Our Services

Protect Your Oral Health With Regular Visits To Your Dentist, Supplemented By The Specialty Services Provided At DOCS

See our Extensive List of Services

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Schedule a consultation with our specialists anytime. We would be pleased to help you maintain your beautiful smile through the following services:

Periodontics

Periodontists are specialists in the prevention, diagnosis, and treatment of gum disease (an inflammatory disease that destroys gum and bone around teeth, also known as periodontal disease), treatment of gum problems around implants, and in the placement of dental implants. A periodontist’s priority is to restore a patient’s oral health and help them maintain it. They focus on prevention to ensure that patients keep a healthy, beautiful smile throughout their lifetime, however when patients need oral health intervention, DOCS periodontists have the required expertise.

Aesthetic and Functional Crown Lengthening, and Gingivectomy
These procedures are used to remove some of the gums and bone surrounding teeth to expose more of the underlying tooth structure. “Aesthetic” crown lengthening and gingivectomy can be used to address a “gummy” smile and provide a more natural looking smile. “Functional” crown lengthening and gingivectomy are necessary when tooth decay or crown fractures extend beneath the gum line. In this situation, there is insufficient tooth structure for the crown or veneer to adhere to, requiring the periodontist to lower the gum and bone levels in order to expose more tooth structure. Gingivectomy can also be used to address overgrowth of gums caused by certain medications, or by a genetic predisposition. These procedures can be performed on one tooth, or several teeth, as required.
Guided Tissue Regeneration & Guided Bone Regeneration
Guided tissue regeneration (GTR) and guided bone regeneration (GBR) encourage the regrowth of bone tissue adjacent to natural teeth, and in edentulous areas (areas with no teeth) respectively. Both periodontal disease, and prolonged tooth loss, result in atrophy of bone. Bone is essential to the health of your teeth, as it provides the underlying support that they require. Sufficient bone volume is also critical to ensure good aesthetic and functional outcomes in dental bridge and implant placement procedures. GTR and GBR is achieved using membrane barriers and bone grafts, with the addition of growth factors at times, to stimulate hard and soft tissue growth. (Growth factors are proteins that stimulate growth.)
Gum Grafting
Gum grafting may be used to address root exposure (recession), sensitive teeth, and inflamed gums. It is often necessary to graft teeth prior to placing certain types of dental restorations, prior to having orthodontic treatment, or if a patient has a removable partial denture. There are several types of gum grafts. The most commonly used techniques at DOCS, are connective tissue grafting and free gingival grafting. We also offer allografts (donor tissue) and the Pinhole Surgical Technique in select cases.
Scaling and Root Planing
Scaling and Root Planing is a nonsurgical method of clearing the bacteria away from the teeth and gums. This technique is typically used for patients in the early stages of periodontal disease, and is completed under local anesthetic. It involves cleaning the tooth crown and the roots below the gum line to remove plaque and tartar (also known as calculus) in order to facilitate healing of the gums, and reduce gum pockets, by 2-3 millimeters. Normal probing depths range from 0 to 3 millimeters, however effective removal of bacteria through brushing and flossing cannot be accomplished beyond those depths. Oral hygiene instructions are provided to ensure that patients achieve an optimal result.
Osseous Surgery (also known as Flap Surgery)
Osseous surgery is a treatment modality used for moderate to severe cases of periodontal disease. DOCS periodontists create a “flap” of gum tissue to access the bacteria in the deep pockets and then remove bacteria, smooth bone, and decrease the periodontal pockets to a depth that is maintainable with regular scaling and root planning appointments. Sutures are normally placed, and often require removal at a follow-up appointment, where oral hygiene instructions are also provided in an effort to assist patients in achieving an optimal result. The goal of surgery is to save teeth, treat infection, and reduce the pocket depth in order to facilitate improved maintenance success.
LASER Periodontal/Gum Disease Therapy with LANAP®
Dr. MacKay and Dr. McGuire are certified to perform LASER gum disease treatment using the LANAP® protocol. LASER gum surgery is an effective, minimally-invasive technique used in carefully selected cases. With typically less pain, bleeding and recovery time compared to conventional treatment options, LASER gum surgery is an excellent option for suitable cases. Dr.’s MacKay and McGuire can assess your periodontal condition to determine if this technique is an appropriate modality to utilize in the management of your gum disease. LASER may also be useful when treating ailing implants.
