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I am having pain
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Pain to hot or cold
Sounds like you have a cavity in your mouth.
If the sensitivity to cold doesn't last very long and the pain is mild you could either have a small cavity or exposed roots and usually a filling or a protective coat can be used to help with the sensitivity.
If the pain is constant and doesn't go away or keeps you up at night it usually means the cavity has reached the nerves inside your tooth. At this point it's not reversible and you will either need a root canal therapy or have the tooth taken out.
If you are experiencing these symptoms call us at 514 695-4141 or request an appointment online for an emergency check up and x-rays so we can help you get back on your feet!
I have a swelling
Sounds like you have an infection in your mouth.
Swelling is usually a sign of build up of bacterial infection and pus.
Bacteria usually breaks down the tooth and once it reaches the nerve and the nerve canals of the tooth it has access to the bone surroudning the tooth. Once the infection reaches the bone it will destroy the bone untill it finds an area between of less resistance (such as between your gums and your bone or inside your cheek) and starts to multiply very quickly.
This leads to a lot of pressure and pain. Sometimes you will also have a feel and feel very sick. This is a serious emergency and you should not wait more than 24 hours to see a doctor or dentist. If the swelling is preventing you from being able to swallow, speak or breathe call 911 immediately. This is called a Ludwig's angina and can be very serious.
When you come see us with swelling we will most likely give you antibiotics to help your body fight the infection. We will perform an exam and take x-rays to find out if it's a tooth (endodontic infection) or the gums (periodontic infection) that is the source of the infection. Sometimes it's both! If it's an infected tooth causing the spread of infection and swelling; we will usually perform a root canal therapy to disinfect and devitalize the tooth. If the infection is from the gums surrounding the tooth, a deep cleaning, and periodontal surgeries (such as pocket reduction, regenerative grafting) are needed to treat the infection. Of course there are also times when the cavity is too large or if the bone loss around the tooth is so severe that we cannot predictably save the tooth, at this point removal of the tooth is required to rid the infection.
If you are experiencing these symptoms call us at 514 695-4141 or request an appointment online for an emergency check up and x-rays so we can help you get back on your feet!
I fell and hit my tooth
Ouch! Poor you. So often when we fall our teeth take a hit.
If your tooth is completely out of your socket, keep it in milk or saliva and see your dentist right away. We might be able to disinfect it and place re-plant it back and save your tooth!
If your bleeding does not stop or your jaw is dislocated please call 911 immediatley.
Most common injury to the tooth is a subluxation. It means that the tooth took a hit but did not move out of place. This is the best outcome and usually the tooth will do well if we let it rest for few weeks by eating soft foods. We will monitor the tooth every 3 months to see if the trauma creates any residual inflammation (a process called: internal and external inflammatory resorption). Sometimes the inflammation can cause your body to break down your own tooth and if we can catch it early enough we have an excellent chance of saving the tooth with a root canal treatment.
Luxation happens if you took a harder hit and the tooth moved out of place. If this happens, we would numb you well and reposition your tooth and stabilize it with a wire. After 2-4 weeks we can remove the wire and again monitor the tooth to see if there's any break down of your teeth due to post trauma inflammation .
In some situations, you have fractures of either your tooth or your bone or both. These are more difficult to deal with and require more time to heal. After anesthesia freezes the pain, we can work to put the sections back together (a process called reduction) and again use a wire to stabilize your teeth. The trauma usually causes enough inflammation that your tooth end up dying and there's a high chance you require a root canal therapy in the future.
If you just had a trauma please call us at 514 695-4141 or request an appointment online for an emergency treatment as soon as possible.
Post surgery pain
Post surgery pain can be excruciating and is not fun to have.
If you had a recent extraction and are experiencing pain it's most likely either a dry socket or an infection. A dry socket (alveolitis) happens when the blood clot that stays in your socket is either broken down (a process called fibrinolysis) or dislodged. This leaves the bone open to the oral cavity and can be very pain ful. A dry socket usually happens in the lower jaw and occurs 2-3 days after the extraction. The pain increases in intensity and can be excruciating and is accompanied by bad breath. The treatment does not require antibiotics, we just put a local medication in to the socket to soothe it and protect it until the pain is gone. It usually takes 3-7 days for the pain to completely go away.
