Our Services

We are delighted to provide an array of services to our patients. From whitening to braces our team at Burnaby Mountain Dental Centre has the skills and expertise to provide you with an outstanding dental experience

We look forward to seeing you soon.

Braces


Orthodontics is the perfect way to create an attractive smile, and although an orthodontic evaluation is usually best at around age eight, it is never too late to initiate treatment.


braces

The benefits of orthodontics are many and the most obvious is a winning smile that can be achieved by aligning the natural teeth in an attractive position in the mouth. This also improves the contours of the face and boost a person’s self-esteem and confidence. If left untreated, misaligned teeth can be difficult to clean with subsequent gum problems and tooth decay and in some cases speech impairments. Jaw joint (TMJ) pain and associated headache can sometimes be attributed to crooked teeth and incorrect bites.

The First Step

An orthodontic evaluation is usually the first step taken prior to planning treatment. The teeth, jaws joints, and the present bite are all taken into consideration.

  • Xrays of the skull are taken, and accurate tracings are done to plot the correction of the bite.
  • Diagnostic models of the teeth are obtained to evaluate how the teeth fit together.
  • Photographs are also taken.

Orthodontic treatment is a long-term commitment, but the benefits of a healthy smile far outweigh the time involved in accomplishing the treatment.

Bridges


A Healthy mouth requires a full compliment of teeth to function properly.


 

Missing a Tooth?

A missing tooth, whether it is an anterior one affecting your smile or a posterior one affecting your chewing, can create a variety of problems:

  • Loss of function as upper and lower teeth fail to meet.
  • Drifting of teeth causing unsightly gaps.
  • Food impaction leading to gum disease.
  • Over eruption of the opposing tooth into missing space.
  • A shift in the bite putting stress of the joint leading to T.M.J. disorder.

bridges

A bridge consists of three basic units, a false tooth, replacing the lost one and two “anchor” crowns one on either side to which it is attached.

The teeth on either side of the missing space are needed to support the bridge and are called abutment teeth. The process of fabricating and fitting a bridge generally requires two appointments.


At the first appointment

the abutment teeth are shaped and prepared to accept the bridge. An accurate impression is taken from which our laboratory technician will custom design and fabricate your bridge, Special care is taken to ensure a perfect fir and to match the natural shading of adjacent teeth. Temporary crowns are places over the abutment teeth to protect them until the permanent bridge is ready.


At the second appointment

the temporary crowns are removed and the bridge is cemented into place. Bridges function similarly to natural teeth and can help your speech and chewing function while enhancing your smile.

Cleaning


Dental cleaning is the non-technical term used for professional oral cleaning which encompasses the removal of hard and soft deposits from the teeth and an oral prophylaxis to polish them.


cleaning

It is Important to have a dental cleaning performed by a dentist or hygienist on a regular basis to ensure continuous maintenance and good heath of the gums. A complete dental examination is usually carried out during the same visit, when X-rays may also be taken for diagnostic purposes.

Plaque is a soft sticky film consisting of a bacteria and food particles that accumulate on teeth especially around the gum line. If brushing is inadequate in this area the plaque combines with the minerals present in the saliva and foods to form a hard-calcified substance that adheres to the tooth surface. This mineralized plaque is called Calculus or Tartar, and is extremely resistant to removal by a toothbrush.

The Cleaning Procedure

Depending on the extent of tartar deposits, a dental cleaning may include up to four different procedures as follows:

  • Scaling: This is the removal of all hard deposits from the root surfaces,
  • Root Planing: Once the hard deposits are removed the root surface is planed smooth, in order for the gum to reattach./li>
  • Polishing: A fine paste is used to remove the stains and buff the teeth.
  • Fluoride Treatment: This is a gel that is applied to the teeth in order to control dental decay.

Generally our patients are seen every six months for a cleaning and check-up, although individual requirements vary. Some patient may need routine visits on a three monthly and others on a six monthly basis. Our office extends the courtesy of contacting you when it is time for your check up. Should we fail to do so however, it ultimately is your responsibility to ensure regular visits are not forgotten or missed.

Crowns


A crown or cap is a fabricated covering that encases the tooth entirely to the gum line.


 

Does your tooth need a crown?

