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Did you know that more than four million children throughout the US and Canada have braces? At Kildonan Orthodontics, Dr. Brent Nickolaychuk and our staff know that kids can be picky and meticulous eaters. If cooking for children without braces is difficult, preparing meals for children with braces is especially daunting.

“Comfort food takes on a whole new meaning when cooking for children with braces,” says Pamela Waterman, author of The Braces Cookbook: Recipes You and Your Orthodontist Will Love. “Whether you have new brackets, elastics, headgear, or more, there are great foods you can eat; it just takes some thought.”

These five braces-friendly dinner recipes will be sure to keep your kids smiling!

1. Macaroni and cheese is the ultimate comfort food. Pasta is soft, so it’s easy for children with braces to eat. The warm, gooey cheese melts in the mouth and doesn’t get stuck in the braces like hard or sticky foods. Chances are good that even the pickiest eater has a soft spot for this homespun classic.
2. The key to braces-friendly cooking is to replace hard, crunchy foods with softer substitutes. In other words, burritos are a better option than tacos, and lasagna is a better choice than pizza. At the same time, if you have the culinary skills to whip up a pizza with a soft crust, you’re going to win the Best Mom (or Dad) of the Year award.
3. Your child may not like fruits and vegetables. In fact, he or she may even try to convince you that with new braces, fruits and vegetables are off limits. Nice try, kids. While your child is wearing braces, prepare meals with cooked vegetables instead of raw vegetables. A vegetable stir-fry is a healthy and soft dinner choice for kids with braces.
4. Whether it’s beef or chicken, meat is a good source of protein. However, meat, even when it’s carefully taken off the bone (kids with braces should never eat meat from a bone), can easily get caught in braces. Sloppy Joes are a good alternative. The beef is softened by the addition of the sauce and less likely to get strung in the wires and brackets of the braces. Serve the Sloppy Joes with a side of mashed potatoes.
5. Ask any child and he or she will tell you that the best part of dinner is dessert. While hard candy, licorice, taffy, caramel, popcorn, and all other chewy candies should be avoided, ice cream and cake are braces-friendly treats that keep kids smiling.

Need more braces-friendly food ideas? Feel free to ask any member of our team.

Today, Dr. Brent Nickolaychuk and our team thought we would offer a few tips for our patients currently undergoing orthodontic treatment. For those of you wearing braces, it’s important to be even more dedicated to good oral hygiene than those not currently in treatment.

After getting your braces, it is important to know how to take care of your teeth in order to ensure that your braces stay intact and do their job so that your teeth are in top-notch condition after you complete your orthodontic treatment.

Braces are known to trap food, which contributes to plaque formation. If it is not carefully removed from the teeth and gums, plaque will develop into decay or gum disease, leading to costly delays during your treatment. It is important to practice good oral hygiene by following instructions from Dr. Brent Nickolaychuk during your treatment.

We are proud to offer supplies to help fight plaque, such as a proxabrush, dental floss, and floss threaders. The use of an electric toothbrush and or a water pick can also be helpful in combating cavities and decay. And, of course, our team at Kildonan Orthodontics suggests brushing at least twice a day.

We hope that helps! If you have any questions, please give us a call at our Winnipeg, Selkirk, or Southdale, MB office or ask us during your next adjustment appointment!

If you were to put your toothbrush bristles under a high-powered microscope, what you would see might give you nightmares: millions of bacteria, busily crawling up and down your toothbrush bristles, consuming proteins that came from your mouth, and still clinging to the bristles even after you’ve rinsed them with water.

Rinsing your toothbrush after brushing removes some of those ferociously hungry bacteria, but not all. The Canadian Dental Association says that bacterial infestations develop on toothbrushes within a month of daily use. The CDA also states that unless a toothbrush is sterilized before being packaged, it’s going to come with bacteria – free of charge!

Germs and Frayed Bristles: the Demise of a Toothbrush

Dr. Brent Nickolaychuk and our staff recommend that you toss your old toothbrush in the trash and purchase a new one every three months. Children tend to bite on their toothbrushes, which makes the bristles degrade and fray faster. Chances are kids may need to have their toothbrushes changed more frequently.

Where do they hide?

Bacteria are tenacious little germs that head for those concealed areas between toothbrush bristles. They are highly adaptable and exist in every type of extreme environment. Some people actually go so far as to put their toothbrush in a microwave for a few seconds to kill germs, but this doesn't always work either. In fact, you may only end up with a toothbrush that’s as bendable as a Gumby doll – and still covered with germs.

Feed a Cold, Starve a Fever, and Get Rid of Your Toothbrush

When you have a head cold, your mouth is teeming with bacteria gleefully roaming around, and gobbling mucus and dead skin cells. If you brush your teeth while suffering a sinus condition, the brush will act like a magnet for ravenous bacteria. Use your old toothbrush while you are sick, but as soon as you feel better, throw it away and get a new one. Otherwise you could possibly re-infect yourself with the same cold germs!

Just like that, it’s almost summertime. As the spring season ends, perhaps these lighter, brighter days are inspiring you to do a bit of last-minute spring cleaning. Or perhaps they’re not. No judgment here!

What Dr. Brent Nickolaychuk can recommend wholeheartedly is finishing the season with a clean, sparkling smile. And we have some bright ideas for you!

Refresh Your Cleaning Technique

Tooth brushing can become so automatic that we don’t think about the basics anymore. And suddenly, we’ve finished brushing in half the time we used to, and, hey, how long has that floss been sitting on the counter, anyway?

Now that you’re in orthodontic treatment, it’s more important than ever to keep your teeth their cleanest:

• Plaque acids can strip minerals from your teeth. If you don’t clean around your brackets thoroughly, plaque buildup can leave discolored spots on your enamel.
• If a cavity develops, treatment could require removing part of your braces. This means extra appointments and a delay in your orthodontic schedule.

So, let’s review the brushing basics for a clean and healthy smile.

• Spend two minutes brushing, at least twice each day. Dr. Brent Nickolaychuk might suggest brushing after every meal to make sure food doesn’t stick to your teeth and braces.
• Make sure you reach all the surfaces of your teeth, inside, outside, and on top of your molars.
• Use short, gentle brush strokes, covering a tooth or two at a time.
• Angle your brush to clean along the gum line. Plaque around the gums leads to irritation and inflammation, and is a common cause of gum disease.
• Use vertical strokes to clean the inside of your front teeth.
• Floss at least once each day, or as recommended by your orthodontist.

Special Jobs Require Special Tools

Since we’re tidying up, let’s talk about some helpful cleaning tools. The right tools make removing plaque a lot easier.

• Toothbrushes

There are toothbrushes designed especially for braces, with angled heads, longer handles, and different bristle arrangements. Whether you try a new design, or stick with your old favorite, replace your brush whenever necessary.

After three to four months of brushing, your toothbrush bristles start to break down. Frayed and matted bristles can’t clean as effectively as a toothbrush in top shape. Electric toothbrush heads can wear down more quickly because they often have shorter bristles. Each change of season is a good time to remind yourself to change brushes.

Extra tip: Buy a brush with soft bristles. Even medium bristles can cause enamel abrasion.

• Floss Upgrades

If you wear braces, check out the floss options made just for you. Floss threaders help you thread floss under wires. Or try floss which comes in pre-cut strands with a stiff tip to thread the floss through wires more easily. You might find that an orthodontic flosser, a small piece of floss attached to a thin plastic handle, is the easiest way to clean between your teeth. Experiment until you find your most convenient and effective floss.

• Interproximal Brushes

These tiny cone-shaped brushes fit snugly and comfortably between the spaces of your teeth to remove plaque.

• Water Flossers

Water flossers are high-tech tools that use a pulsing stream of water to clean between and around the teeth. They’re particularly helpful if you have traditional or lingual braces.

Your Dr. Brent Nickolaychuk can suggest the best tools for the cleanest teeth. And speaking of your dental team . . .

Some Cleaning Jobs Require Professional Help

Wearing braces doesn’t mean you should skip cleanings—in fact, it’s more important than ever to make sure that all the plaque that has built up around brackets and wires is removed. Your hygienist knows how to work with your braces for an effective and braces-friendly cleaning.

Spring’s coming to an end, but taking care of your dental health is always in season! A clean smile isn’t just a more confident smile, it’s a healthier one. Talk to our Winnipeg, Selkirk, or Southdale, MB team for more tips to create your best and brightest smile at any time of year.

Time to brush! So, you make sure you gently brush the plaque off the outside surfaces of your teeth. You want to present a gleaming smile to the world, after all. And you make sure to brush the inside surfaces as well, because who wants to feel a fuzzy patch of plaque every time their tongue hits their teeth? And, naturally, you remember to clean the tops of your molars, because those crevices make them more cavity-prone than any other surface.

Done? Not quite!

You might be surprised to learn that no matter how well you’ve brushed all the visible surfaces of your teeth, you’ve left quite a bit of enamel untouched—the adjoining, or touching, surfaces of the teeth that sit next to each other.

You’ve probably noticed that your bristles can’t . . . quite . . . reach all the enamel between your teeth (especially between your molars!) when you’re brushing. This means that food particles and plaque have an easier time sticking around. And when the bacteria in plaque are left undisturbed, especially with a banquet of food particles available, they produce acids which gradually eat away at the enamel covering our teeth, creating a cavity.

Here’s where we work in some specific dental vocabulary. “Interproximal” means between the adjoining, or touching, surfaces of the teeth. And an interproximal cavity is a cavity that develops on one of those side surfaces of your teeth.

• Preventing Interproximal Cavities

Fortunately, prevention is about as basic as it can be—brushing and flossing effectively. Dentists recommend brushing for two minutes at least twice a day and flossing once each day. While most of us are good about keeping up with brushing, sometimes that daily flossing is more a goal than a reality.

But it’s flossing which really does the trick when it comes to interproximal cleaning. If you floss correctly, food particles and plaque are removed from between the teeth and around the gum line—places where bristles just can’t reach.

When you wear braces, though, flossing isn’t quite so basic. Getting that floss just where it needs to be in between brackets and wires and in between teeth can be a challenge!

The good news is there are many products designed just to make flossing easier while you’re in orthodontic treatment:

• Floss threaders are flexible hoops that help you thread floss behind your wires easily.
• Precut floss strands use a stiff tip at one end for threading floss through wires.
• Interproximal brushes are tiny, cone-shaped brushes which can fit between your teeth and braces for precise cleaning.
• Water flossers eliminate floss altogether, using a pulsing stream of water to clean between and around teeth and braces.

During your next visit to our Winnipeg, Selkirk, or Southdale, MB office, Dr. Brent Nickolaychuk can give you tips on how to use any of these tools effectively for cleaner teeth and cleaner braces.

Preventing cavities on the exterior surfaces of your teeth is probably pretty much automatic by now, but don’t forget the potential for stealth decay! If we find signs of erosion on the sides of your teeth, or if your hygienist lets you know that you’ve got a lot of interproximal plaque buildup, work with your dental team to make sure “interproximal cavity” doesn’t become a working part of your dental vocabulary.

Your trusty manual toothbrush has been with you from pre-school through high school—well, obviously not the same manual toothbrush, because that would be seriously unhygienic—but it’s the kind of toothbrush you’re used to and comfortable with.

Now, though, you’re off to college, and your lifestyle will be changing. Late night study sessions complete with study session snacks. Getting caught up in a project and making dinner from dorm vending machines. Grabbing fast food on the way to the practice field, or work-study job, or evening class. You get the point—meals can be hectic, unscheduled, and less than tooth friendly.

And if you’re wearing braces or aligners, you know you need to keep on top of brushing more than ever. It’s challenging to brush away cavity-causing plaque when it sticks around brackets and wires. And with aligners, teeth don’t benefit as much from the constant cleansing action of saliva, so it’s really important to brush away plaque and food particles before you replace the aligners after eating.

Maybe it’s time to consider an electric toothbrush. After all, anything that can make your life easier and more efficient during busy college days deserves a spot in your dorm room.

• Electric Brushes Are Effective

The most important reason to switch to an electric toothbrush is its effectiveness. Several studies have shown that regular use of an electric toothbrush leads to a marked reduction in plaque, that bacteria-filled film which sticks to the teeth and leads to cavities and gingivitis. And it’s really no surprise that an electric brush can out-perform a manual brush.

Electric toothbrushes offer several design options, from oscillating/rotating brushes to oscillating/rotating/pulsating models to brushes using sonic vibration technology. What these technologies all have in common is the ability to remove plaque far more efficiently than we can on our own, because electric brushes provide the equivalent of thousands and even tens of thousands of brushstrokes per minute, compared to the hundreds we can achieve by hand.

There might be a bit of a learning curve to discover how to use your brush around wires and brackets. Ask us for the best method of using an electric brush with your braces, and check out brush heads specifically designed for orthodontic work.

If you use buttons with aligners, electric toothbrushes should be safe to gently clean around the buttons to remove built-up plaque. It’s usually best to stick with a manual brush for cleaning your aligners themselves—we’re happy to give you your best cleaning options, no matter which brush you choose.

You know by now what your brushing habits are like. If you tend to be a bit cavalier with your brushing and flossing, make sure you set yourself up for success. Because you have better things to do during semester breaks and summer vacations than visiting Dr. Brent Nickolaychuk!

• Electric Brushes Can Make Life Easier

Several of today’s electric brushes come with options designed to do more than simply remove plaque. They can let you know if you’ve brushed for the recommended two minutes and remind you when it’s time to replace the brush head. They can even alert you if you’re brushing too hard, which is especially important when you’re wearing braces.

Want more from your electric brush? Some models offer apps that can map out just where you’ve brushed, in case there are a few spots that often get overlooked. Or provide different brushing modes for daily cleaning, deep cleaning, whitening, and more. Or come with a travel case that can recharge while you’re busy exploring the world—or going home for a visit.

In the end, it’s up to you. Do some independent study and research the toothbrushes that will give you the best results for your individual brushing habits. You might not need or want a brush with all the technological bells and whistles.

If you’re comfortable with your manual brush and you get good grades when you visit our Winnipeg, Selkirk, or Southdale, MB office, stick with it. But if you think you might benefit from the ease and efficiency of an electric toothbrush, if an electric toothbrush makes your teeth and gums healthier and your smile brighter, that’s extra credit worth pursuing.

Brushing your teeth regularly is one of the most crucial parts of maintaining good oral health, and perhaps the most fundamental, however, there are also other elements involved. Flossing, for instance, is also vital; some experts would say, and Dr. Brent Nickolaychuk and our team would agree, that it holds just as much importance as brushing your teeth. To give you a better idea of why, here are some reasons that flossing is so vital to your oral health.

Getting in-between the Teeth

While brushing your teeth effectively cleans all of the areas of your teeth that are visible, or otherwise not touching, flossing is vital because it reaches all of the areas between your teeth that you cannot see, and subsequently cannot clean using a toothbrush. These areas are among the most sensitive and vulnerable parts of your mouth because they are most susceptible to plaque and tartar buildup.

Reducing Bad Breath

It is not uncommon for someone who brushes their teeth once or twice a day to still have bad breath. The reason being is that bad breath is often created by smelly bacteria that lives in between your teeth, as well as other areas of your mouth that are not accessible using a toothbrush. And that is why flossing is one of the best ways to reduce or eliminate bad breath. Still skeptical? Try flossing your teeth with unscented floss, then smell it after, that awful scent is the source of your bad breath. Coupled with frequent brushing of your teeth, you will find that flossing can really help that stinky breath.

Brushing your teeth twice a day is hard enough, add flossing on top and it can be difficult to establish a regular habit. However, doing so is totally worth it; just look at the aforementioned reasons why. Use these for motivation the next time you don’t feel like flossing, and let us know if it worked at your next visit to our Winnipeg, Selkirk, or Southdale, MB office.

Between the huge number of toothpaste brands on the market today, the different flavors, and claims from most to do different things, it isn’t surprising that people feel so confused when it comes to something that should be as simple as buying a tube of toothpaste. This guide will help you identify the common ingredients in toothpaste, and help you understand the important factors to consider before buying toothpaste again.

Toothpaste comes in gel, paste, and powdered forms. When it comes to the type of toothpaste, the choice is more a matter of preference.

Basic Ingredients

• Abrasive Agents – Abrasive agents are the scratchy substances added to toothpastes to help in the removal of food particles, bacteria, and minor stains. Calcium carbonate is one of many abrasive materials, and arguably the most common.
• Flavor – When toothpastes are flavored, they almost always have artificial sweeteners to enhance the flavor of the toothpaste and increase the likelihood that you’ll use it. Flavors run the gamut from traditional mint to cinnamon that may appeal to adults, and bubble gum or lemon lime – flavors to target children.
• Humectants – Humectants are moisturizing agents that keep paste and gel toothpastes from drying out. Glycerol is commonly used as a humectant.
• Thickeners – Thickeners are used to give toothpaste its distinctive consistency, and to make it maintain a uniform consistency and come out of the tube easily.
• Detergents – Sodium lauryl sulfate is the most common detergent used in products that foam up, like toothpaste does in your mouth.

What to Look For in Toothpaste

Fluoride is naturally occurring mineral. It is the most important ingredient to look for in a toothpaste. Although there are people who argue against using fluoride toothpaste, dental professionals like Dr. Brent Nickolaychuk emphasize that the fact that the incidence of tooth decay has decreased so significantly in the past 50 years is because of fluoridated toothpaste.

The suggestion that fluoridated water gives you enough fluoride to protect your teeth is wrong. Fluoride toothpaste is the best cavity protection there is. In addition to strengthening tooth enamel and protecting teeth from acid erosion (from acidic foods and drinks,) it remineralizes the surfaces of teeth that are suffering from early acid damage and may prevent developing tooth decay from worsening.

Tartar Control

Tartar is the result of hardened plaque buildup on the teeth. Good oral hygiene and in between twice yearly cleanings from a dental hygienist are the best defense against plaque buildup. Plaque turns to tartar when people neglect their oral hygiene. Over time, tartar can build up on teeth and under the gums, increasing the risk of gum disease.

Your best bet is to use a toothpaste that has a combination of anti-plaque agents. Products containing more than one plaque reducer may be more effective than products that only one. Common ingredients to look for are zinc citrate or pyrophosphates. Triclosan is an antibiotic that is believed to kill bacteria in the mouth, and it can be found in some anti-plaque toothpaste.

Look for toothpaste that bears the seal of the Canadian Dental Association. That seal is an endorsement of the CDA – and it means that many dentists agree that that particular toothpaste does what toothpaste is designed to do. We can also recommend toothpaste to meet your specific oral health concerns at your next visit to our Winnipeg, Selkirk, or Southdale, MB office.

Dry mouth, also medically known as xerostomia, is the condition of not having enough saliva, or spit, to keep your mouth wet. There are many ways to keep dry mouth at bay, including:

• Brushing your teeth after every meal with a fluoride toothpaste
• Flossing every day after a meal
• Avoiding tobacco, as well as drinks containing alcohol or caffeine
• Avoiding dry foods, as well as foods containing high salt, acid, spice, or sugar levels
• Drinking water frequently or sucking on ice chips
• Using a humidifier at night

Please call our convenient Winnipeg, Selkirk, or Southdale, MB dental office to learn more about dry mouth, or ask us during your next visit!

It's a moment many of our patients have experienced. One second you're chewing on a piece of gum, then suddenly you forget to keep chewing and swallow the entire rubbery gob whole! It's at this point you remember your mother warning you as a child that if you swallow gum it will stake a claim and take up residency in your belly for seven years. Dr. Brent Nickolaychuk and our team at Kildonan Orthodontics hate to take all the fun out of the mystery, but the truth is that chewing gum, when swallowed, will enter your stomach and move through your digestive system just like any other piece of food. So, if you ever accidentally swallow a piece of gum, there is no need to worry!

That being said, it's important to know that gum does not have any dietary benefits, so while it’s not exactly harmful to swallow, you still want to avoid swallowing it. If you are an avid gum-chewer, we encourage you to chew sugarless gum, especially if you are wearing braces, because gum with sugar can lead to cavities. Sugarless gum still has the same amount of flavor, but has fewer cavity-causing ingredients. In fact, many brands contain an additive called xylitol, a natural sweetener known to fight cavity-causing bacteria. Xylitol is also known to increase salivary flow as it rinses away plaque and acid.

The fact is, when the bacterium in your mouth breaks down sugar, what’s left behind is acid. This acid eats away at the enamel coating of your teeth, causing holes that we call cavities. Cavities can lead to other long-term mouth problems if they are not treated in time, so it is best to try and avoid overexposing your teeth to too many harmful substances!

If you have any questions about chewing gum, please contact our office. Happy (sugar-free) gum chewing!

At our office, Dr. Brent Nickolaychuk and our team do all that we can to make sure that your experience with us is the best it can possibly be. However, there’s an important role you play in this as well: leaving us reviews and feedback.

Whether there is something you’d like us to improve upon, or you’d just like to express your thanks for a job well done, your feedback is essential to our practice’s success.

We look forward to hearing from you, and are excited to hear what you thought of your most recent visit at our Winnipeg, Selkirk, or Southdale, MB office.

Modern dentistry has made the most of today’s technological innovations. And we’ve come a long way from the fraying sticks our ancestors used as toothbrushes.

On the other hand, while it’s a lot better than a fraying stick, the manual toothbrush model you’ve used for years might be ready for an upgrade. Should you take this opportunity to try out some new technology offering all the bells and whistles? Let’s answer that question by asking a few more questions.

Happy with your manual brush?

If you like your manual toothbrush and it’s doing the job, by all means, stick with it. But even your old familiar brush can evolve:

• There are lots of bristle options, but soft bristles are almost always the way to go. Medium and hard bristles can be too abrasive for your enamel.
• Heads come in a variety of sizes, so make sure the head size is comfortable. You want to be able to maneuver to reach every tooth surface, which a too-large brush head just can’t do.
• Try a different handle shape if you’re having trouble maneuvering and keeping a firm grip.
• Change your brush regularly. Brushes are effective for about three months before the bristles start to fray and breakdown. This is a good opportunity to experiment with different brands and styles.

Does your old brush suit your current needs?

Different types of manual toothbrushes are available for effective and comfortable brushing when you need options that a typical brush doesn’t provide:

• Special orthodontic toothbrushes are designed with bristles trimmed to fit around brackets and wires and smaller heads to reach into tight places.
• For those with mobility issues, brushes with larger or easy-grip handles make cleaning more comfortable.
• Brushes with extra-soft bristles are available if you have enamel erosion or sensitive gums.
• Because many women find their gums become especially sensitive during pregnancy, there are brushes designed especially for moms-to-be.

Is it time to go electric?

If you haven’t tried an electric toothbrush before, you might find that getting braces is a great reason to give one a spin.

• Electric toothbrushes can outperform manual models. A dedicated brusher might manage hundreds of brushstrokes for each minute of brushing, while an electric brush can provide thousands. If, despite your regular brushing, you have plaque build-up, an electric brush might be a good alternative to your manual brush.
• Models are available which can alert you when you’re brushing too hard—which is important for your enamel if you’re a heavy-handed brusher.
• If you tend to *think* you’ve brushed for the recommended two minutes, but have *actually* brushed 32 seconds, some electric brushes come with timers!
• There are tapered electric orthodontic brush heads designed just for people with braces.
• Electric brushes have bigger handles and can be easier to grip.

Is your current brush doing the job?

So, should you stick with the familiar toothbrush that’s worked for you all these years, or take this opportunity to try out some new technology that offers all the bells and whistles? The answer is clear: the right brush for you is the one that works!

If your regular checkups show that plaque is under control, you’re doing just fine with the brush in hand. If you or Dr. Brent Nickolaychuk notice plaque buildup, it’s time to consider making some changes. Whether it’s a question of tools, techniques, or time spent brushing, your Winnipeg, Selkirk, or Southdale, MB dental team has the answers you need for state-of-the-art dental hygiene.

Time to brush! So, you make sure you gently brush the plaque off the outside surfaces of your teeth. You want to present a gleaming smile to the world, after all. And you make sure to brush the inside surfaces as well, because who wants to feel a fuzzy patch of plaque every time their tongue hits their teeth? And, naturally, you remember to clean the tops of your molars, because those crevices make them more cavity-prone than any other surface.

Done? Not quite!

You might be surprised to learn that no matter how well you’ve brushed all the visible surfaces of your teeth, you’ve left quite a bit of enamel untouched—the adjoining, or touching, surfaces of the teeth that sit next to each other.

You’ve probably noticed that your bristles can’t . . . quite . . . reach all the enamel between your teeth (especially between your molars!) when you’re brushing. This means that food particles and plaque have an easier time sticking around. And when the bacteria in plaque are left undisturbed, especially with a banquet of food particles available, they produce acids which gradually eat away at the enamel covering our teeth, creating a cavity.

Here’s where we work in some specific dental vocabulary. “Interproximal” means between the adjoining, or touching, surfaces of the teeth. And an interproximal cavity is a cavity that develops on one of those side surfaces of your teeth.

• Preventing Interproximal Cavities

Fortunately, prevention is about as basic as it can be—brushing and flossing effectively. Dentists recommend brushing for two minutes at least twice a day and flossing once each day. While most of us are good about keeping up with brushing, sometimes that daily flossing is more a goal than a reality.

But it’s flossing which really does the trick when it comes to interproximal cleaning. If you floss correctly, food particles and plaque are removed from between the teeth and around the gum line—places where bristles just can’t reach.

When you wear braces, though, flossing isn’t quite so basic. Getting that floss just where it needs to be in between brackets and wires and in between teeth can be a challenge!

The good news is there are many products designed just to make flossing easier while you’re in orthodontic treatment:

• Floss threaders are flexible hoops that help you thread floss behind your wires easily.
• Precut floss strands use a stiff tip at one end for threading floss through wires.
• Interproximal brushes are tiny, cone-shaped brushes which can fit between your teeth and braces for precise cleaning.
• Water flossers eliminate floss altogether, using a pulsing stream of water to clean between and around teeth and braces.

During your next visit to our Winnipeg, Selkirk, or Southdale, MB office, Dr. Brent Nickolaychuk can give you tips on how to use any of these tools effectively for cleaner teeth and cleaner braces.

Preventing cavities on the exterior surfaces of your teeth is probably pretty much automatic by now, but don’t forget the potential for stealth decay! If we find signs of erosion on the sides of your teeth, or if your hygienist lets you know that you’ve got a lot of interproximal plaque buildup, work with your dental team to make sure “interproximal cavity” doesn’t become a working part of your dental vocabulary.

Whew! It’s a hot one! And whenever the temperature soars, you need to stay hydrated, especially when you’re outside or exercising. But all cold drinks aren’t equal when it comes to healthy hydration. Which beverages shouldn’t have a prime spot in your cooler when you’re wearing braces or aligners?

• Soft Drinks

You’re probably not surprised to find soft drinks at the top of the list. After all, sugar is a) a big part of what makes soda so popular, and b) not a healthy choice for your teeth.

Sugar is a favorite food source for the oral bacteria that make up plaque. These bacteria convert sugar into acids, and these acids attack the surface of your tooth enamel. Over time, the minerals which keep enamel strong begin to erode, and weakened, eroded enamel is a lot more susceptible to cavities.

So, what about sugar-free drinks? Does this make soft drinks a better choice? Unfortunately, you can take the sugar out of many sodas, but you can’t take the acids out. Most soft drinks are very acidic, even without sugar, and will cause enamel erosion just like the acids created by bacteria will.

• Fruit Drinks

Fruit juice provides us with vitamins, which is great, but it’s also full of natural sugars and acids. And blended fruit drinks and fruit punches often contain added sugars and added citric acids. Best to choose 100% fruit content and check the labels before you buy. (And you can always get refreshing fruit flavor by adding a slice of fruit to a glass of water.)

• Sports Drinks

You might be surprised to see these on the list—after all, they promise healthy hydration while you’re working out. And hydration is healthy—but sugars and acids aren’t. Even when the label tells you there’s no added sugar, that same label will often reveal high amounts of citric acid. In fact, some sports drinks are more acidic than sodas.

We’ll make an exception, though, for thirsty people who participate in sports or activities that require a lot of physical exercise and produce a lot of sweat. When we sweat, we lose electrolytes, those ionized minerals which help regulate many vital bodily functions. Talk to Dr. Brent Nickolaychuk about which sports drinks are best for you if you need to replenish your electrolytes when working out.

So, what’s your best hydration choice on a hot day? Water! It not only hydrates you, it cleans your teeth, it helps you produce saliva, and it often contains tooth-strengthening fluoride. But if you only have sports drinks in the cooler, or if you just want to enjoy a soft drink or a bottle of juice from time to time, no need to go thirsty. We have some ways to make sure your teeth are safer, even with this tricky trio:

• Rinse with water after you drink a sugary or acidic drink. And remember to brush when you get home.
• Be choosy. Check labels for added sugars and acids.
• Don’t sip your drinks all day long. Saliva actually helps neutralize acids in the mouth, but sipping acidic beverages throughout the day doesn’t give saliva a chance to work.
• Use a straw to avoid washing your enamel in sugars and acids.

While sugar and acids are never good for your teeth, it’s especially important to reduce your exposure while you’re in braces or aligners.

• Increased sugar means increased plaque and bacteria, which can collect around your brackets. When plaque isn’t cleaned away, bacterial acids cause mineral erosion, which shows up as white spots on your enamel. You don’t want to see a collection of white spots when those brackets come off!
• Filling a cavity might require the (temporary) removal of part of your braces.
• There’s a reason Dr. Brent Nickolaychuk and our team recommend that you only drink water with your aligners on. If you wear them while you drink sugary and acidic beverages, the liquid collects in your aligner tray, literally bathing your teeth in sugar and acid—and speeding up the process of erosion and decay.

You need to keep hydrated when it’s hot. When you’re packing your cooler, choose drinks that are healthy for your entire body, including your teeth and gums. Ask our Winnipeg, Selkirk, or Southdale, MB team for the best choices in cold drinks to make sure you’re getting the hydration you need—without the sugar and acids you don’t!

The Valentine shopping list is traditional and simple: Flowers. Candy. But if your Valentine is in braces this year, suddenly your choices become more complicated. No need to worry! Dr. Brent Nickolaychuk and our Winnipeg, Selkirk, or Southdale, MB team have some sweet suggestions that are both braces-friendly and Valentine-approved.

First, let’s look at some options where Cupid’s arrow has missed the mark.

• Caramels—these sticky treats are difficult to clean from orthodontic work, and sticky, chewy foods can even cause damage to wires and brackets.
• Chocolate covered nuts—hard foods such as nuts can break or bend wires and brackets.
• Assorted chocolates—a confectionary minefield! There are bound to be some caramels and nuts in there somewhere, hiding beneath an innocent coat of chocolate, just waiting to ruin your Valentine’s evening.
• Other candies such as taffy, licorice, hard candy? No, no, and no. Remember, anything sticky, chewy, or hard is on the “Loves Me Not” list.

So, which chocolate treats won’t break hearts or braces?

• Soft truffles—if it’s not Valentine’s Day without a be-ribboned box of chocolates, choose soft truffles to fill it.
• Chocolate mousse—the perfect end to a romantic dinner.
• Chocolate covered strawberries—it’s a special occasion treat that won’t mistreat braces.
• Rich chocolate cake—always a delightful indulgence, and even better if it’s in the shape of a heart.

If your Valentine is not a chocolate fan, there are other sweet treats that are delicious alternatives.

• Cheesecake can be topped with (pitted!) cherries to celebrate in holiday-appropriate color.
• Soft heart-shaped cookies will be even more romantic with decorative icing—add your initials for a personal touch.
• Select an array of frozen yogurt, ice cream, or gelato in different shades of pink.
• Macarons also come in a variety of pink and red shades—but make sure this confection is on your Valentine’s braces-friendly list!

Of course, you can celebrate the day without sugary tributes. A single flower, watching your favorite movie together or, best of all, a heartfelt card or letter are all wonderful ways to show you care. But if it’s just not the same holiday without a sweet treat, try some of our suggestions. Your Valentine will appreciate your thoughtfulness.

Nobody likes a dry mouth. It is an uncomfortable and sometimes oddly unexplainable sensation that most people like to avoid. It is not a condition that automatically sends you into a panic about your health, however, a dry mouth can be a bother and something you certainly want to change if possible. So, if you find yourself in the unpleasant position of having a dry mouth, here is what you can do.

Chew Sugar-free Gum: Chewing sugar-free gum will stimulate saliva in your mouth. The chewing motion of your jaw and teeth should take care of at least some of your dry mouth problem.

Suck on Sugar-free Candy: Similarly to chewing sugar free gum, if you suck on sugar free candy it should create more saliva in your mouth and moisturize it in the process.

Cut out the Caffeine:Caffeine can contribute to a dry mouth so by limiting, or eliminating your intake all together, you may find that your dry mouth is no more.

Stop Using Tobacco Products: Tobacco is another cause of dry mouth. Whether it is smokeless tobacco products or cigarettes, if you stop using them your dry mouth will likely improve. And not to forget, these products are exceedingly bad for your oral health to begin with, so you will be doing your mouth a favor even more so.

Drink Lots of Water: It may seem obvious, but drinking lots of water will likely improve your dry mouth. This is because dry mouth is usually a sign of dehydration, so plenty of fluids will surely help.

Dry mouth can be unpleasant, but it is often easily solved by either drinking more water, or trying one of the previously mentioned techniques. If the problem still persists you can always visit our Winnipeg, Selkirk, or Southdale, MB office to see Dr. Brent Nickolaychuk. More often than not, doing one of the above will leave your mouth more moisturized than it was previously, and hopefully it will be long-lasting as well.

According to Preferred Consumer, it's estimated that 50 percent of people around the world have teeth that are crooked, not aligned properly, or irregular. Fortunately today, orthodontics has advanced to the point where corrective devices, such as braces and retainers, are less obvious, more comfortable, and can be worn for shorter periods of time.

So, with that being said, how do you know if braces are right for you? Typically your dentist will be able to point out any issues with your teeth at your regular six-month cleanings and recommend you to an orthodontist. But here are some other things to keep in mind when deciding whether or not braces could be in your future:

Crooked Teeth

As children grow, so do their teeth. And more often than not, certain teeth will grow in crooked. This isn't uncommon, as the majority of children will require some sort of teeth correction, whether that’s braces or retainers. Retainers are custom-made devices that either work to hold teeth in place or correct tooth alignment. They're often worn all day, aside from meals, at the start of the treatment period and then eventually are rolled back so they're just worn at night. Braces on the other hand are worn for at least a year and work to help straighten or position teeth.

Overbite or Underbite

The other main oral issue that orthodontics helps correct is uneven alignment, such as an underbite or an overbite. You might hear Dr. Brent Nickolaychuk refer to this as a "malocclusion," which means "bad bite." Braces can help rearrange your alignment so an overbite or underbite is less of a problem. Typically after the braces come off for this sort of treatment, patients need to wear a retainer from Kildonan Orthodontics to finish the treatment.

While braces are typically associated with dental issues in children, more adults are wearing the devices as well. About one in every five braces wearers are adults; a sign that it's never too late to correct any oral issues. Part of this is due to the technological advancements in orthodontics. For instance, new braces feel much better and come in a variety of styles — including clear — so they're far less obvious. Plus, the wires on braces are now made from advanced metals, which are stronger and lighter, so they get the job done much more efficiently. With so many people wearing braces these days, nicknames like "metal mouth" and "brace face" are almost a thing of the past. What's more, is that insurance plans are increasingly covering orthodontic treatment, making braces a much more feasible option for families on a budget.

When weighing whether or not braces are in your future, it's important to study all of your options about the styles of braces and what treatment option is best for you. Also be sure to contact your insurance provider to see what is covered and what will have to be paid out of pocket. It might take a few years of treatment, but braces can give you that winning smile for the rest of your life. Call our Winnipeg, Selkirk, or Southdale, MB office with any questions you might have!

When we think of sports and dental damage, we naturally think of hockey and football. But when it comes to the actual number of dental injuries suffered each year, vying for top seed is the game of basketball.

How is this possible? After all, football and hockey are categorized as “collision sports”! But along with the helmets, shin guards, and padding, these teams quite often require mouthguards—and this makes all the difference. Studies have shown that an increase in the number of players wearing mouthguards means a decrease in the number of oral traumas.

And while basketball isn’t considered a collision sport, it is a contact sport. Basketball is a combination of running, jumping, hard surfaces, and solid bodies. And elbows. We can’t forget elbows. So a broken or even a knocked out tooth isn’t, unfortunately, all that unusual when bodies in motion meet hard surfaces—or other players. But there are other dental dangers as well. Besides tooth injuries, oral injuries can involve:

• The ligaments and bone structures holding teeth in place
• Bones in the upper and lower jaw
• Delicate gum, tongue, and mouth tissue.

You need a solid defensive strategy to reduce the severity of oral injuries or to prevent them from happening altogether, especially when you wear braces. The best play in your playbook? Wearing a mouthguard!

Choosing the right guard is key. There are three common options, and you can choose the model which works best for you:

• Stock guards, which are ready-made guards in pre-formed shapes and sizes. You can buy them over the counter in drug stores and sporting goods stores. Because these guards aren’t shaped to fit your teeth and mouth specifically, they can be less protective (and harder to speak around).
• “Boil-and-bite” guards can also be purchased, and can provide a closer fit. After warming the guard in hot water as directed, you place it in your mouth and bite down firmly to mold it to your teeth.
• Dr. Brent Nickolaychuk can make you a mouthguard that is designed and crafted specifically for your use. Because this guard is custom-fitted, it provides better protection for your teeth and mouth. Patients often find custom guards much more comfortable and more durable as well.

Mouthguards are most effective when you wear them on the court and care for them off the court. This means avoiding a few flagrant fouls.

• Dirty play

All those moist nooks and crannies inside your mouthguard are a perfect environment for bacteria, mold, and plaque buildup. You should clean your mouthguard carefully every time you wear it, and let it air dry before popping it back in the case. Ask Dr. Brent Nickolaychuk for advice on getting your guard and its case their cleanest.

• Failure to sub out in a timely fashion

Mouthguards don’t work if they’re damaged. If you notice any warping, breakage, or jagged or sharp edges, contact our Winnipeg, Selkirk, or Southdale, MB office for a replacement. If a guard doesn’t fit you properly, it doesn’t protect you, and sharp edges can irritate or injure delicate mouth tissue.

• Unnecessary roughness

Your mouthguard protects you, so don’t forget to protect it! Keep your guard in its case when you’re not wearing it to save it from dirt, damage, and disappearance.

If you know your basketball, you know your guard game can make all the difference. Even though a mouthguard might not be mandatory on your team, that doesn’t mean it’s not essential. Remember that basketball is a contact sport, and protect your teeth, your mouth, and your braces with a mouthguard whenever you play.

Summer means sun and heat and delicious, frosty treats to keep you cool while you’re enjoying the sun and heat. If you’re wearing braces this summer, not to worry! Dr. Brent Nickolaychuk and our team have plenty of ideas for icy treats to help you beat the heat.

• Fruit Smoothies

Low on refined sugars, high on vitamins and minerals, refreshing, delicious, easy on brackets and wires—what’s not to like about fruit smoothies? And if you want to up the nutritional value by adding some green vegetables to the blender, even better!

If you’re buying your smoothie instead of making it yourself, watch out for added sugars in ingredients like ice cream, sherbet, frozen yogurt, and sweetened fruit juice. It can be more challenging to keep your teeth clean with braces, so watching your sugar intake is more important than ever. Try a smoothie made with low-fat yogurt, fruits and/or vegetables, and 100% fruit juice instead. Just as delicious, without extra tablespoons of added sugar.

• Iced (Herbal, Green, or White) Tea & Frozen Coffee Treats

Coffee and black tea contain compounds called tannins, which can stain tooth enamel and braces. Using a straw can help you limit your enamel’s exposure. If you enjoy a cold, iced beverage occasionally, consider green, white, or herbal iced teas. They don’t stain as much, and many contain healthy antioxidants and other health benefits.

And if you can’t resist that creamy iced coffee beverage? Use a straw to avoid bathing your teeth in the stain-causing tannins and enamel-weakening acids found in coffee. Because these drinks can be full of added sugars, consider reduced-sugar options and skip the toppings.

• Frozen Treats

When you hear that familiar tune coming from the neighborhood ice cream truck, do you have to stand on the sidewalk, sadly watching it disappear into the distance? Not necessarily!

Milk shakes, ice cream, and frozen yogurt are a refreshing choice in a braces-friendly form—and they contain calcium. Popsicles and fruit bars can be a safe choice if you don’t bite into solid ice. You wouldn’t chew on ice because it could damage your braces, so make sure your frozen bar softens a bit before you enjoy it.

What kinds of frozen treats to avoid? If your favorite flavor of ice cream or your go-to ice cream bar contains hard or chewy additions like nuts and pieces of candy, choose another item from the menu. Surrounding nuts and candies with ice cream doesn’t actually make them any safer for your brackets and wires, and may lead to an unplanned visit to our Winnipeg, Selkirk, or Southdale, MB orthodontic office to fix a broken bracket.

We don’t recommend a steady diet of sweet treats, because you want a cavity-free smile when your braces come off. And water is always an excellent summertime choice for both hydration and health. But an occasional frosty dessert is cool and tasty and soothing, especially if you’ve just had an adjustment. Just be sure to brush—or rinse with water if you can’t brush—after indulging. Now, what’s on the menu for fall?

It’s a new year, and it couldn’t come fast enough for many of us! Let’s do our part to make this a better year in every way—and you can start by making this the year you quit smoking once and for all.

You know that smoking is very damaging to your body. Smokers are more likely to suffer from lung disease, heart attacks, and strokes. You’re at greater risk for cancer, high blood pressure, blood clots, and blood vessel disorders. With far-reaching consequences like this, it’s no surprise that your oral health suffers when you smoke as well.

How does smoking affect your teeth and mouth?

• Appearance

While this is possibly the least harmful side effect of smoking, it’s a very visible one. Tar and nicotine start staining teeth right away. After months and years of smoking, your teeth can take on an unappealing dark yellow, orange, or brown color. Tobacco staining might require professional whitening treatments because it penetrates the enamel over time.

• Plaque and Tartar

Bacterial plaque and tartar cause cavities and gum disease, and smokers suffer from plaque and tartar buildup more than non-smokers. Tartar, hardened plaque which can only be removed by a dental professional, is especially hard on delicate gum tissue.

• Bad Breath

The chemicals in cigarettes linger on the surfaces of your mouth causing an unpleasant odor, but that’s not the only source of smoker’s breath. Smoking also dries out the mouth, and, without the normal flow of saliva to wash away food particles and bacteria, bad breath results. Another common cause of bad breath? Gum disease—which is also found more frequently among smokers.

• Gum Disease

Smoking has been linked to greater numbers of harmful oral bacteria in the mouth and a greater risk of gingivitis (early gum disease). Periodontitis, or severe gum disease, is much more common among smokers, and can lead to bone and tooth loss. Unsurprisingly, tooth loss is also more common among smokers.  

• Implant Failure

Tooth implants look and function like our original teeth, and are one of the best solutions for tooth loss. While implant failure isn’t common, it does occur significantly more often among smokers. Studies suggest that there are multiple factors at work, which may include a smoker’s bone quality and density, gum tissue affected by constricted blood vessels, and compromised healing.

• Healing Ability

Smoking has been linked to weakened immune systems, so it’s harder to fight off an infection and to heal after injury. Because smoking affects the immune system’s response to inflammation and infection, smokers suffering from gum disease don’t respond as well to treatment. Smokers experience a higher rate of root infections, and smoking also slows the healing process after oral surgeries or trauma.

• Dry Socket

Smoking following a tooth extraction can cause a painful condition called “dry socket.” After extraction, a clot forms to protect the tooth socket. Just as this clot can be dislodged by sucking through a straw or spitting, it can also be dislodged by the force of inhaling and exhaling while smoking.

• Oral Cancer

Research has shown again and again that smoking is the single most serious risk factor for oral cancer. Studies have also shown that you reduce your risk of oral cancer significantly when you quit smoking.

• Consequences for Orthodontic Treatment

Finally, if this is the year that you’re investing the time and effort needed to create an attractive, healthy smile with orthodontic treatment, don’t sabotage yourself by smoking!

Cosmetically, smoking doesn’t just discolor your tooth enamel—tar and nicotine discolor your aligners and braces as well. If one of the reasons you chose clear aligners or ceramic brackets is for their invisible appearance, the last thing you want is yellow aligners and brackets.

