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Orthodontic treatment is highly predictable and immensely successful.  Depending on the severity of the malocclusion (bad bite) or irregularity, orthodontic treatments may occur in either two or three distinct phases.

The benefits of correcting misaligned teeth are many.  Straight teeth are pleasing to look at and greatly boost confidence and self esteem.  More importantly, properly aligned teeth enhance the biting, chewing and speaking functions of the jaw.  There are several types of irregularities, including:

Overbite – The upper teeth protrude further than or completely cover the lower teeth.
Underbite – The lower teeth protrude further than the upper teeth causing the chin to look prominent.
*Crossbite – Some of the upper teeth may close inside the lower teeth rather than on the outside.
*Overcrowding – Insufficient room on the arch causes some adult teeth to erupt incorrectly and become rotated.

*The Phases of Orthodontic Treatment
Generally, orthodontic treatment takes between six and thirty months to complete.  The treatment time will largely depend on the classification of the malocclusion, the type of dental devices used to correct it and the perseverance of the patient.

Here is a general overview of the three major stages of treatment:

Phase 1 – The Planning Stage
The orthodontist makes an exact diagnosis in order to realign the teeth in the most effective and expedient way.  The first several visits may comprise of some of the following evaluations:

Medical and dental evaluations – Dental and physical problems tend to go hand in hand.  Problems in the oral cavity can lead to (or be caused by) medical problems.  The goal of this evaluation is to ensure that prior medical and dental issues are completely under control before treatment begins.
* Study model (castings/bite impressions) – The patient is asked to bite down into a dental tray filled with a gel substance that hardens around the teeth.  The trays are removed from the teeth and filled with plaster to create models of the patient’s teeth.  Study models enable the orthodontist to scrutinize the position of each tooth, and how it relates to the other teeth.
* Panoramic X-rays – X-rays are fantastic tools for viewing potential complications or pre-existing damage to the jaw joint.  X-rays also allow the orthodontist to see the exact position of each tooth and its corresponding root(s).
* Computer generated images – Such images allow the orthodontist to treatment plan and examine how specific treatments may affect the shape of the face and symmetry of the jaw.
* Photographs – Many orthodontists like to take “before, during and after” photographs of the face and teeth to assess how treatment is progressing, and the impact the treatment is having on the patient’s face shape.

* Phase 2 – The Active Phase
All of the above diagnostic tools will be used to diagnosis and develop a customized treatment plan for the patient.  Next, the orthodontist will recommend custom orthodontic device(s) to gently move the teeth into proper alignment.  This orthodontic appliance may be fixed or removable.  Most commonly, traditional fixed braces are affixed, which utilizes individual dental brackets connected by an archwire.  Lingual braces are also fixed, but fit on the inside (tongue side) of the teeth to make them less visible.

Removable devices are an alternative to fixed braces.  Examples of removable devices include the Invisalign system, headgear and facemask.  These devices are designed to be worn for a specified amount of hours each day to expedite treatment.
Whatever the orthodontic device, the orthodontist will regularly adjust it to ensure adequate and continual pressure is being applied to the teeth.  It is essential to visit the orthodontist at the designated intervals and to call if part of the device breaks or becomes damaged.

* Phase 3: The Retention Phase
When the teeth have been correctly aligned, fixed braces and removable devices will be removed and discontinued.  The most cumbersome part of the orthodontic treatment is now over. The orthodontist will next create a custom retainer.  The goal of the retainer is to ensure that the teeth do not begin to shift back to their original positions.  Retainers need to be worn for a specified amount of time per day for a specified time period.  During the retention phase, the jawbone will reform around the realigned teeth to fully stabilize them in the correct alignment.

If you have any questions about orthodontic treatments, please contact our office.
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Foothills Dental Centre

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Foothills Dental is proud to announce the completion of our expanded, upgraded renovated centre.  We have invested in new technology and amenities to improve patient care and comfort.  Our office now has a dental 3D CT scanner that allows for better visualization, diagnostics and treatment planning.

Our new facility features a beautiful and warm decor that helps you feel at ease the moment you arrive. Throughout the “Woodland” themed office, you will notice all the comforts that you will appreciate while visiting our office such a large screen T.V.s, comfy chairs and large, private operatories that maximizes confidentiality and allows for excellent patient care.

Next, our newly renovated sterilization area boasts the latest technology and equipment that prioritizes the importance of a comprehensive and prudent approach to the highest Alberta sterilization requirements.  Our new, streamline steri-center enables a smooth yet strict practice that allows the assurance that our valued patients expect.

Near the end of your tour, you will notice a very exciting addition to our clinic. Due to the increased demand for our “sleep dentistry”, we are pleased to announce the implementation of a new Sedation Suite. This private operatory allows your dental treatment to be completed in total relaxation and comfort.  Whether you are extremely apprehensive or have extensive dentistry to be completed, this may be a viable option for you.  At your next visit to our office ask one of our knowledgeable team members for more information about this service.

