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Should I Worry About my Child’s Bleeding Gums?

Adults are not the only ones who experience bleeding gums. Children may also be affected. And there are several possible reasons for bleeding gums in children and adults alike:


  1. Gingivitis

The most serious cause of bleeding gums is gingivitis, the initial stage of gum disease. And it can affect kids, too—particularly older children. Hormones triggered by puberty can make gum tissue prone to swelling and sensitivity. Keeping up good hygiene habits is critical at this stage. Signs that your child has gum disease include redness, swelling, tenderness, a receding gum line and bad breath.

If your child experiences any of these symptoms, be sure to check in with their dentist so gum disease can be detected—and treated—early on, as the effects of gingivitis can prove hard to reverse.

  1. Flossing

A regular flossing routine is the best way to maintain healthy gums and avoid the buildup of plaque. If your child skips flossing for a few days, they may experience bleeding until resuming the routine again. Until your child is around 10 years old, you may wish to assist with flossing to ensure it is done correctly. Any mild bleeding of the gums from flossing should subside after a few days, once the gums become less sensitive. If bleeding persists beyond a week, or if gums become red or irritated, contact your child’s dentist to check for signs of gingivitis.

  1. Toothbrush Type

When your child uses a new toothbrush for the first time, the bristles may be quite firm and abrasive to gums. We recommend always buying brushes with soft bristles, which are gentler on gums and no less effective at cleaning.

  1. Medications

A side effect of some medications is inflamed and bleeding gums. If your child has just started taking a new medication, monitor the appearance of gums. Ensure your child uses a soft toothbrush and sticks to their brushing and flossing routine. If bleeding persists for more than a week, consult your child’s doctor.

  1. Brushing Technique

When kids are first learning to brush their teeth, they often use more force and pressure than necessary. Over time, vigorous brushing can irritate gum tissue and cause bleeding. Model for your child a gentle brushing motion that reaches every tooth, and if necessary, assist your child with brushing until they can do it themselves.

If your child experiences frequent or persistent bleeding gums (lasting beyond a week), get in touch with Kids Dental Group. Call or visit us at one of our convenient locations in Markham (905 294 0995), Richmond Hill (905 709 3888) or Stouffville (905 642 3642).

What is Dental Sedation and is it Safe for Kids?

Sometimes children require dental sedation while undergoing certain long or complex procedures, depending on their age or special needs.


There are three kinds of sedation available, and your pediatric dentists will decide which type is best on a case-by-case basis:

1. Oral sedation

Oral sedation is given by mouth or through the nose and can take around 20 minutes to work. While this form of sedation doesn’t put the child to sleep, it helps them relax.

2. Nitrous oxide

Nitrous oxide, or laughing gas, helps kids stay calm while remaining conscious. A mix of nitrous oxide and oxygen is administered through a breathing mask and allows the child to relax within five minutes. At the end of the procedure, the dentist may pump pure oxygen through the mask in order to clear out any remaining nitrous oxide. There are no lasting effects from the gas.

3. General anesthesia

General anesthetic is given through a needle on the back of your child’s hand. Often anesthesiologists will use nitrous oxide to relax the child to sleep before the needle is given, then a tube is inserted into their throat to aid breathing.

Preparing your Child for Sedation

It’s important to follow any guidelines provided by your dentist. Provide a full medical history ahead of time and be sure to note any breathing issues or allergies, as well as any drugs or supplements your child is currently taking. Notify the dentist if your child has a fever, ear infection or cold.

Avoid giving your child any food for at least six hours, and only water up to two hours before sedation to prevent the risk of vomiting. Dressing your child in loose-fitting clothing will enable dental staff to attach and access any monitors to track blood oxygen level, blood pressure, temperature and heart rate during the procedure. Make sure your child uses the bathroom before the procedure for obvious reasons!

During sedation

It’s a good idea to stay with your child and provide comfort by holding their hand, by talking or singing quietly, or bringing along their favourite stuffed animal. If possible, find alternative care for siblings so that you can focus your full attention on the child having the procedure.

After Sedation

When your child wakes after sedation, they may feel nauseous, confused and fussy. As the effects of sedation gradually wear off, your child will likely be clumsy, dizzy and sleepy so they should spend the day recovering at home rather than at school or daycare.

