What are Dermal Fillers
If you are looking to rejuvenate your skin without undergoing any aggressive surgical procedures, Dermal Fillers may be your best option. The majority of dermal fillers are made up of hyaluronic acid, a naturally occurring sugar chain molecule that attracts and binds water in the skin.
Dermal fillers are injected into the face to improve its appearance by instantly restoring volume, resulting in a more youthful look. At about age 25 the production of collagen and elastin start to slow down. These two proteins work together to keep tissue firm and skin elastic. Without these two proteins the body begins to show signs of aging such as deep lines, hollowness under the eyes, sunken cheeks and thin lips. The body is unable to keep skin supple and tissue strong. Hyaluronic acid dermal fillers work in harmony with the body’s remaining collagen and elastin to support these proteins to give skin a more full and younger look.
How long do Dermal Fillers last?
Dermal Fillers can last anywhere between 6 to 18 months, depending on the type of hyaluronic acid used and where it is placed in the individual patient.
Common areas to treat:
Dark Eye Circles and Bags
The eye area is one of the first places to show the signs of aging and 50% of women over the age of 30 are concerned by dark circles and bags. Eye circles are not always due to color changes in your skin. Rather, they develop from a loss of natural volume in the tear troughs which is the hollow area that runs below your eye. This volume loss appears as a dark circle or bag making you look tired and older than your age. Addressing this common problem with dermal fillers can make a dramatic difference in your appearance.
As you age, your lips begin to lose volume and fullness. They may become uneven, less contoured or thin and the cupids bow above your upper lip can flatten. Wrinkles become more visible around the mouth including the marionette lines which run vertically from the corner of your mouth to your jawline. Dermal Fillers will increase the volume, redefine and rehydrate your lips to give you a beautiful natural and balanced look.
Cheeks & Smile Lines
Cheeks frequently begin to sag and wrinkle as you age due to the loss of collagen and elastin in your skin. The result is a sunken look with deepening nasolabial folds (smile lines). Fortunately Dermal Fillers counteract drooping cheeks and smile lines by providing an immediate lift and replenish lost volume to re-sculpt and re-contour. The results will improve facial harmony with natural and long-lasting results.
Choosing to have a non-surgical dermal filler procedure comes down to your provider’s experience and expertise in performing the treatment. You also have to feel comfortable with that person. Your comfort level and confidence make up an important part of the process. At Canyon Laser & Skin Care we help you learn about the procedure and customize a plan to fit your needs.
Call to schedule your complimentary consultation at 604-986-1232.
How do I choose a toothbrush best for my teeth?
How do I know if I am using my brush properly?
Are electric toothbrushes better for my teeth?
If you ever find yourself very confused and perplexed at the oral hygiene section of a drug store you are not alone. Even as a dentist I find myself overwhelmed with the options available when I am standing at the toothbrush isle. Yes you heard me right, it is very confusing and overwhelming to have too many options especially when it comes to oral hygiene products. But don’t let that intimidate you. There are a few things you need to keep in mind when shopping for a new toothbrush:
1- Ask your Dentist: First and foremost if you are unsure it is a good idea to simply ask your dentist. After all he/she is the one looking at your teeth under light and magnification- a lot of it too :) We can detect wear, acid erosion, and recession around the gum line. Your dentist has the best clues on what suits your dental needs best. Many times your dentist has the perfect toothbrush suited for your teeth at the clinic and can provide it to you at a reduced cost.
At Canyon Dental Centre, we have a range of toothbrushes we can offer to our patients depending on their dental needs. For example, Curaprox, which is an extremely soft toothbrush can be perfect for receding gums or for brushing around recently completed surgical procedures such as tooth extractions or gum grafts. If you do suffer from gum recession, you need to stick to a very soft bristle brush and gentle brushing especially at the gum line.
2- Its all about Timing….Secondly, many people are not aware of the time required for brushing with a manual toothbrush. In order to do clean all your teeth thoroughly and properly reaching all surfaces of all our teeth, we are supposed to be brushing for 4 MINUTES! Yes 4 full minutes . Let me ask you this? how many of us spend that much time doing our oral hygiene routine ? Not many I bet :) which leads me to my next topic…
3- Electric toothbrushes are one of the best inventions for our oral hygiene care….