Our office prioritizes dental emergencies. If you have such an emergency, we strive to see you on the same day that you call. Our sincere and dedicated staff care for our valued patients and every effort will be made to accommodate you.  We take pride in the level of care and customer services we offer. We also have extended evening hours for your convenience.  Foothills Dental can provide comprehensive dental care for the entire family.
123 Jasper St, Hinton, AB T7V
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Retainers - Care Following Orthodontics

When braces are finally removed, the “retention” phase begins for most individuals which involves retainers.  The objective of this phase is to ensure the teeth do not regress back to their previous position.  A retainer will be used to maintain the improved position of the teeth.  A retainer is a fixed or removable dental appliance which has been custom-made by the orthodontist to fit the teeth.  Retainers are generally made from transparent plastic and thin wires to optimize the comfort of the patient.

Retainers are worn for varying amounts of time, depending on the type of orthodontic treatment and the age of the patient.  Perseverance and commitment are required to make this final stage of treatment successful.  If the retainer is not worn as directed by the orthodontist, treatment can fail or take much longer than anticipated.

What types of retainer are available?
There are a variety of retainers available; each one geared towards treating a different kind of dental problem.  The orthodontist will make a retainer recommendation depending on the nature of the original diagnosis and the orthodontic treatment plan.

The following are some of the most common types of retainers:
Hawley retainer – The Hawley retainer consists of a metal wire on an acrylic arch.  The metal wire may be periodically adjusted by the orthodontist to ensure the teeth stay in the desired position.  The acrylic arch is designed to fit comfortably on the lingual walls or palate of the mouth.

Essix – The Essix retainer is the most commonly used vacuum formed retainer (VFR).  A mold is initially made of the teeth in their new alignment, and then clear PVC trays are created to fit over the arch in its entirety.  VFR’s are much cheaper than many other types of retainers and also do not affect the aesthetic appearance of the smile in the same way as the Hawley retainer.  The disadvantage of VFR’s is that they break and scratch more easily than other types of retainers.
Fixed retainers – A fixed retainer is somewhat similar to a lingual brace in that it is affixed to the tongue side of a few teeth.  Usually, a fixed retainer is used in cases where there has been either rapid or substantial movement of the teeth.  It usually consists of a single wire.  The inclination of the teeth to move rapidly means they are also more likely to regress back to their previous position if a fixed retainer is not placed.

What do I need to consider when using a retainer?

There are a few basic things to consider for proper use and maintenance of your retainer:

Don’t lose the appliance – Removable retainers are very easy to lose.  It is advisable to place your retainer in the case it came in while eating, drinking and brushing.  Leaving a retainer folded in a napkin at a restaurant or in a public restroom can be very costly if lost because a replacement must be created.  A brightly colored case serves as a great reminder.

Don’t drink while wearing a retainer – It is tempting to drink while wearing a retainer because of the unobtrusive nature of the device.  However, excess liquid trapped under the trays can vastly intensify acid exposure to teeth, increasing the probability of tooth decay.

Don’t eat while wearing a retainer – It can be difficult and awkward to eat while wearing a removable retainer and it can also damage the device.  Food can get trapped around a Hawley retainer wire or underneath the palate, causing bad breath.  When worn on the upper and lower arches simultaneously, VFR retainers do not allow the teeth to meet.  This means that chewing is almost impossible.

Clean the retainer properly – Removable retainers can become breeding grounds for calculus and bacteria.  It is essential to clean the inside and outside thoroughly as often as possible.  Hawley retainers can be cleaned with a toothbrush.  Because harsh bristles can damage the PVC surface of a VFR, denture cleaner or a specialized retainer cleaner is recommended for this type of device.

Wear the retainer as directed – This phase of treatment is critical. The hard work has been done, the braces are off and now it is tempting not to wear the retainer as often as the orthodontist recommends.  Retainers are needed to give the muscles, tissues and bones time to stabilize the teeth in their new alignment.  Failure to wear the retainer as directed can have regrettable consequences, such as teeth returning to their original position, added expense and lost time.
If you have any questions or concerns about retainers, please contact our office.
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Orthodontic braces were historically associated with teenagers.  Today, an increasing number of adults are choosing to wear braces to straighten their teeth and correct malocclusions (bad bites).  In fact, it is now estimated that almost one third of all current orthodontic patients are adults.

Orthodontic braces are predictable, versatile and incredibly successful at realigning the teeth.  Braces work in the same way regardless of the age of the patient, but the treatment time is greatly reduced in patients who are still experiencing jaw growth and have not been affected by gum disease.  In short, an adult can experience the same beautiful end results as a teenager, but treatment often takes longer.

Can adults benefit from orthodontic braces?

Absolutely! Crooked or misaligned teeth look unsightly, which in many cases leads to poor self esteem and a lack of self confidence.  Aside from poor aesthetics, improperly aligned teeth can also cause difficulties biting, chewing and articulating clearly.  Generally speaking, our dentists agree that straight teeth tend to be healthier teeth.

Straight teeth offer a multitude of health and dental benefits including:
* Reduction in general tooth decay
* Decreased likelihood of developing periodontal disease
* Decreased likelihood of tooth injury
* Reduction in digestive disorders

Fortunately, orthodontic braces have been adapted and modified to make them more convenient for adults.  There are now a wide range of fixed and removable orthodontic devices available, depending on the precise classification of the malocclusion.

