Transcript: Dentistry | Jan 29, 2001

The title “More to health” appears inside the shape of a house.

The opening sequence shows a wooden table with a small lit candle as several words fly by: Nutrition, medicine, prevention, treatment and health.
Fast clips show different sets of hands performing activities on the table such as drawing a big red heart, tuning a violin, flipping through the pages of a book, cooking, and pouring a glass of red wine.
In animation, the title appears inside the shape of a house: “More to life.”

Maureen Taylor sits in a studio with yellow walls and a small TV set in the background, which reads “More to life.”

Maureen is in her late thirties, with wavy auburn hair in a bob. She wears a black turtleneck sweater under a hot pink jacket.

Maureen says HI, I'M MAUREEN
TAYLOR AND WELCOME TO “MORE
TO LIFE.”
SO, YOUR WHITES AREN'T WHITE
ENOUGH?
MAYBE YOU'RE NOT RINSING
LONG ENOUGH OR NOT USING THE
CORRECT CLEANING AGENT.
WE'RE NOT GOING TO TALK
ABOUT LAUNDRY AGAIN.
TODAY WE'RE GOING TO BRUSH
UP ON OUR DENTAL CARE.
I'M JOINED BY DOCTOR RANO
BURTON, AN ORTHODONTIST AND
DOCTOR SHARAN GOLINI, A
PERIODONTIST.
THEY'RE SISTERS IN REALITY
AS WELL AS DENTISTRY, AND
HERE TO ANSWER ALL YOUR
QUESTIONS.
SO IF YOU WANT TO KNOW WHEN
TO PULL THAT SWEET TOOTH OR
NEED TO KNOW THE LATEST TIPS
FOR BRACING YOURSELF, GIVE
US A CALL.
IN TORONTO, THE NUMBER IS 416 484-2727.
LONG DISTANCE, OUR TOLL FREE
NUMBER 1-888-411-1234
AND YOU CAN E-MAIL YOUR QUESTION TO
MORETOLIFE@TVO.ORG

Maureen says WELCOME BACK,
HI.
SO LET'S START, RANO, WITH
CHEWING GUM IS IT TRUE THAT
NOW THEY'VE FOUND CHEWING
GUM CAN ACTUALLY REDUCE
PLAQUE?

A caption reads “Doctor Rano Burton. Orthodontist.”

Rano is in her mid-thirties, with shoulder length straight brown hair. She wears a purple top and a black cardigan.

Rano says
DEFINITELY, THAT'S BEEN
KNOWN FOR QUITE A WHILE.
ANY TYPE OF AGITATION IN THE
AREA OR STIMULATION OF
SALIVA FLUID IS GOING TO
DECREASE THE DEPOSITS, AS
WELL AS DECREASE THE SUGAR
LEVEL THAT'S GOING TO BE IN
YOUR SORT OF SALIVA.
SO THEY ALWAYS SAY IF YOU
CAN'T GET TO A TOOTHBRUSH OR
RINSE AT LEAST, POP A PIECE
OF CHEWING GUM IN.
I THINK WHAT YOU'RE PROBABLY
REFERRING TO IS ALSO A
LITTLE BIT OF THESE NEW
ADDITIVES THEY HAVE.
ZYLETOL.
IT IS AN ARTIFICIAL
SWEETENER.
I THINK -- IS IT FOUND IN
NATURE?
IT MIGHT ALSO BE FOUND IN
NATURE AS WELL, A FEW THINGS
BUT NOW IT'S AN ADDITIVE
INTO SUGAR -- A SUGAR
SUBSTITUTE FOR GUM, BECAUSE
SUGAR FEEDS THE BACTERIA IN
YOUR MOUTH, CAUSES CAVITIES
OR CAN LEAD OTHER PROBLEMS
NOW USING ZYLETOL AS A
SUBSTITUTE, SOMEHOW TO HOW
WE HAD ASPARATAME IN OUR
FOOD AND IT'S BEEN SHOWN
ITSELF AS A CHEMICAL TO BE
ANTIBACTERIAL.
SO EVEN IF YOU JUST USED
THAT AS AN AGENT THAT WOULD
DECREASE THE BACTERIA IN
YOUR MOUTH SO IT'S HITTING
IT FROM BOTH SIDES SO YEAH.
GREAT LITTLE THING.
AND YOU'LL SEE IT'S MARKED
ON THE SUGAR PACKAGES AS A
SUBSTITUTE FOR THAT.

Maureen says I EVEN THOUGHT I
READ SOMETHING THAT MOTHERS
CAN PASS ON THE BACTERIA TO
THEIR CHILDREN, I GUESS, IN
UTERO, I MEAN, YOU'RE
ALREADY HELPING YOUR UNBORN
BABY TO HAVE BETTER TEETH
JUST BY CHEWING THIS STUFF.
KIND OF A BIG CLAIM, BUT YOU
KNOW --

Rano says I THINK
WE HAVE TO RATE TO SEE THE
LITERATURE ON THAT ONE.

Maureen says YEAH.
DOES THAT MEAN WE SHOULD BE
CHEWING GUM ALL THE TIME,
SHARON?

The caption changes to “Doctor Sharan Golini. Periodontist.”

Sharan is in her mid-thirties, with straight brown hair in a bob. She wears a pale blue T-shirt.

Sharan says WELL
NOT ALL THE TIME, BUT
CERTAINLY, IF YOU CAN'T GET
TO A BRUSH AND A SINK AFTER
EVERY MEAL, NOP A PIECE OF
SUGAR-FREE GUM, OBVIOUSLY,
AND HAVE A CHEW, AT LEAST
FOR 20 MINUTES.
BECAUSE WE KNOW FROM THE
LIFE, FROM THE WAY THAT
STARCHES AND SUGARS ARE
BROKEN DOWN IN THE MOUTH BY
SALIVA, THAT YOU NEED TO
SORT OF CHEW FOR ABOUT A 20
MINUTE PERIOD TO HAVE A
MAXIMUM EFFECT.

Maureen says OKAY.
ALL RIGHT, NOW SPEAKING OF
CHILDREN AND DENTAL HYGIENE,
AT WHAT AGE SHOULD OUR KIDS
ACTUALLY START TO GO TO THE
DENTIST ON A REGULAR BASIS?

Rano says GOING TO
THE DENTIST I THINK AS EARLY
AS YOU CAN BRING THEM IN.
EVEN IF YOU'RE GOING IN FOR
YOUR OWN DENTAL APPOINTMENT
IF YOU WANT TO BRING YOUR
CHILD IN TO GET FAMILIAR
WITH THE SURROUNDINGS, THE
STAFF, DENTIST, EVEN IF YOU
JUST INTRODUCE THEM,
DEFINITELY IT'S THE TIME THE
FIRST TOOTH IS IN YOU SHOULD
LET YOUR DENTIST KNOW AND
SAY OH, MY DAUGHTER ORSON IS
TEETHING NOW WHAT DO YOU
RECOMMEND?
BECAUSE HE'LL GIVE YOU SOME
HELPFUL SEXES ON HOW TO
INTRODUCE A TOOTHBRUSH AND
START WITH EARLY ORAL CARE
BECAUSE AGAIN, THE EARLIER
THEY START THE MORE
COMFORTABLE THEY'RE GOING TO
BE.
IF YOU FIND YOUR CHILD IS A
LITTLE APPREHENSIVE WE HAVE
SPECIALISTS CALLED
PAEDOONTISTS TRAINED TO DEAL
WITH CHILDREN AND PARTICULAR
PROBLEMS THAT MIGHT CROP UP
WITH CHILDREN AND THEY'LL BE
LISTED IN THE YELLOW PAGES
OR YOU COULD CALL THE ROYAL
COLLEGE OR ONTARIO DENTAL
ASSOCIATION TO FIND SOMEONE
THAT'S NEAR TO YOU, OR JUST
ASK YOUR FRIENDS WHO THEY
TAKE THEIR KIDS TO AND
THAT'S PROBABLY THE BEST
RECOMMENDATION.

Maureen says YOU'RE THE ONE
WITH ALL THE YOUNG CHILDREN,
RIGHT SHARAN?

Sharan says YEAH,
STILL THREE.

Maureen says STILL THREE?
DO THEY LIKE TO BRUSH THEIR
TEETH?
DO YOU HAVE ANY TRICKS TO
PASS ON?

Sharan says MY TWO
OLDER ONE WHOSE ARE FOUR AND
THREE ACTUALLY ENJOY
BRUSHING THEIR TEETH.
MY TWO-YEAR-OLD IS NOT CRAZY
ABOUT IT.
HE LIKES TO DO IT HIMSELF
BUT OBVIOUSLY HE'S NOT DOING
A GOOD ENOUGH JOB SO YOU
HAVE TO GET IN THERE
YOURSELF AND DO IT.
ONE THING THAT I NOTICE THAT
HE'S BEEN DOING FOR A WHILE
IS THAT HE LIKES THE TASTE
OF THE TOOTHPASTE AND HE'S
TRYING TO SORT OF EAT IT,
AND WE HAVE TO REALLY,
REALLY -- WE HAVE TO HIDE IT
ACTUALLY.

Maureen says BECAUSE THAT'S
BAD.
YOU SHOULDN'T LET THEM EAT
THE TOOTHPASTE.

Sharan says IT'S
VERY BAD.
YOU CAN USE A CHILDREN'S
TOOTHPASTE WHICH HAS A LOWER
CONCENTRATION OF FLOOR RIDE
IN IT, OR JUST USE WATER.
JUST USE WATER.
THEY SHOULDN'T BE USING
ADULT FLAVOURED TOOTHPASTE.
THEY COULD HAVE ALLERGIC
REACTIONS TO SOME OF THE
FLAVORING AGENTS AND THERE'S
FAR TOO MUCH FLOOR RIDE IN
FOR A KID TO BE INGESTING.

Maureen says WE'RE FOUR
PEOPLE IN MY HOUSE, WE'RE UP
TO FOUR DIFFERENT TYPES OF
TOOTHPASTE.
I NEED SENSITIVE, THE
YOUNGEST ONE WANTS A
DINOSAUR ON IT, WHATEVER.
IT'S RIDICULOUS.
ALL RIGHT, WE'RE TALKING
ABOUT TEETH THIS AFTERNOON.
IF YOU HAVE A QUESTION ABOUT
YOURS OR YOUR CHILDREN'S
GIVE US A CALL.
IN TORONTO, THE NUMBER IS 416 484-2727.
LONG DISTANCE, OUR TOLL FREE
NUMBER 1-888-411-1234
AND YOU CAN E-MAIL YOUR QUESTION TO
MORETOLIFE@TVO.ORG

Maureen says CAROLYN SAYS
WHAT DO YOU THINK OF THE 30 DOLLAR
WHITE TENNING AT HOME
SYSTEMS?
DO THE TEETH MOULDS WORK TO
ANY DEGREE AS WELL AS THE
350 DOLLAR PROCEDURE MY DENTIST
OFFERS AND MORE IMPORTANTLY
ARE THEY SAFE IN MY DENTIST
SUGGESTS MY TEETH ARE
STARTING TO YELLOW BECAUSE
OF AGE AND WHITTENING THEM
WILL BE AN EXPENSIVE
PROCESS.
WHO WANTS TO TAKE THAN YOU
THAW ONE?

Sharan says THE
30 DOLLAR KITS, I THINK IF YOU'RE
NOT LOOKING FOR A BIG CHANGE
WOULD BE SOMETHING THAT --
THEY'RE FAIRLY SAFE TO USE
AT HOME.
THEY'RE NOT TERRIBLY
CORROSIVE, AND YOU FIND THE
MOUTH GUARDS ARE PRETTY EASY
TO USE IF YOU STICK TO THE
INSTRUCTIONS.
UNFORTUNATELY WHAT WE FIND
IS A LOT OF PEOPLE THINK IF
IT TELLS ME TO USE IT EVERY
OTHER NIGHT IF I WEAR IT
EVERY NIGHT IT'LL WORK TWICE
AS FAST AND THE PROBLEM IS
IF YOU ARE SLOPPY WITH THE
GEL, GET SOME GEL ON THE
SOFT TISSUE OF THE MOUTH,
YOU COULD GIVE YOURSELF A
CHEMICAL BURN.
THE PROCEDURE THAT THE LADY
WAS TALKING ABOUT HAVING
DONE AT THE DENTIST,
CERTAINLY IN OUR DOWNTOWN
OFFICE, WE SEE A LOT OF
PATIENTS FOR TOOTH WHITENING
PROCEDURES.
WE'RE USING A MUCH STRONGER
GEL TO WHITE TEN THE
TEETH -- TO WHITEN THE
TEETH.
ALSO CUSTOM-MADE MOULDS SO
THERE'S LITTLE CHANCE OF IT
SPREADING TO THE SOFT TISSUE
OF THE MOUTH SO, A SLIGHTLY
SAFER PROCEDURE, AND THE
PROCEDURE'S GOING TO MOVE
ALONG MORE QUICKLY BECAUSE
WE HAVE -- WE'RE USING MORE
STRONGER GEL.

