Clinical Crown Lengthening

Dr. Caudry divides her time between her clinical practice and educating those around her. When she is not presenting her deeply researched and studied findings to professional peers at conferences internationally, she instructs students in the periodontal department at the University of Toronto.

Peers and students aren’t the only people Dr. Caudry believes in educating. Day after day, the team at her dental clinic takes all the time needed to educate our patients. We believe the most empowered patients are the most knowledgeable ones. That is why we’ve decided to devote some time to the topic of crown lengthening. Many people do not know clinical crown lengthening is an option for them, while others are unsure what the process entails.

With any luck, this informative post should bring you up to speed. If, at any point, you have more pressing questions or would like to know more about this or other dental procedures, please do not hesitate to contact us at (416) 928-3444.

Your Trusted Periodontist

As one of the most sought-after periodontists in the Greater Toronto Area—and one of the most respected in their field—there are no periodontal procedures that Dr. Caudry has not mastered. Whether our patients require emergency tooth extractions, hygienic help, or full-mouth dental implants, Dr. Caudry and her dream-team staff are always here to help.

Another often-performed procedure is dental crown lengthening.

What Is Crown Lengthening?

Crown lengthening is a procedure that involves reshaping an individual’s bones and gums to create perfectly proportionate teeth. Crown lengthening may also be done so your periodontist can better access the area below the gum tissue for reasons related to gum and dental restoration. It never takes long for unwanted plaque to accumulate under or around gum tissue, after all. With crown lengthening, your hygienist will have an easier time cleaning the restoration margins in the future.

Whatever the reason for crown lengthening, you’ll surely reap the cosmetic benefits of the procedure—so long as you work with professionals like Dr. Caudry, that is.

Crown Lengthening: How It Is Done

Despite what people may think, crown lengthening is a relatively straightforward procedure. Once we have prepared the area, we simply remove the excess gum tissue with nothing more than a few small incisions. Doing this exposes more of the tooth’s root. Once we have succeeded in exposing the root, we can begin reshaping the bone to ensure a proper fit and a sealed margin.
After we have completed the process and the tissue has healed, you will be left with a beautiful, picture-perfect smile.

How Long Does Crown Lengthening Take?

Like many dental procedures, people are wary of them because they worry about the time they’ll spend sitting in the dentist’s chair. We understand why people might feel this way, but rest assured, with us, your experience will be as streamlined and comfortable as possible. Rest assured, your appointments and surgeries will never take any longer than necessary.

At our facilities, we’ve worked hard to improve the patient experience at every turn. From our adjustable sedation options to the digital workflows we’ve integrated into our practices, we ensure our clients get the best care possible.

This straightforward procedure takes approximately one hour in our facilities. Once we have completed the procedure, we place sutures over the impacted area. Following the placement of the sutures, we ask our patients to return in 1-2 weeks so we can evaluate the healing process. Only after six weeks can we undertake any further prosthetic work, such as crowns or restorations.

Are Gum Lifts Painful?

Many people ask us if they should expect any discomfort during the gum lift procedure. As with many other cosmetic dentistry procedures, we have a trained anesthesiologist on-site to administer the appropriate anesthesia. The anesthesia ensures that you will not feel any pain during the procedure.

Upon request, we will also administer sedation. For those whose stress levels increase the moment they slide into the dentist’s chair, sedation is an excellent option. You’ll feel relaxed for the duration of the procedure, and you’ll leave with little memory of it at all.

We offer two sedation options: the twilight sedation and complete sleep.

Twilight sedation gives patients a “barely aware, don’t care” feeling of profound comfort for the duration of the procedure or surgery. What’s more, the sedation can be increased at any point upon request.

With the complete sleep option, you will fall into a sleep state and have zero recollection of your time in the dentist’s chair. For those with moderate to severe anxiety or those undergoing multiple surgeries, we highly recommend this option.

Why Might You Need Crown Lengthening

We treat patients from all walks of life. Some patients request crown lengthening to augment their smile, while we suggest crown lengthening to other patients who maybe did not even know it was an option. Here are the three most common reasons why someone might receive a gum lift.

  1. Damaged Teeth
    Teeth may become damaged due to gum disease or a sudden accident. If the damage spreads to the area below the gum line, Dr. Caudry and her team will perform a crown lengthening procedure to expose the damaged tooth. Not only will we repair the damage beneath the tissue, but we will also attach a new crown if needed.
  2. Gummy Smiles
    We believe that everyone has a beautiful smile. Some people’s smiles are simply hiding behind damaged teeth or are covered by too much gum tissue. For those who feel their smiles are too “gummy,” we perform the gum lift procedure. By lengthening the crown, we give you the proportionate and healthy-looking smile you’ve always wanted.
  3. Dental Implants and Crowns
    For those patients who may not have enough exposed tooth above the gum-line to allow for a new crown, we simply augment the gum tissue accordingly.

The GTA’s Finest Periodontist

Would you like to learn more about crown lengthening, or any of our other procedures? If so, feel free to contact us at (416) 928-3444. We are always ready to take your call.


Practicing Superior Dental Hygiene

From an early age, many of us are taught the importance of dental hygiene. We have all heard that if we eat too much candy, our teeth will fall out, or that coffee can cause stains. Practicing proper brushing is super important in preventing cavities, plaque, tooth decay, gum disease, and more.

While brushing your teeth regularly is the very best way to remove bacteria from your mouth, there are several other steps you can take to practice good hygiene. Here at Dr. Suzanne Caudry’s, we’ve put together a few steps to ensure that your oral health remains both strong and healthy in defense of dental problems.

Let’s get started!

Don’t Stop Brushing

Yes, brushing your teeth is mandatory, and yes, there is a proper way to do it.

Firstly, you should only ever brush your teeth with soft bristles. Hard bristles will remove the enamel that protects your teeth and put your teeth at risk of decay and gum erosion. Also, you should replace your toothbrush every 2-3 months or when the bristles begin to fray.

Secondly, don’t brush your teeth too vigorously. Be gentle with your mouth and ensure that you are reaching every possible surface of tooth––front, back, and sides. It is recommended that you avoid back and forth motions, and instead, brush your teeth in small circular motions.

Lastly, each tooth brushing session should last for 2-3 minutes and should be conducted at least twice a day. Some people choose to brush their teeth after every meal, but it depends on what you are comfortable with and what your dentist recommends.