Periodontal (Gum) Disease Maintenance
Periodontal disease can be very damaging to your oral health, and progressive periodontal disease may also affect your overall health. It is very important for those who have developed periodontal disease , to seek treatment in order to restore their oral health. Treatment options may include “deep” scaling and root planning, osseous surgery, and LASER therapy. Once the periodontal disease has been treated, regular periodontal maintenance is necessary to monitor and control any potential complications, such as infections. This maintenance is typically scheduled at three-to-four-month intervals to facilitate optimal gum health.
All-on-4 Implant/Teeth-In-A-Day Supported Prostheses
The All-on-4/Teeth-in-a-Day dental implant procedures may be the ideal solution to address the needs of those patients who are missing multiple teeth, have extensive non-restorable decay, or have loose teeth due to periodontal disease. This procedure is a graftless (no bone grafting), full-arch solution that provides patients with a fixed prosthesis, instead of a traditional removable denture. In most cases, the teeth are removed, implants are placed, and a fixed restoration is placed, all in one day. Consultation with DOCS will usually include a complete examination, radiographs, CBCT scan and digital impressions. Patients undergoing the this treatment modality can once again enjoy a natural smile with great function, and are able to partake of their favourite meal without the difficulties normally associated with dentures.
Dental Implants
There are multiple factors that contribute to the loss of teeth over time, including smoking, an unhealthy diet, and periodontal disease. The periodontists in our clinic specialize in treating periodontal disease and saving natural teeth, however if a tooth cannot be saved, or a dental implant is needed due to a trauma, our periodontists are well versed in managing soft and hard tissue to provide an optimal site for implant placement. Made of titanium, dental implants have a high success rate, and they can be used to replace a single tooth or multiple teeth in order to restore function and aesthetics, thereby improving quality of life.
Gingival Depigmentation
Heavy gingival pigmentation (hyperpigmentation and/or variations in pigmentation) is a common aesthetic concern for patients. There are multiple causes for increased gingival pigmentation ranging from certain medications, smoking, and genetics. Conventional methods of pigment removal are painful and have significant bleeding complications. Dr. MacKay is experienced in using the LANAP® LASER for gingival depigmentation resulting in less pain and bleeding post-operatively.
Complicated Tooth Extractions
Complicated tooth extraction, also known as surgical extraction, is a type of extraction where the gum and bone may need to be modified in order to facilitate the removal of the tooth, or the retained root tips. There may be a need to remove some bone, or to make a gum flap in order to access the remaining tooth structure for removal. Additionally, there are times when teeth need to be cut into several pieces, (sectioned) to allow for removal. Surgical extraction treatment is used for impacted wisdom teeth, other impacted teeth, teeth with larger or longer roots, and teeth that have broken off.
Biopsies
An oral biopsy is a surgical procedure whereby a sample of hard or soft tissue is removed to be examined under a microscope. The purpose of this procedure is typically to confirm a diagnosis for any lesion in the mouth. The main types of biopsy performed at DOCS are incisional (part of the lesion is removed) and excisional (the entire lesion is removed). An incisional biopsy is used when the lesion is large or has multiple appearance throughout the lesion; one or more areas may be sampled in this case. Excisional biopsies are typically done when the lesion is less than one centimeter and results in removal of the entire lesion. Once removed, the biopsies are sent to a lab for microscopic examination, that typically takes up to two weeks to complete. The results are then shared with the patient and the general dentist.

Oral Surgery

Oral and maxillofacial surgeons are dental specialist that primarily treat dental and medical conditions that involve the mouth, teeth, jaws and face. At DOCS, our oral and maxillofacial surgeons perform oral surgery including the removal of impacted wisdom teeth, complicated extractions, placement of dental implants, bone grafting, and biopsies. As is the case with all specialists, oral surgeons typically manage more complex treatment than the average general dentist.