Maureen says HOW LONG DOES IT
LAST, RANO?

Rano says I THINK
IT DEPENDS ON THE REASON
THAT YOUR TEETH ARE
DISCOLOURING OR IT COULD BE
DUE IT A NATURAL COLOURING
THAT THEY HAVE, AS YOU KNOW,
WE'RE BORN WITH DIFFERENT
COLOUR HAIR, WE'RE BORN WITH
DIFFERENT COLOUR TEETH SO IF
IT'S A SUPERFICIAL STAINING
DUE TO DIET OR PERHAPS A BAD
HABIT LIKE SMOKING OR
DRINKING A LOT OF TEA OR
COFFEE, THOSE CAN BE
REMEDIES AND THOD CAN BE
SELF-CONTROLLED BECAUSE ONCE
YOU'RE MADE AWARE OF
SOMETHING LIKE THAT I THINK
MOST PEOPLE IF THEY'RE GOING
TO PUT IN THE EXPENSE TO
WHITEN THEIR TEETH THEY'LL
STOP DOING THINGS CAUTION
THE DISCOLOURATION.
ALSO AGAIN IT WILL DEPENDS
ON WHAT METHOD YOU USE, I
ALWAYS TELL PEOPLE BE
PREPARED ONCE YOU START
DOING THIS THERE WILL BE
UPKEEP AND MAINTENANCE,
WHETHER IT'S EVERY THREE
MONTHS OR ONCE A YEAR OR
ONCE EVERY THREE OR FIVE
YEARS, IT WILL BE UP TO YOU
AS WELL.
THERE'S NO SUBSTITUTE FOR
GOOD HOMECAREWATCHING WHAT
IS CAUSING THE STAINING OR
DISCOLOURATION OF YOUR
TEETH.
THERE ARE SOME TYPES OF
DISCOLOURATION, THOUGH, OF
YOUR TEETH THAT CAN'T BE
CHANGED BY THESE PROCEDURES.
AND YOUR DENTIST MAY SUGGEST
OTHER THINGS SUCH AS VENEERS
OR CROWNS OR OTHER TYPE OF
COSMETIC PROCEDURES THAT
WILL PERMANENTLY ALTER THE
LOOK OF YOUR TEETH, SHAPE
AND SORT OF COLOUR.

Maureen says OKAY.
IF YOU ALREADY -- I ALREADY
WEAR ONE OF THOSE NIGHT
GUARD MOULDS FOR -- WHAT DO
YOU CALL THAT?
GRINDING MY TEETH.
COULD I JUST PUT THIS STUFF
INSIDE THAT?

Rano says YOU WON'T BE ABLE TO
BECAUSE WHAT YOU'RE TALKING
ABOUT IS YOUR ABRUXER.
YOU'LL HEAR THAT TERM.
YOU GRIND YOUR TEETH.
AND THE WAY WE MAKE THE
APPLIANCES INTO IS YOU
ACTUALLY TAKE AN IMPRESSION
THAT IS PRECISELY MADE FOR
THOSE TEETH THAT WE TAKE THE
IMPRESSION OF, SO THAT
THERE'S NO SPACE FOR THE GEL
OR THE AGENT THAT YOU'RE
GOING TO USE.
WHEN WE MAKE SOMETHING FOR
SOMEONE WHO'S GOING TO
ACTUALLY BLEACH OR LIGHTEN
THEIR TEETH, WE TAKE THE
IMPRESSION BUT ACTUALLY PUT
A LITTLE BIT OF A LAYER OF
EITHER WAX OR SOME OTHER
MATERIAL ON TOP OF IT AND
THEN MAKE THE APLINS SO
THERE IS A SPACE.
YOU COULD SELECTIVELY DO
EACH TOOTH OR ONE TOOTH IN
THE MOUTH OR SOME OF THE --
MORE GEL.
AS SHARON WAS SAYING WHEN DO
YOU IT IN CONJUNCTION WITH A
TENT DIS, THEY CAN USE THOSE
SPECIFIC PROCEDURES AND
OTHER PROCEDURES SUCH AS
LASER WHITENING OR HEAT
WHITENING AS WELL, WHICH
HAVE TO BE CONTROLLED BY
SOMEBODY TRAINED IN IT
BECAUSE OF THE PROCEDURE
WE'RE DOING.
THESE OVER THE COUNTER ONES
CAN DO A LOT AND I DO
RECOMMEND IF IT'S SOMETHING
YOU'RE LOOKING INTO, BY ALL
MEANS GO AND PURCHASE ONE OF
THESE KITS.
SEE HOW MUCH OF A CHANGE IT
IS AND SEE HOW YOU REACT TO
THE STUFF THAT THEY'RE
PRESCRIBING.
BECAUSE WHAT WE USE IS VERY,
VERY SIMILAR TO THAT AS
WELL.

Maureen says BUT STRONGER, AS
YOU SAID.

Rano says EXACTLY.

Maureen says ROB IS IN
LONDON.
HI ROB.

Rob says HI, THANKS FOR
HAVING ME ON THE SHOW.
MY QUESTION IS CONCERNING
IMPLANTS.
I WAS JUST WONDERING ARE
THEY -- DO THEY HAVE A HIGH
SUCCESS RATE?
DO THEY REPLACE TEETH THAT
ARE NO LONGER ANY GOOD?
SOMETHING TO THAT EFFECT,
ANYWAY.

Maureen says THIS IS A DENTAL
IMPLANT.
WHAT IS THAT, SHARON --
SHARAN?

Sharan says WELL
I'M NOT GOING TO SAY THEY'RE
A NEW CONCEPT, BECAUSE THEY
HAVE BEEN AROUND FOR ABOUT
30 YEARS NOW.
THEY ARE ESSENTIALLY
SCREW-TYPE MEDICAL IMPLANTS
WHICH ARE PUT INTO THE BONE
AND THEN A CONVENTIONAL TYPE
OF CROWN OR FALSE TOOTH OR
CAP IS MADE TO FIT ON TOP OF
THE SCREW.
YES, THEY CAN REPLACE SINGLE
TEETH.
THEY CAN REPLACE MULTIPLE
TEETH.
IN THE CASE OF LET'S SAY AN
OLDER PERSON WHO'S LOST ALL
OF THEIR LOWER TEETH OR ALL
OF THEIR TOP TEETH, THEY CAN
ACTUALLY BE PLACED IN THE
MOUTH AND HAVE SOLID BARS
PUT IN BETWEEN THEM AND THEN
THE DENTURE WOULD CLIP ONTO
THOSE BARS AND IT WOULD
REALLY BECOME QUITE FIXED
AND IT WOULDN'T MOVE AT ALL.
THEY HAVE A VERY HIGH
SUCCESS RATE IN HEALTHY
PATIENTS, PATIENTS WHO ARE
NON-SMOKERS, WHO HAVE NO
COMPLICATED MEDICAL
HISTORIES.
IF YOU HAVEN'T HAD, YOU KNOW,
AN ORGAN TRANSPLANT RECENTLY,
I THINK YOU'RE A PRETTY GOOD
CANDIDATE.
WE'RE LOOKING AT, YOU KNOW,
JUST GENERALLY, ABOUT A 95PERCENT
SUCCESS RATE WITH IMPLANT
PLACEMENT.
AND THIS IS LONG-TERM.
THESE ARE LONG-TERM STUDIES
THAT HAVE BEEN CARRIED OUT
IN MANY CENTRES IN THE
WORLD.
TORONTO IS ACTUALLY ONE OF
THE CENTRES WHICH GIVES
CONTINUOUS RESEARCH REPORTS
BACK TO -- IT'S NOBLE PHARMA
WHO MAKES ONE SPECIFIC TYPE
OF IMPLANT.
THERE ARE MANY DIFFERENT
TYPES OF IMPLANTS, BUT THE
LONGEST-STANDING ARE MADE BY
THE BRANDENMARK FOUNDATION,
AND TORONTO'S ONE OF THE
BRANDENMARK STUDY CENTRES.

Maureen says NOW HOW DOES
THAT DIFFER FROM WHAT WE
HEAR OF AS CALLED A CROWN?
WHAT'S A DISPLOUN.

Sharan says A
CROWN IS, IT'S A CAP.
IT'S A FULL COVERAGE TYPE OF
RESTORATION.
SO YOUR TOOTH IS STILL IN
YOUR HEAD, BUT IT'S CUT DOWN,
IT'S SAVED DOWN AND THEN
THIS SORT OF -- WELL, IT
WOULD LOOK LIKE A LITTLE
SHELL, IS CEMENTED ON TOP OF
IT.
AND THAT GIVES US TOOTH
INTEGRITY AND YOU MAY HAVE
TO HAVE SOME OF THOSE DONE,
IF YOU'VE BROKEN PART OF THE
TOOTH OFF, IF YOU HAVE A
LARGE FILLING IN THAT AREA.

Maureen says OKAY.
MM-HMM.
THANKS, ROB.
KAREN IS IN HAMILTON.
HI KAREN.

Karen says HI.
I WAS WONDERING ABOUT BRACES
FOR KIDS.
WHAT AGE DO YOU THINK --
LIKE I NOTICE THEY'RE COMING
OUT A LOT EARLIER WEARING
THEM, AND WHAT'S A GOOD AGE
TO START THEM IF THEY DO
NEED THEM?
LIKE I'M HEARING DIFFERENT
THINGS, LIKE 12 YEARS OLD
AND...

Maureen says MM-HMM.
WELL THE DENTISTS WILL
DECIDE THAT, WON'T THEY?

Rano says WELL, YES OR NO.
HE WE DON'T NEED A DIRECT
REFERRAL TO THE DENTIST --
FROM THE DENTISTS.
THE CANADIAN ASSOCIATION OF
ORTHODONT PARTICULARS AGREE
7 YEARS OLD IS WHEN YOU
SHOULD BRING YOUR CHILD IN
TO SEE AN ORTHODONTIST.
THAT MIGHT SOUND EARLY AND
YOU MIGHT SAY THEY'VE GOT A
LOT OF BABY TEETH STILL IN
THEIR MOUTH BUT CERTAIN
PROBLEMS PRESENT THEMSELVES
VERY EARLY ON AS SOON AS THE
TOOTH ERUPTS IN THE MOUTH
AND IF WE GET TO THE PATIENT
AT THAT POINT WE HAVE A LOT
MORE OPTIONS ON HOW WE CAN
FIX THAT PROBLEM.
ON AVERAGE THOUGH, I WOULD
SAY THAT MOST OF THE PARENTS
THAT I SEE IN THE SORT OF --
MOST OF THE PATIENTS THAT I
SEE IN THE SORT OF CHILD
CATEGORY WOULD PROBABLY BE
AROUND AGES ELEVEN OR TWELVE,
JUST BECAUSE THEY HAVE MOST
OF THEIR PERMANENT TEETH IN
AT THAT POINT.
THAT AGAIN IS MORE SORT OF
TYPICAL ORTHODONT PARTICULAR
TREATMENT BUT IF YOU'RE
CONCERNED ABOUT ANYTHING,
YOU CAN ALWAYS CALL TO AN
ORTHODONTIST IN YOUR AREA,
IF YOU LOOK UP IN THE YELLOW
PAGE, WE'RE LISTED, AND EVEN
IF YOU BOOK JUST WHAT WE
CALL CONSULTATION OR NEW
PATIENT EXAMINATION, IT'S
USUALLY A HALF HOUR OR SO,
BRING YOUR CHILD TO THE
APPOINTMENT AND JUST LET THE
ORTHODONTIST KNOW WHAT
YOU'RE CONCERNED ABOUT,
THEY'LL GO OVER WITH YOU HOW
YOUR CHILD IS DEVELOPING AND
ANY CONCERNS THAT THEY MAY
HAVE.
AS WELL HOPEFULLY THEY'LL GO
OVER POSSIBLE OPTIONS A YOU
CAN TAKE THEN.
IT'S NOT NECESSARY TO GET IN
THERE RIGHT AWAY, AS I SAID.
SOME PROBLEMS WE DO AND
WE'LL TELL YOU, THERE'S NO
SORT OF TWO WAYS ABOUT IT,
YOU HAVE TO GO AND CORRECT
THIS NOW BECAUSE IT'S GOING
TO LEAD TO WORSE PROBLEMS IN
THE LONG RUN.
BUT OTHER PROBLEMS ARE
THINGS WE LIKE TO KEEP AN OI
EYE ON, HOW THE CHILD'S
DEVELOPING AND HOW THE TEETH
ARE ERUPTING.

