease, and provides clinical recommendations for both specialties to use in managing their patients living with, or at risk for, either disease.

Because of these clinical recommendations, your next visit to your periodontist or cardiologist may change slightly. You might be surprised when your periodontist now asks even more questions about your medical history, especially about your family history of heart disease and any behaviors that may affect your heart health such as smoking. Your cardiologist may start to ask you about your dental history and might even look in your mouth to evaluate your teeth and gums! Asking these new questions is an important step that health professionals can take to work together to ensure their patients’ health. “Periodontists and cardiologists are starting to work together to better manage their patients’ risk factors for future disease progression,” says Dr. Dana Levy. “It is important that periodontists and cardiologists collaborate to control the inflammatory burden in the body as a result of gum disease or heart disease, thereby helping to reduce further disease progression, and ultimately improve patients’ overall health.”

For more information on the relationship between periodontal disease and cardiovascular disease, the consensus paper, or tips on how to prevent or treat gum disease, visit www.perio.org., http://www.dentistryondundas.com/Home.htm, email: perio@dentistryondundas.com or Heart and Stroke Foundation

2011 Dentistry on Dundas Scholarship Recipients!

2011-10-03T11:20:00.001-07:00

Straighten your teeth with Invisalign

2011-07-07T08:18:00.000-07:00

At Dentistry on Dundas you can straighten your teeth with Invisalign! Invisalign is a series of smooth, clear and comfortable aligner trays. That means you can continue doing all the things you normally would, from brushing and flossing, to eating whatever you like. With other devices, eating, brushing and flossing properly can often be more difficult!

Check out the results one of our patients achieved below!

Before

After

Special occasion coming up? No problem - just take your aligners out for that time and pop them back in when you're ready. Of course, even when you're wearing them, most people won't even know you're going through orthodontic treatment, because they are virtually invisible!

Invisalign is also ideal for your busy schedule, with fewer doctor visits required (approximately every six weeks) and most insurance companies will pick-up part of the cost!

Before

After

Welcome Dr. Gabriella Garisto, Providing Dental Anaesthesia

2011-06-13T11:59:00.000-07:00

Dentistry While you Sleep!

Are you afraid of the dentist? You are not alone, 40% of the population avoids the dentist out of fear, but you no longer need to be afraid. Dr. Garisto can help ease your fears and make it possible to attend to your much needed dental care. Poor dental health not only affects your overall health, but also your self esteem. Wish you could make that first step? Well you can, simply call us today at 905-666-1555. Young or old we can help!

Dr. Gabriella Garisto holds a Masters in Dental Anaesthesiology and is one of the few dentists in our province who holds a board certified specialty status in this area of expertise. Dr. Garisto graduated from the University of Toronto Doctor of Dental Surgery program with honours. She was inducted into the Omicron Kappa Upsilon National Dental Honour Society and has won awards and scholarships in the areas of pain control and patient management, as well as in preventive dentistry. Her subsequent three years of training in the Masters Dental Anaesthesia program included major rotations at the Hospital for Sick Children and the Toronto East General Hospital. In addition to providing dental and anaesthetic care for Dentistry on Dundas, Dr. Garisto is an Assistant Professor in the Discipline of Dental Anaesthesia at the University of Toronto, Faculty of Dentistry. In her spare time Gabriella enjoys cooking and travelling.

If you have been avoiding the dentist give us a call today, it's that easy! 905-666-1555. You can sleep your fears away at Dentistry on Dundas!

Dentistry on Dundas Fireworks! July 23, 2011

2011-05-31T13:00:00.000-07:00

Implant Dentistry Day Three

2011-05-08T18:10:00.000-07:00

Using this advanced technology will make your dental surgery more effective and comfortable for you.

As they say, sadly, 'all good things must come to an end' and certainly this conference and my stay in Lugano has come to an end.