Dental Implants and Bone Grafting
There are multiple factors that contribute to the loss of teeth over time, including smoking, an unhealthy diet, and periodontal disease. If a natural tooth cannot be saved with restoration or periodontal treatment, DOCS oral and maxillofacial surgeons are well versed in managing soft and hard tissue to provide an optimal site for implant placement. Made of titanium, dental implants have a high success rate, and they can be used to replace a single tooth or multiple teeth in order to restore function and aesthetics, thereby improving quality of life.
Wisdom Teeth Removal
Wisdom teeth are third molars that erupt in the late teens to early twenties. While some people have room in the back of the jaw to accommodate their wisdom teeth, most do not, and the wisdom teeth become impacted. Impacted wisdom teeth can cause pain, food trapping, infection, gum disease, loss of bone or decay on the molars in front of the impacted tooth, and cysts. In these cases, the wisdom teeth should be removed. Given the difficulty maintaining them, preventative extraction of asymptomatic wisdom teeth may be indicated, since teenagers and young adults experience less complications during recovery from the procedure. A consultation with our oral and maxillofacial surgeon will confirm their condition, and determine if extraction is required.
Bone Grafting
Bone grafting may be indicated to increase the volume of bone in anticipation of dental bridge or implant placement. Sufficient bone volume is critical to ensure good aesthetic and functional outcomes in dental bridge, and implant placement procedures. Bone grafting is achieved using membrane barriers and bone grafts, with the addition of growth factors at times, to stimulate hard and soft tissue growth. (Growth factors are proteins that stimulate growth.)
Complicated Tooth Extractions
Complicated tooth extraction, also known as surgical extraction, is a type of extraction where the gum and bone may need to be modified in order to facilitate the removal of the tooth, or the retained root tips. There may be a need to remove some bone, or to make a gum flap in order to access the remaining tooth structure for removal. Additionally, there are times when teeth need to be cut into several pieces, (sectioned) to allow for removal. Surgical extraction treatment is used for impacted wisdom teeth, other impacted teeth, teeth with larger or longer roots, and teeth that have broken off.
Biopsies
An oral biopsy is a surgical procedure whereby a sample of hard or soft tissue is removed to be examined under a microscope. The purpose of this procedure is typically to confirm a diagnosis for any lesion in the mouth. The main types of biopsy performed at DOCS are incisional (part of the lesion is removed) and excisional (the entire lesion is removed). An incisional biopsy is used when the lesion is large or has multiple appearance throughout the lesion; one or more areas may be sampled in this case. Excisional biopsies are typically done when the lesion is less than one centimeter and results in removal of the entire lesion. Once removed, the biopsies are sent to a lab for microscopic examination, that typically takes up to two weeks to complete. The results are then shared with the patient and the general dentist.

Endodontics

Endodontists are dental specialists in the diagnosis, prevention, and treatment of oral pain and disease that originates from within the tooth. Root canal therapy involves the removal of diseased tissue, the repair of root structures, and the retreatment of teeth previously endodontically treated.

Non-Surgical Endodontics
A root canal is one of the most common dental procedures performed, and well over 14 million treatments are done in North America every year. This simple treatment can save damaged or infected natural teeth and prevent the need for dental implants or bridges. A root canal is a procedure that involves removing the pulp (soft tissue, nerves and vessels) from inside the tooth. Once the pulp chamber and canal are cleaned, they are filled and sealed with a natural rubber-like material called gutta percha, and a temporary filling is placed. Upon completion of the root canal it is necessary to see a general dentist for a permanent restoration of either a filling or a crown.
Endodontic Surgery
Generally, a root canal is all that is needed to save a tooth with an injured pulp from extraction. Occasionally, this non-surgical procedure will not be sufficient to heal the tooth, and your endodontist will recommend a root end surgery, or apicoectomy. Endodontic surgery can also be used to locate fractures or hidden canals that do not appear on x-rays but still manifest pain in the tooth.
Endodontic Retreatment
With the appropriate care, teeth that have had endodontic treatment will last as long as other natural teeth: however a tooth that has received endodontic treatment may fail to heal, or pain may continue to exist. This pain may be experienced months, or even years after the original treatment, and if so, Endodontic Retreatment may be necessary.
Cracked Teeth
Cracked teeth demonstrate many types of symptoms, including pain when chewing, temperature sensitivities, or even the release of biting pressure. It is also common for pain to come and go, making it difficult to diagnose the cause of discomfort. The type of treatment recommended would depend on the type, location, and extent of the crack.
Traumatic Injuries
Injuries to the mouth can cause teeth to be pushed back into their sockets, making it necessary for an endodontist or general dentist to reposition and stabilize these teeth. Root canal treatment is normally started within a few weeks of the injury, and a medication such as calcium hydroxide, will be placed inside the tooth until the eventual implanting of a permanent root canal filling.
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Radiology and Lab