Maureen says SHOW WHAT THEY
PUT IN MY --

Maureen hands Rano a dental mould with a metal structure grabbed by two of the molars.

Rano says THIS IS AN EXAMPLE OF
SOMETHING.
MAUREEN'S DAUGHTER WAS
LITTLE NARROW.
I DIDN'T HAVE THE PLEASURE
OF TREATING HER, BUT FROM
WHAT I UNDERSTAND HER
ORTHODONTIST ENDED UP
PUTTING IN WHAT WE CALL AN
EXPANSION APPLIANCE IN AND
BASICALLY WHAT THIS IS, IS
IT'S A FIXED OR YOU CAN HAVE
A REMOVABLE VERSION AND
THERE'S A SCREW IN THE
MIDDLE OF THE ARCH AND
ALLOWS US TO MAKE SOME ROOM
IN THIS DIMENSION, THE
TRANSVERSE DIMENSION BECAUSE
THE PATIENT IS REALLY REALLY
CROWDED AND DON'T HAVE
ENOUGH ROOM HERE.
AS WELL AS WHEN THIS PATIENT
WOULD BE BITING, THE LOWER
TEETH, THE UPPER TEETH WOULD
BE BITING ON THE INSIDE AND
WHAT WE CALL A CROSS BITE.
THIS IS A SITUATION WE WANT
TO GET IN EARLY BECAUSE WE
WANT A PATIENT THAT'S CRUNG
AND GROWING AND OBVIOUSLY WE
WANT TO MAKE AS MUCH CHANGE
AS POSSIBLE EARLY ON TO HELP
WITH THE OTHER TEETH THIS
PATIENT HERE, THE
DEMONSTRATION MODEL IN AN
OLDER PATIENT YOU CAN SEE
ALMOST ALL OF THEIR
PERMANENT TEETH HAVE COME
DOWN BUT IF WE HAD A CHANCE
TO GET IN EARLIER WE MIGHT
HAVE HAD MORE ABILITY TO
MAKE ROOM AND THESE TEETH
COME IN STRAIGHTER, THEREBY
NEGATING FURTHER TREATMENT
OR MAKING IT EASIER AND
SHORTER WHICH IS THE NUMBER
ONE QUESTION FOR US.
“HOW LONG IS MY BRACES GOING
TO BE ON ME?”
AND HE LIKE TO KEEP IT TO AS
SMALL A TIME AS POSSIBLE.

Maureen says SO WOULD THE
KIDS USUALLYLY.
ALL RIGHT, LET'S GO TO
TAHARA IN SCARBOROUGH.
HELLO, TAHARA.
ARE YOU THERE?
NO?
OKAY, WE'LL TRY TO GET HER
BACK UP.
OKAY, KAREN IN BELLEVILLE IS
THERE.
HI.

Karen says HI.

Maureen says WHAT'S YOUR
QUESTION?

Karen says HI.
I HAD MY SON TO AN
ORTHODONTIST ABOUT A YEAR
AND A HALF AGO AND THEY SAID
THAT HIS ORTHODONTIC
PROBLEMS WERE AS A RESULT OF
LARGE ADENOIDS AND HE SHOULD
HAVE THEM REMOVED AND IF HE
HAD THEM REMOVED A LOT OF
HIS PROBLEMS MAY BE
CORRECTED BUT WE DIDN'T GO
AHEAD AND DO IT BECAUSE WE
RELOCATED TO BELLEVILLE, AND
I TOOK HIM IN TO HAVE HIS
ADENOIDS LOOKED AT AND THEY
SAID THEY WON'T REMOVE HIM
BECAUSE OF HIS AGE BUT HIS
TEETH HAVE REALLY SUFFERED.
HE HAS A REALLY LARGE OVERBITE
TOP OF HIS MOUTH QUITE NAIRE
ROW.
I WAS WONDERING, IF I WAS TO
HAVE THEM REMOVED NOW WOULD
THAT CORRECT SOME OF THE
PROBLEM OR IS IT PERMANENT
OR WHAT WOULD YOU SUGGEST?

Rano says SURE.
IT'S KIND OF HARD TO MAKE A
DIAGNOSIS OVER THE PHONE BUT
I CAN GIVE YOU A FEW GENERAL
BAROMETERS YOU CAN LOOK AT.
HOW OLD IS YOUR SON NOW?

Karen says HE'S ELEVEN AND A HALF
NOW AND HE'S A BIG LAD.

Rano says SURE.
PRETTY MUCH WHAT YOU SEE IS
WHAT YOU'RE GOING TO GET
UNFORTUNATELY WITH AN
ELEVEN-YEAR-OLD.
HE'S GONE THROUGH A MAJOR
GROWTH AND DEVELOPMENT PHASE
ALREADY AT PROBABLY AGES SIX,
SEVEN EIGHT NINE, WE GO
THROUGH A BIT OF A GROWTH
SPURT.
YOU PROBABLY NOTICED IT
YOURSELF.
AND WHAT YOU HAVE TO
REMEMBER, THE TEETH DON'T
JUST OPERATE ON THEIR OWN.
THE WHOLE HEAD AND NECK WORK
TOGETHER AND THE ADENOIDS,
WHICH ARE FOUND IN THE BACK
OF THE THROAT, ALSO CONFUSED
WITH CONSTABLE SILLS,
THEY'RE ALL LYMPHATIC TISSUE
AND WHAT THEY DO IS FIGHT
OFF BACTERIA AND WHEN WE GET
THROAT INFECTIONS THESE TEND
TO ENLARGE.
YOU CAN PROBABLY TELL TODAY
I HAVE A BIT OF A COLD
MYSELF AND MY LYMPH NODZ ARE
ALL ENFLAMED BECAUSE OF IT
AND WHAT YOUR ORTHODONTIST
WAS TRYING TO EXPLAIN TO YOU,
BECAUSE THEY WERE LARGE AND
SWOLLEN THEY WERE EFFECTING
HOW THINGS WERE GROWING.
YOU MENTIONED HIS UPPER ARCH
SEEMED A LITTLE BIT NARROW
AND V-SHAPED AND PROBABLY
HAS WHAT YOU WERE DESCRIBING
AS A LITTLE BIT OF AN OVER
BITE.
SOMETIMES IT EVEN EFFECTS
HOW WE BREATHE CAN WE BECOME
MOUTH BREATHERS BECAUSE THE
TISSUES ARE BLOCKING HOW WE
CAN BREATHE THROUGH OUR
NOSE.
WHAT I WOULD DO THOUGH IS
SIT DOWN, TALK TO MY
ORTHODONTIST AND MAYBE HAVE
A LITTLE TALK WITH AN EAR
NOSE AND THROAT SPECIALIST
YOUR AREA.
YOU'RE LUCKY BECAUSE
BELLEVILLE HAS A GREAT
HOSPITAL, GOOD CHILDREN'S
HOSPITAL THERE, I KNOW QUITE
A FEW PEOPLE THERE, AND JUST
GET A LITTLE BIT OF ADVICE
FROM THEM.
IF HE IS CONTINUING TO
BREATHE THROUGH HIS MOUTH,
HAVING TROUBLE BREATHING
THAT COULD BE REASON ENOUGH
TO HAVE THEM REMOVED.
IT MAY NOT EFFECT EXACTLY
WHAT'S GOING ON NOW WITH HIS
TEETH AND THE STRUCTURE OF
HIS JAWS BECAUSE AS I SAID,
FROM A GROWTH POINT OF VIEW
HE'S KIND OF PAST IT, BUT I
KNOW IT WILL MAKE THE
ORTHODONTIST'S JOB A LOT
EASIER BECAUSE IF HE
CONTINUES IN HIS MOUTH
BREATHING PATTERN IT'S VERY
HARD FOR US TO CLOSE THE
BITE AND GET A PROPER
OCCLUSION IF THAT'S THE WAY
THE PATIENT IS ALWAYS
BREATHING BECAUSE THEY'RE
ALWAYS GOING TO BE IN THAT
OPEN MOUTH POSTURE WITH
THEIR CHIN DROPPED A LITTLE
BIT.

Maureen says REALLY.
THANK YOU FOR YOUR CALL.
SHAR RAN, AS THE POPULATION
AGES, WHAT KIND OF DENTAL
PROBLEMS ARE YOU EXPECTING
TO FLOOT YOUR OFFICE AS BABY
BOOMERS MOVE INTO OLD AGE?

Sharan says WE'RE
STARTING TO SEE ALREADY A
LARGE INCREASE IN THE NUMBER
OF PATIENTS IN AGES BETWEEN
35 AND 55 TO GET PERIO
TONIGHTIC WORK.
IF YOU -- PEER YO DON'T
PARTICULAR WORK.
IF YOU READ THE STUD HEYS,
ANY ESTIMATE PEGS 15PERCENT OF THE
GENERAL POPULATION HAVE
SOMETHING HAPPENING.
CERTAINLY AS WE HAVE A LARGE
NUMBER OF PEOPLE ENTERING
MIDDLE AGE NOW THEY ARE
SEEKING TREATMENT AND PART
OF IT IS A CULTURAL THING
BECAUSE THESE ARE PEOPLE WHO
WERE BROUGHT UP IN THE '50s
AND '60s WHEN THAT FIRST
IDEA OF GOOD ORAL HEALTH,
KEEPING YOUR TEETH AND GUMS
HEALTHY WAS VERY, VERY
POPULAR, ESPECIALLY IN NORTH
AMERICA SO WE'RE SEEING A
HUGE INCREASE IN PATIENTS.
WE HAVE -- I THINK IT WOULD
BE FAIRLY START NOW --
STANDARD NOW THAT MOST ADULT,
WHETHER THEY'RE AWARE OF IT
NOW, BUT I'M SURE THEIR
DENTIST HAS BEEN KEEPING
TRACK OF THE GUMS AND THE
HYGIENIST HAS BEEN KEEPING
TRACK OF THE GUMS AND YOU
SHOULDN'T BE UPSET OR
SURPRISED IF WHEN YOU GO IN
FOR YOUR NEXT CLEANING IF
THE HYGIENIST OR DENTIST
MENTIONS TO YOU: “YOU KNOW
WHAT?
THIS AREA IS NOT LOOKING SO
GREAT, I WOULD LIKE IT SEND
TO YOU A SPECIALIST.”
A LOT OF THE TIMES IT'S JUST
FOR A CONSULTATION, JUST
MAYBE TO DISCUSS WHAT OTHER
TREATMENT OPTIONS ARE
AVAILABLE TO THE PATIENT IT.
DOESN'T NECESSARILY ALWAYS
MEAN SURGERY OR TAKING A
TOOTH OUT.
SO I THINK PEOPLE SHOULDN'T
BE SCARED TO BE REFERRED TO
THE DENTIST -- TO THE
ORTHODONTIST --
PERIODONTIST.
(LAUGHING)

Maureen says HERE'S ANOTHER
TEETH GRINDER BY E-MAIL BUT
THIS IS ONLY A
SEVEN-YEAR-OLD.
SHE GRINDS HER TEETH VERY
BODILY.
I CAN EVEN HEAR THIS SOUND
IN MY ROOM SHECHLT DOES IT
EVERY NIGHT.
WHAT ARE THE REASONS FOR
TEETH GRINDING?
IS THERE ANYWAY I CAN HELP
HER TO PREVENT THIS?

Rano says SURE.
THERE'S MANY REASONS BUT
PROBABLY THE TWO MAJOR ONES
ARE LOOSE TEETH, STIMULATING
THAT SORT OF FUNCTION WHERE
WE'RE GRINDING THE TEETH
BECAUSE THE BABY TEETH ARE
LOOSE NOW AND AT SEVEN
THAT'S DEFINITELY A
POSSIBILITY, THE BABY TEETH
ARE GETTING LOOSE.
ALSO IT'S HOW WE'RE
PROGRAMED.
YOU MENTIONED TO ME EARLIER
THAT YOU WERE GRINDING YOUR
EAST AND I DO IT MYSELF.

Maureen says I'M PRETTY SURE
IT'S STRESS RELATED.

