New Patient Package - Sudbury Orthodontics
Transcription
New Patient Package - Sudbury Orthodontics
Improve Your Smile: Improve Your Self-esteem dental health • overall health How you feel about how you look also plays a role in your quality of life. While others sometimes judge us by the way we look, there are other more compelling reasons for considering orthodontic treatment. Your dental health has an effect on your overall health and comfort. How you feel about how you look also plays a role in your quality of life. When you feel unattractive because of crooked teeth or jaws that don’t meet properly, you may become self-conscious and preoccupied with your appearance. You may cover your mouth when speaking or laughing, hesitate to smile, or attempt to hide your facial appearance. Orthodontic treatment can improve your dental health and change your facial appearance for the better, and it can boost your self-esteem. It can provide you with the chance to participate in improving the way you look. Patients often feel more self-confident even before treatment is completed. As you see yourself looking better, you may find yourself feeling better and enjoying a better quality of life. With an attractive smile, you can face your career and your personal relationships with confidence. What is an orthodontist? orthodontics • a specialty Dentists who have successfully completed these advanced specialty education programs may call themselves orthodontists. Orthodontists are qualified dentists who have graduated from dental school and then receive several more years of specialized training that makes them uniquely educated experts in dentistry to straighten teeth and align jaws. Essentially, an orthodontist is a smile specialist. Admission to orthodontic programs is extremely competitive and selective. It takes many years to become an orthodontist and the educational requirements are demanding. An orthodontist must complete a university degree before starting a three to five year graduate program at a dental school accredited by the Canadian Dental Association (CDA). After dental school, at least two or three academic years of advanced specialty education in a CDA-accredited orthodontic program are required to be an orthodontist. The program includes advanced education in biomedical, behavioural and basic sciences. The orthodontic student learns the complex skills required to manage tooth movement (orthodontics) and guide facial development (dentofacial orthopaedics). Dentists who have successfully completed these advanced specialty education programs may call themselves orthodontists. Fewer than 5% of all dentists ever earn this distinction. Information: Orthodontic Insurance. employer • eligibility • employee Availability: Orthodontic insurance is not available to the individual, but is often available to an employee group as part of the dental insurance benefit package. Availability: Orthodontic insurance is not available to the individual, but is often available to an employee group as part of the dental insurance benefit package. Eligibility: Your employer may offer orthodontic coverage, but are you eligible? You may need to work a minimum number of hours per week, or there may be a 6 to 12 month waiting period for the new employee. Also, eligibility can change. Your employer may change plans or delete orthodontic coverage while you are in the middle of treatment. If you leave your job, your benefits normally stop. Benefits: Every plan offers a different level of benefits. The orthodontic benefit is always different from the dental benefit. There is always a maximum benefit, but what does the maximum apply to in your case? The policy may specify a maximum benefit but a maximum per individual is better than a maximum per family; and a maximum that is renewed every year is better than a lifetime maximum. The usual maximums typically do not cover a full orthodontic fee. Fees peripheral to the orthodontic treatment, such as x-rays, models, consultation, or extractions, may be deducted from the orthodontic maximum. Starting Date: This is the key to beginning the payment of your benefits. Reimbursement will commence once you have initiated a payment plan with our office. Insurance forms cannot be issued until the indicated payment has been received. It is illegal to misrepresent the starting date of treatment. Benefit Payment: Most orthodontists will have your insurance company send benefits directly to you. It requires more involvement on your part, but allows you to monitor the insurance payments accurately. The insurance company may pay monthly, bimonthly, or quarterly. Typically, they reimburse 50% of your monthly payment until you have reached the maximum lifetime coverage offered by your particular policy. The payment schedule arranged between you and our office may be different from the reimbursement schedule imposed by the insurance company. Predetermination: Usually your employer’s benefit office can estimate what your benefits will be. However, should you desire to obtain a written commitment from your insurance company as to the benefit payable you may send a predetermination which is a standard document that describes the treatment and its associated fees. The commitment indicates the amount the insurance company will reimburse, however changes in eligibility may occur while in treatment. Claim Forms: You