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Reopening Update

May 28, 2020

Filed under: Brampton Dentist — Tags: , , , , , , — salvaggiodentistry @ 4:20 pm

Dear Valued Patient,


       We are truly excited to have the opportunity to welcome you back! As we move closer to reopening, we are actively looking into various scenarios of increasing dental services for you. Of course, our social responsibility and concern for your safety are paramount in any decisions we make.  We will not consider expanding our current level of service (which right now amounts to emergency and urgent care only), until we have the blessing of both the Chief Medical Officer (and the Minister of Health) as well as the Royal College of Dental Surgeons of Ontario.

       Although a phased approach to expanding services will likely occur, we have already taken definitive action to minimize aerosols, ensure social distancing, and to heighten our surface disinfection protocols.

      We are doing everything possible to go above and beyond; ensuring your health and safety. Salvaggio Dentistry has always utilized personal protective equipment (PPE) that has exceeded all CDC guidelines, however, in light of the COVID-19 Pandemic we have instituted additional guidelines and protocols to ensure your safety. Furthermore, our office has always been a leader in infection control and aerosol management (we’ve had hospital grade air purifiers long before covid-19) but now we are taking our protocols to a new level. Below is a list of new measures we are taking:

1. Pre-screening of anyone who walks into our clinic (including all patients, team members, & delivery persons)

2. Non-contact temperature readings of anyone who walks in the facility (including patients and team members)

3. Lung efficiency measurements of every team member (at the beginning and end of day) and patients (to be monitored during appointments)

4. Rearranging of the reception area and the rest of the clinic to ensure appropriate physical distancing

5. Creating a virtual reception area to minimize or eliminate people lingering in the office

6. Maintain distancing in the reception area for essential caregivers and parents of minors if they cannot wait in a vehicle or outside the clinic

7. Removal of all magazines and items that can harbor or transfer germs of any kind in the waiting room

8. Discontinuation of all coffee and beverage services 

9. Hand sanitizers will be positioned throughout the clinic

10. Installed sneeze guards or droplet barriers at all reception areas

11. Hand washing and hand sanitizing before all appointments by our team and by our patients

12. Introduction of an oral pre-rinse for all patients to reduce germs in aerosols

13. Enhanced operatory disinfection procedures of all surfaces between patients

14. Regular wiping down of all surfaces, with high level disinfectant, that have contact in common areas (such as door handles and counter tops)

15. New PPE, such as visors, gowns, and N95 masks/respirators worn by all team members to ensure your protection

16. Disinfection of all outside mail and packages that enter building

17. Nightly fogging of the entire office with a hypochlorous acid mist disinfectant to access hard to reach places that can be easily missed

18. Installation of hospital grade air filtration HEPA filters in each operatory and in the waiting room (8 high level filters will be scattered all over the office)

19. Installation of extra-oral vacuum/suction systems in each operatory to eliminate all aerosols during procedures

20. Enhanced HVAC disinfection with UV light to disinfect all return air

       While we wait in anticipation of a relaxation of rigid policies and warmer weather, we realize that much has changed in the way dentistry will be provided. However, the more things change the more they stay the same; our goal remains to provide tremendous service with a warm smile and the highest level of care.

       As always, if you have ANY dental concerns during this time and would like to discuss them with us, please contact our office. We all hope that you and your families continue to stay safe and healthy!!


Warm regards,


Dr. Joseph Salvaggio and the team at Salvaggio Dentistry

Food Stuck Under Your Back Tooth’s Gum? It May Be An Operculum

April 30, 2020

Filed under: Brampton Dentist — Tags: , , , , , , , — salvaggiodentistry @ 6:19 pm

An operculum is the name of a piece of gum tissue that lies overtop the biting surface of a tooth. Generally speaking, an operculum occurs when teeth are erupting and, most of the time, will resolve on their own when the tooth erupts fully. The most common teeth to develop operculums are the 1st, 2nd and 3rd molars as they erupt. The trickiest to deal with is an operculum occurring on a 3rd molar since they are difficult to reach. Operculums form when the molars are breaking through the gum tissue, and the gum tissue doesn’t completely pull away from the biting surface of the tooth. They occur on the last molars in the mouth due to the curvature of the gums at the back of the mouth. It is essential to keep the area as clean as possible if you notice an operculum forming and to see your dentist.  

How to Keep an Operculum Clean 

If you notice that you have a flap of gum on the biting surface of a molar, make sure you are using the right tools to clean it. The first step is to have it checked out with your dentist because sometimes operculums can become infected and turn into pericoronitis, which can cause extreme swelling and pain. Your dentist will likely recommend you use an electric toothbrush at least twice a day, a sulcabrush, which is a bristled brush about 1/3rd the size of a toothbrush to access beneath the operculum, as well as an antibacterial mouthwash daily.

Treatment Options 

Treatment options for an operculum are based on the severity of the operculum. If the operculum is mild and appears as though it will resolve on its own, the recommendation may be to keep it clean and reassess in several months. If the operculum is large and the molar won’t be able to break through the tissue fully, the tissue may need to be removed with either a scalpel or a laser. The procedure to remove the operculum is straightforward, and the healing time is minimal. If the operculum is occurring on a 3rd molar, the molar may not have space to fit in the mouth and will need to be removed.

If you believe you have an operculum or have any questions about operculums, we encourage you to contact us today.

We Are Now Offering Teledentistry!