Rano says THEY SAY THAT'S HOW WE
MANIFEST OUR STRESS AND IF
YOU LOOK HISTORICALLY THEY
LOOKED AT STRESS REDUCTION
THERAPY, HYPNOSIS, EVEN
MEDICATION TRY AND STOP
PEOPLE, BUT THERE'S NO GOOD
WAY TO STOP THAT.
I WOULD LOOK AT THE WEAR AND
TEAR ON MY CHILD'S TEETH AT
SEVEN TO SEE IF THEY'RE
GRINDING JUST BECAUSE IT'S A
BABY TOOTH THAT'S LOOSE OR
GRINDING AWAY AND DAMAGING
THE PERMANENT TEETH.
THE WORRY AT SEVEN IS
THEY'LL HAVE PERMANENT
MOLARS AND PROBABLY INCISORS
AT THAT POINT AND IF YOU
CONTINUE TO GRIND -- IT'S
JUST LIKE ABRASION OF ANY
SUBSTANCE AND YOU WILL WEAR
AWAY THE TEETH.
AS A REMEDY FOR THEM, GET
THEM INTO THE DENTIST.
THEY MAY SUGGEST YOU MAKE AN
APPLIANCE CALLED A NIGHT
GARTH OR A LITTLE BRUXTIS
APPLIANCE, I DON'T HAVE A
GOOD EXAMPLE OF ONE, BUT IT
WOULD LOOK SOMETHING LIKE
THIS, SIMILAR TO WHAT THIS
APPLIANCE IS.
IT WOULD JUST COVER THE
BITING SURFACES, WOULDN'T GO
INTO THE SORT OF THE DEPTH
OF THE TEETH AT ALL.

She shows a teeth mould with a transparent acrylic cap.

Maureen says IT'S ONLY ON THE
BOTTOM.

Rano says WELL, IT CAN BE MADE FOR
THE BOTTOM OR TOP IF YOU
WANTED TO, DEPENDING WHICH
TEETH ARE TAKING THE WEAR
AND TEAR AND WHAT THE
PATIENT'S MORE COMFORTABLE
FOR.
WE FIND COVERING THE PALATE
WITH ANY TYPE OF APPLIANCE,
WHETHER A DENTURE OR
ORTHODONTIC APPLIANCE OR
GRINDING APPLIANCE IS
UNTOMORROW COURTABLE FOR
PATIENTS SO WE TEND TO MAKE
THEM FOR THE BOTTOM.
GIVES MORE ROOM, BUT THEN
YOU'RE SORT OF IMPEDING THE
TONGUE SPACE AS WELL.
AND WHAT HAPPENS JUST GRIND
THE APPLIANCE DOWN,
UNFORTUNATELY, AND THAT HAS
TO BE REMADE.
THIS ALSO COULD BE JUST A
TEMP REQUIREARY PHASE SO,
HOLD TIGHT.
IF YOU'RE NOT TOO WORRIED,
IF YOUR SON OR DAUGHTER
ISN'T COMPLAINING ABOUT AN
AFROM THE ACTUAL GRINDING OF
THE TEETH OR SENSITIVITY OF
THE TEETH BECAUSE THEY'RE
GRINDING AWAY THEIR ENAMEL,
KEEP AN EYE ON IT, AS I SAID,
MAKE SURE THE DENTIST KNOWS
SO THEY CAN DOCUMENT THIS.

Maureen says WATCH THE
GRINDING.

Rano says EXACTLY AND THEY CAN
ACTUALLY MEASURE IT OR TAKE
SOME PHOTOGRAPHS AT THIS
POINT AND MONITOR IT
THROUGHOUT.
THEY MAY ASK FOR YOU TO
BRING YOUR CHILD IN, JUST
FOR AS I SAID A MONITORING
APPOINTMENT, PHOTOGRAPH OR
MEASUREMENTS EVERY COUPLE OF
MONTHS TO SEE HOW IT'S
GOING.

Maureen says OKAY.
OLIVIA IS IN TORONTO.
HE WILL COME, OLIVIA.

Olivia says OH, HI, I LOVE
YOUR SHOW.

Maureen says THANK YOU.

Olivia says MY QUESTION IS I
WANTED TO KNOW IF USING A
WHITENING TOOTHPASTE LIKE
PEARL DROPS, IS THAT GOING
TO MAKE YOUR TEETH -- LIKE,
DOES IT MAKE YOUR TEETH
THINNER EVERY TIME YOU USE
IT?
BECAUSE I KNOW THAT IT'S
KIND OF LIKE A BLEACHING
METHOD.

Maureen says YEAH, THAT'S
THAT SCARE WE USED TO HEAR
ABOUT PEARL DROP, IS THAT
YOU'RE WEARING THE ENAMEL
OFF OR SOMETHING LIKE THAT.
WHAT DO YOU THINK?

Sharan says IT'S,
UM, IT'S PRETTY HARMLESS.
ALL OF THE WHITENING
TOOTHPASTES HAVE A SMALL
ABRASIVE POWDER IN IT.
MOST OF THEM IT'S
BICARBONATE AND THERE'S VERY,
VERY LITTLE CHANCE OF YOU
WEARING AWAY THE ENAMEL.

Maureen says BUT A LOT OF
TOOTHPASTES ARE COMING OUT
NOW SAYING THAT THEY ARE
WHITENING TOOTHPASTES.
NOW WHEN YOU PUT IT ON A
SCALE, THE TREATMENT THAT
YOU GET DONE IN THE DENT TI'S
OFFICE, THE 30 DOLLAR KIT YOU BUY
AND THE STUFF IN THE
TOOTHPASTE, YOU KIND OF GET
WHAT YOU PAY FOR THERE DO
YOU FIGURE?

Sharan says I
THINK SO.
THAT'S KIND OF THE SCALE IN
TERMS OF FREQUENCY AND HOW
LONG IT WILL ACTUALLY TAKE
YOU TO GET SOME RESULT.

Maureen says YEAH.
MY DAUGHTER TRIED TO PUT IN
THE SHOPPING CART ON THE
WEEKEND A 2.50 DOLLAR SOMETHING OR
OTHER.
THEY'RE PROMISED TO BE
TOOTHPASTE AND MOUTHWASH IN
ONE.
AND I TOLD HER I THOUGHT
THAT WAS A GIMMICK.
I THINK THEY'RE ALL
TOOTHPASTE AND MOUTH WASH,
SORT OF, RIGHT?

Rano says WELL IN
A SENSE THEY ARE.
TOOTHPASTE OR GEL IS JUST A
DESCRIPTIVE TERM FOR WHAT
WE'RE USING, AND MOUTHWASH
IS SORT OF THE RINSE, THE
NAME THAT WE USE FOR THE
RINSE.
I THINK WHAT THEY'RE
PROBABLY DOING IS THEY'RE
PROBABLY HAVING A PASTE IN A
GEL FORMULA IN ONE.
I THINK I KNOW WHICH ONE
YOU'RE TALKING ABOUT.
AND IT DOES FRESH SHEN YOUR
BREATH.
DOES SORT OF -- YOU CAN
BRUSH YOUR TEETH AND
EVERYTHING -- DOES SHE STILL
HAVE HER BRACES ON?

Maureen says YEAH.

Rano says I THINK I WOULD
JUST STICK WITH SOMETHING --
JUST A REGULAR TOOTHPASTE
WITH FLORD RIDE.

Maureen says I DIDN'T HAVE
THE BRACES THING --

Rano says THAT'S
RIGHT, GOT TO WORK WITH THE
CRISIS.
AND WAIT FOR HER TO GET HER
BRACES OFF AND THEN DISCUSS
TO HER WHY SHE WOULD WANT TO
USE SOMETHING LIKE THIS
THERE'S NO SUBSTITUTE FOR
GOOD BRUSHING AND FLOSSING
AS I'M SHER HER ORTHODONTIST
TOLD HER AND THERE'S LOTS OF
MOUTH RINSES ON THE MARKET
AND I KNOW IT'S AN EXTRA
STEP AND SHE DOESN'T WANT TO
SPEND THE TIME BUT STILL, IT
PROBABLY IS A LITTLE BIT OF
A BETTER FORMULATION FOR
HER.

Maureen says THAT'S A GOOD
POINT.
WHY WOULD SHE NEED TO WHITE
TEN HER TEETH BECAUSE SHE
DOESN'T OPEN HER MOUTH --

Rano says WHAT I'M WORRIED ABOUT,
THE BRACES, WE USE A SPECIAL
ADHESIVE AND SHEAS GOING TO
END UP WHERE THE SQUARES
WHERE THE BRACES ARE AROUND
THE WHITE TENNING AND A LOT
OF MY PATIENTS ASK ME THIS
BECAUSE THEY BECOME MORE
AWARE OF THE APPEARANCE OF
THEIR TEETH AND I SAY WAIT
YOU HAVE YOUR BRACES OFF.
WE SUGGEST YOU GO BACK TO
YOUR DENTIST FOR A CHECK-UP,
DISCUSS IT WITH THEM AND IF
THEY RECOMMEND SOMETHING,
TRY IT OUT.
START OFF WITH THE OVER THE
COUNTER TYPE PRODUCTS LIKE
YOU WERE SAYING, THE PEARL
DROPS OR THE AQUA FRESH
WHITENING.
I DON'T WANT IT NAME A
SPECIFIC BRAND.

Maureen says THEY'RE ALL OUT
THERE.

Rano says BUT SEE IF THAT DOES A
JOB BECAUSE IT COULD BE A
LITTLE BIT MORE SORT OF
BETTER ORAL HYGIENE WILL GET
YOU HAPPY TO THE LEVEL WHERE
YOU'RE HAPPY WITH THE COLOUR
OF YOUR TEETH.

Maureen says OKAY.
SANDY IS IN COCHRANE.
HI SANDY?
HI, SANDY?

Sandy says YES, GO AHEAD.

Maureen says I THOUGHT YOU
WERE THERE.
YOU GO AHEAD.

Sandy says OKAY.
I'VE HAD CAPPED TEETH FOR
OVER 20 YEARS IN THE FRONT
AND THEY WERE GREAT, BUT THE
LAST FEW YEARS THEY'VE BEEN
SEPARATING AND GOING
CROOKED.
CAN THESE BE FIXED?
AND NUMBER TWO, WOULD IT BE
AN EXPENSIVE PROCEDURE AND
CAN ANY DENTIST DO IT?

Maureen says WHO IS THIS?
SHARON?
A COMBINATION HERE I THINK?
OKAY, SHARON FIRST.

Sharan says HI,
SANDY.
IF THE, IF YOUR TEETH -- IF
YOU NOTICE THE GAPS ARE
OPENING UP IN THE TEETH THAT
YOU NEVER HAD BEFORE, YOU
SHOULD REALLY GET YOURSELF
TO YOUR GENERAL DENTIST.
LET THEM KNOW THAT THIS IS
WHAT'S HAPPENING.
LET THEM KNOW THE TIMEFRAME
THAT IT'S HAPPENED OVER.
YOU KNOW, IT'S KIND OF
DIFFICULT TO SAY WHAT THE
MAIN CAUSE WOULD BE.
GENERALLY, IN ADULTS WHEN
THIS IS HAPPENING IT'S
BECAUSE OF LOSS OF THE BONE
SUPPORT UNDERNEATH THE GUM
SO THAT IS PERIODONTAL
PROBLEM.

Maureen says OKAY.

Sharan says SO YOU KNOW, MENTION IT
TO YOUR DENTIST AND ASK FOR
A REFERRAL TO A
PERIODONTIST.
CAN IT BE FIXED?
YEAH, IT CAN GENERALLY BE
FIXED.
THING YOU GOT 20 YEARS OUT
OF THOSE CROWNS THAT IS
GREAT!
BECAUSE YOU KNOW, THAT'S
TERRIFIC WEAR ON THEM.

Maureen says OH.

Sharan says IS IT
EXPENSIVE TO FIX?
IT DEPENDS ON THE AMOUNT OF
TREATMENT THAT YOU NEED.
THERE ARE DIFFERENT WAYS TO
FIX IT.
ONCE YOU GET THE GUM DISEASE
UNDER CONTROL, YOU HAVE A
COUPLE OF OPTIONS.
ONE WOULD BE TO RE-MAKE THE
CROWNS SO THAT THERE WERE NO
MORE GAPS ANY LONGER AND THE
SECOND OPTION WOULD BE TO
SEE THE -- SEE YOUR LOCAL
ORTHODONTIS, BECAUSE SHE
WOULD BE ABLE TO REALIGN
THEM THEN.

She points at Rano.

Maureen says SO I THINK WHAT
YOU'RE SAYING IS THAT NO,
NOT JUST ANY DENTIST CAN DO
THIS, YOU'RE GOING TO HAVE
TO BE REFERRED.