They reduce staining and plaque significantly compared to a manual brush. They are very efficient and thorough in cleaning our teeth. Only 2 minutes of using the electric toothbrush equals 4 minutes of manual brushing. Half the time and less staining and plaque, now who wouldn’t want to switch to an electric brush? When it comes to electric brushes, either Oral B or Sonicare are two well known brands that offer comparable results. You are able to purchase the sensitivity brush head or use the sensitive setting on these brushes if you have receding gums. Battery operated brushed don’t last you long ( 2 months on average) and don’t do as a thorough job as an electric brush.
I encourage parents to start getting their kids familiar with electric brushes from a young age since there is no certain ‘technique’ involved and they can brush on their own with minimal supervision. One key with electric toothbrushes is that gently holding them in place and letting the brush do the work. This is great for anyone who has any dexterity issues such as with arthritis, carpal tunnel syndrome or a broken wrist or arm.
I hope I didn’t make this more confusing for you as it was. Let me make it even simpler:
1. Definitely pick an electric toothbrush over a manual brush
2. Use softer bristles if you have receding gums (recession)
3. Brush longer than you think - 2 minutes with an electric brush and up to 4 minutes with a manual toothbrush.
Finally one last time, do not forget to change your toothbrush or electric toothbrush head every few months :)
By Dr. Neda Rafati
PINHOLE SURGICAL TECHNIQUE
Pinhole Gum Rejuvenation
Gum recession is what happens when gum tissue lowers its position on the tooth, exposing the tooth root. If left untreated, the gum around the tooth can result in sensitivity, unpleasant appearance, and the likelihood of developing root decay.
The Pinhole Surgical Technique is a minimally invasive option to treat gum recession. Unlike traditional grafting procedures, this revolutionary technique is scalpel and suture free with faster healing.
How does the Pinhole Surgical Technique differ from traditional gum grafting?https://www.youtube.com/watch?v=vmoGvtiflfA
Traditional gum grafting procedure involves the use of donor tissue (usually from the palate) in order to rebuild the gum line. The soft tissue would be sutured in place and left to heal.
The Pinhole Surgical Technique requires a small needle hole in the gum tissue. Very thin instruments are introduced through this hole to gently loosen the gum tissue to slide and cover the exposed root. Small strips of collagen are inserted under the gum to hold them in their new desired position. The Pinhole Surgical Technique shows comparable results often with better patient experience than the traditional grafting treatment.
Benefits of the Pinhole Surgical Technique
For more information, please visit http://www.pinholesurgicaltechnique.com
Call our office to book an appointment with our Pinhole Academy Certified dentists at Canyon Dental Centre 604-985-1232.
by Dr. Neda Rafati
Why does my tooth hurt?
Do I need to be worried about my toothache?
What happens if I ignored my toothache?
When do I need to see a dentist for my toothache?
Common Causes of Toothache:
Like any other organ in our body, our teeth are innervated with nerve bundles which carry pressure, heat, cold sensations back to the brain. This nerve bundle called the pulp is inside the tooth protected by dentin and enamel. However, if there is any communication from the outside such as cavities (caries) we can start feeling pain due to the irritation of the nerve.
Other causes of tooth ache include recession of the gum, grinding/clenching, cracked teeth, infection, past history of trauma to the area.
How to stop toothache:
There are different ways to go about alleviating dental pain. The first step in identifying the cause of it. The following identifies some of the most common ones:
-Dental caries: yes cavities can cause pain and cold sensitivity. If this sensitivity is short lived, a filling or restoration on the tooth with the cavity can help with the pain.
-Recession: If gum recession is causing the toothache then a regimen of desensitizing tooth pastes and possibly further surgical treatment can remedy the pain. Stay tuned for the next blog post on the Pinhole Surgical Technique offered at Canyon Dental Centre by Dr. Glenn van As and Dr. Dean Choi.
-Grinding/Clenching: Many people complain of jaw pain and facial muscle pain which stems from grinding/clenching at nights or during the day. Night guards (an appliance worn at night to protect the teeth) can significantly reduce the discomfort.