More important, smoking, it’s been suggested, can interfere with your orthodontic progress. When blood vessels are constricted, your gums, periodontal ligaments, and bones can’t function at their healthy best, moving your teeth where they need to be steadily and efficiently. This means that your treatment could take longer. And if your smoking has caused gum disease, you might have to put any orthodontic treatment on hold completely until it’s under control.

Quitting smoking is a major accomplishment that will improve your life on every level. It’s always a good idea to talk to Dr. Brent Nickolaychuk for strategies to help you achieve your wellness goals for the new year. Make this the year you stop smoking, and the year your health improves in countless ways because you did.

Brackets and wires, clear aligners, lingual braces, regular brackets, self-ligating braces, elastics, spacers—you and your orthodontist have had to narrow down a lot of choices to discover the best treatment for your orthodontic needs. Now that the end of treatment is in sight, there’s one more important choice left—your retainer!

Do I Need a Retainer?

No retainer at all is probably the one option that’s off the table from the start. It’s not just your teeth that have changed position; it’s the bone and ligaments holding them that have changed as well.

A retainer prevents your teeth from moving away from their new, ideal location while your bones and ligaments are stabilizing. This process takes months, so keeping your teeth in place as your bone rebuilds and regains density is crucial.

What Are Your Retainer Options?

Three of the most popular retainer options available at our Winnipeg, Selkirk, or Southdale, MB office include:

• Hawley Retainers

This is the traditional retainer, with wires to hold your retainer in place and to keep the teeth properly aligned. The wires are attached to an acrylic plate molded to fit the roof of your mouth or around your bottom teeth. You can customize the acrylic base with colors and patterns for a one-of-a-kind look.

Hawley retainers are adjustable, so minor realignments can take place if necessary. The wire in front of your teeth makes these retainers visible, but, after several months of wearing them all day long, you may end up wearing them only at night.

Hawley retainers are removable, so you need to make sure they are safely in a case when you’re not wearing them. Minor damage can often be repaired, but it’s better to be proactive.

• Clear Plastic Retainers

These retainers look like clear aligners. They are formed by heating a thin piece of plastic and vacuum-forming it around a model of your teeth to create a custom, comfortable fit.

Clear retainers are almost invisible when worn, and can be removed when you eat or drink—which they should be, because food particles and liquids can be trapped inside them.

When you’re not wearing it, a clear retainer should always be in its case, because it must be replaced if the plastic is warped, cracked, or broken.

• Fixed Retainers

A fixed retainer is a small single wire bonded to the back of specific teeth, commonly the six bottom front teeth. Because fixed retainers don’t allow the teeth to move at all, they are often recommended for patients who had serious misalignments, extremely crowded teeth, or teeth with large gaps between them.

Many patients like fixed retainers because they keep teeth in perfect alignment, they won’t be seen, they’re comfortably small, and they can’t end up in the cafeteria recycling bin because you forget to replace them after lunch!

Fixed retainers are usually quite durable, but you’ll need to pay attention to your diet, because crunchy and chewy foods can put pressure on the retainer and damage it. These retainers also require special care with brushing and flossing, to make sure the teeth bonded to the wire stay clean and plaque-free.

The Right Retainer

The process of stabilizing your teeth in the jaw takes time. Choosing your retainer will depend in part on how long and how often you need to wear it: fulltime for months or for years, at night after several months of day-and-night wear, or long-term to make sure your orthodontic work lasts.

And there are other variables, as well. Your retainer might need to be removable. It might need to be adjustable. You might need a retainer for just your upper teeth, just your lower teeth, or both. All these factors and more need to be taken into consideration before deciding on your ideal retainer.

Fixed, removable, wire, plastic, colorful, clear—which retainer is right for you? The one that helps you retain the beautiful smile you’ve worked for all these months. Talk to Dr. Brent Nickolaychuk to discover the retainer that will protect that smile for years to come.

Somewhere in a bathroom drawer or medicine cabinet, we all have one—that little plastic dental floss dispenser. And whether you use your floss every day (yay!), or have completely forgotten it was in there (not so good), just how much do you know about that sturdy string? Let’s find out!

• Flossing has been around for hundreds of years.

FACT: It’s been just over two hundred years since Dr. Levi Spear Parmly, a dentist in New Orleans, suggested his patients use waxed silk thread to clean between their teeth. This is considered the first “official” invention of dental floss, although using some form of tool to get rid of food particles between the teeth has been around since prehistoric times.

• Brushing well is the same as flossing.

FICTION: It’s really not. While brushing does a great job of cleaning food particles, plaque, and bacteria from your enamel, there are some places those bristles can’t… quite… reach. Floss was designed to clean plaque and food from between the teeth and close to the gum line where your brush doesn’t fit.

• There’s more than one way to clean between your teeth.

FACT: Indeed there is! Not only are there many varieties of dental floss (waxed, flavored, round, flat, thick, thin, in a dispenser, attached to miniature floss wands), but you have alternatives if using any kind of floss is difficult for you. Water-flossers direct a pulsing stream of water between and around the teeth and gum line to remove food particles and plaque. Another useful alternative is the interproximal brush, a tiny little cone-shaped brush designed to remove food and plaque from those hard-to-reach spots.

• It’s impossible to floss with braces.

FICTION: Untrue—but it can be more challenging! That’s why there are any number of flossing products designed to work with and around your braces. Stiff strands of floss which work like dental picks, floss threaders, water flossers, and interproximal/interdental brushes can both clean between your teeth and remove food particles and plaque where they collect around your braces. Dr. Brent Nickolaychuk can suggest some great options to work with your individual orthodontic treatment.

• Flossing helps prevent gum disease.

FACT: Scientific studies haven’t provided definitive answers. But dental and periodontal associations strongly recommend daily flossing as one of the most important things you can do to prevent gum disease. Gingivitis, or mild gum disease, is caused by irritated, inflamed gum tissue. Gum tissue becomes irritated and inflamed as a response to the bacteria, plaque, and tartar that stick to your teeth. Anything you can do to help remove these irritants will reduce your risk of gum disease.

• Flossing helps prevent cavities.

FACT: Dentists strongly recommend daily flossing to remove the food particles and plaque that lead to cavities. Brushing removes cavity-causing plaque from the outer surfaces of your teeth. But there’s a lot of enamel between your teeth as well. Flossing removes plaque from these hidden spots, helping to prevent interproximal (“between the teeth”) cavities from forming.

• Bleeding when you floss is normal.

FICTION: Bleeding isn’t a typical reaction to flossing. Bleeding gums could be an early sign of gum disease caused by plaque and tartar buildup. On the other hand, if you floss too hard, or go too deeply below the gum line, you can make delicate gum tissue bleed. Ask Dr. Brent Nickolaychuk for tips on perfect flossing technique.

• You need to floss after every meal.

FICTION: Dental professionals generally recommend brushing twice a day and flossing at least once each day. But this suggestion comes with some exceptions. Since you have braces, Dr. Brent Nickolaychuk might recommend flossing whenever you have a meal or snack.

• Your dentist will never know that you haven’t been flossing.

FICTION: Nope. Sure, you can miss flossing a few times and catch up before your appointment at our Winnipeg, Selkirk, or Southdale, MB office. But built-up plaque between the teeth, red, swollen, or bleeding gums, and gingivitis and interproximal cavities let both you and your dentist know that you’ve been neglecting good dental habits.

• It’s never too late to start flossing!

FACT: Flossing is a simple, quick, and inexpensive way to maintain tooth and gum health. If you haven’t had much luck flossing in the past, ask Dr. Brent Nickolaychuk for flossing tools and techniques that will work for your specific needs. Start now, and see what a difference it will make at your next checkup!

If you had all these flossing facts at your fingertips, congratulations! But if you didn’t, no need to worry, because the real test of your knowledge is in its application. Flossing properly at least once each day will give you something far more rewarding than blog-quiz kudos—you’ll see that regular flossing rewarded with healthier teeth and gums!

Maybe you’ve wanted braces since childhood. Maybe you had them, but your teeth have shifted over time. Maybe you’re tired of living with an uncomfortable bite. Good news! If you’re not happy with your adult smile, that doesn’t mean you’ve missed the opportunity to have the healthy, attractive smile you’ve always dreamed of.

While there are many benefits to having orthodontic work done as a child, there’s a lot to be said for orthodontic treatment as an adult. After all, you know exactly what you want. You’re dedicated to following your treatment plan. You have plenty of discreet orthodontic options available now, from clear aligners to lingual braces, to make your treatment as inconspicuous as possible.

But, on occasion, adult treatment does come with some adult baggage. Worried about your crowns, fillings, or veneers? If these restorations are part of your dental history, we can generally work with them. Dental implants? Those might fall into a slightly different category.

Implants are a great way to restore your smile because they function like your natural teeth. They are designed to look just like natural teeth, and they allow you to speak, chew, and bite with confidence. Implants even stimulate the jawbone when we chew just as natural teeth do, helping to prevent bone loss in the jaw as we age.

But there is one important difference between implants and natural teeth: implants are firmly anchored in the jaw, while your natural teeth can change position.

Why is this a concern? Because tooth movement is one of the basics of orthodontic treatment. Unlike implants, our teeth aren’t firmly anchored in our jaws. They are held in their sockets by a ligament which cushions them and connects the tooth to the bone.

When braces or aligners gently apply consistent pressure to the teeth, the ligaments and eventually the bones holding the teeth reshape themselves in response to this pressure, and then become stable again during the retainer phase of treatment.

Implants, on the other hand, are crowns attached to a metal cylinder or screw that is surgically implanted into the jawbone. After several months, osseointegration takes place—which is a technical way of saying that the metal base fuses with the bone. This means that there won’t be any movement taking place—good when you’re chewing, but not helpful for realignment!

If you haven’t yet replaced a missing tooth with an implant, it’s often best to wait before starting orthodontic work. We can design treatment around a missing tooth, leaving room to accommodate an implant in just the right spot when your orthodontic treatment is finished.

If you have an implant already, the placement of your implant will help determine your treatment:

• If your implant is already perfectly placed for your future alignment, braces or aligners can be designed to work with and around your implant.
• If the placement is almost ideal, you might find a very small degree of misalignment acceptable, and we can plan your treatment around your existing implant.
• If it’s not possible to work with your implant where it’s presently located, it is possible to remove an implant. You would then have the implant procedure redone after your orthodontic work is complete.

Talk to Dr. Brent Nickolaychuk about your treatment possibilities. By analyzing your orthodontic goals and working with your dental history, we can let you know exactly what can be done for your teeth and bite—even if you have an implant.

True, there are many benefits to having orthodontic work done in your childhood, but there’s a lot to be said for orthodontic treatment as an adult. And the greatest benefit of all? You’ll finally have the healthy, self-confident smile you’ve always dreamed of. Talk to our Winnipeg, Selkirk, or Southdale, MB team about making that smile a reality.

It’s the season of giving and the start of a new year. What better time to gift yourself with the orthodontic treatment you’ve always wanted?

Orthodontic treatment isn’t just for children and teenagers. In fact, adults make up a significant—and growing—number of new patients looking forward to beautifully aligned teeth and a healthy bite.

And because today’s orthodontic treatments are more comfortable, take less time, and are less visible than ever before, they are a great fit for your busy adult life. You also have many more options from which to choose, including:

• Traditional Braces

Traditional braces are a proven method of aligning your teeth and bite, can be more economical than other options, and are often most effective in treating complicated orthodontic issues.

If traditional braces are best for your needs, you’ll be happy to hear that today’s braces are better than ever. Brackets are smaller. Innovative wire technology makes the orthodontic process even more efficient. And with self-ligating brackets, there’s no need for those colorful little bands around each bracket to hold those wires.

• Ceramic Braces

If you’re looking for something more inconspicuous, consider ceramic brackets. These ceramic or porcelain brackets are color-matched to your teeth, and, especially used with clear bands and lighter wires, create a less visible profile.

• Lingual Braces

This is your most discreet option, because these braces are located on the inside of the teeth. Lingual braces are custom designed, so they can be more expensive, and treatment can take a bit longer, but they are perfect for those who want invisible braces for personal or professional reasons.

• Clear Aligners

Clear aligners can treat many orthodontic conditions, including some complicated malocclusions. Your orthodontist can let you know if these removable, comfortable, and subtle aligners will work for you.

Adult orthodontics can give you the confident smile you’ve always wanted, which is reason enough to seek orthodontic treatment at our Winnipeg, Selkirk, or Southdale, MB office. And perfectly aligned teeth and a healthy bite have dental benefits as well as mental benefits!

• Reduce the Risk of Cavities and Gum Disease

Crooked and overlapping teeth are harder to keep clean. Getting in between the teeth to remove all the food particles and plaque can be difficult even with the most careful brushing and flossing. Built up plaque increases your risk of cavities, irritates delicate gum tissue, and causes gum disease.

• Prevent Tooth and Jaw Injuries

If your jaws have never fit together properly, you’ve probably experienced at least some of the consequences of a malocclusion, or bad bite. Worn and cracked teeth, damaged fillings and crowns, jaw pain, headaches, difficulty breathing—all of these problems can be caused by a misaligned bite.

If you’ve always wanted orthodontic treatment, talk to Dr. Brent Nickolaychuk to discover the possibilities. A more confident appearance, reduced risk of cavities and gum disease, a comfortable, pain-free bite—there’s no better gift to give yourself than a lifetime of healthy smiles!

When we think orthodontics, we commonly think teeth. Naturally! Straight teeth and a beaming smile are everyone’s orthodontic goal. But orthodontics is a field which specializes in more than misaligned teeth. While your beautifully aligned teeth are the visible outcome of your orthodontic work, a properly aligned bite is the foundation for your healthy smile.

A malocclusion occurs when the teeth and jaws aren’t properly aligned—they don’t fit together the way they should when the mouth is closed. A malocclusion, or bad bite, affects many people to some degree, but not always in exactly the same way. Some of the different types of malocclusion include:

• Crossbite

A crossbite occurs when upper teeth fit inside lower teeth. An anterior crossbite refers to the front teeth, with one or more upper front teeth, or incisors, fitting behind lower front teeth. A posterior crossbite affects the back teeth, with upper teeth fitting inside the lower teeth on one or both sides of the jaw.

• Crowding

When the jaw is small and/or the teeth are large, lack of space can result in crowded, twisted, or crooked teeth.

• Open bite

An anterior open bite means that the front teeth don’t close when biting down, leaving an open space between the upper and lower teeth. A posterior open bite occurs when the back teeth don’t make contact when the front teeth close.

• Overbite

Our upper front teeth naturally overlap the lower ones a small bit when the teeth are closed. An overbite occurs when the upper teeth significantly overlap the lower teeth.

• Overjet

When the upper front teeth protrude too far forward over the bottom teeth, it’s called an overjet, or, sometimes, buck teeth. Where an overbite causes a vertical overlap, an overjet takes into account the horizontal relationship of the teeth.

• Spacing

A jaw that is large, teeth that are small, missing teeth—these conditions can lead to gaps between the teeth.

• Underbite

An underbite results when the lower teeth and jaw extend further forward than the upper teeth and jaw, causing the bottom teeth to overlap the top teeth.

If you have a malocclusion, what comes next? This depends.

Some malocclusions are so minor that no treatment is necessary. Some are the result of misaligned teeth. Some occur because the upper and lower jaws are growing at different rates. Some are a combination of teeth and jaw misalignments. Some are caused by genetics, while others are caused by injuries or habits like prolonged thumb sucking or tongue thrusting.

Because malocclusions are so varied, your treatment plan will be designed for your specific needs. Braces, aligners, appliances like the Herbst® appliance or the palatal expander, surgery for severe malocclusions—there is a larger variety of treatment options than ever before to help you achieve a healthy bite.

When teeth and jaws don’t fit together as they should, the consequences can be damaged teeth and enamel, problems with the temporomandibular joint, headaches and facial pain, and difficulty chewing, eating, and speaking.

The good news is that early intervention for children can help correct teeth and jaw problems before they become more serious, leading to easier orthodontic care in the teen years, and helping to avoid the possibility of surgery or extractions. This is why Dr. Brent Nickolaychuk and our team recommend an orthodontic assessment at our Winnipeg, Selkirk, or Southdale, MB office for children around the age of seven.

If you’re an adult with concerns about your teeth or bite, there’s good news for you, too. Dr. Brent Nickolaychuk can devise a treatment plan to improve your bite and your smile no matter what your age.

Of course, despite our title, there’s really no such thing as a “common malocclusion” when we’re talking about your dental health. Each person—and each smile—is unique. Dr. Brent Nickolaychuk will diagnose your malocclusion and create a personalized plan carefully tailored to your exact needs, for an uncommonly attractive, confident, and healthy smile.

Braces are an investment in your smile. When your teeth reach a desired straightness, you’ll have a beautiful smile, but it’s important to keep it that way! You can accomplish this with a retainer provided by Kildonan Orthodontics.

A retainer is a small, custom-fit device that reinforces the new position of your teeth after your braces are removed. But for many patients, especially the youngest ones, wearing a retainer may seem like an annoyance. So exactly how long after your braces come off should you wear your retainer?

Graduation of Wear Time

When we remove your braces, Dr. Brent Nickolaychuk will evaluate the condition of the bone structure surrounding your teeth and determine how well it is adjusting to the new position of your teeth. For the first few months, we may require you to wear your retainer both day and night, except during meal times and for brushing and flossing.

As the bone and gum tissues adjust to your new smile, we may determine that you need to wear your retainer only at night. After about one year of wearing the retainer every night, you may be able to take a couple of nights off each week.

However, we do not recommend ever stopping permanently. To best secure the position of the teeth, especially through future extractions and oral health changes, wearing your retainer a few nights a week will be necessary for many years.

Considerations

If you are concerned about your appearance when you wear a retainer, there are many that can be worn discreetly. You could choose a clear plastic one that is less obvious during the months immediately following removal of your braces. When you change to night wear only, clear wire retainers are available for minimal visibility as well.

Another option is a lingual retainer. It is placed on the back sides of your teeth so no one will ever know it is there! Lingual retainers are also permanent, so there’s no risk of losing them.

Remember, wearing your retainer is an investment in your smile. If you fail to wear it consistently, the tissues that support your teeth will be unsupported, and you may begin to experience noticeable shifting. You’ve worked hard to get that beautiful smile — your retainer will let you keep it! Remember to call our Winnipeg, Selkirk, or Southdale, MB office if you have any questions about your retainer!

Even with the best of care, accidents can happen, and your retainer, unfortunately, is not immune. Of course, you need to visit our Winnipeg, Selkirk, or Southdale, MB office ASAP if your retainer is damaged, but, in the meantime, there are some strategies you can use to help your teeth—and your retainer—stay as healthy as possible while you wait.

For Removable Retainers

• When you notice any damage to your removable retainer—remove it.

Don’t wear a damaged retainer, especially overnight. You don’t want to damage it further, and you do want to avoid the possibility of choking if a retainer breaks while you’re sleeping. Dr. Brent Nickolaychuk and our orthodontic team are experts when it comes to deciding if your retainer is wearable, so always consult an expert before putting a suspect retainer back in your mouth.

• Damaged Hawley retainer?

If you have a Hawley retainer—the traditional wire retainer—here’s some good news: a Hawley retainer can often be repaired if it’s not damaged too badly. Don’t try to fix your retainer yourself, and bring it into our office as soon as possible to see if it’s fixable.

• Damaged clear retainer?

If you have a clear retainer, let’s start with the bad news: A clear retainer is not a repairable retainer. Cracks, breaks, warping—these injuries mean that a new retainer is in your future.

The good news is that materials for plastic retainers are available that are more durable than ever. This might be a good option for you to check out, especially if you suffer from bruxism, or tooth grinding, which can be very hard on clear retainers.

• When you’ve just finished treatment with clear aligners . . .

It’s worth asking if your last tray can sub for your retainer until you have it repaired or replaced.

• Ask us about over-the-counter mouthguards.

While you wait for a retainer repair/replacement, your teeth are at risk of shifting out of alignment. A customizable OTC mouthguard might reduce the chance of shifting, although it’s definitely not a long-term solution! We can let you know if this temporary fix is worth it.

For Fixed Retainers

If the wire retainer bonded to your teeth becomes loose, or if you notice your teeth shifting, you might need a repair or a replacement. This is a job for us. In the meantime,

• When you have a broken wire . . .

If a broken wire is causing discomfort, check to see if you should flatten it or cover the wire tip with dental wax to protect soft tissues. Warm water rinses can ease irritation.

• When your wire is broken or loose . . .

Stay away from chewy, sticky, and crunchy foods. You should be doing this anyway with a fixed retainer to keep it from becoming detached—and if it’s already loose, no need to make it more so!

• Ask us about over-the-counter mouthguards.

Check to see if an OTC, customizable mouthguard is a good idea to keep your teeth from shifting if you can’t visit Kildonan Orthodontics right away.

We started off by saying that accidents can happen even with the best of care. So you can imagine what can happen without the best of care. Keep your retainer in its case, keep it away from heat, don’t eat foods that can harm your retainer—all the precautions that make accidents unlikely to happen.

But if something awful befalls your retainer, call our Winnipeg, Selkirk, or Southdale, MB office right away. Why aren’t we suggesting ways to fix your broken retainer with the supplies you have in your home toolbox? Because the best life hack of all for someone with a damaged retainer is to leave the fixing to a dental professional.

You’ve taken the first step toward a healthier and more beautiful appearance by getting braces at Kildonan Orthodontics, and you’re probably wondering what comes next. The first week is the period of biggest adjustment, and there’s a lot to learn in this short time. Don’t worry; in a few short days your braces will feel completely natural.

The first week

On the first day, your braces will probably feel very odd in your mouth; it will take time to get used to them. By the second day, you may feel some soreness or pain. If you are going to experience any pain, the second and third days are when it will happen. Most pain can be dealt with by taking an over-the-counter pain reliever, such as Tylenol.

What about sore spots?

Your cheeks and tongue are getting used to your new braces, just like your teeth are. You may develop sore spots where this soft tissue rubs against the harsh metal of your braces. The best way to avoid this and allow your mouth to heal is by covering the metal spot with orthodontic wax. Break off a small piece and roll it into a ball in your hands. Dry the metal of the braces with a cotton swab, then wrap the wax around the sharp spot to create a cushion.

What if they break?

Braces are held onto your teeth with special orthodontic glue. Once in a great while, part of your appliance may come loose from the surface of a tooth. This won’t harm anything; it will just be slightly inconvenient. Call our office right away and we will be able to glue the bracket back on.

Make sure you avoid hard items such as ice, brittle, and other hard candies, and don’t open packages with your teeth. These habits can contribute to braces popping off. Even fairly innocent-sounding items like popcorn or French bread can be a culprit, so avoid eating any hard foods, or cut them up into small pieces before consuming.

If you have questions about which foods to eat and avoid, or if your braces are more sore than expected, feel free to contact our Winnipeg, Selkirk, or Southdale, MB office and ask Dr. Brent Nickolaychuk and our team. We’re more than happy to help!

Bite problems are so common that most of us know someone who’s worn braces. So perhaps you’re already familiar with the terms “overbite” and “underbite”—but if you’ve been diagnosed with an “overjet,” that just might be an orthodontic diagnosis that is new to you. If so, here are a few questions and answers to help promote overjet understanding.

Just what is an “overjet”?

An overjet is a type of malocclusion, which means that there’s a problem with your bite, the way your jaws and teeth fit together when you bite down. In a healthy bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth. The key word here is “slightly.”

An overjet is a Class II malocclusion, which means that the upper front teeth project further beyond the lower teeth than they should. Overjets and overbites are both Class II malocclusions, and the words are often used interchangeably, but there’s a notable difference between the two conditions.

An overbite occurs when the top teeth overlap the bottom teeth too far vertically, and you can’t see as much of the lower teeth as you should when you bite down.

An overjet is considered more horizontal in nature, where the top teeth project at an outward angle toward the lips instead of pointing straight down toward the bottom teeth. This condition is sometimes called protruding or buck teeth.

What causes an overjet?

The reason for your overjet might be dental (caused by tooth alignment), or skeletal (caused by bone development), or a combination of both.

Overjets can run in families. They can also be caused by the size and position of your jaws and the shape and position of your teeth, all of which affect your bite alignment. But early oral habits, such as prolonged and vigorous thumb-sucking or pacifier use, can also contribute to overjet development.

How do we treat an overjet?

There are many types of treatment available. Dr. Brent Nickolaychuk will recommend a treatment plan based on the cause and severity of your overjet. Because some treatments are effective while bones are still growing, age plays a part as well.

• Braces and Aligners

If you have a mild overjet, and minor dental issues are the main cause of the malocclusion, braces or clear aligners can effective.

• Functional Appliances

If the overjet is caused by a problem with upper and lower jaw development, devices called functional appliances can be used to help guide the growth of the jawbones while a child’s bones are still forming.

For young patients, there are several appliances which can help correct an overjet. Some, such as the Twin Block and the Forsus Spring appliances, work inside the mouth, while others, like headgear, are worn externally. Your orthodontist will recommend the most effective appliance for your needs.

• Surgical treatment

In some cases, where the malocclusion is skeletal in nature as well as dental, surgical treatment might be necessary to reshape the jawbone itself.

If we recommend surgery, oral and maxillofacial surgeons are experts in surgical procedures designed to create a healthy and symmetrical jaw alignment. Dr. Brent Nickolaychuk will work with your surgeon to design a treatment plan, which will usually include braces or other appliances following surgery.

Why treat your overjet?

A serious, moderate, or even mild overjet can lead to many dental and medical problems, including:

• Concerns about facial and dental appearance
• Front teeth which are more at risk for injury
• Difficulty closing the lips
• Problems speaking or chewing
• Headaches, facial, and temporomandibular (jaw) joint pain

When you work with our Winnipeg, Selkirk, or Southdale, MB team to correct your overjet, you’re not just correcting a problem. You’re also creating something—a healthy, comfortable bite, and an attractive, confident smile. We can talk about general answers to your overjet questions, but when it comes to understanding your very individual smile, Dr. Brent Nickolaychuk will have all the answers you need to make that healthy bite and that confident smile a reality! 

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the orthodontic office of Dr. Brent Nickolaychuk hopes that Halloween is fun and enjoyed by all of our awesome patients!

Trick or Treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

• Limit the amount of candy they can consume each day
• Have them brush their teeth after eating candy
• Avoid hard, chewy candies as they can stick in hard to brush places
• Keep candy out of sight to reduce temptation
• Don't buy candy too far in advance to limit pre-Halloween consumption
• Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is a North American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun, stepping outside our normal lives, and donning a costume or gathering with friends to knock on doors and ask for candy. Have a safe and happy Halloween from the team at Kildonan Orthodontics!

For months and months, you’ve been dedicated to following your orthodontic treatment plan. Wearing your bands or putting in the hours with your aligners. Eating orthodontic-friendly foods. Seeing your orthodontist on a regular basis.

But that’s all in the past. Today, your braces are coming off! You’ve finished with your last set of clear aligners! Now it’s time to enjoy your accomplishment and celebrate this moment.

And after you’ve celebrated the moment, what’s next? Why, it’s time to look to the future! Because one thing we can predict for the years ahead is that you’ll want to keep your smile looking as wonderful as it does today. Let’s look at some of the simple steps you can take to retain that new smile.

Keep Up With Your Brushing and Flossing

Wearing braces or aligners meant learning a whole new way to take care of your teeth and gums. You used special tools to clean around your brackets and wires. You learned how to keep your aligners clean and stain-free. You brushed and flossed after every meal and snack break.

So returning to regular hygiene habits should be a cinch—two minutes of thorough brushing at least twice a day, with careful flossing at least once each day. And you’ll probably notice something else which makes your life easier—properly aligned teeth are easier to brush and floss effectively.

But just because it’s easier, doesn’t mean it’s not as important. Keeping your teeth clean and cavity-free and your gums healthy will keep your smile looking its best, so be sure to brush and floss just as consistently as you did when you were in treatment.

See Your Dentist Regularly

Even though you won’t be making regular visits to our Winnipeg, Selkirk, or Southdale, MB office anymore, that doesn’t mean your dental calendar is clear! Cavities aren’t a good look for your new smile. Neither are tartar stains or red and swollen gums.

Checkups once or twice a year mean that you have a healthy smile as well as a beautifully aligned one. And a professional cleaning from your dentist’s office will make sure it’s a gum-healthy, bright, and stain-free smile as well.

Wear Your Retainer

Your teeth may have moved to their perfect positions, but they haven’t moved there permanently yet.

During orthodontic treatment, gentle pressure from your appliance causes steady, careful tooth movement. As teeth move in the jaw, old bone cells around the roots break down where they’re no longer needed, and new bone cells build up around the roots in their new position. It’s a gradual process which makes sure your teeth are held firmly in the jawbone.

Bu this isn’t the end of the process. When you stop wearing braces or aligners, teeth and ligaments may begin shifting back to their original location. The new bone tissue that holds your teeth in their ideal spots isn’t strong enough yet to stop this shifting, especially with the normal forces of biting, chewing, clenching, and all the other activities that put pressure on teeth.

Your retainer holds your teeth in just the right position while jawbone tissue has time to reshape, rebuild, and stabilize. This can take months or more to accomplish, especially when you’ve had a more serious misalignment or bite correction.

Which also means . . .

Wear Your Retainer as Long as Necessary

Dr. Brent Nickolaychuk will recommend the best retainer for you. Three popular options include:

• Hawley Retainers—the traditional removable retainer. This appliance uses wires embedded in a molded acrylic plate to keep your teeth properly aligned and to hold your retainer in place.
• Clear Plastic Retainers—a removable custom retainer made of vacuum-formed plastic. This piece looks and fits over the teeth like a clear aligner.
• Fixed Retainers—a small single wire bonded to the back of specific teeth to hold them in place and prevent any movement.

For the first few months, you might need to wear your removeable retainer both night and day, and then switch to nighttime wear. Dr. Brent Nickolaychuk might recommend long-term nightly retainer use, or perhaps taper to a few nights a week. A fixed retainer can last for many years. We can’t tell you how long you’ll need to wear your retainer because that answer depends on your specific orthodontic needs.

If you do stop wearing your retainer and find that your teeth are shifting, see Dr. Brent Nickolaychuk as soon as possible. Fixing a slight shift can be fairly uncomplicated, but waiting until your teeth and bite are more seriously out of alignment could require another session in braces or aligners.

The hard work you’ve put in to create your smile is past, and today you’re enjoying all the benefits of aligned teeth and a comfortable bite. Taking simple steps to maintain these benefits will help guarantee a future filled with healthy, confident smiles.

An overbite is one of the most common malocclusions. If Dr. Brent Nickolaychuk and our team have diagnosed you with an overbite, you probably have lots of questions. Let’s try to answer some of them!

Just what is an “overbite”?

A malocclusion is another way of saying that you have a problem with your bite, which is the way your jaws and teeth fit together when you bite down. In a healthy bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth. A normal overlap is generally considered one or two millimeters.

An overbite is a Class II malocclusion, and means that the upper front teeth cover more of the lower teeth than they should. But that’s a very general definition, and we will diagnose and treat your own, very specific, bite and teeth alignment.

Because overbites aren’t all alike. They might be barely noticeable. Upper teeth might overlap lowers by an extra millimeter or two. In more severe overbites, the upper teeth might cover the lower teeth completely. The amount of overlap and the cause of the overbite will determine your treatment.

What causes an overbite?

Overbites can be dental, caused by tooth alignment, or skeletal, caused by bone development, or a combination of both. They are usually hereditary, so, most often, an overbite is something you’re born with.

The size and position of your jaws, the shape and position of your teeth, all affect your bite alignment. But early oral habits, such as prolonged and vigorous thumb-sucking or pacifier use can contribute to overbite development. Missing teeth and bruxism, or tooth grinding, can also affect the alignment of your bite.

How do we treat an overbite?

There are many types of treatment available. Dr. Brent Nickolaychuk will recommend a treatment plan based on the type and severity of your overbite. Because some treatments are effective while bones are still growing, your age plays a part as well.

• Braces and Aligners

If dental issues are the main reason for your overbite, braces or clear aligners can be very effective. Rubber bands are commonly used to help bring teeth and jaw into alignment.

• Functional Appliances

If the overbite is caused by a problem with upper and lower jaw development, devices called functional appliances can be used to help guide the growth of the jawbones while a child’s bones are still forming.

For young patients, there are several appliances that can help correct an overbite. Some, like the Herbst appliance, work inside the mouth, while others, like headgear, are worn externally. Your orthodontist will recommend the most effective appliance for your needs.

• Surgical treatment

In some cases, where the problem is skeletal rather than dental, surgical treatment might be necessary to reshape the jawbone itself. This is especially true for adults, whose bones have finished forming.

If we recommend surgery, oral and maxillofacial surgeons are experts in surgical procedures designed to create a healthy and symmetrical jaw alignment. Dr. Brent Nickolaychuk will work with your surgeon to design a treatment plan, which will usually include braces or other appliances following surgery.

Why treat your overbite?

Sometimes, a very slight overbite won’t require treatment. A serious, moderate, or even mild overbite, though, can lead to many dental and medical problems, including:

• Crooked, crowded teeth
• Worn teeth and enamel
• Problems speaking or chewing
• Difficulty sleeping
• Headaches, facial, and temporomandibular (jaw) joint pain

When you work with our Winnipeg, Selkirk, or Southdale, MB team to correct your overbite, you’ll not only prevent these unpleasant consequences, but you’ll achieve major benefits as well—a healthy, comfortable bite, and an attractive, confident smile. If you’d like more than an overbite overview, Dr. Brent Nickolaychuk can provide the specific information and treatment plan you need to make that healthy bite and that confident smile a reality!  

It seems like sharks are everywhere these days—on land, sea, and air(waves). A halftime show meme gone viral. A week of summer TV devoted to our favorite apex predators. And who doesn’t have “Baby Shark” playing in their heads all day once they’ve heard it? But are we jumping the shark to discuss this topic in an orthodontic blog?

Not at all! Because today, we’re going to talk about shark teeth—just not the ones you might be expecting.

One of the expected sights when a shark opens its mouth are those rows and rows of shiny shark teeth. Sharks can grow from two to 15 rows of teeth at any one time (and some sharks have even more). This means sharp new teeth are always ready to replace any shark tooth which is lost, broken, or worn out.

An unexpected sight? When children point to their new adult tooth or teeth coming in—right behind their still-firmly rooted baby teeth! This double set of teeth is called “shark teeth,” and, while it certainly might come as a surprise, it’s not all that uncommon. But why do children develop shark teeth at all?

After all, baby, or primary, teeth have small roots, and are designed to come out easily when the adult teeth start arriving. When a permanent tooth starts to erupt, it pushes against the root of the baby tooth above it. This pressure gradually dissolves the root of the primary tooth, and with nothing to anchor it, it’s now loose, wiggly, and ready to fall out. That’s why baby teeth often look like they have no roots at all when they eventually wiggle free.

Sometimes, though, the roots of a primary tooth don’t break down, which means baby teeth stay right where they are. It also means that the permanent teeth have to erupt somewhere else—usually behind those stubborn little baby teeth.

Shark teeth can first appear around the ages of five to seven when the permanent front teeth start arriving, or several years later, when the adult molars begin to come in. Any extra teeth in one small jaw naturally raise concerns about tooth misalignment, especially when those extra teeth are molars. If double molars are causing crowding, it’s a good time for your child to have an orthodontic examination at our Winnipeg, Selkirk, or Southdale, MB office to make sure the permanent teeth are properly positioned.

Unlike sharks, we don’t have an endless supply of replacement teeth, so it’s understandable to worry when you see anything unexpected. If you want to know more about shark teeth, or if you have any concerns, don’t hesitate to call Dr. Brent Nickolaychuk for expert advice.

When you think of orthodontic treatment, you may automatically assume that it only relates to older children and teens with alignment and spacing issues. But this isn’t the case: Orthodontic treatment at Kildonan Orthodontics offers many benefits when applied at a young age.

By considering orthodontic treatment at a younger age, Dr. Brent Nickolaychuk and our staff are able to identify your child’s alignment issues early on, and are able to intervene in order to provide treatment as the teeth begin to develop. It is important to start dental care early, not only for proper dental health and the cosmetic benefits, but to improve a child’s overall health as well.

The Benefits of Straighter Teeth

Besides the cosmetic benefits, there are multiple advantages to starting orthodontic treatment at a young age:

• It can reduce the extent of orthodontic treatment needed later.

• With early treatment, the pediatric dentist helps guide the teeth into their right position to prevent the removal of teeth and improve an overbite, underbite, or crossbite.

• Straighter teeth are easier to clean and better for preventing tooth decay.

• As a benefit to you, the parent, your child’s orthodontic expenses will be much lower with early treatment.

• Lastly, much early treatment is covered by dental insurance.

Stages of Orthodontic Treatment

Multiple stages are included in early orthodontic treatment, with three stages in all:

The first stage is early treatment that starts around age two or three, and continues until the child is around six years old. This stage deals with preventive measures, such as avoiding bad habits that lead to crooked teeth and creating a plan for the future based on how the teeth are growing in.

During stage two, when the child is six to 12 years old, the first permanent teeth erupt and the dentist looks at possible early treatment for misalignment or bite issues.

Finally, stage three occurs during adolescence to correct any further problems with permanent teeth.

Dr. Brent Nickolaychuk and our staff are able to see how the teeth first erupt and know right away whether or not your child will need to have braces later on. Early treatment means fewer procedures, cleaner teeth, and less expense.

Orthodontic treatment involves a lot more than just straightening your teeth. For a healthy smile, your bite must be healthy as well! This means that the upper and lower jaws need to fit together properly and comfortably.

If your bite is out of alignment because of jaw misalignment, orthodontic treatment can help correct the shape and position of your jaws with devices called functional appliances. These appliances are most often used for young patients whose bones are still growing, and are designed to treat malocclusions, or bite problems.

Common malocclusions such as overbites and overjets can occur when the upper teeth protrude further than they should, or the lower jaw is positioned too far back, or both. The Twin Block appliance can be used in such cases to help move your lower jaw and teeth into alignment with your upper jaw.

Why “Twin”? Because the Twin Block appliance is two separate pieces, each made of wire and smooth acrylic. Both pieces are crafted to fit precisely over your upper and lower arches and can be adjusted as your treatment progresses. The top plate can also be adjusted, if necessary, to widen the upper palate.

Why “Block”? Acrylic blocks cover the biting surfaces of several of your upper and lower teeth. These blocks fit together like a 3D puzzle. When you bite down, the upper blocks interlock with the lower blocks, pushing the lower blocks forward just a bit before you can bite down completely. Over time, bit by bit (and bite by bite), the Twin Block appliance advances your lower jaw and teeth to create a balanced, comfortable bite.

For the quickest and best results, you should wear your Twin Block appliance as directed. It’s made to be worn comfortably while you sleep, eat, and otherwise go about your day. (It’s a good idea to check with our Winnipeg, Selkirk, or Southdale, MB orthodontic team to see about removing it when you’re active, especially for swimming and contact sports.) When it’s time to brush, the Twin Block appliance is removable. This means that you can clean your teeth and your appliance easily.

And, while it’s made to work hard for you, it’s not indestructible. Don’t expose your appliance to heat or hot water, as the plastic may warp. Use the cleaning methods we recommend. Finally, when your appliance is out of your mouth, keep it in its case! You don’t want your appliance to end up carefully wrapped in a napkin in the nearby recycling bin. Or, even worse, in your dog’s mouth instead of yours.

The Twin Block appliance might fit together like a puzzle, but there’s nothing puzzling about how to achieve your best and fastest results. Your success really depends on you. Follow Dr. Brent Nickolaychuk and our team’s advice, wear your appliance as directed, and you’ll be on your way to a healthy, comfortable bite and an attractive, confident smile!

You might have been one of the lucky few born with perfectly straight teeth and a healthy bite. You might have spent months in orthodontic treatment as a teenager to achieve perfectly straight teeth and a healthy bite. But now that you’re growing older, you might be unhappily surprised to discover that your smile isn’t aging as gracefully as you are.  What’s changed?

That’s a trick question, because our bodies never stop changing, growing, and adapting. And these constant adjustments include the changes taking place in your teeth and mouth. You might begin to notice subtle differences in your smile when you’re in your thirties or forties. After young adulthood, several factors come into play which can cause shifting teeth and a misaligned bite:

• Teeth naturally shift.

Shifting can be a result of the normal changes time brings. The periodontal ligaments which attach our teeth firmly to the jawbone lose some of their strength; the jawbones which hold our teeth in place lose some of their density and begin to narrow. Our teeth also have a natural tendency to move toward the front of the mouth, a phenomenon called “mesial drift.”

Add all of these elements together, and your once straight teeth start to crowd together and even overlap—especially the front bottom teeth.

• Stressful habits stress your teeth.

If you habitually grind or clench your teeth, you’re putting pressure on them. Just like the gentle pressure of braces and aligners can shift teeth into alignment, the more uncontrolled force of grinding can push teeth out of alignment.  

• Losing a tooth affects surrounding teeth.

Nature abhors a vacuum, and so does your smile. If you lose a tooth, your other teeth will automatically start to drift into the space left open by the missing tooth.

• A neglected retainer is gathering dust in a drawer somewhere.

You might have spent time as a teenager in orthodontic treatment, with a beautiful smile to show for all your hard work. And, back in the day, your orthodontist no doubt let you know that you needed to keep wearing your retainer at night once your treatment was completed.

If that’s one healthy habit you abandoned as you got older, don’t be surprised if your teeth start to migrate back to their old, less-than-perfect positions.

Between normal biological changes and the wear and tear of daily life, you might find one day that your smile isn’t that same beaming smile you’re used to seeing in the mirror. And it’s not just an aesthetic concern.

Crooked teeth are harder to clean, and built-up plaque means more decay and gum disease. Shifting teeth can cause malocclusions, or bite problems, which can bring you jaw pain, headaches, and chipped or cracked teeth.

If your smile has changed over time, it’s time to give Dr. Brent Nickolaychuk a call. There are many discreet options which can return your smile to you, including:

• Clear aligners—comfortable, removable, and often unnoticeable.
• Traditional braces—brackets are smaller than ever, and you can choose ceramic brackets which are color-matched to blend in with your enamel.
• Lingual braces—these braces are attached to the inside of the teeth, for complete invisibility.

And what if you’ve never been as confident in your smile as you wanted to be? There’s good news here as well—it’s never too late to see an orthodontist. Make an appointment at our Winnipeg, Selkirk, or Southdale, MB office to discover how you can make sure your smile looks just as young as you feel!

The alarm sounds in the morning, you wake up and realize "I forgot to wear my retainer!"

If this only happened once, don't panic. Missing one night with a retainer is unlikely to cause significant teeth movement. However, if it has happened often, give our Winnipeg, Selkirk, or Southdale, MB office a call to make sure your teeth haven’t shifted position.

Here are some tips from Dr. Brent Nickolaychuk to help you remember your retainer:

1. Write down the instructions we give you for wearing the retainer, whether you should wear it all day or at night, or just a few times a week. Writing things out like this helps set the schedule in your memory.

2. Clean the retainer when you take it out each time. If you don’t you may not have time when you’re rushing to get to work or school to clean it properly and may be tempted not to wear it.

3. Put a note on your mirror or in your purse or wallet reminding you to wear your retainer.

4. Set an alarm on your mobile phone to remind you when it’s time to put the retainer in. If you have email with a calendar you can set up daily reminders, too.

5. Always put the retainer in its case when you take it out to eat or sleep. You’ll reduce your risk for losing it or accidentally throwing it away.

6. If you don’t have to wear the retainer every day, you can use some recurring events to help you remember. With this system for example, watching your favorite weekly TV show, laundry day, or family pizza night can all serve as reminders that you should put in your retainer.

7. Don’t be shy about asking for help if you’re forgetful. Assure your spouse, parents, siblings, or roommates that you won’t consider if nagging if they remind you to wear your retainer.

8. Surf online for examples of how teeth can shift when retainers are not properly used. Those stories can serve as timely warning not to let the same thing happen to you!

Remember, you can always call our Winnipeg, Selkirk, or Southdale, MB office if you feel your retainer is uncomfortable or painful. We'll work with you to protect your smile!