Day 3 has been a shorter one, packed with back to back short sessions by clinicians showing the use of 'Ultrasonic Bone Surgery' using the piezoelectric machine in all different aspects of Oral, Periodontal and Maxillofacial surgery. I will not go into all technical details, but I can definitely say that the way we will do bone surgery from now on, will be different than what has been done so far, providing we have available this great machine that has all the advantages mentioned so far.

The piezosurgery system uses ultrasound waves to cut bone without damaging soft tissue. Whereas traditional methods of bone-cutting, such as drills and burs, result in some tissue and bone loss regardless of the dentist’s precision, piezosurgery technology eliminates this risk. This means I am able to perform procedures such as crown lengthening, ridge expansion, periodontal therapy, and implant site preparation with increased accuracy and minimal discomfort.

The fact that its so precise and does not cut soft tissues, the possibilities are endless. I can now shape the bone better, go in between teeth without risking the health of the teeth, the inserts are so fine. The indications and possibilities of use are just greater than I thought! I feel privileged to have this machine at our office and have it at my disposal for treating my patients.

So, in conclusion, it has been a great trip and learning experience, tiring, but energizing and inspiring to come on Monday morning and share all of this with my fellow colleagues at Dentistry on Dundas.

Ciao!!!

Implant Dentistry Day Two

2011-05-08T17:59:00.000-07:00

A Revolutionary Technique for Minimally Invasive Implant Surgery.

To all my esteemed colleagues at Dentistry on Dundas and our great patients, I have to say that it has been an excellent and productive day! Not only is the glorious weather helping out, and the beautiful flower beds remind us of what is to come once spring finally arrives, the program today really made my trip all the more worthwhile.

I had the chance of attending a workshop which was hands-on and given by two of the most respected Oral Surgeons in Italy. The workshop allowed me to practice in a pig's jaw (I know, sounds gross but its the way we all learn) the way that our machine inserts work when opening up the holes before placing an implant. Its so precise and smooth that its incredible how little pressure we need to use for the bone to be ready. Its exciting to have this technology available in our office. Also, one of the most important reasons why this machine is so cool to use, is the fact that it doesn't cut soft tissue (such as a nerve or a sinus membrane). So, when the bone is too short either in the upper jaw or lower jaw, we can safely use it to prepare the sinus for an implant placement, or, when we are close to the nerve in the lower jaw, there's no risk of doing any nerve damage (especially if we continue with our very diligent efforts to prepare our patients with the right xrays).

Tomorrow, I look forward as well to a new technique which will allow to use this machine to prepare our patients who will have braces in order to speed up the process of their treatment and save up to 6 months of treatment. An exciting development I really look forward to learning about.

I leave you as well with a beautiful vista of Lugano.
Ciao!!!

Implant Dentistry Day One

2011-05-05T10:08:00.000-07:00

Dr. Levy, Periodontist at the Piezoelectric Bone Surgery

International Symposium May 5 to 7, 2011

Having the opportunity to come to Lugano, one of the most beautiful towns in the Italian Swiss alps, only enhances my excitement over the fact that we, at Dentistry on Dundas, are at the cutting edge of surgical technology (among others!). In essence, what dental implants were 30 years ago (first North American conference was in our own Toronto), ultrasonic piezosurgery is today leading the way in greater dental implant surgery.

Ultrasonic Piezosurgery is just another very high tech name for a very cool machine that instead of using drills to open holes in the bone before putting the impant in, it actually uses special diamond coated 'inserts' that go at an extremely fast speed (compare a smart car to a formula one car). So, this speed is so fast, that it causes 'waves' at more than 30.000 per second, wow! So, with lots of water, there is barely any heat on the bone, and its so precise! For those that have narrow bone or very soft bone, its just the ideal new way for having implants done!

As learned today, my first day in this three day conference, we can place implants with far less swelling, much more precision and far greater initial and long-term stability than what can be achieved with our regular implant drills.

