About Our Practice

We are a periodontal specialty practice dedicated to providing comprehensive, evidence-based periodontal and implant care. Our team is committed to preserving natural dentition, maintaining periodontal health, and delivering exceptional long-term outcomes for our patients.

We are seeking an experienced, motivated, and detail-oriented Registered Dental Hygienist with restorative experience and a experience in seeing periodontal patients to join our specialty team.

The successful candidate will play an important role in supporting periodontal treatment, managing restorative concerns associated with periodontal disease, and providing ongoing care to patients with complex periodontal and restorative needs.

This position offers an prospect to work closely with periodontists in a collaborative specialty setting where periodontal stability, restorative function, and long-term maintenance are equally important.

Key Responsibilities

1. Restorative Clinical Duties

The successful candidate will be responsible for providing restorative dental hygiene services within their authorized scope of practice, including:

- Assessment and identification of carious lesions, defective restorations, exposed root surfaces, and areas of structural compromise.
- Placement of direct restorative materials, as clinically appropriate.
- Restoration of root caries and cervical lesions, particularly in patients with gingival recession and periodontal attachment loss.
- Placement of Class I, II, III, IV, and V restorations, where indicated and within the practitioner's authorized scope.
- Management of non-carious cervical lesions, including abrasion, erosion, and abfraction-related defects.
- Restoration of exposed root surfaces to improve patient comfort, reduce sensitivity, and facilitate plaque control.
- Repair or replacement of defective restorative margins where clinically indicated and authorized.
- Placement of restorative materials to address food impaction, open contacts, and localized anatomical defects, where appropriate and authorized.
- Finishing, contouring, and polishing restorations to achieve smooth margins, appropriate emergence profiles, and cleansable surfaces.
- Evaluation of existing restorations for marginal integrity, overhangs, recurrent caries, and potential periodontal implications.
- Identification and communication of restorative concerns requiring assessment or treatment by the periodontist or referring dentist.

2. Restorative Management in Periodontal Patients

A significant component of this position involves understanding the relationship between restorative dentistry and periodontal health.

Responsibilities include:

- Managing root caries and cervical defects in patients with moderate to advanced periodontal attachment loss.
- Addressing exposed root surfaces following periodontal surgery and soft tissue recession.
- Managing dentinal hypersensitivity associated with recession, root exposure, and periodontal treatment.




- Identifying restorative contours and margins that may contribute to plaque accumulation and localized gingival inflammation.
- Recognizing defective or overhanging restorations that may compromise periodontal health.
- Providing restorative solutions that improve cleansability and facilitate effective home care.
- Working with the periodontist to coordinate restorative treatment before, during, or following periodontal therapy.
- Supporting the long-term maintenance of natural teeth in patients with a history of periodontal disease.
- Identifying areas of recurrent root caries in patients with reduced salivary flow, xerostomia, or increased caries risk.
- Providing appropriate preventive and restorative strategies for patients with complex periodontal presentations.

3. Periodontal Maintenance and Specialty Hygiene Care

- Provide comprehensive periodontal maintenance for patients with a history of periodontal disease.
- Perform periodontal assessments, including probing depths, bleeding on probing, recession, attachment levels, and mobility.
- Monitor periodontal stability and identify early signs of disease recurrence.
- Provide non-surgical periodontal therapy and instrumentation as indicated.
- Maintain and monitor dental implants and implant-supported restorations.
- Identify peri-implant mucositis and signs suggestive of peri-implantitis and communicate findings to the periodontist.
- Provide individualized oral hygiene instruction and tailored maintenance recommendations.
- Educate patients regarding the relationship between periodontal disease, restorative margins, plaque retention, and long-term oral health.
- Monitor patients following periodontal surgery and implant therapy according to the periodontist's treatment plan.

4. Patient Assessment, Treatment Planning and Collaboration

- Work closely with the periodontist to identify restorative needs that may influence periodontal treatment outcomes.
- Participate in coordinated treatment planning for patients requiring both periodontal and restorative care.
- Recognize when restorative treatment should precede or follow periodontal surgical intervention.
- Communicate clinical findings and treatment recommendations clearly to the periodontist and referring dentists.
- Document restorative procedures, periodontal findings, clinical observations, and patient education accurately.
- Establish a professional and reassuring relationship with patients who may have complex or longstanding dental needs.

5. Infection Prevention, Documentation and Clinical Standards





- Maintain strict infection prevention and control standards.
- Ensure appropriate preparation, sterilization, and maintenance of restorative instruments and equipment.
- Maintain accurate electronic patient records and clinical documentation.
- Follow current CDHO standards, Ontario legislation, and practice protocols.
- Maintain continuing education and professional development relevant to restorative dental hygiene and periodontics.

Qualifications and Experience

The ideal candidate will possess:

- Current registration in good standing with the College of Dental Hygienists of Ontario (CDHO).
- Appropriate restorative authorization from the CDHO for the restorative duties assigned.
- Experience in restorative dental hygiene, particularly direct restorations and root surface restorations.
- Strong knowledge of periodontal disease, periodontal maintenance, and implant maintenance including All-On-X.
- Experience managing patients with gingival recession, root exposure, root caries, and compromised tooth structure.
- Knowledge of glass ionomer, resin-modified glass ionomer, and composite restorative materials.
- Excellent clinical judgment and attention to detail.
- Strong communication and interpersonal skills.
- Ability to work independently while collaborating effectively within a periodontal specialty team.
- Previous experience in a periodontal specialty practice.
- Advanced experience in root caries management and cervical restorations.
- Advanced experience treating patients following periodontal surgery.
- Experience with dental implants and peri-implant maintenance.
- Continuing education in restorative dental hygiene and periodontal therapy.

What We Offer

- The opportunity to work in a dedicated periodontal specialty environment.
- A collaborative relationship with experienced periodontists.
- A varied clinical role combining periodontal maintenance and restorative procedures.
- Competitive compensation based on experience and clinical qualifications.
- Flexible scheduling options. Schedule will be determined during the interview process and at the time of hiring.
- Modern equipment, materials, and clinical technology.
- Opportunities for continuing education and professional development.
- A supportive team environment that values clinical excellence and patient-centred care.

The Ideal Candidate

We are looking for a hygienist who understands that periodontal care extends beyond scaling and root planing.

The ideal candidate recognizes the importance of maintaining tooth structure, managing exposed root surfaces, restoring cervical defects, addressing root caries, and ensuring that restorative margins and contours support long-term periodontal health.

If you are passionate about periodontics, enjoy restorative clinical work, and want to expand your role within a specialty practice, we would love to hear from you.

Pay: $50.00-$65.00 per hour

Work Location: In person

📌 Restorative Hygienist – Periodontal Specialty (Toronto)
🏢 Nameless
📍 Toronto