Welcome to Basinview Dental Centre

 

Do you dream of having a beautiful smile? A beautiful smile can brighten your life and can break down barriers to social and professional success.  Unlike plastic surgery, cosmetic dentistry is an outpatient procedure that can result in the smile that you've always wanted in just 1-2 appointments. No time taken away from your busy life. The results are immediate and natural looking!

 

At Basinview Dental Centre, our professional team can help you achieve that beautiful smile.  Using the latest technologies that Dentistry has to offer, Dr. Luke Haslam will customize a treatment plan in consultation with you in order to provide you with the smile that you always wanted.

We look forward to seeing you, and your smile, soon!


Get in touch with us at (902) 245-3535 or email info@basinviewdental.com



We are conveniently located at 68 Water St. in Digby NS.


 












68 Water St, PO Box 9
Digby, NS       B0V1A0

 

 

 

 

Posts Under General Information

This patient presented with a tooth that had fractured at the gumline and was hoping to have the tooth restored. Unfortunately, due to the extent of the fracture and the underlying caries (Cavity) that was the source of the fracture, the tooth was nonrestorable and required extraction.


The coronal portion of the tooth had fractured to the level of crestal bone. The patient had minimal discomfort due to a previous endodontic treatment completed on the tooth. Catastrophic failure of a restoration/ tooth such as this is often easily prevented by properly restoring the tooth with an appropriate full coverage restoration (i.e. crown). 
















​A full thickness flap was raised to access the remaining tooth structure followed by a minor osteotomy. The remaining fragments of root structure were extracted and the site was closed with 4-0 chromic sutures. Once the site has healed, the patient plans to replace the missing tooth (and other missing teeth) with a removable partial denture.


 

An abscess is a collection of pus that is produced following an inflammatory response. The cells that are activated as part of our immune response are so destructive that they not only destroy (or attempt to destroy) the source of the inflammation/ irritation, but they also destroy our own normal cells in the surrounding area. The collection of these cells and their destructive byproducts is 'pus' and is often contained in an epitheial lined sac known as an abscess, cyst or granuloma.

In this radiograph, tooth #26 has a large radiolucency extending around the roots (outlined in blue). The patient indicated the tooth was restored about 4 years ago with a very deep filling due to a very deep cavity. Over time, the insult of the deep cavity (and subsequent restoration) caused a chronic inflammatory response in the pulp of the tooth leading to eventual pulp necrosis. The necrotic pulp tissue is attacked by the immune system creating the abscess visible on the radiograph.

The patient had been experiencing intermittent periods of swelling and discomfort over the past 4 years, but did not seek dental treatment.  The chronic condition resulted in advanced destruction of the tooth's supporting structures.  The treatment options were reviewed and the patient decided to have the tooth extracted.

 

 

 

 

 

 

 

In the extracted views, the abscess is clearly visible and outlined in blue. As described above, it is a pus filled sac resulting from a chronic inflammatory insult. In this case, the condition is formally known as a "chronic periapical abscess".  Delay in treatment of these conditions is not recommended and can be potentially life threatening. The close proximity of these infections to vital structures and vessels can allow the infection to spread freely throughout the body. There have been documented cases of dental lesions spreading through sinus vessels to the cavernous sinus of the brain resulting in death!

 

 

Many people do not realize that cavities in children's teeth (or dental caries) is the most prevalent infectious disease in North America with an estimated 60-90% of school-aged children affected. Areas without fluoridated water, with reduced access to oral care and of lower socioeconomic status are at the highest risk. Early chilhood caries (ECC) is a severe form of tooth decay affecting the anterior teeth and first molars. Severe-ECC affects all the teeth as demonstrated in the adjacent photo. ECC is a serious health concern and dramatically affects a child's quality of life.

I am often asked, "Why should I worry about these teeth anyway? They are only baby teeth and will just fall out eventually." 

To understand why we need baby teeth, let's just consider why we need teeth at all:

The number one reason is nutrition. The consumption of nutritious foods is critical to the proper growth and development of children. If we take away the teeth, we remove the child's ability to chew and consume these nutrients. Painful teeth and infection will also affect a child's ability to eat and in turn affect growth and development. ECC, infection and reduced nutritional intake are associated with comorbidites such as asthma, diabetes, cardiac conditions, digestive problems and obesity.

Secondly, primary teeth are critical to maintain the space required for proper eruption of the permanent dentition. Early loss of primary teeth can result in severe crowding and malocclusion; which can have a dramatic effect on masticatory function and social confidence. In some cases, the crowding may result in impaction during eruption and subsequent extraction of an otherwise healthy tooth or teeth.

A third reason for primary teeth is social development. Decayed and missing teeth are a cause for social embarassment and can lead to developmental problems such as poor interpersonal skills and behavioural issues.

Many people are also not aware that dental caries is in fact an infectious disease. Not only will it spread within an individual's oral cavity, but it can be transmitted from person-to-person. How is this possible? There are bacteria of various virulence levels meaning that some bacteria or more cavity-causing than others. We are not born with these cavity-causing bacteria in our oral cavity. There is a dental term known as "the window of infectivity" which defines the age range at which babies are first exposed to these cavity-causing bacteria by another individual (most often Mom or Dad sharing food with the infant). Once the oral cavity is "infected" with these bacteria we must control their cavity-causing ability through good oral hygiene and nutrition practices.

How can we prevent ECC?

