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General Dentistry (Prevention)

Kelowna Dental Centre can help you achieve optimal oral health with services ranging from prevention, gum disease (periodontics) to root canals (endodontics) alignment (orthodontics) to oral surgery and replacement of missing teeth. We can address cosmetic concerns, with services such as teeth whitening and veneers.

Seeing a general dentist regularly will help you maintain good oral health, as well as detect any potential problems before they become serious. Early detection and prevention helps to limit pain and suffering as well as fees.

Moreover, the mouth is the gateway to the body. There is a proven connection between oral health and many conditions throughout the body including heart disease, diabetes, cancer, arthritis, bone loss premature and low-birth babies and even erectile dysfunction.

Science indicates scheduling routine checkups and cleanings at least twice a year is best.
Serious problems may be exist without pain or obvious symptoms to alert you. Conditions in the mouth can change quickly and regular visits will ensure early detection and intervention.

If you have underlying conditions or disease, our dental professionals will let you know if you need additional appointments or treatments.

Pediatric Dentistry

Yes. You see your dentist regularly, and so should your child. Regular visits to a children’s dentist can help your little ones avoid the pain and discomfort caused by cavities and decay, and can help them establish good oral hygiene habits that will help maintain excellent lifelong oral health.

According to the American Academy of Pediatric Dentistry (AAPD), your child should see a children’s dentist at least twice a year, starting six months after the first tooth emerges.

Teeth begin to emerge between the ages of 6 months and 10 months. The two front-lower incisors usually break through first.

Hygiene Services

You don’t have a skilled hygienist to help you maintain your oral health on a daily basis, but by brushing and rinsing at least twice a day and flossing daily, your at-home oral hygiene routine can keep your teeth and gums healthy between your routine dental visits. Our care team will make any recommendations during your routine check-up and professional cleaning (such as a fluoride rinse or particular toothpaste) that will benefit your particular needs.

Services your hygienist will perform during your cleaning include:
• A review of your dental and medical history
• An oral cancer screening
• An evaluation of your overall oral health
• Radiographs (Bitewings, periapical and panoramic available) to detect decay or disease
Photographs of smile, bite, tooth alignment, shade
DIAGNOdent screening for early caries detection (tests the density / softness of your enamel)
• Removal of stains, plaque, and tartar
Periodontal Probing - A measure of your tissue pockets to assess your gum and bone health
• A fluoride application
• Sealants / assessment of the need for sealants
• Polishing of all teeth
• A treatment plan of any areas of concerns by priority
• Estimates of needed treatment
• Referrals to specialists if indicated
• A predetermination of treatment coverage for insurance
• A goodie bag including a new toothbrush, tooth paste, floss sample
• At-home oral health education and instruction

Additional services available during this appointment
Orthodontics consultation if needed
• In-office whitening
• 3 Dimensional Cone Beam (CBCT) Diagnostic Imaging

The best practice based on scientific findings is to schedule two routine visits each year in order to prevent decay and maintain optimal oral health.

Even if you take excellent care of your teeth and gums at home, you still need to see a dentist regularly. Your dentist can check for problems that you may not see or feel. Many dental problems don't become visible or cause pain until they are in more advanced stages. Examples include cavities, gum disease and oral cancer. Regular visits allow your dentist to find early signs of disease so problems can be treated at a manageable stage.

Your dentist may suggest that you visit more or less often depending on how well you care for your teeth and gums, problems you have that need to be checked or treated, how fast tartar builds up on your teeth, and so on.
Ask yourself the following questions:
• Do I floss every day?
• Do I brush twice a day with a fluoride toothpaste and follow my dentist's instructions on how to brush properly?
• Do I eat a well-balanced diet, including food from all food groups, and limit sweets and sticky foods?
• Do I smoke?
• Do I have a history of cavities or gum disease?
• Is my overall health good?
• Is my stress level high?
• Do I have systemic diseases including diabetes, or a weakened immune system?
• Am I pregnant or using oral contraceptives (increased risk of gum disease)
• Do my gums bleed when I clean my teeth? Are they tender, swollen or red?

Timing of dentist visits should not be driven by your benefits package, if you have one. Some patients may need treatment every four months, but their coverage is every nine months, but it is not wise to let insurance dictate treatment.

Teeth Cleaning

For new patients to our practice, the doctor will do a comprehensive exam including photos and radiographs. Then the hygienist will clean your teeth to remove any build-up of tartar and plaque from your teeth and at the gum line, polish your teeth, and apply a preventative fluoride treatment. How much a teeth cleaning costs depends on your particular dental situation and the extent of the plaque and tartar that needs to be removed.

Once we have an idea of your oral health and home care habits, we are better able to estimate your needs and therefore the fees for future visits.

A professional teeth cleaning will remove stains and your teeth will appear whiter; however, if you are looking for a dramatic change, at Kelowna Dental Centre, we offer teeth-whitening services that can give you a dramatically whiter smile quickly and affordably.

Our doctors at Kelowna Dental Centre recommend looking for dental products with the Canadian Dental Association’s (CDA) Seal of Acceptance. Pick toothpaste with fluoride in it to fight cavities. Your rinse should also have fluoride and bacteria-fighting properties.

Fluoride

Evidence shows that dental fluoride treatment should be included as part of your regular dental care. If you are at moderate to high risk for cavities, the doctor may recommend supplementing your professional dental care with an at home fluoride treatment. If you have a history of restorative work, gum disease, sensitive teeth, or a variety of other conditions, you may be more susceptible to tooth decay, and regular fluoride treatments can play an essential role in maintaining a healthy, white smile.

In children under 6, fluoride is incorporated in to the developing permanent teeth. This helps prevents decay from developing and even reverse early stages of decay when it starts.

Early childhood tooth decay can be painful, may cause infection and is difficult and expensive to treat. Therefore, by a child’s first birthday, the parents should consult a health professional knowledgeable in the areas of early childhood tooth decay and the benefits of fluoride. Your health professional will help to determine the child’s risk of developing tooth decay and whether there would be a benefit from the application of fluoride.