The most common types of malocclusion are underbite (lower teeth protrude further than upper teeth), overbite (upper teeth protrude further than lower teeth) and overcrowding, where there is insufficient space on the arches to accommodate the full complement of adult teeth.
Prior to recommending specific orthodontic treatment, the orthodontist will recommend treatment of any pre-existing dental conditions such as gum disease, excess plaque and tooth decay.  Orthodontic braces can greatly exacerbate any or all of these conditions.
What are the main types of orthodontic braces?

The following are some of the most popular orthodontic braces:

* Traditional braces – These braces are strong and tend not to stain the teeth.  They are comprised of individual brackets which are cemented to each tooth and accompanied by an archwire which constantly asserts gentle pressure on the teeth.  Traditional braces are generally metal but are also available in a clear synthetic material and “tooth colored” ceramic.  The ceramic brackets are generally more comfortable than the metal alternative, but can become discolored by coffee, wine, smoking and certain foods.

* Invisalign® – Invisalign aligners are favored by many adults because they are both removable and invisible to onlookers.  Invisalign® aligners are clear trays, and should be worn for the recommended amount of time each day for the quickest results.  Invisalign® aligners are more comfortable and less obtrusive than traditional braces, but also tend to be more costly.  Not all patients are candidates for Invisalign®.

* Lingual braces – These appliances are usually metal and fixed on the tongue side of the teeth, therefore not seen when a patient smiles.  Lingual braces tend to be moderately expensive and in some cases, can interfere with normal speech.

If you have any questions about orthodontic braces, please contact our office.
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Root canals is the commonly used term for the main canals within the dentin of the tooth. These are part of the natural cavity within a tooth that consists of the dental pulp chamber, the main canals, and sometimes more intricate anatomical branches that may connect the root canals to each other or to the root surface of the tooth. Root canals are filled with a highly vascularized, loose connective tissue, the dental pulp. This sometimes becomes infected and inflamed, generally due to caries or tooth fractures that allow microorganisms, mostly bacteria from the oral flora or their byproducts, access to the pulp chamber or the root canals; the infected tissue is removed by a surgical intervention known as endodontic therapy and commonly called 'a root canal'.

Tooth structure:
At the center of a tooth is a hollow area that houses soft tissue, known as pulp. This hollow area contains a relatively wide space towards the chewing surface of the tooth called the pulp chamber. This pulp chamber is connected to the tip of the root of the tooth via thin hollow pipe-like canals—hence, the term "root canal". Human teeth normally have one to four canals, with teeth toward the back of the mouth having the most. These canals run through the centre of the roots like pencil lead runs through the length of a pencil. The tooth receives nutrition through the blood vessels and nerves traversing these canals.

Endodontic Therapy
Root canal is a sequence of treatment for the pulp of a tooth whose end result is the elimination of infection and protection of the decontaminated tooth from future microbial invasion. Although this set of procedures is commonly referred to as a root canal, this term is imprecise; root canals and their associated pulp chamber are the anatomical hollows within a tooth which are naturally inhabited by nerve tissue, blood vessels and a number of other cellular entities, whereas endodontic therapy includes the complete removal of these structures, the subsequent cleaning, shaping and decontamination of these hollows with the use of tiny files and irrigating solutions and the obturation, or filling, of the decontaminated root canals with an inert filling, such as gutta percha and a usually eugenol-based cement.

Root canal treatment:
In the situation that a tooth is considered so threatened (because of decay, cracking, etc.) that future infection is considered likely or inevitable, a pulpectomy, removal of the pulp tissue, is advisable to prevent it. Usually, some inflammation and/or infection is already present within or below the tooth. To cure the infection and save the tooth, the dentist drills into the pulp chamber and removes the infected pulp by scraping it out of the root canals. Once this is done, the dentist fills the cavity with an inert material and seals up the opening. This procedure is known as root canal therapy. If enough of the tooth has been damaged, or removed as a result of the treatment, a crown may be required.

The standard filling material is gutta-percha, a natural thermoplastic polymer of isoprene, which is melted and injected to fill the root canal passages. Barium is added to the isoprene so the material will be opaque to X-rays, allowing verification afterwards that the passages have been properly completely filled in, without voids.

For patients, root canal therapy is one of the most feared procedures in all of dentistry; however, dental professionals assert that modern root canal treatment is relatively painless because the pain can be controlled. Lidocaine is a commonly used local anesthetic. Pain control medication may be used either before or after treatment. However, in some cases it may be very difficult to achieve pain control before performing a root canal. For example, if a patient has an abscessed tooth, with a swollen area or "fluid-filled gum blister" next to the tooth, the pus in the abscess may contain acids that inactivate any anesthetic injected around the tooth. In this case, it is best for the dentist to drain the abscess by cutting it to let the pus drain out. Releasing the pus releases pressure built up around the tooth; this pressure causes much pain. The dentist then prescribes a week of antibiotics such as penicillin, which will reduce the infection and pus, making it easier to anesthetize the tooth when the patient returns one week later. The dentist could also open up the tooth and let the pus drain through the tooth, and could leave the tooth open for a few days to help relieve pressure.