Oral hygiene practices must start early, even before the eruption of the first tooth. There are baby gum brushes available on the market or even the use of a clean, damp cloth to wipe away food debris and bacteria from an infant's gums. Begin brushing habits at the eruption of the first tooth. A children's toothpaste of the approriate age or even no paste at all to prevent the infant from swallowing too much toothpaste. Brush a minimum of twice per day and preferrably after every meal. Introduce childrens floss to clean between teeth as soon as adjacent teeth are present. Use a disclosing agent to show the older children where plaque exists and then brush until the dye is removed from all surfaces. Begin to bring your child to the dentist at the eruption of the first teeth - this is primarily to allow the children to become familiar with the dental envirnoment and to educate both the child and parents on oral hygiene and nutrition. Remember, MSI coverage in Nova Scotia for children's dental treatments is available until the age of 10.

Proper nutrition is just as important as oral hygiene. Reduction of sugar intake is important. The frequency of sugar intake must be controlled as well. Avoid chewy candies and chewy fruit snacks as much as possible. Do not allow children to sip on juice all day long or go to bed with a bottle (especially with juice). Children must be encouraged to drink from a cup as soon as possible (preferrably by age 1). The use of "sippy" cups and bottles are discouraged beyond this age. The best snacks between meals are fresh fruits and vegetables with water as the between meal drink of choice. Remember, brushing after each meal is ideal!

Cavities develop quickly in primary (baby) teeth and can double in size in a matter of only 6 months. Frequent check-ups with your dentist are important to catch these problems early and to determine the risk factors and sources of these problems. 

If you have any questions or concerns about your children's oral health, please contact Dr. Luke Haslam at Basinview Dental Centre, and we would be happy to answer your questions. To read more on ECC, please refer to this document prepared by the Canadian Dental Association: http://www.cda-adc.ca/_files/position_statements/Early_Childhood_Caries_2010-05-18.pdf

Dr. Luke Haslam

68 Water St., Digby, NS

245-3535

info@basinviewdental.com

Energy and Sports Drinks

October 18, 2012 | Posted General Information

Energy and sports drinks are definitely increasing in popularity, especially among young adults and teens. Many consume these drinks to replenish energy and electrolytes during and following exercise with little other concern for the other effects they have on our body; more specifically, on our oral cavity.
 
Most of these drinks are high in sugar and as we all know, sugar is broken down into acid which destroys enamel. Some drinks are sugar free, but the fruit juices and other chemicals contained in them are also acidic. Frequency is the critical aspect to consider when any foods containing sugar are consumed.  The more frquently we bath our teeth in sugars and acid, the greater the risk of tooth decay and acid enamel erosion. One drink consumed over a one hour period (e.g. during a hockey game, soccer game, etc) causes much more damage than one drink consumed over a period of 5 minutes. Even though the damage is reduced with rapid consumption, we must still limit the frequency of intake to reduce the overall number of acid and sugar attacks per day.
 
Water still remains the best way to hydrate during sporting events. If you do choose to use energy drinks, try to rinse them down with water afterwards to dilute the sugar and help neutralize the acid attack.

Cold Sores and Lasers?

October 10, 2012 | Posted General Information

Cold sores are caused by the Herpes Simplex virus (HSV Type I and occasionally HSV Type II). These lesions are highly contagious during certain stages of growth and thus can be easily transmitted to others through physical contact. They typically last 10-14 days and may or may not be painful. Most often, the lesions present themselves on the lips, but they may spread to perioral regions. Due to the unsightly appearance of these lesions, they are often a cause of social discomfort and embarrassment.

Once an individual becomes affected by HSV, the virus attaches itself to the nerve tissue and travels along the nerve to the nerve ganglia. The virus persists in a dormant state in the nerve ganglia until biological conditions are such that the virus becomes active and produces a lesion. The stimuli for activation of the virus include diminshed immunity (due to stress, cold/flu/fever), hormonal changes (e.g. menstruation), UV light (e.g. sun exposure) and trauma.

A cold sore begins in the prodromal stage when the individual feels a "tingling" sensation in the area where the lesion will appear. The lesion will then become a red area with fluid-filled blisters. This stage is when the lesion is most contagious. Rupture of the fluid-filled blisters or vesicles allows the release of active virus cells allowing the lesion to spread or to be passed on to someone with whom physical contact is made. The vesicles eventually dry up and crust over forming a scab which persists until the lesion is healed. The scab will bleed easily with stimulation and irritation will delay healing time.

Many people are not aware of laser therapy as a form of treatment for HSV lesions. Low Level Laser Therapy (LLLT) is when energy is applied to the affected area. LLLT has been effective in preventing the formation of the lesion or reducing healing time. The lesion is best treated in the prodromal stage (tingling stage) before the appearance of blisters. Dr. Haslam has had great success in preventing the formation of lesions in this stage and most patients have reported a dramatic reduction in the frequency of lesion recurrence. There have even been patients who have gone years without an outbreak!

In cases where the lesion has already developed to the vesicle or blister stage, healing time has been reduced down to often less than one week with minimal to no scabbing afterward. Patients who have lesions treated following the formation of the scab notice a reduction in healing time as well; however, the lesion has already been present for usually a week at this point.

If you feel that "tingling" sensation, contact Dr. Luke Haslam immediately at Basinview Dental Centre so you can have your LLLT and prevent the outbreak of a cold sore! The treatment takes 10-15minutes and requires no freezing or other medications.

Welcome Michelle!

August 28, 2012 | Posted General Information

All of us at Basinview Dental Centre would like to extend a warm welcome to the newest member of our team, Michelle Isles. Michelle is a local resident of Digby and brings to our team a welcoming smile and energetic attitude. Please join us in welcoming Michelle to her new position as Basinview Dental Centre's office administrator. If you would like to make an appointment or have any questions about our services, insurance coverage, etc., please feel free to contact Michelle at 245-3535, or send her an email at info@basinviewdental.com.

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