-Cracked teeth: Weaker teeth such as molars with large restorations and root canal treated teeth are more prone to breaking. However, even a fine crack on the root surface can cause pain on chewing. At Canyon Dental Centre we are equipped with state of the art technology using microscopes and are able to visually detect even fine cracks on the teeth using high magnification and ample light.
- Infection: commonly known as an abscessed or a “hot tooth”, infections are one the most well-known causes of toothache. Mostly identified with a swelling and severe pain, infections are not always obviously detected till a radiograph is obtained. At Canyon Dental Centre we use a unique 3D imaging technique (Cone Beam CT) which helps diagnosing the source of infection so we can treat the site accordingly.
-Trauma: Injuries or trauma to the teeth can further damage the nerve and cause tooth ache. This insult to the nerve can manifest many years after the initial injury to the area. Discoloration is a common side affect of a dying nerve (necrotic pulp) which can be caused after trauma to the teeth. A root canal is advised to treat this issue.
When to Intervene:
I always advise patients to pay close attention to their symptoms. The onset of sensitivity is usually sporadic and non specific making it difficult to make a definitive diagnosis. However if you make a note of duration of sensitivity and what triggers your pain, it will help your clinician to specify the source of your toothache.
At Canyon Dental Centre we emphasize the importance of preventative care as it is much easier and less costly to our patients. In addition to less cost, we can maintain more tooth structure when we avoid more invasive treatments such as root canal therapy.
What Happens If I Ignored My Toothache:
If the toothache is not addressed early and is left for a long time, it can lead to infection, tooth breakage, and eventually tooth loss. At Canyon Dental Centre we offer all our patients a regular recall program were they are seen by the dentists twice a year during their dental hygiene appointments. We keep our records up to date and do a comprehensive exam to identify the source of tooth ache. We listen to our patient’s symptoms and document everything to follow up in the future if need be. This will help in identifying and treating the toothache to the best of our ability.
Are you suffering from jaw pain or facial pain?
Do you find your chewing and daily functions affected by jaw issues?
Do you find your mouth opening is limited by jaw pain?
If you answered yes to any of the above you are amongst many people who experience TMJ disorders.
What are the TMJ disorders?
TMJ is the acronym for Temporomandibular joint which connects the lower jaw to the temporal bone next to our ears. Many issues of this joint stem from displacement of the disc in this joint or the facial muscles surrounding it.
TMJ issues are two folds: Acute/simple or chronic
1-Acute issues can arise after long dental visit or trauma injury to the site
2-Chronic issues of the jaw could indicate systemic conditions such as Arthritis or the
wear and tear of the jaw joint
How do we manage TMJ disorders?
In acute instances the following will help alleviate the pain:
- soft diet
- minimizing chewing on hard/crunchy foods, limiting gum chewing
- using ice to reduce inflammation around the joint
- massaging with warm towel intermittently
- taking anti-inflammatory pain killers such as: Advil (Ibuprofen) or Naproxen
- Night guard/splints to stabilize the bite
- using low level laser therapy offered at Canyon Dental and Skin Care Centre
If the above solutions fall short to help then the following will help with the chronic management of the TMJ disorders :
- myofacial pain management with gabapentins
- physiotherapy treatment around the joint
- Alternative medicine solutions such as naturopathic medicine
-Referral to an oral medicine specialist
At Canyon Dental and Skin Care Centre we offer a thorough new patient exam which includes a comprehensive examination of the intra oral as well as the extra oral tissues such as the TMJ. We do our best to offer the most individualized treatment modality possible. Dr. Glenn van As is one of the pioneers in laser dentistry and we pride in offering the most technologically advanced therapies in Low Level Laser Therapy at the Canyon Dental and Skin Care Centre. Low Level Laser Therapy is known to be one of the most effective therapies of the TMJ pain and discomfort as it reduces inflammation and induces healing at the site of injury.
By Lee-Ann van As, Medical Aesthetician
What is Rosacea?
Rosacea is an inflammatory skin condition which causes facial redness.
What are the symptoms:
What causes Rosacea?
The cause is unknown, but researchers believe it is likely due to a combination of hereditary and environmental factors including:
How is Rosacea treated?