This procedure is undertaken to retain and strengthen a tooth in the following situations:

  • When a tooth is broken or is extensively decayed.
  • Has a large failing filling.
  • When a portion of tooth structure is missing following a root canal.
  • To replace tooth structure lost due to excessive wear.

Crowns are generally all three types; all porcelain, gold and porcelain fused to gold.


Porcelain

Porcelain crowns offer superlative esthetics and are consequently often placed on front teeth. They may not be the ideal choice for back teeth as they are often not strong enough to withstand chewing forces.


Gold

Gold crowns have for many years been the ideal choice for full coverage of back teeth. They can be fabricated to a very accurate fit and are strong enough to withstand biting forces without sustaining damage, resulting in long lasting and durable restorations. The similarities in wear rates between natural teeth and gold crowns make them very compatible ad does not promote excessive wear if opposing teeth. However, the metal color does not make it the most esthetic choice of crowns.


Porcelain fused to gold

crown

Porcelain fused to gold crowns offer a happy medium between gold and all porcelain crowns. They are made up of an inner shell of gold overlaid with an outer layer of porcelain that is fused to the metal. These crowns offer the esthetics of porcelain and the strength of metal. They are good choices for both front and back teeth.

The procedure for fabricating and placing a crown generally requires two appointments. At the first appointment, the tooth is numbed followed by the removal of any decay or rough edges ad refinement of the tooth to create adequate room for the fit of the crown. An impression of the crown is taken using impression putty. A temp crown is provided to protect the tooth until the permanent crown is ready.

For porcelain crowns, a shade is selected that accurately matches the adjacent teeth. Plaster models created from the impressions provide the dental technician with a replica of the tooth upon which the crown is fabricated and fitted. At the second appointment the temporary crown is removed, the permanent crown is tried in to ensure proper fit and function following which, it is permanently cemented in place.

Crowns remain one of the best techniques available to restore compromised teeth to full function, strengths and esthetics. Their long life span allows them to be a cost-effective method of enhancing and prolonging the retention of teeth resulting in a stable and functional tooth restored to its original form.

Dentures


A denture is a removable appliance that replaces missing teeth. Dentures are made of an acrylic or metal base with porcelain or acrylic teeth.


dentures

To custom fit a natural looking denture, accurate and detailed impressions of the remaining oral structures have to be taken. Further measurements of the jaw movements must also be recorded in order to ensure that the completed denture will function in harmony with the rest of the mouth.

Proper Denture Fitting

A well-crafted custom fitted denture should satisfy the following conditions:

  • Fit and feel comfortable and natural.
  • Restore the function of chewing.
  • Maintain the heath of the oral structures.
  • Provide a perfectly natural smile.

Dentures are divided into two main categories:


Partial Dentures

These replace a few missing teeth and are constructed of metal or acrylic frame forming a removable rigid base to which the teeth are fixed. They are secured in the mouth by clasps attached to the remaining teeth.


Complete Dentures

This removable prosthesis replaces all the teeth in the mouth and is categorized as follows:


1. Conventional Denture

This denture is dependent on the remaining bony ridges and the suction generated from a close fit, for its retention. It is usually made to replace an already existing denture.

2. Immediate Denture

This transitional denture is inserted at the same appointment that the teeth are extracted It saves the patient the embarrassment of going without teeth while the gums are healing. The initial denture is made as a transitional or healing denture. After the extraction or loss of teeth, the underlying bone begins to heal. As it heals, the bone shrinks causing looseness of the denture. This process, takes anywhere between six to twelve months, depending on a number of factors. During that time different materials are applied to the denture so that the fit remains snug. In the first weeks after extractions a patient may require frequent adjustments. The bone, having shrunk and healed, now provides a much greater space for the placement of the teeth. Changed to enhance appearance and fit can now be contemplated.

3. Over Denture

These dentures are not solely dependent on the underlining bony ridges for their retention but gain their retention either from roots that are treated and retained in the mouth, or from titanium implants that are fused to the bone.

4. Cosmetic Denture

This is a conventional denture with a stronger emphasis on the esthetics for the more demanding patient.

Extractions


The goal of modern dentistry is to preserve the natural teeth for a lifetime; It is a well-known fact that the loss of a single tooth can have an impact not only on your dental health but also on your appearance.


extraction

Most tooth extractions can be prevented; however there are certain conditions under which tooth removal is necessary for the proper health and function of the oral cavity.