Sometimes the dentist performs preliminary treatment of the tooth by removing all of the infected pulp of the tooth and applying a dressing and temporary filling to the tooth. This is called a "pulpectomy". The dentist may also remove just the coronal portion of the dental pulp, which contains 90% of the nerve tissue, and leave intact the pulp in the canals. This procedure, called a "pulpotomy", tends to essentially eliminate all the pain. A "pulpotomy" may be a relatively definitive treatment for infected primary teeth. The pulpectomy and pulpotomy procedures eliminate most all pain until the follow-up visit for finishing the root canal. But if the pain returns, it means any of three things: the patient is biting into the tooth, there is still a significant amount of sensitive nerve material left in the tooth, or there is still more pus building up inside and around the infected tooth; all of these cause pain.

After removing as much of the internal pulp as possible, the root canals can be temporarily filled with calcium hydroxide paste. This strong alkaline base is left in for a week or more to disinfect and reduce inflammation in surrounding tissue. Ibuprofen taken orally is commonly used before and/or after these procedures to reduce inflammation.
After receiving a root canal, the tooth should be protected with a crown that covers the cusps of the tooth. Otherwise, over the years the tooth will almost certainly fracture, since root canals remove tooth structure from the tooth and undermine the tooth's structural integrity. Also, root canal teeth tend to be more brittle than teeth not treated with a root canal. This is commonly due to the fact that the blood supply to the tooth, which nourishes and hydrates the tooth structure, is removed during the root canal procedure, leaving the tooth without a source of moisture replenishment. Placement of a crown or cusp-protecting cast gold covering is recommended also because these have the best ability to seal the root canaled tooth. If the tooth is not perfectly sealed, the root canal may leak, causing eventual failure of the root canal. Also, many people believe once a tooth has had a root canal it cannot get decay. This is not true. A tooth with a root canal still has the ability to decay, and without proper home care and an adequate fluoride source the tooth structure can become severely decayed – without the patient's knowledge since the nerve has been removed, leaving the tooth without any pain perception. Therefore it is very important to have regular X-rays taken of the root canal to ensure that the tooth is not having any problems that the patient would not be aware of.

Root canal treatments can fail. Patients should be educated on some of the reasons why root canals may fail. They may fail if the dentist does not find, clean and fill all of the root canals within a tooth. For example, on a top molar tooth, there is a more than 50% chance that the tooth has four canals instead of just three. But the fourth canal, often called a "mesio-buccal 2", tends to be very difficult to see and often requires special instruments and magnification in order to see it. So it may be missed, and this infected canal may cause a continued infection or "flare up" of the tooth. Any tooth may have more than one canal, which may be missed while performing the root canal. Sometimes the canal may be unusually shaped, making it impossible to fill it completely, so that some infected material is still left in the canal. Sometimes the canal filling does not extend deeply enough into the canal, or it does not fill the canal as much as it should. Sometimes a tooth root may be perforated while the root canal is being performed, making it difficult to fill the tooth. The hole may be filled with a material derived from natural cement called "MTA", although usually a specialist would perform this procedure. Fortunately, a specialist can often re-treat and definitively heal up these teeth, often years after the initial root canal procedure.

Sometimes a tool can break while it is in the tooth. If the tip of a spiral metal file used by the doctor breaks off during the procedure, it is usually left behind and not extracted, leaving the patient with a small amount of retained metal. The occurrence of this event is proportional to the narrowness, curvature, length, and number of roots on the tooth being treated. Complications resulting from retained metal are not well studied, but the occurrence of tool breakage is well documented .

Systemic issues
An infected tooth may endanger other parts of the body. People with special vulnerabilities, such as prosthetic joint replacement or mitral valve prolapse, may need to take antibiotics to protect from infection spreading during dental procedures.
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Foothills Dentists are trained and experienced with braces and Invisalign!

Orthodontics is a branch of dentistry that is concerned with diagnosing, treating and preventing malocclusions (bad bites) and other irregularities in the jaw region and face. Our dentists are specially trained to correct these problems and to restore health, functionality and a beautiful aesthetic appearance to the smile. Though orthodontics was originally aimed at treating children and teenagers, almost one third of orthodontic patients are now adults. A person of any age can be successfully treated by our dentists.

A malocclusion (improper bite) can affect anyone at any age, and can significantly impact the individual’s clarity of speech, chewing ability and facial symmetry. In addition, a severe malocclusion can also contribute to several serious dental and physical conditions such as digestive difficulties, TMJ, periodontal disease and severe tooth decay. It is important to seek orthodontic treatment early to avoid expensive restorative procedures in the future.

What problems can orthodontics treat?
Orthodontics can treat a wide range of dental problems and in most cases, completely realign the teeth. Our dentists may work alone, or in combination with a maxillofacial surgeon.

The typical irregularities requiring orthodontic treatment are as follows:

* Overcrowding – An overcrowded mouth means there is insufficient space within the jaw for all of the adult teeth to fit naturally. Overcrowding may lead to displaced, rotated or completely misaligned teeth.
* Overbite – An overbite refers to the protrusion of the maxilla (upper jaw) relative to the mandible (lower jaw). An overbite gives the smile a “toothy” appearance and the chin looks like it has receded.
* Underbite – An underbite, also known as a negative underjet, refers to the protrusion of the mandible (lower jaw) in relation to the maxilla (upper jaw). An underbite makes the chin look overly prominent. Developmental delays and genetic factors generally cause underbites and overbites.