While there is no cure for rosacea, effective treatment options do exist and include:
1) Broadband Light (BBL) therapy
Broadband Light BBL (the next generation IPL) is a proven treatment for Rosacea. It works by reducing inflammation in the skin and coagulating blood vessels. The haemoglobin absorbs the Broadband Light (BBL) which causes the blood vessel walls to heat and cause coagulation of theses vessels, which are eventually reabsorbed by the body. A series of 5 treatments are recommended every 3 to 4 weeks.
2) Topical Agents
Misuse of skin care products is an important contributor to Rosacea. People are often mis-informed about topical agents suited for their skin type and so frequently make unhealthy choices. When selecting topical skin care to successfully treat rosacea it is important to choose pharmaceutical grade products such as ZO Skin Health and ZO Medical by Dermatologist, Dr. Zein Obagi. His extensive clinical experience and research has resulted in effective protocols to successfully treat rosacea, by stabilizing the skin, reducing inflammation, improving barrier function and assist with DNA repair. This in turn increases skin tolerance and eliminates weakness, restoring the normal pH balance within the skin.
3) Recognizing triggers
An important component to improving Rosacea is recognizing and avoiding triggers. These triggers vary for everyone, but most common triggers are sun exposure without proper SPF protection, alcohol, extreme temperatures and spicy foods.
Book your consultation
If you have Rosacea, contact Canyon Laser & Skin Care at 604-986-1232 or email@example.com to learn more about how to treat Rosacea.
By Dr. Neda Rafati
What is the recommended age for the first dental exam?
According to the Canadian Dental Association (CDA) your child’s first dental visit is around their first birthday or 6 months after their first primary (baby) tooth erupts. For example, if your child is getting teeth early then his/her first visit will also be earlier than their first Birthday. This can be different for every child. Your child’s first visit can also be during infancy if tongue tie is an issue. In our office Dr. Glenn van As offers tongue tie release procedures using a very minimally invasive laser with no downtime. This will help with your child’s ability to feed better and latch on better.
What does a dentist do during the first dental exam?
We treat many children who come in with their parents or primary care giver at the Canyon Dental Centre. It is important to have either of the parents or both parents present to review oral hygiene, feeding pattern, habits, etc.
We call this first visit a happy visit in our office :) We try to make it very enjoyable and pleasant for the kids who come in to leave a great first impression for them. We ask their parent to sit in the chair and put them on their lap. If possible we try to look inside their mouth and perform a dental exam which will be a quick one as you can imagine. We distract them with the TV they can watch while lying back and tickle them to take a look inside while they laugh.
Most of the first dental visit revolves around discussing feeding pattern, oral hygiene routine, and diet counseling with the parents.
Feeding pattern: Do you breast feed or bottle feed right before bed? Do they fall asleep with milk as the last thing before going to bed? Research has shown drinking milk before falling asleep can increase risk of caries as carbohydrates left around teeth can cause cavities.
Oral hygiene routine: Are you able to brush their teeth or is it a challenge getting them to cooperate? a method I have seen work is putting their head on your lap and brushing for them. If they move around too much having a help to hold their legs down can make it easier. Sometimes having them close to parents or other siblings while the family is brushing their teeth will also help motivating them to allow you brush for them.
How many times do you brush their teeth? twice a day is ideal but definitely last thing before going to bed should be brushing their teeth. As mentioned before if they fall asleep with milk, their caries risk will increase. The amount of toothpaste is similar to one coat of nail polish or brushing with water only will do the job.
Diet counseling: This is one of the fundamentals of the first dental visit as the frequency of feeding and what solid foods they eat has a direct correlation with their caries risk. For example, I always advise parents to give their kids water instead of milk last thing before falling asleep. Also, drinking water after high sugar snacks or meals will reduce caries risks. I always recommend fluoride drops as supplements. You can purchase this over the counter at any pharmacy near you. Our water in BC is not fluoridated. Fluoride is known to strengthen the enamel and reverse early stages of caries.
How often should I take my toddler to the dentist?
After the first dental visit - their first birthday- we see them once every 6 months. The ‘check up’ visit or dental exam includes :
1- Counting their teeth and reviewing the eruption pattern with parents. On average by 24 months, all primary (baby) teeth are present. This can be later if your child tends to be ‘late’ in reaching developmental milestones.
