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  1. 1. Welcome To Our Office<br />
  2. 2. Mission <br />Statement<br />We provide superior periodontal and implant surgical services to our valued patients in collaboration with their referring doctors; in a manner that reflects our expertise and unwavering commitment to quality care.<br />
  3. 3. We Now Have<br />Digital X-Rays<br />This amazing technology significantly reduces radiation exposure to our patients. The x-rays are available instantly and this method is environmentally friendly – requiring no chemicals.<br />With your consent, x-rays may now be emailed to your dentist, allowing for much speedier communication.<br />
  4. 4. Privacy<br />We respect your privacy.You can be assured that all of your patient information is kept completely confidential and that information is passed on to others with your full consent.<br />We will communicate with your dentist and your medical doctor only after you have provided us your consent.<br />We adhere to the Canadian Federal Government’s Personal Information Protection and Electronic Documents Act and the Ontario Personal Health Information Protection Act<br />You may contact Dr. Galler at any time to discuss our privacy standards<br />
  5. 5. Sterilization<br />Our sterilization procedures comply with the<br />Ontario Best Practice standards from the Ministry of Health and Long-Term Care. <br />All of our instruments undergo thorough disinfecting and sterilization before they come near any patient. Our office is committed to providing the highest quality and most comfortable care to our patients. Single use, clean, sealed baggies are used to store our sterilized instruments. <br />
  6. 6. Flossers make better kissers…<br />Try it and see!<br />
  7. 7. What is Gum Disease?<br />Gingivitis is the mildest form of gum disease. <br />It causes the gums to become red, swollen, and bleed easily. Gingivitis is often caused by inadequate oral hygiene, which leads to plaque build-up. Gingivitis is reversible with proper care.<br />Untreated gingivitis can advance to periodontitis. Periodontitisis a bacterial infection that breaks down the gums and bone around the teeth. Pockets form where gums have detached from teeth.<br />
  8. 8. Stages of Gum Disease<br />Untreated periodontal disease can worsen and lead to significant levels of bone loss, which cause teeth to become loose and fall out.<br />- - -<br />Gums can get healthier with proper care: regular brushing, flossing, rinsing, and checkups.<br />Periodontal Health<br />Moderate Recession<br /> and Bone Loss<br />Severe Recession <br />and Bone Loss<br />Severe recession and bone loss <br />exposes the roots of the teeth<br />
  9. 9. Periodontal Pocketing<br />and Bone Loss<br />As pocket depths increase it becomes difficult to brush away tartar build up.<br />When periodontal disease goes untreated, bone loss can create pockets in your gums. <br />These pockets harbour bacteria which leads to further bone loss. <br />If the bone loss becomes severe, teeth literally begin to fall out and have to be extracted.<br />Periodontal Health<br />Moderate Pocketing<br />Severe Pocketing<br />
  10. 10. Fight Periodontal <br />Disease <br /> Brush<br />Plaque builds within hours. Brushing your teeth helps oral health because it removes plaque from the surfaces of your teeth and gums.<br /> Floss<br />Because periodontal disease often begins in areas your toothbrush cannot reach, it’s important to remove plaque from between teeth and just below your gumline by flossing.<br /> Rinse<br />Daily rinsing with an antiseptic mouthwash may add to the benefits of brushing and flossing by reducing plaque between crowded teeth and around hard-to-reach molars.<br />
  11. 11. Fight Periodontal <br />Disease <br />Remember<br />Schedule routine check-ups so you <br />can catch small problems early<br />Only your dental professional can reach the tartar that builds up below the gumline, including at the roots of your teeth and inside the pockets. <br />Remember: Brush, floss, and rinse every day to help fight periodontal disease at home.<br />Moderate<br />Periodontitis<br />Advanced<br />Periodontitis<br />Early <br />Periodontitis<br />Flossers make better kissers… <br />Try it and see!<br />
  12. 12. Fight Periodontal <br />Disease <br />Risk Factors<br />Plaque:<br /><ul><li> Plaque is a white, sticky substance that builds up every day around your teeth and gums, and on dental appliances.
  13. 13. Plaque can be removed with daily brushing, flossing, and rinsing with an antiseptic mouthwash.
