Dental Did You Know: Dental Infections Part 4...The Three Stages of Infection (Abscess)

Having an abscess is the third stage of dental infection and it usually happens between days 4-10. It is characterized by:

1. mild, localized discomfort 
2. usually fluctuant and tender to touch
3. pus is present
4. skin is usually red in the periphery

The bacteria species involved are generally anaerobic (oxygen hating)

Source: Gregoire C, How are Odontogenic Infections Best Managed?, JCDA, April 2010, Vol 76, No 2, pg 114-116

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Dental Infections Part 3...The Three Stages of Infection (Cellulitis)

Cellulitis is the second stage of infection. It is usually occurs in days 2 -5 of an infection and is characterized by severe and diffuse discomfort, areas that are firm and indurated to touch, no sign of pus, red skin and is the stage with the highest risk to the health of the patient. The bacterial species involved are mixed, both aerobic and anerobic (oxygen loving and hating bacteria)

Source: Gregoire C, How are Odontogenic Infections Best Managed?, JCDA, April 2010, Vol 76, No 2, pg 114-116


Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Dental Infections Part 2...The Three Stages of Infection (Inoculation)

Inoculation is the first stage of a dental infection. Typically 0-3 days in duration, with mild discomfort, no pus, but a soft and doughy feel from the tissues involved. The bacterial species involved are usually aerobic (oxygen loving) and the skin displays as normal.

Source: Gregoire C, How are Odontogenic Infections Best Managed?, JCDA, April 2010, Vol 76, No 2, pg 114-116


Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building) (905) 273-7100

Dental Did You Know: Dental Infections Part I

Most dental infections are caused by more than one type of bacteria. About 50% are caused by anaerobic bacteria alone, 44% by a combination of aerobic and anaerobic bacteria, and 6% by aerobic bacteria alone.

The first line of defence is a prescription for Penicillin V, 600mg every six hours, supplemented with 500mg of Metronidazole twice a day for advanced cases.

Source: Gregoire C, How are Odontogenic Infections Best Managed?, JCDA, April 2010, Vol 76, No 2, pg 114-116

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Dental Did You Know: Tooth Whitening in the Past

Dental researchers as early as 1877 noticed that oxalic acid could be used to whiten vital teeth.

Source: Alford A, Clinical Report: The use of 10%, 16%, 22% Carbamide Peroxide and 3%, 7.5%, 9.5% Hydrogen Peroxide Materials for at-home Vital Tooth Bleaching in Combination with Active and Passive Treatment Modalities for Control of Tooth Sensitivity and Gingival Irritation, Oral Health, March 2010, Vol 100, No 3, pg 90-101.

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100

Practice Philosophy

Hi everyone, I thought that posting our practice philosophy would help our new and existing patients better understand my clinic:

Dear Patient,

We understand that choosing a new dentist and dental health team can be a challenge, leaving you feeling somewhat uncertain. Let us welcome you and share some insights about what we do for our patients. The philosophy guiding our practice is as follows:

"Our purpose is to help people achieve the highest level of dental well-being and in so doing, to enhance the quality of their lives."

In other words, we help you be or become as healthy as you choose. Instead of just telling you how healthy you ought to be, we will try to help you understand your choices about dental health and then let you make a free and informed decision. Your first choice in this regard is how you would like to begin with us. There are five levels on which people may choose to be seen in our practice:

• Level 1...URGENT CARE: People in crisis or with an emergency problem such as pain, swelling, or bleeding that need our immediate help are at this level. We see urgencies immediately, whenever possible.
• Level 2...REMEDIAL CARE: People who choose this level of care desire treatment only when something breaks or becomes uncomfortable. Generally people at this level expect a limited type of examination, focusing on obvious problems. They usually want to correct immediate problems with as little effort and cost as possible.
• Level 3...SELF-CARE: Patients who choose this level of care want a thorough examination and take an active part in the treatment and prevention of present and future disease problems. However, they usually choose repair solutions that are short range in nature.
• Level 4...COMPLETE DENTISTRY: Patients at this level are similar to people described in level 3. They choose to have a thorough examination. However, they decide on a MASTER PLAN to formulate a long-term treatment plan for health and repair. These patients are very concerned about treating the causes of dental disease, not simply the effects. These patients want all dental treatment provided to be completed in the most lasting fashion possible.
• Level 5... LOOK YOUR BEST: People in this group are in level 4 as far as dental health is concerned, but also want to look their best at all times. They know that their smile is one of the first things others notice about them and want to put their best foot (face) forward.

We hope these levels of care make sense to you. It is not uncommon for people to begin at one level and progress to another over time. We are here to help you discover and decide at what level you are most comfortable. Thank you for the opportunity to serve you and provide you with the best dentistry appropriate for you.  

To YOUR health,

Dr. Hans Skariah, Jodie and Gloria

Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100