Winter, Your Teeth and You!

Types of Sedation for Kids

Types of Sedation for Kids in New Westminster can make dental visits less scary for children who feel anxious, have special needs, or need longer procedures. We describe options, what to expect at Dr. Phoebe W. Tsang (New Westminster), and how families can decide which approach fits their child. Why

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Sedation Dentistry for Special Needs Children

Our sedation dentistry for special needs children in Vancouver can make dental visits calmer for kids who feel anxious, have sensory sensitivities, or can’t tolerate standard care. If your child finds the dental chair overwhelming, this approach offers gentle support so that necessary care happens without trauma. ​ What Is

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Is Sedation Dentistry Safe for Children?

Is sedation dentistry safe for children in New Westminster? Yes, when handled by qualified professionals such as the staff at Dr. Phoebe W. Tsang’s office. You want clear facts and a sensible approach. This page explains what pediatric sedation involves, how we assess safety, and what to expect when your

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Bring on the snow, but not the tooth pain!

The winter season can certainly be a magical time of year. From holiday gatherings with loved ones to crisp morning walks and fresh snowfall, there’s a lot to get excited about! And this session should be filled with joyful moments—not with moments of tooth sensitivity.

But along with this seasonal fun also comes a dip in temperatures that can actually have a surprising impact on the health of your teeth.

In Vancouver, the average Winter season hangs at around 2° celsius, but temperatures elsewhere in the province have been known to go down to 18°. In the rest of Canada, it’s typically much colder: the Prairies range from -4°c to -24°c, while the Northwest Territories (unsurprisingly) has one of the world’s coldest winter climates to contend with, ranging from an average high of -16°c to -32°c regularly. 

But what kind of effect can this all have on our pearly whites? Does living in a climate as cold as Canada really have that much of an impact? 

Science says yes: research confirms that prolonged exposure to cold weather can cause dental pain even when your teeth are healthy. The change in temperature causes the increased fluid movement within the middle layer of your teeth through something called “dentinal tubules”. When the mechanoreceptors located on the nerves within this middle layer are activated, they cause sharp and brief pain characteristic of dentine hypersensitivity.

Certain factors can make this cold-induced tooth pain even worse. For instance, gum recession, root exposure or cavities can make teeth more susceptible to temperature induced discomfort because tooth structures are missing and your nerve endings are exposed!

Other issues can also crop up more often in the winter as well: jaw and joint, for example, can be triggered by the cold and the dryness of the air can cause oral dehydration that leads to canker or old sores more easily than in other seasons.

Are your teeth hurting just reading this—who knew?! And importantly, what can be done about this? 

A few key treatments for tooth sensitivity are available. For instance, you can protect your teeth during winter with several effective treatments. Over-the-counter desensitization toothpaste containing Potassium nitrate (eg. Sensodyne) or Arginine (eg. Colgate ProRelief) can either reduce nerve signal transmission or physically block dentin tubules openings, which can help reduce pain.  

 Higher fluoride concentrated toothpaste prescribed by dentist to use at home daily can also be another option.  If you don’t believe in fluoride, toothpaste with casein phosphopeptide (CPP) and amorphous calcium phosphate (ACP) may be your choice.  CPP works by stabilizing calcium and phosphate ions in the form of ACP.  ACP helps replace lost minerals in tooth enamel and can also help to reduce sensitivity.  

However, CPP is derived from milk so it is not suitable for those with milk allergies.  Fluoride treatments, like professional varnishes or dentin bonding or sealing agent (eg. Gluma) applied by a dentist, can strengthen your teeth and add physical barrier to exposed dentin. 

When it comes to taking care of your body in cold water, make sure you’re doing that more than just bundling up this winter—don’t forget your teeth! We would be glad to help if you have any more questions on the subject, so feel free to reach out to our clinic for more info!