Yes, You Have to Floss

While many people may choose to skip flossing from time to time, it’s not optional when it comes to maintaining good dental hygiene.

Flossing allows you to remove bacteria and plaque from under and between your teeth and gums. Floss reaches the areas that your toothbrush can’t, and that is why, incorporating this step into your oral hygiene practice, is so important.

Flossing removes food and other debris from your mouth and can also work to improve bad breath. Flossing is just as important for your gums as it is for your teeth. Without regular flossing, your gums may experience inflammation, also known as gingivitis. Gingivitis can cause your gums to bleed and can lead to more dire dental diseases if not mitigated properly. With this being said, be gentle with your gums as you floss.

Flossing once a day should do the trick!

Avoid Excessive Sugars, Especially Sugary Drinks

Although we may not like to admit it, indulging in sweets regularly can take a real toll on the overall health of your teeth. Candy, pop, sugary drinks, and desserts are all common culprits of cavities and general tooth decay.

Experts also recommend limiting your intake of starch-heavy foods such as crackers, bread, chips, and pasta to protect your dental health.

When at all possible, choose to drink water instead of sugary pops and encourage your children to follow suit.

Developing good habits at a young age is the best way to help your kids maintain their dental hygiene in the future. Teaching them how to brush their teeth effectively and making dental care a routine, morning and night, are some excellent ways to get started.

Visit Your Dentist At least Once a Year

Even if you practice brushing, flossing, and maintain healthy eating habits, it’s still essential to visit your dentist for a regular checkup and cleaning. Most people will choose to see the dentist once or twice a year. Your dental hygienist will be able to tell you whether you should visit more often, but if you haven’t had a checkup in several years, now is the time to go.

The dental hygienist will remove built-up plaque that cannot be removed by brushing. They will assess the health of your gums and soft tissue and measure for any recession. The hygienist can also take diagnostic X-rays to detect problems unseen to the naked eye. Visiting the dentist for routine cleaning is preventative care and will help prevent dental cavities and other diseases.

It’s important to note that changes in your oral health can be an indication of your general health. If you have questions about what you are experiencing, don’t wait for issues to worsen, get in touch with Dr. Suzanne Caudry right away.

Stop Smoking!

There is a myriad of reasons to avoid smoking cigarettes, and practicing good dental hygiene is one of them. Nicotine slows down your immune system and stops your body, including your mouth, from regenerating tissue as quickly as usual.

After a dental procedure, your teeth and gums will not be able to heal as quickly if you smoke. Many smokers will experience gum disease, and many more will experience the yellowing of their teeth and tongue.

Dental Hygiene and Dental Appliances

If you have a dental appliance such as braces, a retainer, dentures of a flipper tooth, maintaining your dental hygiene is crucial.

While these devices are used to straighten your teeth, repair your bite, and enhance the look of your smile, they can also cause food and other debris to get caught in your mouth more easily.

When you have a dental appliance, forgetting to brush or floss will only lead to a higher chance of developing cavities or disease, which can be both painful and expensive.

Dr. Suzanne Caudry Can Help Protect Your Teeth Today and Into the Future

You rely on your teeth to eat easily and smile with confidence. It’s only fair that you take care of them properly. Good dental hygiene won’t only enhance the color and overall beauty of your teeth, but it will also improve the smell of your breath, and ward off common dental diseases such as gingivitis and cavities.

So, keep brushing, remember to floss, don’t skip your dentist appointments, but do skip those cigarettes and sugary foods as often as you can. Your mouth will thank you!

For personalized and preventative dental care and education, Dr. Suzanne Caudry is your source. Call (416) 928-3444 for more guidance or book a checkup at the office to start improving your oral health and develop your own dental care routine!


Signs You May Need a Soft Tissue Graft

Gum recession: the loss of gums and surrounding tissues supporting the teeth, which can have countless effects on a person’s dental health, overall health, and self-esteem. Fortunately, there is a fix:

Soft tissue grafting.

Today, we’re going to take a look at soft tissue grafts and the reasons for getting one. In this post, you’ll learn:

  • What is a soft tissue graft
  • How to detect gum disease
  • How to determine if you may need a soft tissue graft
  • The benefits of a soft tissue graft

Read on to find out!

What Is a Soft Tissue Graft?

A soft tissue graft (also called gum graft or gingival graft) is a restorative procedure used to mitigate gum loss. Soft tissue is taken from the patient’s palate or from a donor (more on that below), which is then grafted onto the affected area, creating a stable band of gingiva around the teeth and soft tissue.

A gum graft can be performed on one tooth, several teeth, or across all teeth. It can be used either to restore an uneven gum line (i.e., from gum recession) or to repair exceptionally thin gums. In either case, the graft will create an even thickness of gum, with enough support around each tooth to prevent them from loosening.

Gum grafts have a high rate of success with very high rates of patient satisfaction. They remain the best option for patients whose gums have receded.

Your Options for Gum Grafts

The soft tissue for the gum graft can come from two different places. The most common source is from the patient’s mouth. The surgeon extracts a small amount of tissue from the palate, which can then be placed anywhere on the patient’s gumline.

The second option is to take the tissue from a donor. This procedure—called an allograft—makes for an attractive alternative because it is less invasive.

Recent advances have made allografts considerably more effective and reliable, with far more predictable outcomes. Still, most surgeons will recommend using the patient’s palate for the grafting tissue. When deciding, it’s best to speak to your surgeon to see what they think. Here at Dr. Suzanne Caudry’s, we develop individualized treatment plans based on the patient’s needs, the size of the graft, and the patient’s own input.

3 Signs That a Gum Graft Is Right for You

You may benefit from a gum graft if you exhibit any of the symptoms below:

1.      Exposed Roots

Are your teeth looking a little longer lately? They’re not growing—just more’s showing. Your gums should usually protect the roots of your teeth. If your teeth look longer or are feeling a bit more sensitive to temperature, your tooth roots may be exposed. And if you have exposed tooth roots, you may very well benefit from a gum graft.

2.      Visible Cementum

One of the most tell-tale signs that your roots are exposed is when you can see cementum. Cementum is the natural material that covers your roots. It’s light yellow in colour, and it’s slightly softer than the enamel that covers the crown of your tooth. It’s also easily visible when it’s exposed: You’ll see a noticeable difference in colour between the base of your tooth (yellow) and the top of your tooth (whiter). If you see yellow at the bottom, that’s cementum. And that’s when you know your gums may have receded.