When Extractions Are Necessary

Here are a few reasons why teeth have to be removed:

  • Decay.
  • Gum disease.
  • Relieve crowding prior to braces.
  • Teeth fractured in sports or other accidents.
  • Impacted teeth as in wisdoms.

Generally most tooth extractions are simple. The offending tooth is loosened and removed from the mouth. In the case of broken down or multi rooted teeth a surgical approach is under taken, where the gum is released and the tooth sectioned to facilitate its removal.

Fillings


The advances of modern dentistry are many, but we yet have to find a way of reversing the ravages of tooth decay. Once caries has been detected in a tooth the only way to stop its progression is to remove the decay until sound tooth structure has been reached, and replace it with a filling material.


fillings

Fillings fall into the following categories:

Silver fillings

This is one of the commonest permanent filling materials and has been used successfully for the past 150 years. It is durable, economical and easy to use.


Composite resins

This filling material is a tooth coloured plastic mixture filled with glass. It is esthetically pleasing as it can be matched to fit the shade of the tooth. Composite is placed in layers, each layer being hardened by means of curing light.


Inlays

These types of fillings are made up of gold or porcelain and require two visits. An impression is taken of the tooth after the decay is removed and the filling in gold or porcelain and the inlay is cemented in at the second visit.

All filling materials have advantages and disadvantages, after a complete examination of your mouth we will be able to recommend the filling best suited to your needs.

Implants


An implant is a small biocompatible titanium screw that is inserted in the jaw to replace the root portion of a tooth.


implant

Dental implants have been shown to actually integrate with the surrounding bone to form a solid foundation for the porcelain tooth that is placed on top.

Implants

The basic steps are as follows:

  • A titanium screw is placed in the jawbone and left for a period of 3-6 months until it fuses to the bone forming a firm base.
  • The screw is then uncovered and a post is attached to the now firmly established implant.
  • Finally a natural looking porcelain tooth that blends in with the natural facial characteristics is secured to the post.

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Dental implants can replace a single tooth or several teeth and can also be used to stabilize complete upper or lower dentures. The use of implants provides patients with a superior technique to replace missing teeth resulting in improved comfort, speech, chewing and a better sense of self-esteem.

Root Canal


Endodontic (Root canal) therapy treats the irreversibly damaged nerve and blood vessels of the tooth. This treatment returns the tooth to a comfortable functioning state and felicitates its preservation.


rootcanal

Untreated decay, a cracked or traumatized tooth and a large filling that has irritated the nerve can all cause the nerves and blood vessels inside the tooth to die. This allows bacteria to gain access into the pulp chamber, causing an infection inside the tooth. The infection can pass through the canals into the bone causing an abscess. Instead of extracting the tooth, a root canal is performed in order to remove the infection.

Root canal therapy steps

Root canal therapy usually requires a series of appointments:

  • 1. An opening is made into the top of the tooth in order to gain access into the pulp. The pulp and the canals are flushed with disinfectant and cleaned. A temporary seal is placed over the opening and in case of an infection antibiotics are prescribed.
  • 1. At the next appointment the canals are cleaned, shaped and filled with a rubber like material called gutta percha to seal them.
  • 1. If the strength of the tooth has been compromised a crown is usually placed over the tooth (see crowns).

Endodontic therapy is probably one of the most misunderstood procedures performed in the dental office. The name is often associated with pain and is the source of many dental “jokes”. In facet exactly the opposite is true. An abscessed tooth is probably one of the more painful dental emergencies treated, and the pain is alleviated by root canal therapy.

Sealants


A sealant is a clear or coloured plastic material that flows into the grooves and depressions of the black teeth filling them in and rendering these areas resistant to tooth decay.


sealant

Sealants are generally placed in the children’s permanent back teeth because access to cleaning and regular oral hygiene can be problematic in the age group. They should be applied as soon as the first molars are fully erupted between six and seven years of age, as sealants are only effective to decay free teeth.

Sealants procedure

Sealants are easily placed and well tolerated by children, as they require no anesthetic. The procedure is as follows:

  • The tooth surface is cleaned to remove plaque and debris.
  • A gel is applied that allows the sealant to penetrate and adhere.
  • Liquid sealant is allowed to flow into the groves.
  • A light is placed over the liquid sealant to harden it and allow it to rest.

