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Welcome

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Dr. Marta Apreutesei - Gatineau Dentist

Your smile is the first thing people see. It instantly portrays your personality, self-confidence, joy and vitality. Does your smile say it all or are you embarrassed to smile? Nearly half of adults surveyed say they want a beautiful smile. Isn't it your time right now to have the beautiful smile you deserve? Not years. Not months. In as little as two visits. We use the most advanced techniques in dentistry to give you the smile you deserve without waiting.

Dr. Marta Gabriela Apreutesei and her friendly team are pleased to introduce you to our special dental practice.

Your need for healthy teeth and gums is our main focus. We offer dental services for families and individuals of all ages. We are located at 5 Rue Washington, Gatineau, QC, J9H 4B7.

Happy, healthy teeth and gums allow the full enjoyment of life's sensuality. Your mouth is a reflection of your overall health.

Dr. Marta Gabriela Apreutesei is known for using a unique approach in treating each patient with individual care. Dr. Apreutesei’s expertise in modern dental procedures leads to long-lasting solutions for patients.
Give us a call and we will be glad to answer to all your concerns regarding dental problems!

For the healthiest gums use these formulas for brushing, flossing, massaging gums, mouth-rinses, proxa-brushes, sulca-brushes, rubber-tip stimulators to overcome sensitive teeth, to ease the recovery of oral surgery, and for general overall cavity prevention.

A beautiful smile can give patients a lifetime of happiness!

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About Us

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The team at Heritage Dental Clinic has continuously upgraded themselves and the practice on the newest and latest techniques in modern, state of the art dentistry.

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Meet Our Dentists

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Dr. Marta Apreutesei

Dr. Marta Apreutesei brings with her experience a level of care that you've come to expect when you visit our dental practice. Her expertise in all fields of general dentistry leading to better serve the patients. From educating about dental health to developing a friendly approach with them, we at Heritage Dental Clinic creates a special and unique environment.

Dr. Apreutesei and her staff are an upbeat and friendly team of professionals committed to taking care of your needs. You will find quality services that can give you a perfect smile.

Dr. Apreutesei is an active member of Royal College of Dental Surgeons of Ontario and Québec Dental Board and some of the European's Dental Association


Dr. Oussama El-Housseini

Spécialisation Chirurgie Buccale et Maxillo-Faciale

La mission de notre section de Chirurgie buccale et Maxillo-Faciale, implantologie dentaire, est de restaurer et de rehausser les fonctions reliées aux dents et aux mâchoires. Le confort, l’esthétique, la mastication et la bonne image sont offerts pour vous permettre de vous sentir à votre meilleur. Pour réaliser au mieux notre mission, nous tenons compte que chaque cas est unique et que chaque patient est au centre de notre intérêt. Notre clinique se donne pour mission première la satisfaction de la clientèle. Nous prenons le temps nécessaire pour évaluer les besoins afin d’adapter et d’offrir les meilleurs soins possibles.

BUT

Notre but du début à la fin est de gérer tout acte de chirurgie buccale et de chirurgie d’implant dentaire dans une harmonie totale. C’est pour cette raison que nous avons assuré un environnement calme et agréable qui permet de donner toute l’attention que nécessite chaque intervention et favorise l’efficacité. Nos plus grandes priorités sont sans aucun doute, la bonne communication, un espace réconfortant et des soins de première classe au meilleur prix pour nos patients, le tout associé aux plus hauts standards de qualité.

Maîtrise des compétences

Le fait d’entreprendre plus de 1200 chirurgies par année nous permet de traiter avec succès des cas du plus simple au plus complexe. Cette vaste expérience nous permet aussi d’appliquer les diverses techniques en implants et leur mise en place.

Riche de plus de 30 ans d’expérience en dentisterie, Dr. Oussama El Housseini, pratique depuis plus de 17 ans exclusivement comme spécialiste en chirurgie buccale et maxillo-faciale. Il possède à la fois une formation européenne et canadienne. Il est appelé à offrir des séances de formation et des conférences à des dentistes.

Il est avant tout un homme proche des gens, passionné par son métier, dont la plupart des clients lui sont référés par d’autres. Il poursuit sans cesse un processus de formation continue auprès des meilleures écoles, assiste à des conférences, en crée et en donne lui-même. Ainsi, il parfaire sans arrêt ses compétences dans tous les domaines de la spécialité et surtout en implantologie dentaire – esthétique dentaire et chirurgies connexes.









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Meet Our Team

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The team at Dr. Marta Gabriela Apreutesei has continuously upgraded themselves and the practice on the newest and latest techniques in modern, state of the art dentistry.