  14. 14. If plaque is not removed it hardens into calculus.</li></ul>Calculus:<br /><ul><li> Once plaque has been allowed to remain it calcifies. Onlya dental professional can then remove calculus.</li></ul>Plaque<br />Calculus<br />
  15. 15. Fight Periodontal <br />Disease <br />Risk Factors<br />Smoking:<br />Smokingreduces blood supply to the bones surrounding the teeth, and produces harmful heat and toxins in the mouth.<br />Stress:<br />Stress can make it harder for your body to fight off infection.<br />Diet:<br />Nutrients keep your body strong. Poor nutrition can worsen the condition of your gums.<br />
  16. 16. Fight Periodontal <br />Disease <br />Risk Factors<br />Health History:<br />Some factors can contribute to the health of your gums, including:<br /><ul><li> Family history of periodontal disease
  17. 17. Medicines (such as birth-control pills and heart medicines)
  18. 18. Diabetes
  19. 19. Diseases affecting immune system
  20. 20. Hormonal changes (during puberty, pregnancy, and menopause, for example)</li></ul>Reduce your risk of periodontal disease by taking proper care of your teeth and gums every day.<br />
  21. 21. “I have Gum Disease. <br />What are my options?”<br />We are here to help you make an informed <br />decision about your treatment needs. <br />We will propose an optimal plan for your <br />care but there may be alternatives which <br />we will be pleased to review with you. <br />Periodontitis does not heal or go away on its <br />own. In fact, with time it will likely progress.<br />
  22. 22. Did you know?<br />Being diagnosed with periodontal disease often comes as a surprise to many people. <br />It is usually not painful and it can only <br />be detected by a trained eye. <br />It progresses slowly, and you may not <br />be aware of it until the advanced <br />stages, such as severe swelling.<br />
  23. 23. Initial Therapy<br />My Periodontal Summary Score <br />My Risk Level <br />Dr. Galler’s Assessment<br />TREATING <br />+<br />PERIODONTAL <br />_______________<br /> My Treatment Plan<br />DISEASE<br />Remember!<br />In order to achieve long-term periodontal health there must be ongoing and active supervision of your periodontal health. This requires a commitment from yourself, your dentist and your periodontist.<br />Healthy Mouth<br />Periodontitis<br />
  24. 24. Fight Periodontal <br />Disease <br />Deep Pocket Treatment Options<br />Deep pockets that form in your gums can put you at <br />risk of developing more severe periodontal disease. <br />Dr. Galler provides a number of treatment options aimed to restore unhealthy gums:<br /><ul><li> Deep Cleaning treatments for smaller pockets
  25. 25. Periodontal Surgery to reduce deep pockets and to improve access for proper cleansing</li></ul>Our goal is to get your gums <br />healthy and prevent any <br />further bone loss.<br />Deep Cleaning: <br />Removing Tartar<br />
  26. 26. Fight Periodontal <br />Disease <br />Example 1<br />After<br />Before<br />Gingival Grafting:<br />A Gingival Grafting procedure (gum graft) will increase the strength of the gums and prevents further recession.<br />
  27. 27. Fight Periodontal <br />Disease <br />Example 2<br />Before<br />After<br />Gingival Grafting:<br />A Gingival Grafting procedure (gum graft) will increase the strength of the gums and prevents further recession.<br />
  28. 28. Fight Periodontal <br />Disease <br />Dental Implants<br />Are you missing any teeth?<br />Step 1:<br />The involved teeth are extracted.<br />Step 2:<br />The implants are inserted.<br />Step 3:<br />After a period of healing, crowns <br />are placed on the implants.<br />
  29. 29. Fight Periodontal <br />Disease <br />Dental Implants<br />Are you missing any teeth?<br />This implant becomes the root of a tooth on which your dentist places a crown.<br />Stage 1<br />
  30. 30. Fight Periodontal <br />Disease <br />Dental Implants<br />Are you missing any teeth?<br />The gum heals over the implant and your dentist is now ready to place the crown.<br />Stage 2<br />
  31. 31. Fight Periodontal <br />Disease <br />Periodontal Surgery<br />Used to Repair Deep Pockets in your Gums<br />The supportive bone around the root is diseased and partially destroyed.<br />The bone is smoothed and reshaped, reducing spaces where bacteria can grow. <br />The gum is then closed over the reshaped bone at or below the original gumline.<br />Plaque and tartar are removed from the infected pocket.<br />
  32. 32. Cosmetic Surgeries<br />Crown Lengthening<br />Transform your smile!<br />Gummy Smile<br />After Aesthetic Crown Lengthening<br />Ask Dr. Galler what types of cosmetic surgeries are right for you to help improve your smile.<br />
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