3.      Thin, Translucent Gums

Not all grafts are for a receding gum line. In many cases, a surgeon will recommend a gum graft if the gums are overly thin and weak, even if they haven’t drooped. The reason is that they still may not provide the support that your teeth need to stay healthy. Thin gums are fragile, and they’re more likely to recede. Many patients also find them less attractive than full, healthy gums.

Thin gums are usually translucent, sensitive, and sometimes inflamed. If you’re worried, speak to your dentist to see what they say.

What Can a Gum Graft Do for Me?

A gum graft can provide numerous benefits to patients showing the above symptoms. Those benefits include:

  • Less root decay
  • Reduced tooth sensitivity
  • Healthier gums
  • Less chance of future gum recession
  • Bone loss prevention
  • A better, more confident smile

Wondering If a Gum Graft Is Right for You?

Dr. Caudry Is Here to Help!

Dr. Caudry is one of Toronto’s leading periodontal surgeons. With over 30 years of experience, she has dedicated her life to the practice, study, and application of dentistry, and she continues to advance the field in innovative, cutting-edge ways. If you’re in the area and you think you need a gum graft, you’ll find no better practitioner than her.

To schedule a consultation, don’t hesitate to contact us by phone or email. We’re here to help. 


Dental Hygiene: 5 Ways a Periodontist Can Help

You don’t need a dentist to tell you that dental hygiene’s important, but you do need one to keep your teeth as clean as can be.

At the office of Dr. Suzanne Caudry, we offer a range of specialized treatments to help our patients attain optimal oral health. If you’ve been looking to get rid of bad breath and improve your smile, here are five ways that a periodontist, like ourselves, can help:

1. Deep Scaling

What Is Deep Scaling?

Deep scaling (also known as conventional periodontal therapy) is a procedure used to remove plaque, bacteria, and calculus from a patient’s teeth. These unsavory guests can lead to gum disease and inflammation, so it’s important to keep them in check.

How Does It Work?

Deep scaling requires a specialized tool called a periodontal scaler or curette: a skinny device that narrows to a sharp point. Nowadays, many periodontists use an electronic scaler to speed up the procedure.

Regardless of which device is used, the idea behind the deep scaling remains the same: The clinician uses the curette to whittle away at plaque buildup, cleaning the teeth and killing bacteria in the process. The teeth, now exposed, can then be smoothed to remove additional contaminants and improve periodontal health.

How Often to Go in for a Deep Scaling?

If you’re prone to plaque and bacteria buildup, three months is a good benchmark. That’s about how long it takes bacteria to repopulate, and it gives your teeth and gums plenty of time to recover. Our regulatory body, the Canadian Academy for Periodontology, recommends that you go in every three months for deep scaling (as necessary), and that’s what we tend to stick to with our patients.

2. Antibacterial Treatments

What’s an Antibacterial Treatment?

Antibacterial treatments encompass a broad range of procedures to control the growth of bad bacteria. Generally, they’re best suited to people with gum disease, flappy gums, or tight pockets where bacteria can multiply.

How Does It Work?

At our practice, we use procedures that deliver antibacterial solutions to areas deep under the gum line, helping kill off even the most hard-to-reach bacteria colonies.  Think of them like a frontline assault, striking square at the heart of those deep, recessed pockets of bacteria that won’t go away with brushing and flossing.

Antibacterial treatments offer numerous benefits, including:

  • Better breath
  • Pain relief
  • Reduced bleeding from gums
  • Prevent teeth loosening
  • Stop or reverse periodontal disease

3. Fluoride

What Is Fluoride?

Fluoride is a naturally occurring mineral found in foods, water, and the atmosphere. It’s also one of the most important items in the dental toolkit.

Why Is Fluoride So Important?

Fluoride strengthens your teeth. When consumed, it fuses with your tooth to re-grow lost enamel, combat tooth decay, and prevent plaque buildup. It provides long-term relief from some of those most common dental problems—and it helps improve the health of your tooth roots too.

Many cities (Toronto included) fluoridate their water so that people get at least some fluoride in their system. Usually, this isn’t enough, however, and you should always ask your dentist whether your teeth need more.

Fluoride treatments come in many varieties. At our practice, we offer custom fluoride applications based on the patient’s needs and dentition. We find that tailoring our approach provides better outcomes and affords our patients a more pleasant experience.

4. Professional Polishing

What Is Professional Polishing?

A tooth polish procedure uses a polishing paste, which is applied to the patient’s teeth to minimize damage and remove unsightly stains.

Your periodontist may recommend a polishing after you’ve gone in for a deep scaling. It’s a bit like sanding something down: You start with a bigger grit, and you work your way down until you obtain a fine polish. Deep scaling does the heavy lifting, smoothing out your teeth and removing the big bunches of plaque. Polishing then adds the finishing touch, refining your teeth so that they’re clean, shiny, and smooth. It enhances the results: a nice way to cap off your trip to the dentist.

How Does It Work?                                              

The polishing paste works as an extra-powerful abrasive, scrubbing away stains, discoloration, and any residual plaque. Since the polishing process can also roughen enamel, your clinician will most likely follow it up with fluoride application, ensuring your teeth can heal and remain strong and resilient.

5. Teeth Whitening

What Is Teeth Whitening?

Many Canadians want a whiter smile so that they can feel more confident about themselves. Teeth whitening helps meet that demand, and it can limit the effects of aging, smoking, and more.

Teeth whitening treatments vary on the client and clinician. At our practice, we use a custom, state-of-the-art whitening system that lets us offer both targeted whitening (for a particular tooth) and general whitening (for your entire mouth).

Tooth whitening can be either vital (for teeth with live nerve endings) or non-vital, for teeth with no live nerves, such as a root canal.

Why Choose a Teeth Whitening Treatment?

Teeth whitening can:

  • Make you look younger
  • Improve your self-confidence
  • Reverse stains and tooth darkening
  • Provide a brighter smile

If you’re curious about teeth whitening, don’t hesitate to reach out to learn more.