According to the Canadian Dental Association, high risk factors include children that
• live in an area with a non-fluoridated water supply, such as Kelowna
• have a visible defect, notch, cavity or white chalky area on a baby tooth in the front of the mouth.
• regularly consume sugar (even natural sugars) between meals, including use of a bottle or sippy cup filled with any liquid other than water and consumption of sweetened medications.
• have special health care needs that limit his or her cooperative abilities, thus making it difficult for the parent to brush the child’s teeth.
• their teeth are brushed by an adult less than once a day
• were born prematurely with a very low birth weight
• have a parent or caregiver with tooth decay
• have visible plaque, such as white or yellow deposits on the teeth

If you do not get enough fluoride, you may suffer from fluoride deficiency, which may lead to increased cavities and weak bones.

The Canadian Dental association considers fluoride “to be a most important health measure in maintaining oral health”. Kelowna Dental Centre carries a line of fluoride treatment and rinses for those at risk.

Commercially available products contain fluoride at much weaker concentrations and are therefore less effective than that found in in-office treatments or those available from a dental practice. Fluoridated toothpaste and mouth rinses can supplement at-home fluoride treatments.

Sealants

Dental sealant is a thin, plastic coating painted on the chewing surfaces of teeth -- usually the back teeth (the premolars and molars) – to prevent tooth decay. The sealant quickly bonds into the depressions and grooves of the teeth, forming a protective shield over the enamel of each tooth.

Although thorough brushing and flossing can remove food particles and plaque from smooth surfaces of teeth, they cannot always get into all the nooks and crannies of the back teeth to remove the food and plaque. Sealants protect these vulnerable areas from tooth decay by "sealing out" plaque and food.

Though pediatric dentists most often use dental sealants as a protective tooth-decay treatment for children, they are also perfect for adults who don’t have cavities or fillings in their molars. Ask our care team at Kelowna Dental Center about adding this preventative step to your existing dental treatment.

Dental sealants are incredibly strong and can withstand the force of chewing. They have been found to reduce the rate of decay by over 70%, and can last over a decade.

Sealants only protect the chewing surfaces of the back teeth from cavities. Brushing and flossing regularly is the only way to make sure all of your teeth, as well as your overall oral health, stay in excellent condition.

Digital Radiographs (X-Rays)

Radiographs are an important part of your regular dental visits. Dental X-rays are necessary to help diagnose damage and disease not visible to the naked eye. How often X-rays should be taken depends on your present oral health, your age, your risk for disease, and any signs and symptoms of oral disease. For example, children may require X-rays more often than adults because their teeth and jaws are still developing and their teeth are more likely to be affected by tooth decay than those of adults.
If you are a new patient, the dentist may need current images to determine the present status of your oral health and have a baseline to help identify changes that may occur later. A new set of X-rays may be needed to help your dentist detect any new cavities, determine the status of your gum health or evaluate the growth and development of your teeth.

If a previous dentist has radiographs on file, we are happy to assist you to have them forwarded if you wish. If they are current, clear images we are happy to include them for diagnostic purposes.

The frequency with which you will need radiographs depends on your overall oral health. Things can change quickly in the mouth and these images provide essential information to the doctor about the health of your teeth, gums and bones. If you are suffering from dental decay or disease, you may need more frequent images (every 6 months). If you are in good oral health, do not have extensive dental treatment or a predisposition to decay, radiographs might only be required every year.

No, Dental radiographs are considered very safe, though they do require very low doses of radiation exposure which makes the risk of potentially harmful effects very small. Kelowna Dental Centre takes every precaution such as proper shielding to ensure radiation exposure is as low as reasonably achievable. Dental x-rays are one of the lowest radiation dose studies performed. A routine exam which includes 4 images is about the same exposure as a short flight (~1-2 hrs)

Kelowna Dental Centre uses digital technology which further reduces the exposure to much less radiation than traditional film x-rays. In fact, digital images use up to 90 percent less radiation than film X-rays, and they are more environmentally friendly.

Dental x-rays are very safe. However, if you are pregnant, it’s best to minimize dental x-rays when possible. In the case of a dental emergency, the team will take all precautions available to minimize even the slightest risk to your baby.

Periodontitis is a serious gum infection that damages the soft tissue and destroys the bone that supports your teeth. Periodontitis can cause tooth loss or worse - an increased risk of heart attack or stroke and other serious health problems.
Signs and symptoms of periodontitis can include:
• Swollen gums
• Bright red or purplish gums
• Gums that feel tender when touched
• Gums that pull away from your teeth (recede), making your teeth look longer than normal
• New spaces developing between your teeth
• Pus between your teeth and gums
• Bad breath
• Bad taste in your mouth
• Loose teeth
• A change in the way your teeth fit together when you bite

Gum Disease is thought to begin with plaque — a sticky film of bacteria. Plaque forms when starch and sugars in food mix with bacteria normally found in your mouth. Brushing and flossing your teeth removes plaque. But plaque re-forms quickly, usually within 24 hours.
Plaque that stays on your teeth longer than two or three days can harden under your gumline to form tartar (calculus). Tartar may also result from the mineral content of your saliva. Tartar makes plaque more difficult to remove and harbours bacteria. You can't get rid of tartar by brushing and flossing — you need a professional dental cleaning to remove it.

The longer that plaque and tartar are on your teeth, the more damage they do. Initially, they may irritate and inflame your gums around the base of your teeth (gingiva). This is called gingivitis, the mildest form of periodontal disease in its early stages.

This inflammation causes pockets to develop between your gums and teeth that fill with plaque, tartar and bacteria. Bacteria deposit a toxin responsible for much of the inflammation around teeth. In time, these pockets become deeper and more bacteria accumulate, eventually creeping under your gum tissue. These deep infections cause a loss of tissue and bone death. If too much bone is destroyed, you may lose one or multiple teeth. Studies by the American Dental Association have shown that oral infections lead to other more serious ailments such as heart disease, stroke, pneumonia, and diabetes.

Healthy gums are firm and pale pink. If your gums are puffy, dusky red and bleed easily, or show other signs or symptoms of periodontitis, see your dentist soon. The sooner you seek care, the better your chances of reversing damage from periodontitis, potentially preventing complications and other serious health problems.

