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FREQUENTLY ASKED QUESTIONS

Myofunctional Care + Research

What is the CO₂llaborative Approach?


Our approach includes an interdisciplinary method of care. Our team collaborates with Craniosacral Therapists, Physiotherapists, Orthodontists, Chiropractors, Physicians, Massage Therapists, Nutritionist, Speech Language Pathologists, Lactation Consultants, as well as other health care providers to establish a treatmentment plan based on diagnosis from each of our areas of expertise. Our goal is to promote the natural development potential of healthy human form.




What is Myofunctional Care?


Myofunctional Care is a team approach to improving overall body wellness. Following thorough diagnosis of breathing and body conditions, we begin to establish a healthy airway. We may recommend body work and muscle training, in conjunction with medical and dental procedures to idealize oral, facial structural growth, and physiologic function. Myofunctional Treatment alone will have limited benefit. The adoption and maintenance of new personal habits to improve breathing, speaking, eating, sleeping, and overall physical and mental health are the patient’s responsibility in Myofunctional Care. Learn more ⟫




What are the Signs of Myofunctional Imbalance(s)?


From babies to adults, myofunctional disorders can have significant impact on functional, structural, behavioural alignment, and overall wellness. Orofacial Myofunctional Disorders (OMDs) have multiple causes and may be related to Tethered Oral Tissues (TOT). If left untreated, symptoms related to these conditions will present throughout life. While each situation is unique, TOT and OMDs can contribute to any of the following:

  • Difficulties breastfeeding,
  • Gassy, colicky, fussy babies
  • Delayed growth and/or asymmetrical growth and development
  • Delayed speech
  • Dark circles under eyes
  • Prolonged bedwetting
  • Perceived large forehead
  • No spacing between baby teeth
  • Blinking while swallowing, or using head movement to swallow
  • Coated tongue, dry mouth especially upon waking
  • Drooling, food collecting at corners of mouth, “speaking moistly”
  • Habitual mouth breathing, shoulder rolled forward posture
  • Speech impediments
  • Jaw joint pain, worn teeth
  • Crooked teeth, “taller” front lower teeth, narrow jaws, long face
  • Heavy breathing, snoring




What Services are Offered at CO₂llaborative Care + Research?


CO₂llaborative Care + Research offers Myofunctional consultations, examinations, and treatment, as well as comprehensive dental rehabilitation care once airway diagnosis has been integrated with individualized treatment plans. Services can include:

  • In-Depth Consultation and Diagnosis
  • Airway and Home Sleep Assessments
  • Infant Tongue-Tie Release
  • Functional Frenuloplasty
  • Myofunctional Therapy
  • Implementation of Functional Modification Techniques
  • Interprofessional Collaborative Therapy




What is the Role of Research at CO₂llaborative Care + Research?


By nature, Dr. Pada and her team are curious and are guided by scientific methodologies of care and wellness. Dr. Hilary Pada and her team endorse the importance of Evidence Based Practice. We are fortunate to be actively working with The Pakpour Laboratory of Biomedical Microbiome Research at UBC Okanagan, as well as Dr. Pada’s role as Principal Investigator at the BC Cancer Agency in Kelowna. Learn more about our role in research ⟫




Can I Have My General Dentistry Done Here?


No. However, we will work with your dentist, physician, and other health care providers to benefit you the best we can. Certain dental services may be provided in some cases once healthy airway and myofunctional care needs have been met.




What is a CBCT and Why Do I Need It?


What is a CBCT? A CBCT is a three-dimensional radiograph. CBCT stands for “Cone Beam Computed Tomography”. A CBCT scan allows us to see your entire airway and resting tongue posture. What is the Purpose of a CBCT? As part of our data collection for diagnosis, we will refer you to Springfield Dental to have a minimal exposure head and neck scan (CBCT) taken. This low-dose Head and Neck scan will need to be completed one week before your appointment date. Radiation Exposure Radiation exposure from CBCT is up to 10 times less than that incurred from medical CT scanning. CBCT scanning will involve exposing you to a small amount of ionizing radiation. And average radiation dose for a CBCT on our test machine, the PaX-i 3D Green Vatech is 11-133 μSv (microsieverts). For comparison, daily background radiation that is received from the environment in the United States is estimated at 8.2 μSv (NCRP 2003). This means that the radiation received from average CBCT is similar to being alive in the United states for 2-17 days, depending on the dimensions and resolution of the scan. We are using the “Green” setting which allows the lowest dosage of radiation, without sacrificing image quality. Overall, the risk of harm from this dose of radiation is so small that it is not reliably measured.