Encourage your child to drink sips of water to avoid dehydration. For the first few hours following the procedure, feed your child soft foods and monitor your child closely. If they experience vomiting, fever, severe pain or bleeding, you should contact your dentist immediately.

Sedation remains a safe and common practice. If you have any questions or concerns about sedation, Kids Dental Group would be happy to help. Contact Us or visit one of our convenient locations in Markham (905 294 0995), Richmond Hill (905 709 3888) or Stouffville (905 642 3642).

Are Baby Teeth Important?

Many people assume that primary or baby teeth don’t matter since they fall out when your child is around five or six years old. But that’s a myth. In fact, baby teeth are just as important as permanent teeth and play a crucial role in your child’s oral health.


Not only do they hold space for the permanent teeth that will eventually replace them, primary teeth help your child chew solid food and affect your child’s speech development. Losing a primary tooth too early can cause permanent damage to adult teeth.

Oral care should therefore start early—even before the first tooth appears at around six months of age. Here are some simple steps you can take to keep your child’s developing teeth healthy


Since tetracycline is known to cause tooth discoloration, nursing mothers are advised to avoid taking this common antibiotic during the last half their pregnancy.

Bottle Decay

Tooth decay occurs when liquids containing sugars sit on your baby’s teeth for prolonged periods. Cavities can develop in the front teeth. In severe cases, baby teeth will need to be extracted until permanent teeth grow in. Signs of bottle decay include pitted, pocked or discoloured front teeth.

Obviously fruit juices contain sugars, but so do breast milk and infant formula. Tempting as it may be, it is important not to let your baby fall asleep at night or naptime with a bottle. If you are breastfeeding, avoid letting the infant nurse continuously. If your baby is used to falling asleep sucking, try filling a bottle with water or giving your baby a pacifier recommended by Kids Dental. After each feed, use a clean, damp washcloth to gently rub residual sugars and bacteria from your baby’s teeth and gums.

Once your baby over six months old, they can switch from a bottle to a sippy cup (see our recommendations) to reduce the risk of bottle decay.


Even before teeth appear, your child needs to consume fluoride to strengthen the developing enamel. In most countries, municipal water supplies contain enough fluoride to help teeth develop. If you are unsure about fluoride levels, contact your local water district to find out if your tap water contains fluoride. If you regularly use bottled water for drinking and cooking, or have inadequate levels of fluoride in your water, you may want to consult your pediatrician or dentist. Your baby may need a prescription for fluoride supplements.


How to Care for Your Baby’s Teeth

Once primary teeth come in, you can begin brushing with a small, soft bristle brush especially for babies. Use a tiny amount of training toothpaste (without fluoride) that is safe to swallow. The earlier your child gets used to the sensation of a toothbrush in their mouth, the better.

Within six months of getting their first tooth, arrange for your child’s first visit to a pediatric dentist. Initial visits will help acclimatize your child to the dentist. Afterward, your child should see the dentist every 4-6 months. At Kids Dental Group, we take a proactive approach to deal with any developmental concerns or treatments.

If you have any questions or concerns about your child’s teeth, get in touch with Kids Dental Group at one of our convenient locations in Markham, Stouffville and Richmond Hill.

How to Overcome Some Common Issues with Braces

Overcome Some Common Issues with Braces

Having orthodontic treatment can seem like a long and painful process. But it doesn’t have to be. Fortunately there are easy fixes for some common complications with braces:

  1. Sensitivity

Your teeth and gums may become more sensitive to touch and temperature whenever your braces are adjusted. It is common to experience some discomfort while teeth are shifting. It may be helpful to take a mild painkiller or to apply a numbing ointment to areas of the gums that are tender.

  1. Sores

The archwire of the braces or the brackets that hold it in place may rub against your gums. If you develop cuts on the inside of your cheeks or lips, apply a small ball of orthodontic wax to the chaffed area. Rinse out your mouth with warm salt water or an antiseptic mouthwash to avoid sores becoming infected.

  1. Chapped lips

Wearing braces or a retainer may cause your lips to dry out as they stretch wider over teeth. A lip balm or petroleum jelly can help soothe dry or chapped lips. If you find that your braces are chaffing or rubbing uncomfortably against your lips, consult your dentist.