I'm excited for our future and also keen to use this in our office for all our implant patients. Stay tuned for day #2!!!

Staff & Pets video

2011-01-20T04:54:00.001-08:00

We want to hear from you! Please tell us what you think of our newest 'Staff & Pets' video.

Click image below

This will help us to know if you enjoy viewing these fun video!

Dr. Lanys interview on Bizymoms website

2011-01-10T07:28:00.000-08:00

An interview with Dr. Lanys on Dental Implants.

What are Dental Implants?

Dental implants are metal root replacements for missing teeth that are placed into the bone. They take approximately 4 to 6 months to integrate with the bone at which time they are able to support a crown (cap), bridge or denture. Even if there is any bone loss from previous infection, periodontitis, etc., a bone graft can be placed before the implant to replenish some of the lost bone.

What are dental implants made of?

They are made of titanium and coated with a titanium alloy which is compatible with bone.

How long do they last?

Dental implants have a very high success rate of over 95%. A large advantage to this procedure is that if they are placed and subsequently integrated, they usually last indefinitely. There are, however, certain risk factors that may compromise the integration process or the longevity of the implant.

How are dental implants placed?

Implants are typically placed by an oral surgeon, periodontist, prostodontist, or a trained general dentist. This can be done under local anesthetic or sedation depending on the case and usually involves no discomfort during, and minimal discomfort after the procedure.

There are special x-rays or tomographs that are taken prior to placement to ensure all vital structures, such as nerves, are avoided and the implants are placed only within bone.

Before placement or on the day of surgery a temporary denture is inserted to ensure the patient never goes with missing teeth. When the implants are integrated some months later, the prostodontist or general dentist places the dentures, crowns or bridges securely onto the implants.

Risk factors or contraindications of dental implants.

The main risk factors associated with implants are smoking, poor oral hygiene, diabetes (especially if uncontrolled), other compromising diseases, and possibly some medications.

It is important to review your health history thoroughly with your dentist before commencing any dental treatment, including implants.

Will my implants feel like my natural teeth?

One of the main advantages of implants is that they do feel like natural teeth. They function and look like natural teeth, do not decay or require root canals. They maintain the surrounding bone, whereas if there was no tooth or implant, the bone would resorb or recede.

This is one of the only procedures that replace teeth without affecting any existing teeth in the mouth. They are by far the best treatment option to replace missing teeth and are widely used in my practice, resulting in many very happy patients.

Dr. Librach's analogy between skiing and being a dentist.

2010-12-20T08:34:00.000-08:00

I’m sitting at my desk on the first cold day in December looking out
on the snow-covered grass of my home in Toronto. Although, as many of
you know, I love the sport of skiing, I am not so in love with the
cold weather that accompanies it. I do however tolerate the low
temperatures when there is a mountain to conquer. There is an
exhilaration caused by the speed in this sport that I have trouble
matching in anything else I do. As I negotiate turns through a
midfield of moguls and arrive at the end of a run that could last as
long as 45 minutes, I can think of nothing else but the perils that
lie just around the next build up of snow. The next turn is all that
matters. It’s all you can think about at that moment or risk the
unthinkable. And when I reach the end of that long grueling trail and
I turn around and see another skier, a dot on the slopes up above, I
realize what I have done and I feel great.
I have a similar passion for dentistry. Concentrating on my patients’
needs and the creation of great smiles means for a time you can think
of nothing else. And when the treatment is complete and the patient
smiles its like looking back on that mountain and knowing you have
accomplished something great.

Mark Librach

Facebook Contest!! One hour of Free ice time!

2010-12-15T13:31:00.000-08:00

Win one hour of ice time at Iroquois Park! Click here to join our facebook page!

Do you Snore?

2010-11-11T13:07:00.000-08:00

Snoring could be a bigger problem than you think. It isn't just an noisy nuisance that disturbs both sufferers and their families, it is a disruption that can contribute to fatigue. It can leave the sufferer to fell tired, drowsy and inappropriately sleepy. The most important factor is that prolonged effects of lack of sleep can lead to slowed responses, memory problems, difficultly in paying attention and concentrating, which can all affect performance at the work place.

