Neuromuscular Dentistry

You Have Toothache

There are a few reasons you might have a toothache. Most toothaches are caused by tooth decay, cavities or infection. You can take a pain reducing medicine or hold a cold compress to your aching tooth. You should see your dentist if your tooth continues to ache for more than a day or two. Persistent pain probably means you need dental care, so call your dentist to schedule an appointment. Sometimes an earache could cause you pain in your jaw or tooth. You may also have tooth pain if you grind your teeth or have misaligned teeth.

You knocked out a tooth

First of all, don’t panic! There may be a chance to restore a knocked out tooth back into your mouth if you move fast. Be careful not to touch your tooth’s root. Rinse the tooth with water and try to fit it back into your empty socket. Call your dentist immediately. Don’t force your tooth into the socket if it doesn’t fit. Make sure to keep the tooth damp, by placing the tooth in a container with milk. If that’s not available, spit into a container and store the tooth there. Your tooth will be healthy in saliva. At the very least, submerge your avulsed tooth in water. No worries if we can’t restore your natural tooth, we can replace your missing tooth with a dental implant and crown.

You cracked a tooth

You may crack a tooth from an accident or from certain foods. If you have a cracked tooth, rinse your mouth with water. You can use a cold compress for the pain. Look for any pieces that may have chipped off your tooth. Save any found portions of your tooth. Call your dentist as soon as possible to have him assess the damage and strengthen your tooth.

You have something lodged between your teeth

Many people get things stuck in their teeth. It’s completely normal. Only attempt to remove lodged objects with dental floss. Never put anything sharp between your teeth; you could cause more damage than you started with. Contact your dentist if the dental floss is unsuccessful.

What can I do about snoring?

If you feel snoring is a problem, discuss it with your dentist or doctor. You may be a suitable candidate for a snoring oral appliance. But your snoring may be a sign of a breathing disorder called sleep apnea.

What is Obstructive Sleep Apnea (OSA)?

Obstructive Sleep Apnea occurs when your breathing regularly stops or is slowed for 10 seconds or longer due to blocked or narrowed airways. Airway blockage may be caused by excess tissue in the throat or nasal passages, large tonsils, a large tongue and a narrow jaw.

How do you test for Obstructive Sleep Apnea?

Obstructive Sleep Apnea is tested by performing a sleep study, either in the comfort of your home or in a sleep lab. At German Dental & Neuromuscular we provide you with a small portable-monitoring device, that you wear it while you sleep night.

What are the treatment options for Obstructive Sleep Apnea?

  • Use of an Oral Appliance such as Somnodent, that your dentist will have custom made.
  • Use of a CPAP machine
  • Weight loss
  • Oropharyngeal exercises
  • Surgical procedure.

Dr. Jocelyne Charest will explain all the advantages and disadvantages between the treatments.

Do you have jaw pain that won't subside? Do you have recurring pain in your face or around your ear?

Jaw pain can be hard to diagnose, because there are many reasons that you are experiencing this pain. Many of the conditions associated with jaw, head and neck pain involve dentistry, and Dr. Jocelyne Charest helps patients diagnose and manage chronic jaw pain.

Do you grind your teeth?

Tooth grinding can cause you other problems, including loose teeth, fractured teeth, tooth wear, headaches and tooth and jaw pain. Teeth grinding happens for a number of reasons, such as anxiety, missing teeth, misaligned teeth, airway problems or an irregular bite. Dr. Charest will carefully inspect your mouth to diagnose the cause of your grinding.

Do you suffer from TMJ Disorders?

The TMJ is a commonly used joint, as it attaches your lower jaw to your skull. You use your TMJ daily to speak, laugh, chew, swallow and smile. TMJ disorders give many patient’s pain, from the neck to the back to facial pain and intense headaches. A Neuromuscular dentist can fully evaluate your bite to see if any irregularities are causing unnecessary stress on muscles and joints.

What is a Neuromuscular Dentist?

A Neuromuscular dentist uses specialized equipment to measure the relationship between your facial muscles, teeth and joints and uses this information to find your optimum jaw position. Patients will need to use a customized orthotics to wear when they sleep at night. The orthotics will guide your jaw to its correct Neuromuscular position to create harmony in your bite. Correctly positioning your jaw should alleviate your jaw pain and your TMJ symptoms.


Protecting you is a priority to us.

Protecting you from infection is a priority to us, so we want you to understand the many ways we ensure your safety.

Our Infection control procedure and about Instrument sterilisation.

There is always a risk of contacting infection in ANY environment. The common cold is an everyday example.

In modern dental care you are assured that all precautions are being taken to protect you. Rest assured that your visits to the dentist are safe! Everything possible is done to protect you from infection. No one should avoid the dentist because of fear of infection.

Universal precautions.

Since there are many different diseases that are contagious (can be transmitted from one person to another), we assume that every encounter has the potential for infection. For that reason, we follow guidelines known as universal precautions.