have the option of receiving the forms online or in paper format. Orthodontists use a standardized computer generated claim form with all of your financial and dental information included, which saves you the inconvenience of providing your own forms. On the monthly claim forms that you receive once treatment is in progress, you are to sign your name in the two places marked with an ‘X’ and to complete part two (employee/plan member/subscriber) and part three (patient information). These forms can then be submitted to your insurance carrier for reimbursement. Affordability: Of Orthodontic services. new technology = affordability Because of the technological advances, we are able to offer treatment with no down payment and interest-free payment plans. Once upon a time orthodontic treatment was available only to the wealthy. After all, in the 1930’s braces cost as much as a HOUSE! In the 1940’s braces cost as much as an expensive car. Can you imagine how many people could not afford necessary treatment at this time if prices were comparable to those of the past? Today, orthodontics may be the best bargain available anywhere. It most definitely is the best bargain in health care. Why is it so affordable for most families today? Over the years, the braces themselves have become much more sophisticated and “patient friendly”. Even as late as the 1960’s it would take three to five appointments over a several month period to place braces on all of the teeth. They literally were made as you went along-fitting, welding, retting, soldering, refitting, cementing, etc. The patient was in the chair for hours at a time. And then, the braces were still not very good. They bent and distorted very easily, causing spaces between the braces and the teeth which allowed decalcification (white spots) and decay to form on the teeth. Appointments were needed every two weeks. With new technology, braces have “prescriptions” built into them, meaning that the orthodontist does not have to bend wires for each tooth. Additionally, braces can now be bonded directly to the outside surfaces of teeth instead of having a metal band cemented totally around the tooth. Appointments do not last nearly as long. Braces can be placed on the teeth in one appointment of as little as forty minutes to one hour. The interval between subsequent appointments can be as long as ten or twelve weeks. The advancement in technology is also evident with the Invisalign process which involves moving the teeth into the desired positions without the need for placing braces. A series of custom fitted retainers are used to incrementally achieve the perfect smile. A very important factor in keeping costs to a minimum is the use of Registered Dental Personnel. These professionals complete a rigorous college program and must satisfactorily pass provincial board examinations, both written and clinical. Our offices have employed these individuals not only in clinical areas but at the front desk, in administrative areas, and in our x-ray and appliance laboratory. Our employees are true professionals, who attend education courses to keep their licences current. The advances in wires that cause teeth to move have also aided in controlling costs. These wires provide a very gentle force over a long period of time minimizing soreness and the frequency of visits. At D’Aloisio Orthodontics we provide gentle treatment in the shortest amount of time with minimal interference in work and school schedules. We use the most aesthetic braces available at affordable fees without large down payments all thanks to technological advancement. David R. D’Aloisio: B.Sc., D.D.S., M.S. B.Sc., D.D.S., M.S. He is devoted to the complete satisfaction of each patient and enjoys a client base that continues to expand each year. Dr. D’Aloisio has built a reputation over the years as a caring orthodontist who pays meticulous attention to detail in the care of his patients. He is devoted to the complete satisfaction of each patient and enjoys a client base that continues to expand each year. Dr. D’Aloisio was born and raised in Sudbury and attended St. Charles College. It is here that he began to focus on his studies with the intention of following the path of his numerous family members that serve their communities in various medical disciplines. During this time his football career began and continued throughout his academic studies. He was a member of the Western Mustangs varsity football team that reached the national championships in 1982. This was a progression from his previous running back career for the Sudbury Spartans, which earned him All-Star and League MVP awards. Academically, Dr. D’Aloisio received his Bachelor of Science degree from the University of Western Ontario in 1984 and earned his degree in Dentistry from the same University in 1988. Pursuing his interest in the area of Orthodontics, Dr. D’Aloisio went on to complete an additional three years of specialty training at the University of Detroit Mercy and received his specialty certificate in orthodontics in 1991. His master’s thesis was published in the American Journal of Orthodontics and Dentofacial Orthopaedics in 1992. Other publications include a functional appliance study published in the Canadian Dental Journal in 1989. Dr. D’Aloisio always planned on returning to Sudbury to take advantage of the beautiful rural setting and