Jarjoura Gagnon Orthodontists – Parodontists

Our clinic specializes in orthodontics, periodontics, and implantology. Located on the North Shore, we serve clients in the cities of Rosemère, Blainville, Boisbriand, Sainte-Thérèse, Lorraine, and Bois-des-Filion. In addition to the quality of our treatments, our team of orthodontists and periodontists also strives to impress you with exceptional service. Recently moved into a new building, we incorporate the latest technological and scientific advancements in the profession to ensure we offer our patients the best. Nothing has been overlooked to create a unique treatment experience. Come experience the difference for yourself!

Karim Jarjoura

D.M.D., M.S., F.R.C.D. (C)

Dr. Jarjoura received his Doctor of Dental Medicine degree from the Université de Montréal in 1997.

He subsequently continued his studies in the United States, earning a Master's degree in Periodontics from Columbia University in New York (2002) and a Certificate in Orthodontics from the same institution (2004).

Dr. Jarjoura is a Fellow of the Royal College of Dentists of Canada in both Periodontics and Orthodontics and has also earned the Diplomate designation from the American Board of Periodontology (ABP), the highest certification of clinical competence awarded in each specialty.

He is also a member of the American Association of Orthodontics (AAO) and the American Association of Periodontics (AAP).

Since graduating, Dr. Jarjoura has combined the practice of periodontics and orthodontics in his private practice.

The only dual specialist in orthodontics and periodontics in Quebec, practicing both full-time, Dr. Jarjoura possesses unique expertise in treating problems requiring a multidisciplinary approach (impacted teeth, congenitally missing teeth, adult orthodontics, skeletal anchorage, etc.).

Dr. Jarjoura is the author of several articles published in scientific journals. To maintain his knowledge, he participates in numerous continuing education conferences each year.

Dr. Jarjoura is the former head of the orthodontics section at the Jewish General Hospital in Montreal and a visiting professor of periodontics at Columbia University in New York. He regularly gives training seminars in Quebec.

Geneviève Gagnon

D.M.D., Cert. Ortho, F.R.C.D. (C)

Dr. Gagnon received her Doctor of Dental Medicine from the Université de Montréal in 1998. She subsequently completed a multidisciplinary residency program in general dentistry at Montefiore Medical Center in New York City (1999-2000) and earned her specialist certification in orthodontics (2000-2003) from the same institution.

Dr. Gagnon is a Fellow of the Royal College of Dentists of Canada. She is also a member of the American Dental Association and the American Association of Orthodontics.

Following her orthodontic degree, Dr. Gagnon worked in the New York metropolitan area for several years before returning to Quebec.

She has extensive experience in preventive and interceptive orthodontics and in correcting orthodontic problems in adolescents and adults.

Additionally, she has a particular interest and dedicates a significant portion of her practice to treating adolescents and adults using more discreet appliances such as Invisalign® (transparent retainers) and Incognito™ (brackets located on the inside of the teeth).

She was recently recognized for her experience with the Incognito™ system.

Nicolas Robitaille

D.M.D., M.S., F.R.C.D. (C)

After practicing as a general dentist for several years, Dr. Robitaille earned his Master's degree in Periodontics from The Ohio State University in Columbus in June 2015.

He completed the Royal College of Canada examination and was awarded the title of Fellow of the Royal College of Canada. He also earned the title of Diplomate of the American Board of Periodontology and is a member of the American Academy of Periodontics (AAP).

Dr. Robitaille has received extensive training in all aspects of periodontics, with an emphasis on minimally invasive mucogingival surgery and implantology.

By participating in numerous international specialty conferences and continuing education programs, he maintains cutting-edge expertise in these fields.

The Clinic

Invisalign Diamond Plus

What is Invisalign Diamond status?

Invisalign Diamond status is one of the highest distinctions awarded to orthodontists within the Invisalign program. It is awarded to practitioners who have demonstrated exceptional expertise and significant experience using Invisalign aligners to correct dental malocclusions.

Drs. Gagnon and Jarjoura are both Diamond status recipients.

Achievement Criteria

To achieve Diamond status, an orthodontist must treat a significant number of Invisalign cases each year. This demonstrates not only their expertise but also their commitment to staying at the forefront of technological advances and best practices in the field of invisible aligner orthodontics.

