Current Conditions

Cascade Family Dental

110-1700 Garcia St
Merritt BC
Business/Store Hours
Monday to Thursday - 8:00 a.m. to 4:30 p.m.
Friday - 8:00 a.m. to 3:30 p.m.
Full-Service Dental Clinic in Merritt Offering Restorative & Cosmetic Dentistry

Regular dental treatments are vital to maintaining a healthy mouth and preventing tooth decay and periodontal disease. At Cascade Dental Care, your dental clinic in Merritt, Dr. Smith and team offer a number of preventive, restorative and cosmetic dental procedures to help you achieve optimal oral health.

Our services include:
• Preventive dentistry
• General restorative dentistry
• Paediatric dentistry
• Oral surgery
• Major restorative treatments (crowns, bridges, veneers)
• Tooth extractions
• Dental implants
• Gum recession treatment
• Bruxism treatment
• Endodontics (root canal therapy)

Tooth Extractions

Sometimes it is necessary to extract (remove) teeth. Tooth extraction is not ideal and is often a last resort when restoration is impossible. If the tooth has been restored multiple times and now lacks the supporting structure or tissue for additional restoration, or the tooth is cracked or infected, it will likely need to be extracted. Sometimes teeth can be extracted electively to create space. Also, teeth that haven't erupted correctly, or are impacted may be extracted.

Oral Surgery

When the surrounding tissues of the tooth become diseased or receded, periodontal surgery may be required. The most common oral surgery would be a soft-tissue graft or crown-lengthening. Tissue grafting is performed when gum tissue is lost around the side of a tooth, often due to a process called recession. Gum tissue is taken from other areas of the mouth to restore the deficient tissue. Another type of periodontal surgery is crown-lengthening. Crown-lengthening surgery is necessary when there is a crack, decay, or filling well below the gum line. In order to prevent chronic inflammation, and an irregular pattern of bone loss, the gums and bone are re-shaped to restore stability and bone health.

Dental Implants

Missing teeth can be replaced using partial dentures, bridges or dental implants. Currently, dental implants are the best option for replacing missing teeth. The dental implant procedure involves the surgical placement of a titanium implant in the bone where the tooth's root used to be, and a crown is placed on top of the implant. Unlike a denture, dental implants look and function like natural teeth and it is permanently attached. Unlike a bridge, dental implants don’t interfere with neighbouring teeth and replaces both the crown and root of the tooth, helping to maintain bone in the area. Implants can also be used to stabilize dentures or for replacing multiple teeth. Dental implants are strong, stable, and durable and will last many years, however, due to normal wear they will eventually need to be re-tightened or replaced.

Dental implants are used to:

• Replace one or more missing teeth without affecting adjacent teeth
• Resolve joint pain or bite problems caused by teeth shifting
into missing tooth space
• Restore chewing, speech, and digestion
• Restore or enhance facial tissues
• Support a bridge or denture, making them more secure and comfortable


Bruxism refers to the grinding of the teeth and the clenching of the jaw which can occur either during the day or at night. Bruxism is one of the most common sleep disorders and causes most of its damage during sleep. The clenching and grinding which accompanies bruxism is symptomatic of a malfunctioning chewing reflex. Tooth wear, earache, headaches and anxiety are common symptoms of bruxism.

Why bruxism should be promptly treated:

Gum recession and tooth loss – Bruxism is one of the leading causes of gingival recession and tooth loss. Bruxism damages the soft tissue and it leads to loose teeth and deep pockets which allow bacteria to colonize and destroy the supporting bone

Occlusal trauma – The abnormal wear patterns on the occlusal (chewing) surfaces can lead to fractures in the teeth, which may require restorative treatment

Arthritis – In severe cases, bruxism can lead to painful arthriti in the temporomandibular (TMJ) joints (the joints that allow the jaw to open and close)

Myofascial pain – Constant grinding associated with bruxism can eventually wear down the cusps of teeth resulting in a blunt chewing surface. This grinding can lead to muscle pain in the myofascial region as well as headaches

Treatment options for bruxism

There are a variety of options available to treat bruxism, including:

Mouthguards – A custom mouthguard can be created using your unique tooth impressions. The acrylic mouthguard is worn during sleep to minimize grinding. Mouthguards should be worn regularly to help prevent tooth damage, damage to the temporomandibular joint and help to stabilize the occlusion

BOTOXCosmetic – BOTOX® can be injected into the facial muscles to relax and weaken them. BOTOX is a viable short-term treatment for bruxism because it weakens the muscles enough to prevent grinding, but not enough to interfere with everyday functions like chewing and speaking. BOTOX is temporary and will need to be administered regularly to maintain its effect for the treatment of bruxism
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