Getting your child excited about braces is a lot like: A) convincing a grumpy toddler that it’s time to take a nap? B) convincing a teenager to stop texting during dinner? C) convincing your husband to eat his peas? The answer, obviously, is all of the above.

And that’s why you may need a few thoughtful ways to get your child on board with braces.

1. Throw a pre-braces party. It can’t be just any party, however, but a Willy Wonka celebration of candy, chips, gum, and all the sticky and sweet foods your child won’t be able to indulge in during the time he or she is wearing braces. Promise a post-braces celebration, too, and watch as your child’s eyes widen at the thought of an all-you-can-eat junk food buffet.
2. Encouraging phrases like “braces aren’t eternal, but your straight smile will be” can go a long way.
3. If your daughter is worried about getting picked on because of braces, then name-drop some A-list celebrities who have worn them. The list includes Cameron Diaz, Kelly Clarkson, Dakota Fanning, and Gwen Stefani.
4. Emphasize that braces today aren’t the same as they were in the Stone Age. From clear ceramic braces to different-colored braces, more options are available. Braces can be cool accessories to express a personal style.
5. To get your child to embrace braces, you need to sing the praises of beautiful teeth, even if that means pointing out how crooked your teeth are because you never got braces.

If your teeth don't line up like they used to any more, you may be suffering from temporomandibular joint disorder, often called TMD. This is a term that can actually be applied to any condition that occurs because the temporomandibular joint (TMJ) is inflamed.

The temporomandibular joint is essentially the hinge that holds your lower jaw to your skull, and when it is inflamed or damaged in any way, it can be extremely painful. You have two temporomandibular joint, one on each side of your jaw, and it is typical to experience TMD in both sides at the same time.

Shifting of the Teeth

The reason that your teeth may not line up as they once did is that the ball and socket joints are often out of alignment and, as mentioned above, often very inflamed as a result. In order to correct the problem, Dr. Brent Nickolaychuk may prescribe dental orthotics such as a lower jaw splint.

Sometimes, the wisdom teeth can play a role in the shifting of the teeth as well. If shifting wisdom teeth is combined with TMD, it may be necessary to have your wisdom teeth removed. Dental splints may follow if your teeth don't shift back to their proper positions on their own.

TMD is certainly a difficult thing to deal with, so if you experience your teeth shifting, scheduling an appointment at our Winnipeg, Selkirk, or Southdale, MB office is the smartest course. We want to help you get your smile back, so give us a call anytime.

First, let’s clarify what we mean about clear braces. We’re not talking about clear aligners, which can be a great option if you want treatment that is a) removable and b) almost invisible. But sometimes only traditional brackets-and-wires braces will do when it comes to your orthodontic treatment. Does this mean you can’t opt for a more subtle, less visible treatment plan?

No! Orthodontic advances in materials and design mean that you have more options than ever before when it comes to selecting brackets and wires. If you prefer more inconspicuous braces for professional or personal reasons, some of the current options in clear braces might be just the (inconspicuous) look for you.

“Clear braces” can refer to several styles of brackets and wires:

• Brackets themselves can be crafted in porcelain, ceramic, or plastic. High quality materials make them strong and stain-resistant.
• Brackets can be transparent or can be carefully tinted to blend in with your enamel.
• Some of these brackets require the usual ligatures (those tiny rubber bands holding the wire to the brackets), so it’s important to choose a band color to coordinate for a monochromatic look.
• Some of these brackets are self-ligating, designed to hold the archwire with built-in clips and needing no ligatures at all.
• Finally, there are coated and even non-metallic archwires that are designed to blend in with your enamel color and work without calling attention to themselves. Depending on your individual bite and tooth alignment, these wires might be an option.

Some of the common questions about clear braces include:

• Can everyone use clear braces?

While clear braces generally function just as traditional metal braces do, there are some cases where they might not be ideal depending on the amount and type of alignment and bite correction you need. Dr. Brent Nickolaychuk will let you know the best options to treat your orthodontic problems as effectively as possible.

• Are they as strong as typical metal braces?

Clear brackets are quite strong, but they’re not as durable as metal brackets. If you choose porcelain, ceramic, or plastic brackets, we’ll give you all the information you need for their care.

• Do clear braces take longer to work?

They might take a bit more time to bring your teeth into alignment, or they could work just as quickly as traditional braces. They often take less time than aligners. Today’s orthodontic treatments work more efficiently and therefore more quickly than ever before, so if there are any differences in wear-time, they probably won’t be significant.

Your individual orthodontic needs will dictate how long any treatment plan will take, and if different treatment options will add or save you time. Before you choose any orthodontic plan, we’ll go over all your options and give you an estimate for treatment time for each of them.

• Any notable differences from metal brackets?

Clear brackets can be larger than metal versions. Because they can also be somewhat abrasive, they might be suggested only for your upper teeth. We’ll let you know if these brackets are a good fit for you.

• Do clear braces stain?

Today’s clear brackets aren’t prone to staining—that would certainly defeat the purpose of choosing them! We’ll give you instructions on keeping them as clean and clear as possible. Do remember, if you use ligatures, that these little bands can stain if your diet is big on coffee, tea, cola, blueberries, or any other colorful food.

• Are clear braces more expensive?

Cost of treatment is based on several factors, including the type of braces you select. We’ll be happy to compare the costs of your various treatment options.

If you want the benefits of traditional braces, but don’t necessarily want the visibility of regular metal brackets, consider the many transparent and tinted options available. Want more clarity? Talk to a member of our Winnipeg, Selkirk, or Southdale, MB orthodontic team! You might discover that clear braces are the clear choice to create your healthy, beautiful smile.

If you’re heading back to classes in the next few weeks, you’re probably getting your gear together now. So let’s talk about some of the items you can pack to make orthodontic care easier during school hours.

• Dental-Healthy Food

Watching what foods you eat is especially important now. If you’re carrying your lunch or snacks in your pack, you want to be sure that they’re approved for braces and aligners.

If you wear braces, avoid foods which are sticky, chewy, or crunchy. They can stick to your teeth (making it easier for cavities to develop) or cause damage to your brackets and wires (making repairs necessary). Your orthodontist will give you a list of braces-friendly foods.

If you have clear aligners, even though you’ll remove them to eat, that sticky rule still applies. You don’t want food trapped in your aligners if you can’t brush right after eating, because that food is also food for the oral bacteria which cause cavities.

Bringing a water bottle with you is a great idea if it’s hard to brush after eating. Rinsing with water is a good way to get rid of loose food particles, and staying hydrated helps maintain normal saliva production—which also helps wash away food debris.

• Toothbrush, Toothpaste, and Floss

It’s best to clean your teeth after every snack and meal if at all possible. A travel-sized brush, toothpaste, and dental floss or picks designed for braces will help you get rid of any unwanted dental leftovers. And a small mirror can help you discover any lingering food particles.

It’s especially important now to practice careful hygiene, so be sure to wash your hands before and after cleaning your teeth or appliances.

• Your Aligner or Retainer Case

Whenever you take off your retainer or aligners to eat, you should always have your case handy. Cases make sure your appliances stay off germy desk and table surfaces—or worse, floors—and protect them from breakage. A case is also a good way to make sure your retainer doesn’t accidentally end up in a trash bin after lunch.

Again, before and after you handle your braces, aligners, or retainer, be sure to wash your hands carefully.

• Dental Wax & Extra Bands

Sometimes a wire comes loose or a bracket irritates the inside of your cheeks or mouth. In this case, dental wax is a great way to protect yourself from irritation and injury. And if a band is lost or breaks, it’s always good to have a spare (or two) handy. As always, handwashing rules apply!

• Your Mouth Guard

If your afterschool activities involve contact sports, a mouthguard is always a good idea, and especially when you wear braces. Dr. Brent Nickolaychuk can create a custom guard which will protect your teeth, your delicate mouth tissue, and your braces from many impact injuries.

• Your Orthodontist’s Phone Number

One important item that takes up almost no space in your backpack, locker, or phone is the phone number for our Winnipeg, Selkirk, or Southdale, MB office. If your braces are damaged, or if your aligner or retainer is lost or broken, we will let you know what to do until you can safely visit the office in person.

Talk to our team about how to care for your braces or aligners while you’re at school, and talk to your school about how you can manage your dental care safely during school hours.

Proper mouth protection is recommended by Kildonan Orthodontics when you participate in any sports activities. If you wear braces, this protection becomes essential. Injuries to your mouth can not only damage your teeth, but your braces could break and cut open your lip.

Full Facial Guards

Full facial guards are often used in football and offer protection to your mouth from most injuries. Even with full facial protection, you may benefit from additional mouth protection. While your face is protected from outside impact, you could still suffer from cuts or damage to your braces from internal impact.

Mouthguards

Mouthguards referred to as boil-and-bites can be purchased at many retail stores. As the name implies, these guards are boiled in water to heat and soften the material. While the guard is still warm, you place it in your mouth and bite down gently. This causes the guard to form to the shape of your mouth. Unfortunately, these guards do not necessarily offer the best protection or fit.

Dr. Brent Nickolaychuk can make custom mouthguards specifically for you. The custom fitting ensures you of better protection and a comfortable fit. Custom guards are also built in layers for durability. The American Dental Association recommends custom guards for orthodontic patients. Your mouthguard will be designed to provide proper protection for both your teeth and your braces.

No matter what type of sport you participate in, a mouthguard can protect your braces. Even an activity as seemingly harmless as table tennis can result in a contact injury. The Academy for Sports Dentistry states that a properly fitted mouthguard should not interfere with any athletic activity.

Kildonan Orthodontics will provide you with properly-fitting mouth protection to ensure the safety of your braces and your teeth. We will be glad to answer any questions you have so you can continue the activities you enjoy with little concern. If you do suffer any injuries to your mouth or braces during sporting activities, please contact us immediately. The sooner we can care for your mouth, the better the results will be.

Now that you’ve graduated from your braces or aligners, you might think you’re finished with orthodontic cleaning tips. Not quite yet! Your retainer needs love, too—not just because it can look or smell “less than appealing” without your help, but because it’s good for your dental health.

Removable Retainers

If you have a Hawley retainer or a clear retainer, cleaning it whenever you remove it is a great idea. Unappetizing white patches mean plaque or mineral deposits from your saliva have dried and hardened on your retainer’s surface. And if you notice an unpleasant taste or odor, it probably means that germs and bacteria have made themselves at home and are growing in and on your appliance.

You don’t want old plaque or new bacteria in your mouth! Here are some ways to keep your retainer clean and fresh:

• After wearing it, you can clean your retainer with a toothbrush, but don’t brush too vigorously. You might scratch it. Use a soft or even extra-soft brush to clean out all the nooks and crannies, and then rinse.
• Use cleaning products which have been recommended by Dr. Brent Nickolaychuk if your retainer needs a deeper clean. Denture cleaners, retainer cleaners, and even toothpastes can be too abrasive or cause discoloration, so use the products made for your specific retainer.
• Let your retainer dry before storing it in a dry place after cleaning. Shutting a damp retainer into a closed case provides bacteria with the damp, dark environment they thrive in. (PS—clean your case regularly, too!)
• One of the benefits of a clear retainer is that it’s almost invisible. And you can help keep it that way by removing it whenever you eat or drink. Your retainer can become stained from colored foods or liquids.

Fixed Retainers

A permanent retainer is a small piece of wire that is custom-fit and bonded to the inside of selected teeth to keep them from shifting. Because food particles and plaque can accumulate around a fixed retainer, brushing after meals and at least twice a day is recommended. Bacteria and plaque cause bad breath, cavities, and tartar buildup, and removing tartar might require removing your retainer.

While a fixed retainer can be tricky to clean, there are techniques and products that make cleaning easier and more effective:

• An orthodontic toothbrush with a smaller head might reach behind your teeth more comfortably.
• Don’t forget to floss! Using a floss threader will help you get that wriggly floss behind the retainer and between your teeth.
• Try a water flosser. These handy devices direct a stream of water right into hard-to-reach places for more thorough cleaning.

If you’re having trouble keeping your retainer clean, our Winnipeg, Selkirk, or Southdale, MB orthodontic team can teach you all you need to know about tools and techniques to keep your retainer—and your teeth and gums—healthy. An attractive smile is a great thing. A healthy, attractive smile is even better!

Now that you’ve graduated from your braces or aligners, you might think you’re finished with orthodontic cleaning tips. Not quite yet! Your retainer needs love, too—not just because it can look or smell “less than appealing” without your help, but because it’s good for your dental health.

Removable Retainers

If you have a Hawley retainer or a clear retainer, cleaning it whenever you remove it is a great idea. Unappetizing white patches mean plaque or mineral deposits from your saliva have dried and hardened on your retainer’s surface. And if you notice an unpleasant taste or odor, it probably means that germs and bacteria have made themselves at home and are growing in and on your appliance.

You don’t want old plaque or new bacteria in your mouth! Here are some ways to keep your retainer clean and fresh:

• After wearing it, you can clean your retainer with a toothbrush, but don’t brush too vigorously. You might scratch it. Use a soft or even extra-soft brush to clean out all the nooks and crannies, and then rinse.
• Use cleaning products which have been recommended by Dr. Brent Nickolaychuk if your retainer needs a deeper clean. Denture cleaners, retainer cleaners, and even toothpastes can be too abrasive or cause discoloration, so use the products made for your specific retainer.
• Let your retainer dry before storing it in a dry place after cleaning. Shutting a damp retainer into a closed case provides bacteria with the damp, dark environment they thrive in. (PS—clean your case regularly, too!)
• One of the benefits of a clear retainer is that it’s almost invisible. And you can help keep it that way by removing it whenever you eat or drink. Your retainer can become stained from colored foods or liquids.

Fixed Retainers

A permanent retainer is a small piece of wire that is custom-fit and bonded to the inside of selected teeth to keep them from shifting. Because food particles and plaque can accumulate around a fixed retainer, brushing after meals and at least twice a day is recommended. Bacteria and plaque cause bad breath, cavities, and tartar buildup, and removing tartar might require removing your retainer.

While a fixed retainer can be tricky to clean, there are techniques and products that make cleaning easier and more effective:

• An orthodontic toothbrush with a smaller head might reach behind your teeth more comfortably.
• Don’t forget to floss! Using a floss threader will help you get that wriggly floss behind the retainer and between your teeth.
• Try a water flosser. These handy devices direct a stream of water right into hard-to-reach places for more thorough cleaning.

If you’re having trouble keeping your retainer clean, our Winnipeg, Selkirk, or Southdale, MB orthodontic team can teach you all you need to know about tools and techniques to keep your retainer—and your teeth and gums—healthy. An attractive smile is a great thing. A healthy, attractive smile is even better!

Orthodontists and dentists both help patients improve their oral health, but in different ways. Dentistry is a broad medical specialty that deals with the teeth, gum, nerves, and jaw, while orthodontics is a specialty within dentistry that focuses on correcting bites, occlusion, and the straightness of teeth. One important difference is that all orthodontists like Dr. Brent Nickolaychuk are dentists, but not all dentists are licensed orthodontists.

How are they similar?

The main similarity between a dentist and orthodontist is that they both focus on oral care. An orthodontist can work in a dental office and provide the same care as a dentist. So in this respect, they are quite similar. They are both considered doctors, and deal with the teeth and gums.

How are they different?

There are more differences than similarities. An orthodontist requires additional schooling as a dental specialty; the situation is similar to a doctor who obtains additional schooling to become a surgeon. Another difference is that orthodontists specialize in helping patients with the alignment of their teeth, improving their bite, or fitting them for corrective braces and devices. If a patient has an overbite, a dentist will refer him or her to an orthodontist.

Dentists typically encourage good oral hygiene and provide services related to:

• Tooth decay
• Root canals
• Gum disease
• Crowns
• Bridges
• Veneers
• Teeth whitening

Orthodontists are dentists that specialize in the alignment of teeth, and provide services related to:

• Misaligned teeth
• Crowded teeth
• Overbite
• Underbite

What an orthodontist can help with

Orthodontists help with crooked teeth, but they assist patients with other issues as well. These include overbites and underbites, crossbites, spaces between teeth, overcrowding of teeth, and the treatment of temporomandibular disorders (TMD). Additional problems with the jaw also need to be treated by an orthodontist.

While a dentist may be trained to provide orthodontic care in addition to extractions, TMJ treatments, and fillings, trusting your smile to an orthodontist can better balance the different procedures you require.

To learn more about the difference between dentists and orthodontists, or to schedule an initial consultation with Dr. Brent Nickolaychuk, please give our team at Kildonan Orthodontics a call at our convenient Winnipeg, Selkirk, or Southdale, MB office.

Orthodontists and dentists both help patients improve their oral health, but in different ways. Dentistry is a broad medical specialty that deals with the teeth, gum, nerves, and jaw, while orthodontics is a specialty within dentistry that focuses on correcting bites, occlusion, and the straightness of teeth. One important difference is that all orthodontists like Dr. Brent Nickolaychuk are dentists, but not all dentists are licensed orthodontists.

How are they similar?

The main similarity between a dentist and orthodontist is that they both focus on oral care. An orthodontist can work in a dental office and provide the same care as a dentist. So in this respect, they are quite similar. They are both considered doctors, and deal with the teeth and gums.

How are they different?

There are more differences than similarities. An orthodontist requires additional schooling as a dental specialty; the situation is similar to a doctor who obtains additional schooling to become a surgeon. Another difference is that orthodontists specialize in helping patients with the alignment of their teeth, improving their bite, or fitting them for corrective braces and devices. If a patient has an overbite, a dentist will refer him or her to an orthodontist.

Dentists typically encourage good oral hygiene and provide services related to:

• Tooth decay
• Root canals
• Gum disease
• Crowns
• Bridges
• Veneers
• Teeth whitening

Orthodontists are dentists that specialize in the alignment of teeth, and provide services related to:

• Misaligned teeth
• Crowded teeth
• Overbite
• Underbite

What an orthodontist can help with

Orthodontists help with crooked teeth, but they assist patients with other issues as well. These include overbites and underbites, crossbites, spaces between teeth, overcrowding of teeth, and the treatment of temporomandibular disorders (TMD). Additional problems with the jaw also need to be treated by an orthodontist.

While a dentist may be trained to provide orthodontic care in addition to extractions, TMJ treatments, and fillings, trusting your smile to an orthodontist can better balance the different procedures you require.

To learn more about the difference between dentists and orthodontists, or to schedule an initial consultation with Dr. Brent Nickolaychuk, please give our team at Kildonan Orthodontics a call at our convenient Winnipeg, Selkirk, or Southdale, MB office.

While it’s normal to feel self-conscious, there is no reason to avoid photos just because you wear braces. Many people wear braces and you do not need to be embarrassed about them. There are also ways you can enjoy your photos without hiding your smile.

Make it Fun

Dr. Brent Nickolaychuk and our staff offer rubber bands for braces in a wide range of colors. Choose your favorite color and wear it with pride. You can mix and match your colors too. For Valentine’s Day, try alternating red and pink bands. For the Fourth of July, use red, white, and blue!

Bands are also available in neon colors and glow-in-the-dark designs. Your imagination is the only thing holding you back. You might want to avoid using dark green bands, though. It makes it look as though you have broccoli stuck in your teeth. Gross!

Make them Disappear

If your braces still really bother you in photos, technology can quickly solve the problem. A photo-editing program, or even a simple paint program, can easily erase your braces. Zoom in on your teeth, pick your natural tooth color with the dropper, and paint your braces away.

If you have a significant amount of metal in your braces, try to avoid close-ups with flash. The flash can reflect off the metal. The important thing to remember is how good your teeth will look and feel once your orthodontic work is complete. Dr. Brent Nickolaychuk and our staff can also show you options for braces that are not as visible as the traditional style.

While it’s normal to feel self-conscious, there is no reason to avoid photos just because you wear braces. Many people wear braces and you do not need to be embarrassed about them. There are also ways you can enjoy your photos without hiding your smile.

Make it Fun

Dr. Brent Nickolaychuk and our staff offer rubber bands for braces in a wide range of colors. Choose your favorite color and wear it with pride. You can mix and match your colors too. For Valentine’s Day, try alternating red and pink bands. For the Fourth of July, use red, white, and blue!

Bands are also available in neon colors and glow-in-the-dark designs. Your imagination is the only thing holding you back. You might want to avoid using dark green bands, though. It makes it look as though you have broccoli stuck in your teeth. Gross!

Make them Disappear

If your braces still really bother you in photos, technology can quickly solve the problem. A photo-editing program, or even a simple paint program, can easily erase your braces. Zoom in on your teeth, pick your natural tooth color with the dropper, and paint your braces away.

If you have a significant amount of metal in your braces, try to avoid close-ups with flash. The flash can reflect off the metal. The important thing to remember is how good your teeth will look and feel once your orthodontic work is complete. Dr. Brent Nickolaychuk and our staff can also show you options for braces that are not as visible as the traditional style.

While it’s normal to feel self-conscious, there is no reason to avoid photos just because you wear braces. Many people wear braces and you do not need to be embarrassed about them. There are also ways you can enjoy your photos without hiding your smile.

Make it Fun

Dr. Brent Nickolaychuk and our staff offer rubber bands for braces in a wide range of colors. Choose your favorite color and wear it with pride. You can mix and match your colors too. For Valentine’s Day, try alternating red and pink bands. For the Fourth of July, use red, white, and blue!

Bands are also available in neon colors and glow-in-the-dark designs. Your imagination is the only thing holding you back. You might want to avoid using dark green bands, though. It makes it look as though you have broccoli stuck in your teeth. Gross!

Make them Disappear

If your braces still really bother you in photos, technology can quickly solve the problem. A photo-editing program, or even a simple paint program, can easily erase your braces. Zoom in on your teeth, pick your natural tooth color with the dropper, and paint your braces away.

If you have a significant amount of metal in your braces, try to avoid close-ups with flash. The flash can reflect off the metal. The important thing to remember is how good your teeth will look and feel once your orthodontic work is complete. Dr. Brent Nickolaychuk and our staff can also show you options for braces that are not as visible as the traditional style.

While it’s normal to feel self-conscious, there is no reason to avoid photos just because you wear braces. Many people wear braces and you do not need to be embarrassed about them. There are also ways you can enjoy your photos without hiding your smile.

Make it Fun

Dr. Brent Nickolaychuk and our staff offer rubber bands for braces in a wide range of colors. Choose your favorite color and wear it with pride. You can mix and match your colors too. For Valentine’s Day, try alternating red and pink bands. For the Fourth of July, use red, white, and blue!

Bands are also available in neon colors and glow-in-the-dark designs. Your imagination is the only thing holding you back. You might want to avoid using dark green bands, though. It makes it look as though you have broccoli stuck in your teeth. Gross!

Make them Disappear

If your braces still really bother you in photos, technology can quickly solve the problem. A photo-editing program, or even a simple paint program, can easily erase your braces. Zoom in on your teeth, pick your natural tooth color with the dropper, and paint your braces away.

If you have a significant amount of metal in your braces, try to avoid close-ups with flash. The flash can reflect off the metal. The important thing to remember is how good your teeth will look and feel once your orthodontic work is complete. Dr. Brent Nickolaychuk and our staff can also show you options for braces that are not as visible as the traditional style.

While it’s normal to feel self-conscious, there is no reason to avoid photos just because you wear braces. Many people wear braces and you do not need to be embarrassed about them. There are also ways you can enjoy your photos without hiding your smile.

Make it Fun

Dr. Brent Nickolaychuk and our staff offer rubber bands for braces in a wide range of colors. Choose your favorite color and wear it with pride. You can mix and match your colors too. For Valentine’s Day, try alternating red and pink bands. For the Fourth of July, use red, white, and blue!

Bands are also available in neon colors and glow-in-the-dark designs. Your imagination is the only thing holding you back. You might want to avoid using dark green bands, though. It makes it look as though you have broccoli stuck in your teeth. Gross!

Make them Disappear

If your braces still really bother you in photos, technology can quickly solve the problem. A photo-editing program, or even a simple paint program, can easily erase your braces. Zoom in on your teeth, pick your natural tooth color with the dropper, and paint your braces away.

If you have a significant amount of metal in your braces, try to avoid close-ups with flash. The flash can reflect off the metal. The important thing to remember is how good your teeth will look and feel once your orthodontic work is complete. Dr. Brent Nickolaychuk and our staff can also show you options for braces that are not as visible as the traditional style.

Getting braces comes with a lot of rules. No sticky candies, watch out for popcorn, and steer clear of chips. These rules leave many braces-wearers wondering what they can still eat without hurting their teeth or their expensive orthodontic appliances. Fortunately, constructing a braces-friendly lunch is straightforward once you know which foods to avoid.

Foods to Avoid When Wearing Braces

There are a few food categories to avoid when you have braces. Sticky foods also stick to the metal in your braces, and can potentially break wires or individual braces. For example: bubblegum, candy bars, caramel, licorice, fruit roll-ups, and Starbursts should be avoided. Many of these foods also contain high levels of sugar, which can cause plaque build-up if not brushed away properly.

Also, be wary of hard foods that can harm your orthodontic appliances. Avoid eating hard taco shells, chips, Rice Crispy treats, hard candy, beef jerky, and popcorn. Some healthy foods, such as carrots, apples, corn on the cob, and nuts, are hard on braces. To eat these foods safely, cut them into smaller pieces before eating.

Remember that certain habits may be harmful to your braces. For example, crunching on ice cubes may be a reflexive response when you’re enjoying a cold beverage, but this can significantly harm your braces and extend treatment time. To stay on the safe side, Dr. Brent Nickolaychuk and our team at Kildonan Orthodontics recommend you drink beverages without ice or add crushed ice whenever possible.

Lunch Recipe

Even with braces, it’s easy to enjoy a healthy, nutritious lunch. For example, make a panini on whole wheat bread with slices of turkey deli meat, a piece of Swiss cheese, and tomato slices. Spread 1 tbsp. of mustard or mayonnaise on the bread before toasting the sandwich in a panini grill. Serve the panini with ½ c. low-fat cottage cheese and a sliced pear or apple for a balanced meal. Then grab a pudding cup or some JELLO for dessert. Wash it all down with water containing a lemon wedge or all-natural fruit juice. Make sure to brush your teeth or rinse with mouthwash after lunch to wash away sugars and food residue that can get trapped in braces and cause decay.

If you have any questions about what you can and can’t eat with braces during your treatment at Kildonan Orthodontics, be sure to ask our team during your next appointment at our Winnipeg, Selkirk, or Southdale, MB office!

When you’re busy at school or work, when you’re on vacation, when you’re on the road to adventure—preparation helps everything go smoothly. Especially when the unexpected happens! So, how can you be prepared for any orthodontic and dental situations which might arise? By creating these useful—and portable—travel kits.

Everyday Basics Kit

Dentists recommend brushing twice a day and flossing at least once each day for clean and healthy teeth. But after a long day at school or work with no time to head home before your date, or a garlic-heavy lunch in the cafeteria, or a dash from the classroom to after-school activities, you might feel like there’s no time like the present to give your smile a bit of a boost.

Be prepared with a small travel bag filled with these easy-to-carry basics to get you through your busy day with clean teeth, fresh breath, and a confident smile:

• Toothbrush and case—and do make sure your case is ventilated so your brush can air dry. Bacteria love a closed, damp environment!
• Toothpaste
• Mini-bottle of mouthwash
• Small mirror—to check for any lunch leftovers
• Dental floss—to remove any lunch leftovers. Use braces-friendly dental floss if you have traditional braces.
• Dental Wax—to cover any uncomfortable wires or brackets
• Interproximal brushes—to remove food particles from around your braces and between your teeth
• Extra rubber bands
• Aligner/Retainer case—keep your aligner or retainer safe and clean while you’re eating

Flight Gear

Getting set to travel by air again after this long lay-over? Your basic kit will do the job with just a few minor additions and alterations.

• A travel version of your manual or electric toothbrush and travel case
• Plug adapter or voltage converter as needed for your electric brush if you’re visiting another country
• Quart size, resealable plastic bag to hold your carry-on supplies. Toothpaste and mouthwash are included in the list of items which need to fit carry-on guidelines.
• Travel-size toothpaste—3.4 oz (100 ml) or smaller tube size. (And an almost-empty regular size tube doesn’t count!)
• Travel-size mouthwash—also in a 3.4 oz (100 ml) or smaller container
• Our Winnipeg, Selkirk, or Southdale, MB office’s phone number. In case of emergency, Dr. Brent Nickolaychuk can give you advice on how to handle any problem which might arise when you’re far from home.

Looking for Adventure?

If you’re camping in the forest, leaving for the lake, going for a road trip, or heading out on any travel adventure, you’ll be bringing the dental care basics, of course. We’d also like to recommend some items to take along in the event of a dental emergency while you’re away from home:

• Dental mirror
• Cotton rolls
• Over-the-counter pain relief—including a tube of oral pain relief gel
• Ice pack
• Dental wax—this handy item not only protects against sharp wires, it can cover the sharp edges of a broken bracket
• Temporary fillings—to protect your sensitive tooth if a filling or crown is lost
• Tooth preservation kit—to protect a dislodged tooth in case it can be reimplanted. (This means seeing a dentist very quickly, usually within 30 minutes of the accident.)

And, if you’ll be mountain biking, water skiing, or enjoying any activity where there’s potential for impact, don’t forget to pack your mouthguard!

Preparation is key to eliminating a lot of stress in our daily lives, and who couldn’t use a bit of stress-relief these days? Make room in your bag, locker, desk, luggage, or backpack for some portable, lightweight dental necessities. Be prepared to share your confident, healthy smile no matter what life has in store!

When you’re busy at school or work, when you’re on vacation, when you’re on the road to adventure—preparation helps everything go smoothly. Especially when the unexpected happens! So, how can you be prepared for any orthodontic and dental situations which might arise? By creating these useful—and portable—travel kits.

Everyday Basics Kit

Dentists recommend brushing twice a day and flossing at least once each day for clean and healthy teeth. But after a long day at school or work with no time to head home before your date, or a garlic-heavy lunch in the cafeteria, or a dash from the classroom to after-school activities, you might feel like there’s no time like the present to give your smile a bit of a boost.

Be prepared with a small travel bag filled with these easy-to-carry basics to get you through your busy day with clean teeth, fresh breath, and a confident smile:

• Toothbrush and case—and do make sure your case is ventilated so your brush can air dry. Bacteria love a closed, damp environment!
• Toothpaste
• Mini-bottle of mouthwash
• Small mirror—to check for any lunch leftovers
• Dental floss—to remove any lunch leftovers. Use braces-friendly dental floss if you have traditional braces.
• Dental Wax—to cover any uncomfortable wires or brackets
• Interproximal brushes—to remove food particles from around your braces and between your teeth
• Extra rubber bands
• Aligner/Retainer case—keep your aligner or retainer safe and clean while you’re eating

Flight Gear

Getting set to travel by air again after this long lay-over? Your basic kit will do the job with just a few minor additions and alterations.

• A travel version of your manual or electric toothbrush and travel case
• Plug adapter or voltage converter as needed for your electric brush if you’re visiting another country
• Quart size, resealable plastic bag to hold your carry-on supplies. Toothpaste and mouthwash are included in the list of items which need to fit carry-on guidelines.
• Travel-size toothpaste—3.4 oz (100 ml) or smaller tube size. (And an almost-empty regular size tube doesn’t count!)
• Travel-size mouthwash—also in a 3.4 oz (100 ml) or smaller container
• Our Winnipeg, Selkirk, or Southdale, MB office’s phone number. In case of emergency, Dr. Brent Nickolaychuk can give you advice on how to handle any problem which might arise when you’re far from home.

Looking for Adventure?

If you’re camping in the forest, leaving for the lake, going for a road trip, or heading out on any travel adventure, you’ll be bringing the dental care basics, of course. We’d also like to recommend some items to take along in the event of a dental emergency while you’re away from home:

• Dental mirror
• Cotton rolls
• Over-the-counter pain relief—including a tube of oral pain relief gel
• Ice pack
• Dental wax—this handy item not only protects against sharp wires, it can cover the sharp edges of a broken bracket
• Temporary fillings—to protect your sensitive tooth if a filling or crown is lost
• Tooth preservation kit—to protect a dislodged tooth in case it can be reimplanted. (This means seeing a dentist very quickly, usually within 30 minutes of the accident.)

And, if you’ll be mountain biking, water skiing, or enjoying any activity where there’s potential for impact, don’t forget to pack your mouthguard!

Preparation is key to eliminating a lot of stress in our daily lives, and who couldn’t use a bit of stress-relief these days? Make room in your bag, locker, desk, luggage, or backpack for some portable, lightweight dental necessities. Be prepared to share your confident, healthy smile no matter what life has in store!

When you’re busy at school or work, when you’re on vacation, when you’re on the road to adventure—preparation helps everything go smoothly. Especially when the unexpected happens! So, how can you be prepared for any orthodontic and dental situations which might arise? By creating these useful—and portable—travel kits.

Everyday Basics Kit

Dentists recommend brushing twice a day and flossing at least once each day for clean and healthy teeth. But after a long day at school or work with no time to head home before your date, or a garlic-heavy lunch in the cafeteria, or a dash from the classroom to after-school activities, you might feel like there’s no time like the present to give your smile a bit of a boost.

Be prepared with a small travel bag filled with these easy-to-carry basics to get you through your busy day with clean teeth, fresh breath, and a confident smile:

• Toothbrush and case—and do make sure your case is ventilated so your brush can air dry. Bacteria love a closed, damp environment!
• Toothpaste
• Mini-bottle of mouthwash
• Small mirror—to check for any lunch leftovers
• Dental floss—to remove any lunch leftovers. Use braces-friendly dental floss if you have traditional braces.
• Dental Wax—to cover any uncomfortable wires or brackets
• Interproximal brushes—to remove food particles from around your braces and between your teeth
• Extra rubber bands
• Aligner/Retainer case—keep your aligner or retainer safe and clean while you’re eating

Flight Gear

Getting set to travel by air again after this long lay-over? Your basic kit will do the job with just a few minor additions and alterations.

• A travel version of your manual or electric toothbrush and travel case
• Plug adapter or voltage converter as needed for your electric brush if you’re visiting another country
• Quart size, resealable plastic bag to hold your carry-on supplies. Toothpaste and mouthwash are included in the list of items which need to fit carry-on guidelines.
• Travel-size toothpaste—3.4 oz (100 ml) or smaller tube size. (And an almost-empty regular size tube doesn’t count!)
• Travel-size mouthwash—also in a 3.4 oz (100 ml) or smaller container
• Our Winnipeg, Selkirk, or Southdale, MB office’s phone number. In case of emergency, Dr. Brent Nickolaychuk can give you advice on how to handle any problem which might arise when you’re far from home.

Looking for Adventure?

If you’re camping in the forest, leaving for the lake, going for a road trip, or heading out on any travel adventure, you’ll be bringing the dental care basics, of course. We’d also like to recommend some items to take along in the event of a dental emergency while you’re away from home:

• Dental mirror
• Cotton rolls
• Over-the-counter pain relief—including a tube of oral pain relief gel
• Ice pack
• Dental wax—this handy item not only protects against sharp wires, it can cover the sharp edges of a broken bracket
• Temporary fillings—to protect your sensitive tooth if a filling or crown is lost
• Tooth preservation kit—to protect a dislodged tooth in case it can be reimplanted. (This means seeing a dentist very quickly, usually within 30 minutes of the accident.)

And, if you’ll be mountain biking, water skiing, or enjoying any activity where there’s potential for impact, don’t forget to pack your mouthguard!

Preparation is key to eliminating a lot of stress in our daily lives, and who couldn’t use a bit of stress-relief these days? Make room in your bag, locker, desk, luggage, or backpack for some portable, lightweight dental necessities. Be prepared to share your confident, healthy smile no matter what life has in store!

When you’re busy at school or work, when you’re on vacation, when you’re on the road to adventure—preparation helps everything go smoothly. Especially when the unexpected happens! So, how can you be prepared for any orthodontic and dental situations which might arise? By creating these useful—and portable—travel kits.

Everyday Basics Kit

Dentists recommend brushing twice a day and flossing at least once each day for clean and healthy teeth. But after a long day at school or work with no time to head home before your date, or a garlic-heavy lunch in the cafeteria, or a dash from the classroom to after-school activities, you might feel like there’s no time like the present to give your smile a bit of a boost.

Be prepared with a small travel bag filled with these easy-to-carry basics to get you through your busy day with clean teeth, fresh breath, and a confident smile:

• Toothbrush and case—and do make sure your case is ventilated so your brush can air dry. Bacteria love a closed, damp environment!
• Toothpaste
• Mini-bottle of mouthwash
• Small mirror—to check for any lunch leftovers
• Dental floss—to remove any lunch leftovers. Use braces-friendly dental floss if you have traditional braces.
• Dental Wax—to cover any uncomfortable wires or brackets
• Interproximal brushes—to remove food particles from around your braces and between your teeth
• Extra rubber bands
• Aligner/Retainer case—keep your aligner or retainer safe and clean while you’re eating

Flight Gear

Getting set to travel by air again after this long lay-over? Your basic kit will do the job with just a few minor additions and alterations.

• A travel version of your manual or electric toothbrush and travel case
• Plug adapter or voltage converter as needed for your electric brush if you’re visiting another country
• Quart size, resealable plastic bag to hold your carry-on supplies. Toothpaste and mouthwash are included in the list of items which need to fit carry-on guidelines.
• Travel-size toothpaste—3.4 oz (100 ml) or smaller tube size. (And an almost-empty regular size tube doesn’t count!)
• Travel-size mouthwash—also in a 3.4 oz (100 ml) or smaller container
• Our Winnipeg, Selkirk, or Southdale, MB office’s phone number. In case of emergency, Dr. Brent Nickolaychuk can give you advice on how to handle any problem which might arise when you’re far from home.

Looking for Adventure?

If you’re camping in the forest, leaving for the lake, going for a road trip, or heading out on any travel adventure, you’ll be bringing the dental care basics, of course. We’d also like to recommend some items to take along in the event of a dental emergency while you’re away from home:

• Dental mirror
• Cotton rolls
• Over-the-counter pain relief—including a tube of oral pain relief gel
• Ice pack
• Dental wax—this handy item not only protects against sharp wires, it can cover the sharp edges of a broken bracket
• Temporary fillings—to protect your sensitive tooth if a filling or crown is lost
• Tooth preservation kit—to protect a dislodged tooth in case it can be reimplanted. (This means seeing a dentist very quickly, usually within 30 minutes of the accident.)

And, if you’ll be mountain biking, water skiing, or enjoying any activity where there’s potential for impact, don’t forget to pack your mouthguard!

Preparation is key to eliminating a lot of stress in our daily lives, and who couldn’t use a bit of stress-relief these days? Make room in your bag, locker, desk, luggage, or backpack for some portable, lightweight dental necessities. Be prepared to share your confident, healthy smile no matter what life has in store!

When you’re busy at school or work, when you’re on vacation, when you’re on the road to adventure—preparation helps everything go smoothly. Especially when the unexpected happens! So, how can you be prepared for any orthodontic and dental situations which might arise? By creating these useful—and portable—travel kits.

Everyday Basics Kit

Dentists recommend brushing twice a day and flossing at least once each day for clean and healthy teeth. But after a long day at school or work with no time to head home before your date, or a garlic-heavy lunch in the cafeteria, or a dash from the classroom to after-school activities, you might feel like there’s no time like the present to give your smile a bit of a boost.

Be prepared with a small travel bag filled with these easy-to-carry basics to get you through your busy day with clean teeth, fresh breath, and a confident smile:

• Toothbrush and case—and do make sure your case is ventilated so your brush can air dry. Bacteria love a closed, damp environment!
• Toothpaste
• Mini-bottle of mouthwash
• Small mirror—to check for any lunch leftovers
• Dental floss—to remove any lunch leftovers. Use braces-friendly dental floss if you have traditional braces.
• Dental Wax—to cover any uncomfortable wires or brackets
• Interproximal brushes—to remove food particles from around your braces and between your teeth
• Extra rubber bands
• Aligner/Retainer case—keep your aligner or retainer safe and clean while you’re eating

Flight Gear

Getting set to travel by air again after this long lay-over? Your basic kit will do the job with just a few minor additions and alterations.

• A travel version of your manual or electric toothbrush and travel case
• Plug adapter or voltage converter as needed for your electric brush if you’re visiting another country
• Quart size, resealable plastic bag to hold your carry-on supplies. Toothpaste and mouthwash are included in the list of items which need to fit carry-on guidelines.
• Travel-size toothpaste—3.4 oz (100 ml) or smaller tube size. (And an almost-empty regular size tube doesn’t count!)
• Travel-size mouthwash—also in a 3.4 oz (100 ml) or smaller container
• Our Winnipeg, Selkirk, or Southdale, MB office’s phone number. In case of emergency, Dr. Brent Nickolaychuk can give you advice on how to handle any problem which might arise when you’re far from home.

Looking for Adventure?

If you’re camping in the forest, leaving for the lake, going for a road trip, or heading out on any travel adventure, you’ll be bringing the dental care basics, of course. We’d also like to recommend some items to take along in the event of a dental emergency while you’re away from home:

• Dental mirror
• Cotton rolls
• Over-the-counter pain relief—including a tube of oral pain relief gel
• Ice pack
• Dental wax—this handy item not only protects against sharp wires, it can cover the sharp edges of a broken bracket
• Temporary fillings—to protect your sensitive tooth if a filling or crown is lost
• Tooth preservation kit—to protect a dislodged tooth in case it can be reimplanted. (This means seeing a dentist very quickly, usually within 30 minutes of the accident.)

And, if you’ll be mountain biking, water skiing, or enjoying any activity where there’s potential for impact, don’t forget to pack your mouthguard!

Preparation is key to eliminating a lot of stress in our daily lives, and who couldn’t use a bit of stress-relief these days? Make room in your bag, locker, desk, luggage, or backpack for some portable, lightweight dental necessities. Be prepared to share your confident, healthy smile no matter what life has in store!

People have known for a long time that including dairy in their diets can help maintain healthy bones and even help promote weight loss. But what you may not know is that the routine intake of dairy products may also help promote periodontal health. Since June is National Dairy Month, Dr. Brent Nickolaychuk and our team at Kildonan Orthodontics want you to know that patients who consume at least 55 grams of dairy products, such as milk, cheese, and yogurt, may significantly reduce instances of gum disease.

Have questions about which foods to choose when trying to improve your oral health? Contact our Winnipeg, Selkirk, or Southdale, MB office and ask our team!

The best way to avoid orthodontic emergencies is to know how to take care of your braces properly throughout your entire treatment. However, emergencies are … well, emergencies, and sometimes no matter how cautious you are or how well you take care of your braces, the wires loosen, the bands pop, or you experience orthodontic discomfort.

Common orthodontic emergencies include broken braces, poking wires, lost or broken retainers, mouth sores, and mouth injuries sustained playing sports, which often happens when you don’t wear a mouthguard to protect your teeth and appliance.

Food

It’s important to avoid foods that can damage your braces. Most people wear braces for about two years. All chewy, sticky, crunchy, and hard foods should be avoided during that time. While this may seem like a long time to go without popcorn or bubble gum, hard foods can break the brackets of your braces and sticky foods can bend the wires. If you have a loose wire, don’t try to fix it yourself. Call Kildonan Orthodontics. In the meantime, if a wire is poking into your cheek or lip and causing irritation, put wax or a wet cotton ball over it to dull the sharp edge.

Pain and Discomfort

Some discomfort is a normal part of orthodontic treatment, especially in the hours after the braces are placed on your teeth or after a recent tightening or adjustment. However, if the pain doesn’t subside in three to five days, it’s a good idea to schedule an appointment at Kildonan Orthodontics. Until then, try dissolving a teaspoon of salt in an eight-ounce glass of water and gargling with the solution. Over-the-counter pain medication will relieve discomfort, too.

Playing Sports

Just because you wear braces doesn’t mean you can’t play sports. You just need to take some extra precautions. Sports-related injuries to the mouth and jaw are common. The best way to protect your mouth and your appliance is to wear a mouthguard. There are several different types of mouthguards available, so be sure to ask Dr. Brent Nickolaychuk what’s best for you.

Brushing and Flossing

In order to keep your braces in good condition and avoid orthodontic emergencies, it’s important to brush and floss thoroughly after every meal. It’s easy for small particles of food to get trapped in your braces, and if the food isn’t removed, it gets wedged between the teeth and gums and causes plaque.