Why choose a Diamond orthodontist?

Significant experience: Orthodontists with Diamond status, like Drs. Gagnon and Jarjoura, have extensive experience and have successfully treated a large number of patients, ensuring complete mastery of Invisalign aligners.
Expertise: These practitioners benefit from ongoing training and privileged access to the latest innovations and technologies developed by Invisalign, ensuring cutting-edge treatments.
Optimal results: Thanks to their expertise and experience, Diamond Plus orthodontists are able to manage a wide variety of cases, from the simplest to the most complex, delivering precise and satisfactory results.

Our commitment as Diamond orthodontists:

As orthodontists who have achieved Diamond status, we commit to:

Providing you with a thorough consultation to assess your specific needs and determine the most appropriate treatment plan.
Using advanced techniques to ensure the comfort and effectiveness of your treatment.
Supporting you throughout your orthodontic journey with personalized and regular follow-up.

Ready to transform your smile?

Contact us today to schedule your consultation with one of our Diamond certified orthodontists, Dr. Geneviève Gagnon or Dr. Karim Jarjoura. Together, we will discuss your goals and develop a personalized treatment plan to help you achieve the smile you deserve.

Orthodontics

For a dazzling smile!

What is orthodontics?

Orthodontics is the dental specialty that corrects tooth and jaw alignment problems. Orthodontic treatment not only allows you to achieve a beautiful smile, but by correcting the way teeth fit together, it also facilitates chewing, speech, and maintains good oral health in general.

The impact of a beautiful smile is undeniable. Numerous studies have shown that a dazzling smile increases self-confidence and contributes to career advancement. Our smile can change the way others perceive us and improve our quality of life, regardless of our age.

Why an orthodontist?

An orthodontist is the only recognized specialist in orthodontics and the best qualified to assess and treat problems related to tooth and jaw alignment. In addition to their dental training, orthodontists complete two to three years of additional training in an accredited university specialty program. Orthodontists must then pass a series of exams to obtain their license. Don't trust just anyone to correct your smile. Demand the best. Trust an orthodontist.

Orthodontics for Children

Upper Jaw Too Narrow
Upper Jaw Too Far Back in
Comparison to the Lower Jaw
Anterior Crossbite
Upper Teeth or Jaw Too Forward in Comparison to the Lower Jaw
Bad Habits
Premature Loss of Primary Teeth
Eruption of Some Adult Teeth in the Wrong Place
Impacted Tooth

Learn more (in French)

Orthodontics for Adolescents

Minor/Moderate Space Shortage
Severe Space Shortage
Gaps Between Teeth
Anterior Open Bite
Closed Bite
Upper Teeth Too Protruding in
Comparison to the Lower Teeth (Non-Extraction Treatment)
Upper Teeth Too Protruding in Comparison to the Lower Teeth (Distalization)
Upper Teeth Too Protruding in Comparison to the Lower Teeth (Extraction Treatment)
Upper Teeth Too Far Back in Comparison to the Lower Teeth
Upper Jaw Too Narrow
Impacted Tooth
Missing Lateral Incisor (Tooth Replacement)
Missing Lateral Incisor (Space Closure)
Narrow Lateral Incisor

Learn more (in French)

Adult Orthodontics

Multidisciplinary Treatment
Limited Treatment
Pre-Tooth Replacement Treatment
Jaw Relationship Problems
Jaw Pain
Other

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Invisalign®

Benefits
Treatment Steps
Am I a candidate for Invisalign®?
Case treated: Overlapping
Case treated: Gaps
Case treated: Extraction

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Types of Orthodontic Appliances

Braces
Metal Braces
Ceramic Braces
Invisalign®
Elastic Chain and Springs
Elastics
Lingual Wire
Retainers

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Practical Orthodontic Advice

Brushing Teeth
Interproximal Brushing
Flossing
Dietary Restrictions
Orthodontic Wax
What to Do in an Emergency?

Learn more (in French)

Periodontics

Keep your teeth healthy

What is periodontics?

Periodontics is the dental specialty that treats the tissues that support teeth. Periodontal diseases are generally caused by bacterial or parasitic infections.