2- Examining their teeth and soft tissue
2- Diet counseling and assessing caries risk
3-Attempting to polish their teeth and applying fluoride
At Canyon Dental and Laser Skin Care Centre, we are committed to make their first visit and the following visits very pleasant and fun. We do not force them to sit or to do anything they are not willing to do. We distract them with the TV and make sure they get rewarded for being cooperative. They all get a goodie bag and a prize from our toy box at the end of each visit.
Frenectomies, or upper lip and tongue ties revisions as they are commonly called, are procedures that are often done on newborns, toddlers or children who have lips and tongues that are held too tightly by their frenum. These ligaments that attaches the lips and the tongue to your gum and jaw bone can be too tight and limit movement of these parts of your mouth. Revising these tight attachments early in life can prevent many problems including difficulty with latching on for breast feeding, inability to clean the mouth with your tongue, speech issues, gaps between teeth, gum recession and other issues.
Dr. Glenn van As is a laser pioneer who has extensive experience to perform laser frenectomies on for anyone who suffers from tongue and lip ties. Dr van As has trained with pioneers in this field like Dr. Larry Kotlow to gain the necessary experience to provide treatment that is quick, kind and complete. Revisions to the lip and tongue ties with the lasers allows for greater mobility of the lip and tongue with less side effects than other commonly used techniques ( scissors). Lip and tongue tie revisions are quick with the laser, often taking 1-2 mins each to do. A little bit of topical anesthetic and a small amount of local anesthetic ensure minimal discomfort during the procedure, and stretching exercises in the following 3 weeks during the day ensure that the lip and tongue tie when they attach will not reattach in the original position. Dr. van As does all his frenectomies through a dental operating microscope that magnifies the area he is working on up to 20 X and this ensures that the frenectomy is completely revised at the initial appointment decreasing the risk of future retreatments being necessary.
Your tongue needs to be able to move around freely in the mouth which allows it to clean the teeth, swallow ideally, and move properly for speech. The tongue should move around freely and for new borns this mobility is vital for swallowing to create and effective latch for breast feeding. Infants swallow with their jaws parted and the tongue positioned between gum pads. This produces a vacuum for swallowing called the “infantile swallow.”
Although the primary or baby teeth all are forming in the jaws in uteror, it is not until the ages of 2-3 that they all have erupted and at this time the infant swallow becomes and adult swallow. The tongue will now raise and press against the back of the upper teeth and the jaws will close together.
A “tight “ tongue tie will restrict movement of the tongue and this can cause a lot of developmental issues for children such as some or all of the following:
Tongue ties can result in some of the following problems:
A lip tie occurs when the ligament connecting the lip and the gums is restricted due to its length being too short, the position of attachment being at the crest instead of half way up, or the lip tie having too much width which again can limit movement of the lip. This can occur on the upper or lower lip as well as on the sides of the mouth, but is most common and most problematic when it occurs in the middle of the upper lip.
A tight lip tie can have negative effects for both the baby and the mother, during breast feeding by reducing the ability of the newborn to latch properly onto the breast.
Lip ties can be detected in newborn babies and can result in some of the following issues for the baby:
Dr. van As works with experts in the field including Chiropractors familiar with Craniosacral Treatment for your newborn. He and his team have completed hundreds of laser frenectomies and he travels extensively lecturing on the use of lasers in dentistry where he has been acknowledged as one of the top 100 dentists for continuing education by Dentistry Today for four consecutive years from 2011-2014.
If you have gaps and missing teeth and you’re embarrassed about it, don’t fret as there is hope for you
First developed by Dr. Per Ingvar Branemark in the 1970s, dental implants have provided millions of patients with something to smile about! Nowadays, people do not have to live their entire lives with missing teeth, large gaps, loose partial or full dentures or solutions such as bridges that are destructive to adjacent teeth. The problem isn’t just esthetics, the alveolar bone, which surrounds the teeth and holds them in, requires regular stimulation in order to stay healthy. When a tooth is extracted the stimulation stops and the bone gradually starts to erode which can result in changes to not only your smile but your face. When teeth are removed and not replaced there can be a loss of 25%-50% of bone width in the first year alone, and more in subsequent years. With time, the contours of the face and lips change, making an individual look noticeably older. Eventually, the bite may effectively collapse — along with the self-confidence!