Cone Beam Computed Tomography (CBCT) Scans
Cone beam 3D imaging systems render a high definition image of the face and jaw, in three dimensions. This innovative technology is especially useful in planning the location of implants, detecting infections or tumors, and diagnosing Temporomandibular Joint Disorder (TMD). Using cone beam imaging technology significantly reduces the exposure to radiation in comparison to a medical CT, along with the added benefits of a quicker visit and a more comfortable imaging session.
Digital Radiographs (X-rays)
Digital radiographing allows for the images of your teeth to be directly transferred into a computer for enhanced viewing, and flexibility of use. Along with these two important factors, is the added benefit of reduced exposure to radiation from digital radiographs, which can be as high as a 90% reduction.
Intraoral Camera
An intraoral camera is a small camera that can be placed in your mouth to take photos that are transmitted directly to a monitor. It allows both the patient and the doctor to get an accurate depiction of the patient’s oral health. Given the level of detail provided, the use of an intraoral camera can result in a more accurate diagnosis.
Trios Intraoral Scanner by 3Shape
With the advent of digital impressions, traditional goopy impressions can be a thing of the past in most cases. Digital impressions are taken with a wand that follows the contours of the teeth and gums, transferring data through a fiber optic cable to an operating station with special software, that then produces a rendering of your teeth. This rendering can consequently be used to make computer assisted design and manufactured crowns, abutments and surgical guides. A recent added benefit is the ability to do tissue comparison scans that allow for more accurate monitoring of gum recession over time.

Sleep Apnea and Temporomandibular Joint Disorder (TMD)

Although TMD is the most common condition identified by patients, it is a component of craniofacial pain, which also includes chronic head and facial pain, recurrent headaches, migraines, and neck pain. We understand that these conditions are generally a symptom of a greater underlying problem, and that successful treatment is based on identifying that core problem. We have developed a proven process for the diagnosis and treatment of craniofacial pain (TMD, headaches, facial pain) and the treatment of sleep disorders (sleep apnea, snoring) without surgery. Our focus is on improving the quality of life for both children and adults suffering from craniofacial pain and sleep apnea, using the latest technological advances, and non-surgical therapies and treatment options.

The following are indications that a sleep apnea/TMD consultation may be beneficial for either children or adults.

Waking with a sore jaw or unexplained head pain
Grinding the of teeth, either during the day or at night
CPAP intolerant
Heavy snoring or waking up suddenly at night
Child bed wetting or having been diagnosed with Attention Deficit Disorder (ADD)
Routine headaches or ear pain
Bite problems

Sedation

Sedation dentistry is often thought of as a service that is only for patients with dental anxiety. While it is true that oral or IV sedation can alleviate a great deal of dental fear, making a visit relaxed and peaceful, not every patient who requests sedation dentistry suffers from extreme dental fear. Procedures that are complex in nature, such as the removal of impacted wisdom teeth, or those that may cause discomfort due to tooth sensitivity, such as osseous surgery, may be better tolerated under sedation. DOCS offer several methods of sedation to curb dental anxiety, or simply create a more comfortable experience, including nitrous oxide, oral sedation, and IV sedation.

The following are indications that a sedation dentistry may be beneficial for either children or adults.

A fear of needles
Anxiety in the dentist’s chair
Anxiety when hearing the sound of a dental drill
Sensitive teeth
A need for complex or extensive dental work