Instructions for Patient’s Orthodontic Needs and Dental Emergencies:

A message from Dr. Mike

Hi Aurora Dental Centre and West Lake Dental Group Families,

We hope you are doing well and staying safe in these exceptional times.

As we all try to interpret and adjust to this new reality as imposed by COVID-19, you can all be assured that your management, dental and hygiene teams remain committed to addressing all your oral health care needs.

We will continue to provide strong, reliable service while implementing above and beyond health care standards to support your health and safety.

Supporting you and your families is our number one priority.
Stay Strong.  Stay Safe.

Dr. Mike and the entire ADC, WLDG team.

Behind the scenes, we have been getting together via Zoom meetings to carefully craft out our approach to reopening, with the main focus of keeping you and your family safe.

Public Health, and the Dental College have been sending weekly and sometimes daily updates as to what they have been working on, assembling their brightest and most experienced infection control specialist to design protocols to ensure your absolute safety.  The delays, up to now, have been Public Health trying to control the spread, but also access to the important Personal Protective Equipment that we need to operate; they simply have been very hard to acquire, but things seem to be opening up now.

Air filtration systems, gallons and gallons of hand sanitizer, gowns and head wear that resembles a scene out of Star Wars, there is no limit to our imagination we are making a reality at the Offices. We are pulling out all the stops to make sure we are back up and running as soon as possible, to open our doors and seeing your smiling faces again.

This message is to remind all of you that we are still here, thinking about all of you, with this message to try and assure you that we will be up and running soon.

Remember, as much as we understand how much you need us, never forget how much we need you!!

Keep smiling, and stay safe!

Orthodontic Emergencies and Concerns

1. Invisalign

  • Continue to wear and change your aligners as prescribed.
  • If you have run out of aligners, please continue to wear the last one.
  • If you lose or break an aligner, step back to your previous one and let the office know: info@auroradentalcentre.com or call us  at 905-727-9220.
  • Continue to wear your elastics. No exceptions. If you run out, email us at info@auroradentalcentre.com .
  • Most importantly, brush your teeth and keep your mouth as  clean as you can.  Even more important today, then ever.

2. Carriere Appliance

  • Do not stop wearing your elastics.  If you run out, please email the office at info@auroradentalcentre.com or call and leave a message at 905-727-9220.
  • Most importantly, brush your teeth and keep your mouth clean.
  • If a Carrier Appliance Dislodges from the front tooth, call the office and Dr.K will explain how to remove the bar.  If the Bar dislodges from the back tooth, then the appliance will need to be removed by an emergency clinic dentist.  Yes, there is a difference to removing depending from where the Bar dislodges.
  • Dr. Kohen may ask to see photos of you (or your child). Please use spoons to retract your lips and take photos from the angles shown below:

Tips for having great home photos:

  • Have mom or a friend take the pics for you.
  • USE YOUR FLASH.
  • Focus on just your retracted mouth if possible.
  • keep your teeth together while taking the photos and make sure to bite on your back teeth.
  • Most IMPORTANT: RELAX those lips.

Dental Emergencies:

1. Broken Tooth or Lost Filling

  • During Covid 19-If a fracture of a tooth has occurred, but the tooth is not painful or there is no swelling, then simply keep the tooth very clean, and email the office at info@auroradentalcentre.com .  The office will advise.
  • If the fracture leads to nerve pain and/or swelling, contact the office to set up a Teledental appointment with Dr. Kohen.  He may be able to prescribe an antibiotic and pain medication depending on the circumstances.
  • If the gums are bleeding around the broken tooth, but not painful, try to better the cleaning of the fracture area, especially between the teeth.
  • Use a Waterpik, Sulca Brush or GUM Brush, and rinse with mouth wash (preferebly alcohol free).
  • To prevent food from getting into the fracture or hole, using dental wax or meltable dental beads is advised to hold the space.  Email at info@auroradentalcentre.com  or call at 905-727-9220 for your curb-side pick-up of your Care Package from the office.
  • Dr. Kohen may ask to see photos. Please use spoons to retract your lips for the photo and do not forget to use a flash.  See upper reference for tips on taking good home photos.
  • Most importantly, keep brushing your teeth AND the fractured area. Keep your mouth clean.

2. Crown has fallen off

  • If a crown has fallen off,  but the tooth is not painful and there is no swelling, then simply keep the tooth very clean, and email the office at info@auroradentalcentre.com .  The office will advise.
  • If the lost crown pain and/or swelling, you will need to see an emergency dentist.
  • If the gums are bleeding around the broken tooth, but not painful, try to better the cleaning of the fracture area, especially between the teeth.
  • Use a Waterpik, Sulca Brush or GUM Brush, and rinse with mouth wash (preferebly alcohol free).See above photos.
  • Do not worry if the crown has been lost or swallowed.  Dr. K is not likely able to reuse the crown.
  • Dr. Kohen may ask to see photos. Please use spoons to retract your lips for the photo and do not forget to use a flash.  See upper reference for tips on taking photos.
  • Most importantly, brush your teeth and keep your mouth clean.

3. Canker Sores or Accidental Lip Biting

  • Canker sores are usually a result of a virus or what we call: an Opportunistic Infection.
  • Canker sores may hurt and are very irritating, but simply, are not dangerous.
  • Your best resource is Anbesol or Orajel that you can get commercially from the drug store or Costco (online).  Follow package direction.
  • Additionally, email at info@auroradentalcentre.com  or call at 905-727-9220 to let us know. Take a photo, and Dr. K will have a Teledental phone call with you to review the picture.

4. Trauma Resulting in a Lost Tooth, or Tooth/Teeth that have been Intruded

  • These scenarios are common to young children who have fallen onto an object like the coffee table or knock their face on the floor, and young adults that sustain trauma in sports, or sometimes at work using heavy equipment.
  • If the tooth has fallen out, immediately place the tooth in your cheek, like chewing tobacco (do not ever use chewing tobacco, it is terrible for you and can lead to cancer), or place the tooth in a glass of milk, and get to the emergency dentist as fast as you can.
  • You will need to see an emergency dentist to reinsert the tooth and place a bonded wire across the teeth to be held for 2-3 weeks.
  • The patient will need a course of antibiotics and sometimes the tooth will need a root canal, but if things seem to be healing well, Dr.K may recommend just waiting to see how things evolve.  Be prepared for the tooth to change colour from green, to brown, to black.
  • If a young child has fallen, and their baby teeth have been displaced upwards or backwards, the usual treatment is nothing.  Just watch and wait to see if the teeth re-erupt back down on their own.  But be prepared for an eventual early tooth removal.
  • Take photos, and email at info@auroradentalcentre.com  or call at 905-727-9220 to let us know.  Dr. K will have a Teledental phone call with you to review the picture.

5. Unexplained Gum Swelling and Pain

  • Popcorn is the usual culprit here (or any small hard nugget of food) that gets trapped under the gum.  We will commonly see this in areas where the contacts between teeth are loose.
  • The best remedy for this is a WaterPik or a GUM Interdental pik.  It may take a few days to get these painful intrusions out, but eventually should do the trick.

Stay Safe, 

Dr. Mike and the Whole team!