Julie Dorion – Secrétariat/Réception Caroline Kenny – Hygiéniste dentaire

Lily Kolozsvari – Hygiéniste dentaire

Julie Barnabé – Assistante dentaire

Martine Pelletier – Assistante Dentaire

Emilie Fahey – Stagiaire secrétariat

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Practice History

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Dental Services

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Our dental team is well experienced in all areas of modern dentistry:

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Bonding

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Composite bonding can work wonders for your smile. Using materials that match the shade, translucency and the texture of your teeth, gaps between teeth can be closed, spots and discolorations can be eliminated, and your self-confidence can be enhanced through the improved appearance of your smile.

The dentist will match the shade of your existing teeth and then tooth-colored composite resin is applied to the tooth much like the filling procedure.

The procedure is sometimes referred to as bonding because an adhesive agent is used to actually bond the resin to the tooth structure.

The resin is hardened (cured) with a curing light and then shaped, contoured, and polished to give a cosmetic and natural appearance. Bonding is the least expensive cosmetic procedure and can be completed during a single dental visit.

Composite bonding is excellent for small defects in the teeth -- spots, chips, or gaps between teeth. For smile alterations involving an entire tooth or multiple teeth, porcelain is the material of choice.

Invisalign

Having a confident smile can change everything

Invisalign is a ground breaking alternative way to straighten your teeth without braces. Invisalign uses a series of removable aligners that are virtually invisible, so you don’t have to worry about your appearance. You can take them out for daily necessities like eating, drinking, brushing, and flossing. Comfortable, convenient and complimentary to your smile, Invisalign is the preferred method of teeth alignment for patients.

Dr Apreutesei has been treating with Invisalign since the availability of the method. With his experience with Invisalign, Dr Apreutesei can usually straighten your teeth in the same or less time as conventional braces, with the same result. Please call Dr Apreutesei for your free consultation or visit www.Invisalign.com for more information.

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Veneers

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Dental Veneers

Veneers are routinely used to cover teeth which are discolored, worn, chipped, or misaligned. Veneers are used for many of the same reasons as bonding but they involve a different procedure.

Veneers are thin shells of porcelain or resin that measure less than 1.5mm thickness. First, the dentist will prepare your tooth and then take an impression of the prepared tooth, possibly place a temporary filling in the space, and send the impression to a dental laboratory to have the veneers manufactured.

The veneer is then cemented into place. Although veneers are more expensive and time-consuming than bonding, they are less expensive and conserve tooth structure when compared to crowns.

Typically veneers are difficult to stain, making veneers a very popular solution for many people seeking that perfect smile. Strong and very durable, veneers last from ten to fifteen years, and come in colors that will brighten dark teeth without the worry of them changing color.

Porcelain Veneers Porcelain Veneers can correct a lot of things...

Porcelain veneers are the most conservative esthetic restorations available in dentistry today. A thin layer of the front of the tooth is removed to allow a veneer of porcelain to be bonded to the tooth without making it any thicker. Similar, in a way, to a false fingernail, the veneer covers dark or yellow teeth, fills unsightly gaps, lengthens short or stubby teeth, straightens crooked teeth, and in general creates a more attractive smile. Unlike a false fingernail, veneers are more permanent. The veneers are attached to the teeth using the most advanced methods of bonding principles.

A Cost Comparison and Tips on Your Winning Smile

Are you afraid to smile or embarrassed about your teeth? Or maybe you just want a better-looking smile. Recapturing the beauty of your smile is easier than you think.

Dental veneers are a rapid, aesthetic, and a safe way to correct unattractive front teeth. Veneers are the primary smile enhancement used by dentists in makeovers and can dramatically improve your appearance!

The increased popularity of dental veneers is due to the advancement in bonding techniques and materials over the past two decades. Now, with routine dental care and the procedure performed by a qualified aesthetic dentist, your veneers can last 15 years or more. A fast treatment can be completed in only two office visits.

What are Dental Veneers?

Dental veneers are wafering thin, semi-translucent facings that bond securely to the fronts of your teeth. Dental veneers are durable, stain-resistant, and natural looking. Usually made of porcelain, they are custom designed by your dentist specifically for your teeth, and then fabricated at a specialty lab, and finally bonded permanently to your teeth.

Why choose dental veneers?

Who is a candidate for Dental Veneers?