  1. Tongue issues

As your tongue adjusts to the feeling of braces, it may catch on the brackets or get poked by the wire. In time you will learn to adapt the way you eat and speak. But if your tongue gets cut or irritated, rinse with a warm salt water or an antiseptic mouthwash.

  1. Broken Archwire or Loose Brackets

Through the force of regular adjustments, the archwire may eventually snap or bend, and the brackets that hold it in place may become loosened. If there is any damage to your braces at any point, consult your dentist right away to avoid injury or delayed treatment.

  1. Ligatures

Ligatures and bands are the tiny elastics and other parts connected to the braces. If possible, save a dislodged band for repair. If you accidentally swallow a ligature, do not panic. Be sure to contact your our office as soon as possible to have any parts of your braces secured or replaced.

  1. Inflamed gums

While you undergo orthodontics, your bones and gums are moving. It is normal for gums to become irritated and inflamed as a result of this movement. But gums that become too inflamed or receded can actually impede treatment. In some cases your dentist will need to treat your gums before continuing with orthodontic treatment.

  1. Speech impediments

Orthodontic treatment may affect the way you speak. Such speech impediments are usually only temporary. Your pronunciation will most likely adapt as you adjust to the sensation of braces or a retainer. In some cases, your speech may be affected for the duration of your treatment, so be patient with yourself.

  1. Jaw pain

Jaw pain is common at the onset of orthodontic treatment as the bones are being manipulated. If the discomfort is more pronounced or prolonged, speak to your orthodontist.

  1. Mobile teeth

Following treatment, your teeth will remain susceptible to movement for a time. This is why wearing a retainer is so important. While you wear braces, take care not to eat hard foods such as corn on the cob, nuts, carrots and apples, as well as sticky food like bubble gum, and until your teeth have fully set into their new position.

The Silver Lining

Braces aren’t forever. Keep in mind the beautiful, healthy smile awaiting you at the end of orthodontic treatment. In the meantime, why not have fun decorating your brackets with colourful “elastics” for holidays ,special occasions, such as red and pink for Valentine’s Day or green for St Patrick’s or just because!!

If you have any questions about braces or would like to arrange for a consultation, contact Kids Dental Group today or visit us at one of our locations in Markham, Stouffville and Richmond Hill.

Why Should You Wear a Mouth Guard?

A mouth guard is generally considered only necessary for children and adults who play contact sports such as football or hockey. But the reality is, dental injuries can occur with any form of exercise. They can happen anytime and anywhere—at the gym, while eating an apple, or even having your glass bumped at a party.


The simple fact is that wearing a mouth guard—particularly during physical or sporting activities—can prevent a multitude of injuries, from chipped or broken teeth, fractured crowns or bridgework, lip and cheek injuries, root damage to the teeth, to fractured jaws.

Bear in mind that once a permanent tooth has been knocked out, it’s gone for good. There is no substitute for real teeth, so we should do our utmost to protect them and never take them for granted. After all, veneers, bonding, root canals, and fillings are costly and often do not last a lifetime.

Given the risks, it makes a lot of sense to wear a mouth guard when playing any form of exercise or sport, including gymnastics, ice skating, and skiing.

How a Mouth Guard Works

Mouth guards work by absorbing and evenly distributing the force of contact, thereby protecting the teeth, mouth, cheeks, tongue and jaw. For example, when a child falls off his bike, the jaw automatically clenches, causing one tooth to strike another.

While mouth guards are not mandatory in organized sports, the vast majority of dental and facial injuries are sports-related and could be easily avoided by using a mouth guard, which has been likened to an “airbag for teeth.”

The jury is still out as to whether mouth guards offer protection against concussion. But it stands to reason that extra padding between the mandible and the maxilla softens the blow of the mandible against the skull upon impact.

Types of Mouth guard

Made of a soft plastic or laminate that covers the upper teeth, mouth guards typically come in two types and vary according to quality and cost:


  • Convenient and inexpensive to purchase
  • Available at many pharmacies and sporting goods stores
  • Can be bulky, poorly fitting and uncomfortable to wear
  • Offer less protection than custom guards
  • Inhibits speech and breathing
  • Prone to being chewed on (so less effective)


  • More expensive since it is custom made
  • Available from your dentist or orthodontist
  • Made from an “impression” or exact mould of your teeth
  • Thin and snug fit, comfortable to wear
  • Ability to talk and breathe
  • Most effective protection against injuries to the teeth and jaws

How to Care For Your Mouth Guard

Like any retainer or appliance, a mouth guard will last longer if you take care to store and clean it well:

  • Gently scrub with a toothbrush and toothpaste after each use
  • Store in a protective case
  • Keep away from hot water or sun
  • Do not chew on it
  • Replace every season
  • Discard if improper fit

If you have any questions or concerns about your mouth guard, or to schedule an appointment to have one custom made, contact Kids Dental Group today at one of our convenient locations in Stouffville, Richmond Hill, and Markham.

