expert type icon EXPERT

Hussein Shivji

Dentist

Dr. Hussein Shivji is a Dentist practicing in Vancouver, British Columbia. Dr. Shivji specializes in preventing, diagnosing, and treating diseases and conditions associated with the mouth and overall dental health. Dentists are trained to carry out such treatment as professional cleaning, restorative, prosthodontic, and endodontic procedures, and performing examinations, among many others.
Hussein Shivji
  • Vancouver, British Columbia
  • University of Manitoba
  • Accepting new patients

A huge gap in dental treatment. What should I expect?

Congratulations! The good news is that you have decided to go back to the dentist and have things checked out. I wouldn't worry too much about the fact that you had a gap in treatment. READ MORE
Congratulations! The good news is that you have decided to go back to the dentist and have things checked out. I wouldn't worry too much about the fact that you had a gap in treatment. Most dentists are understanding and I would not expect a big deal to be made of this. In terms of what to expect, you may need more than one appointment to get your teeth cleaned because there probably will be a lot of hard deposits that would have accumulated. If you have cavities, the dentist will discuss these with you and plan for your subsequent treatment. Once you get your mouth back on track, remember to go back regularly for check-ups and cleanings.
Good luck!

Can dentists treat sleep apnea?

Technically, sleep apnea is a medical condition and it should be treated by a medical professional and not a dentist. There are some dentists who have had additional training in READ MORE
Technically, sleep apnea is a medical condition and it should be treated by a medical professional and not a dentist. There are some dentists who have had additional training in this field. In some cases, an oral appliance can be made by these dentists to help with sleep apnea for patients that can't tolerate CPAP. I would ask your physician first if an oral appliance would work in your case and then seek out a dentist that can provide this service.

I grind my teeth while I sleep. Should I get a mouth guard?

Yes, ask your dentist to make a custom mouthguard that will fit your mouth precisely. Store-bought ones sometimes can end up causing issues with your TMJ joint (pain, clicking, READ MORE
Yes, ask your dentist to make a custom mouthguard that will fit your mouth precisely. Store-bought ones sometimes can end up causing issues with your TMJ joint (pain, clicking, etc.).

One of my molars is severely worn down. Can this be repaired?

You may need a filling. Or, in case the tooth is so severely worn down that a filling will not be strong enough, you may need a crown or cap to cover it. You also need to find READ MORE
You may need a filling. Or, in case the tooth is so severely worn down that a filling will not be strong enough, you may need a crown or cap to cover it. You also need to find out why the tooth got worn down so much in the first place. It may be that you are grinding your teeth in your sleep, in which case you probably should also get a bite guard to wear when you
sleep. Talk to your dentist to find out more.

Why do I have a thick white coating on my tongue?

Please see a dentist as soon as possible. This may be something completely innocent such as plaque sticking to your tongue or it could be something much more serious like oral READ MORE
Please see a dentist as soon as possible. This may be something completely innocent such as plaque sticking to your tongue or it could be something much more serious like oral cancer.

When should I consider getting dental implants?

The best time to get consider an implant is soon after you lose the tooth. The longer you wait, the more bone you will lose, making implant placement more difficult and/or more READ MORE
The best time to get consider an implant is soon after you lose the tooth. The longer you wait, the more bone you will lose, making implant placement more difficult and/or more expensive if bone grafting is needed.

Dr. Hussein Shivji

How can I stop my husband from grinding his teeth in his sleep?

He needs to be fitted with a bruxism appliance or night guard. He can get this from the dentist.

Dr. Hussein Shivji

Cosmetic Dentistry Dentist G4 implants

Without knowing details of your case, it is very difficult to answer your question. Generally speaking, implants help to preserve bone. People that have had teeth removed gradually READ MORE
Without knowing details of your case, it is very difficult to answer your question. Generally speaking, implants help to preserve bone. People that have had teeth removed gradually lose the bone surrounding the tooth. With implants, you are also able to chew better and your teeth that are supported by implants feel more secure than dentures. Hopefully that helps. You should ask your dentist for more specifics.

What is the course of treatment for periodontitis?

Usually need frequent deep cleanings. May need some surgery in certain cases.

What causes swelling in the gums?

Could be due to an infection or trauma. Try flossing and rinsing with salt water. If the swelling doesn't go away in a day or two, you should get this checked out by a dentist. READ MORE
Could be due to an infection or trauma. Try flossing and rinsing with salt water. If the swelling doesn't go away in a day or two, you should get this checked out by a dentist.

