Our goal is to provide high quality maintenance services with integrity. This guideline is designed to enable us to achieve this goal… not to limit us. Pristine Cleaning will modify or add any additional request not specifically addressed in these guidelines.

DUSTING: Desk tops, file cabinets, copy machines, bookshelves, tables, and other furniture will be dusted with a treated dust cloth at each service; low dusting of chair rails and legs, desk and table legs, baseboards, ledges, vents, etc. will be done bi-weekly. Cobwebs will be removed as needed.

DESKS: Desktops will be dusted each services and polished or damp wiped weekly. Paper left on desks will not be disturbed. Desk accessories including electronics will be dusted each service.

SMOKING AREA: Ashtrays will be emptied, washed thoroughly, and dried each service.

TELEPHONES: Telephones will be dusted and sanitized each service.

WINDOW SILLS: Windowsills will be dusted as needed.

WINDOW BLINDS: Window blinds will be dusted as needed.

FURNITURE: All upholstered furniture will be vacuumed and vinyl furniture will be damp wiped as needed.

WATER FOUNTAIN: Water fountain will be cleaned sanitized and polished each service.

FINGER MARKS: Finger marks and smudges will be removed from desk, partitions, doors, light switches, and woodwork as needed .

FLOORS: Floors will be vacuumed or swept and mopped during each service. (Stripping and waxing are available upon request)

CARPETS: All open areas, corners edges, and traffic way will be vacuumed each service. All carpeting will be thoroughly vacuumed. (Carpet steam cleaning available on request)

MICROWAVE OVENS: Microwave ovens will be damp wiped and cleaned

GLASS: Glass and mirrors will be cleaned and polished each service

WALLS: Splash marks will be removed from walls around the sinks and dispenser, each service pvc walls partition walls and doors will be spot cleaned each services and sanitized Monthly.

LUNCHROOM KITCHEN AND COFFEE AREAS: For a healthy environment and pleasant lunch area it is very important to have this area clean and in a good sanitary condition. Tables and sinks will be cleaned and sanitized, bright metal will be cleaned and polished at each service. Trash containers will be emptied each service, exterior of metal containers will be spot cleaned and plastic liners will be replaced as needed.

TRASH DISPOSAL: Trash containers will be emptied each services and taken to designated area. Plastic liners will be replaced as needed, trash containers will be cleaned when needed.

ENTRANCE GLASS: Interior glass in entrance doors and receptionists partitions will be cleaned each service to remove smudges and fingerprints.

RESTROOMS: The restroom area is a special concern to everyone’s health our objective is to keep them Clean sanitized and fresh smelling on a consistent basis. Toilet bowls seats urinals and sinks will be cleaned and sanitized, bright metal will be cleaned and polished at each service. Trash containers will be emptied each service, exterior of metal containers will be spot cleaned and plastic liners will be replaced as needed.

DISPENSERS: Dispensers will be cleaned polished and re-filled with supplies from stock each services.

Note* Of course, you may personalize the service to suit your particular needs.

FACTS ABOUT ORTHODONTICS

The links listed above are designed to take you directly to the topic of interest. Links can be found below the topics that will bring you back to the top of this page.
Orthodontics Defined

Orthodontics and Dentofacial Orthopedics is the branch of dentistry that specializes in the diagnosis, prevention and treatment of dental and facial irregularities. These problems are considered technically as a “malocclusion” or generally as a “bad bite”. The goal of orthodontic treatment is to bring the teeth, lips and jaws into proper alignment and achieve facial balance. This is typically achieved by utilizing corrective appliances such as braces and/or other fixed or removable appliances. In some instances, orthognathic or “jaw surgery” is necessary in conjunction with braces, to correct problems involving severe jaw discrepancies.

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Why Orthodontic Problems Occur

Many orthodontic problems can be inherited, however, some are acquired. Inherited problems include crowding of the teeth, spacing of the teeth, extra or missing teeth, cleft lip and/or palate, and many other deformities of the face and jaws.

Acquired problems or malocclusions can be caused by habits such as thumb sucking or tongue thrusting. Enlarged tonsils and adenoids, dental decay, or early loss of baby or permanent teeth can also cause dental malocclusions.