5 Tips to Ease Teething Pains

Teething is a painful process—for parents and babies alike! With 20 primary teeth in total, arguably the first ones hurt the most. Your child’s teeth may start coming in anywhere between 5-12 months, yet signs of discomfort may show even earlier than 6 months as the jagged edges of teeth start to push against the gums.

Ease Teething Pains

The first teeth to cut through are typically the two bottom fronts (central incisors), then the four upper teeth (central and lateral incisors). The (back) molars usually show up shortly after the baby’s first birthday, followed by the pointed teeth between the molars and incisors (canines). The second set of molars arrives behind the first set at around age 2. Sometimes there is no clear teething pattern, with teeth appearing in ‘batches,’ and there is rarely cause for concern.

While your baby is teething you can expect plenty of irritability, drooling, and swollen gums. Your child will begin mouthing any object in sight, so be sure to keep any dangerous items well out of reach. It may be helpful to keep a bib on your child during the day to soak up all that saliva. You may also notice a rash around the mouth at this stage. Pat the area around the mouth to keep it as dry as possible.

During this time, babies may experience a loss in appetite and have trouble sleeping. Some parents even report ear pain, diarrhea, and low-grade fever in their teething infant. Be mindful, a fever that is persistent or above 101 degrees will requires a visit to your child’s doctor, as the cause is unlikely to be related to teething.

Teething TLC

  1. Massage

Gently rub your child’s gums with a clean finger or a wet cloth. Light pressure feels good and soothes sore gums.

  1. Chill

A cold compress helps reduce inflammation. Try having your baby suck on a chilled, twisted cloth or teething ring. Bear in mind that chilled items will only stay cool for around 20 minutes, so you may wish to keep, and rotate, a few teething rings in the fridge.

  1. Gnaw

Opt for ridged or bumped rubber instead of liquid-filled teething rings, which can puncture after repeated chewing. Hard vegetables, such as peeled and chilled carrots or cucumbers, can double as homemade teethers. But make sure to supervise your child closely since such items could pose a choking hazard.

  1. Medicate

Many parents swear by liquid Tylenol for pain relief if the pain gets too much. Follow dosage instructions carefully, though, because too much Tylenol, too often can be harmful to your child. And always consult your child’s doctor if the pain persists beyond a few consecutive days.

  1. Distract

Sometimes affection and distraction are the only remedies for fussy babies. If nothing else, rocking and hugging your child may bring them momentary comfort.

For more advice about teething stages and relief, Kids Dental Group would happy to help. Contact us at any of our convenient locations in Stouffville, Richmond Hill, and Markham.

10 Factors to Consider When Choosing an Orthodontist

0 Factors to Consider When Choosing an Orthodontist

  1. Credentials

Orthodontists are not regular dentists. They must have specialist qualifications and experience—a Bachelor of Dentistry and a Master in Orthodontics. They should also hold membership with a professional body such as the Canadian Association of Orthodontists.

  1. Clientele

Although the vast majority of orthodontic patients are children, adults are increasingly looking to correct their smiles. It’s important that your orthodontist is skilled and experienced in treating patients of all ages.

  1. Treatment options

Orthodontics has moved on in recent years. There is now an array of orthodontic treatment methods available. Your orthodontist should offer the latest techniques and cutting-edge treatments, from tie-free braces to Invisalign. Do some research beforehand to get you an idea of which treatments may be most suitable for you and your lifestyle. 

  1. Reputation

Your orthodontist should proudly showcase their work online via testimonials and ‘before and after’ photos. Ask to see examples of previous work, and ensure you are satisfied with the quality before starting treatment. A reputable orthodontist should have plenty of satisfied patients.