Diagnosed diseases include gingivitis, periodontitis, and gum recession. Periodontics also includes the replacement of missing teeth using bone grafting and implant surgery.

What is a periodontist?

A periodontist specializes in the detection and treatment of diseases affecting the gums and tooth-supporting tissues. In addition to being a dentist, a periodontist has completed three years of specialized university training, leading to a master's degree in periodontics. To qualify as a periodontist, a specialist must also pass the certification exam of the Royal College of Dentists of Canada.

Gum Disease

Gingivitis
Periodontitis
Types of Periodontitis
Risk Factors
Health Links
Periodontal Glossary

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Gum Disease Treatment

Gingivitis
Periodontitis: Non-Surgical Therapy
Periodontitis: Surgical Therapy
Maintenance Phase

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Other gum treatments

Gum grafting
Tooth lengthening
Functional tooth lengthening
Smile correction
Exposure of impacted teeth
Frenectomy

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Patient Instructions

Preoperative Instructions
Postoperative Instructions

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Implantology

The natural way to replace your teeth

What is implantology?

Implantology is the dental specialty that involves placing implants. This surgery replaces a missing or extracted tooth root. There are many types of dental implants on the market.

The use of dental implants is taught in all dental schools around the world. Our North Shore clinic is the ideal place when implant surgery is necessary.

What is a dental implant?

A dental implant is a titanium cylinder that replaces the root of a tooth, supporting a tooth, a group of teeth, or even a denture.

The biocompatibility of titanium allows bone to form directly in contact with the implant, ensuring sufficient stability to withstand chewing forces.

A healing period of several months is required following implant placement before the crown (tooth) is fabricated. The placement of the implant is usually carried out by a specialist, such as Drs. Jarjoura and Robitaille, while the fabrication of the tooth(s) is done by the dentist or a prosthodontist.

Replacing one or more teeth with a dental implant

Benefits
Preoperative assessment
Treatment steps
Bone graft
Gum graft
Maintenance phase

Learn more (in French)

Replacement of all teeth with dental implants

Removable prosthesis
Fixed prosthesis

Learn more (in French)

Frequently Asked Questions

Orthodontics

What will happen during my first visit?

During the first visit or consultation, Dr. Jarjoura or Gagnon will perform a detailed examination of the face, the position of the teeth, and the relationship between the upper and lower teeth. An X-ray will be taken to assess dental development to guide the orthodontist in their diagnosis. Following the examination and analysis of the X-ray, Dr. Jarjoura or Gagnon will be able to provide you with more information about the nature of the problem, the recommended treatment, and the best time to begin. A brief overview of the treatment plan, including the type of appliance suggested and the anticipated duration, will be presented to you, as well as the costs associated with the treatment and the payment terms. If you have dental insurance, you will also be provided with the information to be provided to your insurance company. We will take care to answer any questions you may have about the recommended treatment.

What are the different stages of treatment?

If the orthodontist determines that treatment is necessary, the next step is to gather additional diagnostic information. Typically, this includes photographs of the face and teeth, impressions of the upper and lower teeth, a recording of the relationship between the upper and lower teeth (bite), and a lateral facial x-ray (cephalometric x-ray). Analysis of the information obtained helps confirm the treatment plan. Occasionally, in more complex cases, a meeting with the parents and the patient is necessary to discuss the treatment plan. Otherwise, the next appointment is usually devoted to the placement of braces or the taking of impressions for any other recommended appliances. This appointment is usually the longest of the entire treatment, lasting an hour and a half on average. Subsequent appointments are devoted to adjustments and are generally much shorter. The average interval between these visits is approximately five weeks throughout the entire duration of active treatment.

When should I start my treatment?

The start of treatment depends on the problem to be corrected. Some conditions (see the section on orthodontics for children) must be treated as early as age 7, or sometimes even earlier. In most cases, treatment begins in adolescence, between the ages of 10 and 15. Following the initial examination, Dr. Jarjoura or Gagnon will be able to advise you on the best time to begin.

What is the anticipated duration of treatment?