Looking to Get the Perfect Smile? Dr. Caudry’s Here to Help

At Dr. Suzanne Caudry’s, we make patient education a core focus of our practice. We know that staying informed is the best defense against poor dental hygiene, and we want to give you everything you need to fight tooth decay and come out the winner. We want to help you make informed decisions about your dental care and get you one step closer to attaining the perfect smile.

If you’re in the Greater Toronto Area, feel free to get in touch with us to learn more about our dental hygiene services. We’ll be happy to offer you a personal consultation where we can discuss your options and explain what we can do to help. Contact us at (416) 928-3444 or leave a comment below.


A Quick Guide to Digital Smile Design

The Hollywood smile. Few have it. We all want it. So, what can we do to attain it? Fortunately, modern dentistry has a solution:

Digital smile design.

Digital smile design (or DSD, for short) is transforming the cosmetic dentistry industry, allowing for better surgical outcomes, greater predictability, and shorter operation times. Plus, it lets the client have far more control over the way their smile will look. It’s a win for the patient. It’s a win for the practitioner. It’s a win for everybody.

The ABCs of DSD

What is a digital smile design? It’s a question we get asked frequently, so let’s give you a quick breakdown of what it means.

Digital smile design refers to a set of practices that integrate digital workflows into the cosmetic dentistry process. By using intraoral scanners, cameras, and 3D-rendering software, the clinician maps out the patient’s dentition in a virtual space. The result is a scanned, 3D model of the patient’s teeth, gums, and soft tissue. This virtual model—easy to view, easy to manipulate—serves as a clear visual blueprint: the perfect guide to creating the perfect smile.

After examining the visual model, the clinician and client can work together to identify problem areas and ways to correct their smile. Treatment plans vary and can include anything from a minor cosmetic procedure to several corrective surgeries.

Here are some common examples of procedures performed with DSD:

  • Dental implants
  • Bridge implants
  • Teeth whitening
  • Teeth straightening
  • Gum grafting
  • Crown teeth lengthening/shortening

What Are the Benefits of Digital Smile Design?

DSD is the simpler, smarter, and safer way for people to get the smile they’ve always wanted. Compared to the alternatives, it is non-invasive, providing a more comfortable experience, and it streamlines the entire corrective surgery process.

Let’s go into a bit more detail about some of those benefits:

  • Comfort: Digital smile design offers far more comfort than any other dental diagnostic process. All it requires is a few scans of the oral cavity: no mold casting, no mess, none of that. If you’ve ever had to sit through a dental impression, you’ll consider DSD a welcome alternative. If you haven’t, consider yourself lucky.
  • Time: DSD saves time. It is fast—far faster than a traditional dental impression—and that speed contributes to an overall better experience for the patient. Dentists also tend to combine DSD with computer-guided surgery: Taken together, those two means not just a shorter time in the chair, but also a shorter recovery time.
  • Superior Results: Recent technological advances have made corrective surgery more precise, accurate, and predictable. Patients consistently report higher levels of satisfaction because it consistently provides better results.
  • Greater Control: DSD empowers the patient. It gives them more opportunities to personalize their smile, provide their input, and be a part of the design process. It’s called “smile design” for a reason: both the patient and practitioner join together in a collaborative act of creation, working in unison to develop the patient’s smile according to his or her unique preferences. DSD shifts the focus away from the dentist and toward the needs of the patient. It gives them the tools and information they need to make an informed decision on their dental care. It puts you at the center of everything.

The Digital Smile Design Process

Obtaining the perfect smile through DSD involves three steps:

Step 1: Three-Dimensional Digital Dental Scan

First, the practitioner conducts a series of scans examining the patient’s teeth, gums, and oral cavity. At our office, we start with a Dental Cone Beam Computed Tomography (CBCT) scan, which provides a clear 3D image of your dental and bone structure and the soft tissue surrounding it. Next, we use our CEREC Omnicam intraoral scanner to develop a photorealistic model of the patient’s mouth.

Step 2: Smile Designing and Planning

After scanning’s complete, the practitioner can begin planning for surgery. At our office, we first compile the images and merge them into a single visual model. From there, we sit down with the patient and discuss their goals and options for procedures. After that, he or she can choose how they wish to proceed and what parts of their smile they want to be fixed.

Step 3: Computer-Guided Surgery

With all the planning and prep work out of the way, it’s time to get down to business.

Our team relies on an array of computer-visualization equipment to guide the surgery and enhance the precision of their work. The use of computerized surgical techniques helps us provide better outcomes with fewer risks in shorter amounts of time.

How Much Does Digital Smile Design Cost?

You’ll be happy to know that the digital revolution is making cosmetic procedures more—not less! —affordable. As the dentistry industry continues to evolve, technology has made it possible to shorten procedure times, ameliorate risk, and minimize the invasiveness of different procedures, in turn lowering many of the costs of surgery.

Still, prices can vary considerably depending on the work to be done: One tooth implant will be less than a full mouth of implants. Your insurance provider may also cover some of the costs, so be sure to check your coverage beforehand.

At our office, we discuss operation costs in a personal consultation with each client. It also gives us a chance to learn about the client’s needs and find a solution that stays within their budget. If you’re in the Greater Toronto Area, feel free to drop us a line to see what we can do for you.

Looking to Get That Picture-Perfect Smile?

…Because We Can Help!

For over 25 years, Dr. Suzanne Caudry has been helping people improve their smiles, their self-confidence, and their oral health. Her practice remains at the forefront of the digital dentistry industry, utilizing innovative techniques and state-of-the-art technology to continue to push the bounds of what is possible to achieve.

If you think you may benefit from digital smile design, feel free to get in touch with us, and book a consultation. We’ll be happy to answer your questions, discuss your options, and show you precisely what we can do for you. Contact us by phone at (416) 928-3444 today.


Bone Loss and Periodontal Disease

Bone Loss and Periodontal Disease

Gum loss is quite easy to identify. Even if gums recede as little as one millimeter, patients are likely to notice the dark appearance of the exposed root. Once the gum recession takes hold, it isn’t long before people feel insecure about their smiles or experience further complications.

While gum loss is unfortunate, there might be more severe problems such as bone loss and periodontal disease. These issues are often harder for the uninformed patient to detect on their own.

We thought we would take some time to talk about bone loss and periodontal disease (also known as gum disease), and how these severe issues can lead to unfortunate bouts of gum recession. We’ll also discuss treatment options and how to tackle these significant issues.