Anyone with healthy teeth and a normal bite can consider dental veneers. If you have any cavities, periodontal disease, or an improper bite, these issues must be first addressed. An improper bite is typically the single reason that patients have veneers fracture or come off. An improper bite is a bite that does not have neuromuscular harmony due to the position of the jaw and teeth. The signs are worn or chipped teeth, grinding or clenching at night, broken dental work, facial pain, and possibly head and neck aches. The dentist must address these issues before restoring the smile with veneers or breakage will occur once the veneers are delivered.

What are the advantages of veneers?

What are the disadvantages, complication and risks of veneers?

What are the alternatives to veneers?

Braces

Since healthy, aligned teeth are the foundation of a beautiful smile, braces may be the best solution if a patient has severe crowding, a cross-bite, or an over-bite. This is because teeth that do not fit together correctly can cause tooth decay, bone loss, bite problems, and other issues if left untreated. Unlike veneers, which conceal crooked teeth, braces straighten teeth and prevent problems caused by misalignment.

Invisalign

For patients with minor misalignment, Invisalign can be an excellent option for obtaining a balanced, healthy smile. The Invisalign system provides the benefits of braces – correcting misalignment instead of camouflaging it like veneers – without conspicuous metal or ceramic brackets. Instead, the Invisalign system uses a series of clear plastic trays that gradually reposition the teeth. The trays are comfortable, removable, and virtually invisible, making them popular among orthodontic patients of all ages.

Dental Bonding

For minor chips, cracks, and discolorations, dental bonding may be all that is needed to enhance your smile. Unlike placing porcelain veneers, dental bonding does not require removal of the natural tooth structure. Instead, the bonding composite resin material is applied directly to the surface of the tooth. Dental bonding is less expensive than veneers, but discolors and need to be renewed more frequently. Dental bonding can be done for the best results following braces, Invisalign or whitening.

Tooth Whitening

Tooth whitening is a very inexpensive, safe and effective way to improve a smile. It restores the teeth back to the original youthful color, and treatments can be limited to the dental office, administered by a dentist for at home treatment, or found over the counter. The term tooth bleaching is used when the teeth can be whitened beyond their natural color. Although many dentists claim to be able to achieve this, only a select group knowing the correct technique and materials can achieve this result. In many cases, tooth whitening in conjunction with braces, Invisalign and bonding gives the best result.

How much do veneers cost?

The costs for veneers can vary greatly between dental offices in one particular region, different regions, or where the practice is located. The patient must keep in mind that a veneer is not just a veneer. Why is a veneer not just a veneer? There are many factors that influence price such as: the materials or type of porcelain used (empress3, feldspathic, Cerinate Lumineers, Procera); will the roots be affected; how much tooth structure is available; where the dentist was trained; how many aesthetic dentistry continuing education courses they are taking; how often they are changing smiles with veneers; where they are located; what types of bonding materials they use; what qualification there dental technician has; and do they offer a warranty for the dental work.

Do your research and find out the answers to some of these questions to find out if the price is a fair one. One good way is to view the doctor’s cases. If they are experienced they should have many full mouth cases to show you. If not, their technical skills may be lacking the experience.

Average veneer prices for Canada.
Price for 1 veneer: 450 – 1800 CAD
Price for 8-10 veneers (smile makeover): 3600 – 18000 CAD
A full set of veneers: Priceless

Dr Apreutesei’s Smile Design

A smile makeover is the process of improving the appearance of the smile through one or more aesthetic dentistry procedures such as dental veneers, composite bonding, dental implants, orthodontics and teeth whitening. Essentially, a smile makeover is something that you choose to have performed, while a full mouth reconstruction is something you need to have performed.

A smile makeover takes into consideration your facial appearance, skin tone, hair color, teeth (color, width, length, shape and tooth display), gum tissue and lips to develop your ideal smile.

Dr Apreutesei starts first with determining the patient’s wants. Success is determined by the patient. The patient must decide the color and shape of the teeth. To assist with this, Dr Apreutesei uses a “Smile Guide” with pictures of different shaped teeth for the patient to view, cosmetic imaging of a photograph of the patients teeth to a desired result, or a composite resin mock-up in the mouth. The composite mock-up is a quick and easy non-permanent method to allow the patient to see and feel how their teeth might look.

Dr Apreutesei’s rules of smile design:

Dr Apreutesei’s Dental Veneer Process

Free Complimentary Consultation

Dr Apreutesei will examine your mouth and discuss treatment options with advantages and disadvantages of each treatment. If the patient decides to accept veneer treatment then models and photographs will be taken and charged. The color and shape will also be determined.