Periodontitis is common but largely preventable. Periodontitis is usually the result of poor oral hygiene.
Try these measures to greatly reduce or prevent gingivitis and periodontitis:
• Get regular professional dental cleanings, on a schedule recommended by your dentist.
• Use a soft toothbrush and replace it at least every three to four months.
• Consider using an electric toothbrush, which may be more effective at removing plaque and tartar.
• Brush your teeth twice a day or better yet, after every meal or snack.
• Floss daily.
• Use a mouth rinse to help reduce plaque between your teeth.
• Supplement brushing and flossing with an interdental cleaner, such as a dental pick, interdental brush or dental stick specially designed to clean between your teeth.
• Avoid sticky, sugary foods and follow a healthy diet

Caught in the early to moderate stages, the doctor will prescribe a schedule of regular professional cleanings to interrupt the progression of the disease. The goal of periodontitis treatment is to thoroughly clean the pockets around teeth and prevent damage and death of the surrounding tissues and bone. At 2 – 4 month intervals (depending on the severity of the disease) your hygienist will perform the following treatments;

• Scaling - Scaling removes tartar and bacteria from your tooth surfaces and beneath your gums. It may be performed using instruments or an ultrasonic device.
• Root Planing - Root planing smoothes the root surfaces, discouraging further buildup of tartar and bacterial endotoxin.
• Antibiotics - Your dentist may recommend antibiotics to help control bacterial infection. Antibiotics may be necessary to completely eliminate infection-causing bacteria.

You have the best chance for successful treatment when you maintain your regimen of professional cleaning and adopt a daily routine of good oral care, including regularly brushing, flossing and rinsing together with following a healthy diet.

A gum or periodontal abscess occurs when a pocket of pus collects within the gum. It happens when tissue disintegrates as a result of a bacterial infection in the gums or tooth roots and supporting bone.

If you have advanced periodontitis, your gum tissue may not respond to nonsurgical treatments and good oral hygiene. When the gum tissue around the teeth is too unhealthy to be repaired with nonsurgical treatments dental surgery becomes necessary.

• Flap Surgery (pocket reduction surgery). In this procedure, the dentist makes tiny incisions in your gum so that a section of gum tissue can be lifted back, exposing the roots for more effective scaling and root planing. Because periodontitis often causes bone loss, the underlying bone may be recontoured before the gum tissue is sutured back in place. After you heal, it's easier to clean these areas and maintain healthy gum tissue.
• Soft Tissue Grafts. When you lose gum tissue to periodontal disease, your gumline recedes. You may need to have some of the damaged soft tissue reinforced. This is usually done by removing a small amount of tissue from the roof of your mouth (palate) or another donor source and attaching it to the affected site. This procedure can help reduce further gum recession, cover exposed roots allowing them to heal and give your teeth a more pleasing appearance.
• Bone Grafting. This procedure is performed when periodontitis has destroyed the bone surrounding your tooth root. The graft may be composed of small fragments of your own bone, or the bone may be synthetic or donated. The bone graft helps prevent tooth loss by holding your tooth in place. It also serves as a platform for the regrowth of natural bone.

In severe cases of aggressive or advanced diseases, your dentist may refer you to the care of a periodontist – a dentist who specializes in diseases of the supporting tissues of the teeth.

Tooth decay is a process that occurs over time. Here's how tooth decay develops:

• Plaque forms.
Your mouth is a busy place containing many types of bacteria that are constantly on the move on your teeth, gums, lips and tongue. Some thrive on food and drinks that contain sugar. When the sugars aren't cleaned off, bacteria feed on them and producing acids and form plaque — a sticky film that coats your teeth. If you run your tongue along your teeth, you may be able to feel this plaque forming — it's slightly rough and more noticeable on your back teeth, especially close to your gums. If the plaque is not removed while it's soft, it hardens and becomes difficult to remove — and a good place for bacteria to hide. This bacteria often has a strong odour!

• Plaque attacks.
The acids in plaque remove minerals from your tooth's hard, outer enamel. This erosion causes tiny openings or holes in the enamel — the first stage of cavities. Once areas of enamel are worn away, the bacteria and acid can reach the next layer of your teeth, called dentin. This layer is softer than enamel and less resistant to acid.

• Destruction continues.
As tooth decay develops, the bacteria and acid continue through the layers of your teeth, moving next to the inner tooth material (pulp) that contains nerves and blood vessels. The pulp becomes swollen and irritated from the bacteria. When decay advances to this extent, you may have a severe toothache, sensitivity, pain when biting or other symptoms. Your body also may respond to these bacterial invaders by sending white blood cells to fight the infection. This may result in a tooth abscess — a pocket of pus that's caused by a bacterial infection.

A cavity is a hollowed-out space, so in dentistry if refers to a hole in your tooth caused by decay.

Certain types of bacteria, can attach themselves to hard surfaces like the enamel that covers your teeth. If they’re not removed, they multiply and grow in number until a colony forms. More bacteria of different types attach to the colony already growing on the tooth enamel. Proteins that are present in your saliva mix in and the colony becomes a whitish film on the tooth. This film is called plaque, and it is what causes cavities.

The plaque that forms on your teeth produces acid as it eats up sugar. This acid is produced inside the plaque and can’t be easily washed away by your saliva. The acid dissolves the minerals that make your tooth enamel hard. The surface of the enamel becomes porous – tiny holes appear. After a while, the acid causes the tiny holes in the enamel to get bigger until one large hole appears. This is a cavity. It’s important to see your dentist before a cavity forms so that the plaque you can’t reach with your toothbrush or floss can be removed. Scheduling regular checkups will ensure that tooth decay is caught in its earliest stages and addressed or avoided altogether.

The most common tooth decay treatments include:

• Prevention through regular check-ups and professional cleanings
• Fluoride treatments
• Restorations, including fillings, inlays, onlays, and crowns (“caps”)
• Root canals
• In the most extreme cases, extraction

Oral Cancer Screenings

You should be screened at every routine dental visit.

If you are diagnosed with cancer, the doctor will refer you to a specialist so that you can begin treatment as soon as possible.

If you are diagnosed with cancer, you will be sent to a doctor who specializes in treating oral cancer. Treatment typically consists of removal of the cancerous growth and may be followed by radiation or chemotherapy treatment.

Invisalign®

Unlike other types of invisible braces, Invisalign® is appropriate for teenagers and adults alike.

Dr. Garbelya will determine the length of treatment based on your unique situation. On average, patients who seek out invisible braces use Invisalign® for 12 months.

The cost of an Invisalign® treatment is similar to traditional metal braces and some types of clear braces.