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The Importance Of Orthodontic Treatment

The goals of orthodontic treatment are to provide the patient with both a beautiful and healthy smile. Crooked and crowded teeth are hard to properly clean and maintain. This in turn can contribute to dental decay and/or gum disease. Irregularities in the bite can cause excessive wear of the teeth, excess stress on the supporting bone and/or the joints of the jaws (TMJ). When these problems are left untreated, many can become worse.

An attractive or beautiful smile is also very important. A pleasing appearance of the teeth and face is a vital asset to one’s self-confidence and self-esteem. In this way, orthodontic treatment can benefit social and career success as well as improve one’s general attitude toward life.

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When Treatment Should Begin

Since each individuals problems are unique, it is difficult to establish a time when orthodontic problems should be addressed. For this reason, the American Association of Orthodontists recommends that every child first visit an orthodontist by age 7-or earlier if an orthodontic problem is detected by the family dentist, physician or family member.

This may surprise many due to the usual association of orthodontic treatment with adolescence. An early evaluation allows Dr. Upton to determine the nature of the child’s orthodontic problems and suggest the best time to address any problems to maximize the improvement in the least amount of time and with the least expense. In many patients, early intervention gives Dr. Upton the chance to correct problems that might not be easily correctable after growth of the face and jaws has ceased.

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Adult Orthodontic Treatment

More than 25 percent of all orthodontic patients are adults. Teeth are still movable in the adult population because the biological process allowing tooth movement is the same as in children. There are a few differences in adult and children’s orthodontic treatment, mainly the lack of growth in adults inhibiting some of the corrections possible in children. If the adult patient’s problems are largely due to a discrepancy in the jaws, a combined approach including orthodontics and orthognathic “jaw” surgery is possible. This treatment option can achieve very dramatic improvements in the appearance of the face and function of the jaws and teeth.

Orthodontic treatment for adults is often indicated to aid in treatment planned by one’s general dentist. This combined approach is often best when teeth are missing or mal-shaped and are planned to be replaced or restored with crowns, bridges, or implants. The orthodontic treatment is designed to properly reposition the teeth adjacent to the missing tooth site so that an ideal sized and shaped replacement tooth can be fabricated. Also, teeth that are overlapped and crowded can be straightened so that better access for cleaning can be achieved.

Another important factor in the adult patient is the continual maintenance of the health of the gums and bone that support the teeth. It is sometimes necessary that the adult patient see there dentist or a periodontist more frequently if the health of the gums or supporting bone is less than ideal.

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How Orthodontic Treatment Is Accomplished

Treatment is typically accomplished with “braces” (brackets and wires attached to the teeth) and/or custom made appliances designed to accomplish a specific goal. The braces may be made of metal, ceramic or plastic. Most are bonded (glued) to the outside surface of the teeth, however, there are braces designed to be placed on the inside surfaces of the teeth (lingual braces). The custom made appliances may be removable or fixed (cemented and/or bonded). All orthodontic appliances are designed to apply gentle pressure to the teeth resulting in movement into their proper positions.

Orthodontic appliances have significantly improved in function and design over the years. Using technology from the space industry, orthodontic wires are now capable of providing more gentle forces over a longer period of time. This often translates into a decreased frequency of office visits, reduction in overall treatment time and a decrease in the discomfort of wearing braces. Now, wires are available which are temperature sensitive which dramatically decreases the discomfort when the braces are initially placed. When the wires are cold, they act much like spaghetti. When they warm up to the temperature of the mouth, they apply gentle pressure to the teeth causing them to move.

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Time Required For Orthodontic Treatment

Active orthodontic treatment (time in braces) typically requires from one to three years with the average being two years. If the problems are minor or only certain problems are addressed, the treatment time may be shorter than one year.

It is not uncommon these days for a child’s orthodontic treatment to be broken into two phases. The first phase occurs usually between the ages of 8-10 with the second phase beginning when most or all of the permanent teeth have erupted. A two phase treatment is sometimes indicated when a child has a significant discrepancy between the growth of the upper and lower jaws. It is also indicated when there is an early loss of baby teeth and or crowding to the point that will not allow the permanent teeth to erupt.

Once the braces are removed, retainers are fabricated to maintain the new position of the teeth while the supporting structures of the teeth stabilize. After the retainers are fitted, appointments are necessary to adjust the retainers and monitor the stability of the teeth. The nature of the initial problem determines the time requirements for wearing the retainers and how long the retainers will be necessary.