Need more tips on how to avoid orthodontic emergencies? Just ask any member of our Winnipeg, Selkirk, or Southdale, MB team.

Some experiences are great, and we look forward to enjoying them again and again. Others have wonderful outcomes, but you feel no need for a sequel. If you’re wondering whether you need to revisit orthodontic treatment, you’re probably in this second group.

After all, you put in your time as a teenager. All those days in bands and braces, all the adjustments, all that cleaning with little tiny tools in little tiny places. That was a lot of work, and you reaped the rewards of your conscientious orthodontic habits with beautifully aligned teeth and a healthy, comfortable bite.

But now you’ve started to notice that your teeth aren’t quite as beautifully aligned, or your bite’s not quite as comfortable. So, what’s happened? Let’s look at some possibilities, and whether a return to the orthodontist’s office is in order.

• You’ve Lost a Tooth

If you’ve lost a tooth because of injury or decay, that gap is an open invitation for surrounding teeth to move in to fill the void. Whenever you lose a tooth, consider an implant. Implants function, look, and maintain healthy spacing just like natural teeth.

One thing implants can’t do? Move like our own teeth will during orthodontic treatment. Your natural teeth can move because they are held in place within the bone by flexible periodontal ligaments. Implants, on the other hand, are anchored directly to the bone for stability.

If you’re considering new or further orthodontic work and want to replace a lost tooth with an implant, it’s a good idea to talk to Dr. Brent Nickolaychuk to discover the best timing and scheduling for your procedures.

• You’ve Gained a Tooth

Problems with your alignment can also arise if you add a tooth or teeth. If you’re in your late teens or early twenties, wisdom teeth could be in your near future. And a new tooth can throw off the spacing and alignment of your existing teeth.

Talk to Dr. Brent Nickolaychuk about your options if your wisdom teeth are about to make an appearance, and if it looks like your tooth and bite alignment might be affected.

• You’re Getting Older

Our teeth naturally tend to shift as we age. Teeth move forward, causing crowded or crooked front teeth—especially on the lower jaw. There’s even a medical term for this phenomenon: mesial drift. While we don’t know exactly why this drifting occurs, we can treat it.

Adults make up a large—and growing—segment of orthodontic patients. If your teeth have lost their ideal alignment over time, a visit to our Winnipeg, Selkirk, or Southdale, MB office is a great way to bring your youthful smile back. And you’ll probably find your treatment much shorter and more comfortable than it was decades earlier!

• You Haven’t Been Wearing Your Retainer

Remember that word “conscientious” in the second paragraph? You need to wear your retainer conscientiously, for as often and for as long as recommended by Dr. Brent Nickolaychuk.

If you’ve been ignoring a damaged retainer, or you keep forgetting to look for your lost retainer, or you have a perfect, undamaged retainer sitting unworn on your dresser, your teeth can start to shift out of their hard-won alignment within a short time.

Does this mean it’s back to months of bands and adjustments and appointments? Maybe not! See us as soon as you notice any changes in your teeth or bite. When caught early, shifting teeth can be treated much more easily.

What can we do to help you regain your best smile? A lot!

• Treatment Planning

When you need to accommodate implants, wisdom teeth, or other dental work which could affect your tooth alignment, Dr. Brent Nickolaychuk can work with your dentist to make sure your alignment isn’t disturbed in the process. They can also map out a treatment schedule which coordinates your other procedures with any orthodontic treatment.

• Retainer Evaluation/Adjustment

Your retainer is probably a passive retainer, meaning it keeps your teeth in place instead of moving them. If you notice your alignment shifting, or if your retainer is uncomfortable when you try to put it on after a lapse in nightly wear, ask us about a replacement.

• Active Retainers

An active retainer helps move teeth into alignment rather than simply keeping them in place. A new active retainer might be just what you need to correct a slight shift.

• Aligners or Braces

If you have some serious shifting going on, we might recommend a second round of treatment with clear aligners or braces. But there’s good news here, as well! Treatment to correct an orthodontic relapse usually takes less time than it did originally, and treatment options are more comfortable and less noticeable than ever before.

Talk to Dr. Brent Nickolaychuk about an orthodontic sequel if you have any concerns about changes in your bite or alignment. You might need only a simple retainer adjustment or a short time in clear aligners or traditional braces to make your smile its best and healthiest once again. And this time, remember to wear your retainer to make sure there’s no need for Orthodontics—Part III!

By no stretch is it rare for your gums to hurt during and after flossing. Even some bleeding is to be expected. This is especially true if you have not flossed in a long time. However, if your gums do indeed hurt when you floss, and unbearably so, there are some things you can do.

Be Gentle

Perhaps the most obvious way to combat gum soreness and bleeding is to be gentle. One of the most common occurrences of these gum problems is over-aggressive flossing. In other words, if you are too rough on your gums while flossing, either because you are out of practice or because you are in a hurry, soreness and hurting is to be expected. Instead, try taking your time and be gentle. Also, if you are just starting out, be patient and consistent, your gums will become more conditioned over time.

Use an Alternative Method

If being consistent and gentle does not work, there are other alternative methods of flossing that you can try. You can also try a water floss machine, or what is sometimes called a water pick. The device essentially shoots water into the crevasses between your teeth, and in other areas of your mouth, in order to dislodge food and plaque. These oral instruments also come with different attachments that allow you to reach many of the hard to see and reach areas of your mouth. And lastly, you can always buy floss that is not as abrasive to your gums. There is floss that comes with soft and gentle coatings that will do less harm to your gums while they are adjusting to the good oral hygiene habit you are creating.

Flossing is one of the easiest parts of oral hygiene to overlook. When you first start out, it is common that you may want to stop because of the pain it can initially cause. However, if you try one, or all, of the above mentioned methods, you will give yourself the best chance of being success with your flossing, and it won't hurt as much.

For more flossing tips, schedule an appointment at our Winnipeg, Selkirk, or Southdale, MB office and askDr. Brent Nickolaychuk or a member of our team!

Most parents know that routine dental care should begin during their child’s toddler years. And many assume they must wait until their child has all of his or her permanent teeth to visit Dr. Brent Nickolaychuk for an initial orthodontic consultation.

The ideal age for an orthodontic evaluation is age seven. At that age, your child will have a mixture of adult and baby teeth for Dr. Brent Nickolaychuk and our team at Kildonan Orthodontics to make a determination about whether any problems are present. Typically the first molars have come in by the time your child turns seven, giving us an opportunity to check for malocclusion, also known as “bad bite.” Also, by the time your child reaches the age of seven, the incisors have begun to come in, and problems such as crowding, deep bites, and open bites can be detected.

When Dr. Brent Nickolaychuk and our team perform an evaluation on your child at an early age, you get one of two positive outcomes. Although treatment usually will not begin until one to five years after the initial evaluation, it’s still helpful in determining whether your child has any problems with the jaw and teeth early when they are still easy to treat. Earlier treatment can also cost less to correct a potential problem than delayed treatment.

Early evaluation, of course, may signal a need for early treatment. For some children, early treatment can prevent physical and emotional trauma. Aside from spurring years of harmful teasing, misaligned teeth are also prone to injury and are detrimental to good oral hygiene.

If your child is approaching age seven, or has already surpassed his or her seventh birthday, it is time to schedule an appointment for an initial examination at Kildonan Orthodontics.

You waited for this movie all year. You got your tickets early, and you’ve got the best seats in the theater. Whether you paid to see the latest action flick or the most romantic comedy in the history of romcoms, it’s not as nearly as much fun if the trip to the snack bar is a horror story. Perhaps Dr. Brent Nickolaychuk can help!

If you’re wearing traditional braces, the usual suspects, chewy, sticky, hard, and crunchy foods, are still off limits even when the lights go down. Let’s look at some alternative casting.

• The Candy Counter

Licorice, caramels, taffy, and candy with nuts can make any film a disaster movie—and can make your next visit to our Winnipeg, Selkirk, or Southdale, MB office an emergency one. Stick with soft chocolates, chocolates with creamy fillings, ice cream, and ice cream bars (without nuts or caramel, of course).

• The Soda Fountain

Sodas won’t break your braces, but they will damage your teeth, so try to brush as soon as you can or rinse with water after enjoying one of those titanic servings. And no crunching on ice! That can damage your braces.

• The Popcorn Machine

Sorry, we can’t help you here. Popcorn, with or without that tempting flood of melted butter, is off limits. The kernels can get lodged between your teeth and braces, and can be very hard to remove. They can also cause breakage to wires and brackets.

If you still crave something salty, check with us to see if soft pretzels or baked potato chips might be an option for you.

Movie treats contain a lot of starches and sugars, which stick to braces and feed cavity-causing bacteria, so it’s always best to go easy on the snacks. But you don’t have to give up the concession counter completely—just enjoy in moderation and be sure to brush thoroughly when you get home.

And if you wear clear aligners? You can remove your aligners, eat what you like, and clean your teeth carefully before replacing them. But do remember—you’re supposed to wear your aligners for a set number of hours each day. If you’re looking forward to a four-hour epic, make sure to take into account your treatment schedule.

We don’t know if your movie was worth the wait. But we do know that the results of your orthodontic treatment will be! Take care of your teeth and braces, and you’ll be on the fastest, healthiest track to an award-winning, red carpet smile.

Analyzing strong points, looking for potential problems, making comparisons—it’s bracketology time! Nope, not basketball (although we hear they have something similar), but a brief analysis of your orthodontic options when it comes to choosing a winning bracket.

If you’re getting braces, you’re probably already familiar with how they work—brackets are bonded to the teeth to hold an archwire, which provides gentle, controlled pressure to move the teeth into alignment. But within that basic bracket-and-wire system, there are several different bracket designs available to you at our Winnipeg, Selkirk, or Southdale, MB orthodontic office. Let’s see what the scouting report has turned up on our final four, pointing out their distinct advantages as well as some potential mismatches.

Traditional metal brackets

Advantages:

• Traditional braces with metal brackets are effective for more than just straightening teeth. They can be used to correct rotated teeth, differences in tooth height, and bite problems. For severe bite and alignment problems, traditional braces are most often the right choice.
• Metal construction makes these brackets able to handle the controlled pressure needed to treat serious malocclusions.
• Cost-effective. These are usually the least expensive option.

Potential Disadvantage:

Clear/Ceramic Brackets

Advantages:

• Lack of visibility! Whether you go for clear brackets or brackets tinted to match your enamel, you’ll be keeping a low-profile with this choice.
• Stronger and more stain-resistant than ever before, using the latest in ceramic, porcelain, or plastic materials.

Potential Disadvantages:

• Not as durable. Unlike metal, these clear brackets can crack or break. If you play a contact sport, these might not be for you.
• Some ceramic brackets are larger than other choices, so might be recommended only for the top teeth.
• Clear or tinted brackets can be more expensive.

Self-Ligating Brackets

Advantages:

• These brackets use a clip or trapdoor mechanism to hold your archwire without the need of bands. Ceramic options are available if you want an even more discreet appearance.
• Can be more comfortable with less friction between wire and bracket.

Potential Disadvantages:

• Self-ligating braces are generally more expensive.

Lingual Braces

Advantages:

• Lingual braces use metal brackets, but they attach to the back of each tooth for almost invisible bite correction.
• Custom-made. Lingual brackets can be designed and fabricated to fit your individual teeth perfectly.

Potential Disadvantages:

• Trickier to clean because of their placement behind teeth.
• Might not be suitable for a deep bite if there’s not enough clearance between top and bottom teeth.
• Initial discomfort caused by the tongue’s contact with the braces when you speak and eat.
• Custom-made brackets are more expensive.

So that’s a brief rundown of your bracket choices. But, unlike sports bracketology, there are no losers here! Dr. Brent Nickolaychuk can give you the pros and cons of each bracket design, so you can make an informed decision based on the kind of braces which will work best for you. With coaching like that, no matter which bracket option you choose, the final result is the same—a winning smile!

The words “overbite” and “overjet” certainly sound similar. Both conditions concern your front teeth. Both conditions fall under the same category of bite problems—Class II malocclusions, if you want to be technical. So it’s not surprising that they’re often used interchangeably. But while there are similarities, overbite and overjet are also distinctly different.

• Overbite/Overjet Geometry

In a healthy bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth. The key word here is “slightly.” With a Class II malocclusion, the upper front teeth project further beyond the lower teeth than they should.

Of course, teeth and bites are as individual as we are, so there are variations in just how and just how much the overlap occurs. In diagnosing an overbite vs. an overjet, the difference comes down to a matter of vertical vs. horizontal.

An overbite, or deep bite, occurs when the top teeth vertically overlap the bottom teeth more than they should for a healthy bite. Generally, when a person’s top teeth cover more than a quarter of the bottom teeth when biting down, or more than two to three millimeters, that person is said to have an overbite.

An overjet, commonly known as protruding or buck teeth, is the result of a horizontal overlap that is broader than normal. This causes the top teeth to project outward toward the lips more than they do in a typical bite. An overjet is usually diagnosed when the horizontal distance between the top and bottom teeth exceeds two to three millimeters.

• Overbite/Overjet Causes

The causes for both an overbite and an overjet might be dental (caused by tooth alignment), or skeletal (caused by bone development), or a combination of both. These bite problems can run in families. They are also affected by the size and position of the jaws and the shape and position of the teeth.

Early oral habits, such as prolonged and vigorous thumb-sucking or pacifier use, can also contribute to the development of a Class II malocclusion, particularly an overjet. Consistent pressure from thump or pacifier pushes the teeth outward as they erupt, which encourages them to protrude. These oral habits can affect the shape of the palate and jaw, too.

• Overbite/Overjet Treatments

There are many types of treatment available to correct teeth and bite misalignments. Dr. Brent Nickolaychuk will tailor your treatment to your specific malocclusion for the best orthodontic outcome.

If you have a mild malocclusion, and minor dental issues are the main cause of that malocclusion, either braces or clear aligners can be effective for an overjet or an overbite. Elastics (rubber bands) are often used as part of this treatment.

If the malocclusion is due to bite problems caused by uneven upper and lower jaw development, devices called functional appliances can be used with braces to help guide the growth of the jawbones while young patients’ bones are still forming. These include appliances that work inside the mouth to help the upper and lower jaws grow proportionally, and external appliances such as headgear.

In some cases, where the malocclusion is skeletal in nature as well as dental, surgical treatment might be necessary to reshape the jawbone itself. Orthodontic treatment is usually needed as well both before and after surgery.

• Overbite/Overjet Consequences

Over time, a deep overbite can cause damaged gum tissue, worn enamel, and fractured teeth. When teeth protrude because of an overjet, they can lead to self-consciousness and are more at risk for injury. Both malocclusions share dental and medical consequences, including concerns about facial and jaw appearance, problems speaking or chewing, headaches, and face and jaw pain.

Class II malocclusions aren’t all the same, and orthodontic patients aren’t all the same either. You may have a minor malocclusion or a significant one. You may have an overbite, or an overjet, or a combination of different bite and alignment concerns. Your malocclusion may not bother you at all, or it may cause pain, discomfort, or self-consciousness.

That’s why every overbite or overjet should be evaluated by an orthodontist. When you visit our Winnipeg, Selkirk, or Southdale, MB orthodontic office, Dr. Brent Nickolaychuk will be able to diagnose the exact nature of your malocclusion, the reason for it, and your best individualized treatment plan. An overbite and an overjet are different malocclusions, but you and your orthodontist want the same outcome for each: a healthy, attractive, and confident smile!

Let’s see…

Toothbrush? Check.

Fluoride toothpaste? Check.

Floss? Check.

Two minutes of thorough brushing? Check.

Careful cleaning around your brackets and wires? Check.

Wait… there’s something else… it’s right on the tip of your…

Ah! Your tongue! Whenever you brush, morning, evening, or any time in between, if you want the freshest breath and cleanest teeth, don’t forget your tongue.

Why your tongue? Because the tongue is one of the most common sources of bad breath. Let’s examine just why this occurs.

The tongue is made up of a group of muscles that help us speak and chew and swallow. But there’s more to this remarkable organ than mere muscle. The surface of the tongue is covered with mucous membrane, like the smooth tissue which lines our mouths. But the tongue isn’t completely smooth—it’s textured with thousands of tiny bumps called papillae.

These little elevated surfaces have several shapes and functions. Some make the tongue’s surface a bit rough, which helps move food through your mouth. Some are temperature sensitive, letting you know that your slice of pizza is much too hot. And some are covered with thousands of the taste buds, which make eating that pizza so enjoyable.

All of these papillae with their various functions combine to create a textured surface, filled with miniscule nooks and crannies. And if there’s a nook or a cranny where bacteria can collect, no matter how miniscule, it’s a good bet that they will, and the surface of the tongue is no exception. But bacteria aren’t alone—the tongue’s surface can also hide food particles and dead cells.

How does this unappealing accumulation affect you? These elements work together to cause bad breath, especially the bacteria that break down food particles and cell debris to produce volatile sulfur compounds—compounds which create a particularly unpleasant odor. Including your tongue in your brushing routine helps remove one of the main causes of bad breath.

And that’s not the only benefit! Cleaning the tongue helps eliminate the white coating caused by bacterial film, and might even improve the sense of taste. Most important, studies show that regular cleaning noticeably lowers the levels of decay-causing plaque throughout the mouth.

So, how to get rid of that unwanted, unpleasant, and unhealthy debris?

• When you’re done brushing your teeth, use your toothbrush to brush your tongue.

Clean your tongue by brushing gently front to back and then side to side. Rinse your mouth when you’re through. Simple as that! And just like a soft-bristled toothbrush helps protect tooth enamel and gum tissue, we also recommend soft bristles when you brush your tongue. Firm bristles can be too hard on tongue tissue.

• Use a tongue scraper.

Some people find tongue scrapers more effective than brushing. Available in different shapes and materials, these tools are used to gently scrape the surface of the tongue clean of bacteria and debris. Always apply this tool from back to front, and rinse the scraper clean after every stroke. Wash and dry it when you’re through.

• Add a mouthwash or rinse.

As part of your oral hygiene routine, antibacterial mouthwashes and rinses can assist in preventing bad breath. Ask Dr. Brent Nickolaychuk for a recommendation.

• Don’t brush or scrape too vigorously.

Your tongue is a sturdy, hard-working organ, but tongue tissue is still delicate enough to be injured with over-vigorous cleaning.

Taking a few extra seconds to clean your tongue helps eliminate the bacteria and food particles which contribute to bad breath and plaque formation. Make this practice part of your daily brushing routine—it’s a healthy habit well worth remembering!

Sports are great for children for a variety of reasons. Children can develop their motor skills, learn how to solve conflicts and work together, and develop their work ethics. As a parent, you may recognize the benefits of sports, but also naturally worry about your child’s health and safety. Your job goes beyond providing a water bottle and making sure your child follows the rules of the game.

Although you may not think of your child’s teeth first when you think about sports, accidents can happen that affect your children’s teeth. A stray hockey stick, an errant basketball, or a misguided dive after a volleyball are examples of ways a child could lose a tooth. In fact, studies show that young athletes lose more than three million teeth each year.

Becoming a Better Athlete to Protect Teeth

Becoming a better athlete involves refining skills, learning the rules of the game, and being a good sport. These components are not just about winning. They are also about safety. Young athletes who are better ball-handlers and who are careful to avoid fouls and penalties are less likely to have harmful contact with the ball, teammates, or opponents. Children who are better roller-bladers are less likely to take a face plant into the blacktop, and more likely to save their teeth. Being a good sport and avoiding unnecessary contact is one way to protect teeth.

Proper Protective Equipment for Teeth

If your child is in a sport that poses a high threat to teeth, it is essential for your child to wear a mouthguard. Mouthguards fit your child’s mouth and consist of soft plastic. Dr. Brent Nickolaychuk can custom fit a mouthguard if generic ones are uncomfortable. While children may resist wearing a mouthguard initially, your persistence in insisting that they wear it should be enough to convince them. A helmet or face mask provides additional protection.

While prevention is best, rapid treatment can improve the situation if your child does happen to lose a tooth during sports. Rapid implantation can work in about ten percent of cases. To learn about ways to save a lost tooth, contact our Winnipeg, Selkirk, or Southdale, MB office.

Now that you’re in orthodontic treatment, you’re probably spending more time taking care of your teeth than ever before. So, why did your dentist find a cavity at your last checkup? Let’s look at some of the potential culprits.

• Brushing More Doesn’t Always Mean Brushing Well

Even for adults with decades of experience, proper brushing technique is often overlooked. Brushing’s not as effective without covering all the tooth surfaces (inside, outside, and molar tops), holding the brush at a 45-degree angle, gently brushing the teeth with small strokes, brushing for at least two minutes, and flossing between the teeth at least once a day.

If you wear braces, you must also take care to reach all the spots between and around your wires and brackets. Which leads us to . . .

• Are You Using the Right Tools?

Even with perfect brushing form, your braces will be a challenge for a regular toothbrush and floss. The right tools make any job easier, and that includes cleaning your teeth while you’re wearing braces.

Specially designed brushes with bristles designed to work with your brackets, floss made to fit behind wires, tiny cone-shaped interproximal brushes that fit between your teeth and around your brackets—all these tools are made specifically to remove plaque and food particles from your teeth and your braces.

• Crunchy, Hard, and Sugary Aren’t the Only Problem Foods

You know sugary foods should be limited because sugars are the favorite food of cavity-causing bacteria. And hard and crunchy foods are off limits altogether because they can damage your braces. But what about treats which look soft and harmless? Well, looks can be deceiving!

Starches in soft, carb-rich foods like potato chips and white bread quickly break down into sugars. What’s more, they tend to stick around brackets and in between the teeth, giving those cavity-creating bacteria plenty of nourishment.

This isn’t to say that you must eliminate all sugars and carbs from your diet. But when you wear braces, be especially mindful about brushing or at least rinsing thoroughly whenever you have a snack.

• Biology

Some people are biologically more prone to cavities, even with attentive brushing and flossing, so you shouldn’t feel guilty if you don’t have a perfect checkup every time. Instead, be proactive. Ask Dr. Brent Nickolaychuk for brushing and cleaning advice the next time you visit our Winnipeg, Selkirk, or Southdale, MB office—and then follow it!

It’s not just spending more time taking care of your teeth—it’s using your valuable time the best way possible. It’s always time well-spent brushing properly, eating mindfully, and working with your orthodontist and your dentist to create a beautiful, healthy, cavity-free smile.

On March 17, everyone has a little Irish in them. St. Patrick’s Day is a joyous celebration of Irish heritage. The holiday originated as a commemoration of Saint Patrick, who brought Christianity to Ireland. The saint arrived in Ireland in 432 and earned the reputation of a champion of Irish Christianity. March 17th, the day of St. Patrick’s death, has been commemorated by the Irish for over 1,000 years. St. Patrick’s Day is still observed as a religious feast day by several Christian denominations, but it is better known in the public imagination as a rich celebration of Irish culture.

St. Patrick’s Day has been an official public holiday in Ireland since 1903. Each year, the Irish celebrate with a several-day festival that includes theater performances, music, fireworks, and festive parades. The celebration is also a public holiday in Northern Ireland, Montserrat, and Newfoundland and Labrador. In other parts of the world with heavy Irish populations, it is an unofficial celebration of Irish heritage. Parts of Great Britain, Canada, Argentina, South Korea, Switzerland, New Zealand, the United States, and Australia commemorate the holiday each year. Typical celebrations in these countries include drinking green beer, wearing green, eating traditional Irish foods, parades, and shamrock decorations.

Many people, Irish and non-Irish alike, take part in the “wearing of the green” on St. Patrick’s Day. In fact, the color originally associated with Saint Patrick was blue. His use of shamrocks to explain the Holy Trinity to the Irish made the green clover emblematic of the holiday, leading to the traditional green attire worn by thousands on St. Patrick’s Day. Other little-known facts about St. Patrick’s Day include the following:

• Each year, the United States and Ireland face off in a rugby competition called the “St. Patrick’s Day Test.”
• Montreal celebrates the holiday with an annual parade, which has been held each year since 1824. The Montreal city flag even features a shamrock in its corner, as a nod to its Irish heritage.
• The Guinness World Records named St. Patrick’s Day the “Friendliest Day of the Year.”
• Along with Valentine’s Day, St. Patrick’s Day is one of the most widely celebrated saint’s day in the world.

No matter your cultural heritage, St. Patrick’s Day is a great time to let loose and celebrate your inner Irish-ness! Don your greenest attire and exclaim “Erin go Bragh!” (Ireland forever!) to everyone you meet. From Dr. Brent Nickolaychuk - have a great St. Paddy’s day!

You’ve been told that you have a malocclusion called an “underbite.” Let’s look at just what this diagnosis means, and what it means for you.

Just what is an “underbite”?

A malocclusion is another way of saying that you have a problem with your bite, which is the way your jaws and teeth fit together when you bite down. In a typical bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth.

An underbite, on the other hand, results when the lower teeth and jaw extend further forward than the upper teeth and jaw, causing the bottom teeth to overlap the top teeth.

What causes an underbite?

Underbites tend to be genetic, and run in families, so, most often, an underbite is something you’re born with. The size of your jaws, the shape of your teeth, or both will affect your bite.

A smaller number of underbites develop because of injuries or early oral habits, such as prolonged and vigorous thumb sucking or tongue thrusting.

How do we treat an underbite?

Your treatment will depend on the type and severity of your underbite, and your age when treatment occurs.

• Braces and Aligners

If your underbite is a slight one, caused, for example, by crowded or overly large teeth, braces or clear aligners can help move the teeth into proper alignment.

• Functional Appliances

If the underbite is caused by a problem with upper and lower jaw development, devices called functional appliances can be used to help guide the growth of the jawbones while a child’s bones are still growing and forming.

If you’re a young patient, two appliances commonly used to help correct an underbite are palatal expanders, which gradually widen the upper jaw if it’s too narrow, and reverse pull headgear, which fits both inside the mouth and outside on the face, and provides a steady, gentle pull to encourage the forward growth of the upper jaw.

• Surgical treatment

In some severe cases, surgical treatment can correct an underbite by reshaping the jawbone itself and positioning it further back to align properly with the upper jaw.

Why treat your underbite?

A serious underbite can cause damaged teeth and enamel, painful problems with the temporomandibular joint, headaches and facial pain, sleep apnea, difficulty chewing, eating, and speaking, and can affect confidence and self-esteem.

By following your treatment plan, you’ll not only prevent these consequences, but you’ll achieve major benefits—a healthy, comfortable bite, and an attractive, confident smile. Want to know more? Talk it over with Dr. Brent Nickolaychuk at our Winnipeg, Selkirk, or Southdale, MB office for all the information you’ll need!

Traditional braces and oral piercings—does the inevitable meeting of metals pose any risks? Let’s look at some of the potential problems with oral piercings, and you and Dr. Brent Nickolaychuk can decide if you should take a break from jewelry while you’re in treatment.

• Tooth Damage

Enamel is the strongest substance in our bodies, but when up against constant contact with metal? It’s not a fair fight.

Tongue piercings, especially, cause problems for your teeth. Whenever you speak or eat—even while you’re sleeping!—your tongue is making contact with your teeth. This continual tapping of metal on enamel can chip and crack teeth and damage fillings. A serious fracture could mean a root canal.

You’re getting braces to create a more attractive, healthy smile, so keeping your teeth intact is a priority.

• Gum Problems

Your gums are affected by orthodontic treatment. As the teeth move, the gums, ligaments, and bone around them adapt and even reshape over time. You might notice when you first get your braces, or when you go in for an adjustment, that you have a few days of swollen, sensitive gums afterward. You might also find that you are at greater risk of gingivitis, because it can be harder to keep plaque away from your gumline until you perfect your brushing and flossing skills.

Oral piercings bring their own gingival dangers. Jewelry in the tongue or lip can rub against gum tissue, especially around your lower front teeth. As the gum tissue continues to be irritated and inflamed, it pulls away from the teeth. This process is called gum recession.

Receding gums expose the tops of your roots to cavity-causing bacteria. They make you more sensitive to hot or cold foods. Pockets between gums and teeth can harbor infections that threaten the tooth itself.

Caring for your gums during braces is important for your dental health. Since people with oral piercings have a much higher rate of gum recession that those without, why add one more risk factor to your oral health?

• Metal vs Metal

Lip and tongue piercings can make contact with traditional brackets and wires, especially if you have a habit of playing with them. And let’s not forget lingual braces! Lingual braces are almost invisible because their brackets and wires are custom fitted to the back of your teeth. Whenever you speak or eat, you’ll be taking the chance that a tongue piercing will damage these custom-made appliances.

Dr. Brent Nickolaychuk can tell you if your piercings are in any danger of interfering with your braces, but even if you’re planning on aligners, there are additional reasons to consider retiring your oral jewelry. Dental associations and medical associations discourage oral piercings because they can damage teeth and gums. And there’s more. Oral piercings can lead to swelling, bleeding, allergic reactions, infection, and nerve damage.

The reason you’re considering braces is because you want a healthy, attractive smile. Don’t let a tiny piece of jewelry make your life and your treatment more difficult! Do some research and talk to our Winnipeg, Selkirk, or Southdale, MB team about your oral piercings, and come up with a solution that’s best for your health and best for your smile.

When beginning orthodontic treatment, most patients ask Dr. Brent Nickolaychuk and our team a lot of questions about what to expect, while others choose to just "go with the flow" and leave it to us to build for them a beautiful smile. And for our team at Kildonan Orthodontics, that's understandable.

But for those who do ask questions, two of the ones we frequently hear are "Will my braces hurt?" and "How long will these be on?"

We explain to our patients that despite what they've heard, braces do not hurt when they're initially put on. Yes, you will experience soreness after your braces are placed and when your teeth start to move. Too often, our patients hear horror stories about how much it hurts to get the braces on, so they tend to over-worry. The truth is, after their braces are on, almost all patients say "that's it?" because it's actually easy and painless!

At Kildonan Orthodontics, we answer most of your other questions during your initial exam. When a patient visits our office for the first time, we give him or her a time estimate of how long it will take to achieve their ideal smile. All other questions are answered at the bonding appointment when the braces are placed. We cover all the topics, everything from eating to brushing with braces, but we also know that after your initial appointment, it's natural for you to have questions about your or your child's treatment. And we are always here for you; we are thorough and always try to answer any questions or concerns you may have. As a patient, that's one thing you never have to worry about. You will always know what's going on throughout your orthodontic experience.

While mouthwash goes a long way in improving your oral care, it is not a substitute for flossing. Mouthwashes and flossing provide different benefits that you should understand.

Mouthwash Benefits

Mouthwash comes in two categories. Some are considered cosmetic. This type of rinse provides temporary relief from bad breath and has a pleasant taste. These do not actually kill any bacteria.

Therapeutic mouthwashes provide the healthier benefits. These may contain different ingredients including fluoride or antimicrobial agents. This type is used to remove plaque buildup and reduce the potential for calculus formation. Therapeutic rinses can also help prevent cavities, bad breath, and gingivitis. In addition, Dr. Brent Nickolaychuk can prescribe special rinses to assist patients after periodontal surgery or other procedures.

Flossing Benefits

Flossing is what removes the plaque formation before it can harden and become calculus. While a rinse reduces buildup, only flossing will fully remove plaque, especially between teeth. The bristles on a toothbrush do not get between teeth completely. If plaque is not removed, it hardens into tartar or calculus. When this builds below the gum line, gum disease can start.

Types of Floss

Floss is available in a thin string form or a tape. It can be waxed or unwaxed. If you find flossing difficult, you might want to try a different type of floss. You can buy bulk floss in containers or purchase the disposable type with a plastic handle attached. This style can be easier for many individuals to use. Interdental picks are available for bridgework or other situations where regular floss cannot be used.

If you have questions regarding the best mouthwash or floss, or need tips for easier flossing, please ask our Winnipeg, Selkirk, or Southdale, MB team for advice. We will be glad to give you solutions to help keep your mouth clean and healthy.

Valentine’s Day is best known as a celebration of love in all its forms. Pink hearts, red roses, and cute greeting cards adorn every surface you see. What many people don’t realize is that the modern Valentine’s Day celebration arose from a religious holiday.

St. Valentine’s Day was originally celebrated as a religious feast day in honor of early Christian martyrs. Three martyrs named Valentine were honored: a priest in Rome, the persecuted bishop of Interamna (a town in central Italy), and a saint martyred in Africa. This saint’s day was celebrated throughout Christendom, although it was removed from the Roman Catholic Calendar of Saints in 1969.

The origin of Valentine’s Day as a holiday for lovers began with Geoffrey Chaucer in his 1382 poem “Parlement of Foules.” Chaucer wrote, “For this was on Saint Valentine’s Day, when every bird cometh there to choose his mate,” and the modern romantic holiday was born. William Shakespeare and other writers mentioned Valentine’s Day as a day of love.

Valentine’s Day as we know it came about in the early 19th century. In Victorian England, printers began manufacturing small numbers of cards with romantic verses, lace, ribbons, and other frills. Anonymous Valentine’s Day card were a popular way for young lovers to exchange romantic sentiments in an otherwise prudish time. As the 19th century progressed, printers began mass manufacturing Valentine’s Day cards. People in the United States give an estimated 190 million valentines every year, and up to one billion if you count children exchanging cards at school! With the rise of the Internet, Valentine’s Day e-cards have become a popular mode of communication, with millions of e-cards sent each year.

The other items associated with Valentine’s Day include chocolate and flowers. The tradition of giving chocolates has been around for decades, and Richard Cadbury created the first box of Valentine’s Day chocolates nearly 150 years ago. Today, purchases of chocolate total over $1 billion in the United States alone, with 35 million heart-shaped boxes sold each year. Loved ones also exchange flowers, with red roses being associated with Aphrodite, the Greek goddess of love. On Valentine’s Day itself, florists sell nearly 200 million stems of roses.

Although many people dismiss Valentine’s Day as a commercialized “Hallmark holiday,” it is beloved to couples and romantics across the United States and other countries. The team at Kildonan Orthodontics wants to remind all patients that no matter what your celebratory plans, February 14th can be a wonderful day to celebrate the loved ones in your life. Happy Valentine’s Day!

Wearing braces during your treatment at Kildonan Orthodontics presents some unique challenges in the types of food you can safely eat. The wrong items can be difficult to remove from between your teeth and the appliance. Other foods may even break or loosen your braces.

Dinner recipe ideas

Lasagna is a great dinner choice because it provides you with several food groups in one easy dish.

• 1 ½ pounds ground hamburger
• 1 garlic clove
• 1 tsp. basil
• 1 pound diced tomatoes — canned is fine
• 12 oz. tomato paste
• 1 package of dry spaghetti sauce mix for seasoning
• 10 oz. box dry lasagna
• 3 cups ricotta or cottage cheese or 1 ½ cups each mixed
• ½-cup Parmesan cheese
• 2 eggs
• 1 pound sliced or shredded Mozzarella cheese

Brown and drain your hamburger meat. Dice the garlic and simmer the hamburger, garlic, basil, diced tomatoes, tomato paste and powdered sauce mix for ½ hour.

Cook the lasagna noodles as directed on the package and drain.

Beat the eggs and combine them with your ricotta or cottage cheese.

Layer ½ of the noodles in a 13 x 9 pan. Spread ½ of your cottage cheese mix on top of the noodles, then layer ½ of the mozzarella on top. Finish this layer with ½ of your hamburger mix. Repeat the layering with the other half of your ingredients. Bake at 350 F for 30 minutes.

Meats

You can enjoy ribs and chicken wings as long as you cut the meat from the bone before you eat. The same rule applies to turkey legs; do not gnaw on bones, because this can damage your braces.

Vegetables and fruits

You still need to include fruits and vegetables in your daily meals. Skip corn on the bob, whole apples, and raw carrots. Broccoli is soft but particles can become stuck in your braces, so be sure to brush and floss after your meal.

Desserts

Avoid caramel, taffy, and hard candies for dessert. Pudding and ice cream are fine, but low-sugar versions are best.

Remember that your mouth will be sore after adjustments with Dr. Brent Nickolaychuk. Stick to softer foods until the sensitivity is reduced. Please do not hesitate to ask our team for recipe and meal ideas. We will be happy to take the time to explain which foods items are the best choices and why.

If you have any questions about these recipes, or if you have any questions about eating with braces, please give us a call at our Winnipeg, Selkirk, or Southdale, MB office!

At Kildonan Orthodontics, Dr. Brent Nickolaychuk and our staff know that eating with braces can be tricky. You want to avoid damaging the bands, brackets, and wires, since any damage can delay the progress of your treatment. After adjustments, your mouth may also feel sore, which will make eating more of a chore than a pleasure.

The good news is you do not have to avoid all of your favorite foods; there are ways you can still enjoy them. Try some of these ideas and recipes for great snacks that are friendly to your braces.

Fruits and Vegetables

You still need to eat fruits and vegetable for the healthy nutrients. The trick is to cut harder items into small pieces that you can chew easily with your back teeth. Canned fruits are also a great choice, but select fruits packed in water to avoid the heavy, sugary syrups. It’s a good idea to avoid excess sugar with braces, since sugar build-up around your braces can lead to plaque formation.

Single-serving packages are available to make your snack portable and convenient. Enjoy vegetables with a small amount of a healthy dip. Hummus or yogurt can be used for flavor without adding unnecessary fat or calories.

Banana and Honey Smoothie

Smoothies are a healthy treat, and you can create these drinks with your favorite ingredients. You can use a variety of yogurt types for your smoothie: regular, low or non-fat, and Greek are all great choices.  Here’s one of our favorite smoothie recipes:

• 6 ounces of your choice of yogurt
• 1 or 2 teaspoons of honey
• 1 ripe banana
• 6 ounces milk

Chop the banana into smaller pieces and put all your ingredients into a blender. Blend on low until everything is mixed and then blend on high for about 20 seconds to make your smoothie fluffy.

The great thing about this recipe is that you can substitute just about any small or cut-up fruit for the banana. Try blackberries, raspberries, or peaches for variety. Try to avoid fruits with small seeds; strawberries can leave bits stuck in your braces. You can even make a smoothie with peanut butter and jelly!

Please ask our team if you have any concerns regarding the foods you can safely eat while wearing braces.

If Dr. Brent Nickolaychuk and our team at Kildonan Orthodontics have recommended a palatal expander, you might be wondering what it is and how it will help you. A palatal expander is a small appliance fitted in your mouth to create a wider space in the upper jaw. It is often used when there is a problem with overcrowding of the teeth or when the upper and lower molars don’t fit together correctly. While it is most commonly used in children, some teens and adults may also need a palatal expander.

Reasons to get a palatal expander

There are several reasons you might need to get a palatal expander:

• Insufficient room for permanent teeth currently erupting
• Insufficient space for permanent teeth still developing which might need extraction in the future
• A back crossbite with a narrow upper arch
• A front crossbite with a narrow upper arch

How long will you need the palatal expander?

On average, patients have the palatal expander for four to seven months, although this is based on the individual and the amount of correction needed. Several months are needed to allow the bone to form and move to the desired width. It is not removable and must remain in the mouth for the entire time.

Does it prevent the necessity for braces?

The palatal expander doesn’t necessarily remove the need for braces in the future, but it can in some cases. Some people only need braces because of a crossbite or overcrowding of the teeth, which a palatal expander can help correct during childhood, when teeth are just beginning to erupt. However, others may eventually need braces if, once all their permanent teeth come in, they have grown in crookedly or with additional spaces between.

If you think your child could benefit from a palatal expander, or want to learn about your own orthodontic treatment options, please feel free to contact our Winnipeg, Selkirk, or Southdale, MB office!

It's the big day and your braces are finally coming off! Does that mean you are completely done? Not so fast! After you complete your treatment here at Kildonan Orthodontics, Dr. Brent Nickolaychuk and our team will recommend you wear a retainer, which must be worn routinely after treatment in order to hold your teeth in their proper, new position while your gums, ligaments and bones adapt. Most patients are required to wear their retainer every night at first, with many also being directed to wear them during the day. It's important to know there are different kinds of retainers, and today we thought we would explain the differences between them.

Hawley Retainers

The Hawley retainer is one of the most common types of retainers. It is a removable retainer made of a combination of a metal wire that typically surrounds the six anterior teeth and is designed to keep your teeth in place. This retainer is made from impressions of your teeth so that it fits snugly and comfortably in the roof of your mouth, while the wire and acrylic framing keeps your teeth in an ideal position. The acrylic can also be personalized with a large number of colors or patterns.

Essix (Clear) Retainers

The Essix retainer is a transparent removable retainer that fits over the entire arch of your teeth. This clear or transparent retainer fits over the entire arch of teeth and is produced from a mold. Similar to Invisalign’s clear aligner trays, Essix retainers have no metal or wires. They can also be used to produce minor tooth movements and can be helpful in prevention of tooth wear due to tooth grinding at night.

Bonded Retainers

Bonded lingual retainers are cemented directly to the inside surface of your lower canines. Dr. Brent Nickolaychuk and our team at Kildonan Orthodontics encourage our patients with bonded lingual retainers to be careful with their bite as the bonding material may break due to incorrect biting and cause your teeth to shift. As with removable retainers, it is important to keep your bonded retainers clean. When brushing, make sure to carefully clean the inside of your lower teeth, as well as the wire itself.

The retention phase of treatment begins when the patient’s braces are removed. Retainers are worn full time, typically for the first nine months, except while eating. Retainers should also be removed before brushing your teeth.

If you have any questions about the retainers we offer or to learn more about post-orthodontic treatment, please feel free to contact us at our convenient Winnipeg, Selkirk, or Southdale, MB office and we will be happy to answer any of your questions!

The weather out there might be frightful for most of us, but not for you! You’ve been waiting all year for a fresh coat of powder and all the outdoor sporting activities winter brings. But before you grab those ski poles, strap into that snowboard, lace up those skates, or dust off that sled, be sure to remember one more essential piece of gear—your mouthguard!

Mouthguards aren’t just for contact sports. While all that lovely new snow looks like powder, it doesn’t feel like it when you land hard. If there’s a chance of a fall or an impact in any sport, there’s a chance you can suffer dental injuries.

Falls or collisions can result in chipped, broken, or dislodged teeth. Your mouthguard will help protect your smile from these accidents, and also works to protect you from biting your tongue and mouth in case of impact. It can even reduce the chance of jaw injuries.

Luckily, finding a mouthguard that works for you is even easier than finding the perfect board or the best wax for your skis. You have several options to choose from:

• Ready-made appliances. These are available in drugstores and sporting goods stores, but come in pre-formed sizes, so they might not provide the best fit.
• The “boil-and-bite” model. This mouthguard form is placed in hot water. You then bite down while it is pliable to shape it to your mouth and teeth.
• Custom mouthguards. These guards can be fabricated just for you. They are molded to fit your individual mouth and teeth, so provide a better fit and better protection. They are also usually more durable and more comfortable. If you wear braces, a custom mouthguard can be your best option for preventing an injury to your mouth and your braces. Talk to Dr. Brent Nickolaychuk if you are interested in a guard fitted specifically for you.

When you visit our Winnipeg, Selkirk, or Southdale, MB office, let’s discuss all the best ways to keep your teeth and mouth protected before you set out for winter sports. And then when you’re ready to go? Let it snow!

Watching the clock tick down the final seconds until midnight, many of us- Kildonan Orthodontics included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:

• Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
• The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
• The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
• Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.

Whether you plan to stay in Winnipeg, Selkirk, or Southdale, MB, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!

Contrary to popular belief, not all braces are created equal. More importantly, not all braces look like the hulking headgear found in 1980s teen movies. If you’re embarking on an orthodontic journey, that should give you a sigh of relief. Orthodontic technology has come a long way over the years. As a result, Damon Smile braces offer a world without elastic ties. Imagine that! Here are three things that make Damon Smile braces different from conventional braces.

More Comfort and Fewer Adjustments

Damon Smile braces use light, “shape memory” titanium wires. Low-friction force guides the teeth into place, creating less discomfort for you than conventional braces. Instead of elastics, Damon Smile braces use a specialized slide that helps the archwire guide the teeth into place. The teeth move freely, quickly, and comfortably. Without traditional ties and elastics, Damon Smile braces require no tightening and fewer adjustments.

Less Treatment Time

For the most part, conventional braces are worn anywhere from 18 months to two years. However, due to its unique, elastics-free technology, treatment with Damon Smile braces is often considerably faster. If you’re starting on an orthodontic journey, then chances are that's the type of thing you want to hear. While the amount of time a person wears braces varies from case to case, Damon braces typically get the job done faster than conventional braces.