Universal precaution means that we treat all patients as though they may be potentially infectious. This allows us to eliminate the possibility of passing a disease from one patient to another. Precautions are also taken to reduce the possibility of transmitting infection from a dental worker to a patient.

What specific steps are taken to control infection?

At GDNC we pay particular attention to general cleanliness, disinfection, sterilization, and the use of protective clothing when needed.

We have a dedicated Central Sterilization Room. It is designed to ensure zoning and elimination of cross infection. All sterile instruments are covered and housed in sterile bays. Similar zones exist in each surgery.

Surface disinfection

All surfaces that might possibly come into contact with infection-carrying materials are disinfected with approved chemicals between each patient.

Cleaning and sterilization of instruments

Any instruments that are not disposable are cleaned thoroughly using the latest ULTRASONIC CLEANING BATHS after being disinfected.

A steam AUTOCLAVE is used to sterilize and conforms to the current strict guidelines. A regular annual maintenance and check ensures that our standards are maintained.

Selection of equipment that reduces the possibility of contamination

Modem equipment greatly reduces the possibility of contamination and infection. Dental unit water systems are designed with special valves and certain disposable parts to ensure that the water supply for each patient is protected from disease-causing agents. Special coatings on dental units prevent bacterial colonies from forming. Automated internal disinfection systems are used daily to clean the systems. Parts are designed to be removable for disinfect ion.

For instance, the use of suction devices to drain fluids from the mouth greatly reduces splatter that would result from spitting excess water from the mouth. Sterilized suction tips also contribute to infection control.

Protecting the dental worker

Each individual dental care situation carries certain risks and the dental worker takes the recommended precautions for the specific situation.

For instance, dental workers wear gloves if they expect their hands to be exposed to saliva that may contain blood. In that way the worker is protected from ‘atching’ a disease from a patient. The patient is also protected against diseases that might be transmitted to the patient from the worker’s hands.

Similarly if splashes or splatters are anticipated during dental care, the dental worker may wear a mask and eye protection goggles.

Hand washing

A long approved method of reducing the possibility of infection is simple hand washing. You’ll notice that all dental workers wash their hands between each patient encounter. We use the same chemicals used by surgeons in operating theatres.

In Summary

We protect you in many different ways including:

  • Use of disposables, when possible.
  • Thorough cleaning and/or sterilization of all instruments.
  • Surface disinfection of contaminated surfaces.
  • Selection of equipment designed to prevent contamination.
  • Care and maintenance of dental units.
  • Vaccination of dental workers.
  • Hand washing to reduce bacteria in folds and grooves of skin.
  • Gloves to prevent direct contamination as well as cross-infection.
  • Protective eyewear.
  • Approved disposal methods for contaminated waste.

If you have questions about infection control at GDNC, please ask us. We will be glad to answer your questions. We believe that an informed patient contributes to the care process.


What is a hygienist?

Dental hygienists are specially trained to work with the dentist in giving care to patients.

They play an important role in dental health care and are mainly concerned with gum health, showing people correct home care and applying preventive materials to the teeth and gums.

What is the hygienist's role in the practice?

The hygienists main role is to professionally clean the teeth for the patient. This is usually called scaling and polishing. However, perhaps their most important role is showing the patient the best way to keep the teeth free of plaque. They also give advice on diet and preventing dental decay. The hygienist will work with your dentist to provide care tailored to your needs.

Why doesn't the dentist do this work?

Some dentists will carry out this type of work. However, many now recognise that the hygienist has been specially trained to carry out scaling and polishing and can spend longer with you. They are also expert at teaching you how to look after your teeth and gums. Often the hygienist will spend a number of appointments getting the gums healthy ready for the dentist to restore the teeth with crowns and fillings.

Can a hygienist help prevent dental disease?

This is what the training of the hygienist is all about. Carefully removing the deposits that build up on the teeth (tartar) and teaching you how to prevent it reforming again, will go a long way to slowing the progress of gum disease.

By discussing your diet, and recommending other preventive measures, your tooth decay can also be slowed down. Regular visits and advice will help build your confidence in maintaining your oral health and achieving a healthy mouth.

What other help can be given to adults?

Adults can also benefit from having fluoride applied. They can also have anti-bacterial gels and solutions applied under the gum to kill the bacteria causing gum disease.

Another very important part of the hygienists work is giving regular instruction and advice on home care. The hygienist may also suggest giving up smoking, as this will reduce staining. Recent research has also shown that smokers have more gum disease and lose more teeth than non-smokers. Your hygienist will be able to advise you on various ways of giving up smoking.

Will the treatment hurt?

Scaling and polishing is usually pain-free. However, if you do have any discomfort the hygienist can use anaesthetic creams, or give you some local anaesthetic. It is important that you let the hygienist know at the time so they can help with your pain.

Periodontics (Gum Disease)

Is bleeding from the gums good?