family-oriented lifestyle. He opened his orthodontic practice in downtown Sudbury in 1991 but early on realized that he would require a larger office to accommodate his expanding client base. With this in mind, Dr. D’Aloisio started planning for the future, and only one year after opening his practice purchased the property at 250 Notre Dame which is the current location of Sudbury’s only stand-alone orthodontic facility. The facility is routinely upgraded to maintain its position as a leader in providing the most modern and comprehensive orthodontic care to its clients. At the local level, Dr. D’Aloisio is a past president of the Sudbury Dental Society and provincially, a member of the Student’s Committee of the Ontario Dental Association. Since 1990 he has lectured on various orthodontic topics to the dental hygiene program at Cambrian College. He is active in many professional organizations including the American and Canadian Orthodontic Associations. Although Dr. D’Aloisio is no longer involved in organized sports, physical fitness is still an important part of his life and he enjoys many outdoor pursuits. He is also an active sponsor of local sporting teams and athletes. Two-Phase Orthodontic Treatment appropriate treatment • appropriate time The goal of this treatment is to create a better environment for your child’s permanent teeth. What is “two-phase” orthodontic treatment? Two-phase orthodontic treatment consists of two separate times when a child receives orthodontic treatment. A first phase of treatment is done while the child still has many or most of their primary or “baby” teeth. A second phase takes place when the child has most or all of their permanent teeth. Braces may or may not be used during a first phase of treatment. Other appliances (the name used for braces and other devices for orthodontic correction) may be used. Why does my child need two-phase treatment? Dr. D’Aloisio believes that your child could benefit from two phases of orthodontic treatment, based on an examination of your child’s mouth and study of diagnostic records. The goal of this treatment is to create a better environment for your child’s permanent teeth. A first phase of treatment is initiated to: • Prevent a problem from developing (preventive treatment) • Intercept a developing problem (interceptive treatment) • Guide the growth of the jaw bones that support the teeth (growth modification) Without this first phase of treatment, Dr. D’Aloisio has determined that your child’s problem, if left alone, will create an unhealthy environment for the growth and development of your child’s teeth, gums, jaws and face. The treatment will be timed to predictable stages of dental development to provide the greatest potential for improvement and correction of your child’s malocclusion (bad bite). Most patients will require a second phase of treatment, often with traditional braces or the Invisalign System to complete the tooth and jaw alignment that was started during the first phase of treatment. How does two-phase treatment benefit my child? A first phase of treatment benefits patients physically, enabling them to bite or chew more effectively. It may reduce the risk of breaking front teeth that protrude. And for many patients, there is improvement in selfesteem. Younger patients may be more cooperative and follow the orthodontist’s instructions on appliance wear and oral hygiene. And the desired changes that result from a first phase treatment may contribute to long-term stability, meaning that teeth stay where the orthodontist has moved them. A second phase of treatment moves permanent teeth into their final positions. Does a child’s growth affect orthodontic treatment? Orthodontic treatment and a child’s growth can compliment each other. By timing orthodontic treatment to predictable stages of dental development, the orthodontist may be able to take advantage of your child’s growth and development. Some problems that can be treated quite well in a growing child may require corrective surgery if treated after growth has occurred. The goals of two-phase treatment Dr. D’Aloisio has these goals in mind for your child’s treatment: • A proper relationship of teeth and jaws, so that they work correctly • Correct alignment of the teeth, for a beautiful smile • Positioning of the teeth and jaws for an attractive face and profile To reach these goals, your child needs to: • Follow instructions for appliance wear • Keep the appliance, teeth and gums clean by brushing and flossing as prescribed • Keep scheduled appointments with your orthodontist • Avoid food that may damage the appliance • Maintain a healthy diet How do I know two-phase treatment is right for my child? Orthodontic care is not a “one size fits all” approach. Each patient has a unique problem that requires a unique treatment plan. What is right for one child may not be right for another. The diagnosis of your child’s problem and the treatment plan are the result of a study of your child’s mouth and diagnostic records. Diagnostic Records: Initial/ Progress/ Final People want to know if the x-rays their family dentist took are adequate; why progress x-rays are necessary and most of all, why do we need final x-rays? initial • progress • final Typical full diagnostic records include: Panoramic View: This enables us to view the upper and lower jaws, all the teeth and