Veneer Preparation Appointment

The teeth have 0.3mm to 1.2mm of tooth structure removed to allow room for the veneer. The gingival contours and heights will be adjusted to optimize aesthetics. The teeth that are darker than the others will be whitened after being prepared to ensure uniform color to the final restorations. Dr Apreutesei will fit temporary veneers to the shape and size that was determined together at the first visit. The temporaries will look and feel just like the final veneers. If aesthetically the teeth do not look ideal or to the desired result, then improvements are made in the temporaries before the final veneers are made so that the ideal shape, length and color are achieved in the final veneers.

Veneer Application Appointment

The final veneers are tried on this visit. If you and Dr Apreutesei are completely satisfied the veneers will be bonded in place. Dr Apreutesei will not finalize your veneers until you both are satisfied with the results. Dr Apreutesei’s in office lab can make the changes necessary in as little as 20 minutes to reach mutual satisfaction. Although your teeth may be a little sensitive to food or beverages for a couple days, generally there is no recovery process.

Full mouth Rehabilitation

Full-Mouth Rehabilitation and Bite Management of Severely Worn Dentition

Do you experience frequent headaches or migraines? Do you have pain in your face, jaw, neck, or shoulders? Are your teeth loose chipped or cracked? Are you self-conscious when you smile because how your teeth look? Do you experience numbness in your fingers, ringing in your ears, or vertigo? Does your jaw pop or click when you chew or talk? Then you may be a candidate for full mouth rehabilitation.

Full Mouth Rehabilitation enhances the appearance of the smile and corrects imperfections in bite position. Chipped, short, worn-down teeth can be repaired and restored with full mouth rehabilitation. Combining art of Cosmetic Dentistry with the technology of Neuromuscular Dentistry Full Mouth Rehabilitation lets you finally have a smile that is both beautiful and comfortable.

Starting with the techniques of neuromuscular dentistry, Dr Apreutesei measures the position of your jaw and determines its ideal position. The process involves using a sophisticated computer program to record and define joint sounds, muscle activity during chewing, and the path of movement the jaw follows. Using this information, we can find the most relaxed position of your jaw for comfort and aesthetics.

Once this position is determined, several methods may be employed to move the jaw back to its natural and comfortable position.

Stimulation and relaxation of the jaw muscles using TENS can be quite helpful. The TENS is a low-level electrical impulse machine that exercises the jaw muscles and releases lactic acid built up from overusing muscles in the wrong position.

This may be combined with the use of an orthotic to gently move the jaw into its normal position. An orthotic is an appliance that helps move or build your bite to a relaxed resting position. You may need to wear the appliance for several weeks to several months, during which time your jaw will begin to drop naturally into its most comfortable position.

In full mouth rehabilitation, the treatment also includes the application of a full set of crowns and other restorations such as veneers. This portion of the rehabilitation can begin when your jaw has finally come to its ideal position. The use of porcelain crowns and veneers raises your teeth into the optimal position and keeps them there. This not only completely relieves the painful symptoms of malocclusion but it also restores the appearance of your teeth to their beautiful and youthful beauty.

The time required to complete a Full Mouth Rehabilitation can range from as little as 2 to 3 visits to six or more depending on the complexity of the case and the desired result.

To find out if you are a candidate for a full mouth restoration, call Dr Apreutesei today.

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Crowns & Bridges

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Dental crowns and bridges fit over injured, discolored, or cracked teeth or fill the space resulted after dental extractions and protect the teeth from further injuries or damages helping also to the prevention of any toothaches or discomfort you may experience.

Crowns

Crowns are used to restore both anterior and posterior teeth that have been broken or are at high risk of doing so due to large old fillings or fractures. There are a variety of materials used to design these reconstructions in laboratories. The crowns will look and feel close to your real teeth.

Crowns, also called caps are indicated if a significant portion of the tooth is missing. Usually, extensive decay, injury or root canal therapy, are the reasons when a crown is recommended. Crowns are usually either made of noble alloys, or porcelain. There are many different types of porcelain crowns and we will determine which type is best suited for your particular need.

During your first visit, we will prepare your tooth structure and then take an impression of the prepared tooth, make a temporary crown to place on the tooth, and send the impression to a dental laboratory to fabricate the crown. At your next visit, we will try-in the crown to ensure a good fit and then cement the crown in place. When a tooth is compromised by decay or damage, we may suggest a crown, inlay, or onlay. These restorations, made in a lab from fine dental porcelain, will blend seamlessly with your teeth, return the strength that you need for comfortable oral function, and maintain your all-white smile.