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The Importance Of Cooperation

Orthodontic treatment is only successful when their is a team effort from Dr. Upton, the patient, and the parents. Dr. Upton decides the appropriate treatment and implements the necessary appliances needed to correct the problems. Many of the treatment plans prescribed for patients require the patient to wear adjunctive appliances (rubber bands, headgear, etc.) which are placed by the patient. In order for the treatment to be effective and finish in the least amount of time, these adjunctive appliances must be worn as requested by Dr. Upton. In addition to wearing these required appliances, the patient must be very careful in regards to brushing and flossing his/her teeth, eating the right foods, keeping regularly scheduled adjustment appointments, and regular cleanings from the family dentist. Parents are important team members with responsibilities of monitoring the child patient’s brushing, eating habits, wearing of prescribed appliances properly, and making the necessary appointments.

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The Cost Of Orthodontic Treatment

The actual cost of orthodontic treatment varies widely with the severity of the problems, type of braces or appliances used, and the length of time required to correct the problems. It is impossible to accurately give a fee for one’s orthodontic treatment without first examining the patient and evaluating the orthodontic problems.

Several financial options are usually available to the orthodontic patient. These typically range from plans with a down payment and monthly, quarterly, semiannual or annual payments, to a no down payment option with regular installments. Usually available is a discount if full payment for the treatment is paid in advance. American Express, Visa, MasterCard, and Discover are also usually accepted.

Orthodontic insurance is becoming more popular in many company’s benefits packages. This insurance is typically an addition to general dental insurance and typically has a lifetime maximum benefit and a restrictive age limit. If your company does not offer orthodontic insurance, you may want to request the personnel department to consider adding it. This insurance has helped many people offset the cost of treatment.

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Links Addressing Orthodontic, Surgical, And Dental Frequently Asked Questions

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Understanding Aesthetic Procedures

Q: What are my options for replacing my old dark coloured fillings?

A: Old dark fillings can be replaced with white coloured filling material called composite resin. This material is as durable if not more so as the silver fillings that were used years ago and the aesthetics are as natural looking as you can get. However, keep in mind that depending on the size of the old fillings and the possible decay that may be underneath the fillings, other options such as all-porcelain onlays and crowns may be more appropriate. Your dentist will recommend the best possible treatment for your needs.

Q: What are porcelain veneers?

A: Porcelain veneers are thin facings intended for chipped, crooked, misshapen or heavily restored teeth. They are often done for the front 6-8 teeth in both the upper and lower arches. These facings are made entirely of porcelain and are bonded onto the prepared area. They are long lasting and can change an average smile into a stunning smile!

Q: How do I choose the right aesthetic dentist for me?

A: Your smile tells the world around you how you feel about yourself. You want to make sure you are getting quality care in a professional and comfortable environment. You certainly want the best possible results. Choosing a cosmetic dentist is much like choosing a plastic surgeon.

Review many before and after pictures to assess for yourself the type of work the dentist is capable of.
Ask for references of patients who have received this treatment. Their feedback will assist you in determining if the dentist is the right fit for you.
Make sure you have had computer imaging. This will assist you in fully understanding what to expect from the procedure.
Do you know someone who has had a procedure? Get their feedback.
We strongly encourage you to take the time to research your options. If there are any questions you have about Dr. Michael Opler or aesthetic dentistry in general, please contact us today. One of our Client Care Staff will respond as quickly as possible.

Q: What is bonding?

A: Bonding is a procedure whereby teeth that are chipped, broken or misshapen are made to look like new using the tooth coloured filling material much like the materials used for white fillings.

Q: What is the difference between bonding and veneers?

A: Bonding and veneers can achieve similar results to change the look of your teeth. Porcelain veneers, however, are generally longer lasting and have superior results due to the enamel-like characteristics of the porcelain material.

Q: How long does it take to get veneers?

A: Once you make the decision to get veneers you can expect to have your new gorgeous smile within 2 weeks. Veneers can usually be done in 2 appointments 1 week apart; however, the timing will depend on how flexible your schedule is. Mornings and early afternoons are generally available. DVD�s, headphones, massage mats and cable TV are just some of the amenities available for your comfort and can help to pass the time during longer appointments.

Q: Can veneers correct my crooked teeth in place of orthodontic(s)?

A: Yes, in many cases we can achieve the same look you can get with braces. Just think, you can have the perfect smile you�ve always wanted in just 2 weeks, compared to the 2 years or more it would take to have straighter teeth with braces.

Q: Which gives a better result veneers or braces?