supporting bone, sinuses, and a non-detailed look at the jaw joint. It enables us to see abscesses, cysts and tumours of the jaw, the number of teeth, the angles at which they are coming in and general health of the bone. Cephalometric View: This is an x-ray of the entire head taken from 2 views. The frontal or full face view allows us to see any asymmetries of the jaws, the skull, nasal septal deviations and various diseases of the bone. The profile skull view allows us to measure approximately 50 different areas by which we can construct a growth analysis (child), classify facial type and make accurate predictions as to what will happen without treatment and what can happen with various alternative treatments. Full Mouth X-Rays: These views of individual teeth allow a much more detailed study of each individual tooth for evidence of decay, trauma and periodontal (gum) disease. C.B.C.T. (Corrected Beam Computerized Tomography) Provides three dimensional views of the jaws, teeth and Temporomandibular Joint. T.M.J. Laminograms: These are very specialized views of the jaw joint which are only taken on patients who have or are suspected of having jaw joint disease. The laminograms allow us to check for correct joint position, anatomical problems, various types of arthritis and degenerative diseases and malignancies. Photographs: Facial photographs allows us to study asymmetry of the face, smile lines, lip competence and certain facial muscle habits. The smile line is crucial to a truly excellent result. Photographs of the mouth itself allows us to study texture of the lips, cheek, tongue, etc. as well as documenting various types of stains or discolouration of teeth. They also allow us to see the malpositions of teeth from various angles. Mounted Study Models: Plaster models of the teeth are placed on an instrument called an articulator which can exactly duplicate the position and movements of the jaw joint. This is perhaps the most critical diagnostic aid we have. It gives us a true picture of the way your bite actually is. Initial Diagnostic Records: These are taken before treatment for diagnosis and planning purposes. All of the described are typical, except the laminograms which are taken on a case by case basis. Progress Records • Taken as patient advances into the second phase of treatment • Taken to check eruption of teeth • Taken in cases of trauma or injury to the face, teeth or joints • Taken to check joint position and bony changes in TMJ patients Progress records may include from one to all procedures depending on the needs of the individual patient. Final Records: These are usually a duplication of the Diagnostic Records taken before treatment began. With these records we are able to study: • Differences in growth and jaw positions • Differences in positions and angles of the nose, lips, chin, teeth • Differences in smile lines, profiles and asymmetries • Angulations of teeth • Presence or absence of wisdom teeth so that appropriate measures can be taken • Presence of abscesses, cysts, or tumours • Presence of root damage Many other things are evaluated from these final records but in general they allow us to prepare for any future problems (such as impacted wisdom teeth.) They also allow us to plan the type of retention once braces have been removed and how long retention appliances must be worn in terms of hours per day and also in terms of months or years. Orthodontics: What Age? adults • teens • children No longer is treatment limited to teenagers but is available to adults of all ages and to children very early in their life. Amazing advances in technology have brought the profession of orthodontics (braces) to a new age. No longer is treatment limited to teenagers but is available to adults of all ages and to children very early in their life. When used properly these devices will: 1. Create space to minimize the need for extractions. 2. Ensure that the patient develops the most aesthetically pleasing smile possible. 3. Eliminate the use of headgear. For many years, children waited until all of the permanent teeth were in to begin treatment. However, many disadvantages were evident with this approach. In many cases, permanent teeth needed to be removed in order to gain enough room to align the teeth properly. In some situations, this resulted in an undesirable facial profile, a collapsed upper lip and a narrow smile. The goal of early active treatment is mainly orthopedic, that is, we concentrate on the proper development of the upper and lower jaws. This has been accomplished through various types of “expanders” as well as braces. It is recommended that children be seen for the first time at five or six years of age to check facial development although, in most instances treatment does not begin until the patient is seven or eight. The tooth straightening portion of orthodontic treatment has also been revolutionized. High technology wires (nickel-titanium) allow us to treat in fewer visits with less interruption of school and work schedules and with very little discomfort for the patient. It’s never too late to be your best. Orthodontic treatment is about a change for the better, no matter what your age. It can give you the confidence and pride that come with straight teeth and a great smile. The condition of your teeth, gums and supporting bone is the most important factor in determining the