Kelowna Dental Centre is proud to have Dr. Sarah Garbelya on our care team who is a certified Invisalign® Provider offering competitive rates to help you achieve the straight, healthy smile you deserve. We offer financing options for orthodontic services to help you achieve your goals in a way that fits with your needs.

Orthodontics

There are many teeth-straightening solutions available for patients of all ages, including solutions that are nearly invisible and can significantly change your alignment. The time it will take to straighten your teeth largely depends on the severity of your condition and the treatment option to achieve your goals. On average, Dr. Garbelya’s patients are in treatment for 12 months though some may be corrected in as little as 6 months while other may need longer.

Like an orthodontist, we are able to straighten your smile with tooth-straightening systems that are nearly invisible. These systems use clear materials (i.e., clear brackets and wiring, and removable aligners) that are discreet and comfortable. These clear aligners give you the freedom to remove your trays in order to enjoy a meal and the foods you love. You can take them out for a special occasion and in order to clean your teeth effectively while in treatment.

No. Only patients with misalignment problems need to wear braces. The best way to find out if you or your child will need braces is to call and set up an appointment for a consultation with Dr. Garbelya.

Six Month Smiles

Six Month Smiles can be used for patients ages 15 and up. It is a clear-braces option that is best for correcting spaces, gaps, and crooked teeth that show when you smile.

Six months is the average amount of time it takes the vast majority of patients to receive the desired results. In rare and severe cases, treatment may last seven or eight months; however, in less serious cases, it might only take five.

Restorative Dentistry

Your mouth is a busy place. Bacteria – tiny colonies of living organisms are constantly on the move on your teeth, gums, lips and tongue.
Having bacteria in your mouth is a normal thing. While some of the bacteria can be harmful, most are not and some are even helpful. Certain types of bacteria, can attach themselves to hard surfaces like the enamel that covers your teeth. If they’re not removed, they multiply and grow in number until a colony forms. More bacteria of different types attach to the colony already growing on the tooth enamel. Proteins that are present in your saliva (spit) also mix in and the bacteria colony becomes a whitish film on the tooth. This film is called plaque, and it’s what causes cavities.

The plaque that forms on your teeth produces acid as it eats up sugar. This acid is produced inside the plaque and can’t be easily washed away by your saliva. The acid dissolves the minerals that make your tooth enamel hard. The surface of the enamel becomes porous – tiny holes appear. After a while, the acid causes the tiny holes in the enamel to get bigger until one large hole appears. This is a cavity. It’s important to see your dentist before a cavity forms so that the plaque you can’t reach with your toothbrush or floss can be removed. Scheduling regular checkups will ensure that tooth decay is caught in its earliest stages and addressed or avoided altogether.

Tooth Decay Prevention

A tooth abscess is an infection that occurs at the root of a tooth or between the tooth and gum as a result of severe tooth-decay trauma. Signs that you may have a tooth abscess include fever, tooth pain/sensitivity, bad breath, swollen glands, swelling in the gums or upper or lower jaw, and open sores.

Tooth pain can be one sign of tooth decay or concerns, but is not the only sign. In many cases pain may not be present until a problem has progressed to a very serious and possible irreversibly stage.

If you are experiencing unexplained or unusual pain, you should contact Kelowna Dental Centre immediately so our team can determine the cause.

Tooth extraction may become necessary in severe cases of tooth decay. It is always best to keep your natural teeth in your mouth whenever possible. Extraction will only be considered after every avenue that preserves the tooth is exhausted.

The most common tooth decay treatments include:

• Prevention through regular check-ups and professional cleanings
• Fluoride treatments
• Restorations, including fillings, inlays, on-lays, and crowns/tooth caps
• Root canals
• In the most extreme cases, extraction

Fillings

A filling is a tooth-like material to replace tooth structure lost to decay or trauma. Though they are very durable, all fillings need to be replaced eventually. Daily eating, drinking, clenching, grinding and wear cause the materials to wear down How long they last depends heavily on the type of filling you have and your overall oral health. When restored teeth wear, chip, crack or a filling is lost, it provides an entry point for bacteria. Along the ridges or beneath the fillings, this decay if left untreated will eventually infect the pulp of the tooth requiring a root canal or cause tooth and bone loss.

Dr. Webster can perform both the removal of the decay and the filling placement in such a way that you will remain comfortable and free of pain. It is not unusual for some patient to experience some sensitivity after treatment as the teeth and surrounding tissues heal.

You should be able to do all of the things you normally would do immediately after your appointment. You may experience a temporary numbness if local anesthesia was used during your visit.

White fillings, also called composite fillings or composites, are made from a durable mixture of tooth coloured plastics and glass. The dentist can custom blend the materials to achieve a shade that is nearly identical to your own natural tooth colour. They can also be used for cosmetic improvements of the smile by changing the colour of the teeth or reshaping disfigured teeth.

Composites provide good durability, resistance to fracture, and look and feel like your natural teeth. They withstand moderate stress from constant stress of chewing and can be used in front or back teeth, on adults or children. Other people may think you have perfect, virgin teeth.

Aside from the obvious advantage of a natural looking white smile, one of many great things with composites is that they physically bond to your existing tooth to support, seal and protect it. This bonding makes the remaining tooth stronger and more resistant to stress and less likely to fracture or break. This protective layer can act to insulate the tooth from extreme temperature changes. And they are free of mercury and metals.

No fillings last forever. Overtime the materials break down and need to be replaced. The life expectancy of your filings depends on the forces you put on those fillings and your overall oral health. The better you care for your teeth and oral health, the longer your fillings are likely to last.

If you have spaces between your front teeth, we can bond composites to the teeth and close those spaces – within reason of course. Composites, because they physically bond to the tooth, can repair chipped teeth, broken teeth, or worn or discoloured teeth.

Inlays and Onlays

When a tooth is too damaged to support a filling, your dental professional can use Inlays and Onlays, much like fillings, to fill or cover the area where a cavity once was or where the tooth is too fragile from extensive decay. It minimizes the possibility of further decay to the existing tooth.

The cost of a dental crown varies according to the size, location, and material it is made out of as well as the condition of your tooth. We can submit a treatment plan and estimate of fees to your private insurance company to help you determine your coverage. Though private insurance companies do not provide details to outside parties (the dental office) if you wish to bring copies in to the office, we are happy to review with you, any information they provide.