Fewer Orthodontic Appointments

Coming to our Winnipeg, Selkirk, or Southdale, MB office is probably not on the top of your list of things do, though we do love seeing you! However, Damon braces offer a convenient and hassle-free orthodontic experience. Why? The self-ligating braces require no tightening and fewer adjustments, which in turn means you're going to have far fewer visits with Dr. Brent Nickolaychuk during your treatment. Chances are, that's the sort of thing that's going to put a smile on your face.

Is it possible to straighten the teeth without braces? Yes, it is. Welcome to the world of Invisalign aligners. Invisalign aligners are made from a clear, thermoplastic material that is custom made to fit your teeth. Unlike conventional braces, Invisalign aligners are removable. More importantly, the clear thermoplastic material makes the aligners invisible, which is ideal if the thought of metal braces and elastics make you self-conscious. For the best results, proper handling and care of your Invisalign aligners is important. Follow these steps to take care of your aligners:

1. Do not eat or drink hot beverages while wearing aligners. It's a good idea to get in the practice of removing the aligners before eating and drinking. Because the aligners are made of plastic resin, heat can distort and damage them. Also, eating while wearing the aligners will cause sugar and other food particles to stay on your teeth, which contributes to plaque and tooth decay.

2. Clean the aligner trays regularly. Invisalign aligners are exposed to the same bacteria and plaque that your mouth is, so you need to clean them as regularly as you clean your teeth. However, avoid cleaning the aligners with harsh chemicals. We recommend using a cleaning kit or some other type of specific solution. When it comes to cleaning Invisalign aligners, carefully follow the instructions given by Dr. Brent Nickolaychuk.

3. Store aligners in a cool, dry, safe place. When you’re not wearing the aligners, store them in the case provided by our office. If you don’t use the case, they can easily be lost. Keeping them out of reach of small children and pets is also a good idea. The last thing you want is for Fido to think your Invisalign aligners are chew toys.

4. Don’t chew gum while wearing aligners. There’s one thing that conventional braces and Invisalign aligners have in common: chewing gum damages both of them.

5. Don’t soak aligners in mouthwash. Many popular mouthwashes contain a color pigment. It’s possible that soaking Invisalign aligners in mouthwash will tint or stain them.

For more tips and tricks for a successful Invisalign experience, contact our Winnipeg, Selkirk, or Southdale, MB office!

Damon Smile braces have quickly become one of the most popular orthodontic treatments at our Winnipeg, Selkirk, or Southdale, MB office. Offering a more comfortable and hygienic treatment, many patients now prefer this over all other available braces. Unlike traditional braces, Damon Smile does not have wires or brackets. It works with self-ligating braces that actually remove the need for the rubber bands and metal wires that come along with more traditional styles of braces.

What makes Damon Smile different?

The number one reason many patients prefer Damon Smile is because there is the option of getting them in clear! This reduces the problem of being self-conscience and gives the patient a more aesthetically pleasing smile while going through years of treatment. Also, patients who wear Damon Smile versus the traditional braces will have less pain since there are no bands that have to be tightened every month. There is often no need to extract teeth to make extra room in the patient’s mouth.

Oral hygiene can be a real problem for many teens wearing traditional metal braces. However, with the reduction of moisture and no metal brackets to trap food in, your teeth are able to stay cleaner easier.

What is the estimated treatment time?

Since Damon offers a more advanced technology that straightens teeth faster with less pain the treatment time can be drastically reduced. This is another reason Damon is preferred over other types of treatment. The treatment time will vary from patient to patient depending on what your individual goals are, so you need to make an appointment with Dr. Brent Nickolaychuk to get an estimate of what will benefit you the most.

Overall Success

Overall, patients are very happy with Damon Smile. With less irritation, less treatment time, as well as better-looking aesthetics, patients love all of the bonuses that come along with this style of treatment. Call our Winnipeg, Selkirk, or Southdale, MB office and set up an appointment today with Dr. Brent Nickolaychuk to find out if this popular option will work for you.

If this is your first winter with braces, you might be wondering how to make the best of the holiday season. Dr. Brent Nickolaychuk and our team have some suggestions for happy and healthy holiday smiles.

Treat Yourself

Winter means tasty holiday treats, and just because you wear braces doesn’t mean you need to step away from the holiday table! You can enjoy your favorites if you remember to check your list for the usual problem foods. Hard, crunchy, chewy, and sticky items? Naughty list.

• Crunchy vegetables on the appetizer plate
• Nuts
• Hard rolls
• Candy canes and other hard sugar treats
• Caramels, Toffee and other sticky candies
• Pecan pie
• Fruit cake

Luckily, there are plenty of nice alternatives.

• Turkey and ham—remember, small pieces are best
• Dressing and stuffing
• Mashed potatoes
• Soft breads and rolls
• Pumpkin pie—but skip a tough crust!
• Cheesecake
• Soft cookies and cakes
• Soft chocolates

We’re happy to provide recommendations for braces-friendly holiday foods. And we don’t expect you to turn down every sweet treat this season.  Just be sure that if you enjoy something sugary, brush carefully after indulging.

Express Yourself

While you’re decking the halls, or pinning up the New Year’s balloons and streamers, or even choosing a great holiday outfit, don't forget that your ligatures can be decorative as well as functional.

• Celebrating Christmas? Red and green bands around your brackets are jolly and traditional.
• How about Hanukkah? Try blue and white!
• Love the season? Icy silvers and pale blues are a frosty statement—and can have the benefit of making your teeth look whiter, as well. Snowy white? The arctic idea is great, but white bands can sometimes make teeth look more yellow, or become stained themselves.
• Glam New Year? Gold adds sparkle to your smile, but can bring out any yellow tones in your teeth. Silver might be the perfect choice, because it is generally neutral with enamel shades.

Check out our ligature colors for the best possible choices for your teeth and coloring. Take advantage of these options to create a fresh, confident look for the season. Give others the gift of your smile!

Look After Yourself

Winter comes with some special reminders about your dental health.

• Winter sports are a great way to celebrate the snow and ice, but be sure to protect your teeth and braces. If you enjoy skiing, snowboarding, ice skating, hockey, or any other winter activities, talk to us about why a mouth guard is so important.
• While you enjoy your winter break, don’t forget to keep up with your dental routine. And because ‘tis the season for holiday treats, be especially careful to clean your teeth and braces after sweet desserts and snacks. Don’t forget to floss!
• What do cold breezes and hot chocolate have in common? They can both trigger tooth sensitivity! While some sensitivity is normal after an adjustment, if you find you are experiencing tooth sensitivity more often or more strongly than you usually do, give us a call. It might be something as simple as brushing habits, or you might need to see your dentist.

If you have any questions about your braces, in this season or any other, just ask when you visit our Winnipeg, Selkirk, or Southdale, MB office. Your beautiful, healthy, and confident smile can make this the most wonderful time of the year!

Two-phase orthodontic treatment involves two separate and distinct periods that your child receives orthodontic treatment. It allows your son or daughter to begin early treatment of bite and jaw problems, in order to reduce the dental issues he or she experiences later on.

Two-phase orthodontic treatment with Dr. Brent Nickolaychuk can improve how well the second phase of the treatment works and helps to make room for permanent teeth. Overall, two-phase treatment helps to position the teeth and the jaw for an attractive profile. Our team at Kildonan Orthodontics recommends that you bring your child to our Winnipeg, Selkirk, or Southdale, MB office at the age of seven or eight, so that Dr. Brent Nickolaychuk can determine if early (Phase-One) treatment is necessary.

Phase-One

Phase-One orthodontic treatment is known as early treatment. It begins shortly after your child’s first orthodontic examination, usually around age eight or nine. The main goal of Phase-One orthodontic treatment is to help make room for permanent teeth, which reduces crooked teeth as a result of overcrowding. It treats the jaw and bite growth, and issues like crossbite or underbite. This can reduce the need for your child to undergo extractions.

Phase-Two

Phase-Two orthodontic treatment is when braces are placed on the upper and/or lower teeth. The purpose is not just to correct spaces or misaligned teeth, but also to correct overbite or underbite concerns. Phase-Two usually begins around age 11 or 12, and the braces are worn for an average of two to three years, depending on your child’s unique needs. Some children have fewer issues and wear braces for little more than a year, while others need them for up to four years.

Signs your child needs two-phase orthodontic treatment

If your child exhibits the following signs, he or she may be a good candidate for two-phase orthodontic treatment:

• Losing baby teeth early, before five years of age
• Problems with biting or chewing
• Sucking the thumb after age five
• Evidence of a crossbite, where the teeth don’t come together when opening or closing of the mouth
• Teeth are crowded at age seven or eight
• Protruding teeth on the top or bottom

Not all children need to have early treatment, but if your child shows any of these signs, you should bring him or her to us for an evaluation at Kildonan Orthodontics.

When you get your braces, Dr. Brent Nickolaychuk and our staff will also give you a list of foods you should not eat and things you should not do. Pay particular attention to these items to keep your teeth and braces safe.

Charms belong on bracelets. While you can decorate your braces with colored bands, hanging a charm off them is a bad idea. If you bite down on the charm, you could damage your braces or your teeth. You could also swallow your jewelry.

Never use your teeth as a bottle opener. This is just as important when you are wearing braces. While braces straighten your teeth, your teeth are moving in the process. That makes them weaker, and the metal in the braces does not make them invincible. Invest in a bottle opener; you can buy one for a few dollars, which is much less expensive than having to replace your braces.

Contrary to what you might think, your braces are not designed to work as a radio. There are tales of people who have picked up radio signals from dental fillings or braces. While this is remotely possible, attaching an antenna to your mouth is just not a good idea. You will get better quality music from a radio.

On the other hand, you can still kiss someone while wearing braces. In fact, even if both of you wear braces, the chances of your getting locked together are almost negligible. However, to avoid cutting your partner’s lips, kiss with caution.

If you have any questions about taking care of your braces, please ask Dr. Brent Nickolaychuk and our staff. We want you to get the best results from your treatment without needless delays.

Orthodontics researchers continue to innovate and develop the best ways to improve patients’ smiles. The latest generation of orthodontics includes Damon Smile, an advanced form of braces that improve upon the metal brackets of earlier generations. Talking to Dr. Brent Nickolaychuk can help you decide if Damon Smile braces are appropriate for your orthodontic needs.

What are Damon Smile braces?

Traditional braces require a series of brackets to be bonded to each tooth. Then, a thin metal wire connects the brackets. These wires are immovable and are firmly connected to the brackets. With Damon Smile, a special “invisible” bracket is placed on the teeth. Unlike with traditional braces, wires pass through these brackets but can slide within the bracket. This reduces friction and may result in a more comfortable process than traditional braces.

Aesthetic Considerations

Both teens and adults often hate the look of traditional braces, with their clunky metal brackets and wires. Additionally, rubber bands may need to be worn to hold brackets closed. With Damon Smile braces, none of these concerns apply. The brackets are clear and no rubber bands are needed, meaning that few people will notice your orthodontics unless they look closely.

Differences in Cost

Traditional braces tend to be the most cost effective orthodontic option available. Because of their specialized equipment, Damon Smile braces do cost more than traditional alternatives. It’s worth checking with your insurance company to determine whether both types of orthodontics are covered.

Length of Treatment

Another benefit of Damon Smile braces is a decreased length of treatment. Compared to traditional braces, individuals who opt for Damon Smile braces typically experience significantly lower treatment time. Particularly for those with complex orthodontic problems, shaving even a few months off of treatment may be worth it.

Less Irritation of Gums

Some people report that they experience sores or gum pain after implementation of traditional braces. Damon Smile braces are specially formed to be smooth and less invasive. This may result in diminished pain and a lower rate of gum problems. The differences are particularly noticeable in the first weeks of treatment.

To find out if Damon Smile braces can meet your smile needs, contact our Winnipeg, Selkirk, or Southdale, MB office and schedule an appointment!

One of the greatest advantages to using Invisalign is that it provides maximum results with minimal impact on your everyday life. Invisalign is comfortable, easy to insert, and simple to remove. Because you can remove Invisalign aligners, you can enjoy all your favorite foods and beverages without worries about getting food stuck in the wires and brackets of traditional braces.

Eating and Invisalign

While the aligner is durable and strong, you should remove it before you eat or drink beverages, as the chewing action inside your mouth can break, crack, or distort the aligner. Even minute damage to the Invisalign tray will prevent it from aligning your teeth properly. Furthermore, eating with Invisalign in your mouth can be quite messy.

Beverages and Invisalign

Repeated exposure to hot liquids may also cause the Invisalign aligner to distort. This distortion changes the shape of your aligner in a way that will affect how it straightens your teeth. Contact our Winnipeg, Selkirk, or Southdale, MB office if your Invisalign aligner has distorted after consuming a hot beverage.

Fluids can settle inside the aligner to “bathe” the teeth. Bathing teeth in acidic fluids can be especially problematic, as the acids can wear away tooth enamel. Exposure to acidic fluids is not normally a problem, as saliva neutralizes and buffers the acid then washes it away. Wearing an aligner, however, prevents the saliva from doing those jobs, increasing your risk for tooth decay.

Colored drinks may also change the color of your teeth. Most discoloration is temporary but stubborn stains may occur.

To prevent discoloration and tooth decay, brush your teeth after every meal or beverage before putting in your Invisalign aligners. If you do not have access to clean water, chew sugar-free gum to remove bacteria, acid, and food particles from your teeth. As a last resort, you may leave your aligners out for an hour or two until you can brush and floss properly. Before inserting Invisalign, rinse the aligner in lukewarm water or use the Invisalign cleaning kit.

Contact our Winnipeg, Selkirk, or Southdale, MB office for more information about eating and Invisalign.

Fall can be a really enjoyable time of the year for you and your family. The kids are back in school, the leaves are changing, and Halloween approaches. This holiday is a lot of fun for kids, but Kildonan Orthodontics wants to remind you it can also be risky, especially for your child’s braces. If you have kids with braces, take a look at the following tips from the Canadian Association of Orthodontics (CAO) on how to keep your kids and their teeth safe this Halloween season.

Important Safety Tips

Trick-or-treating is a favorite Halloween activity for kids everywhere. While it is a great holiday tradition for children, it comes with some potential risks. To keep your kids safe while trick-or-treating, try following these simple guidelines:

• If you have young children, make sure they are accompanied by an adult at all times.
• You or your kids should always carry flashlights.
• For costumes, try to include a light-colored or reflective element that can be easily seen by oncoming traffic.
• Avoid costumes that include a mask, especially for younger children. These can pose a safety hazard for both the wearers and the people around them.
• Tell your kids not to eat any of their candy until they arrive home. Be sure to inspect all treats carefully before letting them dig in.

Following these guidelines can help you keep your kids safe on Halloween.

Halloween Treats to Avoid if Your Child Has Braces

If your kids have braces, you’ll want them to steer clear of certain treats on Halloween. Many candies can cause damage to braces, so it’s wise to avoid them while you’re celebrating this fun holiday. Here is a list of treats to stay away from:

• Hard candies
• Chewy candies
• Nuts
• Caramel
• Licorice
• Jelly beans
• Taffy
• Bubblegum
• Hard pretzels
• Popcorn

Some of these treats may seem harmless, but all of them have the potential to bend or break your child’s braces. So it’s best to avoid eating them altogether.

Braces-Friendly Halloween Treats

If your children have braces, they may feel like they can’t enjoy any treats on Halloween. However, there are plenty of braces-safe treat options for them to choose from, including the following:

• Soft chocolate
• Peanut butter cups
• Gelatin treats
• Ice cream
• Smoothies
• Root beer floats
• Apple cider

These are just a few braces-friendly alternatives to traditional Halloween candy. Helping your kids have a fun and safe Halloween—while at the same time protecting their braces—can be easy if you follow these simple tips and guidelines. Help your kids enjoy the holiday without having to visit Dr. Brent Nickolaychuk for repair work on damaged braces!

You may have noticed that kids seem to be getting braces and other orthodontic care a lot earlier these days. There was a time, only a decade or two ago, when braces were mainly seen on teenagers, but that is beginning to change. If you’re wondering when to bring your child to our Winnipeg, Selkirk, or Southdale, MB office for an orthodontic evaluation, the answer actually has several parts.

The Telltale Signs

If your child has a very crowded set of adult teeth coming in, or if the permanent front teeth came in very early, these are signs that your child should see Dr. Brent Nickolaychuk, regardless of age.

The Dental Age

Barring signs of trouble or early adult teeth as mentioned above, the time that your child needs to be seen for initial orthodontic evaluation depends not so much upon your child’s actual age, but on what is known as a “dental age.”

The dental age of the patient might be entirely different from his or her actual chronological age; for example, an eight-year-old could have a dental age of 13. It is part of Dr. Brent Nickolaychuk and our staff’s job to determine the dental age and then make appropriate recommendations for the resolution of orthodontic issues if they are emerging.

The Official Recommended Age

The Canadian Association of Orthodontists officially recommends that kids should see an orthodontist for the first time between the ages of seven and nine. Even if the child does not have all his or her permanent teeth, the teeth growth pattern can usually be predicted quite effectively by an orthodontist.

This allows for a proactive response to emerging problems, and this is the reason that some younger children are now getting orthodontic devices earlier in life. If a young child has serious orthodontic issues emerging, Dr. Brent Nickolaychuk can usually address the problems immediately and then follow up with another round of treatment when the child has all the adult teeth.

Having crooked, unevenly spaced, or misaligned teeth can interfere with your life at any age. Damon Smile treatment involves braces without bands, faster treatment times, and less pain than regular metal braces for teens and adults. These braces, offered at our Winnipeg, Selkirk, or Southdale, MB office, can straighten your teeth for a variety of benefits.

• Allows you make a good first impression on people
• Helps you speak more clearly
• Makes it easier to clean your teeth
• Gives you more self-confidence

It’s important to practice good dental hygiene when you have braces. If you do, you can avoid accidentally letting your teeth decay during the months or years of treatment. These are some ways you can care for your smile during Damon Smile treatment.

Keep brushing and flossing.

Maintain your regular good dental hygiene habits. Continue to brush twice a day, being careful to get all of the food out from your Damon Smile braces. Floss and use mouthwash regularly, too. Also think about keeping your mouth clean during the day. Rinse your mouth with water after you eat if you’re not able to brush your teeth. Avoid sugary beverages, such as sodas, and stick to water.

Choose your foods carefully.

You’ll be able to eat whatever you want after you get your braces off. In the meantime, you can keep your mouth healthy by selecting the right foods and avoiding the wrong ones. Sugary foods are poor choices anytime, but they’re even worse when you have braces because they’re more likely to get stuck on your braces and stick to your teeth. Eventually, you could get tooth decay. Popcorn, chips, and nuts can also get stuck in your braces.

Some foods are hard to chew. They can make a bracket pop off your tooth so that you need to visit your orthodontist. Be wary of the following foods:

• Stringy meats
• Crunchy foods, such as raw vegetables and apples
• Chewy foods, such as bagels and toffee

Straightening your teeth is an investment in your future and yourself. Damon Smile braces can make your teeth straighter in less time than traditional metal braces, and with less embarrassment. Just be sure to care for your smile while your braces are on to make sure that your teeth are healthy when you get your braces off.

Thanksgiving marks the start to the holidays; a season filled with feasting, indulging, and spending time with family and friends are always special. Thanksgiving is a holiday meant for giving thanks, and while this may seem like such a natural celebration, the United States is only one of a handful of countries to officially celebrate with a holiday.

Unlike many holidays, Thanksgiving is a secular holiday, and it is celebrated on the fourth Thursday in November in the United States. In Canada, it is celebrated on the second Monday of October, which is, oddly enough, much closer to a time when harvests were likely gathered. In addition to the different dates, the origins of the celebration also share different roots.

Canadian Thanksgiving

An explorer of early Canada named Martin Frobisher is accredited for the first Canadian Thanksgiving. He survived the arduous journey from England through harsh weather conditions and rough terrain, and after his last voyage from Europe to present-day Nunavut, he held a formal ceremony to give thanks for his survival and good fortune. As time passed and more settlers arrived, a feast was added to what quickly became a yearly tradition. Another explorer, Samuel de Champlain, is linked to the first actual Thanksgiving celebration in honor of a successful harvest; settlers who arrived with him in New France celebrated the harvest with a bountiful feast.

Thanksgiving in the United States

Giving thanks for a bountiful harvest are not new, but the modern day holiday in the US can be traced to a celebration at Plymouth in Massachusetts in 1621. This feast of thanksgiving was inspired by a good harvest, and the tradition was simply continued on. At first, the colony at Plymouth didn't have enough food to feed everyone present, but the Native Americans helped by providing seeds and teaching them how to fish, and they soon began to be able to hold a feast worthy of the name. The tradition spread, and by the 1660s, most of New England was hosting a Thanksgiving feast in honor of the harvest.

A Modern Thanksgiving

Today, Thanksgiving is traditionally celebrated with the best of Americana. From feasts and football games to getting ready for the start of the Christmas shopping season, Thanksgiving means roasted turkey, pumpkin pie, and green bean casserole. No matter how you celebrate this momentous day, pause for a moment to give thanks for your friends, family, and all the bounties you’ve received. Happy Thanksgiving from Kildonan Orthodontics!

You and your braces will become good friends over the coming months or years, so it’s important to get your relationship off to a good start. Consider the following recommendations to prevent rocky times ahead:

1. Floss, floss, floss. Yes, it’s a pain to floss around your braces, but it's the best way to prevent gum disease and other oral health problems. Ask Dr. Brent Nickolaychuk and our staff for floss threaders to make the chore easier. Just a few minutes per day will ensure that you don’t face significant dental health issues when the braces come off.
2. Avoid sticky or hard foods. It’s tough to forgo toffee, caramel, gum, and other favorite sticky treats, but your braces will thank you. Sticky or hard foods can break a bracket or wire, so it’s best to avoid them altogether.
3. Chew with your back teeth. If you’re used to taking large bites with your front teeth, it might be time to switch your eating habits. Taking a large bite of food with your front teeth can leave your braces vulnerable to damage. Instead, cut large foods into pieces and use your back teeth to chew. This is especially important with corn on the cob, which should always be cut from the cob.
4. Wear rubber bands and headgear. Rubber bands, headgear, and other orthodontic appliances may seem annoying, but failing to comply with wearing them can increase the length of your treatment by months. Wear them now to avoid problems in the future.

The stereotypical braces wearer – in middle school, with a mouth full of metal brackets – has led to numerous myths about orthodontics that discourage many people from getting the dental care they need. Dr. Brent Nickolaychuk and our staff would like to put some of these myths to rest.

Myth 1: Orthodontic treatment is for kids. Although teenagers often visit the orthodontist to get braces, adults represent a growing proportion of orthodontic patients. Whether you’re eight or 80, a consultation with an orthodontist can identify problems with your teeth, jaws, or bite that can be corrected by orthodontic interventions.

Myth 2: Traditional, metal braces are my only option. Advances in orthodontic technology have rendered improved braces and other orthodontic appliances that are much less noticeable than the braces of yesteryear. Ask Dr. Brent Nickolaychuk about Invisalign® braces and other options that make sense for your situation.

Myth 3: Orthodontic treatment is only helpful for crooked teeth. Sure, a crooked smile is a common reason that patients seek orthodontic care. However, orthodontic interventions help with a range of dental health problems. From missing teeth to overbite to jaw misalignment, your orthodontist can help with many problems associated with the teeth, gums, and jaws.

Myth 4: Orthodontic treatment is too expensive. As with any medical procedure, orthodontics can be pricey. However, our Winnipeg, Selkirk, or Southdale, MB team works with patients to find payment plans, insurance coverage, or other payment options that reduce the financial burden.

Damon Smile braces are a unique type of self-ligating braces that allow you to eliminate the rubber bands that cause so much trouble for traditional braces wearers. These braces use a steady pattern of pressure to correct your teeth, and they can shift your teeth more rapidly than traditional braces can.

The unique design of Damon Smile braces helps to reduce the buildup of food particles and debris that can tend to get lodged in the brackets of traditional metal braces. Thus, eating with Damon Smile can actually be easier because your cleaning job is simpler.

There are several different foods that you might want to focus on during your early days with Damon Smile braces. The most important thing to remember is that you need to focus on soft foods and non-chewy foods immediately after you get your Damon Smile braces. Remember to chew carefully and evenly as you start to adjust to your new braces.

As you become comfortable with the braces, consider gradually re-introducing the crunchier and harder foods that you usually enjoy. Most Damon Smile braces patients are able to eat virtually anything that they usually can, as long as caution is used. However, particularly chewy foods, for example taffy, are something that you might want to avoid in general.

Some Damon Smile braces patients tell us that they are successful in eating all the same foods they did prior to braces! Overall, you can expect a very smooth transition into wearing Damon Smile braces, and you will be able to enjoy remarkably fast smile correction at the same time.

If you are curious about Damon Smile braces or if you have specific questions about how they can help you, please feel free to contact our Winnipeg, Selkirk, or Southdale, MB office anytime!

Teeth erupt crookedly for a number of reasons that range from genetics to mouth deformities and serious oral diseases. When extra teeth or abnormally large teeth create a malocclusion (crookedness or misplacement of teeth), the culprit is usually genetic in nature. Other inherited traits involve jaws that are too small to accommodate a full set of teeth and misaligned jaws that did not form properly in the womb.

Can crooked teeth be prevented?

In most cases, underbites, overbites, and crooked teeth are genetically derived and can’t be avoided. Orthodontic treatment with braces will be necessary to correct the condition once the child is old enough to wear them. However, certain early childhood behaviors may also contribute to the development of crooked teeth that can be avoided. These include:

• Thumb sucking and tongue thrusting
• Losing baby teeth to decay before permanent teeth have naturally pushed them out of their sockets
• Allowing pacifier use to continue after front teeth have erupted

Permanent teeth underneath baby teeth are directly affected by the health of baby teeth. If baby teeth are prematurely lost due to decay or trauma, permanent teeth will shift when they start moving upward. Baby teeth are like anchors for permanent teeth that help guide them as they erupt through the gums.

In addition, excellent care of baby teeth is vital to having healthy permanent teeth free of discoloration or decay. Harmful oral bacteria can spread into the gums and reach permanent teeth still buried in the gums. Once attached to a tooth’s enamel, bacteria will begin eroding the tooth even before it has a chance to take its first bite!

When to Start Orthodontic Treatment for Crooked Teeth

Dr. Brent Nickolaychuk and our staff suggest that parents bring your child to Kildonan Orthodontics around age seven to rule out potential issues with permanent teeth eruption. If problems are discovered, it is not unusual to begin orthodontic treatment at that age. In fact, specific conditions such as crowding and gaps between teeth are easier to correct at an early age.

Early treatment also benefits from the growth process of the jaw, which helps move teeth to normal positions.

Braces don't look or feel much like braces anymore. New materials and techniques have made braces lighter and more comfortable than ever before.

One of the most intriguing developments involves Damon Smile self-ligating braces. You might recall that older style braces involved a lot of wire and rubber bands to keep in place. As teeth moved into their new positions, all that material had to be moved, too. In the meantime, the rubber and wire blocked toothbrushes and floss. In other words, it was really hard to keep teeth clean.

Damon Smile braces eliminate the connecting wires and rubber bands. Instead, one permanent component keeps braces in place. Self-ligation eliminates the need for headgear or external wires in most cases, making these braces a winner in the appearance category, too.

Avoid the Cutting Edge

Traditional braces pose a small but painful risk: you can catch your cheek or gum on the rough edge of the brace wires. Damon Smile braces have a smoother surface that significantly reduces that risk.

Because the braces self-adjust and move with teeth, patients need fewer appointments at our Winnipeg, Selkirk, or Southdale, MB office. They don’t have to come in for tightening or readjustments. Teeth can move into position faster with self-ligating braces, although this can vary by patient. Patients report the braces are pretty comfortable, too.

More Room to Move

Another thing we like about Damon Smile braces: they actually adapt to the shape of the mouth as teeth change position. As a result, Dr. Brent Nickolaychuk won’t have to pull back teeth to create space for crowded front teeth.

If you need braces, you have a lot of options. There’s probably never been a better time to look into having your teeth straightened. Call our Winnipeg, Selkirk, or Southdale, MB office for guidance on the fastest and most effective way to improve your smile.

Damon Smile braces are passive, self-ligating braces, which means they don’t need elastic o-rings to keep the wires in their desired position. This system uses small sliding doors to allow the wires to slide freely through their slots instead of the o-rings used by traditional braces.

Stops on the wires prevent them from moving out of position over time. The absence of o-rings in Damon Smile braces also allows you to maintain better oral hygiene, since o-rings can trap bacteria. These braces are suitable for both adults and children.

Construction

The first set of wires in Damon Smile braces are composed of a metal alloy that contains copper, nickel, and titanium, commonly abbreviated as CuNiTi. These wires have a curve that’s wider than your natural arch, and that allows them to apply the necessary pressure against your teeth. The wires are very thin, beginning with a diameter of 0.014 inches.

Dr. Brent Nickolaychuk will replace this initial set of wires with a series of successively larger ones as your teeth move into their desired alignment. Your teeth will be ready for the next set of wires when Dr. Brent Nickolaychuk can passively place them into their brackets. Heavier wire may be composed of other materials such as a titanium molybdenum alloy (TMA) or stainless steel.

Cost

Dr. Brent Nickolaychuk and our team will determine the cost of your braces, depending on a variety of factors such as the difficulty of your case and the length of time required for treatment. Another factor that can influence the cost of Damon Smile braces is your insurance coverage. Dental insurance plans often cover orthodontic treatments such as Damon Smile braces, so you’ll need to check with your insurance provider.

Kildonan Orthodontics also offers a variety of payment plans, so be sure to ask our Winnipeg, Selkirk, or Southdale, MB team about making your orthodontic treatment with Damon Smile affordable.

Adults

Adults often use Damon Smile braces to obtain a more youthful appearance in addition to correcting specific malocclusions. The cosmetic benefits of these braces include:

• Straighter teeth
• Improved facial balance
• Smoother cheek contours

Many patients with Damon Smile braces begin to see results after about ten weeks.

If you’re interested in Damon Smile braces, please contact Kildonan Orthodontics and schedule an appointment!

Our team at Kildonan Orthodontics knows that there are many ways you can protect your pearly whites throughout your orthodontic treatment. If you follow the rules and brush your teeth twice a day, floss often, and protect your appliances from damage, you should have a successful treatment.

But did you know there’s another way to keep your teeth sparkling and healthy during your time wearing braces?

Fluoride, the mineral that helps you prevent cavities and tooth decay, can also help keep your teeth strong. Fluoride comes in two varieties: topical and systemic. Depending on your oral health or the recommendation of Dr. Brent Nickolaychuk, you may be required to have a fluoride treatment every three, six, or 12 months. We may also prescribe a fluoride product such as a mouthwash, gel, or antibacterial rinse for at-home treatment to keep your teeth happy in between visits.

If you have any other questions about fluoride or your treatment, please don’t hesitate to give us a call!

By now, everyone knows that smoking is bad for you. But the truth is its broad-reaching health effects are not all known by everyone. This is especially true of oral health. Smoking can have serious repercussions in this regard. To give you a better idea of how smoking can affect your oral health, Dr. Brent Nickolaychuk and our team have listed some issues that can arise.

Oral Cancer

Oral cancer can have steep ramifications for anyone that gets it. Surgery can be required to eliminate the cancer before it spreads to more vital parts of your body. Any type of cancer is about the worst health effect you can get, and this especially holds true to the affects that smoking has on your mouth. The type of mouth surgery required with oral cancer can leave your face deconstructed in certain areas, and it is all due to smoking or use of other tobacco products.

Tooth Discoloration and Bad Breath

At the very least, it is fair to say that as a smoker you will often have bad breath, and while you may try to cover it up with gum or mints, tooth discoloration is a whole other story. The chemicals and substances in cigarettes stick to your teeth staining them brown and yellow colors that are increasingly difficult to disguise.

Gum Disease and Loss of Bone

Another effect of smoking is the increased risk of gum disease. Your gums may start to recede, which can eventually lead to the loss of teeth. Smoking can also increase bone loss and density in your jaw which is vital to the health of your mouth. Gum disease and bone loss are two signs that smoking is definitely bad for your mouth.

When it comes to the health of your mouth, the question is not whether smoking affects your health, it's how does it affect your health and to what degree. If for no other reason than because smoking involves your mouth as its entry point, it is safe to say that it can have long-lasting and detrimental consequences on your oral health.

To learn more about smoking and your oral health, contact our Winnipeg, Selkirk, or Southdale, MB office to schedule an appointment with Dr. Brent Nickolaychuk.

Braces have come a long way over the years. In the past, tooth removal was common, palatial expanders were the norm, and headgear and rubber bands were necessary evils to get the desired results. Damon Smile self-ligating braces have made those things distant memories.

Despite the competition from other clear braces and aligners, Damon has a proven track record, and the results of a side-by-side comparison between conventional braces and Damon braces were published in the journal Clinical Impressions.

The Study

The comparative study tracked orthodontic care of 132 patients, six of whom were treated with Damon Smile, and 66 of whom got traditional braces. The study also looked at treatment times (meaning the total length of time the patients wore braces,) the number of appointments they had, the quality of the results, and patient comfort.

The Results

Length of Time Wearing Braces: The researchers found that the patients who wore Damon Smile braces wore them for an average of 7.2 months less than the traditional brace-wearing patients.

Number of Appointments: Damon patients had an average of 47.8 percent fewer appointments.

Time Needed for Leveling and Aligning: Damon patients only needed 3.2 months for leveling and aligning, while traditional brace participants needed six months. That means the Damon participants required 46.7 percent less time.

Comfort Level: Damon wearers experienced 60 percent less discomfort than traditional brace wearers.

Results: Damon results were consistently excellent, with a score of 3.6 on a 4-point scale.

Other Benefits

• Damon Smile braces use a proprietary technology called self-ligation. That means there is no need for the elastic or metal ties that are part of traditional brace therapy. The absence of any kind of ties means that patients don't have to have their braces tightened.
• Damon high-tech lightweight memory wires work faster, so patients don't have to wear braces as long as they would with traditional braces. Memory wire technology also reduces the need for frequent adjustments at our Winnipeg, Selkirk, or Southdale, MB office.
• A slide mechanism holds wires in place, but allows for freer tooth movement.

Perhaps the greatest benefit of Damon Smile braces is that, without the ties, patients are far more willing to comply with a more time-consuming oral hygiene regime. More thorough brushing, easier flossing, and less general tension in the mouth mean that better oral hygiene lessens plaque build-up, while helping patients keep their mouths healthier and cavity-free during the time they wear braces.

Greater self-confidence and improved self-esteem have the potential to change lives. And a healthy mouth and an attractive smile can do that! Ask Dr. Brent Nickolaychuk if Damon Smile is right for you!

Parents usually have numerous questions about orthodontic treatment for their children. According to the Canadian Association of Orthodontists, orthodontic treatment for children should start at around seven years of age. This allows Dr. Brent Nickolaychuk to evaluate the child’s existing and incoming teeth to determine whether or not early treatment might be necessary.

What is early orthodontic treatment?

Early orthodontic treatment, known as Phase One, usually begins when the child is eight or nine years old. The goal is to correct bite problems such as an underbite as well as guide the jaw’s growth pattern. It also helps to make room in the mouth for the permanent teeth to be properly placed as they come in. This will greatly reduce the risk of the child needing extractions later in life due to his or her teeth getting crowded.

Does your child need early orthodontic treatment?

There are several ways that you can determine whether your child needs early treatment. If you observe any of these characteristics or behaviors, you should talk to Dr. Brent Nickolaychuk.

• Early loss of baby teeth (before age five)
• Lat loss of baby teeth (after age five or six)
• The child’s teeth do not meet properly or at all
• The child is a mouth breather
• Front teeth are crowded (you won’t see this until the child is about seven or eight)
• Protruding teeth, typically in the front
• Biting or chewing difficulties
• A speech impediment
• The child’s jaw shifts when he or she opens or closes the mouth
• The child is older than five years and still sucks a thumb

What are the benefits of seeking orthodontic treatment early?

Early orthodontic treatment is begun while the child’s jaw bones are still soft. They do not harden until the children reach their late teens. Because the bones are still pliable, corrective procedures such as braces work faster than they do for adults.

In short, early treatment at our Winnipeg, Selkirk, or Southdale, MB office often allows your child to avoid lengthy procedures, extraction, and surgery in adulthood. Early treatment is an effective preventive measure that lays the foundation for a healthy, stable mouth in adulthood.

Although teeth seem to be solidly fixed in their sockets (at least they don’t wobble when we chew!), all teeth can easily be moved if Dr. Brent Nickolaychuk and our staff attach brackets and wires to them called braces. In the past, all braces were made of stainless steel, but today’s advanced dental technology gives people the option of wearing transparent, acrylic mouth trays called Invisalign®, or relying on traditional metal braces for correcting malocclusions.

Brackets, Slots, and Arch Wires – Oh My!

When light pressure is consistently exerted on teeth, they will gradually move in the direction of the force. For example, affixing brackets to front teeth and threading a flexible, metal wire through tiny slots on the front of the brackets allows the orthodontist to tighten this arch wire enough to initiate desired movement of teeth. Generally, orthodontic patients visit Kildonan Orthodontics once a month to have this wire tightened to keep teeth moving in the desired direction.

Tissues surrounding the teeth that experience pressure from arch wires will slowly (and, for the most part, painlessly) stretch, and allow the socket to enlarge so the tooth and its root become looser temporarily. This allows the root to move without causing bleeding or pain. Once Dr. Brent Nickolaychuk and our staff are satisfied with the repositioning of teeth, we will remove the braces and let bone material fill in the socket so that teeth are solidified into their new (and straighter) positions.

Clear Braces vs. Traditional Braces

Both types of orthodontic corrective devices move teeth in the same manner: by applying a continual force against teeth. Clear aligners, like Invisalign, are mouth trays made of hard acrylic material that people wear for at least 23 hours a day. Unlike metal braces, Invisalign can be removed for eating and brushing purposes and the aligners are nearly invisible because of their transparency.

Invisalign aligners are usually reserved for people with gaps between their teeth or whose teeth are only slightly crooked. Traditional metal braces are often necessary when severe malocclusion exists and requires more pressure than Invisalign offers.

Braces can be painful, but if you are a teen who loves being social, the worst part about them can be their look. They show up in your photos, and you will not be able to take braces-free photos for several months, or even years. The time will pass, though, and your teeth will be the better for it. In the meantime, consider the other people who have survived braces.

Plenty of People Get Braces

There are many reasons for getting braces:

• Correct an overbite or underbite
• Straighten teeth
• Fix poorly-spaced teeth

With so many possible ways to get braces, it’s no surprise that they are so common.

Find Out Who Had Braces

The long lists of celebrities who had braces as teenagers or even adults can give you the comfort of knowing you are in good company. Even better, these lists provide visible proof that there is life on the other side of braces. Actors and actresses on the Cosby Show, Scrubs, and Ugly Betty, as well as tennis star Martina Hingis and Miss America 1975, Shirley Cothran, had braces. Ask your parents. If they didn’t have braces, there is a good chance that some of their siblings did.

Benefits of Braces

Wearing braces can make your life a lot better in the future. Your teeth will be more attractive, and your smile will shine through in photos of you. Straight teeth are not just about looks, though. They can prevent a variety of health problems, such as caries, gum disease, speech impairments, and trouble chewing. Be patient, and the benefits of braces will come.

Wearing braces limits some of the snacks you can eat. However, you still have plenty of choices for fun and healthy foods that will not harm your braces. You can even enjoy a few crunchy treats as long as you choose them carefully.

Sweet Treats

Puddings provide a sweet and safe snack while you are wearing braces. You can even select flavored puddings such as caramel to satisfy the urge for items you should not eat. They can be purchased already made or whipped up at home. You can even select low-sugar varieties that still taste good. Ice cream and yogurt are also choices; just avoid products with nuts.

Healthy Snacks

Fruits are excellent for a healthy snack. You just need to avoid biting into hard fruits such as whole apples. You can avoid the problem with fruit cocktails packed in water. Cocktails still have the nutritional benefits and flavor, but contain softer pieces. Avoid fruits packed in heavy syrup, though; these tend to have too much sugar.

Crunchy or Salty Snacks

Not all crunchy foods are bad; you just need to limit the crunch. Walnuts are a softer nut that can normally be eaten safely. Small cheese crackers satisfy the need for crunchy and salty. You can also allow pieces to dissolve slightly in your mouth before chewing, to reduce any risk.

Soft granola bars are also an option. Check the granola ingredients to ensure there are no large nut pieces, and brush your teeth afterwards. Otherwise pieces can become stuck in your dental work.

If you have any questions about safe snacks, do not hesitate to ask Dr. Brent Nickolaychuk and our staff.

Getting your braces off is exciting. You’ve been working on your new smile for months or years, and it’s time for the trips to our Winnipeg, Selkirk, or Southdale, MB office to pay off. Can you imagine how bad it would be to discover that your teeth are straight, but that there’s decay?

Caring for your smile while wearing Invisalign goes beyond just waiting for your teeth to get straighter. It involves cleaning your teeth regularly and thoroughly to prevent tooth decay. That way, your smile will be more beautiful than ever when you’re done with your Invisalign treatment.

Take Your Trays Out

The first difference you may notice between Invisalign and traditional metal braces is that Invisalign aligners are invisible, but there’s another important distinction as well. Invisalign braces are removable. You can take the trays out, and you should. Remove the trays while you’re eating so you don’t get food stuck in them. Also, remove them while you’re cleaning your teeth so that you can have full access to all the nooks and crannies in your mouth.

Brush Normally

The guidelines for brushing your teeth with Invisalign don’t change compared to braces. Brush your teeth at least twice a day using a soft toothbrush and a fluoride toothpaste, being sure to get all surfaces of your teeth. If possible, brush after each meal.

If you can’t, be sure to drink some water and swish it around in your mouth when you’re done eating to get rid of the extra food on your teeth. Leaving carbohydrates, such as sugar and starch, on your teeth opens the door to tooth decay.

Floss and Wash

Flossing your teeth gets out the bits and pieces stuck between them. It’s a time-consuming task when you need to navigate the wires of traditional metal braces, but thanks to Invisalign’s removable design, flossing is no problem. Rinsing your mouth with a fluoride antibacterial mouthwash also helps clean your teeth because it gets into all of the spaces. Floss and rinse one or two times daily.

Cleaning Your Trays

Cleaning your Invisalign trays keeps them from getting riddled with bacteria, and it helps keep your teeth free from excess food. You can use the Invisalign cleaning system, which involves placing the trays in a tub with cleaning crystals. The plastic trays are clean after 15 minutes. You can also ask Dr. Brent Nickolaychuk for other ways to clean your trays.

At Kildonan Orthodontics, we aren’t just concerned with straightening your teeth and giving you the beautiful smile you’ve always wanted. We are also committed to improving the oral health and the well-being of all our patients. Dr. Brent Nickolaychuk and our team strive to serve our patients by educating them about their treatments, as well as making them feel as comfortable as possible during their initial consultations up until the day they complete their treatments.

Making our patients more comfortable with taking care of their braces in between visits increases the likelihood that they will complete their treatments successfully. We want you to know that if you should ever have any questions about your orthodontic treatment, whether it’s during your adjustment appointment or after hours, we are always here for you and your family.

Please do not hesitate to give us a call at our Winnipeg, Selkirk, or Southdale, MB office or ask us any questions you may have on our Facebook page! We can’t wait to hear from you!

The goal of orthodontic treatment at Kildonan Orthodontics, which may include the use of braces, retainers, and aligners, is to straighten your teeth. Treatment often starts in the pre-teen or teenage years, but adults may also need orthodontic treatment. The treatment can feel like a chore that lasts for several months or a couple of years, but it can fix important problems. These include:

• Crowded teeth spaced too close together
• Gaps between your teeth
• Crooked teeth
• Overbite or underbite
• Upper and lower teeth that do not meet

Straight Teeth are More Attractive

You are more likely to be proud of your smile when your teeth are straight and evenly spaced. Pride in your appearance can give you more confidence and encourage you to try new things. This can be particularly important for adolescents. In addition, people often judge others based on first impressions. A smile that shows straight teeth is more attractive.