If you have any questions, do not hesitate to contact our facilities at (416) 928-3444. With us, appointments are easy to schedule, and every question has an answer!

Receding Gums and the Internet Patient

Over the years, we’ve treated a variety of patients with similar concerns and oral health issues. There is one type of patient we see over and over––let us call them the Internet Patient. They are a little different from our other patients.

Rather than being referred to us by their dentist, they come to us on their own accord. They typically find us after searching the web for reputable periodontists in the Greater Toronto Area. The general concern expressed by the Internet Patient, is gum recession. They come to us after noticing that their gums have receded, and they seek treatment urgently. To restore their gums to their former glory, they ask us to perform a gum tissue graft.

While receding gums are easy to spot, it also has the potential to become a major health concern. When the roots of the teeth become exposed, a patient has more to worry about than their smile’s appearance. When roots are exposed, they’re vulnerable to decay, and ultimately tooth loss. If gums are treated in the early stages of recession, the process can be stopped or completely reversed.

Contrary to what the Internet Patient thinks, gum recession isn’t always the primary problem—it is a symptom of a more significant problem.

When Gum Recession Isn’t Your Only Problem

When the Internet Patient comes to us because of their receding gums, we first perform a thorough examination of the gums and teeth. Our findings usually confirm their fears of gum recession, but sometimes we detect other more severe issues, such as bone loss.

Many clients think their gum loss is a result of aggressive brushing or certain dietary choices. While brushing too aggressively can cause gum recession, bone loss can be a contributing factor.

The Connection Between Bone Loss and Gum Loss

Bone loss occurs as a result of tooth loss and periodontitis (also known as gum disease). Gum disease affects 50% of the population over the age of 50, and it goes unchecked among countless young individuals. In cases of periodontitis, bacteria eat at the underlying jawbone and the ligaments that connect the jawbone to the teeth. As the bone deteriorates, the gums have less tooth and bone to hold on to. With the loss of bone, gums begin to recede. 

As a leading periodontal facility in the GTA, we are more than capable of treating gum disease and gum recession. We can bring bone loss to a halt with dedicated treatments, thorough cleaning, and ongoing management.

Bone Loss Prevention with Dr. Suzanne Caudry

A variety of measures can prevent future bone loss. If periodontitis is detected early, the minimally invasive and non-surgical treatments include:

Scaling

Through scaling, we can remove tartar and bacteria from your teeth and the areas between the bone and gum (known as pockets). Scaling above and below the gumline ensures that your teeth are clean all the way to the bottom of the gum pocket.

Unfortunately, if your gum pockets exceed a depth of 5 mm, scaling may not be an effective treatment. When a patient’s gum pockets are too deep, we will have to explore other methods of treatment. This is why it is always important to detect periodontitis, pocket depth, and any other dental issues early. The earlier they’re identified, the less extensive treatment will be.

Root Planing

After completion of the scaling procedure, we can perform root planing. To plane roots is to smooth the root surfaces to discourage bacteria and tartar buildup. When roots are smooth and free of bacteria, they stimulate the re-attachment of gums to teeth. 

Antibiotics and Antimicrobials

Many antibiotics and antimicrobials can keep bacterial infections under control. Topical antibiotics or antibacterials used in professional irrigation treatment are recent treatment modalities. These can often treat the disease without involving surgery.

Surgical Treatments for Advanced Gum Disease and Bone Loss

In the event that gum disease has progressed, we are capable of performing a variety of surgical treatments. Here is some information about a few conventional surgical treatments and procedures we perform.

Flap Surgery

During flap surgery, also known as pocket reduction surgery, Dr. Caudry makes small incisions in the gum in an effort to create a ‘flap’. The flap is then opened, allowing for more effective scaling and root smoothing. After the flaps are sutured shut and healed, future cleaning will be much more effective.

Soft Tissue Grafting

When gums recede without bone loss, tissue grafts are in order. In most cases, tissue from the roof of your mouth is attached to the receded area. Tissue grafts help reduce the chances of root exposure and the negative effects that accompany it.

Bone Grafting

Bone grafting is a fairly simple procedure. This procedure is performed when gum disease has wreaked extensive havoc on the bone surrounding the root of the tooth. At our facilities, we use donated bone material during the grafting process. Bone grafting helps prevent future tooth loss by holding teeth in place and encourages the growth of new bone. Bone grafts are sometimes performed to reconstruct sites prior to implant placement, as well.

Bring Your Questions and Concerns to Dr. Caudry  

Are you worried that you may have unchecked periodontitis? Are your gums gradually receding? Whatever the case, we invite you to contact our facilities whenever you have questions or concerns. Contact us at (416) 928-3444.


Dental Sedation

Dental Sedation

At the facilities of Dr. Caudry, we improve the oral health of patients every single day. We restore gum health, replace decaying teeth, and give people the smiles they’ve always wanted.

That doesn’t mean we only care about teeth and gums. Here, our primary focus is on the patient. From the first consultation to the final post-operative check-up, we strive to ensure the comfort of our patients. One of the ways we do this is by offering excellent dental sedation options.

During tooth exactions or other procedures, patients have the option of being semi-conscious or completely asleep. Knowing they can rest easy through a lengthy procedure gives our patients great comfort, and that’s something we’re proud of.

Sedation induces comfort and relaxation, but that doesn’t mean there aren’t still some patients who are wary of nitrous oxide and other sedatives. In this post, we thought we would take some time to educate our readers on the history of dental sedation, its many benefits, and Dr. Suzanne Caudry’s own sedation options.

If you have any questions or comments, feel free to contact us at (416) 928-3444.

The Early Days of Dental Sedation

For as long as there have been dentists, there have been people afraid of going to the dentist. They’ve been afraid of the pain associated with extractions, the discomfort that comes with lengthy check-ups, and more. Even the thought of sitting in the dentist’s chair is enough to send people in a panic.

Even in 2250 B.C., dentists were attempting to control pain and discomfort with herbs, henbane seed, and resin. A thousand years later, the people of India were using wine to ‘produce insensibility’ among patients.

Fast-forward to the year 1540, when Valerius Cordus of Germany, a known physician and pharmacist, introduced what he called ‘synthesized sweet vitriol’—otherwise known as ether. Ether quickly caught on, though it was mostly used to sedate animals. As the centuries progressed, scientists and physicians continued seeking for other safe sedative options.