A high-quality crown can last 10 to 20 years if properly cared for. However, if it isn’t brushed and flossed regularly, it can fracture, and the supporting tooth can still get cavities. Your best bet for preserving the life of any dental restoration is practicing excellent oral hygiene. Brushing, flossing and visiting the dentist regularly will have a significant outcome on the success of your procedure.

The tooth being restored is numbed with local anesthetic so that it isn't painful during the crown preparation. After the procedure is over and the anesthesia has worn off, the patient may feel some sensitivity with the temporary crown or some soreness in the gums around the tooth. The pain is very minimal though and shouldn't last long.

During the first appointment,
• Before the process of making your crown is begun, your dentist will anesthetize your tooth and the gum tissue around the tooth to ensure you are comfortable.
• Next, the doctor will file down the tooth to be crowned along the chewing surface and sides to make room for the crown. The amount removed depends on the type of crown used.
• If a large area of the tooth is missing (due to decay or damage), your dentist will use filling material to "build up" the tooth enough to support the crown.
• After reshaping the tooth, your dentist will make an impression of the tooth to receive the crown. Impressions of the teeth above and below the tooth to receive the dental crown will also be made to make sure that the crown will not affect your bite.
• If your crown is made of porcelain, your dentist will also select the shade that most closely matches the color of the neighboring teeth.
• Finally, your dentist will make a temporary crown to cover and protect the prepared tooth while the crown is being made. Temporary crowns usually are made of acrylic and are held in place using a temporary cement.
• Your impressions are sent to a dental laboratory where your crown will be custom made. The crown is usually returned within 2 weeks so your second appointment will be schedule to complete the treatment.

During the second appointment
• Your dentist will remove your temporary crown (no – it won’t hurt)
• The doctor will check the fit and color of the permanent crown.
• If everything is acceptable, a local anesthetic will be used to numb the tooth if needed and the new crown is cemented in place.

Same-Day Crowns

Both same-day crowns and traditional crowns are very durable and can last 10 to 20 years when properly cared for.

As with all dental treatments, the same-day process is not appropriate for all cases. Some situations may call for a restoration that is made out of a different material.

When the pulp or nerves inside the canals of the roots of teeth become injured, infected or die a Root Canal is performed.
This procedure carefully removes dead tissue, cleans out the infection, shapes the inside of the canal, replaces the pulp with an inert material and seals the space.

A successful root canal treatment lets you keep the tooth rather than having to pull it out. Keeping your tooth helps to prevent your other teeth from drifting out of line and causing jaw problems. Saving a natural tooth is always the best option and avoids having to replace it with an artificial tooth.

A filling is a less extensive procedure than a root canal and only requires the removal of decay from the tooth’s surface. During a root canal, the damaged tooth pulp and nerve are removed from the inside of the tooth. Then a crown (or other restorations) is completed to protect the treated tooth.

When bacteria (germs) enter your tooth through deep cavities, cracks, flawed fillings, or old failing fillings, your tooth can become abscessed (infected). Root canal treatment is needed when the pulp (the soft tissue inside the tooth) becomes inflamed or infected as a result of injury, deep decay, repeated dental procedures on the tooth, or a cracked or chipped tooth.

Common Symptoms might include:
• prolonged dental sensitivity to heat or cold
• tenderness of teeth to touch and/or chewing
• facial or oral swelling

The truth is, root canal treatment doesn't cause pain; it relieves the pain. Most patients who have had a root canal describe the procedure as virtually painless.

The perception of root canals being painful began decades ago. But with modern technologies and anesthetics, root canal treatment today is much like having a filling placed.

Most patients see their dentist when they have a severe toothache. The toothache can be caused by damaged tissues in the tooth. Root canal treatment removes this damaged tissue from the tooth, thereby relieving the pain you feel. Many patients comment how easy and painless the process is. Should have any concerns, Kelowna Dental Centre is happy to answer any questions and offers options to promote relaxation and comfort during treatment.

Keeping you natural teeth in your mouth, whenever possible, is always the very possible scenario. When consider treatment options, some important points to consider;
Option 1 - Extracting the tooth and not replacing it – this causes the remaining teeth to move out of alignment and places additional stress on them. Overtime this wear and tear can eventually lead to the loss of more teeth, which means additional treatment and costs.
Option 2 - Extracting the tooth and placing a bridge – this will require significantly more time in treatment and may result in further procedures to adjacent teeth and supporting tissues.
Option 3 - Root Canal Treatment with an appropriate restoration (filling, crown) – this preserves your teeth, and is a cost-effective way to treat teeth with damaged pulp and is usually less expensive than extraction and placement of a bridge or an implant.

Endodontic treatment has a very high success rate. Millions of healthy root canaled teeth serve patients all over the world, years and years after treatment to help patients chew efficiently, maintain the natural appearance of their smiles and enhance their enjoyment of life.

Tooth Extractions

It is normal to experience some pain after surgery once the anesthetic wears off. Some patients may have some bleeding for up to 24 hours after the tooth extraction or swelling up to a few days after surgery. If pain is severe or bleeding doesn’t stop, you should contact our care team immediately.

On occasion, the blood clot that has formed in the socket breaks loose. This is referred to as dry socket. Our team will provide you with information on how to properly care for the extraction site and tips to prevent dry-socket.

Private insurance plans are as varied as our patients. Whether your extraction is covered by your plan is determined by the contract. Our team is happy to prepare a treatment plan and fees to send to your carrier on your behalf, to help you determine what coverage you may have toward the treatment you need. Though private insurance companies do not provide details to outside parties (the dental office) if you wish to bring copies in to the office, we are happy to review with you, any information they provide.

Wisdom Teeth Removal

Some have the fortune of avoiding problems if the teeth erupt in proper alignment and have sufficient room and are properly cleaned. In many cases wisdom teeth can cause discomfort, misalignment of other teeth, headaches, gum infections, jawbone cysts, and even bone loss can occur. Therefore, Dr. Webster generally recommends removing the wisdom teeth sooner than later.

Though there is no “right” age to have your wisdom teeth removed, the surgery and healing are much easier at a younger age when a patient's risk for complications is at a minimum. In addition, with age comes fuller root formation and additional factors that collectively tend to both increase the difficulty of the extraction process and affect the patient's ease with post-surgical recovery.