A: Both can give an outstanding result; however; with veneers we have the ability to change the colour of your smile to a whiter brighter look.

Q: How many veneers do I need for a new gorgeous smile?

A: Every case is different, depending on a person�s wishes. It is common to do 6-10 veneers on the top and depending on the patient�s smile; 6-10 are often done on the bottom as well.

Q: How long do veneers last?

A: Veneers can last ten plus years but longevity will depend on home care, regular dental hygiene care and diet. If you are prone to grinding or clenching your teeth, you will need to wear a nighttime mouth guard to prevent damaging your veneers.

Q: Will my teeth be more sensitive with veneers?

A: The bonding procedure that we do when placing your veneers helps to ensure that the tooth will not be sensitive following treatment.

Q: How do I maintain my veneers?

A: It is important to maintain your new veneers by consistent home care, as well as regular three-month visits with your dental hygienist.

Q: How do I know if veneers are the right choice for me?

A: Your dentist will do a thorough exam of your teeth in order to determine if you are a good candidate for veneers. Other than that, the decision is a very personal one.

Q: How real do veneers look in comparison to natural teeth?

A: We recommend you talk to some of our patients who have had veneers done at our office. Many of them will tell you that their veneers are so natural looking that even their closest friends and family members couldn�t guess what was different after they had them done. After getting veneers, people will compliment your good looks, they�ll say you look younger, more vibrant, even happier, but they may not be able to tell you why! Veneers are so natural looking; no one will know they aren�t your own beautiful teeth!

Q: Will bleaching harm my teeth?

A: No, bleaching is a safe procedure and will not harm your teeth. Studies have shown there to be no ill effects to the nerves of the teeth. Temporary sensitivity of the teeth during treatment can sometimes occur, but should dissipate once treatment is done.

Q: How white can I go?

A: You can bleach your teeth until you are happy with the results, and most people are able to bleach their teeth to several shades whiter than what they already are. However, a small number of people do not respond to the bleaching process and find the changes to be insignificant. Other alternatives must then be explored.

Q: What is the difference between the bleaching procedure you offer and the ones sold at drugstores?

A: Commercially available tooth whitening systems can now be purchased at your local drugstore. While these products are effective to a certain degree, there are a few limitations to be aware of. Please ask us about what system would work best for you.

Choosing a Cosmetic Dentist

Q: How do I choose the right aesthetic dentist for me?

A: Your smile tells the world around you how you feel about yourself. You want to make sure you are getting quality care in a professional and comfortable environment. You certainly want the best possible results. Choosing a cosmetic dentist is much like choosing a plastic surgeon.

Review many before and after pictures to assess for yourself the type of work the dentist is capable of.
Ask for references of patients who have received this treatment. Their feedback will assist you in determining if the dentist is the right fit for you.
Make sure you have had computer imaging. This will assist you in fully understanding what to expect from the procedure.
Do you know someone who has had a procedure? Get their feedback.
We strongly encourage you to take the time to research your options. If there are any questions you have about Dr. Michael Opler or aesthetic dentistry in general, please contact us today. One of our Client Care Staff will respond as quickly as possible.

Paying for Your Procedure

Q: When do I pay for my procedure?

A: Payment of fees is required in full on the day of your treatment.

Q: What payment methods do you accept?

A: We accept payment by certified cheque, VISA, MasterCard or Interac Direct Debit.

Q: Is this procedure covered by my dental insurance plan?

A: It has been our experience that the majority of aesthetic procedures are not covered under extended benefit plans. However, we would encourage you to investigate this option to confirm this.

Q: What is included in the fee I have been quoted?

A: Your comprehensive fees include:

Cosmetic consultation, computer imaging, aesthetic procedure(s), and post-treatment follow-up.

Q: What are my options for financing?

A: For many of our patients, aesthetic dentistry is made affordable through financing.
Chartered Banks and Trust Companies offer a wide variety of financial products that enable clients to have the procedure right away. Whether it is a personal loan or line of credit, the interest rates and payment plans are often very competitive, making this procedure more accessible and affordable.

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Q: Are you taking new patients?

A: New patients are always welcome. Contact us today to make a new patient appointment and discover a whole new way to experience dentistry! We are proud of the services we provide and appreciate your referrals of family and friends.

Q: Is it going to hurt?

A: Dentistry has come a long way over the years and both dental and hygiene visits are now even more comfortable than ever.