Better Oral Health is Easier

Brushing and flossing your teeth are two basic components of an oral health routine to protect your teeth from conditions such as tooth decay, gingivitis, and plaque build-up. As Dr. Brent Nickolaychuk and our staff know, caring for your mouth is easier when your teeth are straight. The Canadian Dental Association says the following conditions are less likely to occur if you have the proper orthodontic treatment.

• Dental caries
• Gum disease or gingivitis
• Tooth loss
• Impaired speech
• Worn tooth enamel

Orthodontic Treatment Improves Nutrition

Poorly aligned teeth can reduce your ability to chew properly or make certain foods more difficult to eat. Many of these more challenging foods are healthy, and avoiding them can cause you to limit your diet to softer, often less-nutritious foods, such as ice cream and canned soup. Straighter teeth and a better ability to chew let you eat crunchy foods, such as apples and carrots; stringy foods, such as asparagus and chicken; and chewy foods, such as raisins.

You have done a lot of work to get the perfect smile. You wore your Invisalign aligner trays and cared for your teeth, and now your treatment is done. You still need to take care of your teeth to keep your beautiful smile. Keeps these things in mind when you think about your oral care routine.

Retainers

Many patients do require a retainer after Invisalign treatment. This will be based on your unique situation. If a retainer is recommended by Dr. Brent Nickolaychuk, use it as directed. Retainers prevent your teeth from shifting back into their original position. You should also avoid hard, crunchy foods for the first couple of weeks as your teeth adjust. For younger patients, retainers are normally used until the wisdom teeth come in or are extracted.

Brushing and Flossing

Brushing and flossing must be part of your daily oral care. Flossing helps remove the plaque, which becomes tartar or calculus. This build up can lead to gingivitis and gum disease. Your gums may be more sensitive for a week or two after your orthodontic work is completed. A warm salt water rinse may relieve discomfort.

Your teeth may be slightly sensitive for a short time. They have been protected by your Invisalign aligner trays and now are fully exposed. You might want to try a sensitive toothpaste to get through the transition. Just ask; we will be glad to recommend the best type for your needs. If your teeth are stained, a professional whitening treatment can be considered.

Regular Dental Checkups

You still need to have regular dental exams. Professional cleanings and X-rays make sure that both your teeth and gums stay healthy so you can keep your teeth for life. If cavities or other problems are found, they can be taken care of quickly.

If you have any questions about how to care for your teeth after your Invisalign program, please ask our Winnipeg or Selkirk, MB team. We want you to keep your healthy smile and enjoy the results of your Invisalign treatment.

If you are wearing braces and are planning a vacation, our team at Kildonan Orthodontics would suggest that you be prepared. We put together a list of items that will be handy to have with you at all times while you are out of town. They include:

• Toothpick, flosspick, or other interdental cleaners
• Travel toothbrush
• A water bottle or a mini bottle of mouth rinse
• Orthodontic wax to help with discomfort from protruding wires
• A small mirror for examining any possible issues in your mouth

Putting these items together in a “braces/oral hygiene kit” may be wise. You may even buy pre-made braces kits. Please ask us for more information.

If you happen to be on vacation and experience problems reaching our office, we suggest going online and searching for orthodontic practices in your area. Most orthodontists will lend a helping hand to another orthodontic patient and get him or her out of pain or discomfort.

We also suggest avoiding the following foods to prevent broken brackets and/or wire distortion while you are on vacation:

• Chewy, sticky, or gummy food
• Apples, pears, and other whole fruits (cut fruit into wedges before consuming)
• Bagels and hard rolls
• Corn on the cob
• Hard candies
• Hard cookies or pretzels
• All varieties of nuts, including peanuts, almonds, and cashews

Finally, if you are wearing clear aligners and happen to lose your tray, don’t worry! Simply put in either the previous tray or the next tray and contact us as soon as you get home!

Follow these tips and you can have a worry-free vacation! Please give us a call if you have any questions!

A clean mouth is a happy mouth. And when Dr. Brent Nickolaychuk and our staff see you have a clean mouth, we are happy too. Of course, all of this should make you happy because you’re the one preventing sneaky little food bits from getting trapped under the wires of your braces.

Still, you need to be thorough with your brushing. When you have braces, you’re playing a game of hide-and-go-seek with everything you eat. Here are five tips to keep your mouth (and us) happy.

1. How is brushing with braces like geometry? It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down. Brush the bottom of your teeth with the brush angled up. Pointy brushes, aka interproximal brushes, are good for reaching the tiny spots around braces.
2. Brush after every meal. If those sneaky little food bits hide in your mouth for very long, they’ll turn into plaque. And plaque is a sign of a very unhappy mouth.
3. Brush one tooth at a time for at least ten seconds, and pay close attention to the spots where your braces touch your teeth.
4. Fluoride is your new BFF. Make sure your toothpaste and mouthwash contain this cavity-fighting ingredient.
5. Braces are no excuse not to floss. In fact, saying you can’t floss because you have braces is like saying the dog ate your homework. Dr. Brent Nickolaychuk and our staff, like your geometry teacher, aren’t going to buy it. Be sure to floss after every meal.

After you complete your orthodontic treatment at our Winnipeg or Selkirk, MB office and have your Damon Smile braces removed, you will most likely be given a retainer to wear by Dr. Brent Nickolaychuk. Retainers will help protect all of the time and money that you’ve invested into your newly aligned teeth, by keeping them in place for many years to come. You will have the self-confidence to smile proudly and know that you have had the best possible treatment.

Permanent Retainers

Many orthodontists prefer to place a permanent bonded retainer behind your front teeth, either on the top or bottom or sometimes both. These are preferred due to the fact that they can be placed on your teeth and forgot about. There is no need to keep track of it, or worry about losing or cleaning it. They are the simplest to deal with long term, and they last can last for many years.

Removable Retainers

Many people do prefer removable retainers but there is a bit more maintenance that you need to be aware of if you choose to go this route.

• You must remove your retainer while you eat and drink.
• You must remember to wear as your orthodontist advised; most patients wear them all night.
• Remove when brushing your teeth and also brush the retainer.
• Retainers can break, so be careful with them.

In order to know what is the best method of caring for your smile after your Damon Smile braces are removed you should speak to Dr. Brent Nickolaychuk. You definitely want to protect your investment and smile!

The term malocclusion refers to misalignment of teeth. You may have been born with malocclusion, so your teeth simply grew in crooked, or the misalignment and crowding of your teeth occurred over a period of time. Either way, not only can malocclusion pose cosmetic issues, but it can have a negative effect on your speaking and eating abilities as well.

Types of Malocclusion

Malocclusion encompasses multiple types and classifications of misalignment issues, including twisting or rotation of the teeth and molars that do not meet when you bite down. In some cases, the top front teeth are pushed outward in an upper protrusion.

In other cases, a misplaced midline results when the front top teeth don’t meet with the front bottom teeth. Transposition occurs when teeth protrude through the gums in a position where another tooth is supposed to be.

Practically any type of crowding or spacing issues, rotation or twisting of the teeth, or bite problem – including overbite, underbite, open bite, or crossbite – is included under the umbrella of malocclusion.

Malocclusion Classifications

There are three classifications of bite or misalignment problem.

• Class 1 malocclusion: While the bite may be normal, the upper teeth overlap the lower teeth slightly. This is the most common type.

• Class 2 malocclusion: Known as overbite or retrognathism, class 2 involves a severe overlap of the upper teeth and jaw over the bottom teeth and jaw.

• Class 3 malocclusion: Known as underbite or prognathism, class 3 occurs when the lower teeth and jaw overlap the upper teeth and jaw. Thus, the lower jaw juts forward.

Causes of Malocclusion

The most common cause of malocclusion is genetics. However, there may be other causes, including the development of abnormally-shaped teeth, lost teeth, or impacted teeth; thumb sucking or overuse of a pacifier as a small child; having fillings or crowns that do not fit correctly; a serious injury that causes misalignment of the jaw; or developing a tumor of the mouth or jaw.

Treating Malocclusion

Orthodontic care at Kildonan Orthodontics with Dr. Brent Nickolaychuk is the main treatment available for malocclusion, which includes getting braces, Invisalign, or other corrective treatments. Treatment is ideal not just to have your smile improved, but because it makes the teeth easier to clean and maintain, lowers the risk of gum disease and tooth decay, and can even take pressure off the jaw and teeth.

Think about orthodontic treatment if you (or your child) display any signs of malocclusion. Early treatment of malocclusion during childhood can lessen expensive treatment later on.

A great smile can go a long way. Scientific research suggests that people who smile are perceived as more attractive and confident than those who don’t flash their pearly whites. When it comes time to invest in orthodontics to improve your beautiful smile, choosing the best option can be daunting. Comparing Invisalign to traditional braces is a great way to determine what orthodontics make most sense for your unique smile.

How is Invisalign different?

Unlike traditional braces, in which brackets are affixed onto each tooth and connected by wires Invisalign corrects orthodontic problems using a set of clear trays. These trays are specially formed to fit your teeth, allowing you to wear them 24/7.

Aesthetics

One of the primary advantages of Invisalign is that the clear trays are nearly invisible. Particularly for adults self-conscious about appearing professional with traditional braces, Invisalign can correct orthodontic issues without capturing the notice of others. Their nearly invisible appearance is one of the topmost reasons that orthodontic patients choose Invisalign.

Complexity of the Orthodontic Problem

Invisalign works well for people who have relatively minor problems, such as crooked teeth or small gaps between teeth. For more complex problems, particularly issues with bite or vertical problems (i.e., one tooth being significantly higher than another), traditional braces may be better at pulling teeth into alignment.

Eating and Drinking

Invisalign trays are removable, meaning that you cannot eat or drink while wearing them. Unlike traditional braces, however, you are not limited in the foods you may eat. Chewy, sticky, or hard foods may be eaten, provided that you brush your teeth before reinserting the Invisalign trays.

In the end, only you can weigh the pros and cons of Invisalign versus traditional braces. Consult with Dr. Brent Nickolaychuk to understand how these orthodontic interventions may work for your unique situation.

Dental floss is similar to a lot of products that depend mainly on the consumer’s preference. Fact is, floss comes in a wide variety of flavors, coatings, and other variations, but all types of floss essentially do the same thing. After all, that is what is most important: that the dental floss you buy is functional—cleaning the areas in between your teeth. If you want to know what the best dental floss is, the answer is the kind that enables you to successfully and regularly clean those areas. So to help you find the right type of floss for you, here are some options.

Flavored Dental Floss

Many people that floss prefer a flavored dental floss because it freshens their breath even more than unscented floss. The latter can also take on the smells associated with bacteria in your mouth. And we all know how bad that can be. So, if flavored dental floss is what you prefer, and it allows you to floss your teeth regularly, then it is automatically best for your mouth.

Flossers

There are also products on the market called flossers, which usually consist of a plastic instrument with strung floss and a pick on the opposite end. This option can be both effective at cleaning the areas in between your teeth and scraping off plaque. These flossers also come flavored in mint and various other varieties.

Gentle Dental Floss

Some people find that typical dental floss is too harsh on their gums. For that reason some companies make floss with soft coatings that are less abrasive on the gums. For the most part these types of floss are just as effective as regular floss, and for those people that require a more sensitive approach to flossing, especially when just starting out, this is the best option.

Of the aforementioned options, it is difficult to name an absolute best type of floss. However, Dr. Brent Nickolaychuk and our team say that the type of floss that works best for you, giving you the greatest chance of succeeding at regular flossing, is the best. For more information on floss, contact our Winnipeg or Selkirk, MB office.

So you’re about to get braces. Congratulations! You are taking a very smart step to improve the health of your teeth as well as get that killer smile in shape. But, as with anything that is good for you, there are a few things you will have to avoid while you “do your time.”

Some foods don’t do so great with braces. The foods listed below should be avoided while you are wearing your braces because they can pop the brackets and bend the wires. In other words, these foods can really ruin your day, and send you back to Kildonan Orthodontics to get your braces repaired.

So before you hit the chair, hit the grocery and candy store – one last time – for:

• Beef jerky
• Raw carrots
• Taffy
• Pizza crust
• Bagels and other crusty bread
• Popcorn
• Hard candy
• Nuts and seeds

Dr. Brent Nickolaychuk and our staff will give you more information about eating with braces. Some foods, such as apples, are okay as long as you cut them in pieces first. Others, like pudding and pasta, are fine just as they are. But then there is “the list”: the foods that are a big no-no and should be avoided. It won’t be forever, so hang in there.

Your braces time will pass before you know it and you can resume more normal eating. But before the braces go on, enjoy these tasty treats. Go ahead and indulge!

Invisalign is gaining traction as a sought-after solution for orthodontic problems. Unlike traditional braces, which require the placement of brackets on teeth and the connection of unsightly wires, Invisalign works nearly invisibly (as its name suggests). Particularly for those who do not wish to draw attention to their orthodontic work, Invisalign provides an attractive solution.

Consultation with a Treatment Provider

Our practice has received specialized training to work with Invisalign. During your consultation appointment, Dr. Brent Nickolaychuk will assess your smile needs. In some cases, the type of problem may not lend itself to correction through Invisalign, and we may offer an alternative solution.

Creation of a Custom Treatment Plan

Invisalign works using a series of customized clear trays that fit almost perfectly over the teeth. To create these trays, Dr. Brent Nickolaychuk will take X-rays and impressions of your teeth. These are submitted to a specialized laboratory that makes a 3D image of your smile. This is used to create a specialized treatment plan that provides an estimate of how long treatment will take.

Arrival of Custom Trays

Once your customized trays have arrived, the treatment begins. For Invisalign to work properly, you must wear the aligners 20 to 22 hours per day, removing them only to eat, drink, and brush your teeth. The trays gently draw your teeth into proper alignment, correcting your orthodontic problems as you go about your everyday life.

In general, you will replace your aligners with a new set every two weeks. This is to encourage your teeth to continue moving throughout the treatment process. You’ll need to check in with our Winnipeg or Selkirk, MB office every six weeks or so to ensure treatment progresses smoothly.

Beautiful Smile: Complete!

Once you complete your individualized treatment plan, you’ll have the smile you’ve always dreamed of. Like with traditional braces, Dr. Brent Nickolaychuk may recommend that you wear a retainer to ensure that your teeth remain in their new positions.

Bad breath, or halitosis, is probably not a matter of life or death. But it can make you feel self-conscious and have a negative impact on your life. The majority of people suffering from bad breath are dealing with oral bacterial. However, there are other causes of this embarrassing problem. Learning more can help you fight this solvable problem.

Five Causes of Embarrassingly Bad Breath

1. Dry Mouth. A decrease in saliva flow can be caused by several things. Most often, medication or mouth breathing are the culprits. As saliva helps wash away food particles from your mouth, it prevents bad breath. Dry mouth can be dealt with by stimulating salivation.
2. Gum Disease and Poor Oral Hygiene. Not brushing and flossing well enough or with enough frequency can lead to gum disease, which leads to bad breath. Halitosis can be a sign that plaque is present on your teeth.
3. Food-Related Bad Breath. Food particles that aren't brushed or flossed away attract bacteria that leads to bad breath. It's especially important to brush after eating strong-smelling foods, such as garlic or onions.
4. Smoking and Tobacco. Tobacco is bad for your health, and that includes your oral health. Smoking or chewing tobacco can contribute toward the development of gum disease, as well as oral cancer.
5. Mouth Infections and Other Medical Problems. A mouth infection, sinus infection or even the common cold can cause you to temporarily have bad breath. Even conditions such as diabetes and reflux can cause halitosis. It's always wise to see Dr. Brent Nickolaychuk to help determine the cause.

We are Your Ally

Even if you maintain good oral hygiene, it's important to see Dr. Brent Nickolaychuk at our Winnipeg or Selkirk, MB office to deal with or avoid problems with bad breath. We can help you uncover the cause of halitosis, while also providing solutions that allow you to enjoy fresh breath without relying on mints and breath fresheners. As is the case with all things related to oral health, we are your number-one ally when it comes to eliminating the problem of bad breath.

The dental procedures that focus on the correction of alignment and bite are known as orthodontic care. With the aid of braces, aligners, retainers, brackets, and similar appliances, orthodontic treatment can correct oral disorders such as protruding teeth, crowding, difficulty biting or chewing, and speech issues. Seeking orthodontic treatment at Kildonan Orthodontics can drastically improve your oral appearance, comfort, and health, while also encouraging proper oral hygiene and enhanced self-esteem. Both growing children and adults with oral alignment issues can benefit greatly from completing customized orthodontic treatment with Dr. Brent Nickolaychuk.

Due to the uniqueness of each mouth and the severity of each malocclusion disorder, there is no one set timeframe for orthodontic treatment. The length of your treatment is determined by many factors, including the severity of your alignment issue, your age, the health of your teeth, and the specific orthodontic procedure you need to undergo. Nevertheless, typical treatment usually takes between 12 and 36 months.

Avoiding alignment issues

While some alignment issues are brought on by unavoidable matters such as accidents, genetics, and physical disorders, some issues arise out of certain actions you should not be doing. Finger sucking and improper oral hygiene are the two most common self-inflicted reasons for alignment issues. Constant finger sucking can alter the pattern in which your teeth grow, which in turn may cause bite issues. Improper oral hygiene such as infrequent dental visits and improper brushing and flossing can lead to decay and loss of teeth, which will interfere with the bite in your mouth.

To avoid advanced alignment issues, it is important to establish a relationship with a quality dentist when you’re young and seek orthodontic treatment at the first sign of alignment problems to encourage healthy and straight teeth for a lifetime.

For more information about orthodontic treatment, or to schedule a consultation with Dr. Brent Nickolaychuk, please give us a call at our convenient Winnipeg or Selkirk, MB office!

Millions of people, around Winnipeg or Selkirk, MB and beyond, wear green on St. Patrick’s Day so they can show their spirit for the holiday and avoid getting pinched. While it may be easy for you to throw on a green shirt, sport a St. Patrick’s Day button, or wear a pair of emerald-hued shoes, if you’re an avid St. Patty’s Day enthusiast you may want to try something different this year. Dr. Brent Nickolaychuk thought of a few ideas that will help you take your holiday spirit to the next level:

Visit Montreal

One of the longest-running and largest Saint Patrick's Day parades in North America occurs each year in Montreal, whose city flag includes a shamrock in its lower-right quadrant. The annual celebration has been organized by the United Irish Societies of Montreal since 1929. The parade has been held annually without interruption since 1824, However, St. Patrick's Day itself has been celebrated in Montreal as far back as 1759 by Irish soldiers in the Montreal Garrison following the British conquest of New France.

Don Green Face Paint

Just like an avid sports fan on game day, you can use green face paints to showcase your enthusiasm for this holiday. Avoid breakouts or allergic reactions by only using paints that are specifically meant to be applied to the skin. A little bit of face paint can cover a large area, so feel free to get creative and decorate the whole family on St. Patrick’s Day.

Eat Green All Day

Not a fan of green eggs and ham? With the increasing popularity of green smoothies, there’s no better time to get in on this health craze. To create a green smoothie without the aid of food coloring, you can simply blend a generous amount of a leafy green vegetable, such as spinach or kale, with the ingredients that you would typically use to make a smoothie, like fruit, ice, milk, or juice. Keep the trend going throughout the day by using those same vegetables to create a green soup, egg salad, or a batch of bright green pastries. As an added bonus, you’ll get a healthy dose of vitamins without changing the taste of most of these foods.

If your old holiday routine has gotten stale, leave your green T-shirt in the drawer and try one or all of these tips. Don’t be surprised if you have so much fun that you decide to start a new, annual St. Patrick’s Day tradition! Have a happy St. Paddy’s day from Kildonan Orthodontics!

Brace-ism: believe it or not, it’s a concept. The Urban Dictionary defines brace-ism as “acting mean to people who have braces on their teeth.” Phrases like metal mouth, brace face, and train tracks are common jokes uttered by gap-toothed fools who like to make fun of people with braces.

While ignoring these comments and taking the high road is the best thing to do, there’s nothing wrong with having a few clever retorts and quick-witted comebacks up your sleeve.

1. The next time someone calls you train tracks, break into an obnoxious train imitation, with lots of toot-toot and chuga-chuga-chuga. Finish off your crazy locomotive impersonation with some sort of deafening train horn. That’ll keep the bullies at bay.
2. “It’s better to be a brace face than a space case.”
3. Counter with a ridiculously childish joke that makes the schoolyard tormentor feel even smaller than he already is. “Oh. Yeah. Why did the deer need braces? Because he had buck teeth. Hahaha.” Top it off with an exaggerated eye roll.
4. “Yeah, my brother tells that joke. He’s six. You guys should hang out.” That’ll stop the haters dead in their tracks. Or would that be train tracks?
5. Here’s one from the sarcasm grab bag. “Well, I’m just glad there’s a way to fix what’s wrong with my face.”
6. “I can’t wait to discuss this formative moment at our ten-year class reunion, when my teeth are razor-straight and you’re wearing adult braces.”

The Kildonan Orthodontics team knows that oral hygiene is important, whether you have braces on your teeth or not. But if you are a person who wears braces, caring for your teeth and gums can become somewhat challenging. Without daily oral hygiene practices, you may become prone to cavities and tooth decay during your time in braces.

Naturally, you know that brushing your teeth each morning and night, as well as after you eat, will help keep your mouth healthy and clean during the months you wear braces. But flossing is also an important part of your hygiene routine. Flossing with braces can be tricky, but it’s not impossible. Dr. Brent Nickolaychuk, your general dentist, or your dental hygienist can help you become more comfortable and adept at flossing your teeth during the months you wear braces.

Flossing Tips for Those with Braces

• Use Tools Provided by Our Office. A floss threader is a small, plastic needle that will help you floss between the wires and your teeth. Thread a 12-to-18-inch piece of floss onto the needle, and use the needle to get the floss easily behind the wires.
• Flossing Under the Wires. Once the floss is behind the wires, use your hands to manipulate the floss. Move it up and down along the wires to remove food particles.
• Flossing Between Your Teeth. Floss between your teeth as you normally would without braces. Move the floss up and down between your teeth, using a clean section of floss for each tooth.
• After You Finish Flossing. Your orthodontist may have suggested that you use a water pik or proxy brush after you finish brushing. Either of these tools will help remove any loosened food particles to ensure that your teeth and braces are clean.

Continue Good Oral Hygiene Habits

Good oral hygiene habits you use while wearing braces will help you achieve the beautiful smile you and the Kildonan Orthodontics team have been working toward. Once your braces are off, it may be tempting to slack off on the brushing and flossing. Don’t let yourself fall into any habits that will have a negative impact on your oral health or the attractive smile you waited for throughout the months you wore braces. See your general dentist for regular cleanings, and continue to brush and floss your teeth each day.

If you’re wearing braces, then you know they are working hard to straighten your teeth. However, those hard-working braces are also preventing you from easily cleaning your teeth. It is essential that you put some extra attention into preventing tooth decay while wearing your braces. When your braces are finally removed by Dr. Brent Nickolaychuk, you want a beautiful, white smile, not decayed or stained teeth. Here, we’ve listed the five best ways to ensure you have the smile you’ve always dreamed of once your braces are gone.

Use a Special Toothbrush

A regular toothbrush just doesn’t cut it when you are wearing braces. You also need to use an interdental toothbrush so that you can effectively clean behind the braces. This type of brush has bristles that are shaped like a Christmas tree that can remove food residue in the braces and on the teeth. We also recommend using a WaterPik, with its highly pressurized pulsating water, to help get all of those hard-to-reach places.

Brush after Every Meal

Since braces block food from naturally escaping your teeth after eating, it’s important that you take the time to brush and floss after every meal. The less time food has to sit on your teeth, the less likely it is to cause decay. This may seem like an inconvenience, but trust us, when you get your braces off, you will be very glad you brushed after every meal.

Don't Forget the Mouth Rinse

Even after properly brushing and flossing, there are probably some food particles in your braces. A fluoride mouth rinse is the best way to ensure that every bit of food is removed after meals. If you do not have a mouth rinse available, we suggest using water — it’s better than nothing.

Avoid Sweets

Prevention is definitely the best medicine when it comes to avoiding tooth decay. If you can nix decay-causing sugary foods from the outset, we promise you’ll spend less time trying to treat problems in the future.

Get Regular Checkups

Visit your dentist regularly while you are wearing braces. Our office recommends a thorough cleaning every three to six months. Let our Winnipeg or Selkirk, MB office know if you have questions about your oral health while in braces - our entire team at Kildonan Orthodontics is here to make sure your teeth are as beautifully straight as they are healthy!

We’re all friends here, so if you sometimes feel a bit nervous before your orthodontic appointments, no judging! Ask us about any worries you might have. We are happy to explain procedures, equipment, and your orthodontic options so you know exactly what is going on during treatment. And if X-rays are a concern, we can put your mind at ease here as well.

What Exactly Are X-rays?

Sometimes patients feel reluctant about the process of imaging because X-rays are a kind of radiation. But the fact is, radiation is all around us. We are exposed to radiation naturally from our soil and water, sun and air, as well as from modern inventions such as cell phones, Wi-Fi, and air travel.

Why is radiation so common? Because matter throughout the universe constantly gives off energy, and the energy that is emitted is called radiation. This radiation takes two forms—as particles (which we don’t need to consider!) and as traveling rays. This second type is known as electromagnetic radiation, created by photons traveling in regular waves at the speed of light.

We are exposed to electromagnetic radiation every day, because, whether we can see them or not, these different wavelengths and frequencies create various forms of light. Radio waves, microwaves, infrared, visible, and ultraviolet light, X-rays, and gamma rays are all part of the electromagnetic light spectrum.

Different types of radiation on this spectrum have different wavelengths and different frequencies, and produce different amounts of energy. Longer wavelengths mean lower frequencies and less energy. Because X-rays have shorter wavelengths and higher frequencies than, for example, radio waves and visible light, they have more energy.

How Do Dental X-rays Work?

An X-ray machine produces a very narrow beam of X-ray photons. This beam passes through the body and captures images of our teeth and jaws on special film or digital sensors inside the mouth (intraoral X-rays), or on film or sensors located outside the mouth (extraoral X-rays). These X-ray images are also known as radiographs.

Why are X-rays able to take pictures inside our bodies? Remember that higher energy we talked about earlier? This energy enables X-rays to pass through the softer, less dense parts of our bodies, which are seen as gray background in a radiograph. But some substances in our bodies absorb X-rays, such as the calcium found in our bones and teeth. This is why they show up as sharp white images in radiographs. 

There are many different types of dental X-rays used in orthodontics, including:

• Occlusal X-rays, which show the entire arch of teeth in the upper or lower jaw.
• Panoramic X-rays, which use a special machine to rotate around the head to create a complete two-dimensional picture of teeth and jaws.
• Cephalometric X-rays, which show the patient’s entire profile, and the position and development of the teeth and jaws.
• Cone Beam Computed Tomography, an external device which uses digital images to create a three-dimensional picture of the teeth and jaws.

Why Do We Need X-rays?

You might have noticed that these X-rays, unlike, for example, typical bitewing X-rays, don’t take images of individual teeth. That is because orthodontists deal with the teeth in relationship to each other and to the structures around them.

Beautifully aligned teeth and a healthy bite are the visible result of your orthodontic work, but there’s a lot going on above and below the surface that needs to be discovered and taken into account before your treatment even begins. X-rays help us evaluate:

• The size, shape, and position of your teeth, including impacted teeth and wisdom teeth
• The size, position, and health of your roots throughout treatment
• The size and shape of your jaw bones, and how they affect your teeth alignment and bite
• Your progress during different phases of treatment

How Do Orthodontists Make Sure Your X-rays Are As Safe As They Can Be?

First of all, the amount of radiation you are exposed to with a dental X-ray is very small. In fact, a typical panoramic X-ray provides roughly the same amount of radiation we are exposed to through our natural surroundings in just one day. Even so, Dr. Brent Nickolaychuk and our team are committed to making sure patients are exposed to as little radiation as possible.

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

The guidelines recommended for X-rays and other imaging have been designed to make sure all patients have the safest experience possible whenever they visit the dentist or the doctor. We ensure that imaging is safe and effective in a number of ways:

• We take X-rays only when they are necessary.
• We provide protective gear, such as apron shields and thyroid collars, whenever needed.
• We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
• When treating children, we set exposure times based on each child’s size and age.

And now that we’ve talked about some things you might like to know,

Please Let Us Know If . . .

• You are changing orthodontists and have had previous orthodontic X-rays taken. Ask to have your older X-rays sent to our office so we have a complete record of your orthodontic history. (With digital X-ray technology, this transfer can be accomplished with e-mail!)
• You’re pregnant, or think you might be pregnant. Even though radiation exposure is very low with dental radiographs, unless there is a dental emergency, dentists and doctors recommend against X-rays for pregnant patients.

X-rays play an important part in helping us make sure your orthodontic treatment provides you with a lifetime of beautiful and healthy smiles. If you have any concerns, contact our Winnipeg or Selkirk, MB office. When it comes to making sure you’re comfortable with all of our procedures, including any X-rays that might be necessary, we’re happy to give you all the inside information!

It’s normal to be a little self-conscious when you first get your braces. Even though you really want to straighten any crooked teeth, or correct a bad bite, you might still be a bit hesitant about sharing your new orthodontic work with the world. What are some ways to get over those under-confident feelings?

• Keep It Clean

Make sure you brush after every meal to reduce the chance of food particles and plaque sticking to your enamel and brackets. Brushing and flossing is particularly important now, not only to prevent cavities, but because nobody wants to see food stuck in your braces—especially you! If you absolutely can’t brush, rinse with water right after eating.

And carry a small bag filled with all the essentials for gleaming braces: a travel toothbrush, floss, a small tube of toothpaste, an interproximal brush, and a handy mirror to make sure you’re good to go. When you know your teeth and braces are their cleanest, you can’t help but feel more confident.

• Express Yourself

Braces are no longer the one-style-fits-all appliances of the past. Traditional metal braces at our Winnipeg or Selkirk, MB office are more compact, and now come in different colors and shapes. Metal brackets are typical, but ceramic brackets are an option for an almost unnoticeable look. And don’t forget to accessorize!

You can choose from a rainbow of band colors to make a fashion statement that’s uniquely you. Show your spirit with school colors, celebrate the holidays with festive tones, or choose shades that do wonders for your coloring. Whether you go for bold contrast, mono-chromatic subtlety, or “just because I’m in the mood” quirky combinations, let your braces showcase your style. And remember—you can change that style with every adjustment!

• Smile with Confidence

Nothing looks better on you than a confident smile. If you’re a little unsure, practice! Some mirror or selfie time will get you used to seeing yourself in braces. Break them in with friends and family before you go public. Remember that any difficulties with talking or eating should only last a little while.

Above all, you’re still your unique and valued self. You can wear braces and be a good friend, a student, an athlete, a lovestruck Juliet on the theater balcony, a star at your after-school job. Don’t let wearing braces hold you back from the activities you love.  Act like your old self, and you’ll soon feel like your old self!

It’s normal to feel a little self-conscious when you first get your braces. But when you care for yourself and your braces, good things happen! If you’re having difficulty adjusting, talk to Dr. Brent Nickolaychuk. We want to help make sure your journey to a beautiful, healthy smile is as rewarding and as positive as it can be.

If you’ve been following a vegetarian or vegan diet, you know that there’s much more to living a healthy life than simply avoiding meat products. Making sure your diet includes enough protein, as well as any nutrients that are primarily available in animal products, takes planning, and there’s no one-menu-fits-all solution.

Why? Because there’s no one menu that will suit all vegetarians. Specific vegetarian diets can allow for many different options:

• Vegan—a plant-based diet which excludes meat, fish, dairy, and egg products
• Ovo-vegetarian—includes eggs as a dietary option, but no dairy
• Lacto-vegetarian— includes dairy as a dietary option, but no eggs
• Lacto-ovo-vegetarian—a meat-free diet which allows both dairy products and eggs

If you are a pescatarian, who eats fish on occasion, or a flexitarian, who sometimes includes meat in a meal, your menu options are even broader.

So let’s look at the big picture—a healthy vegetarian diet is really more concerned with the foods you do eat for nutrition rather than the foods you don’t. You can create a meal plan rich in all your essential nutrients with a little research, no matter which type of vegetarian diet is your go-to choice.

And while you’re constructing your ideal menu guidelines, don’t forget about your dental nutrition!

In terms of keeping your teeth and gums their healthiest, what important vitamins and minerals are often missing from vegetarian and vegan diets? Let’s look at three of them.

• Calcium

Calcium is essential for maintaining strong bones and tooth enamel. Without enough calcium, a weakened jawbone leads to loose, and even lost, teeth. The acids in our food and the acids created by oral bacteria also weaken the minerals in enamel, including calcium. These weak spots can eventually become cavities. A diet rich in calcium not only supports the bones holding our teeth, but can even help repair, or remineralize, enamel which has been weakened by acidic erosion.

For vegetarians who include dairy in their diets, dairy products are a great way to include calcium. Milk, cheese, and yogurt are traditional and rich sources of this mineral.

For vegans, it’s a bit more challenging, but still doable! Non-dairy foods providing calcium include dark green vegetables (kale, broccoli, spinach), certain types of tofu, and fortified cereals, juices, and non-dairy milks.

• Vitamin D

Now you’re ready to put that calcium to work by making sure you have enough vitamin D in your diet. Vitamin D not only helps keep our bones healthy, it also enables our bodies to absorb calcium. Bonus—it’s been linked to better gum health in several studies.

So how to get more vitamin D? If you eat dairy, most dairy products have been fortified with vitamin D. If eggs are a part of your diet, egg yolks are a great source. Pescatarians can enjoy the benefits of vitamin D from fatty fish such as tuna and salmon.

Because we get most of our vitamin D from sun exposure or foods derived from animals, plant-based foods are not a practical way to obtain the vitamin D you need. But, just as non-vegetarians can get plentiful vitamin D from fortified dairy products, vegans also have options. Try adding cereals, juices, and non-dairy milks fortified with this essential nutrient to your diet, or take a vegan vitamin D supplement.

• Vitamin B12

Vitamin B12 is essential for healthy red blood cells, nerve cell development, brain function, and DNA production. (This is why it’s especially important for pregnant and nursing women.) Vitamin B12 can also impact your oral health. A B12 deficiency can cause a swollen, sore, or inflamed tongue, loss of taste, and gum, tongue, and mouth ulcers.

Unfortunately, vitamin B12 is reliably found only in animal foods and nutritional yeasts. If you would prefer an egg-free and dairy-free diet, look to B12 supplements or B12-fortified cereals, plant-based milks, energy bars, and other vegan options. This is a good subject to discuss with your physician, because even supplements and fortified foods might not provide enough B12.

In fact, Dr. Brent Nickolaychuk can be vital resources when you’re planning your healthiest vegetarian diet. The next time you visit our Winnipeg or Selkirk, MB office, ask for recommendations for supplements if you’re concerned that diet alone can’t provide for all of your nutrition essentials. Finally, care should be taken to ensure that, even with supplements, you get the proper amount of the vitamins and minerals you need.

As a vegetarian, you are used to the concept of care. Whether it was concern for nutrition, the planet, the animal world, or another reason that drew you to a vegetarian diet, be sure to care for your body as well as your dietary choices. Careful planning can ensure a diet which supports not only your general health, but your oral health, for a lifetime of nourishing—and well-nourished—smiles.

By now, you’re very familiar with the basic building blocks of your braces. Brackets, wires, and ligatures are no mystery to you. But suddenly, you’re hearing a brand new term—“power chains.” What exactly are these power chains, and why does your orthodontist think you need them? Let’s see how power chains are *linked* to your orthodontic treatment.

• First, why power chains?

They’re not really chains in the necklace or bike chain sense—in fact, they’re only very rarely made with metal. These chains are most often a string of O ring loops just like your elastic ligatures, attached in a row to resemble a chain.

Chain lengths are tailored to your specific needs. Dr. Brent Nickolaychuk will attach each individual loop in the chain around a single bracket, linking selected teeth together. Chains might stretch across a few teeth, several teeth, or your entire upper or lower arch.

• Second, why power chains?

Because these chains are usually made of the same elastics that your ligatures, or bands, are made from, they want to hold their original shape. They will try to return to that original shape even as they are stretched between your brackets. As they contract, they help move your teeth together. 

Over time, just like an over-stretched rubber band, they lose their elasticity, and won’t work as effectively. That’s why you’ll probably get a new power chain whenever you come in to our Winnipeg or Selkirk, MB office for an adjustment.

• Third, why power chains?

This is the most important question. How can a power chain improve your smile?

Usually, power chains become part of your treatment after the first phase of alignment. They can be used to help align your teeth or correct your bite, but are most often used to close gaps between the teeth.

You might have a gap after a tooth has been extracted. Or, as your teeth move into their new positions, you might suddenly see noticeable spaces between them. Power chains move the teeth closer together to eliminate these gaps, and do it more quickly than brackets and wires alone can do.

• How long will you need them?

This is something Dr. Brent Nickolaychuk will discuss with you. Whether it’s a matter of weeks or months, your treatment plan is designed to move your teeth into their best positions, and to do it carefully for a lasting, healthy alignment.

• Power chain options

Depending on the size and spacing of your teeth and your treatment plan, these chains usually take one of three forms: closed/continuous, short, and long. The only difference is the distance between the rings.

We will choose the type of chain that’s best for your treatment. Your contribution is to personalize your power chain. Power chains come in a rainbow of colors, allowing you to mix and match. You can even coordinate with your ligatures if you have ties as well as chains. If your goal is to have your braces blend in, various shades of white, silver, or clear colors are available. Want to mix things up? Choose a different color with every adjustment.

• Anything else?

You might experience some discomfort for the first few days with a new power chain, just as you might with any adjustment. Dr. Brent Nickolaychuk will have suggestions for making those first days as comfortable as possible.

Also, like brackets and ligatures, power chains can trap food particles, so be sure to follow our instructions for keeping your teeth and your braces their cleanest.

Now that you’re all caught up on what power chains are and what they can do for you, let’s mention one more benefit. This is a process where you can actually see the gaps between your teeth closing over the weeks you wear your power chains. Keep a selfie record of your progress as you create your beautiful, healthy smile. That’s an em*power*ing experience!

Why do you chew gum? Perhaps because it’s a habit that comes with some healthy benefits. Chewing a stick or two reduces the urge to snack between meals. It’s a substitute for behaviors like nail biting that you’d like to change. It might even give you fresher breath after those tuna sandwiches in the cafeteria.

And, as it happens, chewing sugarless gum actually offers a few dental benefits as well! The act of chewing increases saliva production. Saliva washes away food particles, neutralizes acids in the mouth that can damage enamel, and even bathes the teeth in essential minerals that help strengthen weakened enamel. We’re talking about sugar-free gum here, of course, because regular gum will just bathe your teeth in sugar—no one’s idea of a dental benefit!

So why not open that pack and enjoy? Because, despite the many positive reasons you can think of for chewing gum, sometimes gum can have a negative impact on your braces.

• A Sticky Situation

Keeping your braces clean can be a bit of a challenge. That’s why you have special toothbrushes, flosses, and interproximal brushes to get rid of food particles that stick around after you eat. And, while any food can get caught in your braces, sugared gum, because it is so sticky, can stick to appliances much more easily and much more thoroughly than even sugar-free gum. You might be able to remove gum residue with regular brushing and flossing, but, worst case scenario, you might be looking at gum firmly stuck in the brackets or between the brackets and wires.

• Gumming Up the Works

Chewing gum can also affect your treatment time if the action of chewing causes your arch wire to bend. When your wire isn’t providing the proper shape or the right amount of tension, your teeth won’t get to where they need to be as quickly and efficiently. No piece of gum is worth discovering at your next appointment that you haven’t made any progress for weeks due to a damaged wire. And since chewing gum can also lead to loose brackets and bands, you might wonder if this sticky habit is ever worth the trouble it can cause.

• Something to Chew Over

Before you decide, talk to Dr. Brent Nickolaychuk! Chewing sugarless gum increases saliva production, which can help wash away food particles from your mouth and your braces. As an added benefit, the action of chewing for a few minutes after an appointment has been shown to reduce the discomfort of an adjustment. Because today’s braces are stronger and more durable, and sugarless gum much less likely to stick to them, we can let you know if chewing gum might be acceptable or even desirable depending on your specific treatment plan and your appliance.

Talk to us at your next appointment at our Winnipeg or Selkirk, MB office about gum chewing, and we’ll give you the very best recommendations for keeping your teeth healthy, your braces clean, your appliance intact, and your treatment plan on track. Even if gum needs to be off the menu for a while, what you’ll get in return—the best and fastest path to your beautiful smile—will be well worth it!

It might be the most wonderful time of the year, but if you’re dashing through the snow to an emergency orthodontic appointment, you’re not feeling very jolly. And post-holiday, no one wants to start off their New Year’s Resolutions with “Get Cavities Filled.” How to survive the sweetest of seasons with braces and enamel intact?

Candies and sweets would normally be on the naughty list, but we’re not Scrooges! Indulging in a treat or two is part of the holiday fun, and we have some advice for how to enjoy them guilt-free. But first, some treats are definitely more naughty than nice. Which are the ones that are better as decorations than desserts?

• Candy Canes

If you’ve ever suffered a broken bracket or a chipped tooth after an innocently biting down on a much-harder-than-expected piece of candy, you know that caution is in order. That’s why we tend to savor candy canes, letting them dissolve slowly in the mouth. Of course, the drawback to this strategy is that now we’re slowly bathing our teeth in sugar, encouraging the growth of plaque and cavity-causing bacteria.

Candy canes, peppermints, and other hard candies are potentially bad for your teeth and braces when you crunch away, and definitely bad for your teeth if you let them dissolve slowly.

• Gumdrops

Glistening, colorful gumdrops. Roofing your gingerbread house, trimming a gumdrop tree, or simply sitting in a bowl, they are one of the sweetest ways to decorate for the holidays.  And when we say “sweet,” we mean that literally. Most gumdrops are basically made of corn syrup and sugar—and then rolled in more sugar.

But their sugar content isn’t the only problem. This is sugar in an extra-gummy form that sticks between our teeth and along our gums, and gets caught around brackets and wires.

• Toffees, Caramels, Taffy

They might come in lovely ribboned boxes, but these extremely sticky foods are not a gift to your teeth.

Not only do chewy candies stick to enamel, they stick to fillings, crowns (especially temporary crowns), and orthodontic wires and brackets. No one wants an unexpected trip to the dentist or orthodontist because dental work has been damaged or dislodged!

• Gingerbread Houses

Nothing says the holidays like a gingerbread house—chewy, sticky gingerbread covered with hard sugar icing, gumdrops, and peppermints. Great for your décor; not so great for your dental health. Eat one gingerbread man if you’re in a spicy mood and leave your architectural masterpiece intact.

Well, this list wasn’t very jolly. So as a little holiday gift for you, here are some suggestions to help you enjoy your desserts in the healthiest way possible.

• Be choosy.

Just like you search for the perfect presents for your family and friends, take the time to choose the perfect holiday treats for yourself. If you are wear braces, or are worried about cavities, or are just generally concerned with your oral health, stay away from sticky, hard, and excessively sugary desserts.

What can you accept from your holiday hosts with a grateful (and relieved) smile? The occasional soft chocolate should be nothing to stress about—and if you make it dark chocolate, you’ll actually get nutritional bonuses like magnesium and antioxidants. Soft cakes, cupcakes, cookies, and pies should be braces-friendly—yes, they are made with lots of sugar, but it is the holidays after all. Just be sure to follow our next suggestions to make that slice of cheesecake guilt-free.

• Eat sweets with a meal.

Saliva does more than keep our mouths from getting dry. It also helps prevent cavities by washing away food particles and neutralizing the acids from food and bacteria which damage enamel.

Eat dessert with a meal, and you benefit from increased mealtime saliva production. When you snack throughout the day, this acid-neutralizing ability is greatly reduced.

• Rinse after eating.

Rinsing your mouth with water after a meal or a snack, especially a sugary one, also helps wash away the sugars and carbs which oral bacteria convert into cavity-causing acids.

• Brush immediately. (Maybe.)

If you wear braces, you want to make sure there are no food particles stuck around your brackets and wires. If you wear aligners, you want to get rid of food particles on and around your teeth before you replace your aligners after eating.