Dr. Steven Millman, DDS

When snoring is so loud that it disturbs the sleep of the snorers and their families, it may be a sign of a related condition known as Obstructive Sleep Apnea (OSA).

So what would be recommended? Firstly, determine if you have Sleep Apnea by booking an appointment with a sleep centre. Here they will monitor you sleep patterns to conclude an accurate diagnosis. If you are diagnosed with Sleep Apnea, you can consider the CPAP machine. While Continuous Positive Airway Pressure has long been considered the gold standard of care for sleep disordered breathing, patients find its use difficult and seek alternate treatments. One of these treatments is the Oral Appliance Therapy.

This oral appliance is a small plastic device similar to an orthodontic retainer or an athletic mouthguard. This airway orthotic is worn in the mouth during sleep to prevent the soft throat tissues from collapsing and obstructing the airway. Dentists with training in oral appliance therapy, such as myself, can construct and fit these appliances to meet their patients individual needs. By bringing the the lower jaw forward, the tongue is held off the back of the throat, which increases the airway size. This allows more air to flow freely while you sleep.

If you have any further questions or wish to book an appointment with me, please do not hesitate to call our office at 905-666-1555.

Dentistry on Dundas 2010 Scholarship Recipients are in!

2010-11-02T06:34:00.000-07:00

Dentistry on Dundas gives back to the Community!

The dentists and staff at Dentistry on Dundas would like to take this opportunity to congratulate the recipients of the 2010 Dentistry on Dundas Scholarship Award.

For the past 12 years each scholarship, worth $500, was awarded to one student from each Whitby area high school. The scholarship is awarded to the student with the highest marks in math and sciences, with the condition the student is registered into a University Program the proceeding year. You can also check out the news in Snap magazine!

Congratulations to the following students!

Father Leo. J. Austin
Rick Buczynski

Sinclair Secondary
Francis Choi

Anderson C.V.I.
David Skinner

Henry St. Highschool
Katherine Ibsen

EcoleCatholique ST-Charles Garnier
Justin Babin & Cristina Lessard

All Saints Catholic Secondary

Matthew Sangoi

Donald A Wilson
Tanvi Medhekar

Voted Best Dental Office in the Oshawa/Whitby Reader's Choice Award.

2010-11-01T10:56:00.000-07:00

Thank you for voting us Best Dental office 10 years in a row.
Dentistry on Dundas Creating Great Smiles for a Great Community!

We are the proud recipients of the Diamond Award in the Best Dental Office category!

And Congratulations to Dr. Librach for his Platinum Win in the Best Dentist Category!

Dr. Lanys interview on Bizymoms website.

2010-10-20T11:09:00.000-07:00

An Interview with Dr. Michelle Lanys on Dental Crowns and Bridges

Dr. Michelle Lanys is a dentist and has answered some of the common questions Bizymoms visitors have about Dental Crowns and Bridges.

Q. What are dental crowns and tooth bridges?

A. A crown or "cap" is a type of restoration that is cemented entirely onto an existing tooth. They are made of metal, porcelain or a combination of the two and are very strong. The tooth is slightly reduced approximately 1.5mm around the periphery ending at, or just below the gum line so there is room to place it within the bite. Crowns are necessary to build the tooth to its natural tooth structure and strength, and in turn, improve the cosmetic appearance of the tooth. Bridges are based on the same principle; only they replace one or more teeth by attaching the missing teeth to the adjacent crowns in one unit.

Q. Why do crowns fail?

A. There are a number of reasons why crowns might fail. There could be excessive forces, fractures and recurrent decay to name a few, which means good oral hygiene is essential.