Nitrous Oxide: Safe and Simple Pain Management

In the 19th century, a Connecticut dentist named Horace Wells brought nitrous oxide forward. When he used a small dose of nitrous oxide on himself during an 1844 tooth extraction, he noticed that it reduced pain and calmed his unsteady nerves.

You might know nitrous oxide by its other name, ‘laughing gas’. It has been used for quite some time, and it is still in use today. While nitrous oxide may not put you to sleep, it is still quite effective. The gas’ principle effects are, as follows:

 

  • Reduction of anxiety and fear
  • Reduction of pain and discomfort
  • Induces a sense of euphoria

Laughing Gas: What Are the Side Effects?

Many people are curious—and wary—of the side effects that accompany sedation. Rest assured, when nitrous oxide is administered correctly, you have little to worry about. Sedation is perfectly safe!

In most cases, patients feel confused and experience minor numbness in their legs—though these side effects subside quickly. We invite all our patients to enjoy our recovery area while they wait for their heads to clear. Our recovery area is extremely comfortable and even monitored by our facility’s full-time Registered Nurse.

Sedative Administration: What to Expect

Our practice is designed like that of a surgical operatory, and it is outfitted as such too. We have all the anesthetic equipment necessary to carry out our duties with precision and care. What’s more, we employ medical Anesthetists from the Humber River Hospital and a team of specially trained nurses. Rest assured, we don’t just meet the certification requirements for sedation and anesthesia (as set by the Royal College of Dental Surgeons of Ontario), we exceed them.

When our staff Anesthetist begins to administer the nitrous oxide, they’ll ask you to breathe normally through your nose. Within a few short minutes, you’ll start to feel the soothing effects of the sedative. You may experience lightheadedness or feel a tingling sensation in your arms and legs.

 

Twilight Sedation: Total Comfort Control

We like to call our brand of sedation “twilight sedation”. Twilight sedation induces patients into a state where they feel extreme comfort and absolutely zero pain.

With twilight sedation, we can keep your stress, discomfort, and anxiety at bay. We are even able to adjust the sedation levels during your procedure if necessary. If your anxiety returns during your procedure, all you’ll have to do is let us know. We’ll adjust the nitrous oxide levels in a safe, controlled manner until you are comfortable.  

The Benefits of Twilight Sedation with Dr. Caudry

When we have the ability to maximize your comfort levels while you sit in the dentist’s chair, we can perform multiple procedures in a single appointment. Instead of scheduling you for multiple sessions and asking you to take time out of your busy day, we can take care of everything in one session.

Even if anxiety isn’t an issue, the length of a procedure can be bothersome. When you’re uncomfortable in the dentist’s chair, several minutes can feel like several hours. To make sure your tedious surgery passes by comfortably, we’ll make sure your sedation levels are optimal. With twilight sedation, you’ll be out of the dentist’s chair before you know it.

Complete Sleep Sedation: The Heavy-Duty Option

For lengthy procedures or individuals with severe anxiety, we offer the ‘complete sleep’ option. With sleep dentistry, you are completely unconscious during your procedure. You’ll have no memory of the procedure, and when you wake, you will feel foggy for some time. We recommend that you have a family member or friend accompany you to and from our facility.

If this is what you would prefer, don’t hesitate to let us know. Not sure which option is best for you? Get in touch with our professionals today for expert guidance.

 

Learn More About Your Sedation Options Today

At the facilities of Dr. Suzanne Caudry, your comfort is our greatest concern. If you have more questions about twilight sedation or our other services, do not hesitate to contact us at (416) 928-3444.


Dental Implant Recovery

Recovering from Dental Implant Surgery

In this special blog post, we thought we would take a moment to look at the recovery period of dental implant surgery. The post-operative stage of implant surgery is something we’re asked about all the time, and we’ve noticed that a whole lot of people have the wrong idea about the healing process.

By this end of this post, we hope you have a more precise understanding of the different approaches to implant surgery and their respective recovery processes. We’ll explore the various symptoms of early recovery, and we’ll tell you which signs to watch out for, as well as foods you should avoid during this crucial period.

We hope you enjoy this post, and if you have any questions while you’re reading, don’t hesitate to contact Dr. Suzanne Caudry and her helpful team at (416) 928-3444.

Dental Implant Surgery Myths

Time and time again, we hear from clients who want dental implants, but they’re hesitant to follow through. They’re worried about the stigma that comes with implants, or they’re worried that their teeth will look fake. Some are worried about the durability of implants, and others are worried about the pain of post-operative recovery.

The team at Dr. Caudry’s facility is here to dispel these many harmful myths. Dental implants are incredibly common these days—among people of all ages and walks of life. People get implants for a variety of reasons, and it doesn’t mean that they were unable to care for their natural teeth. As for the appearance of implants, dental implants have the look—and strength— of natural teeth. Their resemblance to natural teeth is precisely why many people fail to realize just how pervasive they are.

Lastly, there is the issue of post-surgical recovery. Many envision themselves lying in bed for days or even weeks after an extensive implant surgery. They imagine themselves eating through a straw with swollen cheeks and severe headaches. While that might be the case for other operations, this is not the case for dental implant surgery when you’re under the care of professionals such as Dr. Caudry.

What to Expect During the Recovery Stage

If it’s not the nightmare that people assume it is, what can one expect from the recovery process?

Recovery symptoms take roughly 5-7 days to subside in the case of a conventional implant surgery where there are no bone grafts or tooth extractions. Recovery time for a single tooth replacement will be much shorter than if you received multiple implants. During this estimated week, you might experience swelling, slight discomfort, and minor bleeding.

The First Day of Recovery

The first day of recovery is often when symptoms are most severe. For the first 30 minutes after surgery, we advise you to apply pressure to the side of your mouth. Minor bleeding is common during these 30 minutes, so do not be alarmed.

You will be able to leave our facilities shortly after your surgery is complete. Upon returning home, you might notice swelling or slight discomfort, but this is completely normal. These are all signs that your body is healing itself. We recommend that you rest as much as you can on the first day. Your immune system will thank you for that extra bit of rest.

Is Pain Medication Recommended?