Another reason of pain after an extraction or surgery is an infection. This happens more often if care isn't taken to keep the site clean. Smoking, diabetes, other medical conditions can delay your body's ability to heal and increase the risk of infection, so it's important not to smoke and keep your diabetes well controlled. If an infection does happen you will have some dull ache, swelling, a foul taste or smell and pus coming out of the surgical site. Fever and feeling ill is also a common symptom. Usually oral antibiotics will resolve the infection, but we often give antiseptic mouth rinse and home care instructions to prevent the infection from coming back.
Most common injury to the tooth is a subluxation. It means that the tooth took a hit but did not move out of place. This is the best outcome and usually the tooth will do well if we let it rest for few weeks by eating soft foods. We will monitor the tooth every 3 months to see if the trauma creates any residual inflammation (a process called: internal and external inflammatory resorption). Sometimes the inflammation can cause your body to break down your own tooth and if we can catch it early enough we have an excellent chance of saving the tooth with a root canal treatment.
If the swelling is large and affects both side of your neck and prevents you from swallowing, speaking or breathing call 911 right away. You might have Ludwig's angina and it is a medical emergency that often require admission to the hospital for IV antibiotics,
If you are having pain or swelling after an extraction please call us at 514 695-4141 or request an appointment online for an emergency treatment as soon as possible.
My tooth is loose
When your tooth is moving it usually is a sign that the surrounding bone of the tooth is destroyed by infection and inflammation.
It is normal if you are a child and your baby tooth is loose because it is being resorbed by your adult tooth. However, in adults a loose tooth is usually pathologic. This can happen acutely in the form of a periodontal abscess or can happen slowly over time in the case of chronic periodontitis. There are fibers in our gums that firmly attach to our bone but these fibers cannot attach to the enamels of our tooth. This creates a pocket or a space between your gum and your tooth. We all have these spaces and normally its between 1-3mm deep. However when you have a gum infection the pocket can be 5-10mm deep and requires treatment.
Another reason of mobility in your teeth can be due to grinding or clenching more than normal and loss of back teeth resulting in excessive forces to your front teeth (fremitus). To differentiate the two causes of mobility, xrays and clinical periodontal exam will assess the reason of the mobility.
If the tooth is loose from due to a gum and bone infection, we can attempt to save the tooth with a deep cleaning and subsequently reductive or regenerative periodontal surgery to reduce inflammation and regain bone. If the bone loss is too severe extactions of affected teeth needs to take place to remove the infection. On the other hand, if the teeth are loose from too much biting forces a night guard, implants or dentures can be useful in protecting the teeth or regaining support. It is important to pay attention early on so you prevent losing your teeth.
If you are having problems or pain from loose tooth please call us at 514 695-4141 or request an appointment online for an emergency treatment as soon as possible.
Locked jaw / joint or muscle pain
Cause: If you are experiencing pain due to locked jaw, pain in your joints or pain in your cheek or face and neck muscles you could be experiencing temporomandibular disorder (TMD).
TMD is a spectrum of problems caused by disharmony of the chewing apparatus which consist of your jaw joint and chewing muscles.
1. Locked jaw: this can occur due to muscle spasms (closed lock) or dislocation of your jaw joint (open lock). In a closed lock your chewing muscles (masseter, pterygoids, etc) can spasm and stay contracted and you cannot open your mouth (a condition known as trismus). In an open lock, your jaw joint dislocates out of its socket and you cannot close your mouth. Both can be very painful and the treatment is different. In a closed lock, we have to relax the muscle with hot/cold compresses, analgesic and muscle relaxant medications and exercises. In an open lock, we have to reposition the jaw back into the socket and avoid opening too wide.