Bridges

Bridges are fixed, or non-removable prosthesis constructed to replace one or more missing teeth. The teeth on both sides of the existing space are used to attach the bridge to restore functionality and esthetics. Materials used for this process are noble alloys, porcelain or porcelain fused to metal. Bridges are indicated whenever at least one tooth is missing. A bridge is composed of abutments and pontics.

Abutments are the supports for the bridge and consist of crowns placed on the teeth surrounding the empty space. The pontics are special crowns that span across the empty space and connect to the abutments. When teeth are prepared for a bridge, the abutments are prepared for crowns just as described in crowns. We will then take an impression of the prepared teeth, make a temporary bridge to place on the teeth to protect them and maintain their positions, and send the impression to a dental laboratory to fabricate the bridge. At your next visit, we will try-in the bridge to ensure a good fit and then cement the bridge in place.

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Cosmetic Dentistry

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Our practice offers a wide range of cosmetic dentistry options to provide each patient with individual dental care to achieve our goal of improving or maintaining the appearance of your smile.

Non-Metal Fillings

When you smile or speak, do you reveal a mouth full of silver fillings

Composites if placed with exacting technique (rubber dam isolation and modern bonding agents) get as close as we have ever been able to restore the tooth to its original strength in the most conservative fashion. The composites are a very hard "plastic" that bonds (micromechanically fuse) to the tooth to hold the tooth together. Amalgams have multiple disadvantages. Amalgam is a metal which expands and contracts with hot, cold and biting. Therefore, with every meal the teeth are being weakened and over time and depending on the size of the filling the tooth becomes susceptible to fracturing. Amalgam also contains mercury which is a very toxic element. The literature is very unclear as to the amount of mercury that is released from amalgams and the long-term effects on the entire body.

Sports Mouthguard

Energy-Booster and Vital Key for the success of Athletes

In approximately 90% of the population, the lower jaw is not in its optimal, most comfortable position; this causes pain and muscle tension in the jaw and the area that surrounds the jaw. An orthopedic jaw appliance has been designed based on the science of neuromuscular dentistry and is called the Sports Mouthguard.

Athletes are especially benefiting from the SPORTS MOUTHGUARD because by holding the jaw in its optimal position, the SPORTS MOUTHGUARD results in improved vertebrae alignment, better balance, increased upper body strength, and fewer injuries. This appliance is custom designed and fitted for each athlete based on his or her own individual muscle physiology. Both professionals and amateurs, or anyone that is serious about their sports performance can benefit from the strength and endurance improvement that the appliance provides.
There are two versions of Sports Mouthguard. Dr Apreutesei creates an appliance designed for non-impact sports like football (soccer), golf, baseball, and weight lifting that is worn on the lower jaw. This device is also used while training for impact sports, because it is less cumbersome than the upper appliance SPORTS MOUTHGUARD.

The second type of appliance, worn on the upper Jaw, is designed for impact sports like hockey, American football, handball, and the martial arts, and protects against impact trauma to the teeth and concussion injuries.While protecting your teeth and jaw, it is also designed to hold your jaw in its most relaxed and comfortable position, allowing your upper torso muscles to work at their maximum potential resulting in increases in range of motion, flexibility, and strength.

What is the SPORTS MOUTHGUARD concept?

The Sports Mouthguard helps to properly align the facial muscles, improving muscle recruitment and vertebrae alignment. If your jaw and neck muscles are not strained from a poor jaw position, your upper cervical muscles are free to work much more efficiently and to their fullest potential. Simply put, the SPORTS MOUTHGUARD results in improved strength, flexibility, and balance and is helping athletes maximize their performance all over the world.

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Tooth Whitening

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In-office treatment can brighten your teeth by six to ten shades. Using a special, light-activated whitening gel, this procedure is a quick and convenient way to achieve the smile you've always wanted.

Tooth whitening is a procedure that can lighten the shade of your teeth and remove stain or discoloration caused by aging, certain medications, tobacco, coffee, and tea. Tooth whitening will not last forever, so the procedure will have to be repeated on a regular basis.

Tooth whitening can be done at home or in the dental office. The dentist will often take a photo of your existing tooth color to monitor your progress and compare the new lighter shade of your teeth throughout treatment.

For at-home whitening, the dentist will take an impression of your teeth and then make custom mouthpieces (trays) to fit your teeth. The dentist will give you a supply of bleaching gel (usually containing hydrogen peroxide) that is applied to the tray and then you will be instructed to wear the tray for a certain amount of time. Care should be taken to use only the prescribed amount of whitening gel as excess material can contact your gums and cause irritation.