The duration of treatment varies depending on the complexity of the problem to be corrected. Correcting jaw relationship problems generally requires more time than correcting problems strictly related to the position of the teeth. Treating certain conditions, such as impacted teeth, also generally requires more time. Orthodontic treatment in adults is also usually longer because teeth tend to move more slowly. If two phases of treatment are necessary, the total treatment time will be longer than if the child is treated in only one phase. A single-phase treatment lasts an average of 24 months, while a two-phase treatment can take 24 to 36 months.

Is wearing braces uncomfortable?

A short adjustment period is expected following the fitting of orthodontic appliances. When force is applied to the teeth, areas of compression and tension occur in the membrane around the teeth. This is the main source of discomfort initially. For the first few days, teeth should be expected to be sensitive when they come into contact with each other. Taking a mild pain reliever (Tylenol, Motrin, Advil, etc.) during this period is recommended. Contact between the brackets or any other components of the appliances and the cheeks or lips can also be a source of discomfort. Orthodontic wax, which will be given to you after the fitting of the appliances, can be applied directly to the irritating area. After a few days, if the discomfort persists, contact us and you will be seen urgently to remedy the situation.

What changes should I make to my diet?

A detailed list of foods to avoid will be given to you after the braces are fitted. In short, any food that is too hard or sticky should be avoided. Fruits and vegetables should be cut into small pieces or cooked before eating. Consuming foods high in sugar is acceptable, but only at mealtimes and provided it is followed by a brushing session.

What if there is a device breakdown or other inconvenience between appointments?

The most common problems and their solutions will be reviewed with you during the fitting of the appliances. In summary, if a bracket becomes loose between follow-up visits, it is important to notify us. A decision will then be made as to whether it should be replaced immediately or if it is acceptable to wait until the next visit. The wire connecting the brackets can occasionally move and irritate the cheek or gum. If this happens, apply wax to the wire until the next visit. If the situation proves too uncomfortable, contact us for an emergency appointment. If the wire becomes disengaged from the terminal bracket, try to reattach it or, if this is not possible, cut it with nail clippers. If any other appliance (removable or fixed) breaks, contact the office immediately.

How can I keep my teeth and gums healthy during treatment?

It is essential to follow the hygiene advice given to you when the appliances are fitted. Indeed, excessive plaque (bacteria) buildup around brackets or other appliances can cause swelling and bleeding of the gums and, in some cases, even accelerate the loss of bone support around the teeth. Poor hygiene can also lead to permanent white spots or cavities around the brackets. The use of a special toothbrush (proxa-brush) to thoroughly clean between the teeth and the orthodontic wire, as well as the use of dental floss, using a threader, are recommended and will be demonstrated to you. A fluoride-based mouthwash may be useful as an additional aid during treatment, especially for patients with poor hygiene. Please note that you must continue to see your dentist for dental cleanings during your treatment.

How often should I be seen during my treatment?

The frequency of follow-up appointments (adjustments) depends on the type of treatment and can vary from one to eight weeks. The average interval for a complete treatment is five weeks.

How much will the treatment cost?

The cost of treatment varies from patient to patient depending on the difficulty of the case and the anticipated duration of treatment. You will be given a cost estimate during the initial examination.

Will I have to have my teeth removed?

It depends on the problem being corrected. Permanent teeth occasionally need to be removed when there is severe crowding or when space needs to be created to move teeth that are too far forward.

Will my teeth move after treatment?

The position of teeth is affected by pressure from the lips, cheeks, and tongue, as well as changes in facial structures over time. Wearing retainers is therefore essential to maintain the correction achieved. A fixed wire is usually bonded to the inside of the teeth. These appliances are removable and can therefore be removed as needed. We recommend wearing the appliance full-time for the first six months after the removal of the brackets, and only at night until the end of growth or during the following year for adults. The appliance is then used a few times a week for an indefinite period. In some cases, a fixed wire, bonded to the inside surface of the teeth (facing the tongue), is used as a retainer.

I've heard about a new invisible procedure for moving teeth (Invisalign®). Am I a good candidate for this type of treatment?

Only a detailed examination by an orthodontist will determine if this type of treatment is appropriate for you. The Invisalign® process has evolved significantly in recent years and can now be used to treat increasingly complex bite problems. Some cases, however, are better treated with conventional fixed appliances. More information on treatment with the Invisalign® system is available at

Periodontics

How do I know if I have periodontitis?