Wisdom teeth extraction is typically recommended between the ages of 12 and 25. Removal may become necessary if Dr. Webster sees potential for complications should the teeth begin to grow in.

There are numerous proven advantages to performing dentistry using sedation including reduced anxiety and greater patient comfort, reduced gag-reflex, more controlled sedation, faster treatment and shorter recovery time to name a few. Consciousness is maintained throughout though the patient will often have no memory of the appointment.
At Kelowna Dental Centre, wisdom tooth extraction is performed using IV sedation based on the scientific research and patient experience.

Oral surgery does require a period of healing that can vary from patient to patient.
At Kelowna Dental Centre, we offer a number of sedation options that make the process as simple and relaxing an experience as possible. Dr. Webster has completed additional/advanced training to offer IV sedation so you can practically sleep through the procedure. He has extensive experience removing wisdom teeth and the expertise to remove the teeth quickly and skillfully. He provides medications and follow-up information to facilitate a speedy, easy, pain-free recovery.

Dentures

The price of dentures varies according to the option you choose, how many teeth are missing, the amount of bone loss that has occurred, and whether you choose to get implants. We have a Denturist on site who works together with our Doctors, in order to keep costs and appointments to a minimum. At Kelowna Dental Centre, we work with you to find the best option that fits your needs.

Dentures that are cemented or bonded to adjacent teeth or dental implants are permanent dentures. This is a great option if you are missing several teeth in a row.

Snap-on or overdentures are traditional dentures affixed to carefully spaced implants, called implants supported dentures. Too many people who have conventional dentures don't wear them for the simple fact that they don't stay in place. Dental implants offer a way to keep dentures in place and allow you to go about your daily life with confidence.

Implant Supported are an excellent alternative to traditional dentures, which rely on suction to stay in place. Snap-on dentures results in more stability and added comfort for patients, deter bone loss and helps maintain the integrity of the facial esthetics. Other benefits include;
• Restores proper chewing, allowing a better diet and improved health
• Improves speech and confidence
• Increases comfort with less irritation of gum tissue
• Ends the cost and inconvenience of denture adhesives
• Often can utilize your existing denture
• Minimally invasive procedure

Millions of people around the world are missing enough teeth to require the use of a denture. Many of them struggle to keep their dentures secure, particularly in the lower jaw. If you have this problem, you already know about the embarrassment of slipping dentures, not being able to eat the foods that you love and the ineffectiveness of denture adhesives. Fortunately, there is a way to make your denture work the way it was intended: stabilize it with dental implants.

The use of dental implants to stabilize dentures has proven to be successful for many people. The number continues to grow as word spreads about the effectiveness and long-term durability of the treatment. In fact, it has been reported that dental implants have the highest success rate of any implanted surgical device.

Implant Supported Dentures

The titanium implants are permanently placed in your jawbone. The denture that affixes to the implants can be replaced if ever necessary, though the implants should last a lifetime with proper care.

The cost of implant dentures includes the implant placement plus the dentures. The fees vary according to position and the condition of the existing gum and jawbone, the number of implants and type of dentures. To determine your unique dental needs and provide you with an individualized treatment plan, options and the estimated fees, we require a 3D scan (CBCT) which Dr. Webster will review with you during a consultation.

Yes, implant dentures are very safe and offer increased stability and comfort for denture-wearing patients as well as deter bone loss. Dental implants don't require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving long-term oral health. Individual implants also allow easier access between teeth, improving oral hygiene.

Dental Implants

Dental implants are replacement tooth roots. Implants provide a strong foundation for fixed (permanent) or removable replacement teeth that are made to match your natural teeth.

The benefits of dental implants are considerable and include;

• Improved Appearance - Dental implants look and feel like your own teeth. And because they are designed to fuse with bone, they become permanent.
• Improved Speech - With poor-fitting dentures, the teeth can slip within the mouth causing you to mumble or slur your words. Dental implants allow you to speak without the worry that teeth might slip.
• Improved Comfort - Because they become part of you, implants eliminate the discomfort of removable dentures.
• Easier Eating - Sliding dentures can make chewing difficult. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without pain.
• Prevent Bone Death – Dental Implants preserve bone mass through the jaw which preserves the shape of the face.
• Improved Self-Esteem - Dental implants can give you back your smile and help you feel better about yourself.
• Improved Oral Health - Dental implants don't require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving long-term oral health. Individual implants also allow easier access between teeth, improving oral hygiene.
• Function – Dental Implants not only look and feel like your natural teeth, they function like your own teeth as well, unlike alternatives that are esthetic only.
• Durability - Implants are very durable and have a success rate of 98%. With good care, many implants last a lifetime.
• Convenience - Removable dentures are just that; removable. Dental implants eliminate the embarrassing inconvenience of removing dentures, as well as the need for messy adhesives to keep them in place.

Yes. Dental implants are the best option for patients who want a permanent, functional, natural-looking solution to missing teeth. They are highly durable, deter bone loss, protect remaining teeth from undue stress and damage, and preserve the esthetics and shape of your face and jawline.

The cost of dental implants varies according to the number of implants you need and the health of the surrounding tissue and bone. To determine your unique dental needs and provide you with an individualized treatment plan, options and the estimated fees, we require a 3D scan (CBCT) which Dr. Webster will review with you during a consultation.

Yes, dental implants are a permanent solution for missing teeth.
In general, dental implants have a success rate of up to 98% and with proper care implants should last a lifetime.

Fixed and Removable Bridges

Research has shown that the average success rate of a dental bridge is between 5 and 10 years.
Predicting how long a dental bridge will last is extremely challenging. Many factors affect their longevity: your overall oral hygiene, how often you visit the dentist, your diet, the biting force applied to the dental bridge, the materials used to make the bridge, the technique of the dentist.

A tooth supported bridge requires that the supporting teeth be reduced to support the bridge. Because these teeth are altered, less of your own teeth are left intact, which impacts long-term oral health. The teeth supporting the bridge undergo additional wear and tear which can cause these teeth to fail. In addition a bridge may make cleaning between the teeth and beneath the bridge more difficult.

A high-quality tooth bridge, properly cared, in a patient with good oral hygiene who sees the dentists regularly, may last for 20 or more years. If, however, the bridge gets chipped or the supporting teeth begin to fail, it may need to be replaced. How often this happens depends entirely on the lifestyle of the individual with the bridge, their overall health and how well the bridge is taken care of.