Sharan says YOU
PROBABLY WOULD HAVE TO SEE A
SPECIALIST.

Rano says AND I
THINK IN COMBINATION, AS
SHARON WAS SAYING, GO IN
TELL YOUR DENTIST WHAT'S
GOING ON, FIND OUT THE CAUSE
OF WHAT'S REALLY BEHIND ALL
OF THIS.
GET RID OF THAT CAUSE, IS
THE MOST IMPORTANT THING,
GET THAT UNDER CONTROL.
SO IF YOU DO HAVE A LITTLE
BIT OF GUM DISEASE OR BONE
DISEASE THAT'S UNDERLYING IT,
WE WANT A GOOD, CLEAN
ENVIRONMENT.
AND THEN DECIDE WHAT YOU
WANT TO DO.
AS SHARON WAS SAYING, IF YOU
WANT TO GO AND HAVE NEW
CROWNS MADE GO, AHEAD, HAVE
SOME NEW CROWNS MADE.
IF YOU LIKE THE APPEARANCE
OF THE CROWNS THAT YOU HAVE
AND MAYBE ECONOMICALLY,
BECAUSE EVERYONE WILL GIVE
YOU A QUOTE FOR THEIR WORK,
IN FACT NORMALLY IT WORKS
OUT BETTER TO JUST GO AND
SEE THE ORTHODONTIST TO HAVE
THEM ALIGNED.
WE DO A LOT OF WORK -- AS I
SPOKE ABOUT EARLIER, WE DO
HAVE PROBABLY A MAJORITY OF
PATIENT BASES IN THE SORT OF
UNDER 16-YEAR-OLD RANGE,
PROBABLY ABOUT 60PERCENT BUT I DO
A LOT OF ORTHODONTICS ON
ADULTS FOR ALL DIFFERENT
REASONS AND ALL DIFFERENT
SITUATIONS.
SOMETIMES IT'S JUST FOR ONE
OR TWO TEETH, SOMETIMES IT'S
FULL SORT OF ORTHODONTIC
TREATMENT, SOMETIME IT'S, AS
IN YOUR CASE, WHERE SOME
TEETH HAVE STARTED MOVING,
WE GET THAT UNDER CONTROL,
PUT THEM BACK TO WHERE THEY
SHOULD BE.

Maureen says OKAY, GOOD LUCK.
THANK YOU, SANDY.
WE'RE TALKING ABOUT DENTAL
HYGIENE AND DENTAL HEALTH
THIS AFTERNOON WITH THE
DENTAL SISTERS, DOCTOR RANO
BURTON, WHO IS AN
ORTHODONTIST AND DOCTOR SHARON
GOLINA, A PERIODONTIST.
IF YOU HAVE QUESTIONS FOR
THEM HERE ARE THE NUMBERS TO
CALL:
IN TORONTO, THE NUMBER IS 416 484-2727.
LONG DISTANCE, OUR TOLL FREE
NUMBER 1-888-411-1234
AND YOU CAN E-MAIL YOUR QUESTION TO
MORETOLIFE@TVO.ORG
LET'S GET INTO
BRACES A LITTLE BIT, AND YOU
WERE JUST TELLING ME BEFORE
THE SHOW THAT YOU'VE BEEN TO
SOME KIND OF SEMINAR ON THE
VERY LATEST THING ON THE
INVISIBLE BRACES.

Rano says RIGHT.

Maureen says WHAT ARE THEY
CALLED?

Rano says THERE'S
A NEW PRODUCT THAT'S BEEN
OUT AND I'M SURE PEOPLE ARE
MORE FAMILIAR WITH, IT'S
CALLED INVISILINE, TOUTED AS
INVISIBLE BRACES AND WHAT IT
ACTUALLY IS A SERIES OF
CLEAR APPLIANCES THAT ARE
USED IN CONJUNCTION WITH
REGULAR ORTHODONTIC
TREATMENT, OR AS OPPOSED TO
ORTHODONTIC TREATMENT,
DEPENDING ON WHAT THE CASE
REQUIRES.
NOW, AFTER SPENDING A DAY AT
THE SEMINAR AND HAVING QUITE
A BIT OF READING TO DO
BEHIND ALL OF THIS WORK,
IT'S LIKE ANY ORTHODONTIC
PROCEDURE THAT'S OUT THERE
AND AVAILABLE TO ANYBODY.
IT'S CASE-SPECIFIC,
DEPENDING ON WHAT PATIENTS
COME IN WITH.
UNFORTUNATELY AT THIS POINT
IT'S QUITE LIMITED ON WHERE
WE CAN APPLY IT.
AND ONLY CERTAIN
ORTHODONTISTS WILL BE ABLE
TO ACCESS THIS SPECIFIC
INVISILINE SYSTEM.

Maureen says WHY IS WHAT?

Rano says IT'S OUT
OF CALIFORNIA, THROUGH ONE
LAB ONLY AND WE NEED TO DO
THIS SPECIFIC COURSE.
IT'S AVAILABLE TO ALL OF US
AND I'LL TELL YOU NOW THERE
WERE OVER 100 ORTHODONTISTS
AT THIS COURSE I WENT TO, SO
I THINK IT'LL JUST BE A
QUESTION OF TIME BUT I
SHOULD TELL THAT YOU THIS
TYPE OF TREATMENT AGAIN HAS
BEEN AVAILABLE TO US FOR
OVER 30 YEARS.
WE'VE DONE IT IN CONJUNCTION
WITH OUR LAB TECHNICIANS
THAT WE TRAIN, OR WE MAKE
THE APPLIANCES OURSELVES.
IT'S BASICALLY FOR MINIMAL
TOOTH MOVEMENT, THOUGH.
AND JUST TO GIVE YOU AN IDEA,
I PROBABLY HELD UP SOMETHING
EARLIER THAT WE WERE TRYING
TO TALK ABOUT, ABRUXING
APPLIANCE, BUT THESE ARE
BASICALLY THE CLEAR
APPLIANCES.
I DON'T KNOW IF YOU CAN SEE
THEM VERY WELL.
THEY DO COVER ALL THE TOOTH
SURFACE.
AND WHAT WE DO NOW IS WE
TAKE IMPRESSIONS OF YOUR --
IF I WAS TO DO THEM ON YOU,
I'D TAKE I AM IMPRESSIONS ON
YOU NOW USING A VERY
SPECIFIC IMPRESSION
MATERIAL.
WE SEND THEM ALL OFF TO THIS
LAB IN CALIFORNIA, AND WHAT
THEY ACTUALLY HAVE AND WHAT
MAKES THEM UNIQUE IS THAT
THEY HAVE A COMPUTER
PROGRAMME THAT CAN ANALYZE
YOUR TEETH AND PREDICT THEM
TO BEING STRAIGHT.
WHAT THEY THEN DO, THEY SEND
US AN E-MAIL FILE, WE GO
THROUGH THE TREATMENT PLAN,
AND OKAY IT TO MAKE SURE
THAT WHAT THEY'RE SUGGESTING
IS WHAT WE WANT TO HAVE DONE
AS AN ORTHODONTICTIST, AND
THEN THEY FABRICATE A SERIES
OF APPLIANCES, AS I SAID,
THAT YOU NEED TO WEAR.
NOW I'LL TELL YOU, IT'S 20
TO 24 HOURS OF WEAR OF THESE
APPLIANCES PER DAY.
THEY'RE NOT AS SIMPLE AS
SOME OF THE ADS SORT OF MAKE
THEM OUT TO BE, AND YOU HAVE
TO BE VERY GOOD ABOUT
WEARING THEM BECAUSE AS YOU
CAN IMAGINE, A LITTLE BIT OF
SORT OF OH, I'M NOT GOING TO
WEAR THEM FOR THIS WEEKEND,
I HAVE TO GAY WAY, IT COULD
REALLY SET YOUR TREATMENT
BACK.

She shows two teeth impressions.

Maureen says SO THAT'S THE
DIFFERENT BETWEEN THAT AND
REGULAR BRACES, IT SOMES
OFF.

Rano says THAT'S RIGHT WITH.
US WE HAVE A LITTLE BIT MORE
CONTROL WITH TRADITIONAL
BRACES BECAUSE THEY'RE
ACTUALLY FIXED, WE USED A
HEESIVES, AS I SAID, FOR THE
BRACES TO BE ON AND ALSO I
JUST WANTED TO SHOW YOU ONE
THING BECAUSE I WAS SMART
ENOUGH TO BRING IN A FEW
MORE PROPS THIS TIME.
AND WE DO HAVE CLEAR BRACES.
AGAIN, I DON'T KNOW IF YOU
CAN GET A GOOD SHOT BUT
THESE TEETH ACTUALLY HAVE
BRACES ON THEM AND FOR A LOT
OF MY PATIENTS WHO ARE
CONCERNED ABOUT THE
APPEARANCE OF BRACES AND
ALMOST ALL OF MY ADULT
PATIENTS, I HAVE TO SAY, WE
USE THESE CLEAR OR WHITE
BRACES AND I DON'T KNOW IF
YOU CAN SEE, BUT THEY'RE
PRETTY GOOD.
THEY'RE NOT AS STINGIVE AS
SAY IF YOU LOOK AT THE SIDE,
SORT OF MORE TRADITIONAL
BRACES THAT WE WERE USING
BEFORE.
THIS IS WHAT I HAD THE JOY
OF WEARING WHEN I WAS ABOUT
12 YEARS OLD.
AND THERE ARE REALLY VERY
FEW SETBACKS WITH THESE
CLEAR OR WHITE BRACES.
THEY'RE SLIGHTLY LAJER.
WE NEED TO OBVIOUSLY
MAINTAIN REALLY GOOD ORAL
HEALTH WITH THEM.
ANY LITTLE SORT OF BIT OF
FOOD OR STAINING IS GOING TO
SHOW UP, AND AS WELL THE
PROCEDURES OF HOW WE PUT
THEM ON AND TAKE THEM OFF
ARE SLIGHTLY DIFFERENT SO IT
MIGHT JUST TAKE A LITTLE BIT
LONGER WHEN YOU'RE AT THE
ORTHODONTIST.

Maureen says I LIKE THE
JEWELED ONES.
I SAY IF YOU'RE SPENDING
THAT KIND OF MONEY, FLAUNT
IT.
LET EVERYBODY KNOW.
SO IF YOU WANT TO SEE THEM
LATER, CALL UP AND ASK FOR
THE JEWELED ONES.
LET'S GO TO MARY IN
PEMBROKE.
HI MARY?

Mary says HI.

Maureen says HI.

Mary says MY QUESTION IS
ABOUT MY CHILDREN.
THEY'RE SEVEN AND FIVE.
THEY BOTH HAVE HAD BEAUTIFUL
STRAIGHT BABY TEETH.
MY SEVEN-YEAR-OLD'S TEETH,
HIS GROWN-UP TEETH HAVE COME
IN CROOKED, CROWDED.
THE DENTIST SAYS, AND I'M
WONDERING IS THERE ANY
ADVANTAGE TO GETTING SOME
BABY TEETH PULLED?
AND ALSO MY FIVE-YEAR-OLD
HAS LOST ONE TOOTH ON THE
BOTTOM AND HER BIG TEETH ON
THE BOTTOM BOTH ARE COMING
IN ON THE INSIDE OF HER
LITTLE TEETH.
AND I'M WONDERING SHOULD SHE
HAVE THEM PULLED?
AND ALSO I GUESS I'M TRYING
TO AVOID BRACES LATER.

Maureen says YEAH, CERTAINLY.

Mary says THAT WOULD HELP,
IF THEY CAN BE PULLED.