2. Pain in joints when you chew: if you are having pain when you are chewing it can again be coming from the joint or the msucles referring pain to the joint area. Pain of muscular nature usually is self limiting and require palliative treatment. Pain of jaw joint is usually caused by acute or chronic stress to the jaw joint leading to pain and inflammation which can eventually damage the joints. To differentiate between the two a detailed history and tests are needed. We usually ask our patients to bite on a separator to see if it creates the pain. This separates the jaw joint from the socket and usually relieves the pain if the issue is form the joint, but if the issue is from the muscles clenching in this position will still stimulate pain.
3. Click, pop and griding sounds: If you hear cracks and pops and do not have pain it’s usually benign; but it could be warning signs of arthritis of the jaw joint especially if you hear a shearing or griding sound when you open and close your jaw. A detailed history, medical imaging and clinical tests are needed to rule out arthritis. It is important to have a proper diagnosis to prevent significant damage to the jaw joint.
4. Waking up with jaw soreness. This commonly occurs in pateints who grinds their teeth at night or clenches during the day. If a family member of yours notify you tath they hear your grinding your teeth at night you should consult us right away so we can protect your teeth with a night guard.
Painful blister or ulcer
Cause: Blisters and ulcers are common to have in the oral cavity. Most of are benign but some are associated with pathogens such as virus or bacteria. If you blister or ulcer does not heal within 2-4 weeks it may be a sign of oral cancer and you should visit us right away!
1. Apthous ulcer: round, 5mm to 1cm, looks yellow/white and is very painful to the touch. Usually lasts 2-4 weeks and resolves on its own. Treatment: palliative, topical gel can be used to alleviate the pain.
2. Cold sores, herpes blisters: Can look like small little pimples around your lips and gums. Cold sores usually are around the lips and can bleed and crust over time. Both are caused by Herpes Simplex Virus and they will self resolve but tends to recur during stress or a cold. Treatment: palliative, topical or oral anti-viral medication can help soothe symptoms and prevent outbreaks.
3. Other types of ulcers or blisters: they can be caused by trauma, burns or irritation from dentures or allergy. As well as other types of virus, fungus or bacteria. However if your ulcer persist for more than 2 weeks consult us as soon as possible because it could be the first sign of oral cancer and early diagnosis and detection is the key!
Consultation
I want to replace my missing teeth
Which of the following best describes your problem?
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I want to replace missing teeth
If you have several missing teeth you have some options to regain back your smile and function.
1. Implants and crowns: Best for one or several missing front teeth. The down side is you may need grafting and wait several months to one year before your implant heals to get a crown. Sometimes we can extract a tooth and place an implant immediately. You can visit us for a consultation.
2. Regular Partial Dentures: An economic option to replace several teeth. These dentures can be taken in and out and clip on to your remaining teeth. They can be made entirely out of acrylic but sometimes have a metal structure for strength and fit.
3. Implant supported bridges: When you have larger spans of missing teeth. A fixed bridge supported by several implants would be the ideal solution.
For more information call us at 514 695-4141 or request an appointment online.
I have no teeth
If don't have any teeth and wants to replace your teeth here are a few options.
1. Complete upper and lower dentures: These dentures are made in acrylic and is fitted to your mouth. We value our patient's opinion and involve the patient in chosing the colour and the shape of the teeth to achieve the best natural look possible.
2. Implant retained complete dentures: Usually 2-4 implants are placed to clip the denture to provide more stability for chewing and talking.
3. Implant supported complete dentures: If you want to replace a full set of teeth but you do not want to take it out we can achieve the result by using 4-8 implants to fix a acrylic/metal hybrid denture or a porcelain and metal denture. This is by far the most stable and natural way to replace a set of teeth but can be costly.
To find out if you are a good candidate to have dentures call us at 514 695-4141 or request an appointment online for an emergency treatment as soon as possible.
I want a consultation for implants
Dental implants is one of the most breakthrough innovation of the past 50 years. Most implants are made out of a material called titanium or zirconium and they are completely biocompatible and allow your bone to grow around it.
Dental implants are used for a variety of situations ranging from replacing one missing tooth to supporting a complete set of prosthetic teeth. Keep in mind the dental implant it self is analogous to a dry wall screw. It can be looked as a platform to screw various structures on to. These structures can be one crown, a bridge or a full denture.