After your surgery is complete, we will give you a prescription for medication to help you through the week of symptoms. We advise you to take the medication regularly so as to stay ahead of any soreness or pain. There are also a number of alternatives to prescription pain medications. Some of our patients report having great success with using Advil and Tylenol for pain relief. Our recommended doses for these medications are:

  • 3 Advil Liqui-Gels and 2 Regular Strength Tylenol
  • 3 Advil Liqui-Gels and 1 Extra Strength Tylenol

Medications are to be taken every 4-6 hours, as needed and directed by a doctor. One of our knowledgeable team members will inform you of a pain management plan that’s catered to your specific needs and health situation. As every patient is different, we recommend talking to one of our professionals before taking any medication.

Do You Prescribe Antibiotics?

We prescribe antibiotics in some scenarios. As always, take the antibiotics as directed. These antibiotics will relieve pain and also protect you from minor infections.

Swelling After Dental Implant Surgery

Many people worry their faces will be incredibly swollen after receiving tooth implants. You should expect to see swelling for the 2-3 days following the procedure. For the first 24-hour period, we suggest placing an icepack on the swollen area. Place the icepack for twenty minutes, remove the ice pack for twenty minutes, and repeat.

If swelling persists, please do not hesitate to contact us.

Bleeding After Dental Surgery

Bleeding after your dental implant surgery is normal. If the bleeding persists after the first few hours, follow a few of these steps:

  • Elevate your head as you lie down
  • Apply gauze to the immediate area
  • Place crushed ice in your mouth

We strongly recommend you avoid vigorous rinsing during these stages as well. Too much rinsing could compromise the integrity of the new implant.

What Should I Eat During Dental Implant Recovery?

We suggest that you modify your diet for the duration of the recovery process. It is important that you avoid hard, acidic, or spicy foods, as those could cause discomfort or damage the implant.

Thankfully, there are many wonderful foods out there for you to enjoy. Some of these include:

  • Eggs
  • Fish
  • Oatmeal
  • Rice
  • Bananas
  • Avocado
  • Noodles
  • Baked beans
  • And more

What About Brushing and Rinsing After Surgery?

Many people are wary of brushing and rinsing after receiving their dental implant, but they shouldn’t be. All that’s required is a little bit of caution and care. Following surgery, we give you an effective prescription mouthwash called Peridex. Use Peridex twice a day for four days following surgery. After the four days, apply a drop of Peridex to the surgical site with a Q-tip.

Brushing after surgery is also very straightforward. Avoid brushing the surgical site for ten days following surgery, while continuing to brush and floss the rest of your teeth.

Is There a Follow-Up Appointment?

We schedule a 10-day follow-up after your surgery. During the post-op visit, we will remove any sutures that have not dissolved, and also clear the surgical site.

Post-Recovery

Having a stunning smile has never been more accessible as it is with our beautiful dental implants. Restore your smile. Restore your confidence. Get in touch with Dr. Suzanne Caudry’s dental office today.


Dental Bone Graft Surgery

Not everyone is familiar with dental bone graft surgery. Those who are, are not too keen on ‘dental’ and ‘surgery’ so close together in the same sentence.

We’re here to tell you that a bone graft is nothing to fear. Believe it or not, it is quite common—and the process itself is no challenge to any experienced oral surgeon.

We’ve decided to provide a quick overview of dental bone graft surgery, targeting a few key questions, such as:

  • What exactly is a dental bone graft?
  • Who needs a dental bone graft?
  • What does the surgical process entail?
  • And more!

We hope you find this information helpful. If you have any questions, do not hesitate to contact us at 416-928-3444.

What Is a Dental Bone Graft?

Simply put, a dental bone graft is the addition of bone-like material—or actual bone—to the jaw. Why would anyone want to add bone to a jawbone, you ask? The reason for doing so is to increase the volume of bone in the wake of bone loss.

The concept of bone loss seems a little strange, but it can happen. Bone loss might stem from a traumatic injury, or simply the loss of an adult tooth. In either case, the solution is the same. The bone graft procedure ensures you do not experience any unnecessary bone loss in the future.

How Do Bone Grafts Work?

Contrary to what most people think, bone graft material does not take the place of your pre-existing bone. A bone graft acts as a platform for the surrounding jawbone to grow upon. Over time, the newly grown bone fully replaces the bone graft, while the original graft materials are absorbed into the body.

How Long Does a Bone Graft Take to Heal?

The healing time varies from procedure to procedure. While the initial recovery period may only take two weeks, you may have to wait 3-6 months for the new bone to develop sufficiently. During the waiting and recovery period, you will be to go about your life with little discomfort or worry.

Once there is enough solid bone mass to support a new dental implant, we can begin the preparations for your new tooth implant.

Four Common Kinds of Bone Grafts

Today, there are more than just one or two types of bone grafts. These types of grafts are the autograft, allograft, synthetic graft, and the xenograft.

Autograft

An autograft, also known as an autologous bone graft, is a bone taken from the patient’s own body and placed in the desired part of the jaw. When it comes to dental procedures, the autograft is typically harvested from the hard palate, chin, or jaw.

The drawback of the autograft is that an additional surgical site is required, but the process also has its benefits. There is a very low risk of infection or graft rejection since the bone is coming from the person’s body.

Allograft

Rather than taking bone from a part of your body, an allograft requires bone from a donor. One of the benefits of this type of graft is that it does not require additional surgery. In the past, there have been concerns about infections, but these days donor tissue is thoroughly checked for any infections or incompatibilities prior to grafting.

Synthetic Graft

Synthetic grafts consist of safe biomaterials that act as the bone tissue. These biocompatible materials are made from proteins that are found in our bodies, giving them the greatest chance to bond and grow new jawbone. With no additional surgical sites required and an incredibly low risk of infection, the synthetic graft is favored by many professionals.

Xenograft

A xenograft is similar to what van Meekeren’s soldier received. The graft comes from a donor. Any graft that uses bone from a species that is not human is considered a xenograft. As you might have guessed, these grafts are not all that common in today’s practices.

The preferred source for a bone graft varies from patient to patient. Some may benefit from synthetic materials, while others might be a perfect candidate for an autograft.

As we have established, an oral surgeon doesn’t perform jawbone restoration for the sake of doing so. It is done to better people and their dental health.

Who Is Bone Grafting for?

People who have lost teeth are strong candidates for a bone graft. When a tooth is lost, jawbone growth ceases. This is because jawbone growth is stimulated by the activity of chewing and biting. Without the stimulation of chewing and biting, that area of the jawbone can deteriorate.

