Ortho Tips September 15, 2013

I want to talk about two things. Both items come from a bonding that I did on Friday morning. The first thing is I love to bond braces on teeth. The second thing is I think about sleep apnea problems with every case I see.

Did you see the newspaper today about the young girl who had stage four cancer because her radiologist missed a tumor behind her heart? I have a similar personal story with my wife. Her original dermatologist missed her cancer (non-Hodgkin’s lymphoma) by not interpreting full body itchiness with a swollen lymph gland as lymphoma. He treated her Continue reading

Orthodontic Tips Aug 12, 2013

Orthodontic Tips Aug 12, 2013
I’ve started to use a new self- ligating bracket called Prodigy from Ormco.
I changed from Speed to Nexus and now to Prodigy trying to find the best fit for my practice. I also use Damon self-ligating as well on the cases that use CAD CAM technology.

The new brackets combined with the new Copper NiTi wires have revolutionized orthodontic treatment.
The benefit comes from utilizing sliding mechanics with early torque control.
I’m sure you are wondering about the significance of that. Let me tell you. As you know the roots of the teeth sit in cancellous bone Prodigy Continue reading

Ortho Tips June 24 2013

Orthodontic Tips June 24 2013.
Welcome to you all. I haven’t “Blogged” in quite a while. My wife Linda went through 6 chemo treatments for Non-Hodgkin’s Lymphoma and that was very stressful for both of us.
The Doctors have “promised” us a cure so we are very optimistic and excited to enjoy the summer break with our family.
I’m getting my energy back to do the extra things that make orthodontics my vocation. More hours at the office and less hours taking Linda to Sunnybrook is one of those things. Blogging is another. Continue reading

November 9 2012

Listen and Record

Listen to every patient’s concern, record it and then follow up to see if you have successfully dealt with the issue. If you don’t, this is what happens when the patient gets to me.

“Can you send me to someone who does esthetic dentistry? I don’t think my dentist does it.”

“I couldn’t wear the dentist’s night guard because it hurts to wear it. I just can’t get through the night with it.”

“Do you know of any good dentist’s in the area?” Continue reading

Orthodontic Tips May 3, 2012

“Walk a mile in my shoes.”

Four weeks ago I became an Invisalign patient!

I’ve been using Invisalign for my patients since the product was introduced. Many of the cases worked great. Some did not. On the whole I was very happy with the product. Now I am thrilled with it.

I’ve worn braces twice in the past so I know what’s going on from a personal basis. Here is what I found out by wearing the product myself.
1. There is about 1/3 of the pain and discomfort of orthodontic treatment with Invisalign. The initial tightening is only slightly annoying. There is no irritation from braces on my lips or tongue! Continue reading

Orthodontic Tips February 27, 2012

“Stay on the leading edge.”

This has always been my motto.

I have been instrumental in some orthodontic advances personally. My perspective on intra-oral volume and the way that teeth can affect breathing is respected at the University of Toronto where I teach the sleep apnea module to the Orthodontic Grad students. In addition, a letter of mine was published on this subject in the American Journal of Orthodontics and Dento-Facial Orthopedics.
Also, I have developed a unique TMJ splint therapy, which takes conservative treatment of jaw problems further along to provide improved care. Continue reading

Orthodontic Tips February 1, 2012

Orthodontic Tips February 1, 2012

Are you moving?

Your teeth do!

Throughout your life your teeth will shift and move in response to the balance of forces in the mouth. This becomes an issue for people in their thirties and forties when problems that they could ignore earlier in life now are more pressing. The reason for this for some people in middle age, is their periodontal support is no longer strong enough to resist mouth habits. Tooth shifting is the result. Continue reading

Orthodontic Tips December 5, 2011

Am I feeling good yet? Does the patient know when they are improving?

In some cases, no.

This week a woman who is in her early 50’s, came to see me for her first TMJ recall after upper and lower TMJ splints were inserted. Her symptoms were headaches, jaw pain, jaw clicking and ear aches. Her dentist had given her a soft maxillary splint but her symptoms got worse. She presented with the soft splint chewed up! Continue reading

Orthodontic Tips November 28, 2011

My consultant told me to make my practice fun and to reflect the real me.

But, who am I?

Or more to the point which aspect of me relates to my orthodontic practice?

The aspect that I choose is my obsession with health. There is a strong link between health of the body and health of the mouth.

I’m going to take that obsession with health to my office and make it fun! Drop in and check it out. Continue reading

Orthodontic Tips November 21, 2011

Have you ever wondered if you moved too soon?

How about too late!

I met two sisters last week for an orthodontic consultation. They were fraternal twins. One of them came to me too late.

She had two impacted permanent cuspid teeth. One was locked in the palate behind the roots of the permanent lateral incisor. The other was just stalled at the apex of the primary cuspid and its root extended up into the maxillary sinus. Why did this happen? Continue reading