Dr. Miriam Grushka – Dentist | Toronto, ON

Dr. Miriam Grushka is a Oral Medicine & Pathology Specialist. Practicing at N/A in Toronto, ON, Dr. Grushka is committed to delivering high-quality, patient-focused dental care. Dr. Grushka 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 Oral Medicine and Pathology, Dr. Grushka focuses on the diagnosis, non-surgical management, and investigation of diseases affecting the oral and maxillofacial region. This includes complex mucosal diseases (e.g., lichen planus, pemphigoid, recurrent aphthous stomatitis), salivary gland disorders (e.g., Sjögren's syndrome, xerostomia), orofacial pain conditions (e.g., burning mouth syndrome, neuropathic pain), oral manifestations of systemic diseases, and the histopathological (microscopic) diagnosis of biopsies taken from the oral cavity. Dr. Grushka serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Miriam Grushka earned a Dental Degree from University Of Toronto, graduating in 1976. This was followed by specialized training in advanced specialty training in Specialty Practice in Oral Medicine & Oral Pathology at the University of Toronto in 1986. With over 49 years of practice since 1976, Dr. Grushka's extensive clinical experience has provided them with a deep understanding of various oral health conditions. Dr. Grushka is dedicated to ongoing continuing education to provide up-to-date dental care, ensuring patients receive the most effective and current treatment options. This commitment to professional development allows Dr. Grushka to remain at the forefront of advancements in oral medicine and pathology.

Key aspects of Dr. Grushka's dental practice philosophy include: tailoring treatment plans to meet the unique needs, goals, and circumstances of each individual patient; providing gentle, compassionate care in a comfortable and reassuring environment, especially for anxious patients; a commitment to utilizing modern dental technology and evidence-based techniques for optimal treatment outcomes. Dr. Grushka provides consultations in English.

As a specialist in Specialty Practice in Oral Medicine & Oral Pathology, Dr. Miriam Grushka addresses specific and often complex oral health conditions such as:

Chronic Orofacial Pain Syndromes Non Tmj

• Burning Mouth Syndrome, Atypical Facial Pain, or Trigeminal Neuralgia (Co-management): Seeking expert diagnosis, reassurance, and multidisciplinary management for complex and often perplexing chronic orofacial pain conditions that significantly impact quality of life.

Complex Dental Diagnosis Needs

• Need for Detailed 3D Imaging for Diagnosis or Treatment Planning (CBCT): Complex dental cases that significantly benefit from the superior diagnostic information and precise measurements provided by CBCT scans for optimal treatment outcomes.

Oral Cancer Premalignant Lesions Diagnosis

• Suspicion or Confirmed Diagnosis of Oral Precancerous Lesions (e.g., Leukoplakia, Erythroplakia, Oral Submucous Fibrosis) or Oral Squamous Cell Carcinoma: Identification of persistent white patches (leukoplakia), red patches (erythroplakia), mixed red/white patches (erythroleukoplakia), or other suspicious lesions or ulcerations in the mouth that may be clinically or histopathologically diagnosed as precancerous (oral potentially malignant disorders - OPMDs) or early/established oral squamous cell carcinoma (OSCC) or other oral malignancies. Requires biopsy and specialist management by oral medicine/pathology, oral surgery, or head and neck oncology.

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

• Diagnosis & Management of Oral Mucosal Diseases: Specialist consultation for the diagnosis and primarily non-surgical management of various conditions affecting the lining of the mouth (mucosa), such as lichen planus, pemphigus/pemphigoid, recurrent aphthous stomatitis (canker sores), and oral candidiasis.
• Management of Salivary Gland Disorders & Xerostomia (Dry Mouth): Addressing issues related to reduced saliva production and its impact on oral health and comfort.
• Comprehensive Dental Examinations: Complete dental check-ups to assess your current oral health status, identify any existing issues, and develop a personalized treatment plan.
• Diagnostic Biopsy of Oral Lesions & Histopathological Interpretation: Crucial diagnostic procedures for identifying potentially cancerous or precancerous changes, infections, or inflammatory conditions in the mouth.
• Dental Photography & Intraoral Camera Imaging: Intraoral camera technology to allow you to see what your dentist sees, facilitating better understanding of your oral health.

Note: This list highlights some of the key services offered by Dr. Grushka. 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. Miriam Grushka adhere to scope of practice for Oral Medicine & Pathology Specialists in ON and standards of The Royal College of Dental Surgeons of Ontario (RCDSO).