In-office whitening often takes between 30 to 90 minutes to complete and usually requires a few visits to the dentist's office to achieve the amount of whitening required. The whitening agent (again, a gel containing hydrogen peroxide) is applied to your teeth. Some of the in-office whitening agents require special lights or heat for activation.

Both in-home and in-office bleaching can cause increased tooth sensitivity in some people. This is a normal side effect and usually subsides a few days after the whitening treatments have been completed. Whitening procedures should be avoided if you are pregnant.

Tooth Whitening Makes your Smile Sparkle!

According to an American Academy of Cosmetic Dentistry national survey: 92% of people believe an attractive smile is an important social asset. 85% of people believe an unattractive smile makes a person less appealing to the opposite sex. 74% of people believe an unattractive smile can hurt a person’s chances for career success. 50% of people are not satisfied with the appearance of their own smile. If you are not happy with your smile, Tooth Whitening may provide the solution. Our procedures can help eliminate coffee-stained teeth, remove cigarette and tobacco discolorations and correct yellowing in teeth due to aging. Our technique works so well that we can whiten lighter than the whitest natural human shade. We have had even excellent success with whitening stains from fluorosis and tetracycline staining!

The following are two options for whitening your teeth

AT-HOME WHITENING involves custom-made bleaching trays, and syringes of our unique Bleaching Gel, and our unique Desensitizing Sticks. At-home tooth whitening involves two short office visits. The first one is for taking impressions for the custom-fabricated trays, and the second one to pick up the trays, gel and desensitizer. One needs to wear the gel-containing trays only for two or more hours per day for two weeks. The results of this alone are often dramatic. If the teeth are not white enough, this prepares the teeth for In-Office Whitening.

IN-OFFICE WHITENING is an hour appointment following the two-week At-Home Whitening. The procedure is more comfortable than other techniques because our special whitening gel has a lower concentration level of hydrogen peroxide. We can do this because the effectiveness of our gel is increased because of special compounds in the At-Home Whitening gel, which prepare the teeth to allow the In-Office Whitening gel to work more effectively at removing deep-set intrinsic stains. We complete the appointment by sealing the teeth to help further decrease sensitivity and future darkening of the teeth

The results are amazing and are easy and inexpensive to maintain! As infrequent as only every 2-6 months is a touch-up necessary to maintain your new bright smile by using the trays for At-Home Whitening gel for a few hours.

Dr Apreutesei has found through his years of experience whitening teeth, that to achieve our results with other In-Office techniques a patient would need to do this procedure approximately 3 times to achieve the same results at increased time, expense and sensitivity. Whitening is definitely the most cost effective way to have and maintain a white smile!

Professional Cleaning

Teeth cleaning is part of oral hygiene

Routine dental cleanings are the easiest and least expensive care requirement to maintain healthy teeth and gums. Studies have shown that unhealthy gum tissue leads to:

The goal of routine cleanings is to remove all bacteria associated with plaque and tartar on the teeth. A specially trained Dental Hygienist will complete this treatment in our practice. We are proud to offer this level of care for our patients.

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Implants

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Dental Implant

Implants are indicated whenever at least one tooth is missing. If the missing space(s) is not filled, the teeth surrounding the space often drift, the opposing teeth in the other arch will erupt further into the oral cavity (hypereruption) which can change your bite, bone erosion can occur in the area, and even changes in speech might occur. The popularity of implants has increased steadily over the years.

Implants are designed to replace the root of a missing tooth and can be used to support crowns, bridges, or dentures. The root-form implant is the most common type and basically consists of three main components:

  1. Implant screw - This part of the implant is made of titanium and is surgically placed in the bone. Titanium is accepted by the body extremely well and fuses with the bone (called osseointegration) during the healing process.
  2. Abutment - This is a metal collar that attaches to the top of the implant screw and is the base for a crown, bridge, or denture.
  3. Crown - The crown is the manufactured tooth that fits on top of the abutment. Bridges and dentures can also be secured to the abutment. The placement of the crown, bridge, or denture is the final step of the implant process.

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Oral Surgery

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Oral Surgery is the specialty of dentistry that includes the diagnosis, surgical and related treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the head, mouth, teeth, gums, jaws and neck.

It involves, but is not limited to: wisdom teeth removal, apicoectomy, TMJ disorder, facial trauma, corrective jaw surgery, oral pathology, dental implants, osseous tissue surgery, anesthesia and bone grafts.

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Extractions

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Dental extractions are performed for a wide variety of reasons. Tooth decay that has destroyed enough tooth structure to prevent restoration is the most frequent indication for extraction of teeth. Other indications are related to impacted or problematic wisdom teeth and also to make space for orthodontic treatment in some particular cases.