April 23, 2020

Filed under: Brampton Dentist — Tags: , , , , , — salvaggiodentistry @ 5:08 pm

While our office is closed for regular dental treatment in accordance with the guidelines set out by our governing college, and to comply with Public Health recommendations, we are still here to help you!

We now offer virtual online consultations through the use of Teledentistry.

What Is Teledentistry?

Teledentistry involves the use of online technology to provide private, safe, and secure virtual video consultations from the comfort of your home.
Our video consultations are hosted on a HIPAA-compliant cloud environment using AES-256 bit encryption.

Get advice, instructions or a prescription from your trusted doctors without having to come into the office. CHATTING & VIDEO CONFERENCING are NOW AVAILABLE on a secure platform at Salvaggio Dentistry. If you have a clinical question, a concern or an emergency, you can connect with your doctor remotely!! Dr. Salvaggio or Dr. Al Khoury will advise you via this secure portal or ask to see you in the office at a mutually agreed upon time (if absolutely necessary). SALVAGGIO DENTISTRY HAS YOUR HEALTH AND SAFETY AS ITS NUMBER ONE PRIORITY.

When you connect with one of our doctors remotely, we will attempt to help you out so that we can all maintain physical distancing and self-isolation. However, should we determine that you need to be seen in person, rest assured that Salvaggio Dentistry has adequate protective equipment put aside for extreme emergency cases. We are also wiping down surfaces more regularly and have abundant hand sanitizer for you. So please, if you have any clinical questions or if you are in discomfort and want answers…. take advantage of this amazing service we are now providing.

Learn more about Teledentistry by visiting clicking here.

What is a Frenectomy?

April 15, 2020

Filed under: Brampton Dentist — Tags: , , , , , , , — salvaggiodentistry @ 7:00 pm

A frenum is the thin band of tissue that attaches the lip to the gums. There are several frenum attachments in your mouth, the three important locations being the front upper and lower lips, between the two front teeth and the attachment of the tongue to the floor of the mouth. The frenum can lead to issues with the spacing of the teeth and even speech problems in some cases. 

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Helpful COVID-19 Tips & Resources

March 30, 2020

Filed under: Community — Tags: , , , , , , , — salvaggiodentistry @ 4:15 pm

We know that all Canadians are experiencing a difficult and trying time now to help curb the spread of COVID-19. However, while we are home, there are still some things we can do to stay healthy and resources that we can access to help get through the coming days.

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What is Pericoronitis and how is it treated?

February 24, 2020

Filed under: Brampton Dentist — Tags: , , , , , , , — salvaggiodentistry @ 3:44 pm

Pericoronitis is the inflammation of the tissue that is partially covering a partially erupted tooth in the mouth. Often it occurs with partially erupted wisdom teeth that don’t have space to erupt into the mouth fully, but sometimes it can even happen with the eruption of the first or second molars. The gum tissue that partially covers an erupting tooth is called an operculum, and the inflammation of that tissue is called pericoronitis. Pericoronitis is diagnosed based on signs and symptoms gathered during a clinical analysis, as well as a potential x-ray taken to rule out any other causes. 

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What are Periodontal Pockets?

February 10, 2020

Filed under: Brampton Dentist — Tags: , , , , , — salvaggiodentistry @ 6:00 pm
what are periodontal pockets brampton on dentist gum disease

“Gum disease” is an umbrella term that encompasses all conditions related to the gums. Gum disease begins with gingivitis and escalates to periodontitis. 

What is Gingivitis? 

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What is a Nightguard?

January 13, 2020

Filed under: Brampton Dentist — Tags: , , , , , , — salvaggiodentistry @ 4:21 pm

A nightguard is a mouth guard used overnight to protect your teeth, jawbones and jaw joints from the wear and tear from nighttime grinding and clenching. The official name for these habits is called “bruxism,” and it affects many more people than you would think. Bruxism is considered a sleep movement disorder. A nightguard is a transparent oral appliance that is made to fit your teeth. It may cover all or a portion of your teeth, depending on the type. They can also be fabricated to be worn on the top or bottom. 

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What Causes Tooth Decay?

December 23, 2019

Filed under: Brampton Dentist — Tags: , , — salvaggiodentistry @ 8:13 pm

Tooth decay is the penetration of bacteria and acids through microscopic tubules and channels into the underlying structure of the tooth. Cavities are not caused all at once, but slowly with time from certain risk factors. The first step of a cavity is the penetration into the enamel (outer layer) of the teeth. This stage is usually slow-moving because the enamel is extremely dense. At this time, the cavity can be halted and may not need to be fixed, with the right combination of proper oral hygiene and fluoride. Once the cavity can penetrate the underlying tooth structure called the dentin, it can move quickly as the dentin is less dense, and thus needs to be fixed with a filling. 

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Which Type of Tooth Whitening Will You Choose?

December 16, 2019

There are several different options for tooth whitening that you should consider before based on your needs and expected results. It is a good idea to first learn about types of teeth stains. There are two types of staining, internal staining and external staining. External staining is staining from darker pigmented foods and drinks (usually coffee, tea, red wine, blueberries, etc.). External stains also come from smoking, which causes an accumulation on the outer surface of the teeth. Fortunately, these stains can be removed during your dental hygiene cleanings. Internal staining are stains that have travelled to the inner layer of the teeth and changed the shade of the teeth. Thankfully, there are solutions for both of these types of staining. 

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