The cost of a dental bridge can vary greatly depending on the type of bridge, number of teeth missing, and the materials used. They can range from hundreds of dollars to thousands, depending on your needs and wants.

Anesthesia

Local anesthesia is very safe and commonly used on patients of all ages. Though few, there are side effects, and they include: bruising (hematoma), numbness outside of the targeted area, racing heart.

Local dental anesthesia affects a small part of the body in a specific area, such as a tooth or area of gum. It does not affect the patient’s cognitive abilities, and they stay awake and alert throughout treatment. Sedation dentistry is the administration of medication that offers numerous benefits including relieving a patient’s anxiety, allowing them to reach a deep level of relaxation, even drifting off to sleep during treatment.

At Kelowna Dental Centre, wisdom tooth extraction is performed under general anesthesia - a type of sedation dentistry - used to alleviate anxiety prevent pain throughout your body. It has many advantages and often causes you to sleep through your appointment.

Nitrous Oxide

Yes, nitrous oxide, commonly referred to as ‘laughing gas’ is a form of conscious sedation. You will be fully awake and alert during treatment, but your feelings of fear and anxiety will be alleviated.

Laughing gas alleviates the discomfort and anxiety associated with some treatments. Prior to your treatment, Dr. Webster will discuss which pain management and sedation options are best for you.

Nitrous oxide is considered extremely safe. The sedation effect lasts only as it is administered - so you are able to come to and from your appointment on your own. Side effects occur very rarely and may include dizziness, nausea, and headaches.

Sedation Dentistry

Sedation dentistry is appropriate for people who can’t receive dental services because of their fear and anxiety. It is also appropriate for individuals who:
• Have a low pain threshold
• Struggle with sensitive teeth or a strong gag reflex
• Need extensive work that requires multiple treatments
• sedation dentistry allows the treatments to be complete in less time and in fewer visits

The cost of sedation dentistry varies according to what method you are using, which treatment you will be getting, and how long that treatment lasts. To find out more about the cost of your specific sedation method, call to schedule a consultation with our care team.

There is always a risk when being sedated; however, when administered by experienced dentists like Dr. Webster and Dr. Garbelya, it is extremely safe. Patients who have obstructive sleep apnea or who are obese should consult their doctor before having sedation, as they are more likely to experience complications.

Cosmetic Dentistry

Cosmetic dentistry can address a wide variety of dental problems, including misalignment, discolorations, cracks and chips, missing teeth, whitening, and a misshapen smile.

Teeth Whitening

At Kelowna Dental Centre, we offer both a variety of professional grade whitening options including in-office bleaching as well as custom trays for use in the privacy of your home. We will assist you in choosing the whitening treatment that is right for you. The cost of teeth whitening varies according to the type and range of treatment you are receiving, the area to be treated and how deep your stains are.

The longevity of your teeth-whitening results depends greatly on how you care for your teeth after the treatment, as well as on how often you indulge in food and drink that cause stains. Results can last anywhere from several months to several years. Custom trays used in home allow the option of touch-up treatments over time and additional product can be purchased from the office as needed.

Gums and teeth may become sensitive during your treatments. If you are prone to sensitivity, discuss this with our dental care professionals so we can help you to choose the best options for you.

Smile Design

The cost of a smile makeover depends on your oral health and the extent of the services you would like to receive. Fairly straightforward treatments, such as teeth whitening, cost less than more extensive applications, such as veneers. Our team of dental health professional will work with you to determine your desired outcome and prepare an individualized treatment plan to achieve your goals. We will provide you with estimates and options. We are happy to assist you in determining what coverage assistance you private insurance plan may provide. Though private insurance companies do not provide details to outside parties (the dental office) if you wish to bring copies in to the office, we are happy to review with you, any information they provide.

Private insurance contracts vary from one person to the next. Depending on your individualized treatment plan, some procedures may be covered. We are happy to assist you in determining what coverage assistance your contract provides, by submitting a treatment plan and costs to your carrier in advance. It’s best to familiarize yourself with your contract and check with your provider directly to be sure what your contract will and will not cover, and how much they cover. Though private insurance companies do not provide details to outside parties (the dental office) if you wish to bring copies in to the office, we are happy to review with you, any information they provide.

From subtle changes to major repairs, your dentist can perform a variety of procedures to improve your smile. There are many techniques and options to treat teeth that are discolored, chipped, misshapen or missing. Your dentist can reshape your teeth, close spaces, restore worn or short teeth or alter the length of your teeth. Common procedures include bleaching, bonding, crowns, veneers and reshaping and contouring.
These improvements are not always just cosmetic. Many of these treatments can improve oral problems, restore oral health and prevent other conditions from developing.

Bonding & Veneers

Dental treatments like dental bonding and veneers are not only used to fix cavities or broken teeth but can also be used to improve the look of healthy teeth. Veneers are applied to the entire front surface of the tooth, whereas bonding is applied to a smaller portion of the tooth. Bonding and veneers make your teeth look better by changing their colour, shape, angle or spacing. Your dentist can fix teeth that are broken, chipped or cracked, that have spaces between them or that are discoloured. Cosmetic dental treatment can improve your smile and give you more confidence.

The cost of veneers varies according to the number of veneers you need, the size, and the location.

At Kelowna Dental Centre, we will work with you to find an affordable option that is right for you.

With porcelain veneers, your dentist may give you a local anesthetic (freezing). Your dentist then removes a thin layer of the enamel from your teeth to make room for the veneers, then makes a mold of your teeth. This mold is used to custom-make your porcelain veneers. In the meantime, your dentist may place temporary veneers to replace the portion of the tooth that was removed. These are worn until your porcelain veneers are ready. The temporary veneers are very fragile and need to be treated gently during eating and cleaning as they come loose very easily.

On your next visit, your dentist removes the temporary veneers and puts a mild chemical on your teeth to make them a little rough. This helps the porcelain veneers stick to your teeth better. The porcelain veneers are then glued to your teeth one by one, using composite resin cement.

Though finding a perfect fit can be difficult, press-on veneers can be temporarily effective for correcting some tooth imperfections. However, underlying oral health issues are not addressed or resolved by press-on veneers.

Porcelain veneers are incredibly durable and can last up to 20 years or more if cared for properly.