Alternative Lightwire Functionals (ALF)


"... to flourish in the parts of myself that can stay aligned with life, and to move to where life is reinventing and encouraging us." Joanna Macy, Ecophilospher and Scholar of Buddism The ALF increases cranial motion and engages locked up motion and cranial strains in the cranial bones. This appliance is delivered in our clinic with the care of a dentist, dental assistant, and CranioSacral Therapist. You may be recommended one or two appliances based on your presentation. It is not glued in the mouth, however, it is held in with small bondings on teeth to allow the wire to stay in place along the edge of the teeth where they meet the gums. It is adjusted approximately every 4 weeks and is used in combination with Myofunctional Therapy, diligent sleep, and dental hygeine. The ALF is:

  • Flexible, not rigid
  • Minimally intrusive on oral cavity and other oral structures
  • Capable of freeing up restrictions between cranial bones
  • It is not a mechanical device to move teeth
  • It is a supportive device during the process of restoring natural balance in the body
  • Has a calming effect on Central and Autonomic Nervous System.
  • It has a biomimetic effect. Mimics the force of the tongue in a mature teeth together swallowing reflex.
  • All forces are within the physiologic range.
  • Requires training in design, placement, non-mechanical approach to help facilitate the body’s possibilities not dictating the courses of treatment.
The ALF may be designed with modification to open the bite and bring the lower jaw forward.




What is Hu-Friedy Airflow?


Air polishing is a procedure which uses air & water pressure to deliver a controlled stream of specially processed powders in a slurry through the handpiece nozzle. Fine particles of powders are propelled by compressed air in a warm spray and directed onto the surfaces of the teeth. This pressurized jet of air, water and powder removes surface stains, plaque and other soft deposits such as food particles trapped in between the teeth. Interested in learning more? Watch this video!




Can I Accompany My Child to Their Appointment?


Due COVID-19 protocols set in place by Interior Health and the Government of British Columbia, as well as the high standards we choose to adhere to, we can only allow you to accompany your child under certain circumstances. This includes age and cognitive and/or emotional abilities. Nonetheless, our team works diligently to reassure, explain our procedures and practices, and to make sure our patients are comfortable. Having your child understand that you are right outside waiting or supporting them from afar makes the process even easier. The most important part of preparation for the visit is you allowing them to trust us to care for them in your absence. If you have more questions, please contact our team prior to your appointment.




Oral DNA Testing


At our office, we use clinical laboratory services from OralDNA Labs® to ensure we are giving our patients the best oral health information possible. OralDNA Labs® is a specialty diagnostics company designed to provide reliable, definitive and cost effective clinical tests that guide oral health professionals in detecting and prognosing disease at an earlier, more treatable stage.





Financial Policy

What is the Financial Policy?


CO₂llaborative Care + Research is a fee-for-service clinic. Payment is due at the time consultation and/or treatment is provided. We accept cash, debit, and Mastercard and Visa. Following your appointment, our team will provide you with a receipt of services that can be submitted to your insurance.

In the case that you have provided our team with your insurance information, we can submit to your insurance for an Estimate of Benefits. This will indicate the services and costs covered by your insurance prior to your appointment.




What are the Fees for Myofunctional Care?


Here, your diagnosis and care needs will determine the cost of treatment. Our approach of individualized patient care means that costs will vary. It is expected that we will recomended care beyond our clinic with other healthcare providers. Therefore, our team will provide you with estimates prior to any treatment that is specific to our clinic. Please note that many of the services provided may be eligible for coverage through your Dental and Extended Medical plan(s).




New Patient Fees and Financial Policy


Fees are payable at time of service. Many of the procedures may be a benefit of your dental or extended medical insurance. Following payment, we will be pleased to submit to insurance to aid in your reimbursement. New Patient Fees Cone Beam CT (CBCT) Scan: $230.00 (Payable to Springfield Dental) New Patient Assessment: $377.00 (Payable to CO₂llaborative Care + Research) Oral DNA Testing (Optional): $300.00 (Payable to CO₂llaborative Care + Research) Note: Our team offers Oral DNA Testing, as this has become an important marker of oral bacteria levels and genetic risks that may impact your overall health.





COVID-19

Our COVID-19 Protocols


Our team works diligently to prevent the spread of COVID-19. Prior to your appointment, our team follows the most strigent protocols for decontamination to ensure your health and well-being. Our COVID-19 Protocols

  • Masks are mandatory
  • One adult may accompany underage or special needs patients
  • Please be prepared to wait outside or in your vehicle.
We ask that if you feel unwell, stay at home. If you have a fever, cough, and difficulty breathing, seek medical attention. To prevent the spread of COVID-19:
  • Clean your hands often. Use soap and water, or an alcohol-based hand rub.
  • Maintain a safe distance from anyone who is coughing or sneezing.
  • Wear a mask when physical distancing is not possible.
  • Don’t touch your eyes, nose or mouth.
  • Cover your nose and mouth with your bent elbow or a tissue when you cough or sneeze.




Prevent the Spread of COVID-19


Please consider your personal hygiene, and wear freshly laundered clothing and a mask. We also request a maximum of one adult only accompany underage patients. You are welcome to stay with your child until they are feeling comfortable. In our experience children respond more naturally on their own. We currently have no waiting area. Please be prepared to wait outside or in your vehicle.