  1. Initial consult

Embarking on orthodontic treatment is a big decision. Most orthodontists offer a free consultation in which they assess your medical and dental history, as well as your treatment goals. This will likely involve taking photographs and x-rays, and providing a detailed quote of a treatment plan. In most cases, this initial examination is free. Be sure to ask any questions and address any concerns before you commit to treatment.

  1. Financing

Orthodontic treatment requires a significant financial investment, so most orthodontists provide flexible payment plans to help you cover the cost. Before you begin treatment, make sure you have a detailed quote of all fees involved, including post-treatment fees. Post-treatment care is also a vital stage of treatment since it ensures your teeth stay in place once you have finished your plan. Make sure any such fees are included in your original quote.

  1. Retainers

Although every orthodontist operates their own fee structure, be mindful that some charge for retainers following treatment. Check to see whether post-treatment care and retainers are included in your plan before you commit to a plan. You do not want to get met with hidden extras once you have completed treatment.

  1. Emergency care

While undergoing treatment, you will visit your orthodontist approximately every eight weeks, in addition to your regular dental appointments. It’s important to know your orthodontist’s out-of-hours protocols in case you need emergency assistance in between scheduled appointments.

  1. Lifetime guarantee

Does your orthodontist offer a lifetime guarantee? Some orthodontists offer a guarantee to treat your smile for the rest of your life, even if your teeth shift or crowd years after treatment.

  1. Clinical environment

Since you will be receiving orthodontic treatment anywhere between 1-2 years, it’s crucial that you feel comfortable and well supported at the clinic. The initial consultation is a good time to assess whether staff is warm, friendly, and efficient. Also bear in mind that while an orthodontist oversees your treatment, they work as part of a team that includes orthodontic therapists, dental nurses, treatment co-ordinators and hygienists. Each professional who will be working with you must be competent and supportive.

If you have any questions about orthodontics or would like to schedule an initial consultation, contact Kids Dental Group at any of our convenient locations in Stouffville, Richmond Hill, and Markham.

Oral Piercings: what You need to know

Piercings to the tongue, lips, cheeks or even uvula (the little flap at the back of the throat) are increasingly popular today in the way that pierced ears once were. However, unlike earlobes, oral piercings come with many potential health risks and complications:

  • Infection, swelling and choking.Because the mouth is home to a number of bacteria, the risk for contracting infections like hepatitis or endocarditis is great. Piercings may cause the tongue to swell, which can block off your airway and prevent breathing. There is the added risk that you could accidentally swallow or choke on the metal jewellery, should it break or come apart in your mouth.
  • Damaged teeth and gums. Excessive fiddling or “playing” with a piercing could chip off the enamel on your teeth or damage existing fillings, crowns, and caps. Gums may also become cracked or sensitive from the constant exposure to a piercing. Receding gums can make you more susceptible to periodontal disease and decay.
  • Allergic reaction. It’s not uncommon for people to develop allergic reactions to the metal of piercings.
  • Nerve damage. Although your tongue may go numb after a piercing, sometimes nerve damage can be permanent. Lack of sensation could affect your ability to move your mouth or tongue, an even diminish your sense of taste.
  • Blood loss. Poking or piercing the blood vessels in your tongue during piercing could lead to severe blood loss.
  • Drooling. A piercing in the tongue can cause the mouth to produce too much saliva. It can also affect your ability to swallow and speak properly.
  • Dental complications. Jewellery can make it difficult for your dentist to perform routine X-rays and other necessary dental procedures.

The best advice about oral piercings like studs, tongue barbells and lip rings is to avoid getting them altogether. Failing that, make sure an experienced professional does the piercing.


Kids Dental Group recommends the following care tips for oral piercings:

  • Clean the site with a mouth rinse after every meal, brush and floss every day.
  • Avoid clicking and “playing” with the piercing to avoid potential infection and damage to teeth and gums.
  • With clean hands, check and tighten piercings closures every now and then.
  • Remove the piercing or wear mouth guard when playing sports.
  • Have regular check-ups to make sure your mouth and teeth are healthy.


Contact Kids Dental Group at one of our locations in Markham (905 294 0995), Richmond Hill (905 709 3888) or Stouffville (905 642 3642) or your child’s doctor right away if you notice any signs of infection, such as swelling, fever, chills, pain, or a red-tinged ring around the piercing.