Orthodontics

For the word nerds among us, Orthodontia comes from the Greek words orthos ("correct", "straight") and dontia ("teeth"). Orthodontia is the specialty of dentistry that is concerned with the treatment of improper bites and crooked teeth and jaws. Orthodontic treatment can help fix the patient's teeth and set them in the right place using metal braces or clear aligners to reset and correct the patient's teeth.] Orthodontics works on reconstructing the entire face rather than focusing only on teeth. After a course of active orthodontic treatment, patients will typically wear retainers (orthodontic devices), which help to maintain the teeth in their improved positions while surrounding bone reforms around them.

No. Only patients with misalignment problems need to wear braces. The best way to find out if you or your child will need braces is to call and set up an appointment for a consultation with Dr. Webster.

At Kelowna Dental Centre, we have many teeth-straightening solutions available for patients of all ages, including solutions that are nearly invisible and can significantly change your alignment in as little as six months. The time it will take to straighten your teeth largely depends on the severity of your condition however, the average case takes about 12 months for adults.

Like an orthodontist, we are able to straighten your smile with tooth-straightening systems that are nearly invisible, such as Invisalign® a system that uses clear materials (i.e., clear brackets and wiring, and removable aligners) that are discreet and comfortable.

Invisalign® takes a modern approach to straightening teeth, using custom-made aligners created for you and only you. These aligner trays are made of smooth, comfortable and virtually invisible plastic that you wear over your teeth.

Dr. Sarah Garbelya is a certified and experienced Invisalign-trained doctor. She is happy to meet with you to answer any questions, do an assessment of the alignment of your teeth, and provide treatment to help you achieve a beautiful, healthy smile.

Wearing the aligners gradually and gently shifts your teeth into place, based on the exact movements your dentist plans out for you. There are no metal brackets to attach and no wires to tighten. You just pop in a new set of aligners approximately every two weeks, until your treatment is complete. You’ll achieve a great smile with little interference in your daily life. The best part about the whole process is that most people won't even know you're straightening your teeth.

Invisalign® effectively treats a wide variety of cases, including crowding, spacing, crossbite, overbite and underbite.
In the hands of a trained professional, Invisalign® clear aligners can be just as effective as metal braces. The patented technology can effectively treat the most common and complex teeth-straightening concerns, while providing the freedom to remove the aligners when needed, for special occasions, to eat the foods you enjoy and to brush and floss properly.

You may be surprised to know that the benefits of having properly aligned teeth extend far beyond a confident smile. Straightening your teeth can actually significantly affect not only your dental health by reducing your risk for tooth decay and gum disease, but can also play a role in your health in general. Correctly aligned teeth can alleviate the issues that can be caused by an improper bite, speech or chewing difficulties, jaw problems, and increased wear on the tooth enamel.

• Healthier Teeth and Gums
Swollen, red gums can often be the result of having teeth that are crowded or too widely spaced. Unfortunately, these are also signs of periodontal disease. When teeth are properly aligned, it helps the gums fit more securely around the teeth, allowing for the strongest and healthiest defense against potential periodontal problems. Correcting the position of the teeth can prevent gum disease, decay, bone death, and loose or lost of teeth.
• Easier Cleaning
Gaps in the teeth can harbour food and bacteria leading to decay, while tightly spaced / crowded teeth can make brushing and flossing a challenge. Properly aligned teeth allows for better access in order to clean the teeth effectively with brushing and flossing
One of the biggest challenges of having braces is removing all the food that gets trapped in the brackets and wires. This can often lead to plaque buildup and eventually tooth decay. With Invisalign®, the aligners are removable, so it’s easy to continue brushing and flossing your teeth the way you normally do.
• Overall Health
Tooth decay and gum disease are caused by bacteria. Left untreated, they can cause mouth sores, tender or bleeding gums, bad breath, and possible tooth loss. Science has proven the link between poor oral health and serious ailments such as heart disease, stroke, pneumonia and diabetes. Invisalign® aligners make daily oral hygiene easier, thus reducing the risk of possible problems.

Correctly aligned teeth can also alleviate the issues that can be caused by an improper bite, speech or chewing difficulties, jaw problems, and increased wear on the tooth enamel.

Invisalign® effectively addresses all of these orthodontic issues, so you'll have the confidence of a great smile and increase the likelihood of improved oral health. Think of your teeth as a window to the health of your body. Your teeth and gums — and how they look to others when you smile—say a lot about your overall health. If you're taking good care of both, you're probably taking good care of the rest of you.

Unlike other types of invisible braces, Invisalign® is appropriate for teenagers and adults alike.
Choosing to straighten your teeth is a big decision that affects not only your appearance, but your lifestyle as well. As an adult, you may be looking to improve your smile for business and social reasons, or even for a special occasion like your wedding day. Or perhaps you're a teen or the parent of a teen looking for an effective yet modern-day solution. Either way, Invisalign® and Invisalign Teen® can provide a simple way to accomplish this without having to put your life on hold.

When it comes to wearing metal braces, an overwhelming 92% of teens feel that it would keep them from fitting in with their peers. It turns out that standing out in the crowd isn't always a good thing.

Teens wearing Invisalign®® clear aligners are 2X more likely to have a boost in
self-esteem while in treatment than teens treated with metal braces. It’s hard to show confidence with a mouth full of metal.

Dr. Webster will determine the length of treatment based on the severity of your unique situation. On average, patients who seek out invisible braces use Invisalign® for 12 months.

The cost of an Invisalign® treatment is similar to traditional braces and some types of clear braces. At Kelowna Dental Centre, we offer a wide variety of payment and financing options that are designed to help you achieve straight teeth with the Invisalign® system.

Six Month Smiles is a clear-braces option that is best for correcting spaces, gaps, and crooked teeth that show when you smile on patients 15 years and older.

Six Month Smiles is a clear-braces option that is best for correcting spaces, gaps, and crooked teeth that show when you smile on patients 15 years and older.

Sleep Apnea

Not everyone who snores has sleep apnea. Snoring that is not associated with sleep apnea does not result in extreme fatigue.

Loud snoring and long pauses between breaths while sleeping are the most recognizable signs of sleep apnea.

Oral appliances are an effective alternative to the CPAP device, which can be very disruptive and uncomfortable for both the individual suffering from sleep apnea as well as their partner.