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Fillings

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Modern dentistry has allowed us to combine beauty as well as strength when filling teeth. Restorations are close to their original strength and appearance with composite resins and other modern materials. The patient comfort is always the main priority of the dental team, leading to a positive experience.

Fillings (restorations) are used to replace tooth structure that is decayed. Caries can be detected through direct observation or x-rays. Fillings are also used to repair fractured, broken, or severely worn teeth.

The dentist will proceed to cavity preparation, removing any remaining decay and shaping the final cavity. The next step will be the addition of composite-resin filling material, cured (hardened) after with a curing light. The final step will be polishing the filling to adapt it smoothly to the natural shape of the tooth.

Composite fillings are very aesthetic restorations since they are available in natural shades matching tooth color. They are also being tolerated perfectly by all the patients.

In some cases cavity preparation could become very large for usual fillings and the dentist will recommend an inlay or an onlay (partial crown), restorations designed to replace more tooth structure. Those restorations are made in a dental laboratory after the dentist has taken you an impression of the preparation. The final placement of inlay or onlay will be made in a second visit at the dental office.

Fillings do not last forever so it is essential that you visit the dentist regularly for further examinations. Fillings can develop cracks or simply wear down due to chewing forces.

The dentist monitor the integrity of your fillings during regular exams and will recommend replacing a filling if a problem is detected.

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Dentures

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Dental Denture

Dentures are divided into two main categories: complete dentures and partial dentures.

Complete dentures are designed to replace the teeth in an entire arch when all the teeth are missing.

Partial dentures are used when there are still teeth present in the arch.

Complete and partial dentures can provide patients with a functional replacement when teeth have been lost.

Complete dentures consist of an acrylic base to imitate gum tissue, and the teeth that can be made of acrylic or porcelain. The denture base is made to closely fit the contours of the arch to ensure the denture is stable during normal oral functions such as eating, speaking, or swallowing.

Partial dentures can be made with a metal framework and teeth attached in the areas where the teeth are missing. The metal framework also has clasps or arms that extend out and fit around some of the existing teeth. The combination of the framework and the arms that wrap around some of the teeth keep the partial denture stable during normal oral functions.

There are a lot of indications for the patients wearing dentures in order to maintain the health of oral tissues. The dentist will provide all necessary information for patient education.

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Scaling & Root Planning

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Plaque is a sticky substance that adheres to tooth structure and is teeming with bacteria. Over time, plaque becomes calcified (hardens) and at this stage, it becomes what is called calculus. Plaque and calculus are actually irritants to the tissues of your mouth. The reaction of your body to the irritants and the subsequent gum inflammation, gum recession, bleeding and eventual bone loss around the teeth constitute periodontal (gum) disease. The earliest stage of periodontal disease is called gingivitis (which is reversible) and is characterized by bleeding gums, especially when one brushes and flosses. If the disease is not addressed, it will progress to periodontitis, which is far more destructive, and is characterized by further gum deterioration, bone loss, and ultimately tooth loss.

Scaling and root planning are the most common form of treatment for periodontal disease. Scaling removes calculus (also called tartar) and plaque from the tooth surface above and below the gum line. Root planning smoothes the root's surface and removes any remaining calculus. When the amount of plaque and calculus to remove is extensive, the dentist will numb the area to make the procedure comfortable for you. A combination of sonic and hand instruments are used in the procedure. The sonic instruments remove the large deposits of plaque and calculus. Hand instruments are then used to remove any remaining tartar and ensure all surfaces of the crown and root are clean and free of bacteria. Sensitivity and soreness may be present a few days following treatment and usually can be relieved with over-the-counter pain relievers.

A follow-up visit is usually scheduled for four weeks following treatment to check the improvement of gingival status, and regular intervals (3 month and 6 month intervals are typical) thereafter to monitor the disease. The goals are to eliminate the active inflammation caused by bacteria and reduce the periodontal pockets around the teeth so they cannot trap plaque or calculus thus maintaining the present bone height around the teeth.

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Periodontal Therapy

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Periodontal or gum disease is an infection of the tissues that surround and support your teeth. It is a leading cause of tooth loss in adults. Good oral hygiene and regular dental examinations are essential in prevention and early detection of gum disease – which sometimes developing without any warning signs. The inflammation and infection of gums, ligaments, bone, and other tissues surrounding the teeth. Gingivitis (gums disease) and periodontitis (gums and bone disease) are the two main forms of periodontal disease also called gum disease or pyorrhea.