The lifespan of a sealant is generally three to five years although they can last longer. Regular dental examinations are necessary to ensure they remain intact.

Sealants offer significant protection to the biting surfaces of teeth. However other areas around the gum line and between the teeth still remain vulnerable to tooth decay and require the conventional methods of brushing and flossing to protect them. The use of sealants in conjunction with daily home care and regular check ups offer children the possibility of a cavity free life.

Veneers


Veneers or porcelain laminate are wafer thin facings permanently bonded to the front teeth to improve the shape, position and color of the teeth. This treatment is ideal for enhancing the function and esthetics of chipped, broken, misaligned or spaced teeth.


veneers

Porcelain veneers create a natural translucent appearance while offering a long-lasting restoration for up to ten years. Proper home care and regular dental examinations are crucial to the longevity of these restorations, which also resist staining due to their very smooth surfaces.

Laminates are conservative restorations as only a minimum amount of tooth structure is removed. Once the impressions are taken, our technician fabricates custom veneers from the created mold. At the second appointment the veneers are bonded on to the face of the tooth resulting in a natural looking, durable restoration. As in any other dental procedure a period of adjustment is to be expected. Veneers tend to alter the shape of the teeth, so it may take the mouth a short time to adapt to the shape. Some sensitivity is also to be anticipated but this too quickly disappears.

Veneers offer maximum esthetics with minimum tooth reduction. They cannot support excessive forces, therefore caution is advised when biting into hard objects. Those who grind or clench their teeth should consider using a night guard to protect the veneers.

Whitening


Tooth whitening is a safe, pain free and cost effective way to achieve whiter teeth and a dazzling smile. A dental evaluation is necessary to determine susceptibility for this treatment to ensure the greatest success.


whitening

Teeth can become discolored from tea, coffee, smoking and aging. These are considered extrinsic or superficial stains and respond well to treatment. Discoloration caused by excess fluoride or tetracycline use us internal and doesn’t respond well to treatment. Tooth whitening does not change the colour of existing fillings, crowns or veneers and is not recommended for patient with sensitive teeth or periodontal disease.

Whitening procedure

The process for treatment involves impressions of upper and lower teeth to fabricate custom-fitted trays

  • The patient receives the trays, whitening materials and instructions for home use. This involves wearing the trays with treatment material during the night for 2 weeks.
  • The dentist monitors the patient during this time to assess progress or concerns. This home treatment method of tooth whitening is the most popular.
  • Should the patient request immediate treatment; stronger concentrations of whitening material can be applied in the dental office under the supervision of the dentist.

This system can sometimes irritate the gums. Tooth whitening is not permanent and touch ups may be necessary once per year depending on habits and susceptibility to staining. This method of enhancing the appearance of teeth has no adverse effects on tooth structure or existing restorations. Tooth or gum sensitivity experienced by some patients is generally not permanent. The treatment is generally painless and requires no anesthetic making it an efficient and well-tolerated method of enhancing the appearance of teeth.

X-Rays


Dental x-rays are an integral part of the management and treatment of the dental patient.


xray

They allow the dentist access to areas between and inside the teeth, under the gums and in the jawbones. These are areas that are inaccessible to the naked eye. This permits the dentist to properly diagnose and treat any abnormalities detected by x-rays.

The most commonly used dental x-rays fall into three categories:

Periapicals

These provide visibility of the entire tooth and root, as well as the surrounding jaw bone and gums. These x-rays are used to diagnose tooth infections extending into the bone (abscesses), root fractures and general root anatomy. They are also and important tool in the treatment of gum disease as dentists are clearly able to monitor the height of bone attachment surrounding the teeth.


Bitewings

They show the crowns (parts of the teeth above the gum line). These x-rays are used in the diagnosis of cavities between the teeth.


Panoramic X-rays

The largest of the three types of x-rays. They show all the upper and lower teeth and jaws, as well as the sinuses in one x-ray. These x-rays are used I the treatment of wisdom teeth, diagnoses of disease and abnormalities in the jawbone, the placement of dental implants, and are a useful tool in the treatment of gum disease.

The frequency at which x-rays are taken depend on age, disease susceptibility and symptoms. Children may require x-rays more frequently than adults due to continuing jaw development and a higher risk of cavities. It is advisable to consult the dentist to determine each patient’s need for x-rays.