Dental implants are titanium posts (the same metal that is used for hip and knee joints) that fuse with the jaw bone and serveas anchors for replacement teeth. Dental implants hold the bone in place and protect against bone loss - just like real teeth. This protects against bite collapse, tooth, tooth movement, and loss of facial support which cause the appearance of premature aging.
Improved Appearance - When teeth are lost, ongoing shrinkage of the jawbone occurs making the face look older. Dental implantscan slow or stop this process. Dental implants look and feel like your own natural teeth.
Improved Comfort -
Dental implants eliminate the pain and discomfort that occurs with removable full or partial dentures. Since dentures sit on top of the jawbone and gums, continual use of them results in increased shrinkage of the jaw bone which in turn alters the fit of the denture resulting in slipping or rocking of the dentures. Exposed nerves and irritation of the gum tissue may add to the discomfort.
Implant supported replacement teeth are like natural teeth because they are anchored securely to your jawbone. Dental implants when used can result in “rock steady teeth” eliminating the “loose” dentures that people lived with before. This results in a greater confidence in not only your smile but your chewing ability.
Gum irritation and the pain of exposed nerves associated with conventional full or partial dentures can be eliminated.
With ill fitting dentures, the teeth slip and slide around the mouth. The facial muscles become tense in an attempt to hold the teeth in place. This often results in mumbling, slurred speech or clicking noises. When dental implants are used to hold in your teeth, they allow you to speak with confidence in a relaxed and natural tone, knowing that the teeth are“rock steady”.
Improved Self Esteem-
Considering all other benefits, dental implants can improve your self-esteem. You may feel better about yourself. You can regain nearly all the capabilities that most people have with natural teeth, giving you renewed confidence, and allowing you to enjoy life, do what everyone else is doing and not think twice about it.
Eat Better - The average denture patient with an excellent fitting denture eats at 15-20% efficiency when compared to a person with natural teeth. As the jawbone shrinks, your chewing efficiency is reduced even more, making it difficult to eat certain foods. Dental implants can restore chewing efficiency comparable to that of natural teeth.
This allows you to eat your favorite foods with confidence and without pain, enjoy what everyone is eating and not think twice about it. A full upper denture covers the palate of the mouth and reduces the ability to taste foods and to speak properly. With dental implants, you can have the palate removed from your upper denture so you can taste and enjoy your food, and worry less about your speech being slurred.
Dental implants can eliminate the numerous embarrassing inconveniences of removable partial and full dentures when food gets caught under the dentures. You will eliminate the use of gooey denture adhesives that must be re-applied throughout the day. You will no longer need to cover your mouth when you laugh or smile, for fear that your teeth will pop out or fall down.
Protect Your Remaining Natural Teeth -
Dental implants are often more appropriate than a bridge for the replacement of one or more adjacent teeth. With conventional bridgework, the teeth surrounding missing teeth must be ground down and this can damage the nerves of the teeth. The average lifespan of a dental bridge is 8 years and 90 % of the time when it fails one or both of the anchor teeth holding the bridge in has substantial decay ( cavities) on it which at times necessitates this tooth being removed. As your bridge grows in size it will last fewer years and eventually a fixed bridge is no longer possible. Dental implants often eliminate the need to modify these adjacent teeth, resulting in a conservative, yet esthetic restoration.
At Canyon Dental & Laser Skin Care, Dr. van As performs all the dental implants surgical procedures. He is an active member of International Congress of Oral Implantology ( ICOI) and a past member of the Renaissance Implant Study Club here in Vancouver, and has experience both placing and restoring multiple implant platforms including HiOssen, Ankylos, Nobel, and Astra. He has written articles on the role of lasers with dental implants and was one of the first clinicians to begin placing HiOssen Implants in Canada. Dr. van As is on faculty for the BITES Institute (www.bitesinstitute.com) which educates dentists to how to place and restore dental implants in their practice.