Q: What can I expect at my first visit?

A: At your first visit you will be welcomed by a member of our Client Care Staff who will offer you a beverage while you take a moment to fill out a medical questionnaire. Once you have completed your questionnaire, our Treatment Coordinator will escort you to a private meeting room to take your personal information for our files. This is also your opportunity to ask questions, express concerns and learn about the many dental services provided at Image Dental Studio.

You will then have a full examination by Dr. Michael Opler in order to assess your needs. It is our goal to provide all of our patients with the very best care in a comfortable and casual setting. We are always enhancing our services and welcome suggestions and comments from our clients. We look forward to meeting you and your family at your first visit.

Q: How can I reach you in case of emergency?

A: We are concerned about your oral health 24/7. Dr. Opler carries a pager and may be reached after hours using the phone number provided to you by our treatment staff. We strive to ensure we are available should you have an emergency. In the event that Dr. Opler is out of town, emergency numbers are provided on our answering service.

Q: How often should I have my teeth cleaned?

A: We recommend that you have your teeth cleaned by a dental hygienist at least every six months and every three to four months should you have periodontal disease. Our hygienists are experienced professionals who can recommend the treatment that is best for you.

Q: Where can I park?

A: For your convenience, parking is available to the back of our office. However, should the parking lot be full when you arrive for your appointment, we recommend parking on the street between the hours of 9 a.m. and 4 p.m. or at the free parking lot just past Centre Street on the west side of Yonge Street. Please see our directional map available on our Web site.

Q: If I have to have freezing, will it hurt and how long will it last?

A: Freezing is no longer a painful procedure. We first apply a topical gel that numbs the gums even before we give freezing to make the experience much more comfortable. Freezing generally lasts between 2 and 5 hours depending on the procedure.

Q: If my insurance isn�t willing to pay, does that mean the treatment isn�t necessary?

A: Our job is to recommend the best treatment for you. Insurance policies vary depending on the package your employer purchased. Insurance policies have general allowances for a great number of employees and do not look at the specific needs of the individual. Denial of coverage does not in anyway reflect the necessity of the treatment, but rather the contract�s limitations on eligible procedures.

Q: Can I still have treatment if I am pregnant?

A: Pregnant women tend to experience swollen and tender gums during pregnancy. This is due to the excess of hormones in the body, so extra attention should be paid to the teeth and gums during this time. We do not recommend x-rays unless absolutely necessary or bleaching your teeth while pregnant. However, the majority of procedures are safe for expecting mothers. It is often recommended that elective procedures be done after the first trimester. Massage mats, gel eye packs, pillows and blankets are available for your added comfort.

Q: What do you have available for anxiety?

A: Many people suffer from anxiety so you are not alone. We offer nitrous oxide for those patients who feel they can benefit from a relaxant during their appointment. The nitrous oxide (laughing gas) does not have a lingering effect so you can drive home right after your appointment. Patients who wish to have nitrous oxide are asked to refrain from eating 2 hours prior to their appointment to avoid upset stomach.

Q: What type of dental floss should I use?

A: There are many dental floss products on the market, but we like to recommend Glide floss as it never shreds and is easy to use. Ask us for a free sample at your next visit!

Q: My son wants to pierce his tongue. Should I be concerned?

A: There are many risks associated with tongue piercing including nerve damage, swelling, infection, bad breath, cracked and broken teeth, gum recession, and impaired speech to name only a few. We strongly recommend that anyone wanting to have their tongue pierced speak to a dental professional and become fully informed before making any decisions.

Q: Does my home water filter remove fluoride from the water?

A: Water filters do not remove fluoride.

Q: Does bottled water contain fluoride?

A: Bottled water does not contain fluoride. Most toothpaste will supply an adequate amount of fluoride.

Q: How often should I brush?

A: We recommend that you brush your teeth at least twice daily, morning and night.

Q: Do whitening toothpastes really work?

A: Whitening toothpastes help to remove plaque and stain, but will not whiten the teeth significantly. There are several whitening products on the market that are much more effective.

Q: Do the whitening products you can buy in the drugstore work?

A: In some cases, yes. Please ask your dentist which whitening product is right for you. There are many factors, which could affect the success of the whitening process.

Q: Are electric toothbrushes better than manual brushes?

A: In most cases, electric brushes are more effective in removing plaque and bacteria. Ask your dentist which one is right for you.
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