Dr. James Ronald Tonogai – Dentist | Hamilton, ON

Dr. James Ronald Tonogai is a Prosthodontist. Practicing at Eastgate Dental Centre in Hamilton, ON, Dr. Tonogai is committed to delivering high-quality, patient-focused dental care. Dr. Tonogai is licensed by The Royal College of Dental Surgeons of Ontario (RCDSO) and adheres to the highest professional and ethical standards of the dental profession in ON. As a certified specialist in Prosthodontics, Dr. Tonogai focuses on the advanced restoration and replacement of missing or damaged teeth to restore oral function and aesthetics. Services include complex crowns, bridges, veneers, complete and partial dentures, implant-supported prostheses (crowns, bridges, dentures), full mouth reconstructions, and management of TMJ/occlusal disorders related to bite problems. Dr. Tonogai serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors. For patient convenience, direct billing to many major dental insurance plans may be available at Eastgate Dental Centre.

Dr. James Ronald Tonogai earned a Dental Degree from University Of Western Ontario, graduating in 2015. This was followed by specialized training in advanced specialty training in Prosthodontist at the University of Toronto in 2021. With over 10 years of practice since 2015, Dr. Tonogai's clinical expertise is complemented by additional certifications/authorizations for Parenteral Conscious Sedation - 1 Drug Option. Dr. Tonogai is dedicated to ongoing continuing education to provide up-to-date dental care, ensuring patients receive the most current and effective treatments.

Key aspects of Dr. Tonogai's dental practice philosophy include a commitment to utilizing modern dental technology and evidence-based techniques for optimal treatment outcomes; Dr. Tonogai believes in conservative dentistry, aiming to preserve natural tooth structure whenever possible. Dr. Tonogai provides consultations in English.

As a specialist in Specialty Practice in Prosthodontics, Dr. James Ronald Tonogai addresses specific and often complex oral health conditions such as:

Complex Tooth Restoration Needs

• Extensively Damaged, Worn, or Multiple Missing Teeth Requiring Advanced Prosthetic Restoration: Addressing highly demanding dental conditions that require advanced reconstructive, restorative, and prosthetic skills to achieve predictable and durable outcomes.

Preventative Oral Health Topics

• Need for Routine Dental Check-up & Cleaning: Proactive engagement in preventative dentistry to avoid future dental issues.
• Questions about Dental Products (Toothpaste, Mouthwash, etc.): Seeking recommendations for suitable toothpaste, mouth Rinses, toothbrushes, or other oral hygiene aids.

Complex Dental Diagnosis Needs

• Need for Detailed 3D Imaging for Diagnosis or Treatment Planning (CBCT): Dental situations where standard 2D X-rays (bitewings, panoramic) are insufficient and a 3D Cone Beam CT (CBCT) scan is required for accurate diagnosis, assessment of anatomical complexities, or detailed planning of complex treatments like implants, orthodontics, or endodontics.

This list offers some examples of conditions commonly addressed. A comprehensive diagnosis is always based on an individual assessment by Dr. Tonogai. If your specific oral health concern isn't listed, please contact the clinic to discuss your needs and appropriate treatment options.

• Full Mouth Reconstruction & Rehabilitation: A multidisciplinary approach (often coordinating with other specialists) to rehabilitate oral function, comfort, and appearance in patients with extensive dental problems.
• Management of Temporomandibular Disorders (TMD) & Occlusal Problems (Prosthodontic Approach): A prosthodontic perspective on managing TMD and occlusal disharmony to improve patient comfort and oral function.
• Understanding Your Dental Treatment Plan: Fostering informed decision-making through comprehensive patient education about their dental health status and available treatment pathways.
• Dental Photography & Intraoral Camera Imaging: High-resolution dental photography for documenting conditions, planning treatments, and tracking progress.
• Complex Crown & Bridge Restorations: Advanced restorative solutions using a variety of materials to achieve optimal function, durability, and appearance for challenging cases.

Note: This list highlights some of the key services offered by Dr. Tonogai. Not all services may be listed, and the suitability of any treatment depends on individual assessment. For a comprehensive understanding or to discuss your specific dental needs, please schedule a consultation.

All dental services by Dr. James Ronald Tonogai adhere to scope of practice for Prosthodontists in ON and standards of The Royal College of Dental Surgeons of Ontario (RCDSO).

As a specialist in Specialty Practice in Prosthodontics, Dr. Tonogai is dedicated to helping patients achieve significant improvements related to their specific and often complex oral health needs. At Eastgate Dental Centre, the focus is on partnering with you towards outcomes such as:

• Effectively addressing a canker sore (aphthous ulcer) that was unusually large, very painful, or taking a long time to heal with Dr. Tonogai's comprehensive dental approach often leads to the desired outcome of successfully replacing their missing tooth with a strong, natural-looking dental implant, enabling patients to more freely and confidently engage in their child actively participating in preventative dental care and understanding its importance and social interactions.
• Dr. Tonogai often consults with patients whose their child being referred to a dental specialist for specific or complex treatment needs by their school or another health provider significantly limits their enjoyment of enjoying the sensation of a clean, healthy mouth after every meal and hygiene routine or impacts their self-confidence. The clear goal of care is to achieve the gap between their front teeth being attractively closed, boosting their confidence and thereby restore their active and healthy lifestyle.
• Are you struggling with feeling like their teeth were gradually shifting position or their bite was changing noticeably over time? Dr. Tonogai partners with patients to target clarity on their child's dental eruption sequence and any potential developmental concerns, making a comfortable and confident return to important activities such as their children developing positive, lifelong habits for good oral health a much more achievable reality.
• Through Dr. Tonogai's skilled guidance and modern dental techniques, patients suffering from their current partial or full denture feeling very unstable, loose, or ill-fitting, making it difficult to eat or speak with confidence often find they can readily achieve the bump or swelling on their gums being diagnosed and appropriately treated, resolving their worry and once again enthusiastically pursue enjoyable pastimes like enjoying romantic moments without self-consciousness about their breath or smile.