How can orthodontics help?

Orthodontic dentistry offers techniques which will realign the teeth and revitalize the smile. There are several treatments our dentists may use, depending on the results of panoramic x-rays, study models (bite impressions) and a thorough visual examination.

Fixed dental braces can be used to expediently correct even the most severe case of misalignment. These braces consist of metal or ceramic brackets which are affixed to each tooth and an archwire which is used to gradually move the teeth through the duration of the treatment.

Removable appliances include headgear (which consists of a metal wire device attached to customized braces), retainers, Invisalign® aligners (which are almost invisible to the naked eye), palate expanders and tooth movers. Faceguards and Headgears are generally used to correct developmental delays in both the upper and lower jaw, and palate expanders are used to combat overcrowding.

Whatever the dental irregularity or the age of the individual, orthodontic appliances can properly realign the teeth and create a beautiful smile.

If you have any questions or concerns about orthodontic treatments or how they can benefit you, please contact our office.
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The main cause of gum disease is plaque and bacteria that gets trapped underneath the gums.  When we clean our teeth at home, we are able to do a good job with cleaning our teeth above the gums, but it is very hard to reach underneath the gum-line.  Bacteria, plaque, toxins and tartar accumulates underneath the gums, inside spaces call periodontal pockets.  The bacteria will attack the gum and bone and cause gum disease.

Other factors affect the health of your gums include:

Studies indicate that older people have the highest rates of periodontal gum disease. Data from the Centers for Disease Control and Prevention indicates that over 70% of Americans 65 and older have periodontitis.

Smoking/Tobacco Use
Tobacco use is linked with many serious illnesses such as cancer, lung disease and heart disease, as well as numerous other health problems. Tobacco users also are at increased risk for periodontal gum disease. Studies have shown that tobacco use may be one of the most significant risk factors in the development and progression of periodontal gum disease.

Research has indicated that some people may be genetically susceptible to gum disease. Despite aggressive oral care habits, these people may be more likely to develop periodontal disease. Identifying these people with a genetic test before they even show signs of the disease and getting them into early intervention treatment may help them keep their teeth for a lifetime.

Stress is linked to many serious conditions such as hypertension, cancer, and numerous other health problems. Stress also is a risk factor for periodontal disease. Research demonstrates that stress can make it more difficult for the body to fight off infection, including periodontal gum diseases.

Some drugs, such as oral contraceptives, anti-depressants, and certain heart medicines, can affect your oral health. Just as you notify your pharmacist and other health care providers of all medicines you are taking and any changes in your overall health, you should also inform your dental care provider.

Clenching or Grinding Your Teeth
Clenching or grinding your teeth can put excess force on the supporting tissues of the teeth and could speed up the rate at which these periodontal tissues are destroyed.

Other Systemic Diseases
Other systemic diseases that interfere with the body's inflammatory system may worsen the condition of the gums. These include cardiovascular disease, diabetes, and rheumatoid arthritis.

Poor Nutrition and Obesity
A diet low in important nutrients can compromise the body's immune system and make it harder for the body to fight off infection. Because periodontal disease begins as an infection, poor nutrition can worsen the condition of your gums. In addition, research has shown that obesity may increase the risk of periodontal disease.
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We are a full service dental office providing comprehensive care for the entire family.  We are proud to offer convenient extended hours and offer same day emergency services.  Here are a few examples of the many services that we offer:

Examinations:  We use our clinical skill and technology to diagnose any oral health problems or concerns you may have. Examinations include the taking of digital x-rays, intraoral pictures, and a full visual examination and discussion of a personalized treatment plan.

Emergency Examinations and Treatment: Broken teeth, tooth aches, swelling, sensitivity and pain in the teeth, gums, jaws is examined by the dentist. Specific treatment options for relief of the pain are discussed. In some cases when infection is involved, patients require taking antibiotics prior to having dental treatment. If needed, antibiotics or other medications these will be prescribed at your dental visit.

Dental Hygiene Services: Our Registered Dental Hygienists provide our patients with comprehensive dental hygiene therapy including disease education, scaling (with ultrasonic scaler in conjuction with hand instruments), root planning, and oral health care instruction. If you have problems with sensitivity during hygiene treatment, our hygienists  may recommend local freezing and topical anaesthetics (gel or rinse) to make your visit as comfortable as possible.

Consultations: In some cases in-depth discussion and time is required to explain, understand and plan dental treatment.

Restorative services: Whether you have a newly diagnosed cavity, an old filling that needs replacement or a broken tooth, our dentist has a restorative option to suit your unique case. Ranging from traditional or composite(tooth-colored) fillings to crowns, we strive to educate our patients about their unique treatment options.

Crowns: Crowns are done to repair fractured teeth, rebuild teeth weakened by repeated filling, Root canaled teeth, and to restore full function to a tooth. Cosmetic crowns are done to correct overlapping, discolored or misshaped teeth.

Bridges: A fixed bridge replaces one or more missing teeth. It is cemented in place to restore full function.

Endodontic/Root Canal Treatment: If the nerve inside a tooth is dying or has died then a root canal may be chosen to save the tooth. A root canal is essentially the removal of the tissue from inside the tooth – the root remains, but the tooth itself is no longer alive.