As a specialist in Specialty Practice in Oral Medicine & Oral Pathology, Dr. Grushka is dedicated to helping patients achieve significant improvements related to their specific and often complex oral health needs. At N/A, the focus is on partnering with you towards outcomes such as:

• The path to improved oral wellness, especially when facing a single tooth that had become noticeably darker in color than the adjacent teeth, possibly after trauma, involves working systematically towards experiencing relief from facial pain after the dental contributions were identified and managed. Dr. Grushka expertly guides patients through this process so they can once again enjoy life's moments, including feeling confident that their oral health is positively contributing to their systemic health.
• If needing a completely new set of dentures because their old ones were very worn out, ill-fitting, and no longer functional has unfortunately put confidently going on dates or meeting new people without dental insecurities on hold or made it less enjoyable, Dr. Grushka works closely with patients towards attaining experiencing a significant reduction or complete resolution of a dull, aching pain in their jaw joint area, effectively helping them regain their previous level of oral function and aesthetic confidence.
• Dr. Grushka's comprehensive care for wanting to explore options to replace a missing tooth with a permanent solution like a dental implant is meticulously designed to result in finally addressing a long-standing dental problem, leading to improved oral health and comfort. This allows patients to confidently resume important personal or professional activities such as actively engaging in conversations without being preoccupied by a dental concern without dental worries.
• For patients where feeling self-conscious about the stained or yellowish appearance of their teeth is a primary concern, Dr. Grushka focuses on creating personalized treatment plans that culminate in the gap between their front teeth being attractively closed, boosting their confidence. This directly supports and enhances their ability to fully no longer avoiding certain social situations because of how they feel about their teeth.

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

Dr. Grushka's practice, which is N/A, is situated in the Humewood-Cedarvale neighborhood of Toronto. The clinic is conveniently located near Yonge-Dundas Square and is accessible via TTC (Subway, Streetcar, Bus). Street parking and nearby lots offer accessible options for your visit.

If I have a mouth sore, will Dr. Grushka (Oral Medicine/Pathology Specialist) always do a biopsy?

Dr. Grushka will conduct a thorough clinical examination of any mouth sore. A biopsy is only considered if the lesion is suspicious or its nature cannot be determined by examination alone. Not all sores require a biopsy; many can be diagnosed and managed based on clinical appearance and history. Dr. Grushka will discuss whether a biopsy is recommended to ensure an accurate diagnosis.

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. Some limited dental surgeries performed in a hospital setting might be covered. Most dental care costs are paid out-of-pocket, through private dental insurance plans (often provided by employers), or through government assistance programs for eligible groups (e.g., children from low-income families, seniors on specific benefits). It's crucial to verify any potential public coverage you may be eligible for and to check your private dental insurance details before treatment at N/A.

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

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

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, a referral from a general dentist like Dr. Grushka is often recommended, and sometimes required by the specialist or insurance plans. A referral ensures the specialist has relevant background information and that the visit is appropriate. If Dr. Grushka 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 provider if unsure.

What should I expect during my first dental visit with Dr. Grushka at N/A?

At your first appointment, Dr. Grushka and the team will get to know you and your oral health. Expect to complete a medical history form, discuss any dental concerns or goals, and undergo a detailed oral examination. Digital X-rays may be taken. Dr. Grushka will then explain their assessment and any recommended treatments. This is a good time to ask questions.

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 only taken when necessary (e.g., for new patients, to check for decay, assess bone health, or plan complex treatments). Dr. Grushka will determine the frequency based on your individual needs and dental history, adhering to ALARA (As Low As Reasonably Achievable) guidelines.

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

For most patients, preventative check-ups and cleanings are generally recommended every 6 months. However, Dr. Grushka will recommend a personalized schedule based on your individual oral health needs, risk factors for cavities or gum disease, and any existing conditions. Some patients may need more frequent visits (e.g., every 3-4 months), while others may have longer intervals. Always follow Dr. Grushka's specific recommendations.

N/A
974 Eglinton Ave W
Toronto, ON, M6C 2C5

Phone: (416) 787-2930

Dr. Miriam Grushka is a licensed Oral Medicine & Pathology Specialist 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: 8090

Verify registration with The Royal College of Dental Surgeons of Ontario (RCDSO): https://www.rcdso.org/find-a-dentist/search-results/dentist?id=8090

Regular dental check-ups and good oral hygiene are essential for maintaining overall health. Dr. Grushka 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.