Periodontal disease is an infection of the tissues that support your teeth. Periodontal disease, also known as gum disease, is one of the most common infections today. More than 75% of North Americans over 35 years of age have some form of periodontal disease. Although many are infected, few know they actually have the disease. In a recent study, 8 out of 10 people surveyed believed they did not have periodontal disease, 7 out of 10 exhibited one or more symptoms.

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Root Canal Treatment

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Root canal therapy is an indispensable procedure in treatment of teeth that are severely decayed, infected, or broken. Root canal therapy can maintain your teeth life for more years, saving them from extraction.

Dental Root Canal Treatment

The dentist will access the pulp chamber in the crown of the tooth and will reveal the root canals contained in the roots of the tooth. The infected nerve is removed and the canals are shaped using special files to smooth the walls and ensure no pulp tissue or infection is left. The canals are then filled with a special material that seals off the root canals.

A root canal is part of a naturally occurring space within a tooth that consists of the pulp chamber, the main canal, and more intricate anatomical branches that may connect the root canals to each other or to the surface of the root. The smaller branches are most frequently found near the root end (apex) but may be encountered anywhere along the root length.

Unfortunately, after root canal therapy the tooth often becomes brittle. To protect the tooth from fracture, it is recommended that a tooth that has undergone root canal therapy be restored with a crown.

Because of the complexity and difficulty of root canal therapy (due to multiple configurations and particularities of root canal in each individual) this treatment is always a challenge for the dentist. Sometimes is necessary to refer the patient to endodontists specialized in root canal therapy.

Are root canals painful?

With today's modern dental techniques, having root canals done by a dentist is no longer a scary experience. Dr. Apreutesei is experienced in performing root canal therapy. Extensive decay, an accident, tooth fracture, or gum disease can kill teeth and cause a root canal symptom such as root canal pain or a dental abscess. However, regardless of the root canal cause, your teeth can be saved using modern therapy to do root canal treatment.

Dr Apreutesei uses the latest materials and techniques, which allow for less chair time, increased long term success, and decreased or elimination of post treatment discomfort.

An Apex Finder finds the correct length of the roots giving 98% success in cleaning and filling the root canals properly. Dr Apreutesei then uses the latest flexible rotary files that are more efficient at cleaning and shaping the canals. The latest anti-bacterial disinfectant is used in the canals in conjunction with a Dental Laser to kill all bacteria and then promote the body's natural healing. Patients treated with dental laser report 73% improvement in discomfort, and 67% improvement in long-term health of the tooth. The root filling material is heated and bonded in the canals to allow all canals to be sealed. Typically Dr Apreutesei completes root canals in one comfortable appointment averaging approximately an hour.

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Emergency Services

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Our practice operates emergency services for our patients. Call us to find out more information

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New Patient Forms

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The following forms can be downloaded to your computer, please complete the information and bring them with you to your first visit.
You may also fill out this electronic forms, save and send the completed PDF files

By filling out these forms ahead of time you will save significant time on your visit. If you have any questions when filling out the form, please do the best you can, and our staff will assist you with your questions on the day of your appointment.

Download
Medical History Form 246 KB
Formulaire d'Antecedentes Medicaux 247 KB

Technical Note:
Our online forms use the Adobe Acrobat Plugin.
Please download the free plug-in from Adobe's website if it is not already installed on your system. It is important that you have the latest version, in order to open, fill and save our forms.

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New Technology

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We thank you for allowing us to take care of your dental needs and look forward to helping you.

Equipment we provide:

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Patient Education

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Dental Terms

Detailed info on the most common dental procedures, including braces, bleaching, bridges, dentures, dental implants, fillings, root canal.

» Click here to read about dental terms.



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Virtual Tour

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Financial Arrangements

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In order to provide the highest quality care on a sound basis, we have developed convenient payment options for you to choose from. Prior to proceeding with the treatment, fees and financial arrangements will be discussed with you.

We will always attempt to directly bill your insurance company for the expected benefit. However, it is understood that the patient is ultimately responsible for the fees associated with the services rendered.

We expect that any balance not covered by the insurance company to be paid at the time of service.

We accept most insurance plans and payments by Visa, MasterCard, American Express and Debit.

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Ask Questions

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Contact Us

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Heritage Dental Clinic

5 Washington
Gatineau, Quebec, J9H 4B7

Phone: (819) 682-1919
Fax: (819) 682-5290
Emergency: (514) 377-9074
Email:

When we book an appointment we set aside time just for you. If you can not make it, please give us 2 business days notice in order to avoid cancellation charges.

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