Children Need to Floss, Too

It can be tempting to think that young children don’t need to floss since their baby teeth are only going to fall out eventually. Be that as it may, a child’s gums and jawbone are there for life. And cavities can hurt, making it hard for kids to sleep, eat and learn. Decay in primary teeth can also lead to complications necessitating further procedures. So the earlier we establish good oral habits to protect teeth and gums from harmful bacteria and plaque, the better.


Why floss?

Floss manages to get into places that a toothbrush can’t. It’s that simple. Removing hidden plaque and bacteria prevents cavities from forming in the short term, and gingivitis and periodontitis in the long run. Giving gums a regular workout stops them from becoming inflamed and infected.

When to start

Habits don’t happen overnight. They take months, even years to form, and they can mean the difference between good or poor health. So it’s wise to treat floss with the same respect as the toothbrush.

Children should start flossing with help when they are 2 to 3 years old. By the time they are 8-10, they should be ready to go it alone.

Flossing only takes a couple of minutes, and should be done at least once every day. The most effective time to floss is just before bed.

The ‘Spool Method’

The easiest way to teach a child to floss is using the ‘spool method’:

  • Cut off a piece of floss approximately 18-20” in length
  • Wind each end around your middle finger several times
  • Using your thumbs and index fingers, guide the floss in between teeth in an up-and-down motion toward the gum line
  • When you are flossing correctly, the string should form ‘C’ around each tooth.

Bear in mind that although water picks and irrigators are convenient tools for those with braces or other orthodontic appliances, they are no substitute for conventional floss since they do not remove surface plaque.

How to make flossing fun

Let your child ‘play’ with floss in various formats to get used to the sensation of string in their mouths. Kids Flossers can be a great place to start since they are small enough for small hands, and come in a variety of fun colours and styles. Some are even flavoured!

For younger children, it may be enough to make up a silly rhyme or song to accompany the ritual, while others may enjoy earning a sticker for a reward chart.

‘Monkey see, monkey do’ is often the most powerful motivator for children. Enthusiasm is contagious, but so is apathy and negativity. It stands to reason that we are role models, even when it comes to oral health. So by all means let your children see you flossing at every opportunity!

Not only does flossing help excise food particles and bacteria stuck in between teeth, it can also help prevent bad breath. That should be enough to persuade the grown ups to get spooling!

If you have any questions, or need help teaching your child how to floss, Kids Dental Group would be happy to help. Feel free to drop by one of our convenient locations in Markham (905 294 0995), Richmond Hill (905 709 3888) or Stouffville (905 642 3642).

The Scariest Part of Halloween: Tartar

Trick or Treat season is around the corner, and with it the greatest Halloween horror: tartar. Kids love candy, and you love their teeth. Here’s how to let kids have fun but keep their teeth safe from plaque and the even bigger monster, tartar.

What is Tartar anyway?

When plaque—a sticky residue of food and bacteria—is left to collect on and in between teeth and along the gum line, it can harden to a cement-like substance called tartar. A build-up of tartar can eventually lead to gum disease or even tooth loss. The bad news is that once tartar has formed, it can only be removed by a hygienist. Although more prevalent in older children and teenagers, tartar can still affect younger kids.


  • Having regular dental check-ups (at least twice a year) and professional cleanings.
  • Thorough brushing (for at least two minutes) twice a day, and flossing (at least once a day) around the gum line and in between teeth—places your brush may not reach.
  • Limiting sugary or “sticky” snacks to meal times, since saliva from eating helps rinse off plaque acids. Rinsing with water or chewing a sugarless gum after meals can also help boost saliva and wash away acids.
  • Not all candies are created equal. As a general rule, the longer your child needs to suck or chew on a candy, the worse it is for their teeth. Things like gummy bears, toffee, even dried fruit, create more acid that will linger on enamel.
  • Sour candy has a high acid content, so your child should wait 20 minutes before brushing their teeth after eating a sour patch to avoid pushing the acid deeper into the teeth.
  • And at Halloween, treats are not the only potential evil. Wearing mouthpieces such as vampire fangs for an extended period can irritate gums and lead to plaque build-up.
  • Sealants can be a great tool to prevent plaque build-up and protect your child’s teeth against tartar.


The staff at Kids Dental Group want to keep your child’s teeth happy and healthy. Book an appointment at one of our three locations – Richmond Hill, Markham or Stouffville.



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