Becoming a New Patient

Becoming a New Patient


"Better Outcomes for mind and body health through CO₂llaborative Care and Research." Dr. Hilary Pada Interested in becoming a New Patient? We would be honoured to be part of your healthcare team! Enter our secure Patient Portal and select 'Register' to begin filling out your patient information, and medical and dental history. Once your registration is completed, our team will be in touch to schedule an appointment and discuss our pre-visit requirements. Become a New Patient ⟫




Already a patient? Book an appointment!


We are honoured to be part of your healthcare team and are looking forward to seeing you again! Enter our Secure Patient Portal, select Log In, and click Schedule an Appointment. Login Now ⟫




New Patient Fees and Financial Policy


Fees are Payable at Time of Service Many of the procedures may be a benefit of your dental or extended medical insurance. Following payment, we will be pleased to submit to insurance to aid in your reimbursement. New Patient Fees Cone Beam CT (CBCT) Scan: $230.00 (Payable to Springfield Dental) New Patient Assessment: $377.00 (Payable to CO₂llaborative Care + Research) Oral DNA Testing (Optional): $300.00 (Payable to CO₂llaborative Care + Research) Note: Our team offers Oral DNA Testing, as this has become an important marker of oral bacteria levels and genetic risks that may impact your overall health.




How You Can Help Prevent the Spread


Please consider your personal hygiene, and wear freshly laundered clothing and a mask. We also request a maximum of one adult only accompany underage patients. You are welcome to stay with your child until they are feeling comfortable. In our experience children respond more naturally on their own. We currently have no waiting area. Please be prepared to wait outside or in your vehicle.




What to Expect During Your New Patient Assessment


Please read the following information prior to your New Patient Appointment. Data Collections for Your Diagnosis We will refer you to Springfield Dental to have a minimal exposure head and neck scan (CBCT) taken. This localized scan will need to be completed one week before your appointment date. Springfield Dental will contact you when they have received our referral. We will be forwarding this scan to a radiology service, and require this time for the report to be sent to us. Photo, Videos, and Digital Scans Assessment in our office will include a specific set of photos and videos of you, as well as digital scans of your mouth. We will require removal of hoodies and baggy clothing, long hair will need to be tied up. Historical Photos We request that you email us the following photos of yourself or the patient (if available). If you aren't able to email please bring the photos with you for scanning. -Birth (to assess skin tone upon delivery) -Baby awake and sleeping -Full body standing and full smile straight on between the ages of 5-8 years -Graduation photo (full smile) Eating and Swallowing Assessment We will supply foods in 3 specific categories.

  1. Smooth/Creamy - Applesauce
  2. Crunchy - Carrot or a multi grain gluten free cracker
  3. Chewy - Began, gluten free power bar
Note: We ask that you advise our team of any food restrictions and/or allergies by email (welcome@co2llab.care) with the patient name in the subject title. For more selective palates, feel free to bring an alternate food that you or your child will enjoy eating. Fees Many of the procedures may be a benefit of your dental or extended medical insurance. Following payment, we will be pleased to submit to insurance to aid in your reimbursement. For more information, review New Patient Fees and Financial Policy in our FAQs. Location We are located at 2290 Hunter Road, Kelowna, BC, at Schell Dental. Prior to your appointment, you will receive an automated text from our team. We ask that you respond to this message to advise us of your arrival. Please remain in your vehicle or outside of the clinic. A staff member will greet you at the door and welcome you in. Parking Parking is available on the street. COVID-19 Protocols Please consider your personal hygiene, and wear freshly laundered clothing and mask. We also request a maximum of one adult only accompany underage patients. You are welcome to stay with your child until they are feeling comfortable. In our experience children respond more naturally on their own. We currently have no waiting area. Please be prepared to wait outside or in your vehicle.





Our Team

Who is Dr. Hilary Pada?


Get to know Dr. Hilary Pada ⟫ Dr. Hilary Pada is a home-grown Kelowna gal, General Dentist, and Owner of CO₂llaborative Care + Research. She has practiced dentistry for over twenty years, focussing on the technicality and artistry of General Dentistry, as well as Oral Oncology at BC Cancer in Kelowna and is a Mentor at the Kois Center Evidence Based Dental Teaching Center in Seattle. Recently, Dr. Hilary Pada embarked on a new journey in Myofunctional Care after realizing the possibilities to redefine the oral and overall well-being of patients via Myofunctional Care and Research.




Get to know the CO₂llaborative Team!


“... a network of people who take action with heart and care to make society a better place.” Sue Biely, Good Pitch (Vancouver, 2020) Patients are our priority. Health, symmetry, and function through collaborative care and research is our strategy. Comprehensive diagnosis and collaboration with colleagues in Osteopathy, Craniosacral Therapy, Speech Language Pathology, Lactation Consultancy, Dentistry, and Medicine is our approach. Meet Our Team ⟫





STILL HAVE QUESTIONS? WE'D LOVE TO HEAR FROM YOU!