Preventive Sealants: Coating placed into the deep grooves on teeth as a preventative treatment where cavities are most likely to occur.

Surgical Services: We offer our patients a wide range of surgical services ranging from simple extractions and gum surgeries to more complicated procedures such as the removal of impacted wisdom teeth and dental implant surgery.

Veneers: Veneers are porcelain shells bonded to the tooth to correct defects, discoloration, close spaces or reshape teeth.

Tooth Whitening: Custom fitted trays and whiteing gels used at home to achieve whitening of your teeth.

Athletic Mouth Guards: Custom fit mouth guards are made to reduce or prevent concussion and damaged teeth.

Children’s Dentistry: We recommend children start with their first dental visit around 18 months of age. This allows us to begin introducing the child to the dental office, and is early enough to intercept any early dental problems.

Grinding Guards/ Splints: Custom-made occlusal guards to reduce effects of grinding and clenching habits on teeth.

Dental Implants: Modern technology has allowed patients with missing teeth to replace them with dental implants. A crown is placed over an implant to replace a single tooth. Implants can also be done to stabilize poorly fitting dentures.

Referral to Specialists: Our dentist has close professional ties with a variety of dental specialists. If you have a unique situation requiring referral, we will make sure that you will be seen by the right person.
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Fluoride therapy is the delivery of fluoride to the teeth topically or systemically, which is designed to prevent tooth decay (dental caries) which results in cavities. Most commonly, fluoride is applied topically to the teeth using gels, varnishes, toothpaste/dentifrices or mouth rinse.
Systemic delivery involves fluoride supplementation using tablets or drops which are swallowed. This type of delivery is rarely used where public water supplies are fluoridated, but is common (along with salt fluoridation) in some European countries.

Benefits of fluoride therapy:
Fluoride therapy is commonly practiced and generally agreed upon as being useful in the modern dental field. Fluoride combats the formation of tooth decay primarily in three ways:

Fluoride therapy promotes the remineralization of teeth, by enhancing the tooth remineralization process. Fluoride found in saliva will absorb into the surface of a tooth where demineralization has occurred. The presence of this fluoride in turn attracts other minerals (such as calcium), thus resulting in the formation of new tooth mineral.
Fluoride can make a tooth more resistant to the formation of tooth decay. The new tooth mineral that is created by the remineralization process in the presence of fluoride is actually a "harder" mineral compound than existed when the tooth initially formed. Teeth are generally composed of hydroxyapatite and carbonated hydroxyapatite. Fluorapatite is created during the remineralization process when fluoride is present and is more resistant to dissolution by acids (demineralization).

Fluoride therapy can inhibit oral bacteria's ability to create acids. Fluoride decreases the rate at which the bacteria that live in dental plaque can produce acid by disrupting the bacteria and its ability to metabolize sugars. The less sugar the bacteria can consume, the less acidic waste which will be produced and participate in the demineralization process.

There are many different types of fluoride therapies, which include at home therapies and professionally applied topical fluorides (PATF). At home therapies can be further divided into over-the-counter (OTC) and prescription strengths. The fluoride therapies whether OTC or PATF are categorized by application – dentifrices, mouth rinses, gels/ foams, varnishes, dietary fluoridate supplements, and water fluoridation.
Fluoride therapy, while beneficial to adults, is more important in children whose teeth are developing. As teeth are developing within their jaw bones, enamel is being laid down. Systemic ingestion of fluoride results in a greater component of fluoroapatite in the mineral structure of the enamel.

Methods of delivery:

Most dentifrices today contain 0.1% (1000 ppm) fluoride, usually in the form of sodium monofluorophosphate (MFP); 100 g of toothpaste containing 0.76 g MFP (equivalent to 0.1 g fluoride). Toothpaste containing 1,500 ppm fluoride has been reported to be slightly more efficacious in reducing dental caries in the U.S. Toothpaste may cause or exacerbate perioral dermatitis most likely caused by sodium lauryl sulfate, an ingredient in toothpaste. It is suspected that SLS is linked to a number of skin issues such as dermatitis and it is commonly used in research laboratories as the standard skin irritant with which other substances are compared.

Prescription strength fluoride toothpaste generally contains 1.1% (4,950 ppm) sodium F toothpaste, e.g. PreviDent 5000 Plus or booster. This type of toothpaste is used in the same manner as regular toothpaste. It is well established that 1.1% sodium F is safe and effective as a caries preventive. This prescription dental cream is used once daily in place of regular toothpaste.

Mouth rinses:
The most common fluoride compound used in mouth rinse is sodium fluoride. Over-the-counter solutions of 0.05% sodium fluoride (225 ppm fluoride) for daily rinsing are available for use. Fluoride at this concentration is not strong enough for people at high risk for caries.
Prescription mouth rinses are more effective for those at high risk for caries, but are usually counter indicated for children, especially in areas with fluoridated drinking water. However, in areas without fluoridated drinking water, these rinses are sometimes prescribed for children.

Fluoride therapy gels and foams are used for patients who are at high risk for caries, orthodontic patients, patients undergoing head and neck radiation, patients with decreased salivary flow, and children whose permanent molars should, but cannot, be sealed.