But if you’ve eaten acidic foods like citrus or colas, the acids in the food can weaken your enamel just enough to cause some potential enamel damage if you scour your teeth immediately after eating. We often recommend waiting about 30 minutes to brush to give your enamel a chance to recover.

Since every mouth is different, especially when you wear braces, talk to Dr. Brent Nickolaychuk for the best times and methods for holiday brushing.

You don’t want to ho-ho-hope that we can fit you in at our Winnipeg or Selkirk, MB office for a bracket repair. Make your holiday dessert list and check it twice, and make sure you’re brushing and flossing more often if you’re indulging in seasonal treats—give yourself these two gifts, and you’ll be ringing in the New Year with a beautiful, healthy smile. Sweet!

If you’ve been following your dentist’s advice, you know that you should be devoting two minutes twice a day to gentle, thorough brushing, and floss carefully at least once a day. It’s automatic. It’s habit. You’re in the zone. Now that you have braces or aligners, though, it’s time to step up your game!

Removing Food Particles

No one wants to worry about food particles stuck in braces right after lunch—or, worse, noticed hours after lunch! Because food tends to stick around brackets and wires, Dr. Brent Nickolaychuk and our Winnipeg or Selkirk, MB team recommend brushing after a meal. Not only will you be confident in your smile, you’ll be improving your dental health.

But why?

Better Plaque Removal

Plaque is a sticky film containing acid-producing bacteria. These acids lead to weakened enamel and, eventually, cavities. Careful brushing with a fluoride toothpaste helps eliminate plaque. But as you may have discovered, it can be more difficult to clean around brackets and wires. Brushing after eating will help keep plaque from forming on your enamel, and using the right tools (floss made for braces and interproximal brushes) will help clean plaque more effectively.

But what about aligners?

If you wear clear aligners, you take them out when you eat. This avoids the problem of food particles trapped in brackets and difficulty brushing around wires. But this doesn’t mean you are home free. Brushing after every meal is also a good idea when you wear aligners.

Our teeth have an organic way to help remove food particles, acids, and bacteria between brushings—saliva! Your aligners, while covering your teeth, decrease their exposure to saliva. It’s really important, then, to make sure you brush after eating. Otherwise, food particles and acids can remain on your teeth after you replace your aligners, increasing the risk of enamel erosion and decay.

Brushing helps keep your aligners clear as well. If you notice aligner discoloration, this could be the result of food residue such as tomato sauce or coffee that remained on the teeth after a meal. Anything that stains your enamel can stain your aligners. And don’t forget about plaque. Plaque can stick not only to your enamel but to your aligners as well. If you notice that your aligners are cloudy, or have an unpleasant odor, talk to us about the best way to keep them their cleanest.

Make a Plan

So, what can you do to make brushing more convenient during a busy day? Be prepared! Keep a small kit with you containing a travel brush, a small tube of toothpaste, floss, and an interproximal brush for quick cleanings when you’re out and about, and you’ll never have to worry about your smile.

Of course, there are occasions when it’s just not possible to brush. At times like this, whether you have traditional braces or aligners, it’s a good idea to rinse well with water after meals or snacks, and brush as soon as you can.

Start your new dental routine now, and soon it will be automatic. An everyday habit. Your new comfort zone. After all, taking a few extra minutes from your day to brush after every meal will be well worth it when you end your orthodontic treatment with a smile that is as healthy as it is beautiful!

If you are a student of Speech or Drama, you know how important it is to be clear and articulate. You’ve worked on pronunciation and projection, and the audience in the back row can understand every word.

And now you’ve gotten braces, and, suddenly, you don’t sound quite like yourself. Why? And, more important, what can you do?

• Don’t Panic!

Many patients see no change at all in their speech after getting braces. With some orthodontic conditions or appliances, you might have problems pronouncing certain sounds, but these changes in articulation are usually quite temporary. 

• Why Are You Sounding Off?

Every consonant is formed in a precise way as tongue, lips, and teeth work together. If you have brackets and wires in the way, or just got a new retainer, or have a set of aligners, you might find that your articulation is a little off, especially for sibilant sounds such as S’s and Z’s. Luckily, we humans are a flexible bunch, and it usually takes a very short time for our tongues and mouths to adapt to orthodontic appliances and return to normal pronunciation.

If your speech is affected at first because your lips and cheeks are sore or sensitive after getting braces, take time to take care of yourself! Use wax as often as needed to cover irritating brackets and wires, eat foods that are low in salt, spice, and acids, and follow your orthodontist’s instructions for taking care of your mouth. You should start feeling better within a few days, and should be fine after a week or two. If pain or discomfort persists, call your orthodontist.

• Practice Makes Perfect

If you want to speed along the process of getting back to your normal pronunciation habits, practice! Read aloud, sing along to your favorite songs, recite lists of words with the specific sounds you want to work on. Oddly enough, to get back to your normal speech more quickly, slow down. Thinking before you speak is never a bad idea, and, in this case, thinking while you speak can help you position your tongue and mouth to verbalize tricky sounds more easily.

You don’t have to be a national debate champion or the world’s most blood-curdling Lady Macbeth to be concerned about clear speech. Talk to Dr. Brent Nickolaychuk during your next appointment at our Winnipeg or Selkirk, MB office if you find you are having problems with pronunciation. Whether your appliance needs an adjustment, or you need a few suggestions for speech exercises, or it’s simply a matter of time, soon you’ll be back on the road to perfect pronunciation—and on the way to your perfect smile.

You devote a lot of energy to your orthodontic treatment. Appointments, rubber bands, adjustments, cleaning (so much cleaning)—and why? Because you know that your attractive, healthy smile will be well worth the effort.

But if you find that keeping your teeth and braces clean requires more time and energy than it should, and you’re still not getting the results you’d like, a water flosser might be just the tool you need to help make your cleaning routine easier and more effective.

Plaque and tartar can be a real problem when you wear braces. Cleaning around braces and wires can be a challenge, and it can be difficult to get floss between your teeth and close to your gums, even with special threaders or floss designed to slip behind your wires.

But ignoring bacteria and plaque build-up can lead to cavities, weakened or discolored enamel, and gum problems. Fortunately, a water flosser can help wash away food particles, bacteria, and plaque even in tight, hard-to-reach spaces, while providing gentle cleaning along sensitive gums.

Water flossers use a pulsing stream of water to remove food particles and plaque between and around teeth. You can adjust the water pressure to apply just the right amount of cleaning power, and then direct the flow to your gum line, between your teeth, around your brackets, or anywhere else you need. Some models even offer tapered heads with brushes designed specifically for cleaning braces.

You might consider investing in a water flosser if you have:

• Mobility issues. If you have joint or mobility issues, a water flosser will let you clean those hard-to-reach areas more easily.
• Lingual braces. Because lingual braces are on the inside of the teeth, they can be more difficult to clean effectively with regular brushing and flossing.
• Problems removing plaque. If you find that you are brushing and flossing regularly, but still have plaque build-up around your braces, give water flossing a try.

A beautiful smile is well worth all the time and effort you are devoting to it. If you think a water flosser might save you a bit of that time and effort, and provide better cleaning power, talk to Dr. Brent Nickolaychuk  about your options during your next visit to our Winnipeg or Selkirk, MB office. We’ll let you know if traditional flossing, a water flosser, or a combination of the two will give you your cleanest, healthiest smile.

One of the most common reasons for choosing clear aligners is that they are just that—clear! You can achieve a healthy, beautiful smile without the more obvious wires and brackets of traditional braces. But if your aligners are noticeably stained well before it’s time to replace them, you can be facing days or weeks of self-conscious smiles.

Luckily, this problem is preventable. Let’s look at some of the common causes of aligner discoloration and how to avoid them.

• Beverages that Stain Teeth Stain Aligners

You take your aligners out to eat, of course, but do you always remember to remove them when you drink a beverage? Red wines, coffee, tea, dark juices, and sodas don’t just cause enamel staining—they can discolor your aligners as well. Even worse, drinking an acidic or sugary drink with your aligners on gives that acidic, sugary beverage an opportunity to bathe your teeth in acids and sugar over a period of time. Keep your aligners (and your enamel) protected by removing them when you drink anything other than water, and brush your teeth before you replace them. If you absolutely can’t remove aligners, a straw will reduce the risk of staining.

• Soaking in Mouthwash

Mouthwash is a way to keep your teeth and mouth fresh-smelling and free from bacteria. You also want your aligners to stay fresh and bacteria-free. So, what could be the problem in giving your aligners a good soak? Well, sometimes a colorful mouthwash can stain your aligners to match! If you’re not a fan of tinted aligners, talk to us about the safest ways to use mouthwash with your appliance.

• Using Harsh Cleaners

There are products specifically made for aligners which will keep them their cleanest and clearest. Harsh cleaners and even toothpastes can be abrasive, leaving visible scratches or cloudiness. We’re happy to recommend the best and safest cleaning products for your aligners.

• Inadequate Cleaning

Plaque, that bacteria film that can stick to your enamel and around your gum line, can also stick to your aligners. If you notice a white film on your appliance, it could be plaque. Thorough and regularly scheduled cleanings are essential. Talk to us about the best schedule and methods for keeping your aligners not only clear, but sanitary.

What if, despite taking precautions, your aligners do get stained? If your aligners are new, we might be able to offer you some suggestions to get you through the next week or so. If you are almost ready for your next set of aligners, you might have no problem waiting. But the simplest solution to stained aligners is prevention.

Talk to Dr. Brent Nickolaychuk at our Winnipeg or Selkirk, MB office about how to keep your aligners looking their best—and least visible. Whether it’s diet suggestions or the most effective soaking and cleaning techniques, we have the answers to ensure your brightest, most confident smile. After all, isn’t that one of the reasons you chose clear aligners?

Modern orthodontic technology has led to major changes in the world of braces. Brackets are smaller and come in both metal and ceramic materials. Wires are more efficient and more comfortable. Elastic bands come in a variety of vivid colors, or you can choose brackets which work without bands. You can even decide on clear aligners, with no brackets or wires at all.

And since modern software technology has given us a program for just about everything, it’s no surprise that you can install apps to help make your modern orthodontic treatment more convenient and more enjoyable. What can an orthodontic app do for you?

• Keep Track of Your Appointments

There are many apps out there that are designed to help you keep your treatment on track with appointment reminders. This sounds pretty basic, but when you have school, work, sports, and activities filling your days, it doesn’t hurt to get a timely reminder that our Winnipeg or Selkirk, MB office will be expecting you in the near future. And, since missed appointments delay your progress, you are making sure you achieve your beautiful, healthy smile in the shortest amount of time.

• Mapping Out Your Routine

You know how important it is to keep track of the hours you wear your aligners. Apps can help remove the guesswork with a timer to make sure you’ve got the hours you need to progress to the next phase of treatment. Apps can also remind you when you’re ready for a new aligner, and let you track your progress in one convenient place with selfies after each aligner transition. After all, it’s really exciting to see just how far you’ve come.

If you wear traditional braces, there are apps with very helpful reminders for you, too. For example, forgetting to wear your elastics can really delay your progress. An app can let you know when it’s time to wear your rubber bands and keep track of your hours. It can also remind you to replace your bands regularly, because elastics become less elastic through the day. And take advantage of the countdown feature some apps offer to see just when you can expect to be done with your treatment when you keep on top of your routine.

• Brushing and Flossing? Apply Yourself!

A big part of making your smile look its best after your orthodontic treatment is making sure you take care of your smile during your treatment. This means keeping up with daily brushing and flossing, and using proper technique. Two minutes brushing, twice each day, and flossing at least once a day are the basic recommendations for preventing cavities and gum disease. (During orthodontic treatment, you might need to increase your brushing and flossing—ask us how often is best for your needs.)

And to help you make sure you get a solid two minutes of brushing twice a day? Try an app that plays two minutes of your favorite music with a perfectly timed brushing playlist. Apps can also send you brushing and flossing reminders, let you know when it’s time to change your toothbrush (every three months, please!), and give you tips on better brushing and flossing techniques.

• Have Fun with Your Appearance

Not sure just how you’ll look in braces? Get a preview with an app that uses one of your selfies to model different types and styles of braces, brackets, bands, and aligners. Metal brackets? Ceramic? Elastic bands in your favorite colors? No bands at all? Hardly visible aligners? Find the look that works for you!

• When Problems Happen

Some apps will even guide you through common orthodontic problems, such as applying wax to an irritating bracket or relieving discomfort. Always remember, though, an app is not an orthodontist. If you have a serious problem or concern, call us immediately.

• Orthodontist Approved

If you’ve checked out the orthodontic apps available for your operating system, you know that there are a lot of options out there. If you’re looking for an app providing information about your treatment, tips for dealing with your braces, or a convenient way to track your progress or even be part of a community, you want the best information, tips, and conveniences possible—and hopefully all in one place.

To help you find the best orthodontic app for you, talk to Dr. Brent Nickolaychuk! We might know just the app for your specific needs. Whether you choose aligners or brackets and wires, consider all the wireless options that can make your life easier, your dental care more complete, and—just maybe—your orthodontic experience a little more fun.

“Yes,” you’re thinking, “I shouldn’t be chewing sugary, sticky gum while I’m wearing my braces.” Or perhaps, “I should check with my orthodontist to see if this sugar-free gum is safe for my braces.” And these are both great thoughts—but today, we’re thinking about gums of a different sort!

While you’ve been taking care of your teeth with regular brushing and flossing, you’ve also been taking care of your gums. And now that you’re wearing braces, your gums need a bit of special attention to keep them their healthiest.

We tend to think of gum disease as an adult problem. In fact, periodontitis, or serious gum disease, is one of the most common chronic infections in the adult population. But young gums need care, too! Gingivitis, a milder form of gum disease, is unfortunately a common problem for both children and adults.

Gingivitis is an inflammation of the gums caused by the build-up of plaque and tartar. When plaque builds up, it irritates delicate gum tissue. And while gingivitis is not as serious as periodontitis, the symptoms caused by this disease are nothing to smile about:

• Redness
• Tenderness and soreness
• Swelling
• Bleeding
• Bad Breath

If you’re already feeling a little tender or swollen after an adjustment, the added discomfort caused by gingivitis is the last thing you want. But even worse, neglected gingivitis can lead to more serious infections of gum and even bone tissue. Luckily, gingivitis is both preventable and treatable with proper dental care.

So, how to protect your gums? We have some suggestions.

• Brushing Better with Braces

It can be hard to brush around your brackets and wires, but keeping these areas free of food particles and plaque makes for healthy gums—and fewer cavities! There are specially designed manual toothbrushes made for braces wearers, and tiny interproximal brushes that can reach tight spaces. Or, perhaps an electric toothbrush will do a better job for you. Just be sure to brush after each meal for the most complete removal of bacteria and plaque.

• Learn New Flossing Techniques

You might wonder how on earth you’ll get in between your teeth with your wires and brackets in the way. We have the answers! We know the best techniques for flossing your specific braces, and we’ll recommend specially designed flossing tools to make the job easier. Water flossers can also be a great help for cleaning in tight spots. Be sure to make flossing part of your daily routine—you’ll be able to remove plaque from places brushing just can’t reach.

• Rinsing? Recommended.

Talk to Dr. Brent Nickolaychuk about the best dental rinses for reducing plaque and tartar, or how gargling can help prevent irritation. And drink water! Water helps wash away plaque and bacteria, and is a great way to rinse teeth and braces if you absolutely can’t brush after eating.

• Keep up with Professional Cleanings

Be sure to keep up with your regular dental exams and cleanings. Your dentist or hygienist will be able to remove any plaque or tartar build up that home brushing can’t handle.

We want your time in braces to be as healthy—and comfortable—as possible. If you have any gum discomfort, swelling, or sensitivity, give our Winnipeg or Selkirk, MB office a call. With prompt action, gingivitis can be treated, and with careful attention to your cleaning routine, gingivitis can be prevented altogether. Something to think about!

From the time you were small, you’ve been warned about the dangers of plaque. Why? Because:

• It’s an unpleasant film that sticks to your teeth
• It causes cavities
• It causes gum disease
• It can cause extra problems when you wear braces

And really, do we need to know much more than this to motivate us to brush? But if you’re in a curious mood, you might be wondering just how this soft, fuzzy film accomplishes all that damage. Let’s take a closer look at the sticky problem of plaque.

How does plaque form?

We live with hundreds of species of oral bacteria, most of which are harmless, and some of which are actually beneficial. But when our oral ecosystem gets out of balance, problems can occur. For example, without regular and thorough brushing and flossing, we start to build up plaque.

Plaque starts forming within hours of your last brushing. And even though plaque fits the very definition of “seems to appear overnight,” this biofilm is actually a complex microbial community with several different stages of development.

• It starts with saliva.

Saliva is vital to our oral health, because it keeps us hydrated, washes away food particles, neutralizes acids in the mouth, and provides minerals which keep our enamel strong. Saliva also contains proteins, which help form a healthy, protective film on the tooth surface. This film is called a pellicle.

• Bacteria attach to the pellicle.

There are species of oral bacteria that are able to attach themselves to the pellicle film within hours of its formation. As they become more firmly attached, they begin to grow and divide to form colonies, and are known as the early colonizers of the plaque biofilm.

• A complex biofilm forms.

If you’ve skipped brushing for a few days (please don’t!), you’ll notice a fuzzy, sometimes discolored film on your enamel—that’s a thriving plaque community, and it only takes a matter of days to go from invisible to unpleasant.

If you’re not removing plaque regularly, it can harden further and become tartar. And once you have tartar buildup, you’ll need the care of a dental professional to remove it.

• What happens if we ignore plaque and tartar?

We get cavities and gum disease.

How does plaque cause cavities?

• The bacteria in plaque, like all organisms, need nutrients.

Our normal oral environment and the food in our everyday diets provide the nutrients plaque needs. And, as we mentioned above, certain types of oral bacteria convert these nutrients into acids. Foods such as carbohydrates, starches, and sugars are most easily converted into acids, which is why we recommend that you enjoy them in moderation.

• The biofilm promotes acid production.

Within the plaque film, anaerobic bacteria (bacteria which don’t use oxygen) convert sugars and starches into acids. As the plaque film becomes denser, it blocks acid-neutralizing saliva and oxygen from reaching these bacteria close to the tooth’s surface, creating an ideal environment for the bacteria to produce their acid waste products.

• Acids attack enamel.

The sticky nature of plaque keeps these acids in contact with tooth enamel, where, over time, acids dissolve minerals in enamel, weakening the mineral structure of the tooth.

How does plaque cause gum disease?

• Bacteria cause inflammation and gingivitis.

The bacteria in plaque irritate the delicate tissue of the gums, which causes an inflammation response which can leave your gums swollen, red, bleeding, or tender. This early form of gum disease is gingivitis. Fortunately, good dental care and careful brushing and flossing can usually prevent and even eliminate gingivitis.

• Plaque and tartar can lead to periodontitis.

When plaque and tartar build up around and below the gumline, the gums pull away from the teeth, leaving pockets where bacteria collect, leading to infection as well as inflammation. Infections and constant inflammation not only harm gum tissue, they can destroy the bone supporting the teeth. This serious gum condition is periodontitis, and should be treated immediately to avoid further infection and even tooth loss.

How does plaque affect orthodontic patients?

• Plaque collects around your braces.

Braces provide plenty of spots for plaque to hide from your brush. If you aren’t extremely diligent with your brushing and flossing, plaque collects near brackets, wires, and bands—all those spots that a brush and floss find difficult to reach.

• Plaque promotes demineralization

The demineralization process we mentioned above can cause white spots on teeth (decalcification), where minerals have dissolved. Sometimes these spots can be treated, and sometimes they are permanent. They can become quite sensitive, and may lead to cavities.

Careful brushing and flossing around your braces will help eliminate the plaque that can cause demineralization near brackets. Ask Dr. Brent Nickolaychuk about the tools and the brushing and flossing techniques which will give you the best results.

How do we fight plaque?

From the time you were small, you’ve learned how to fight plaque:

• Brush at least twice a day for two minutes, and be sure to brush all of your tooth surfaces and around the gumline.
• Floss to remove plaque from between the teeth and near the gumline.
• See your dentist as recommended for a thorough professional cleaning.

Be proactive. If you have any questions, talk to us at our Winnipeg or Selkirk, MB office about the best way to keep plaque at bay. We can show you the most effective ways to brush and floss, recommend anti-plaque toothpastes and rinses, even suggest plaque-revealing tablets if you’re missing some trouble spots.

We’ve only brushed up on some plaque basics, because there is a lot more to discover about this complex biofilm. Happily, even with all there is to learn about plaque’s growth and development, it’s reassuring to know that getting rid of it is quite simple—with just a soft-bristled brush, some dental floss, and a few minutes of your time each day, you’re on the way to a healthy, happy, plaque-free smile.

If your child has just gotten braces, chances are it’s a good time to brush up on dental hygiene! Why now? What’s different? And how can you help? Let’s take a few minutes and explore these timely questions.

Brushing and Flossing Are Especially Important with Braces

There’s no getting around it, it’s harder to clean teeth with brackets and wires. But it’s essential to pay attention to dental hygiene. When bacteria and plaque start building up, your child is at risk for gum disease, cavities, and tooth discoloration.

• Gingivitis

This early stage of gum disease is the result of gum irritation caused by plaque. The gums become red, swollen, sore, and can bleed or start to recede. With proper brushing and flossing, gingivitis can be eliminated, along with the risk of developing more serious gum disease.

• Tooth Decay

One of the major reasons for cavities is the erosion of enamel caused by oral bacteria. These bacteria feed on sugars from our diet and produce acids that attack the tooth’s surface. Plaque, formed by a mass of these bacteria, sticks around brackets and the gum line, putting your child at risk for cavities near his orthodontic work—which might require removing wires and brackets to treat.

• Demineralization

When acids attack teeth, they remove the minerals from our enamel. This demineralization eventually leads to cavities, but in its early stages can cause white spots to appear where the mineral structure has been weakened. Braces wearers are at special risk for demineralization, especially around brackets and near the gums, where plaque can be missed while brushing.

Time for New Brushing and Flossing Techniques

Even if your child has always done a wonderful job of brushing and flossing, braces provide a new challenge for getting teeth their cleanest. Unfortunately, plaque buildup around the brackets and the gum line is all too common in orthodontic patients. Dr. Brent Nickolaychuk can recommend some tools that make the cleaning process easier and more effective.

• Toothbrushes

Manual brushes are available with small, soft-bristled heads designed especially for braces wearers. If your child still has problems getting rid of plaque and food debris, an electric toothbrush might be helpful. And remember, encourage your child to be thorough but gentle for the sake of both braces and gums.

• Flossing with Braces

Flossing can be challenging for children at any time, but especially with braces. We’ll show you how floss threaders work, and how special flosses designed just for braces can fit under wires. This might also be a good time to invest in a water flosser. Your help demonstrating how to floss even with brackets and wires blocking the way will be appreciated by your child and your dentist!

• Products Just for Braces

Interproximal brushes are tiny cone-shaped brushes designed to fit around brackets and wires and between teeth. We can also suggest special toothpastes and rinses to help fight plaque and prevent cavities from developing. Ask us about what to shop for to make both of your lives easier.

You Can Help!

• Teamwork—Works!

When your child first gets braces, practice brushing and flossing together. Our Winnipeg or Selkirk, MB team will be happy to show you both the very best techniques for keeping teeth their cleanest and healthiest. Especially for young children, your help will make sure those techniques are learned and used.

• Make Time for Cleaning

Your child’s before-braces routine might have meant brushing two minutes each morning and two minutes at night. But thorough cleaning around brackets and wires might take a bit longer. (And, with braces, it’s best to brush after every meal rather than the common twice-a-day routine). Be available, at least at first, for a quick check to make sure braces and teeth are their cleanest. And you may have to help with removing and replacing bands until your child gets the hang of it.

• Be Prepared!

Whether it’s a day at school or an overnighter with friends, be sure your child has a kit filled with cleaning supplies ready to take along. A toothbrush, floss, an interproximal brush, toothpaste, a mirror—with these necessities, your child can keep on top of any cleaning emergencies.

For younger children especially, learning how to keep teeth and braces their cleanest can take some time. Be patient, be prepared, and be willing to help, and you and your child will have a new routine mastered—in no time at all!

Modern orthodontic technology has changed the way you wear braces. Brackets are smaller and come in a variety of shapes and colors. Wires are more efficient. Clear aligners can eliminate the need for brackets and wires altogether. And your high-tech advantages don’t stop there—today’s digital X-rays make creating your treatment plan even more convenient and efficient.

Why Are X-rays Necessary?

Beautifully aligned teeth and a healthy bite are the visible result of your orthodontic work, but there’s a lot going on above and below the surface that needs to be discovered and taken into account before your treatment even begins. X-rays help Dr. Brent Nickolaychuk evaluate:

• The size, shape, and position of your teeth, including impacted teeth and wisdom teeth
• The size, position, and health of your roots throughout treatment
• The size and shape of your jaw bones, and how they affect your teeth alignment and bite
• Your progress during different phases of treatment
• The most effective type of retainer for protecting your beautiful smile after treatment.

How Do X-rays Work?

Traditional X-rays, or radiographs, make use of film just like traditional cameras. When you have an intraoral X-ray, for example, the film is sealed in a moisture- and light-proof packet, and placed inside the mouth to capture images of specific teeth and the bone around them.

The X-ray machine is aligned precisely with the film and an exposure is taken. The image at this point is latent, and won’t show on the film, because, just like photo film, traditional radiographs need to be chemically processed before they produce a visible image.

Digital technology, on the other hand, uses an electronic sensor instead of film. For an intraoral digital X-ray, a small sensor is positioned in the mouth just like a film. When the X-ray is taken, a digital image capture device produces an image which is formed by a matrix of pixels instead of a photo-like film exposure. This format allows the image to be sent directly to a computer for immediate display without requiring processing.

Even though these methods seem very similar, digital X-rays offer some significant advantages over traditional films. Let’s look at how they compare, more or less.

• More Diagnostic Advantages

A traditional X-ray is a fixed image. It cannot be modified or enhanced. Here the digital X-ray offers a clear advantage in evaluating your teeth and the bone structure surrounding them.

Just as you can enlarge certain types of images on your computer without blurring or losing detail, a digital X-ray uses computer software to magnify images while keeping their details sharp. They can also be enhanced through brightness and contrast applications to make details stand out even more.

There is even digital subtraction radiography software available that can be used to compare recent images to older ones, removing (“subtracting”) all the similarities in the two images to display only the changes in the two—even small changes—that have taken place over time.

• Less Exposure to Radiation

Modern technology means traditional X-rays expose patients to less radiation than ever before, but digital X-rays have significant advantages here as well. Radiation exposure can be reduced by an additional 10%, 20%, or more with a digital radiograph.

And while all types of dental X-rays expose you to very little radiation, it’s always best to reduce exposure whenever possible.

• More Convenient for Sharing and Transmitting

If you need to share your X-rays with another dentist or physician, digital technology allows you to simply have them e-mailed to another office or multiple offices. You no longer need to worry about preserving physical copies, either.

• Less Waste

Unlike traditional X-rays, digital X-rays don’t need to be processed, so you save time in the office. And while the processing time is not significant (usually several minutes), if you need to repeat some X-rays for a clearer picture, or require different images for several teeth, this time can add up.

Digital X-rays are also more eco-friendly.  The fact that they don’t need to be developed means that the chemicals used to process traditional films are no longer necessary—which also means that there is no need to dispose of chemical waste products afterward.

Our goal is to provide you with the safest, most efficient, and most effective treatment possible. Digital X-rays are an important tool for orthodontists, helping us to provide you with the best treatment plan possible. If you have any questions about digital X-ray technology, contact our Winnipeg or Selkirk, MB office. We’re happy to explain the science—and the benefits—behind this high-tech diagnostic tool.

After all your hard work, and months of orthodontic treatment, the big day is finally here—your braces are coming off! What you want to see: beautiful, straight teeth perfectly aligned to create a comfortable, healthy bite. What you don’t want to see: a collection of whitish spots dotting the enamel around your gum line or outlining the spot where your brackets used to be.

What are these spots? Can they be removed? And, most important, how do you avoid them?

Decalcification

Those white spots are caused by decalcification, or the removal of the minerals, especially calcium and phosphorus, that strengthen our enamel. How does this removal take place? When bacteria and plaque remain on the teeth, they produce acids that eat away at these minerals. The result is a weakened, discolored white spot in the enamel. Unfortunately, because many orthodontic patients don’t brush thoroughly around their braces, decalcification is an all-too-common problem.

Treating Decalcification

You might need cosmetic dentistry to eliminate or reduce white spots on the enamel. In some cases, they will fade over time, or teeth whitening can help. In more stubborn cases, tooth bonding or veneers can cover the affected enamel.

Preventing Decalcification

But, obviously, prevention is always better than treatment. Here are some of the ways to keep your enamel healthy and looking its best:

• Brush thoroughly after every meal.

Getting rid of the bacteria and plaque on your enamel and around your gum line will greatly reduce your chances of decalcification—and cavities. Brush after every meal, and talk to us about the best products and techniques for cleaning your teeth and appliances. And be sure to spend the extra time you’ll need for brushing around your braces.

• Floss

Even though it can be more difficult to floss with brackets and wires, it’s essential for removing plaque. We have suggestions for special flosses designed for braces wearers, and how best to use them. A water flosser can be helpful for reducing plaque if other flossing methods aren’t working.

• Use fluoride toothpaste

Fluoride actually helps remineralize our teeth, replacing the important minerals that have been lost to acid attacks. We might also suggest remineralizing toothpastes or a fluoride rinse.

• Watch your diet

Acidic foods increase the acidity levels in your mouth, sugars give bacteria the fuel they need to produce acids, and sticky foods allow bacteria to remain on teeth and braces longer. We’ll give you suggestions on the best foods to keep your teeth healthy (and your braces intact) while you’re undergoing treatment.

• Have your teeth cleaned regularly

Your dental professional will be able to remove plaque and tartar that home brushing has missed.

• Work with us!

If we let you know that you need to spend more time on your cleaning routine, or that you need to be more thorough when you brush and floss, take our suggestions to heart. We are happy to show you the most effective way to clean around your braces. Dr. Brent Nickolaychuk can recommend the best dental products for your specific needs. We can suggest rinses and toothpastes that will help. We’ll let you know how much time you should spend brushing and how often.

If you have any questions at all about keeping your teeth and braces their cleanest, we are here to help. Always feel free to talk to our Winnipeg or Selkirk, MB team about concerns you might have about decalcification, discoloration, or any other potential problems. We are want to make sure that when your braces come off, you have every reason to smile!

Let’s talk about mouthguards.

We could talk about how important wearing a mouthguard is when you lead an active life. If you play sports, ride bikes, skateboard, or participate in many other kinds of exercise, mouthguards protect your teeth, mouth tissue, and jaws from accidents. 

Or we could talk about how wearing a mouthguard while you’re wearing braces has extra benefits. Besides its normal protection, your guard helps protect your brackets and wires from damaging contact, and your delicate mouth tissue from impact with your braces.

But we’re not going to talk about any of these important topics today. Instead of looking at how your mouthguard protects you, today we’re going to look at how you can protect your mouthguard.

If you want your guard to last longer, work better, and stay (and smell!) cleaner, some basic tips make all the difference.

• Keep your guard clean.

This can’t be stressed enough. Without a good cleaning routine, your guard can become discolored, develop an unpleasant odor, and even cause illness. Not very appealing, right? Happily, keeping your mouthguard clean isn’t difficult.

When you wear your guard, the same plaque that is present in your mouth makes itself at home in your appliance. And when your guard is in its case, that dark, moist environment makes it a perfect breeding ground for all kinds of bacteria, viruses, and fungi.

As soon as you take your mouthguard out, rinse it off. Brush with a soft toothbrush to remove all the plaque, saliva, or food debris that might be lingering in your appliance. (If you are on the playing field, in the park, or at some other inconvenient location, rinse it and brush as soon as you can.) Toothpaste can help get your guard its cleanest, but can be too abrasive for some appliances.

Once you’ve cleaned it, let your guard air dry in a clean spot for about 30 minutes. Air drying helps prevent bacterial growth. After your guard has dried, return it to its case.

Once a week, you might need to give your mouthguard a good soak in a mouthwash or other dental cleaning solution.

Since cleaning instructions can be different depending on which type of mouthguard you have, be sure to follow our instructions if you have a custom guard, or clean as directed by the manufacturer if you have a store guard.

• Keep it safe.

When your mouthguard isn’t in your mouth, it should be in its case. Floating loose in your locker or tumbling around in your gym bag puts your guard at risk for breakage and bacteria.

And don’t forget to clean your case thoroughly every few days and air dry it as well. Bacteria, viruses, fungi, mold, and other unwelcome guests can collect in your case, too.

• Keep it only as long as it’s in good condition.

You can purchase mouthguards from sporting or drug stores, or Dr. Brent Nickolaychuk can make you a mouthguard designed to fit your teeth and braces perfectly. These appliances are made to be strong and durable, but they’re not indestructible. Over time they can wear down or become damaged, especially if you treat them carelessly.

Bacteria can lurk in dents and cracks, and you can cut your mouth on rough, sharp, or broken edges. But if your mouthguard isn’t fitting properly, don’t resort to self-help! Trying to repair, reshape, or trim your appliance yourself is not a good idea, because it might affect its fit and protective ability.

Any sign that your guard isn’t fitting properly or shows signs of wear and tear could mean it’s time for a replacement. You can replace a store model, or see Dr. Brent Nickolaychuk about replacing or repairing your custom guard. A mouthguard that doesn’t fit, doesn’t keep you safe.

Take care of your guard, and it will take care of you. The reward for the small amount of time and effort you put into caring for your mouthguard is braces that will last through your treatment at our Winnipeg or Selkirk, MB office and a smile that will last you for a lifetime. Those are benefits we can talk about all day!

One of the many benefits of your clear aligners is that you can remove them to eat. You should brush after every meal, just like you would with traditional braces, but cleaning your teeth is much easier without having to work around and between brackets and wires.

But when you wear your aligners 22 hours a day, you might be tempted to leave them in when you’re just having a sip of something when you’re thirsty. Unless you’re drinking water, please don’t.

What’s the problem with a can of cola or a cup of coffee?

• Staining

The virtue of your clear aligners is that they are, well, clear! Probably one of the reasons you decided on this method of treatment was because you liked the idea of an inconspicuous appliance.  Unfortunately, dark beverages such as colas, coffee, tea, and red wine can stain your aligner, making it more visible.

• Warping

Very hot beverages might actually affect the shape of your aligners. Since they are formed using heat, it makes sense that heat can also de-form them. If hot teas and coffee drinks cause a change in the shape of your aligners, they will not move your teeth the way they were meant to.

• Affecting Tooth Health

Even though our enamel is very strong, sugary and acidic drinks can damage it. Acidic foods can erode enamel, and the sugars in our diet provide food for cavity-causing bacteria, which then produce acids that erode enamel.

Normally, saliva provides some protection from acids and sugars by diluting them and washing them away from the teeth. When you drink a cola or an orange juice with your aligners on, some of the liquid will get in them, and can stay in them until the aligners are removed. You will actually give these problem beverages the opportunity to bathe your teeth in sugar and acid over a longer period of time, without exposure to saliva to help offset potential harm. And after all your work to create a beautiful smile, you certainly don’t want new cavities!

How to protect your aligners and keep them their cleanest—and most invisible?

• Take your aligners out before drinking beverages that can stain them, or, if you can’t, try using a straw. Clean your aligners according to Dr. Brent Nickolaychuk and our team’s instructions to keep them as clear as possible.
• Don’t drink very hot beverages with your aligners in place. Try icing your coffee and tea if you can’t remove your aligners. And if you think your aligners have changed shape, please give us a call.
• Drink water! Water hydrates you, doesn’t damage enamel, and keeps your aligners clean. Tap water is your best option, as even bottled waters can be acidic.

If your aligners should become stained, remember that you change them frequently, so the staining can be a temporary problem. If you do have a drink of something hot and your aligners feel “off,” give our Winnipeg or Selkirk, MB office a call. We’ll let you know if you need to replace them.

But prevention is always best! Avoid staining from the start by removing your aligners before you drink dark beverages. Don’t expose your aligners to heat. Think about replacing unhealthy drinks with water. And certainly brush right away, or rinse with water if that’s not possible, if you drink a sugary or acidic beverage. These simple precautions will help keep your aligners, and, most important, your teeth, looking their best.

Press Pause

If you are getting braces in the near future, it’s very important to see your regular dentist first. That way, any cavities or other dental problems can be treated before your first orthodontic appointment at our Winnipeg or Selkirk, MB office.

Play it Safe

Once you have your braces, you’ll hearing a lot about how you need to be especially careful with your dental hygiene. Why? Because wires and brackets are obstacles to getting your teeth and gum area their cleanest. Plaque and food particles tend to stick to braces, and all too often can be missed while brushing. Plaque builds up around your gum line and brackets, and, in a very short time, can lead to sensitivity, demineralization, and cavities.

What can you do to prevent tooth decay?

• Increase Your Brushing Time

Instead of brushing twice a day, start brushing for two minutes after every meal. Put together a travel bag with a small toothbrush, toothpaste, floss, and interproximal brushes to clean your teeth when you’re on the go. If you absolutely can’t brush, rinse carefully with water, and then brush as soon as you can.

• Flossing—More Important than Ever

Use the flossing tools designed just for braces to make sure you’ve removed food particles and plaque from around your braces and gums. A water flosser can be helpful if manual flossing isn’t effective.

• Keep Up with Your Regular Dental Care

Schedule regular checkups and professional cleanings at your dentist’s office. They will be able to remove plaque you might miss at home.  

• Follow Our Advice

We’ll give you instructions on how to brush and floss, what products to use, and diet suggestions (such as keeping sugary and sticky foods off the menu and away from your braces). If we notice plaque building up around your gums and brackets, we’ll let you know that you need to step up your hygiene habits. We can also suggest rinses and toothpastes that help fight plaque.

But if, despite all your efforts, you do get a cavity? There are options!

• Ignoring Your Cavity?

Not an option. You shouldn’t wait until you are out of braces to get a cavity treated. This just gives decay a chance to spread further.

• Working With Your Braces

Repairing a cavity means removing the decay in the tooth, cleaning the area, and then filling the tooth. If your cavity isn’t located near your bands, brackets, or wires, your dentist might be able to work around your braces, and you can get your cavity treated during a regular dental appointment.

• Removing Parts of Your Braces for Treatment

Sometimes a cavity is located in a spot that your dentist can’t reach because of your braces. In that case, we’re able to coordinate with your dentist and remove a wire or bracket temporarily so you can have your tooth filled. Make an appointment to replace your bracket and re-attach your wire, and you’ll be back on schedule as soon as possible.

Fast Forward

Keep your eyes on your goal--you’re in braces because you want a beautiful smile. Keeping on top of your dental health is an essential part of creating that smile. Talk to Dr. Brent Nickolaychuk about tips for getting your teeth their cleanest. If you do develop a cavity, we’ll help you figure out the best way to treat it without causing too much delay in your orthodontic treatment. Taking care of your teeth now is the best way to create a future of beautiful smiles!

The iTero® Intraoral Scanner has revolutionized the way orthodontic impressions are taken. Now there's no need for messy, uncomfortable molds. Getting high-quality and accurate impressions has never been easier or more reliable.

When a patient comes to our Winnipeg or Selkirk, MB office for a consultation, Dr. Brent Nickolaychuk will need to take records of the person’s teeth and bite. Having a replica of a patient’s teeth and bite enables the orthodontist to plan out and visualize the most effective and timely treatment plan.

Traditionally, this was achieved by creating a plaster mold or cast. Putting the impression material and trays onto the teeth can be an uncomfortable process for many patients, especially those who have a sensitive gag reflex.

All that is history with iTero digital impressions. Our patients and team members alike love the speed and accuracy of the iTero Intraoral Scanner. We simply move the wand around your teeth and gums, and within seconds, you get a high-quality, accurate, and color digital impression. That’s all there is to it!

Here’s what patients love about iTero:

• There are no messy and gag-inducing molds involved.
• It’s quick, so the process doesn’t interfere with your busy schedule.
• It’s painless and can be used on even the most pain-sensitive patients.
• Impressions are saved in a digital format, so there’s no risk of molds breaking or needing to be recast.
• Cutting-edge accuracy makes for more timely, comfortable, and effective orthodontic treatment.

Our Winnipeg or Selkirk, MB office is equipped with the latest iTero technology to make your office visit a breeze. So many aspects of our lives have been digitized and simplified, why should your orthodontic treatment be any different?

If you’re thinking about getting braces or clear aligners, iTero will optimize the experience and help ensure you get the best treatment you possibly can!

Choosing clear aligners was a great decision on your part! Straight teeth and a healthy bite? Subtle, almost invisible aligners? 3D technology custom-designed just for you? All the positives we’ve come to expect from your choice of orthodontic treatment.

So, don’t sabotage your good work! Here are five negative habits that will prevent you from getting the most out of your aligners:

1. Don’t forget to keep them clean

One of the reasons you chose clear aligners is because they are nearly invisible. But careless cleaning habits can leave them discolored, scratched, or cloudy. Soaking in colored mouthwash can stain aligners. Using abrasive cleaning products or brushing with a heavy hand can cause scratches. And failing to keep aligners clean can lead to a buildup of cloudy plaque. Talk to us! We know all the best products and practices to keep your aligners their most sanitary—and most invisible.

2. Don’t eat with your aligners in place

Aligners are simply not meant to be used while you eat. Chewing puts too much stress and pressure on them, and can lead to aligner damage and even breakage. Because you will be wearing your aligners for most of the day, planning ahead for your meals is key. One bonus: it’s a great way to eliminate unconscious snacking.

3. Don’t let foods or drinks stain your aligners

It’s great that you take your aligners out to eat, but do you remember to brush before you replace them? Foods like spaghetti sauce and blueberries that stick to your enamel can stain your aligners. And it’s always best to remove your aligners before drinking a beverage. If a drink can stain your teeth, it can stain your aligners. Red wines, dark juices, colas, and, of course, coffee and tea can cause discoloration. Another thing to consider? Food particles in the trays can not only stain your aligners (and your enamel), but keep your teeth in contact with the acids and sugars that lead to cavities.

4. Don’t run hot

Aligners are formed using heat, so it makes sense that heat can de-form them as well. Drinking hot beverages with your aligners in place can change their shape—and even subtle changes will affect your progress. Since warped aligners might have to be replaced, save the piping hot beverages for those times you’re not wearing aligners. It’s best not to clean them with very hot water as well.

5. Don’t forget to wear them

Aligners need to be worn approximately 20-22 hours each day. If you’re not putting in the required time, you’re delaying your progress. If you’re having trouble with scheduling meals or activities, talk to Dr. Brent Nickolaychuk when you visit our Winnipeg or Selkirk, MB office. We have suggestions.

But let’s not just dwell on the negatives. We like to focus on the positive, too, so here’s the one item on your “Do List” that will absolutely make your aligner experience the best it can be:

Do follow our recommendations!

Clean your aligners with the proper tools and products—and clean your teeth and aligners after every meal and snack. Remember that water is the only guaranteed problem-free beverage. Don’t expose aligners to heat or eat with them in place, because they can be warped or damaged. And be sure to wear them as long as you need to each day—this will keep your treatment on track and on schedule.

Enjoying a future filled with beautiful, healthy smiles? That’s not just a positive—it’s a happily-ever-after!

Our grandmothers and grandfathers, our moms and dads—we’ve known them our whole lives. So, why are they so hard to shop for?

If your older family members have all the sweaters, socks, and scents they need, consider a gift that can make life a bit easier and perhaps a lot healthier—an electric toothbrush!

• Easy Efficiency

The most important reason to choose an electric toothbrush is its effectiveness. Several studies have shown that regular use of an electric toothbrush leads to a marked reduction in plaque, that bacteria-filled film which sticks to the teeth and leads to cavities and gingivitis. And it’s really no surprise that an electric brush can out-perform a manual brush.

Using a manual brush is not just a matter of applying toothpaste and scrubbing. Proper technique means short brush strokes at a 45-degree angle for the outer and inner surfaces of the tooth, thoroughly cleaning the uneven chewing surfaces of the molars, and brushing the inside of the front teeth with gentle vertical strokes. Meticulous cleaning of all these surfaces can be difficult, especially for people with dexterity issues.