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Kennylu-Ai
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Dr. Tsang is very knowledgeable, friendly, and patient with my child. We appreciate her team’s professional dental care!
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Natalie N
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My daughter had a wonderful experience with Dr. Phoebe and her dedicated team. She is meticulous, careful, and wholeheartedly committed. She explained all the necessary treatments for my daughter and provided the most helpful advice tailored to her age and specific condition, ensuring my daughter felt no pressure during her dental care. In addition, Dr. Phoebe is incredibly friendly and genuinely loves children. She transformed the fear that many kids—and even some adults—often feel about dental visits into a positive experience. This is a clinic truly worth sharing with others so they can also visit and experience such excellent care.
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Natasha L
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Highly recommend Dr Tsang and her team. Dental procedures can be very scary, especially for your little one, and biggest fear is if the dental team is over charging or over prescribing. I can honestly say you can trust Dr Tsang and her team. I was impressed by the patience and gentle approach she used when explaining all our options, answering my list: if questions. She did not automatically overprescribe yet she understands what’s needed to ensure my 5 year old daughter left with the best experience. My daughter used oral sedation with Midazolam (Short acting Benzo that is easily reversible and safe) which is much less invasive than general anesthetic route often recommended by other pediatric dentists first As well Dr Tsang was honest when updated X-rays were taken that there were fewer than needed cavities to be filled than we had expected Not to mention they had so many goodies and prizes for my daughter throughout the various steps of process, that she left as if she just went to a birthday party. To summarize, if you’re looking for a very knowledgeable but humble professional, whom you can trust to not over prescribe yet is willing to ensure your child has the most comfortable and positive dentistry experience, Dr Tsang and her team embodies all those traits above.
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Sharon T
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Im glad we found Dr. Tsang to be my daughter's dentist. She's very knowledgeable, personable and very attentive with children. Thanks Dr. Tsang and her amazing team!
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Eileen Y
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Our 2.5-year-old son, Howard, recently started experiencing pain in his upper right back teeth. Concerned, we took him to a nearby general dentist, who, after a thorough examination, referred us to a pediatric dental specialist, Dr. Phoebe Tsang. To our surprise, Howard had extensive dental issues, requiring treatment for 14 teeth through surgery. As parents, we felt deeply sorry that he had been enduring more discomfort than we had realized, especially since he was too young to fully express his pain. Howard had been drinking milk at night since birth, and we were unaware of the significant impact it could have on his teeth. However, after our initial visit to the general dentist, he successfully transitioned away from night bottles. Determined to provide him with the best care, we made the one-hour drive from White Rock to see Dr. Tsang. From the moment we arrived, Dr. Tsang and her team were incredibly professional, compassionate, and gentle with Howard. Dr. Tsang herself is not only highly knowledgeable but also exceptionally skilled in pediatric dentistry. We feel truly fortunate to have had her perform Howard’s surgery. Yesterday, on March 18, 2025, Dr. Tsang and anesthesiologist Dr. Robert carried out Howard’s procedure with exceptional expertise and care. We are incredibly grateful for their dedication. Post-surgery, Howard has been recovering well—he is experiencing minimal discomfort and has been able to drink formula and eat soft foods comfortably. This was Howard’s first surgery, and under Dr. Tsang’s guidance, we are confident that he will continue to improve and eat with ease. We sincerely appreciate the outstanding care provided by Dr. Tsang and her team and wholeheartedly recommend her to any parents seeking a skilled pediatric dentist for their child’s dental needs. Best wishes from Eileen and families :)
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Hana W
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Highly recommended Dr Phoebe Tsang! Our 5 year old son was very anxious at our local dentist and we did not want him going under anesthetic for his teeth. Thankfully we got a referral to Pediatric Dental Specialist Dr Tsang, who uses conscious sedation. From the first FaceTime consultation, she was so kind! Our son was at ease and really looked forward to meeting her. She thoroughly explained the procedure and answered all our questions with patience. She is unbelievably knowledgeable and gave us reassurance that everything would go well. Upon arrival at her beautiful office, we were greeted with the utmost love from not only her but her whole team. Being in her care was top of the line, we cannot thank her enough for making this go so smooth for our family. If your children need dental work done, look no further. I guarantee you, she is the absolute best you will find!
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Joanne C
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Very good service for young kids! They used all efforts to release the kids during their treatment. Will definitely recommend it to our friends.
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Cara E
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My 4 year old son has many sensory issues and brushing his teeth was absolutely impossible, which is what brought us to Dr Tsang. He needed a ton of work done for his mouth to be healthy again. I was blown away by her and her staff from start to finish. She treated my son so well and I was so impressed with her efforts to connect with him in a way that would work for him. He did need dental surgery, which scared me but all the questions I had were answered so quickly and there was a great deal of communication from his first appointment, all the way up to the surgery. You can tell how much Dr Tsang and her staff care about their patients. I couldn't be happier with my son's care. I truly recommend Dr Tsang and staff if your child needs dental work done. They have so much compassion and throughout the entire process I felt like my son was in great hands. I'm so thankful to everyone who worked with him and those I had contact with over many months. This was a very stressful situation for me and it was made so much better by everyone there.
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