Q. How are crowns and bridges made?

A. Crowns and bridges are physically made in a laboratory. The reduction procedure is done at the dental office by the dentist. There is then a special impression or a digital scan that is done which is sent to the lab and the restoration is sent back in approximately 1-2 weeks. In the meantime the teeth are covered by a temporary crown/bridge. It’s important to be very careful during this time with certain hard or sticky foods.

Q. How long do crowns and bridges last?

A. Crowns usually last approximately 5-15 years. This often depends on many factors, such as good oral hygiene and keeping regulars dental check-ups.

Q. Is the procedure painful?

A. Our goal is to always ensure patient comfort. These procedures should be pain free with dental freezing.

Q. How do I take care of my dental crowns and bridges?

A. Excellent oral hygiene will help improve the longevity of any restoration. With the crown or bridge, there is an extra area of plaque attraction where the material meets the tooth. It is important to pay extra attention to these areas. The dentist will educate the patient on the various oral hygiene aids to assist in improving care in the more challenging areas.

Q. Are the non-metal crowns as strong as metal crowns?

A. Dental crowns and bridges are excellent solutions in restoring teeth in the necessary situations. Today, the non-metal crowns are, for the most part, as strong as metal crowns.

Q. How to contact Dr. Lanys if we have further questions?

A. Dr. Michelle Lanys
107 Dundas Street East
Whitby, Ontario
L1N 2H6
905-666-1555
www.dentistryondundas.com, Facebook, Twitter and Blogger

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FEATURED INTERVIEWS
Dr. Michelle Lanys, DDS
Crowns And Bridges

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FEATURED INTERVIEWS

Dr. Michelle Lanys, DDS

Crowns And Bridges

Whitby/Brooklin Downtown

2010-09-09T07:43:00.000-07:00

Whitby Harbuour Days! 2010

2010-09-07T06:08:00.000-07:00

Connie, Doug Blakley and Mark

Rain or shine, the Town of Whitby knows how to celebrate summer! And what says summer like Durham's largest waterfront festival - Whitby Harbour Days. It is a summer celebration of Whitby's historic harbour and a weekend of fun for the whole family. The event was a great way to explore Whitby's harbour facilities including Port Whitby Marina, Whitby Yacht Club, James Rowe House and the Lions Promenade and Waterfront Trail. Everyone enjoyed free activities and live entertainment, displays by a variety of vendors and artisans and the incredible performance by Duma the Water Skiing Dog! The night ended with a boat show with each dressed from bow to stern in lights and a most spectacular Fireworks display by Dentistry on Dundas. Way to go, Whitby! You showed that rainy weekend that nothing stops this town from having a great time! To see more photo's Click Here

Before and After Invisalign

2010-09-02T08:30:00.001-07:00

See what invisalign can do for you!

Treatment by Dr. Mark Librach

Before

After

Facebook Contest Winner!

2010-08-24T07:16:00.000-07:00

We would like to congratulate Joan Todd, Winner of our Facebook Contest! Thank you to all who participated!

Dentistry on Dundas Facebook Contest!

2010-07-20T08:08:00.001-07:00

Click on image below to enlarge for more details.
Complimentary examination is required to determine eligibility. Click Here to post your comment!

Welcome Dr. Jonathan Rapp - Endodontist

2010-07-14T06:27:00.000-07:00

Welcoming New Patients!

We would like to introduce our newest team member, Dr. Jonathan Rapp, Endodontist.

Dr. Rapp is an Endodontist who specializes in root canals. Originally from Montreal, he graduated with distinction from McGill University with a major in Anatomy and Cell Biology and a minor in Psychology. In 2001, Dr. Rapp obtained his Doctor of Dental Surgery from The University of Toronto. Upon graduation he was awarded the Edward G Dore Award. After seven years in private practice, Dr. Rapp re-entered academics and attended Nova Southeastern University in Fort Lauderdale to complete a two year specialty in Endodontics and was the recipient of The Dr. Robert Uchin Award.
Dr. Rapp is a Fellow of the Royal College of Dentists of Canada, a member of The American Association of Endodontists and will be joining the faculty of endodontics at The University of Toronto. His research on instrument wear has been presently at several conferences. In his spare time, he enjoys all sports, traveling and a relaxing book. It wasn’t easy to leave the sun and beach but Dr. Rapp is excited to return to Toronto and join Dentistry on Dundas. To request an appointment click here.