Rano says IN SOME CASES YOU JUST
JUST CAN'T AVOID BRACES SO
IF YOUR CHILDREN ARE IN THAT
CATEGORY, JUST GET PREPARED
AND GET READY FOR IT.
IT'S NOT AS BAD AS A
PROCEDURE, I THINK AS PEOPLE
THINK THAT IT IS.
BUT JUST TO ANSWER YOUR
QUESTIONS SPECIFICALLY, WHEN
WE SEE THAT BEAUTIFUL SMILE
ON LITTLE CHILDREN WITH
THEIR PRIMARY TEETH OR THEIR
BABY TEETH WHERE YOU'VE GOT
NO SPACING AND JUST
ABSOLUTELY GORGEOUS, THAT
ALWAYS RINGS BELLS AND SENDS
OFF FLAGS FOR ORTHODONTISTS
BECAUSE WE KNOW THAT THEY'RE
GOING TO BE IN TROUBLE LATER
ON.
THE WAY THAT HUMANS ARE MADE,
WE NEED AS MUCH SPACING AS
WE CAN FOR OUR PERMANENT
TEETH, AS YOU CAN IMAGINE
BABY TEETH VERSUS PERMANENT
TEETH.
THE SIZING IS QUITE A
SUBSTANTIAL CHANGE SO UNLESS
YOUR CHILD IS GOING TO GROW
THAT MUCH TO INCORPORATE THE
PERMANENT TEETH, THEY WILL
NEED A LITTLE BIT OF HELP
GUIDING THEIR TEETH IN
WHETHER IT'S A QUESTION OF
JUST STRATEGICALLY AS YOU
SORT OF GUESSED AT TAKING
BABY TEETH OUT TO MAKE ROOM
FOR THE PERMANENT TEETH, OR
WHETHER OR NOT THEY MAY NEED
SOME SORT OF ORTHODONTIC
INTERVENTION, YOUR
SEVEN-YEAR-OLD DEFINITELY I
WOULD GET IN TO SEE YOUR
DENTIST AND THEN ASK THEM IF
THEY HAD A SPECIFIC
ORTHODONTIST THAT THEY'D
WORKED WITH, ESPECIALLY
THAT'S GOOD WITH YOUNGER
CHILDREN THAT YOU COULD SIT
DOWN AND ACTUALLY JUST HAVE
A DISCUSSION WITH.
YOU MIGHT FOUND OUT THAT
NOTHING IS ACTUALLY DONE AT
THAT APPOINTMENT, BUT
THEY'LL ANSWER A LOT OF YOUR
QUESTIONS AND YOU REALLY
WANT TO MAKE IT SPECIFIC FOR
YOUR CHILD.
YOUR FIVE-YEAR-OLD, I HIGHLY
DOUBT IF THEY HAVE ANY
PERMANENT TEETH IN, SO JUST
HANG ON AND SIT TICHLT AS
YOU KNOW, SHARON AND I ARE
SISTERS AND WE LOOK NOTHING
ALIKE SO PEOPLE CAN COME IN
ALL DIFFERENT SHAPES AND
SIZES EVEN IF THEY'RE
SIBLINGS.
SHARAN HAD BEAUTIFULLY
STRAIGHT TEETH FROM THE
START AND I DID A FEW THINGS
MADE MY TEETH CROOKED.
I ACTUALLY SUCKED MY FINGERS
WHEN I WAS LITTLE.
OH, MY MOTHER'S GOING TO GET
UPSET BUT IT ACTUALLY MADE
MY TEETH CROOKED AND I
NEEDED ORTHODONTIC TREATMENT
AT THE TIME.
SO IF YOUR CHILD IS DOING
ANYTHING LIKE THAT, SUCKING
THEIR THUMB OR FINGER OR
STICKING THEIR TUNG BETWEEN
THE TEETH, SUCKING ON THE
END OF A BLANKET OR A TOY OR
CHEWING ON A PEN OR ANYTHING
THAT COULD INTERFERE --

Sharan says YOU WANT
TO DISCOURAGE THAT AS MUCH
AS POSSIBLE.

Rano says EXACTLY,
STOP IT RIGHT AWAY.
SHARAN'S MIDDLE SON --

Maureen says WHAT DOES HE DO?

Sharan says SUCKS HIS FINGERS.

Maureen says DID YOU GIVE
THEM PACIFIERS?

Sharan says HE
NEVER HAD A PACIFIER, FROM
THE DAY HE WAS BORN HE
SUCKED HIS FINGERS AND WE'RE
GRINNING AND BEARING IT AND
HOPING WE'LL GET AN DISCOUNT
WHEN THE TIME COMES.

Rano laughs.

Maureen says THAT WAS
INTERESTING WHAT SHE SAID.
IF A KID HAS BEAUTIFUL
STRAIGHT TEELT THAT ALL FIT
IN THE MOUTH YOU KNOW
THEY'RE IN TROUBLE LATER.

Rano says WE
ALMOST KNOW RIGHT AWAY THIS
IS GOING TO BE A PROBLEM,
ESPECIALLY IF YOU KNOW A
LITTLE BIT OF THEIR GENETIC
HISTORY AS WELL, IF ONE OF
THE PARENTS HAS CROOKED
TEETH OR HAD TO HAVE
ORTHODONTIC TREATMENT OR HAD
TO HAVE TEETH OUT, TELLS
THAT TALE OF “OH, I HAD TO
HAVE SOME TEETH OUT TO MAKE
ROOM FOR ALL MY TEETH” YOU
PRETTY WELL KNOW THAT.
AND I KNOW IT'S KIND OF AN
UNFORTUNATE THING BUT VERY
RARELY DO WE GROW THAT MUCH
IN THE FACIAL REGION TO
INCORPORATE THE SIZE OF OUR
TEETH.

Sharan says WE
USUALLY DON'T ADVOCATE
TAKING OUT BABY TEETH TO
MAKE ROOM FOR PERMANENT
TEETH BECAUSE THE BABY TEETH
DO HAVE A FUNCTION.
YOU KNOW, THEY DO --
ACTUALLY THEY WORK AS SPACE
MAIN TINNERS -- MAINTAINERS
AND THEY DO SORTS OF KEEP
THE FORM OF THE ARCH.
SO I THINK SHE DID ASK WOULD
YOU SPECIFICALLY TAKE OUT --

Rano says YEAH.

Sharan says YOU
KNOW MORE ABOUT THIS THAN I
DO, BUT IT'S COMMON FOR
YOUNG TEENAGERS TO HAVE SOME
PERMANENT TEETH OUT AS PART
OF THEIR -- IN CONJUNCTION
WITH THEIR ORTHODONTIC
TREATMENT, BUT IT WOULD
REALLY BE UNLIKELY THAT YOU
WOULD HAVE TO TAKE OUT SOME
OF THE BABY TEETH.

Maureen says OKAY, AND AS FAR
AS COST GOES, WHICH MAY BE
WHAT A LOT OF PEOPLE ARE
AFRAID OF, IT IS -- IT WAS A
RELIEF TO ME TO FIND THERE'S
SORT OF A PAYMENT PLAN AT MY
ORTHODONTIST'S.
PAY HALF UP FRONT AND THE
REST IS IN MONTHLY
INSTALLMENTS.
DO YOU HAVE THAT?

Sharan says WE
HAVE A BETTER…

Rano says WE HAVE
A BETTER DEAL.
I'M ALWAYS TOLD WE'RE THE
BEST DEAL SORT OF IN OUR
AREA.
DEFINITELY YOU CAN WORK WITH
YOUR ORTHODONTIST.
OUR PRIMARY GOAL IS TO GET
THE PATIENT THE TREATMENT
AND WE WORK AROUND THINGS.
A LOT OF PEOPLE HAVE
INSURANCE COVERAGE.
AND WE WORK WITH THEM ON
THAT AND HOPEFULLY WE
EXPLAIN IT TO THEM PROPERLY.
NORMALLY IN OUR OFFICES WE
HAVE ONE STAFF MEMBER WHO
DEALS WITH MOST OF THE SORT
OF FINANCING OF IT BECAUSE
THEY USUALLY ARE THE ONES
THAT YOU'LL TALK TO ABOUT IT
AND THEY DEAL WITH IT
SPECIFICALLYLY.
BUT SURE.
I MEAN, I KNOW IN OUR OFFICE
FOR AS MANY PATIENTS AS WE
HAVE, WE PROBABLY HAVE THAT
MANY PAYMENT PLANS AS WELL.

Maureen says OKAY, GOOD.
GOOD LUCK, THANK YOU, MARY.
SUZIE IS IN TORONTO.
HI SUZIE.

Suzie says THANK YOU VERY
MUCH.

Maureen says YOU'RE WELCOME.

Suzie says THAT'S A QUESTION
FOR SHARON, AND I WONDERED
IF THERE IS AN ANTIBIOTIC
TREATMENT FOR PERIODONTAL
PROBLEMS THAT HAS -- YOU
KNOW, POCKETS?
WHERE A PERSON MAY HAVE
POCKETS?
AND THE OTHER QUESTION IS
ARE OUR DENTISTS IN CONTACT
WITH OTHER COUNTRIES THAT --
THAT, YOU KNOW, TREAT
PERIODONTAL PROBLEMS
PROBABLY IN A DIFFERENT WAY?
I'D JUST LIKE TO HEAR WHAT
YOU HAVE TO SAY.

Sharan says WELL
THOSE ARE TWO GOOD
QUESTIONS.
GOOD GOOD QUESTIONS.
ANTIBIOTICS ARE FREQUENTLY
USED IN THE TREATMENT OF
PERIODONTAL DISEASE.
THEY'RE USED IN DIFFERENT
WAYS.
THEY CAN BE GIVEN IN THE
VERY CONVENTIONAL PILL FORM,
AND YOU MAY HAVE THAT GIVEN
TO YOU AFTER YOU HAVE A
SURGICAL PROCEDURE DONE, YOU
MAY HAVE IT GIVE TO YOU
AFTER A SERIES OF DEEP
CLEANINGS, AND AGAIN, WE'RE
JUST TRYING TO JUST LOWER
THE TOTAL AMOUNT OF BACTERIA
AND THE INFLAMMATION THAT'S
BEING CAUSED IN THE TISSUE
BECAUSE OF IT.
THERE ARE OTHER WAYS TO
ADMINISTER ANTIBIOTICS TO
TREAT PERIODONTAL
DISEASE.
THERE ARE SPECIAL ANTIBIOTIC
GELS WHICH CAN BE SQUIRTED
DOWN INTO THE POCKETS.
THERE ARE ANTIBIOTIC
IMPREGNATED RESORBABLE
FIBRES WHICH CAN BE TUCKED
INTO THE POCKET AND RELEASE
THE ANTIBIOTIC IN A LOCAL
AREA SO IT DOESN'T AFFECT
YOUR ENTIRE BODY.
A LOT OF PATIENTS FIND THOSE
VERY EASY.
THE PROBLEM IS THAT THEY'RE
A LITTLE BIT TIME CONSUMING
AND THEY CAN COME OUT -- THE
FIBRES CAN COME OUT AND
PATIENTS HAVE TO BE A LITTLE
BIT MORE CAREFUL WITH THEIR
HOMECARE AND TECHNIQUE WHEN
THEY'RE HAVING THAT TYPE OF
TREATMENT DONE.
AND THAT TYPE OF LOCAL
DELIVERY SYSTEM, AS WE CALL
IT YOU WOULD NEED TO COME
BACK TO YOUR PERIODONTIST
FOR MULTIPLE VISITS.
SO THERE ARE GOOD POINTS AND
BAD POINTS FOR ALL OF THEM.
THE GOOD POINT IS OBVIOUSLY
YOU'RE NOT TAKING AN
ANTIBIOTIC THAT'S GOING TO
AFFECT YOUR ENTIRE SYSTEM
BUT YOU KNOW THERE'S A
TRADE-OFF IN TERMS OF THE
NUMBER OF VISITS.
AND THERE ARE MANY
INTERNATIONAL PERIODONTAL
ASSOCIATIONS WHERE WE ARE IN
CONTACT WITH MANY COUNTRIES.
YOU KNOW, OUR JOURNALS SHARE
ARTICLES FROM DIFFERENT
COUNTRIES ALL THE TIME AND
THERE IS A GOOD EXCHANGE, I
THINK IN THE WHOLE DENTAL
COMMUNITY INTERNATIONALLY.
IN TERMS OF DIFFERENT
TREATMENT MODALITIES, I
THINK PROBABLY WITHIN NORTH
AMERICA AND WESTERN EUROPE,
YOU'RE NOT SEEING A WHOLE
LOT OF DIFFERENCE IN THE WAY
MANY DENTAL AREAS ARE BEING
APPROACHED.
IT'S PRETTY UNIFORM.
EVERYTHING'S MOVING AT A
VERY, VERY FAST PACE IN
TERMS OF RESEARCH.
AND BUT IT'S BEING EXCHANGED
FREELY SCOMPIRNGS THAT THERE
IS -- FREELY, AND I THINK
THAT THERE'S REALLY NOT A
LOT OF DIFFERENCE IN THE
WAY -- ESPECIALLY ARROYO
DON'TAL WORK IS BEING
TREATED.

Maureen says DENTISTRY IS NOT
LIKE MEDICAL -- DO YOU SERVE
A RESIDENCY AS A DENTIST?
IT'S OPTION ALG, RIGHT?

Rano says IT'S
OPTIONAL IF YOU WANT TO OR
NOT.
BASICALLY WHEN YOU GRADUATE
FROM DENTAL SCHOOL OFF
LICENSE TO PRACTICE AND IT'S
UP TO YOU WHERE YOU'RE GOING
TO SET UP.