Today advancement in technology allows us to scan the jaw to understand the relationship between where we want the final prosthetic (fake) crown or denture to be and using a guide we can safely place the implants where we want it exactly.
If we don't have enough bone where we want to place the implants, most of the time we can use bone graft to build the bone to house the implants.
For a consultation please call us at 514 695-4141 or request an appointment online.
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I have bad breath
Which of the following best describes your problem?
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My breath smells bad
Bad breath is usually a sign of either a bacteria infection or fungal infection. The foul smell is caused by growth of some types of bacteria.
If your gums bleed easily and you have bad breath it probably is a sign of medium or advanced periodontitis (infection of the gums and bone around the teeth). Treatment for these types of problems can range from simple cleanings to advanced surgery depending on the severity of bone loss.
If you have a sore throat and combined with a bad breath you are probably having a upper respiratory infection or strep throat. See your dentist if symptoms does not improve within several days or if you have high fever.
If your tongue or palate is coated you may be having a fungal infection, especially if you wear dentures or if you are taking oral antibiotics. Treatment for these types of problems usually involve topical anti-fungal creams.
For more information please call us at 514 695-4141 or request an appointment online.
Consultation
I don't like my smile
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I don't like my smile
There could be a lot of reasons why you are not happy with your smile.
If your teeth are crooked it usually means you need orthodontic treatment (braces). These days some cases can be done with invisible braces called invisalign. These are thin plastic trays that move your teeth bit by bit. You can change the tray every 2 weeks. You can find out more about invisalign and other orthodontic treatment information at our clinic.
Are you showing too much gums when you smile? The solution to that could be braces or to elongate the tooth via a simple surgery called crown lengthening. To help you achieve the most optimal smile we will do a full evaluation and mock up to communicate with you.
My teeth are worn down. This most often occurs due to caries or grinding your teeth at night. If you face this problem you may require a full mouth rehabilitation. You can find out more about these from our website.
If the color or shape of your teeth bother you the most you may be a candidate for veneers. There are different types and we use softwares, wax ups, and models to mimick the final outcome so the patients can be happy with the final results.
For more information please call us at 514 695-4141 or request an appointment online.
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Problems with filling
Which of the following best describes your problem?
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Chipped a filling or tooth?
If you chipped a filling usually we can replace it with a new one. However sometimes the remaining tooth also cracks and makes repairs more difficult, in these circumstances you will need a crown.
If you cracked your tooth you should visit us right away. If the crack is small and superficial it is relatively easy to restore. However if the crack is close to the pulp of the tooth you will require a root canal therapy and a crown to solve the problem. If the crack is to or below the gum, then the tooth may need to be taken out.
My temporary filling came out. Don't worry these happen more often than you think. Whether it's a temporary filling or temporary crown we can replace it relatively easily. Book an appintment as soon as you can.
For more information please call us at 514 695-4141 or request an appointment online.
Josephine H.
New Haven, CT USA
“He is the best dentist. It has been approximately 40 years that I have been going to him. His examination in dental care is very thorough. I even feel relaxed in his chair!!!!!"
Myrna P.
West Island of Montreal, Quebec CANADA
“After meeting Dr. Mei, I felt completely at ease because he is so gentle and kind. He actually listens and explains things so well. You can tell Dr. Mei is a meticulous perfectionist because he planned everything so well. Those two implants and crowns looked and felt like they were always a part of me.”
Stacey K.
Milford, CT USA
“Best dentist. Afraid scared come to Dr. Levine with his pet therapy you will meet Charlotte.”
Mary K.
Pointe-Claire, Quebec CANADA
“I came from a family of dentist. My father was a dentist and so was my grandfather and it’s funny but I’m still afraid of the dentist. But you have to give credit to Dr. Mei, he’s so calm and collected and all of a suddent the fear is gone. He’s very thorough with his exam but I like him best for his sense of humour. Highly recommend Dr. Mei.”
“Dr. Mei has great compassion and love for his patients along with great dexterity and competency for what he does. He produced such wonderful works in my mouth. I’m truly blessed to have met such a wonderful doctor who listened to me, cared for my needs.”