The following clinical signs may indicate the presence of periodontitis: redness and swelling of the gums with discomfort bleeding of the gums when brushing or chewing loose teeth displacement of the teeth with opening of spaces between the teeth change in the way the teeth fit together persistent bad breath purulent discharge between the teeth If any of these signs are present, an examination by a dentist or periodontist is recommended.

Is periodontitis contagious?

The bacteria that cause periodontitis can be transmitted from person to person through contact with saliva, just like the bacteria that cause tooth decay. For those at risk (smokers, a family history of periodontitis), it is best to minimize contact with saliva by not sharing utensils or toothbrushes. However, it is important to understand that the presence of one of these bacteria does not mean that the disease will develop. The body's reaction (inflammation) to the presence of these bacteria is what most affects bone loss around teeth.

My parents both have periodontitis. Am I at higher risk of developing the disease?

Yes. The development and progression of the disease largely depends on the inflammatory response (the human body's natural defense reaction) to the presence of bacteria that cause periodontitis. For genetically predisposed individuals, in addition to maintaining excellent oral hygiene, it is important not to smoke and to see your dentist more frequently for cleanings to detect any signs of the disease.

Can children and adolescents get periodontitis?

Yes, but very rarely. The risk is higher if one of the parents developed the disease during childhood. Parents should be familiar with the clinical signs of the disease (see How do I know if I have periodontitis?) and make sure to see the dentist regularly.

What is the difference between gingivitis and periodontitis?

Gingivitis is characterized by redness, swelling, and bleeding of the gums and is primarily caused by the buildup of bacteria (plaque) around the teeth. Unlike periodontitis, gingivitis does not cause a loss of support around the teeth. The gums will return to their normal state once the plaque is removed. Bone loss caused by periodontitis is often irreversible.

What can I do at home to prevent the development or slow the progression of periodontitis?

The loss of support around the teeth is caused by the body's reaction (inflammation) to the presence of specific bacteria around the teeth. The easiest way to prevent periodontitis is to ensure meticulous hygiene at home. This includes brushing your teeth 2-3 times a day and flossing at least once a day. Since tobacco use is a major risk factor, quitting smoking will slow the progression of the disease and allow for better healing following treatment.

My dentist told me I have periodontitis. Should I see a specialist for treatment?

It depends on the severity of your condition and your dentist's expertise in treating periodontal disease. Typically, low-risk patients with early periodontitis are treated by a dentist, while patients with a more severe risk profile and more advanced periodontitis should see a periodontist.

I've heard that there's a link between periodontitis and certain diseases like diabetes and cardiovascular disease. What's the story?

A common risk factor for both diabetes and cardiovascular disease is the presence of chronic inflammation. Inflammation is the body's response to the presence of any irritant. This is what happens with periodontitis, where the irritant is bacteria that accumulate on the surface of the teeth. Controlling periodontitis reduces the generalized state of inflammation and thus reduces the risk of cardiovascular and diabetes-related complications.

I have a loose tooth. Am I at risk of losing it?

This is not impossible, but it is very rare and depends on the cause of the loosening and the local conditions surrounding the tooth (position of the tooth, thickness of the gum, etc.). A consultation with the dentist or periodontist will determine the risk of this occurring.

I have been told that I will lose a tooth due to the severity of my periodontitis. Should I replace it?

Most of the time, yes. If a tooth is not replaced, the adjacent teeth can shift, causing premature wear, opening spaces between the teeth, altering the fit of the teeth together, and affecting chewing. The absence of a tooth, depending on its position, can obviously affect the aesthetics of the smile.

Implantology

My tooth is still there. Is it possible to place an implant at the same time as the extraction?

In certain situations, yes. In the absence of infection and bone loss around a tooth, it is occasionally possible to extract a tooth and place the implant at the same time. However, there must be sufficient bone present to stabilize the implant in the desired location. The preoperative assessment will determine if this is possible.

What is the “lifespan” of a dental implant?

The lifespan of an implant is comparable to that of a tooth. The very first implant placed remained in place for over 40 years. An implant is the longest-lasting option for replacing one or more teeth.

What is the success rate of implants?