Maureen says IF YOU GUYS WERE
HIRING A NEW STUDENT INTO
YOUR PRACTICE, WOULD YOU
KIND OF KEEP AN EYE ON THEM
FOR THE FIRST LITTLE SGHIL.

Sharan says SURE.

Rano says YEAH, OF
COURSE YOU DO AND IF NOTHING
ELSE, YOU KEEP AN EYE ON
YOUR PATIENTS IS THE MORE
IMPORTANT THING.
I THINK ALL OF US BECOME
VERY EMOTIONALLY -- I DON'T
KNOW IF PATIENTS REALIZE IT.
I THINK MY PATIENTS REALIZE
THAT BUT WE ALL BECOME VERY
EMOTIONALLY ATTACHED TO OUR
PARENTS AND THEIR WELFARE IN
GENERAL IS IMPORTANT TO US.
SO WE WOULDN'T JUST WANT
ANYBODY DOING WORK ON THEY
WILL.
SHARON AND I ARE BOTH
SPECIALISTS SO THAT'S YEARS
AND YEARS OF TRAINING AFTER
DENT TRIS TREE,
UNFORTUNATELY, FOR BOTH OF
US.
SO IT'S NOT LIKE WE'RE GOING
TO HIRE IN NEW, FRESH SORT
OF ORTHODONTISTS OR
PERIODONTISTS.
I TEETH THIRD YEAR ORTHO AT
UNIVERSITY AND I WANT TO SAY
HI TO ALL MY STUDENTS
BECAUSE I HAD TO DUCK OUT
THIS MORNING ON THEM, AND I
KNOW THAT THEY COME TO ME
WITH QUESTIONS AS MUCH FROM
A PATIENT MANAGEMENT POINT
OF VIEW AS WELL AS FROM AN
ORTHODONTIC STANDPOINT.
THEY'RE ASKING ME TECHNIQUE
BUT ALSO WHAT DO WE DO FOR
THIS PATIENT TO MAKE THE
EXPERIENCE BETTER?
SO THERE'S ALWAYS
CONVERSATION.
AND THE NICE THING ABOUT OUR
PROFESSIONS AS WELL IS THAT
EVERYBODY TENDS TO HELP EACH
OTHER AND PASS THINGS DOWN
SO THAT YOU'LL HAVE
COLLEAGUES OR CLASSMATES OR
AS SHARON SAID, WHEN YOU'RE
AT CONFERENCES OR AT
CONTINUING EDUCATION, YOU
CAN ALWAYS AND AND TALK TO
ANOTHER COLLEAGUE ABOUT
SOMETHING AND THEY'RE ALWAYS
HAPPY TO HELP YOU.

Maureen says THE SISTERS, THE
WEEKLY CALL.

Rano says WELL,
DAILY CALLS FOR US.

Maureen says YEAH IS THAT
RIGHT?
ALL RIGHT, HERE'S ONE FROM
NINA IN TORONTO.
AID FEW SILVER FILLINGS
REPLACED WITH NEWER WHITE
FILLINGS FOR COSMETIC
REASONS, SINCE THEN I'VE HAD
SIGNIFICANT PAIN WHILE
CHEWING AS IF I'M BITING
DOWN ON THE NERVES.
I'VE NEVER NEVER HAD A
PROBLEM LIKE THIS THIS IN MY
LIFE.
I'VE GONE IN SEVERAL TIMES
TO MY DENTIST AND HE HAS
FILED DOWN THOSE FILLINGS
WHICH HAS HELPED SOMEWHAT.
HE CLAIMS THAT THE MODERN
FILLINGS ARE HARDER THAN THE
SILVER SO THEY SOMETIMES
CAUSE PROBLEMS LIKE THIS.
HE NOW REFUSES TO FILE DOWN
ANYMORE, STATING THAT
THEY'RE OKAY.
I'VE NOT CHEWED ON THE LEFT
SIDE SINCE ALL OF THIS
HAPPENED AND I'M VERY
FRUSTRATED.
SHARAN, DO YOU WANT TO GIVE
HER SOME ADVICE?

Sharan says YOU
KNOW, IT'S -- IT CAN BE
TRYING.
WHAT WE'RE SEEING -- NOT
PERSONALLY, NOT RANO AND I
PERSONALLY BECAUSE WE DON'T
DO FILLINGS IN PATIENTS BUT
WE DO SEE PATIENTS WHO HAVE
WHITE FILLINGS IN THEM.
I'VE HAD THREE DONE MYSELF.
I HAD SOME RECURRENT DECAY
AND I HAD TO HAVE THEM
REPLACE ASKED BECAUSE THEY
WERE NEAR THE FRONT MY
DENTIST JOE, HI JOE, SAID
THAT HE WOULD PUT THE WHITE
FILLINGS IN.
THERE IS A PERIOD OF
SENSITIVITY AFTER YOU HAVE
THE WHITE FILLINGS DONE.
YOU CAN'T GET AWAY FROM IT.
IT'S THERE, IT'S GOING TAKE
ITS TIME.
YOU SHOULD FIND THAT IT'S
SLOWLY DECREASING, THAT IT'S
GETTING A LITTLE BIT EASIER.
AND HONESTLY, IF IT'S NOT
GETTING BETTER GO, BACK.
GO BACK TO YOUR DENTIST, AND
YOU KNOW, TALK TO HIM
HONESTLY AND SAY LOOK, I
REALLY CAN MOTT DEAL WITH
THIS.
I UNDERSTAND THAT HE ADJUSTS
THE OCCLUSION, FILED THINGS
DOWN AND THAT'S COMMONLY
WHAT NEEDS TO BE DONE.
IF HE'S ADJUSTED THE
OCCLUSION AND IT'S, YOU KNOW,
IT'S SPOT-ON AND PERFECT, HE
CAN'T --

Maureen says HE CAN'T REALLY
DO --.

Sharan says
BECAUSE THEN HE STARTS
COMPROMISING THE FILLING AND
THE TOOTH, BUT I WOULD
CERTAINLY SUGGEST THAT SHE
GO BACK TO HER DENTIST AND
JUST TALK ABOUT IT AND --

Maureen says BY FAIFRG THE
OTHER SIDE, IS SHE PROLONGING --
DO YOU HAVE TO FORCE
YOURSELF TO CHEW ON THE
PAINFUL SIDE?

Sharan says I
DON'T THINK SO.

Maureen says NO?
SEE, MY MOTHER WOULD SAY
“IT'S GOT TO HURT.”
OKAY, NINA, GOOD LUCK.
THANK YOU FOR YOUR E-MAIL.
KELLY IS IN DONE DACHLT HI
KELLY.

Kelly says HELLO.

Maureen says HI.

Kelly says I THINK THIS
QUESTION IS FOR SHARON BUT I
WANTED TO SAY HIGH TO RANO
BECAUSE I E-MAILED HER AND
TOLD HER I WOULD WATCH TO
YOU.

Rano says HOW ARE
YOU.

Maureen says BUT
YOU TIMELY WANT TO TALK TO
SHARON.
ALL RIGHT, GO AHEY.

Kelly says MY SON IS 19
MONTHS OLD AND I BRUSH HIS
TEETH ONCE A DAY AT NIGHT
TIME BUT NOW WE'VE KIND OF
GOT INTO THE ROUTINE OF
HAVING FRUIT WHILE HE GETS
HIS READ TIME BEFORE HE GOES
TO SLEEP AND I'M WONDERING
IF THAT'S NOT GOOD FOR HIS
GUMS OR TEETH WHEN I LET HIM
EAT GRAPES AND APPLES AND
THEN HE GOES TO SLEEP.
OR WHETHER I SHOULD -- IT'S
TOO INCONVENIENT TO BRUSH
AFTER HE'S RELAXED AND
ALMOST READY TO GO TO SLEEP.

Sharan says RIGHT,
YOU DON'T WANT TO AGITATE
THEM, ESPECIALLY IF YOU'RE
GOING TO BEDTIME.
I SO KNOW WHERE YOU'RE
COMING FROM.
YOU KNOW, IDEALLY, AFTER YOU
BRUSH YOU DON'T WANT THEM TO
HAVE ANYTHING CONTAINING
SUGAR.
AND FRUIT REALLY DOES HAVE A
HIGH SUGAR CONTENT.
THE ONLY THING THAT I COULD
SUGGEST, THAT IF YOU'RE --
YOU KNOW, IF YOU REALLY
DON'T WANT TO CHANGE HIS
BEDTIME ROUTINE, IS THAT,
YOU KNOW, HAVE A GOOD BRUSH.
TRY TO GIVE HIM THE FRUIT
MAYBE BEFORE YOU BRUSH OR
GET HIM TO HAVE A GOOD RINSE
OUT WITH WATER OR A GOOD
SUCH WATER AFTER HE HAS THE
FRUIT.

Maureen says I SEE KIDS, NOT
VERY OLD WITH NO BOTTOM
TEETH IN THE FRONT OR NO
FRONT TEETH AND YOU KNOW
THAT THESE ARE KIDS WHO
MAYBE BROUGHT THE BOTTLE
INTO BED OR WHATEVER AND
THEY'VE ALREADY LOST BABY
TEETH TO TOOTH DECAY.
IT'S VERY SAD SO WHAT COULD
YOU DO?
YOU'VE GOT YOUR LITTLE
INFANT THERE AND YOU'RE
FEEDING THEM A BOTTLE AND
THEY FALL ASLEEP DRINKING
THE BOTTLE.
THAT'S HOW I PUT MY KIDS TO
SLEEP.
BUT I DIDN'T LET THEM BRING
THE BOTTLE -- NO, YOU DON'T
WANT TO WAKE THEM UP.

Sharan says YOU
DON'T WANT TO WAKE THEM UP.
A COUPLE OF THINGS THAT I
TRIED WOULD BE, YOU KNOW,
SORT OF GOING WITH A WET RAG
WHILE THEY'RE ASLEEP VERY
GENTLY AND JUST HAVING A
LITTLE WIPE AROUND THE
ARCHES OF THEIR TEETH.
YOU KNOW, IT'S SO HARD TO
SAY, BECAUSE WHEN CHILDREN
ARE SMALL, YOU DON'T WANT TO
DISTURB THEIR ROUTINE, BUT
YOU KNOW, IT REALLY IS SO
IMPORTANT TO GET A GOOD
REGIME FOR THEIR ORAL HIJ
SCHREEN STARTED EARLLY.
THE EARLIER YOU DO IT THE
SIMPLER IT'S GOING TO BE.
MY FOUR-YEAR-OLD NOW WHEN HE
GETS MEAT STUCK BETWEEN HIS
TEETH SAYS HE WANTS TO
FLOSS.
HE KNOWS HE SHOULDN'T HAVE
THAT FEELING AND THE SOONER
THAT YOU BRING IT INTO THEIR
DAILY ROUTINE, THE EASIER IT
WILL BE ON YOU.
I KNOW 19 MONTHS IS -- YOU
KNOW, MY KIDS REALLY DIDN'T
HAVE A WHOLE LOT OF TEETH AT
19 MONTHS SO I REALLY DIDN'T
HAVE A LOT TO WORRY ABOUT.
BUT IT'S AN AGE WHERE, YOU
KNOW, THEY'RE TODDLER,
THEY'RE IF HE FINT, THEY MAY
NOT WANT TO OPEN THEIR MOUTH
AND YOU DON'T WANT TO MAYBE
SET UP A NEGATIVE ROUTINE
AROUND THE TOOTHBRUSHING SO
JUST RYE YOUR BEST TO KEEP
EVERYTHING CLEAN.
AS I SAID, TRY TO NOT GIVE
THE FRUIT.
IF WORSE COMES TO WORSE, LET
THEM HAVE A GOOD DRINK OF
WATER TO TRY TO SWISH IT
AROUND AND DILUTE THE SUGAR
IN THE MOUTH.