potential for improving your smile and dental health. The good news is that the new techniques and materials that Dr. D’Aloisio uses today have made wearing braces more comfortable for adults and teens. Less visible, more comfortable braces make treatment more appealing than ever, and healthy teeth, bones and gums of almost any age respond well to treatment. You can also enjoy the aesthetic benefits and improved comfort of Invisalign if the doctor determines that you are a good candidate for this treatment approach. You will be pleased to learn that orthodontic treatment will work with your current lifestyle. You can do almost anything with braces; sing, play a musical instrument, dine out, kiss and even have your picture taken. Today’s technology makes people in treatment feel better about how they look. Metal brackets are much smaller than they used to be even less noticeable are braces made of ceramic, which are offered by Dr. D’Aloisio at no additional fee. Lingual braces (ones that go behind your teeth) may be appropriate in some cases. If wearing braces is not an option the Invisalign system may be the answer for you. Invisalign gradually moves your teeth through a series of custom-made, removable, invisible aligners. It is an ideal time for adults to consider treatment. What is TMJ?: temporomandibular joint syndrome tem po roman d i b u l ar j oi n t syn d ro m e Many people suffer from dizziness, earaches and pain of the face, head, neck, shoulder and back without knowing the cause. Many people suffer from dizziness, earaches and pain of the face, head, neck, shoulder and back without knowing the cause. Previously, patients seeking help for these types of problems would go from “specialist” to “specialist” seeking a cure. Today, however, a condition temporomandibular joint syndrome (TMJ), accounts for a large number of these previously uncured and painful ailments. These types of pain symptoms of the syndrome not the problem itself. Correcting the problem rather than the symptoms is the heart of TMJ treatment. Your jaw joint is suspended beneath the skull by an intricate system of muscles and tendons. The jaw joints, also known as temporomandibular joints, are the most complex in the body. The way your teeth fit together is called occlusion. When your teeth are not in proper relation to each other and to your jaw joints, the jaw automatically shifts to a new position in an attempt to compensate for the misalignment of your teeth—a condition known as malocclusion (teeth do not fit together properly.) When malocclusion exists, even what looks like a good bite could be putting pressure or strain on the jaw joint and muscles as the jaw shifts to accommodate the teeth. Symptoms of misaligned teeth may be clenching, grinding, premature tooth wear and stress on the muscles and tendons. These may occur while awake or during sleep. These stresses result in headaches, muscular aches and pains in the face, neck, shoulders and back, dizziness, earaches and ringing in the ear. In addition, these common conditions often relate to malocclusion and cause pain in and around the temporomandibular joint. There are other conditions which can affect the function and comfort of this joint and total body health. These conditions include various diseases—such as arthritis, nutritional deficiencies, tumors, trauma and infections. Before prescribing the proper treatment for your particular problem, a variety of diagnostic procedures may be necessary. A special series of radiographs (x-rays) may be taken of your jaw joint. This provides a clear picture of your own particular TMJ anatomy. This radiograph is used for detecting disease in and around the jaw joint. In order to study the relationship of your teeth and joints, it is necessary to see how the joints guide the jaw without interference from the reflexes and muscles which are always accommodating to the fit of the teeth. To do this, a record is taken measuring the relationship of the teeth to the jaw. This record of the joint guidance can then be reproduced on an instrument called an articulator, simulating your own particular jaw movements and bite relationship. Then, without interferences from reflexes and muscles, your bite can be studied for interferences. Necessary treatment can then be prescribed. After we have fully diagnosed the patient’s condition, there are a number of different types of treatment that we may recommend. Initial phases of treatment are focused on relaxation of the muscle and assuring that the jaw joint is properly hinged. The second phase of treatment has as its goal the correction of occlusion (proper meshing of teeth) so that the teeth are in proper alignment with the repositioned jaw joint. Various TMJ treatments are briefly explained below: Phase One Treatment: Splint/Jaw Repositioner Appliances These appliances are used in treatment to temporarily eliminate malocclusion problems and allow the head, neck and facial muscles to relax. A splint is a rigid acrylic mouthpiece that fits over the biting surfaces of the teeth. This appliance is used to slowly change the jaw hinge position by changing the biting surface of the plastic. These changes will continue approximately every two to three weeks for a period of 3 to 6 months. Phase Two Treatment: Ultrasound Muscle Stimulation This type of therapy may be used during treatment to additionally help