Your specialized treatment plan, developed in consultation with Dr. Tonogai, will be meticulously designed to address your unique concerns and help you reach your specific objectives within their area of expertise. Dr. Tonogai is committed to providing the highest standard of specialized care, tailored to your individual needs.

Dr. Tonogai's practice, Eastgate Dental Centre, is situated in the Stoney Creek East (including Winona) neighborhood of Hamilton. The clinic is conveniently located near McMaster University Medical Centre (West End) and is accessible via Hamilton Street Railway (HSR). Convenient patient parking is typically available near the clinic.

Do I need a referral to see a general dentist like Dr. Tonogai?

No, you generally do not need a referral from a physician or another healthcare provider to see a general dentist like Dr. Tonogai for a check-up, cleaning, or consultation. You can usually book an appointment directly with Eastgate Dental Centre.

What should I expect during my first dental visit with Dr. Tonogai at Eastgate Dental Centre?

At your initial appointment, Dr. Tonogai and the team at Eastgate Dental Centre will focus on getting to know you and your oral health. Expect to fill out a medical history form, have a discussion about any dental issues or goals you have, followed by a detailed examination of your mouth. Digital X-rays may be taken to get a complete picture. Based on this, Dr. Tonogai will explain their assessment and any recommended treatments. It's a great time to ask questions.

How often should I (or my child) visit Dr. Tonogai for a check-up and cleaning?

For most adults and children, check-ups and cleanings every six months are recommended for preventative care. However, Dr. Tonogai will recommend a personalized schedule based on your individual oral health needs, risk factors for cavities or gum disease, and any existing conditions. For example, some patients may need visits every 3-4 months if managing active gum disease or at high caries risk, while others with excellent long-term health might have slightly longer intervals. Following Dr. Tonogai's specific recommendation is key to maintaining optimal oral health.

Is dental treatment generally covered by provincial health plans like Ontario Health Insurance Plan (OHIP) in ON?

In Ontario, provincial health plans like OHIP typically do NOT cover most routine or major dental procedures performed in private dental clinics for the general population. Some specific, limited dental surgeries performed in a hospital setting might be covered. Most dental care costs are paid out-of-pocket by patients or through private dental insurance plans (often through employers) or government assistance programs for eligible groups (e.g., children from low-income families, seniors on specific benefits, social assistance recipients). Check your eligibility for any potential public coverage and always review your private dental insurance details regarding coverage, co-payments, deductibles, and annual maximums before starting treatment at Eastgate Dental Centre.

Are dental X-rays safe, and how often are they needed?

Dental X-rays are very safe, especially modern digital X-rays which use minimal radiation. Protective lead aprons are used. X-rays are taken only when diagnostically necessary (e.g., for new patients, to check for decay between teeth, assess bone health, or plan complex treatments). Dr. Tonogai will determine the frequency based on your individual oral health, risk factors, and dental history, adhering to guidelines like ALARA (As Low As Reasonably Achievable).

Do I need a referral from my general dentist to see a dental specialist (e.g., Orthodontist, Periodontist)?

While some dental specialists may accept patients directly, it is often recommended and sometimes required by the specialist or insurance plans to have a referral from a general dentist like Dr. Tonogai. A referral ensures the specialist has relevant background information and that the visit is appropriate. If Dr. Tonogai identifies a need for specialist care, they will provide a referral to ensure coordinated care. Check with the specific specialist's office or your insurance if unsure.

My dentures are loose and uncomfortable. Can a Prosthodontist like Dr. Tonogai help improve their fit and function?

Yes, a Prosthodontist like Dr. Tonogai specializes in creating and fitting dentures. Dr. Tonogai can assess existing dentures for relines or adjustments, or design new, better-fitting conventional dentures or explore options like implant-supported dentures for significantly improved stability and comfort.

Eastgate Dental Centre
75 Centennial Parkway N #C005B
Hamilton, ON, L8E 2P2

Phone: (905) 560-2714

Dr. James Ronald Tonogai is a licensed Prosthodontist in ON, regulated by The Royal College of Dental Surgeons of Ontario (RCDSO) under the Regulated Health Professions Act, 1991 & Dentistry Act, 1991 (Ontario).

License Number: 105028

Verify registration with The Royal College of Dental Surgeons of Ontario (RCDSO): https://www.rcdso.org/find-a-dentist/search-results/dentist?id=105028

Regular dental check-ups and good oral hygiene are essential for maintaining overall health. Dr. Tonogai and the team are committed to providing you with comprehensive dental care. If you have a dental emergency, please contact the clinic promptly. For after-hours emergencies that are life-threatening, proceed to the nearest hospital emergency department.