The success rate of implants is high, if the planning and execution have been done well, and is around 95%. Bone density at the implant site, surgical technique, operator experience, the presence of untreated periodontitis (gum disease), and tobacco use are all factors that affect the success rate of implants. Once the crown is placed on the implant, overloading the implant by applying excessive forces (such as when grinding teeth) can lead to implant loss.

What is the recovery like after implant placement?

Implant placement is a procedure that requires a very delicate approach. The cavity preparation is done gradually and therefore imposes very little trauma to the bone. Furthermore, contrary to popular belief, bone has very few nerve endings. Surprisingly, there is therefore little discomfort for the majority of patients following the procedure. However, significant swelling adjacent to the implantation site, accompanied by a bruise on the cheek, frequently occurs. It is therefore suggested to avoid implant placement immediately before a meeting or an important event.

What are the possible complications following implant placement?

Complications following implant placement are very rare. The most common is implant rejection or failure to integrate with the bone. After the bone has healed following implant placement (3-6 months), force is applied to the implant to assess its stability. Implant mobility indicates rejection, and it must then be removed. This occurs in approximately 1-3% of cases. For implants replacing lower molars and premolars, a nerve is present in the jawbone. A safe distance must be maintained above the nerve to prevent nerve irritation. Contact with the nerve can cause altered sensation in the lip and chin on the affected side. After any form of surgery, postoperative infection is possible. However, the risk of infection is extremely low. An antibiotic is routinely prescribed to prevent infection. Postoperative discomfort, swelling, and bruising adjacent to the implant site are not considered complications but rather normal body reactions to the procedure (see section: What is the recovery like after implant placement?

How much does an implant cost? Are there payment plans available?

The cost of an implant or implants varies depending on the number of implants to be placed and the need for additional procedures to augment the support structures around the implant, such as bone grafting or gum grafting. Payments can usually be spread over the healing period (3-6 months).

MONTHLY PAYMENT OPTIONS

Thanks to our Canadian financing partner Beautifi, we offer financing options starting at 0% interest for your dental treatments, making care more accessible. Applying does not affect your credit score.

Minimum amount: $1,000. Subject to credit approval. For periodontics treatments only. Administration fees may apply. Subject to credit approval. Conditions apply.

Referring Dentists

Please follow this link to refer a case to us.

Referring Dentists

Contact information

254, boul. Labelle,
Rosemère, Québec J7A 2H4

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Business hours

Monday 8 am to 4:30 pm
Tuesday 8 am to 4 pm *
Wednesday 8 am to 4:30 pm
Thursday 8 am to 4:30 pm
Friday 8 am to noon

* every other tuesday : 7:30 am to 4 pm

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Welcome to Jarjoura Gagnon Ortho + Paro

Don't hide your smile anymore!

We'll take care of your smile: see for yourself!

Orthodontics

Periodontics

Implantology

Your orthodontic and periodontic clinic

The Commitment of Our Orthodontic and Periodontics Clinic

Karim Jarjoura

D.M.D., M.S., F.R.C.D. (C)

Geneviève Gagnon

D.M.D., Cert. Ortho, F.R.C.D. (C)

Nicolas Robitaille

D.M.D., M.S., F.R.C.D. (C)

The Clinic

Invisalign Diamond Plus

What is Invisalign Diamond status?

Achievement Criteria

Why choose a Diamond orthodontist?

Our commitment as Diamond orthodontists:

Ready to transform your smile?

Orthodontics

For a dazzling smile!

What is orthodontics?

Why an orthodontist?

Orthodontics for Children

Orthodontics for Adolescents

Adult Orthodontics

Invisalign®

Types of Orthodontic Appliances

Practical Orthodontic Advice

Periodontics

Keep your teeth healthy

What is periodontics?

What is a periodontist?

Gum Disease

Gum Disease Treatment

Other gum treatments

Patient Instructions

Implantology

The natural way to replace your teeth

What is implantology?

What is a dental implant?

Replacing one or more teeth with a dental implant

Replacement of all teeth with dental implants

Frequently Asked Questions

Orthodontics

Periodontics

Implantology

MONTHLY PAYMENT OPTIONS

Referring Dentists

Contact information

Looking for a Clareo clinic near you?

Welcome to
Jarjoura Gagnon
Ortho + Paro

Looking for a
Clareo clinic near you?