GC Tooth Mousse, invented by Dr Eric Reynolds, Head of the School of Dental Science at Melbourne University, at the Royal Dental Hospital Melbourne is now considered an essential management solution for at risk patients.

The gel or foam is applied through the use of a mouth tray, which contains the product. The tray is held in the mouth by biting. Application generally takes about four minutes, and patients should not rinse, eat, smoke, or drink for at least 30 minutes after application.
Some gels are made for home application, and are used in a manner similar to toothpaste. The concentration of fluoride in these gels is much lower than professional products.

Varnish Fluoride therapy has practical advantages over gels in ease of application, a non-offensive taste, and use of smaller amounts of fluoride than required for gel applications. Varnish is intended for the same group of patients as the gels and foams. There is also no published evidence as of yet that indicates that professionally applied fluoride varnish is a risk factor for enamel fluorosis. The varnish is applied with a brush and sets within seconds.
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Composite fillings are a mixture of glass or quartz filler in a resin medium that produces a tooth-colored filling. They are sometimes referred to as composites or filled resins. Composite fillings provide good durability and resistance to fracture in small-to-mid size restorations that need to withstand moderate chewing pressure. Less tooth structure is removed when the dentist prepares the tooth, and this may result in a smaller filling than that of an amalgam. Composites can also be "bonded" or adhesively held in a cavity, often allowing the dentist to make a more conservative repair to the tooth.

The cost is moderate and depends on the size of the filling and the technique used by the dentist to place it in the prepared tooth. It generally takes longer to place a composite filling than what is required for an amalgam filling. Composite fillings require a cavity that can be kept clean and dry during filling and they are subject to stain and discoloration over time.

What are the advantages of composites?
Aesthetics are the main advantage of composites, since dentists can blend shades to create a color nearly identical to that of the actual tooth. Composites bond to the tooth to support the remaining tooth structure, which helps to prevent breakage and insulate the tooth from excessive temperature changes.
What are the disadvantages?
After receiving a composite, a patient may experience postoperative sensitivity. Also, the shade of the composite can change slightly if the patient drinks tea, coffee or other staining foods.
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Brushing and flossing are of paramount importance to oral hygiene.  Though regular professional dental cleanings remove plaque, tartar and debris, excellent home-care methods are equally valuable.  Proper brushing and flossing can enhance the health of the mouth, make the smile sparkle and prevent serious diseases.

Reasons why proper brushing and flossing are essential:

* Prevention of tooth decay – Tooth decay is one of the leading causes of tooth loss, and its treatment often requires complex dental procedures.  Tooth decay occurs when the acids found in plaque erode the natural enamel found on the teeth.  This phenomenon can easily be prevented by using proper home hygiene methods.

* Prevention of periodontal disease – Periodontal disease is a serious, progressive condition which can cause tooth loss, gum recession and jawbone recession.  Periodontal disease is caused by the toxins found in plaque, and can lead to serious health problems in other parts of the body.  Removing plaque and calculus (tartar) from the surface of the tooth using a toothbrush, and from the interdental areas using dental floss, is an excellent way to stave off periodontal problems.

* Prevention of halitosis – Bad breath or halitosis is usually caused by old food particles on or between the teeth.  These food particles can be removed with regular brushing and flossing; leaving the mouth healthier, and breath smelling fresher.

* Prevention of staining – Staining or the yellowing of teeth can be caused by a wide variety of factors such as smoking, coffee and tea.  The more regularly these staining agents are removed from the teeth using brushing and flossing techniques, the less likely it is that the stains will become permanent.

The Proper Way to Brush
The teeth should be brushed at least twice a day; ideally in the morning and before bed.  The perfect toothbrush is small in size with soft, rounded-end bristles and no more than three months old.  The head of the brush needs to be small enough to access all areas of the mouth, and the bristles should be soft enough so as not to cause undue damage to the gum tissue.  The American Dental Association (ADA) has given electric toothbrushes their seal of approval; stating that those with rotating or oscillating heads are more effective than other toothbrushes.

Here is a basic guide to proper brushing:
- Place the toothbrush at a 45-degree angle where the gums and teeth meet.
- Use small circular motions to gently brush the gumline and teeth.
- Do not scrub or apply too much pressure to the teeth, as this can damage the gums and tooth enamel.
- Brush every surface of every tooth, cheek-side, tongue-side, and chewing surfaces. Place special emphasis on the surfaces of the back teeth.
- Use back and forth strokes to brush the chewing surfaces.
- Brush the tongue to remove fungi, food and debris.

The Proper Way to Floss
Flossing is a great way to remove plaque from the interdental regions (between the teeth).  Flossing is an especially important tool for preventing periodontal disease and limiting the depth of the gum pockets.  The interdental regions are difficult to reach with a toothbrush and should be cleansed with dental floss on a daily basis. 

The flavor and type of floss are unimportant; choose floss that will be easy and pleasant to use.