No. Bleeding from the gums are common, but it is not good. In a healthy state gums do not bleed. Bleeding is often an indication that the gums are inflamed. The inflammation is generally a response to the bacteria on the surface of the teeth. The surface inflammation is Gingivitis. The bleeding may also arise from Periodontitis or traumatic cleaning. Bleeding gums can also be associated with serious medical conditions. A hygienist or a dentist should check your bleeding gums and if needed and refer you to a periodontist (Gum Disease Specialist).

Can Gum Disease be treated successfully?

Yes. In most cases the progression of gum disease can be stopped with appropriate care. Management of gum disease becomes more difficult and less predictable, once the disease advances. Therefore, the sooner, that periodontitis is diagnosed and treatment is administered, the better. Regular dental examinations are important to check for the presence of gum disease.

The main treatment of gum disease is reducing harmful bacteria to a level that the body’s defense mechanisms can handle it. The classical Treatment involves achieving the best possible home oral care, professional cleaning of the teeth above and below the gum line (into the pockets) to remove the plaque and hard deposits (calculus/tartar), and regular recall visits together with trying to remove risk factors such as smoking.

What are the most common warning signs of Gum Disease?

Bleeding gums while brushing the teeth, bad breath or a bad taste in the mouth, receding gums, sensitive teeth or gums, loose teeth or teeth that have moved are usually the most common signs of periodontal or gum disease which needs to be treated.

What causes Periodontal Disease?

The main cause of periodontal disease is bacteria. Plaque a sticky, colorless film containing food debris mixed with saliva and bacteria that form on your teeth, particularly around the gum line, if not removed will cause gum or periodontal disease. These bacteria thrive deep in the gap between the gum and the tooth (the pocket) and damage the supporting tissue around the tooth. Some people are much more at risk of developing periodontal disease. Smoking is one of the major risk factors while Other conditions such as diabetes, stress, pregnancy and various medications can all be contributing factors.

Are bleeding gums during pregnancy normal?

During the pregnancy a woman’s oral health undergoes significant changes. Due to hormonal changes in the body, pregnant women can experience slight bleeding of the gums (pregnancy gingivitis) to severe gingival enlargement. Patients will notice unusual redness and inflammation of the gums, bleeding on probing and sometimes even increased tooth mobility. Although, bleeding gums during pregnancy is a perfectly common, it is important to treat the symptoms before they become worse. Regular visits to the dentist during pregnancy is very important and the dentist should be informed of any gum problems, if you notice any changes.

Orthodontic Treatment

Am I too old for Orthodontic treatment?

Certainly Not. Orthodontic treatment is for everybody.

Orthodontic treatment for children is mainly focused on functional problems (failed eruption of teeth, cross bites, early corrections of skeletal problems, habits and speech/oral dysfunctions).

In an adolescent,orthodontics-dubai.phpaddresses tooth position, skeletal and other functional disturbances.

In an adult, the same corrections are possible, but treatment depends on the quality of the dentition, some skeletal problems may require oral or maxillofacial surgery.

Is Orthodontic treatment painful?

Concurrent with the Increased mobility of the teeth following activation (necessary for tooth movement), a temporary soreness will be felt after each adjustment. Pain is no reference for speed of treatment or necessary for tooth movement. On the contrary, light forces are often equal if not better than excessive forces.

How long does Orthodontic treatment take?

Treatment depends on several factors including:

The initial situation [difficulty], type of treatment, reaction to forces and growth, individual predisposition.

Patient related factors: Follow up on appointments, instructions given for eg: wearing of appliances, elastics, hygiene, care of appliances [often broken appliances prolong the treatment].

How expensive is Orthodontic treatment?

Cost of treatment depends on the type of treatment and the time span for correction. This will be discussed with the patient at the start of treatment.

Will my teeth remain straight after finishing the treatment?

Retention or keeping the teeth straight “is a big issue after Orthodontic treatment. As 100% guarantee is impossible in medicine, we can say that in the majority of the cases, teeth will remain fairly stable if a retention protocol is followed. This can consist of wearing a removable appliance during the night or having a fixed wire behind the teeth. Also, in certain cases follow up after treatment is essential.

Do braces damage the teeth?

If good oral hygiene is maintained, the chance that the teeth will be damaged is minimal.

Decalcification (surface damage) is mostly due to poor hygiene during treatment. Resorption [root shortening] however, can be caused by several [Known and unknown] factors. If there is a risk of resorption, it will be discussed before treatment begins, in rare cases the cause of this root shortening is not known.

The gum (periodontium) is the supporting structure of the tooth, and is seldom a cause of concern.

However a complex initial situation, poor quality of the dentition, poor hygiene, can cause problems in this area.


Can I eat after the Maxillofacial surgeries?

After surgeries in the mouth you will have to eat soft food for a few days to avoid pressure on the area of the surgery. Bigger surgeries may require a longer period of soft nutrition.

Am I able to speak after Maxillofacial surgeries?

Immediately after maxillofacial surgeries you will be able to open your mouth and speak.

Our Services

Affordable, High quality Dental Care

For over 25 years our passionate, caring team have been offering a complete range of private dental and hygiene treatments.