In the very first year after a tooth is extracted, 25% of the jawbone in that area is lost. Progressive bone loss affects your mouth and overall health in a variety of ways. You’ll see a significant decrease in the gum tissue, and your choices for a tooth replacement will narrow. If you lose more and more teeth over time, your facial appearance could even be altered.

Thankfully, these issues are completely avoidable. Bone grafting surgery is a viable option for most individuals, and it is available through none other than Dr. Suzanne Caudry.

Dental Bone Graft Surgery with Dr. Caudry

Bone graft surgery doesn’t take that long, believe it or not. It begins with the careful removal of the decayed tooth and the removal of the surrounding damaged tissue (a process known as debridement). Once the area is prepared, we will proceed with shaping the biocompatible allograft (made from donor material) to fit the area.

After the material is placed in the jawbone, the healing process begins. As more time passes, the new bone forms and strengthens. Once the area has adequate bone density, we will begin planning your upcoming dental implant surgery! 

Do You Want to Learn More About Bone Grafting?

If you’d like to learn more about bone grafting, Dr. Caudry’s practice, or other topics related to oral surgery and dentistry, check our blog for future updates!


Dental Bone Reconstruction

Whenever we mention bone grafts to our patients, their responses vary from confusion to mild nervousness. Many people who don’t know about the procedure are shocked by the benefits they have to offer. Others who may have heard of it might not understand how it can be advantageous to them. 

Here, we believe that education is the key to dispelling the misconceptions that dominate people’s fears of the dentist. A little bit of educating can also be beneficial to those who’ve never once thought of visiting the dentist themselves.

We decided to take some time to talk about dental bone reconstruction. Here you will learn about what a bone reconstruction entails, how the process has evolved over the years, why you might need a bone graft, and what the modern-day procedure looks like in our facilities.

Keep on reading to learn more. If you have any questions, don’t hesitate to contact us at (416) 928-3444.

The Early Days of Dental Bone Reconstruction

The concept of bone reconstruction and augmentation (simply known as ‘bone grafting’) is nothing new. Bone grafting has been practiced in medicine for quite some time.

Shortly after the invention of the microscope in the early 1600s, Dutch doctor Jacob Van Meekeren performed the first bone grafting operation on a soldier’s damaged skull. Due to very limited resources, however, Doctor Van Meekeren had to be creative during the surgical process. Rather than using human bone, he used dog bone. All things considered however, the surgery was still a success!

Bone grafting developed over the next few hundred years, and in the early 1900s the first ceramic product was cleared for use during bone reconstruction. Today, bone grafting and reconstruction is performed regularly, especially in the field of dentistry.

Who Needs Dental Bone Grafting?

There are a variety of reasons why one person might need a dental bone graft. Typically, it is one of these three reasons:

  • Aesthetic Purposes: Many clients wish to improve the contours around their teeth and preserve their young and healthy face.
  • Bone Loss Prevention: Bone loss is always a concern after a tooth has been extracted. When the bone graft process is performed shortly after an extraction, there is nothing to worry about.
  • Replace Lost Bone: Otherwise known as bone reconstruction.

At the end of the day, bone grafts are used to better improve the health and appearance of your jaw and teeth.

What Causes Bone Loss?

Periodontal disease, also known as gum disease, is a bacterial infection that damages soft tissue and destroys the bone that supports your teeth. It can cause teeth to loosen, and it can even cause them to fall out.

Gum disease is preventable through proper oral care, such as brushing and flossing regularly. In some cases, however, gum disease will go unchecked for years due to the fact that it is painless until it majorly impacts the gums. Gum disease impacts 50% of the population over 50 years old and also affects the younger population.

When Do You Know Bone Reconstruction is Needed?

In a perfect world, you would visit your dentist frequently enough for them to tell you. Unfortunately, many people are unable to visit their dentist on a routine basis because of other personal and financial obligations.

If you have lost teeth in the past and have begun to notice that your teeth are shifting, that may make you a candidate for bone grafting. Tooth loss leads to bone loss, which can dramatically alter the appearance of your remaining teeth if left unchecked. What’s more, bone loss can weaken your jaw.

If you would like to have a dental implant one day and have had teeth extracted in the past, you’ll most definitely need a bone graft. For any dental implant to successfully take hold, your jawbone needs to be strong and healthy.

What are Modern Day Bone Grafts Made From?

In the world of periodontics, there are currently four types of bone grafts.

First is the Xenograft. A Xenograft refers to when a bone is taken from an animal source and transported into your body. While this might seem outlandish, it isn’t! They’re commonly used in many forms of surgery, they’re readily available, and their success rate is well documented.

There is also the Alloplast Bone Graft. The Alloplast stands out for being synthetically made. Commonly used in surgery, this readily available option has also had much well-documented success, and there is zero risk of disease transmission.

Another method is the Autograft. With an Autograft, bone is surgically taken from one part of your body and transplanted to another part. Like the other methods, the success of the Autograft is more than well-documented. Unfortunately, however, the Autograft may not be an option for some patients.

Which brings us to the last option, which just so happens to be the preferred method of Dr. Caudry: The Allograft

The Allograft: The Safe and Effective Approach to Dental Bone Reconstruction  

The Allograft material is made from donor bone, and it is our preferred material for dental bone grafts. Time and time again, we have seen this safe, biocompatible material aid the body in making new bone and preserving all existing bone in the process.

The Dental Bone Reconstruction Procedure with Dr. Caudry

The bone reconstruction procedure typically takes one hour, while the recovery period takes about two weeks. It will take about 4-6 months for the graft to become a solid bone mass. After the donor bone has successfully integrated, you will be the perfect candidate for a new dental implant.

Does the Bone Graft Procedure Hurt?

Not at all! Patients are typically sedated during the procedure, and many report feeling no pain at all while the graft heals and bone integrates. The bone graft is simply a part of modern dentistry. It doesn’t add discomfort to your life, in many cases, it saves you from future discomfort!

Questions on Bone Reconstruction? Contact Dr. Caudry Today!

The helpful staff at our facility are available to answer any questions you might have at any moment. If you’d like to learn more about bone grafts, or whether you’re a candidate for a dental implant, simply contact us at (416) 928-3444.