alleviate muscle pain caused by TMJ problems. Both of these treatments are performed topically (to the surface of the skin) and can be done routinely in our office. Phase Three Treatment: Occlusal Equilibration In this procedure, the teeth are reshaped to eliminate misaligned biting surfaces. This is done to alleviate pressure on individual teeth and allow the face and jaw muscles to relax on a permanent basis. This procedure can only be done if after Phase Two treatment the tooth fit misalignment is minimal. Phase Four Treatment: Orthodontics Once proper jaw alignment has been reached through splint therapy, orthodontics may be necessary to achieve a proper tooth fit. Orthodontic tooth movement must be used if, after jaw repositioning, misalignment is significant. Useful Information: About our clinic n u mb ers • h ou rs • p ol i cy Our office is dedicated to providing quality care and individualized personal attention. One of our greatest assets is the people who make up the staff. Useful Numbers Financing and Payments • Sudbury Office: (705) 671-6261 • Espanola Office: (705) 869-0880 • Parry Sound Office: (705) 746-9311 We are the only orthodontic office in Sudbury offering a free initial consultation, with no down payment and flexible financing. • Toll-Free #: 1-888-8BRACES • Emergency Hotline #: (705) 698-3893 Emergencies • Website: www.thesmilecentre.ca Office Hours • Monday, Tuesday, Thursday, Friday 8:00AM until 4:00 PM • Wednesday: 12:00 PM until 8:00 PM The Facility- Accredited caring professionals The office is conveniently located, with ample free parking. It is the only stand alone orthodontic office in Sudbury that offers a state of the art atmosphere, with a welcoming reception area; a refreshment centre equipped with specialty coffees and a juice bar. We’ve created a friendly atmosphere where treatment will be comfortable and enjoyable for every age. The video game center is kept current with all the latest gaming consoles and titles. We also offer many incentive programs and ongoing contests to help encourage patient cooperation. Our office is dedicated to providing quality care and individualized personal attention. One of our greatest assets is the people who make up the staff; the team play that we have developed keeps the schedule flowing and enthusiasm high. During orthodontic treatment you may have some part of your appliances come loose. Generally these problems can wait until the next scheduled appointment. However, if you are experiencing any discomfort, we will want to see you at your earliest convenience. Additionally, if a problem occurs after hours or on a weekend, you may contact Dr. D’Aloisio at the emergency number or consult our website at thesmilecentre.ca for helpful information on how to deal with emergency situations. Appointment Policy Most people seeking orthodontic treatment have important obligations during the day, whether for work or for school. During active orthodontic treatment the patient is seen regularly, and some of these appointments may conflict with work or school. We have put much effort and time into designing our scheduling system. We want to see you on time for your appointment and have plenty of time during each appointment to answer any questions you may have. We also want to work with you around your school and work hours as much as possible. Thus, we need both structure and flexibility in the schedule. We schedule longer appointments during school hours (daytime) and shorter appointments after school (prime time). This arrangement allows us to maximize the number of patients we can see after school or for after work appointments. Because the schedule is carefully crafted, your late arrival may pose a problem. In fairness to the other scheduled patients, we will not try to “squeeze” you into the schedule but we will reschedule you. If we have to reschedule an after school appointment, it will need to be rescheduled during school hours. The same condition applies for missed appointments. Parents / Guardians Parents/Guardians are expected to remain in the reception area during the child’s appointments as seating is not provided and the additional people in the clinic can adversely affect treatment if the practitioners are distracted. Clinic Locations: Contact Information: Sudbury • Espanola • Parry Sound www.thesmilecentre.ca LASALLE BLVD. Office Hours: Monday, Tuesday, Thursday, Friday • 8:00 am to 4:00 pm Toll Free: 1.888.8 BRACES TAXATION CENTRE Wednesday • 12:00 pm to 8:00 pm KATHLEEN ST. SACRE COEUR HIGH SCHOOL The parking lot is accessed by turning from Notre Dame onto Leslie Street RAINBOW CENTRE NOTRE DAME SERVICE ROAD ST. JEAN DE BREBEUF CHURCH NOTRE DAME AVE. GROCERY STORE LESLIE ST. KINGSWAY ELM ST. LARCH ST. PARIS ST. • 705.671.6261 24 Hour Emergency # 705.698.3893 NOTRE DAME AVE. SUDBURY CLINIC: • 250 Notre Dame Ave. Riv er Miller St. Str e et Clinic Locations: Deli Rd . Parry Sound Friendship Centre or th • 705.746.9311 Restuarant Bowes St. Johnson St. PARRY SOUND CLINIC: • 5 Bowes Street, Parry Sound. James St. Seguin St. Gr ea tN Car Wash th or tN ea Gr 16 Crofters Jam Factory . Rd Espanola Mall •705.869.0880 6 ive Y. # Dr HW ch McDonald’s Clinic located in the Espanola Mall llo ESPANOLA CLINIC: • Espanola Mall, 800 Centre St., Espanola Cu Mc Tim Horton’s Canadian Tire # Y. HW 6 Fou x Dr. Girou cau ke Drive Clear La North lt D rive