Are OTC products recommended for teeth whitening?

There is a lot of hype surrounding OTC products that you need to be aware of. Typically if the product contains dioxides (usually titanium), it will work by polishing off the READ MORE
There is a lot of hype surrounding OTC products that you need to be aware of. Typically if the product contains dioxides (usually titanium), it will work by polishing off the stain in the teeth by rubbing it off. We don't recommend these products because it can also wear away enamel while rubbing off the stain. Use products that have peroxide as an ingredient. Best option would be to get your dentist to safely whiten your teeth.

What is the right age for kids to brush their teeth on their own?

I always say that until your child is old enough to tie their shoe laces on their own, they will not have the dexterity to brush properly. I would let your child brush first and READ MORE
I always say that until your child is old enough to tie their shoe laces on their own, they will not have the dexterity to brush properly. I would let your child brush first and then you have a go at it after to make sure nothing was left behind.

Will frequent teeth cleanings remove spots from my teeth?

The brown spots on your teeth seem like they may be due to fluorosis. If that is the case, you might be able to lighten them a bit with whitening. I don't think just cleaning READ MORE
The brown spots on your teeth seem like they may be due to fluorosis. If that is the case, you might be able to lighten them a bit with whitening. I don't think just cleaning the teeth will get rid of these spots. Incidentally the spots could also be other things including tooth decay that would need to be addressed by a dentist. Ask your dentist next time you get your teeth cleaned.

Are cavities possible in baby teeth?

Baby teeth have a thinner protective layer of enamel and are more prone to getting cavities. These would be treated the same as cavities in adult teeth - with fillings and in READ MORE
Baby teeth have a thinner protective layer of enamel and are more prone to getting cavities. These would be treated the same as cavities in adult teeth - with fillings and in extreme cases with tooth removal.

Does brushing with salt help remove yellow stains from the teeth?

Unfortunately no. Salt will be great for your gums to allow them to tighten up as well as killing a lot of bacteria in your mouth. However, I don't think your teeth will whiten. READ MORE
Unfortunately no. Salt will be great for your gums to allow them to tighten up as well as killing a lot of bacteria in your mouth. However, I don't think your teeth will whiten.

My front tooth got chipped at the bottom. What can be done about it?

That depends on the chip. Minor chipping can be fixed with fillings. Larger portion broken off may need a cap. If the tooth is fractured to the gumline and can't be restored, READ MORE
That depends on the chip. Minor chipping can be fixed with fillings. Larger portion broken off may need a cap. If the tooth is fractured to the gumline and can't be restored, it may need to be extracted.

What if only one tooth is crooked?

Often times straightening out only one tooth is more difficult than when multiple teeth need to be moved. Check with your orthodontist/dentist to see if you would be a candidate READ MORE
Often times straightening out only one tooth is more difficult than when multiple teeth need to be moved. Check with your orthodontist/dentist to see if you would be a candidate for Invisalign so you don't have to wear braces.

Is the fluoride treatment at the dentist really worth it?

I would recommend getting a fluoride treatment after your cleaning. When you get your teeth scaled at a cleaning appointment, the protective enamel layer on the root surface sometimes READ MORE
I would recommend getting a fluoride treatment after your cleaning. When you get your teeth scaled at a cleaning appointment, the protective enamel layer on the root surface sometimes gets disturbed. Applying fluoride right after the cleaning helps to re-harden this layer. The concentration you would get at the dental office would probably be a lot more than what you would get over the counter. I am not sure what ACT has.

How often to use mouth wash?

Usually once a day is fine. If you are very prone to cavities, you may want to consider using a high fluoride toothpaste (eg Prevident) as well.

Can a toothpaste help with tooth sensitivity?

Depending on the cause for the sensitivity in the first place, toothpastes may help. If your sensitivity is due to gum recession and/or root exposure from brushing too hard, toothpastes READ MORE
Depending on the cause for the sensitivity in the first place, toothpastes may help. If your sensitivity is due to gum recession and/or root exposure from brushing too hard, toothpastes such as Sensodyne may be useful after several days of use. If you do find that the toothpaste is helping you with your sensitivity, keep on using that product. If you stop using the toothpaste, your sensitivity may return. In some cases the sensitivity may be due to abraded root surfaces or due to a cavity or tooth fracture. In these cases, sensitivity toothpastes will not be useful. You will need to see a dentist to help deal with these conditions.