Here is a basic guide to proper flossing:
- Cut a piece of floss to around 18 inches long.
- Wrap one end of the floss around the middle finger of the left hand and the other end around the middle finger of the right hand until the hands are 2-3 inches apart.
- Work the floss gently between the teeth toward the gum line.
- Curve the floss in a U-shape around each individual tooth and carefully slide it beneath the gum line.
- Carefully move the floss up and down several times to remove interdental plaque and debris.
- Do not pop the floss in and out between the teeth as this will inflame and cut the gums.
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Our dentists are knowledgeable and experienced Implant Providers.  Dental implants can replacing missing teeth or secure loose dentures to improve function, stability, and enhance your quality of life!  We can restore your smile and oral health!
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Foothills Dental Centre's Collections
Contact Information
Map of the business location
123 Jasper St Hinton, AB T7V Canada
123 Jasper StreetCAAlbertaHintonT7V
Dentist, Dental Clinic
Dental Clinic
Dental Implants Periodontist
Emergency Dental Service
General Practitioner
Pediatric Dentist
Today 8AM–5PM
Thursday 8AM–5PMFriday 8AM–5PMSaturday ClosedSunday ClosedMonday 8AM–5PMTuesday 8AM–5PMWednesday 11AM–8PM
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11 reviews
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1 review
"Very impressed with the hygienist as she did a great job with the cleaning."
"All of the staff are kind and helpful."
"I will definitely go back and get a permanent fix for my tooth."
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Debbie Smith's profile photo
Debbie Smith
in the last week
My family of 3 sees Dr Vu and we going to receive orthodontic treatment within the next few months. We are very impressed with his knowledge and all the staff have been super accommodating especially since we are from out of town. Highly recommend him!!!
Response from the owner - in the last week
Thank you for your kind review. We are proud to provide quality dental care and excellent customer service for all our patients. The entire team always love seeing your family!
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Brenda Norman
5 months ago
Dr. Madej and his assistant were caring and made me feel very comfortable. I have an extreme phobia to Dentists, but all was good..
Response from the owner - 2 months ago
Thank you for your feedback. What is unique about us is that we take a lot of continuing education courses. As dentists we have to take 30 hours per year. My colleague and I have each been taking 200 hours each year over the past decades with specialists so that we can provide comprehensive care under one roof. We have extensive training and experience in caring for patients who are anxious and fearful of going to the dentist. We are the only dental office in the Yellowhead County to provide IV Sedation for total patient comfort. The entire Foothills Team truly care about your comfort and ensuring that you have a good experience!
Marnie Hulton's profile photo
Marnie Hulton
a year ago
Recently had a tooth infection and walked in without an appointment. They dealt with my infection by putting me on antibiotics and pain killers immediately. I was able to make three appointments for the next two weeks for cleanings and extractions. I was helped right away. The staff are wonderful and very helpful and answered all of my questions and explained everything they were going to do in detail! They addressed all of my concerns and made me feel very comfortable. I highly recommend them to anyone who is nervous about visiting these dentists, as I was prior to visiting their offices. I can say that I am no longer nervous about going in for regular appointments now
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Response from the owner - 2 months ago
Thank you for your kind and thoughtful feedback! Your emergency is our priority. We will always take time to see you on the same day that you have a dental emergency. Our dentists have extensive advanced educational training and experience in caring for dental emergencies such as infection, trauma and pain. Our team truly cares about our patients and ensures that everyone are comfortable during the entire visit. We absolutely love talking with you every time you come in to visit us!
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Sandra Dames
a year ago
This is a fantastic dentist office. All of the staff are kind and helpful. They treat you like a person, not a dollar sign. I just switched from a different dentist and I am very happy here. If you need a dentist, please give them a call. You will be pleased.
Response from the owner - 2 months ago
Thank you for you kind feedback. Our team is committed to the highest standard of dentistry and providing compassionate and personal care for all our patients. We are successful because we sincerely care about the well being of people and treat them with respect, kindness and integrity.
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Sarah Louise
6 months ago
Awful. Money grabber. I was so disappointed. I feel so ripped off. Paid $75 for him to look in my mouth, no tools or anything and send me to a specialist who might come by in a month.... "We will call you". This cost me $75 and I told them 3x I was low income and they still charged me.
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Randy Smith
10 months ago
Was in for my regular cleaning and check up. Very impressed with the hygienist as she did a great job with the cleaning. The check up was good and everything very well explained with regards to getting a wisdom tooth removed.
Response from the owner - 2 months ago
Thank you for your thoughtful feedback! Our team of dental professionals are dedicated to providing modern quality dental care. Our dentists take pride in spending time to explain dental conditions & treatment options and answer any questions you have.
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Marj Luger
a year ago
I lost an old filling which I had for about 20 years. I called Foothills Dental Centre and was able to get in to see Dr. Andrew Madej that afternoon. It turned out that I lost part of my tooth and not the filling after all. Dr. Madei gave me options to repair my tooth and temporally filled my tooth. I will definitely go back and get a permanent fix for my tooth. The entire office was very professional, friendly and efficient. Foothills Dental Centre if my dental office of choice and would higher recommend them,
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Response from the owner - 2 months ago
Thank you for you wonderful and kind comments. The entire team absolutely loves seeing you and providing you with the highest quality dental care. We truly treat our valued patients just like our own family members.
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Tyler Waugh
10 months ago
Great dentist office. Friendly professional staff that go above and beyond to make the experience as pleasant as possible. Even my kids don't mind going.
Response from the owner - 2 months ago
Thank you for your kind comments. We love what we do and it shows! The team members alway have a great time seeing you and your family. Your kids are amazing!!!!