Maureen says AND THESE KIDS
I'VE SEEN WITH THE DECAYED
BABY TEETH THAT ARE GONE, I
SUPPOSE -- LIKE YOU WERE SAY,
BABY TEETH ARE THERE FOR A
PURPOSE SO THESE ARE KIDS
WHO MAY SORT OF HAVE
DIFFICULT --

Rano says YOU'RE
JUST SETTING YOURSELF UP FOR
A SERIES OF PROBLEMS.
AS SHARON WAS SAYING, BABY
TEETH ARE THERE FOR A REASON
TO FUNCTION SO WE CAN EAT,
AND ALSO TO HELP SPEECH
DEVELOPMENT BUT ALSO TO HOLD
SPACE FOR THE PERMANENT
TEETH THAT ARE GOING TO COME
DOWN, AND TO HELP PRESERVE
THE BONE THAT THE TEETH ARE
ACTUALLY IN AS WELL.
YOU LOSE TEETH FOR ALL
DIFFERENT REASONS.
WE'VE HAD A COUPLE OF KIDS
COME THROUGH BECAUSE OF
TRAUM MARKS SLIPPED ON THEIR
ICE KNOCKED THEIR FRONT
TEETH OUT.
NOT ONLY ARE THEY BRUISED
AND BLOODIED BUT THEN WE
HAVE TO GET THE TEETH OUT.
YOU CAN MAKE SPACE RETAINERS
FOR THESE PATIENTS, I'VE
DONE IT FOR A COUPLE OF THE
KIDS AND THE MOMS ARE GREAT,
THEY GIVE ME A LOT OF
FEEDBACK.
THEY KNOW NOT TO HIT TAIT,
CALL THE OFFICE IF THERE'S A
PROBLEM AND AS SOON AS THE
PERMANENT TEETH ARE COMING
THROUGH, WE REMOVE THE SPACE
MAINTAINERS.
THE OTHER PROBLEM THAT CAN
SET UP THOUGH IS THE TOOTH
SITS IN BONE AND ALSO IS
SURROUNDED BY GUM TISSUE,
WHICH IS MADE OF FIBRES.
IF WE LOSE THE BABY TEETH
THE GUMS CAN GET A LITTLE
TUT AND IT'S HARD FOR
PERMANENT TEETH TO COME
THROUGH SO IT COULD BE JUST
A PAINFUL SITUATION, AND WE
DON'T WANT A SIX-YEAR-OLD OR
SEVEN-YEAR OLD GOING THROUGH
THAT TYPE OF SITUATION
BECAUSE THEY'LL ACTUALLY
REMEMBER IT WHEN YOU'RE
ANYWHERE FROM 0 TO TWO YEARS
OLD WHEN CUTTING BABY TEETH
USUALLY YOU DON'T REMEMBER
THOSE MONTHS OR YEARS, SO
YOU DON'T REMEMBER THE PAIN
OF TEETHING BUT WHEN YOU'RE
OLDER AND YOU DO -- AGAIN,
YOU KNOW, YOU DON'T WANT TO
SET UP A SUDDEN NEGATIVE
FEEDBACK ABOUT THAT.

Maureen says I SEE.
ALL RIGHT, DEBORAH IS NEXT
IN COBOURG.
HI DEBORAH.

Deborah says HI, I HAVE TWO
QUICK QUESTIONS.
MY FIRST, I HAVE DAUGHTER
WHO'S ALMOST FIVE AND SHE
HAS AN UNDERBITE AND IT WAS
EVIDENT SINCE SHE'S HAD
TEETH IS THERE ANYTHING WE
CAN BE DOING TO HELP HER
BEFORE SHE GETS HER SECOND
TEETH OR IS IT SOMETHING WE
NEED TO WAIT FOR?

Rano says THIS IS ACTUALLY A GOOD
EXAMPLE OF SOMETHING WE
SHOULD GET ONTO FAIRLY EARLY
BECAUSE WE HAVE SEVERAL
OPTIONS AT THE AGE OF FIVE
OR EVEN UP UNTIL THE AGE OF
ABOUT TWELVE THAT YOU CAN
DO.
OBVIOUSLY SHE SHOULD BE INTO
A DENTIST.
THEY MAY NOT REALIZE THAT WE
CAN GET IN EARLY WITH BABY
TEETH AT THIS POINT,
DEPENDING ON WHAT IS CAUSING
HER UNDER BITE.
AND THAT'S WHY AGAIN I'M
GOING TO SAY GO SEE AN
ORTHODONTIST, WHICH SEEMS TO
BE A PHRASE I'M SAYING A LOT
TODAY, BUT REALLY, WE ARE
TRAINED IN DISCERNING WHAT
IS CAUSING THE PROBLEMS.
SOMETIMES IT'S ACTUALLY A
JAW-RELATED PROBLEM AND IN
THAT CASE SHE CAN TART
WEARING A LITTLE CHIN-CUP AT
NIGHT WHEN SHE'S SLEEPING
THAT CAN HELP REDIRECT HOW
HER JAWS ARE GROWING AND IT
MAY ACTUALLY JUST CORRECT
SITUATION.
WHAT WE DON'T WANT HAPPENING
IS THAT HER PERMANENT TEETH
ARE COMING LOU THIS THIS
UNDER BITE SITUATION BECAUSE
AS WE TALKED ABOUT IT
EARLIER, IT'S GOING TO START
A SEQUENCE OF EVENTS THAT
ARE JUST GOING TO BE HARDER
AND HARDER TO UNRAVEL, IF
YOU UNDERSTAND WHAT I'M
TRYING TO SAY.

Maureen says SO FIVE IS NOT
TOO YOUNG TO GET THIS LOOKED
AT.

Rano says IN THIS
SITUATION FROM WHAT I'M
UNDERSTANDING NO, I WOULD
DEFINITELY GET HER IN TO SEE
SOMEONE.
IF IT'S JUST A TOOTH-RELATED
PROBLEM, THEY CAN GUIDE YOU
THROUGH THE SIGNS AND WHAT
YOU SHOULD BE LOOKING FOR AS
HER BABY TEETH ARE FALLING
OUT AND PERMANENT TEETH ARE
COMING IN.
IF IT'S ACTUALLY A
JAW-RELATED PROBLEM, THERE
ARE DEFINITE THINGS WE CAN
GET IN RIGHT NOW AND DO.
IF NOTHING ELSE, WE CAN
MEASURE THE JAWS AND GIVE
YOU AN IDEA OF WHERE SHE IS
ON THE GROWTH CHARTS.
BECAUSE THOSE ARE SOMETHING
THAT WE CAN USE TO HELP
PREDICT HOW BIG HER JAWS ARE
GOING TO GET.
IF IT'S A COMBINATION OF
BOTH, AGAIN WE CAN GET IN
THERE AND DO A LITTLE BIT OF
WORK, DEPENDING ON WHERE THE
MAIN CAUSAL FACTOR IS.

Maureen says ALL RIGHT, THANK
YOU, DEBORAH, FOR THE CALL.
FOR YOU DAYS AGO MY HUSBAND
NOTICED SOMETHING IRRITATING
AND HURT A MOLAR. HE
PICKED AT IT FOR A WHILE AND
WOKE THE NEXT DAY WITH A
GREY, SWOLLEN BULGE ON HIS
GUM.
I ADVISED HIM TO SWISH
AROUND A SALT WATER SOLUTION
WHICH HE DID FOR A FEW DAYS,
NOW IT SEEMS TO BE GONE.
DOES HE STILL NEED TO GET
THIS CHECKED AT THE DENTIST?
ALSO WHAT ABOUT THE
CONNECTION BETWEEN CERTAIN
GUM DISEASES AND HEART
PROBLEMS.
SHARON?
WHAT'S THAT BULGE FIRST?

Sharan says IT'S AN ABSCESS.

Maureen says MEANING WHAT?

Sharan says A COLLECTION OF PUS.
HE'S HAD A SMALL LOCAL
IRRITATION IN THE AREA.
IT MAYBE SOMETHING GOT
WEDGED BETWEEN THE GUM
TISSUE AND TOOTH.
POPCORN IS THE WORSE WORST
OFFENDER FOR THAT.

Maureen says IF IT'S GONE
IT'S FINE?

Sharan says IT'S FINE, BUT HE SHOULD
GET TO A DENTIST BECAUSE IT
MIGHT BE A MORE SERIOUS
PROBLEM, UNDER LYING
PROBLEM.
HE MAY HAVE LOST SOME BONE
IN THAT AREA AND IF YOU HAVE
A POCKET IN THAT AREA IT MAY
NEED TO BE CLEANED OUT,
EITHER BY YOUR DENTIST OR
PERIODONTIST.
SO HE SHOULD GO IN.

Maureen says DO YOU WANT TO
TALK A BIT ABOUT GUM DISEASE
AND HEART DISEASE.

Sharan says YEAH,
THERE'S SOME INTERESTING
WORK COMING OUT ABOUT THE
CONNECTION WEAN THE TWO.

- CONNECTION BETWEEN THE
TWO.
AND WHAT WE'RE FINDING IS
THAT IN SOME OF THE CORONARY
ARTERY PLAQUES THAT FORM IN
THE HEART, THEY'RE ISOLATING
THE SAME BACT TEAR I CAN'T
THAT IS -- SAME BACTERIA
THAT IS FOUND IN GUM
DISEASE.
AND IT'S NOT TO SAY THERE'S
A DIRECT CAUSAL RELATIONSHIP,
ALTHOUGH I THINK MAYBE SOME
OF THE MEDIA REPORTS ARE
MAYBE PORTRAYING IT THAT WAY
A LITTLE BIT.

Maureen says YES.

Sharan says IT'S
NOT REALLY, REALLY THAT
DIRECT.
WE DON'T KNOW IF IT'S
BECAUSE THERE'S A WEAKENING
OR A DISTURBANCE IN THE CORN
TERRY ARTERY THAT ANY
BACTERIA THAT'S IN YOUR BODY
WOULD BE DRAWN TO THAT AREA,
AND WOULD FIND IT AND WOULD
NEST IN IT.
OR IF IT'S BECAUSE OF THE
BACTERIA THAT THAT LITTLE
IRRITATION IS STARTING.
THEY HAVEN'T ACTUALLY BEEN
ABLE TO PROVE THAT LINK YET.

Maureen says BUT IF YOU
ANDURB FLOSS AND, YOU KNOW,
I MEAN, THAT'S JUST GOOD
ADVICE ANYWAY, NO MATTER
WHETHER YOU'RE A CANDIDATE.

Sharan says BRUSHING AND FLOSSING IS
JUST GOOD ADVICE ANYWAYS.
CERTAINLY IF YOU HAVE HEART
DISEASE OR IF YOU HAVE A
FAMILY HISTORY OF HEART
DISEASE, IT'S SOMETHING THAT
YOUR DENTIST SHOULD BE AWARE
OF.
YOU SHOULD SEE YOUR FAMILY
DOCTOR AND MAKE SURE THAT
YOUR BLOOD PRESSURE IS FINE,
AND IF YOU'VE HAD A RECENT
HEART ATTACK YOU SHOULD
CERTAINLY LET YOUR DENTIST
KNOW, EVEN THOUGH YOU MAY
THINK IT'S NONE OF THEIR
BUSINESS.

Maureen says REALLY?

Sharan says OH,
YEAH.

Maureen says GOOD ADVICE.
WE HAVE LESS THAN A MINUTE
BUT I WANT YOU TO TALK TO
THE KIDS OUT THERE OR THEIR
MOMS ABOUT BRACES.
WHAT ARE THE MOST IMPORTANT
THINGS TO REMEMBER SO WHEN
THEY COME OFF EVERYBODY'S
HAPPY?

Rano says AS WE
ALWAYS SAY BRUSH AND FLOSS
AND MAKE SURE YOU'RE
LISTENING TO WHAT YOUR
ORTHODONT TIGS IS SAYING TO
YOU ABOUT ANY ADJUNCTIVE
THERAPY WE MIGHT ASK.
IF WE'RE ASKING TO YOU WEAR
ELASTICS, PLEASE WEAR THEM.
IF WE'RE ASKING YOU TO DO A
SPECIFIC TIME OF -- TYPE OF
MUSCLE TRAINING EXERCISE,
TRY AND DO IT.
TRY AND KEEP IT NICE AND
CLEAN.
WE APPRECIATE IT YOUR TEETH
WILL APPRECIATE IT AND
YOU'RE GOING TO HAVE A
FANTASTIC SMILE AT THE END
OF IT.

Maureen says THANK YOU, THIS
WAS FANTASTIC, THANKS FOR
COMING IN.
RANO BURTON, AN ORTHODONTIST
AND SHARAN GOLINI, A
PERIODONTIST.
FOR MORE INFORMATION WE HAVE
A COUPLE OF WEBSITES TO
CHECK OUT:

A slate appears on screen. It reads “Ontario dental Association. www.dental.oda.on.ca. Ontario Association of Orthodontists. www.oao.on.ca.”

Maureen says AND THAT’S IT FOR THIS
EDITION OF “MORE TO LIFE” I’M
MAUREEN TAYLOR, THANK YOU FOR
WATCHING AND JOIN US MONDAY
THROUGH FRIDAY, 1 TO 2 O’CLOCK.

Watch: Dentistry