Online Payment Now Available!

2010-06-21T12:05:00.000-07:00

Online Banking now available! You can now pay your account from the comfort of your your home! Just add Dentistry on Dundas to your payee's list and input your account number found on your statement. It's that simple!

For more on Dentistry on Dundas Click here to read our latest newsletter

Dentistry on Dundas : We Love Kids! (Whitby) ~ ParentSource.ca Durham Region's Parent and Kid's Guide

2010-02-02T06:32:00.000-08:00

Dentistry on Dundas : We Love Kids! (Whitby) ~ ParentSource.ca Durham Region's Parent and Kid's Guide

Dentisty on Dundas Winner of Reader's Choice Award Diamond

2009-11-03T06:47:00.000-08:00

New Patients Welcome www.dentistryondundas.com
A Smile is Forever
107 Dundas St. E. Whitby 905-666-1555
Evening and Saturday Appointments Available
Thank you for voting for us!

Dentistry on Dundas Voted Best Dental Office 2009 Diamond

“Dentistry on Dundas” is pleased to offer a variety of dental specialists and services in their newly renovated modern facility in downtown Whitby. With a periodontist (gum specialist), an oral surgeon (wisdom teeth removal), and a dentist that provides dentistry while you sleep, their combination of general dentists and specialists provide comprehensive care to create and maintain beautiful smiles.
“Our patients fi nd it very convenient having all of their dental needs addressed
in one convenient location,” says Dr. Steven Millman.
“In addition, we also offer convenient hours providing evening and Saturday
appointments.“Dentistry on Dundas” prides itself by staying on the cutting edge of technology. Now available, teeth in an hour using our guided implant system. New state of the art scanning technology using the iTero. The itero creates an exact replica of what is in your mouth, resulting in a more accurate fi tting crown or bridge.
Drilless dentistry, where often no freezing is required, is popular with both adults and children. For those that do need freezing, a painless injection technique using a computerized controlled local anaesthesia delivery system called “The WandTM” is offered. Orthodontics is also available. You can now straighten your teeth with a
series of custom-made, removable and nearly invisible Aligners called Invisalign. Digital Radiography has also replaced conventional x-ray technology. With the advantages of faster image viewing seen on a computer monitor in every treatment room. Digital Radiography is the state of the art. Carrying technology over to patient comfort, Dentistry on Dundas has installed LCD TVs, DVD and CD players in every treatment room for your listening and viewing pleasure. You can relax and enjoy your favourite music, movie or television program while the caring staff attend to your treatment. Their goal is to provide the most comfortable, enjoyable experience for everyone. The doctors and staff of Dentistry on Dundas have been part of the Whitby community for over 20 years. Through various hockey, baseball and lacrosse sponsorships, participation in the Whitby Town Carnival and the annual “Dentistry on Dundas Fireworks” display on Harbour Day, they have shown great commitment to the Durham Region. Every year each of seven Whitby High Schools present a $500.00 “Dentistry on Dundas” academic scholarship to a deserving student. In addition, they are proud supporters of many other community programs and charities such as the Denise House and the Kinder Foundation. “We are committed to our patients and this community,” explains Dr. Librach. Dentistry on Dundas, creating Great Smiles For A Great Community. “Remember”, says Dr. Millman “A smile
is forever”. New patients are always welcome. “Dentistry on Dundas” is located
at 107 Dundas St. E. in Whitby. For more
information please call (905) 666-1555.
You can also check them out at
www.dentistryondundas.com.