Electric toothbrushes offer several options, from oscillating/rotating brushes to oscillating/rotating/pulsating models to brushes using sonic vibration technology. What they all have in common is the ability to remove plaque far more effectively than we can on our own, because they provide the equivalent of thousands and even tens of thousands of brushstrokes per minute, as opposed to the hundreds we can achieve by hand.

• Comfortable Control

An electric toothbrush can be not only more efficient, but also more comfortable for older brushers. For those with arthritis, limited mobility, injuries, or other health conditions, the larger handles can be easier to control and much more grip-friendly. And, with the work being done by the brush head, users avoid repetitive hand and wrist motion.

Also, the pressure applied to teeth and gums with an electric brush is designed to clean thoroughly while protecting the mouth. Heavy-handed manual brushing can irritate delicate gum tissue and even damage enamel over time. With an electric brush, users only need to guide it along teeth and gums as it supplies all the power needed. There are even pressure sensors available to warn users that their brushing is too vigorous.

• Apps, Anyone?

If your grandfather likes to keep things old school, a basic model with a convenient two-minute timer and several cleaning modes will offer all the bells and whistles he needs. But if your nana has more Instagram followers than you do, consider a more tech-savvy option.

Several of today’s electric brushes come with features designed to make brushing even more effective. They can let her know if she’s brushing long enough, alert her if she’s brushing too hard, and remind her that it’s time to replace the brush head. Some models link to handy apps that will map out just where she’s brushed, in case there are a few spots that get overlooked. Or choose a model which comes with a travel case that can recharge while she’s busy seeing the world.

Okay, all that being said, we’ll admit it—a toothbrush might not be the most glamorous gift your grandparent unwraps on that special day. But helping a favorite family member brush more effectively and comfortably while improving dental health? That’s a gift that keeps on giving!

One of the most common reasons for getting braces is because there’s just not enough room for all your teeth to fit next to each other evenly. The result is overlapping and crooked teeth. What’s the first step in creating the space you need? Well, that depends on just how much room you need to align your teeth and bite properly.

When there is going to be a serious need for space, there are orthodontic solutions that can help, including palatal expanders, surgical options, and extractions. But if you only need a tiny bit of room so that regular braces will fit properly, we have a tiny solution—orthodontic spacers!

Why do you need to make space before you get braces? Because Dr. Brent Nickolaychuk might need to make some room around crowded molars so your braces can be installed properly.

For example, you might need orthodontic bands to anchor your braces. An orthodontic band is a slim, custom-fitted ring of metal which fits snugly around a molar. It is durable, provides a place to attach bands and springs to help correct malocclusions (bite problems), and can securely surround a tooth that might be weak because of a large filling. Spacers can separate crowded teeth just enough to allow a band to be fitted around a molar.

Even if you don’t need bands, sometimes separators are necessary to provide enough space between the teeth for your braces to work effectively. The back teeth tend to move even closer together with braces, and, without adequate space, bite problems, risk of decay, and other difficulties can arise.

And while you might think that some serious equipment is in order to make room between those sturdy molars, the typical spacer, or separator, is actually extremely simple--usually a tiny, round elastic band, often made of rubber. Spacers can be placed between tight teeth in a matter of minutes. Each ring is stretched and positioned between your teeth with a special tool. As it returns to its original shape, the spacer’s width provides just enough pressure on the teeth it touches to make a bit of space between them. And a bit of space is usually all you’ll need.

What do spacers feel like? For some people, they can be uncomfortable. You might feel soreness, some pressure, or as though a piece of food is stuck between your teeth. Ask us for suggestions on making you more comfortable, whether it’s dining on ice cream and cold drinks, eating soft foods, or taking over-the-counter pain relief. Separators are only designed to be in place for a very short period (usually under two weeks), but if they are causing you pain, give us a call.

What do you need to do to help the process along? Actually, it’s more what you need not to do. Don’t use dental picks or floss on your separators, avoid chewing gum, and take chewy and sticky foods off the menu. And don’t be tempted to touch or play with your spacers!

Spacers can create space between the teeth so quickly and efficiently that they often fall out on their own after a few days. If your separators fall out, give our Winnipeg or Selkirk, MB office a call. It could mean that you are ready for your braces, and on the way to a lifetime of healthy, beautiful smiles. And it’s a journey that begins with a tiny, springy step.

You’re going to the game! And no matter which sport you follow, there’s so much to enjoy—the best athletes, exciting play, hometown pride—and those delicious concession stands! But if you’re wearing braces, your team spirit might be flagging. Here are a few ideas to help keep your food choices out of foul territory.

You know that you should avoid the foods that can damage braces or stick around your wires and brackets. This means any snacks that are sticky, chewy, hard, or crunchy are benched. So most of the traditional game foods—peanuts, popcorn, nachos, licorice—are just not safe for traditional metal or ceramic braces. Let’s save those for next season.

So what is on the program? You still have many great choices.

• Ice Cream. A favorite that’s easy on your braces (no nuts or caramel, please). If you want a healthier option, try frozen yogurt or a smoothie.
• Hearty Snacks. Pretzels and pizza can be too thick and chewy. Go for the mac and cheese, chili, or deli meats on soft bread. And remember, small bites! Check with us to see if hamburgers and hot dogs are safe for your braces.
• Soft Candies and Cookies. Licorice, caramels, and crunchy cookies are out, but soft chocolate bars and moist, tender cookies are still on the menu.
• Sodas and sports drinks can create a sugary and/or acidic environment which can damage enamel over time. If you do indulge, try to rinse with water ASAP.

Stadium and arena menus contain a lot of starches and sugars, which stick to braces and fuel cavity-causing bacteria. So it’s best to go easy on the snacks. But you don’t have to give up a half-time treat entirely—just enjoy in moderation and be sure to brush thoroughly when you get home.

If you wear clear aligners, your choices are simpler. You can remove your aligners, eat normally, and clean your teeth thoroughly before replacing them. But one flag on this play—remember that you’re supposed to wear your aligners for a set number of hours each day. You don’t want to be putting your treatment behind schedule if the game goes into triple overtime. Keep your eye on the clock, and you should be fine.

Dr. Brent Nickolaychuk and our Winnipeg or Selkirk, MB team are always happy to recommend the best food options for your individual orthodontic treatment, and we can help you select a roster of safe and healthy choices. You might miss out on a few of your favorite sports snacks right now, but let’s remember the true fan’s motto: There’s always next year! Taking care of your braces and teeth means faster treatment and healthier teeth. Your All-Star smile will be worth it!

The topic is tubes. No, we’re not talking about TV shows, or sports socks, or British subway systems. We’re talking toothpaste! With so many options out there, which toothpaste should you be looking for to keep your teeth their cleanest and healthiest during orthodontic treatment?

• Fantastic Fluoride

The last thing you want while you’re wearing braces is a cavity. Cavities develop when plaque sticks to a tooth. The oral bacteria found in plaque produce acids that weaken your enamel. Over time, these acid attacks lead to the breakdown of the enamel and a cavity forms. But you have a way to stop this process. Fluoride provides protection against cavities. Fluoride toothpastes contain minerals that actually strengthen your enamel, and can even repair early damage before a cavity has a chance to form. Whichever toothpaste you choose, fluoride is the most important ingredient.

• Terrific Tartar-Control

What is tartar, anyway? Tartar, or calculus, is hardened plaque. It’s so hard, it can’t be removed by brushing alone—that’s why your dental hygienist uses special tools to remove it when you have a cleaning. Tartar buildup can lead to receding gums and gum disease, so prevent this buildup before it starts by using a toothpaste especially formulated to remove plaque.

• Desensitizing Decisions

There are many causes for tooth sensitivity. If painful sensitivity is caused by hot or cold drinks, it could mean a dental issue such as decay or a damaged tooth, and your dentist can help diagnose and treat the problem. Sensitivity be a sign that you’re not cleaning around your braces well enough, leading to sore and inflamed gums. Sometimes sensitivity can actually be caused by over-enthusiastic brushing. Remember, massage, don’t scrub! For some extra-sensitive teeth, a desensitizing toothpaste or even a prescription toothpaste can help. If you find that your teeth are more sensitive only after an adjustment, give us a call. This is usually temporary.

• What about Whitening?

Whitening toothpastes do a good job of taking care of some surface stains, so why not use them? Because they take care of some surface stains. When your braces are in place, your brackets cover a small portion of your enamel—a portion that won’t be whitened as you brush. Generally, because whitening toothpastes don’t make a huge difference in tooth color, this might not be a problem. Talk to Dr. Brent Nickolaychuk before you decide to whiten, and we’ll have suggestions just for you.

In fact, if you have any questions about the best toothpastes for orthodontic patients, contact our Winnipeg or Selkirk, MB office! Getting your braces is a great step forward on your way to a beautiful smile. Let us help you choose the right toothpaste to make sure that beautiful smile is a healthy and lasting one.

Gum disease is one of our most common dental diseases, affecting both children and adults. If you are considering getting braces or aligners, make sure your gums are their healthiest before beginning orthodontic treatment.

• Gingivitis

For both younger and older patients, gingivitis (mild gum disease) can be the result of poor brushing and flossing habits. When plaque builds up around the teeth and gums, it irritates delicate gum tissue. The gums become inflamed, and symptoms such as redness, swelling, tenderness, bleeding, and bad breath can result. Usually, your dentist can treat early stages of gingivitis with tips on more efficient brushing and flossing, a professional cleaning, and suggestions for mouth rinses if needed.

Because brushing and flossing with braces can be more difficult, you need to devote special attention to your cleaning routine to prevent gingivitis from developing after you start treatment. Talk to us any time about how to brush and floss most effectively when you wear braces. Dr. Brent Nickolaychuk can also recommend tools designed especially for braces wearers to get your teeth and gums as clean and plaque-free as possible. If you are a candidate for clear aligners, this option can make it easier to keep your teeth their cleanest. We’ll work with you to keep your gums healthy as your orthodontic work takes place.

• Periodontitis

For older patients, gingivitis, left untreated, can eventually lead to periodontitis (severe gum disease). This chronic infection can lead to the formation of pockets between your gums and teeth that become home to bacteria and infection. Over time, periodontitis can lead to the destruction of gum, ligament, and bone tissue. Left untreated, it can lead to loose teeth and even bone and tooth loss.

Making sure you schedule regular dental exams will allow your dentist or periodontist to detect and treat any signs of periodontitis as early as possible. If you have any of the symptoms of gum disease, it’s important to treat the cause of these symptoms as soon as possible to protect your gums, bone, and teeth. Deep cleaning procedures such as scaling and root planing, topical and oral antibiotics, and oral surgeries such as flap surgery or bone and tissue grafting can help reverse the effects of periodontitis.

Because orthodontic treatment involves moving the teeth and re-forming the ligament and bone tissue, which hold them in place, you need healthy periodontal ligaments and bones to begin treatment. If you have suffered shifting teeth or bone loss due to periodontitis, talk to us. We will let you know at your visit to our Winnipeg or Selkirk, MB office if you are a good candidate for orthodontic work, and which type of appliance is best for your periodontal health.

We are happy to talk to you about the best way to achieve an attractive smile and a healthy bite if gum disease has been a problem in the past. Most important, we want to make sure that your teeth and gums are their healthiest even before you begin orthodontic treatment. Preventing and treating gum disease will provide the foundation you need for a lifetime of beautiful smiles.

No matter how careful you are, accidents can happen. Perhaps it’s a slice of apple that was a little bit larger than it should have been. Or you were chewing on your pencil while you were trying to work out an algebra problem. Or you tried a piece of candy that your friend really, truly thought didn’t have a caramel center.

No matter the cause, when something‘s wrong with your braces, you know it. And you want to fix it as soon as possible. What can you do to make yourself more comfortable? And which repairs are best left to orthodontic professionals?

First things first. If you have been injured, and suffered a trauma to your mouth or jaw that has damaged your braces, we want to make sure that you get any medical attention you might need before we worry about your appliance. Call Dr. Brent Nickolaychuk, and your doctor, immediately if you have suffered a medical or dental injury.

Even if your braces are the only injured party, you might need a special appointment if the damage is something that shouldn’t wait and can delay your orthodontic progress. Broken wires, brackets that have fallen off, and loose orthodontic bands, for example, need to be replaced in our office.

But what about minor problems? First, call us to see if it’s something that really is minor, and whether you can do some home repairs to keep you going until your next regular visit.

• Wayward Wires

One of the most common—and most annoying—problems is a broken or out-of-place wire. If a wire end is poking you, dental wax can be applied to the loose end to protect your cheeks and gums. If that doesn’t work, we can let you know how to apply gentle pressure to move the wire away from delicate tissue. Don’t try to cut a broken wire or remove it without talking to us—small pieces can be swallowed accidentally. We’ll give you suggestions for how to handle a broken or loose wire and protect your mouth until you can see us.

• Breakaway Brackets

If your bracket becomes loose, this is another good reason to give us a call. Brackets are specifically placed to let your archwire guide your teeth where they need to be. Without a firmly bonded bracket, the wire isn’t doing you much good! If a loose bracket is irritating your cheeks or gums, you can try a bit of dental wax to stick it in place and cover hard edges until we can re-bond it. If the bracket comes off all together, bring it with you to your next appointment.

• Balky Bands

Spacers are little rubber bands we put between your teeth if we need to create some room between your molars before you get your braces. They have a tendency to fall out after several days. We’ll let you know if their work is done, and you’re ready to start your orthodontic treatment. If you lose one of your ligatures, those colorful bands around your brackets, give us a call and we’ll let you know if replacement can wait.

We’re happy to help you with any braces problems, large or small. It’s best to check with us for even small fixes to make sure you avoid injury. Larger repairs can be handled in our Winnipeg or Selkirk, MB office—and we can give you tips on how to prevent future ones. Accidents happen, but they don’t need to delay your progress toward a beautiful, healthy smile.

The best part of summer vacation is time. Time to hang with friends, time to travel, time to get a summer job, time to catch your breath after a busy school year. And if Dr. Brent Nickolaychuk and our team have recommended braces, summer is also a great time to start orthodontic treatment!

• Time for Office Visits

It can be easier to get an appointment in the summer because many patients and their families are on vacation. And, because your earliest visits are generally the longest, you won’t have to disrupt your school schedule as much or work around after-school activities.

• Time to Get Used to Your Appliance

There can be some discomfort in the first few days after you get your braces, so you might find it’s more convenient and comfortable to be at home. You’ll have time to get used to choosing and eating braces-friendly foods, to practice speaking clearly with new braces or aligners, to appreciate your new look. And your friends will have time to get used to your braces, too!

• Time to Establish New Dental Routines

Over the years, you’ve gotten used to brushing at least twice a day for two minutes and flossing at least one a day. Now it’s time to add some new moves. Brackets and wires can trap food particles and lead to a greater risk of cavities, so you’ll need some new tools to keep your braces their cleanest.

There are toothbrushes that have heads designed especially for cleaning around brackets. Floss threaders get floss in between wire and brackets, or use a floss specifically designed for braces. Little cone-shaped brushes called interproximal brushes fit around your braces and under your wires to remove hard-to-reach food particles and plaque.

Getting your cleaning routine down during the summer will help you take care of any clinging food particles quickly during your lunch hour or before after-school activities. And, you’ll know exactly what dental supplies you’ll need in your locker.

• Time to Make Adjustments to Your Extra-Curricular Activities

Braces or aligners will provide you with a future filled with beautiful smiles, but they might require some present-day adjustments in your normal activities.

If you play a sport, especially where contact is possible, a custom mouthguard is the best way to protect your teeth, your jaw, and your braces in case of collision or a fall. Let us know what sports you play as soon as you get your braces.

If you play a reed or wind instrument, you might have to adjust the way you use your lips and teeth to produce your sound. Learning to use dental wax to cover brackets and protect your lips and mouth is well worth it. If you take lessons, talk to your instructor about the best way to adapt to your braces if you think your tone has been affected.

If you are in speech or drama, it could take a while to be comfortable with your articulation. Talk to us if you find you are having problems with your regular pronunciation for some great suggestions on getting back to normal as quickly as possible.

Summer certainly offers some advantages in giving you the time you need to get comfortable with your braces or aligners. But, there’s really no bad time to begin your orthodontic treatment. Spring, summer, fall, or winter, we’re here to help make sure your treatment experience at our Winnipeg or Selkirk, MB office is a positive one. After all, working toward a lifetime of beautiful smiles is always in season.

Your smile is just about perfect. There’s just that one tooth that’s out of place. So, do you really need to see an orthodontist?

Absolutely! Why? There are several good reasons.

First, let’s check to make sure there is no physical problem causing that turned tooth. A crooked tooth might result from an early oral trauma while the tooth is developing, or a baby tooth lost too early, or the loss of a nearby adult tooth. But a sudden change in a tooth’s orientation might also be caused by a cyst or a tumor. If you notice any changes in your tooth’s position, it’s a good idea to talk to Dr. Brent Nickolaychuk.

Second, we want to make sure your bite is aligned properly. If your tooth is crooked due to crowding by your other teeth, or if it has rotated a bit because there is too much space between your teeth, your bite might be affected as well. Malocclusions, or bad bites, can lead to a number of unpleasant consequences, including headaches, jaw pain, and increased pressure and stress on the teeth.

Third, a crooked tooth can lead to more difficulty brushing and flossing between and around the teeth, which increases the chance of tooth decay.

Fourth, we provide the professional medical care you need. Some people with a turned tooth attempt self-help with rubber bands, dental floss, or other home remedies. Not only is this unlikely to work, it can actually lead to infection, root problems, and even tooth loss.

Maybe there are no health concerns causing, or caused by, your crooked tooth. Your bite is strong, and you like your unique smile just the way it is. In that case, smile on!

But if you are interested in aligning that one crooked tooth with the rest, give our Winnipeg or Selkirk, MB office a call, and we’ll get to the root (literally!) of the problem. Depending on the reason your tooth is twisted, we’ll suggest the braces or clear aligners that will provide your most effective orthodontic treatment, and give you safe and lasting options for achieving the smile you’ve always wanted. Perfect!

Perhaps you’ve heard from parents or older relatives what braces used to be like years ago—obvious, uncomfortable, hard to clean, and with inevitable tooth extractions to start off the whole lengthy process.

Today, brackets are much smaller and wires are more pliable. You can even choose ceramic brackets or clear aligners for an almost invisible effect. New tools make cleaning your braces easier than ever. And new braces technology means that treatment is often shorter. But what about extractions? Are they still inevitable?

For orthodontists like Dr. Brent Nickolaychuk, the objective is saving teeth. And modern practices and technology have made this goal more attainable than ever before. There are several ways that modern treatment procedures can help avoid extractions.

• Early Intervention

We recommend that children visit our Winnipeg or Selkirk, MB office for an orthodontic evaluation by age seven. Because a child’s jaw is still forming at this age, early intervention can lead to orthodontic treatment that expands the jaw in order to make room for permanent teeth, or starts correcting bite problems before they become more serious.

• High-Tech Planning

Today’s technology allows us to map out the progression of your treatment before we begin. Scanners, X-rays, and computer programs help us to design a treatment plan which will accurately predict how best to move your teeth and correct your bite, taking into account the size and development of your teeth and jaw.

• Surgical Options

By the time you reach your late teen years, the jaw bones have stopped growing and it’s no longer possible to expand them without surgery. Oral surgery can treat serious jaw problems that impact your teeth and bite, usually as part of a combined treatment plan designed by your orthodontist and your oral surgeon.

Because we always work to keep teeth intact—using these methods and others—you can be sure that, if we recommend extraction, it is absolutely necessary. What could make an extraction necessary?

• Severe overcrowding. Sometimes, there’s just not enough room in the jaw for all of your teeth.
• A tooth or teeth that prevent us from correcting a problem with your bite.
• Wisdom teeth. Usually, orthodontic work takes place before a patient’s wisdom teeth start to erupt. If yours do make an appearance before or during treatment, we can adapt our treatment plan accordingly.
• An extra tooth. It’s rare, but an extra, or supernumerary, tooth sometimes develops, and your jaw is not designed to accommodate extras!

It’s important that you talk to Dr. Brent Nickolaychuk about every step of your treatment, including extractions. We want you to understand the treatment plan which will give you your best outcome. If we recommend extraction, it is because this decision is the best way to achieve a healthy bite and alignment, creating your beautiful smile—and protecting it—for a lifetime.

Imagine that you’re only going to brush your teeth once tomorrow. Don’t worry, we know you would never skimp on your dental hygiene like that, but let’s just pretend for a moment. When would be the best time to brush? When you wake up? During the day? Or perhaps before you go to bed?

Actually, whenever you choose to brush, you’ll receive important overall dental benefits as well as specific benefits tied to the time of day. Let’s explore your daily schedule to see why.

Brushing in the Morning

Brushing when you first jump out of bed produces several positive results.

• Cleaning plaque from your teeth

Plaque is a sticky film made up of oral bacteria, food particles, and saliva. As you sleep, these oral bacteria multiply and produce acids which attack the minerals in your enamel, leaving weak spots which, over time, can become cavities. Brushing removes these bacteria and acids from your enamel before they cause serious harm.

Moreover, plaque hardens if it’s left undisturbed, turning into tartar in a relatively short time. And once plaque becomes tartar, it must be removed by a dental professional. Brushing first thing in the morning removes this plaque buildup and helps prevent tartar from forming.

• Fresh breath

That bacterial growth we mentioned? It’s also responsible for morning breath. If nothing else, brushing when you wake up means greeting a fresh day with fresh breath, and that’s reason enough to pick up your brush in the morning.

Brushing During the Day

Brushing after meals and snacks also has a lot to recommend it.

• “Leftovers” lead to cavities

Foods, especially foods rich in sugar and carbohydrates, are converted by oral bacteria into acids which weaken enamel and lead to cavities. When food particles remain in the mouth after a meal, bacteria have more time and more fuel to manufacture these acids.

• Acidic foods also affect your teeth

If you have eaten something acidic, such as citrus fruits, sodas, or pickled anything, the acids from these foods can temporarily weaken the mineral strength of your enamel. But brushing immediately after eating or drinking acidic foods can damage weakened enamel. Better to rinse well with water and brush after half an hour or so.

• When you wear braces

One of the first things you discover when you get your braces is that you might need to brush more often. In fact, it’s best to brush after every meal and even every snack while you’re in braces.

Why? First, because no one wants to smile with food particles sticking to brackets and wires. Even more important, though, the filmy plaque which sticks to your enamel can be harder to remove with those brackets and wires in the way. Since plaque causes weakened enamel and cavities, brushing thoroughly is more important than ever when you wear braces.

• When you wear aligners

Wearing clear aligners means you don’t need to worry about food trapped in brackets or cleaning around wires. After all, you take them out when you eat. But this doesn’t mean you are home free. Brushing after every meal is also a good idea when you wear aligners.

Our teeth have an organic way to help wash away food particles, acids, and bacteria between brushings—saliva! Your aligners, while covering your teeth, decrease their exposure to saliva. It’s really important, then, to make sure you brush after eating. Otherwise, food particles and acids which remain on your teeth after eating are trapped in your aligners, increasing the risk of enamel erosion and decay.

Whether you wear braces or aligners, you’re especially at risk for food particles sticking around your teeth and in your orthodontic appliances. Talk to Dr. Brent Nickolaychuk and Matt Kotyk about when to brush your teeth after eating and how to keep your braces or aligners clean throughout the day.

Brushing at Night

Growing up, you probably received regular reminders to brush before bedtime—for several really good reasons:

• Saliva production slows while you sleep

During the day, saliva helps to wash away food particles and neutralize acidity in our mouths. It also contains proteins and minerals which help keep tooth enamel strong. But as we sleep, saliva production slows dramatically, and our bodies can’t remove bacteria and acids as effectively.

• Food particles fuel bacterial growth

If you haven’t brushed since morning, you’ve accumulated a whole day’s worth of food particles from meals and snacks. Remember, oral bacteria use the sugars and carbs we eat as fuel to produce the acids which attack our tooth enamel throughout the night.

• Brushing helps prevent both of these problems

Brushing your teeth before bed not only cleans away the accumulated food particles of the day, but also eliminates the plaque and bacteria which would have a much easier time sticking to your teeth without that daytime saliva flow to wash them away.

So, When’s the Best Time to Brush?

In the morning, during the day, at night—there are solid advantages to brushing any time of day. The question isn’t so much when to brush as how often you should brush.

While many dental professionals consider brushing before bedtime as the most important brush of the day, brushing at least two full minutes, at least twice during a 24 hour period, is a necessity for basic dental hygiene, along with flossing at least once a day.

When you’ve been eating sugary snacks, when you’re showing signs of gingivitis or getting more than your share of cavities, when you want to reduce the chance of plaque and tartar buildup, or when you simply want to make sure you’re doing everything you can to maintain your overall dental health, brushing after meals is also highly recommended.

And when you wear braces or aligners, frequent brushing (and flossing) is the very best way to make sure your teeth stay clean and cavity-free.

Talk to Dr. Brent Nickolaychuk and Matt Kotyk about your brushing habits at your next appointment at our Winnipeg or Selkirk, MB office. No need to use your imagination to plan your best brushing schedule. We have all the answers you need to help you brush your way to your best—and healthiest—smile!

You’ve got a lot going on in your busy life, and whether it’s school, practice, or simply socializing, you want to put a confident face forward. And part of that confidence comes from knowing your breath is its freshest!

Too often, though, this time of your life makes that goal seem difficult. Let’s look at ways to keep you smiling your brightest and feeling your freshest in any social setting.

• Watch Your Diet

Sure, garlic, onions, and other pungent food choices are obvious culprits when it comes to bad breath, but did you know that sugars and simple carbs are the food of choice for the bacteria that cause decay, gingivitis, and bad breath? Eating a nutritious, braces-friendly diet will help keep your mouth, your braces, and your breath healthy.

And it’s not just what you eat. Dehydration also causes bad breath. But those caffeinated drinks and sodas that keep you going through the day are the source of acids and sugars that contribute to tooth decay, gum disease, and less-than-fresh breath. Water, milk, and healthy smoothies are a great way to stay hydrated, add vitamins and minerals to your diet, and go easy on your braces.

• Keep Up with Oral Hygiene

It’s hard to keep your teeth and gums their cleanest when it seems like you’re always on the go, but good oral habits are just as important now as they were when you were younger.

Brushing after every meal and snack and flossing daily will help get rid of the bacteria and plaque, which lead to cavities. Our tongues also harbor the bacteria that cause bad breath, so finish off your routine with a gentle brush of the tongue, or try a tongue scraper.

Flossing helps keep gums healthy, which, in turns, keeps your breath healthy as well. Dentists generally suggest flossing once a day, but wearing braces could require flossing more often to make sure you’re getting rid of all those food particles that can become trapped in brackets and wires. Studies have suggested that hormonal changes in teenagers can mean your gums are more at risk for periodontal problems, which can also lead to bad breath, so don’t neglect your gum health!

And be sure to make room in your schedule for regular checkups and cleanings. Your dentist and hygienist will let you know if you’re on track for healthy teeth and gums and fresh breath.

• Wearing Braces?

Part of careful brushing and flossing means getting to all those places in your braces which trap food particles. Besides being a source of unpleasant odors, food particles lead to plaque buildup and tooth decay, another cause of bad breath.

Dr. Brent Nickolaychuk can suggest the best methods for keeping your braces their cleanest—even in hard to reach spots—with suggestions for brushing and flossing techniques. We can also suggest the best and easiest-to-use products for your particular braces, and recommend or prescribe antibacterial mouthwashes.

• Wearing Aligners?

Aligners are removed before you eat, so it’s easy to forget that they also need attention. Follow instructions given at our Winnipeg or Selkirk, MB office for daily cleaning to prevent saliva and plaque from sticking to your aligners and causing odors. And always remember to brush before you replace aligners after eating a meal or even snacking—otherwise, you’re just trapping the food particles that cause cavities or odors next to your teeth.

You’ve got a lot going on in your busy life, and the last thing you need to worry about is fresh breath. Keep up with your solid dental routines, make sure your braces or aligners are clean and plaque-free, and show the world your healthiest, freshest, most confident smile.

Plaque is a sticky subject! It sticks to the enamel of our teeth above and below the gum line, and it collects around braces. Plaque is one of the major causes of tooth decay and gum disease, and our teeth are under daily attack by this filmy menace.

What are the facts about plaque, and how can we fight back? Read on for some effective strategies!

What Is Plaque?

Plaque is a sticky film that builds up on our teeth, largely made up of millions of different types of oral bacteria. Plaque is a colorless biofilm at first, but as it collects, it takes on a white or yellow tint. If you haven’t brushed for a few days, that fuzziness you feel on your teeth is plaque build-up. Unless it’s removed, plaque hardens within a matter of days to become tartar.

• Tip: You can remove plaque with careful brushing and flossing, but it takes a dental professional to remove tartar. Be proactive!

Why Does Plaque Cause Cavities?

Bacteria in plaque use our food as their food, especially sugars and carbs. They can then transform these nutrients into acids, which attack our tooth enamel, weakening it and leaving it vulnerable to further erosion and eventual decay.

• Tip: Cavities aren’t the only damage caused by accumulated plaque. Plaque also collects along and below the gum line. If tartar forms here, it irritates delicate gum tissue, leading to gingivitis and more serious gum disease. Make sure you don’t forget your gums when you brush and floss.

When Does Plaque Build Up?

The short answer? Plaque is always forming, because oral bacteria are a natural part of our biology. (In fact, there are even oral bacterial which are beneficial.) Plaque starts building up within minutes after eating, and during the night as we sleep.

That’s why we recommend brushing for two minutes at least twice a day, and flossing at least once a day. When you wear braces or aligners, brushing more often is a good idea. Food collecting around braces or inside aligners is a feast for plaque! Ask Dr. Brent Nickolaychuk for suggestions for your best brushing schedule.

• Tip: Just because plaque is unavoidable, that doesn’t mean we need to give the bacteria in plaque any additional encouragement. Every time you have a meal or a snack that’s heavy in carbs and sugars, you are providing more fuel for acid production. Cutting down on foods like sugary desserts and sodas is not only nutrition-healthy, it’s tooth-healthy!

Where Does Plaque Collect?

Plaque builds up all over tooth surfaces, at the gum line, and even below the gum line. It’s especially easy to miss in hard-to-reach places like the irregular surfaces of molars, between the teeth, behind our front teeth, and near the gum line. Plaque also collects around your braces, and requires special care to make sure your teeth don’t suffer cavities or the white spots caused by demineralization.

• Tip: One of the ways plaque avoids detection is its invisibility. Fortunately, if you’re having trouble brushing away all your plaque, there are plaque-disclosing toothpastes and chewable tablets available in the dental aisle which reveal the plaque hiding between, behind, or around your teeth by tinting it with a can’t-miss color. Just brush the color away, and you’ve brushed the plaque away as well.

How Do We Clean Away Plaque?

Use the Right Tools

Floss at least once a day. There are different materials, sizes, and coatings for floss, so you can find one that’s comfortable for you. Floss reaches those spots in between teeth and around the gum line that brushes miss.

Choose a soft toothbrush (soft bristles are better for your enamel) and change it every three to four months, or as soon as the bristles show wear. Make sure the head is the right size—too big, and it’s not only uncomfortable, but you won’t be able to reach all the surfaces you need to.

• Tips: There are special dental flosses created just for your braces. You can also use interproximal brushes water flosser to clean around wires and brackets. If you have trouble removing plaque around your teeth and braces with a manual toothbrush, consider an electric model. Several studies have shown a reduction in plaque with the use of an electric brush.

Use the Right Toothpaste

There are many toothpastes specifically formulated to fight plaque and tartar. And fluoride toothpastes not only fight cavities, they can strengthen your enamel.

• Tip: Studies have shown that toothpastes with baking soda, in particular, are effective in reducing plaque. Ask Dr. Brent Nickolaychuk for a recommendation the next time you’re at our Winnipeg or Selkirk, MB office.

Use the Right Technique

What not to do?  A forceful, horizontal sawing motion is awkward, hard on your enamel, and misses plaque and debris between the teeth. Technique is important—not for style points, but for cleaner teeth!

Hold your toothbrush at a 45-degree angle, especially at the gum line, to gently remove plaque from teeth and gums. Use short strokes or a circular motion to clean as much of the surface and between the teeth as possible. Brush the inside of your front teeth with careful vertical strokes—remember, that’s one place where plaque is easy to overlook. The same holds true for the tops of your molars, so thoroughly clean those uneven surfaces.

If you wear braces, be sure to clean thoroughly around brackets and wires, where plaque can accumulate quickly.

• Tip: If you wear clear aligners, don’t forget to give them a gentle brushing as well! Plaque can stick to aligners, causing discoloration and odors, so follow our cleaning instructions carefully.

Who Can Help You Fight Plaque?

Even when you do your best at home, plaque can still be a sticky problem. That’s why we advise regular professional cleanings, which not only remove any plaque that’s hiding away, but also eliminate any built-up tartar around your braces. And, of course, there you can learn all about how to keep your teeth their cleanest.

True, you’re fighting plaque every day, but you have all the tools you need to make sure your teeth and gums stay healthy. You’re winning the battle with plaque every time you eat a nutritious meal, and every time you brush and floss. With that kind of strategy, plaque doesn’t stand a chance. And your bright smile and healthy teeth and gums? That’s a victory worth celebrating!

It’s only natural when you’re waiting for something good—you count down the weeks until your birthday, or until the summer holidays, or until your braces come off. But while your birthday and your vacation won’t come any faster no matter what you do, you can help determine just how fast that happy day arrives when you’re done with your orthodontic treatment.

When you first got your appliance, Dr. Brent Nickolaychuk gave you an estimate of how long your treatment would take. Of course, that estimate is based on everything going according to plan. What are some detours that can delay your progress?

• Missing Appointments

With every adjustment at our Winnipeg or Selkirk, MB office, you are moving closer to the ideal positioning for your teeth. If you miss or postpone appointments, it can take just that much longer to complete your orthodontic work.

• Eating the Wrong Foods

You have a list of foods that are on the do-not-eat list. Hard, chewy, sticky bites are famous braces-breakers, but don’t forget that size also matters! Biting into a juicy apple or a buttery ear of corn can damage your brackets and wires just as much as chewy candy can. Be sure everything you eat is size-appropriate and braces-friendly. Obviously, damaged braces can’t straighten teeth as effectively as intact appliances!

• Sticking with Bad Habits

Pressure from nail biting, chewing pencils, or crunching on ice can cause chips and cracks in your teeth, so just think what they can do to your appliance. Ask us for tips for quitting if you’ve picked up any of these habits. We know habits can be hard to break, but they are harder on your teeth and braces. If you bend or break a wire or loosen a bracket, you might be delaying your orthodontic progress. Which leads us to . . .

• Ignoring Appliance Accidents

Accidents happen. Brackets or metal bands can become loose; wires can bend or break; spacers can fall out. If you notice a problem, call our office right away. Sometimes a minor problem can wait, but if your appliance is damaged, your teeth aren’t moving into position on schedule.

• Blowing Off Bands

If you have bands to help correct your bite, be sure that you wear them as directed. If you skip hours or days of band-wear, you are adding to the time it will take to correct the bite problems they are meant to fix. And don’t double band to speed things up—that might put too much pressure on your teeth. Just follow our recommendations, and you will be done with those bands—and those braces—as soon as possible.

But, wait! We promised you one sure way to keep your orthodontic progress on track:

• Follow Your Treatment Plan

If you keep your appointments, take care of your braces, call us promptly if they are damaged, and wear your appliance as directed, you will be doing your part to keep your treatment on track. And that happy day when your braces come off? It will arrive right on schedule!

Your dashboard lights up when your car needs an oil change. Your family smoke detector beeps when you need to switch out the batteries. But when it’s time to replace your toothbrush, you’re on your own. Luckily, there are several not-too-subtle clues that you should be shopping for a new model.

• Fraying

Is your toothbrush looking a bit scruffy? Do those once orderly bristles look like they have the toothbrush equivalent of bed head? Have some bristles vanished altogether? Time to retire that toothbrush. Once the bristles are frayed, you just can’t reach plaque as effectively, especially where it likes to hide between the teeth.

Are you prematurely fraying? You could be brushing too hard. Overbrushing can injure delicate gum tissue, cause wear and tear to tooth enamel, and even damage your braces. If you find your brush fraying after only a few weeks of use, you might be using too much force. Remember, plaque is a sticky film, but it’s a soft sticky film. Ask us for advice on just how hard you need—or don’t need—to brush.

• Odor

This one really goes without saying—no one wants an aromatic toothbrush! How to make sure your toothbrush is fresh and clean?

Always rinse carefully after you brush. This will get rid of any toothpaste, bits of food, or other particles left on your brush.

Let your toothbrush air dry. It might seem more hygienic to keep your brush covered in a bathroom setting, but a closed, moist container is a perfect breeding ground for germs. Don’t let them make a home in your bristles!

• Illness

A cold or a bacterial infection (like strep throat) is no fun. But now that you’re feeling better, it might be time to throw out your toothbrush. The chances of re-infection are very low, unless your immune system is compromised, but this is a perfect opportunity to replace your brush with a fresh, germ-free model.

And if you share your toothbrush, or if you store it right next to a family member’s (which you really shouldn’t do, for this very reason), germs get shared, too. Quarantine your brush while you’re ill, and replace it once you’re out and about.

• Discomfort

Bigger isn’t necessarily better. A brush with a head that’s too big won’t allow you to get into those small spaces in your mouth where plaque likes to collect. And when you are trying to clean around brackets and wires, a regular brush might be a problem. Ask Dr. Brent Nickolaychuk for suggestions for the best tools for clean and comfortable brushing.

Also, harder doesn’t mean more effective. A brush with hard bristles can cause damage to your gums and enamel. We almost always recommend soft-bristled brushes for this every reason.

There are so many styles of brush out there, you’re bound to find the perfect fit with a little trial and error. Or ask us for suggestions the next time you’re at our Winnipeg or Selkirk, MB office for an adjustment!

• You’ve Passed the “Best By” Date

Because of its durable construction, your toothbrush can last a long, long time. But no matter how comfortable and effective your toothbrush is right now, it was never meant to go through life with you. Bristles break down over a period of a few months, and just don’t clean as effectively. Your brush should be changed every three months, and this includes changing the head on your electric toothbrush. And because you wear braces, you’re brushing more often, so that three month lifespan might be stretching it.

Unfortunately, you don’t have a flashing light or annoying beep to remind you when it’s time to change brushes, so you’ll have to devise your own reminders. Reminder apps, calendar notes, the first day of a new season—use whatever works best for you.

Don’t ignore the clues your toothbrush is leaving you. Replacing your brush whenever it’s necessary helps guarantee that the time you spend cleaning your teeth and gums will lead to confident, healthy smiles. Case closed!

When you get braces as a child, you usually present the orthodontist with a blank canvas—newly erupted, perfect permanent teeth, just waiting to be aligned. But if you are a bit older, your canvas might already be a bit busy, with fillings, crowns, perhaps even a missing tooth. Can Dr. Brent Nickolaychuk still work with that more complicated picture? Yes!

• Fillings

Many of us have acquired a filling or two. Normally, an old filling shouldn’t interfere with new braces. Large fillings, however, might call for spacers. These small rubber bands are inserted between two teeth as needed to create enough room for bands and brackets, and are generally put in place a week or two before you get your braces. They frequently fall out on their own as the space between the teeth gets a bit wider.

• Crowns

If you have had a root canal or any other dental treatment that left you with a crowned tooth, no need to be concerned. A special dental adhesive can be used to adhere brackets to crowns.

• Implants

If you have or would like to get an implant, this is a time to coordinate with your orthodontist and dentist or oral surgeon. Sometimes an implant can anchor your appliance, and sometimes it’s best to keep the spot open until your orthodontic work is completed. Once in place, an implant will not have the mobility of a tooth, so it’s always best to make sure your doctors can create a schedule that will work for both the installation of the implant and the positioning of your braces.

• Healthy Teeth and Gums

Before you begin orthodontic work, talk to your dentist. If you need a filling or crown, are considering a dental implant, have symptoms of gum disease, or are looking at any other dental concerns, you should work with your dentist first. Healthy teeth and gums are the very best foundation for orthodontic treatment at any age.

If you are wondering whether Dr. Brent Nickolaychuk can help you achieve the smile you’ve always wanted, talk to us when you visit our Winnipeg or Selkirk, MB office! Your past dental work will be just one of the many variables we take into consideration when we’re planning your future of picture-perfect smiles.

When does an underbite need surgery? The short answer is: when Dr. Brent Nickolaychuk and our team recommend surgery as the best way to give you a healthy, functional bite. But let’s take a longer look, and see just why your doctors might come to that conclusion.

• First, what exactly is an underbite?

In a perfect bite, the upper and lower jaws align, well, perfectly. Upper teeth overlap lower teeth very slightly, upper and lower teeth meet comfortably, and jawbones and joints function smoothly. When the alignment is off, it causes a malocclusion, or “bad bite.”

When we talk about an underbite, or Class 3 malocclusion, it means that the lower jaw protrudes further than the upper jaw. This protrusion causes the bottom teeth and jaw to overlap the upper teeth and jaw.

• What causes an underbite?

Sometimes an underbite is caused by childhood behaviors while the teeth and jaw are developing, including tongue thrusting or prolonged thumb-sucking and pacifier use. (Working to stop these behaviors before they affect tooth and jaw formation is one of the many good reasons children should have regular visits with their dentists and pediatricians.)

Most underbites are genetic, however, and tend to run in families. It’s estimated that from five to ten percent of the population has some form of underbite. The lower jawbone (mandible) might be overdeveloped, the upper jawbone (maxilla) might be underdeveloped, both bones could be affected, or, sometimes, tooth size and placement might cause an underbite. These irregularities in jaw shape and size and/or tooth crowding are not something that can be prevented, and require professional treatment.

• Why? What’s the problem with an underbite?

Even a minor underbite can cause difficulties with biting and chewing. A more severe underbite can lead to speech problems, decay and loss of enamel where the teeth overlap, mouth breathing and sleep apnea, persistent jaw and temporomandibular joint pain, and self-confidence issues.

• Can’t my dentist treat my underbite?

Most probably not. A very mild underbite can be camouflaged cosmetically with veneers, but this does not address the cause of the underbite, and will not work for moderate or severe underbites.

• Can my orthodontist treat my underbite?

Dr. Brent Nickolaychuk will create an underbite treatment plan after a detailed study of each patient’s individual dental and skeletal structure. Treatment options will vary depending on the cause of the underbite, its severity, and even the patient’s age.

Early intervention is especially important for children who show signs of an underbite. That’s why we recommend that children visit our Winnipeg or Selkirk, MB office by the age of seven.

If an underbite is caused by tooth misalignment or crowding, braces can reposition the lower teeth. Sometimes extractions are necessary to make room for proper alignment.

If the cause is due to jaw structure, children’s bones are still forming, so treatment can actually help correct bone development. Palatal expanders, headgear, and other appliances are various methods of encouraging and guiding bone development.

But braces and appliances aren’t effective for every patient with an underbite, and especially in patients (usually those in their late teens and older) when the jawbones are already fully formed. In this case, we might suggest coordinating treatment with an oral and maxillofacial surgeon.

• What does an oral and maxillofacial surgeon do?

An oral surgeon has the training, experience, and skill to help correct an underbite by surgically reshaping and repositioning the jawbone. This corrective jaw surgery is called orthognathic surgery.

• What will happen during orthognathic surgery?

Your treatment will be tailored to your specific needs. Two of the common surgical procedures for treating an underbite involve repositioning the upper jaw to lengthen it and/or reshaping the lower jaw to shorten it.

Bone is sometimes removed or added, small bone plates or screws are sometimes used to stabilize the bone after surgery—your surgeon will let you know exactly which procedures will give you a healthy, functional bite. The surgery itself is most often performed under general anesthesia and requires a brief stay in the hospital.

• How will my orthodontist and oral surgeon coordinate my treatment?

Correcting a Class 3 malocclusion can take time. Your oral surgeon will work together with Dr. Brent Nickolaychuk to analyze the interrelationship of teeth, bones, and joints to determine dental and skeletal problems, and will develop the best treatment plan possible to create a healthy alignment.

• So, when does an underbite need surgery?

Sometimes, a minor underbite can be corrected with braces and appliances alone. A serious underbite, however, will often require the specialized skills of both Dr. Brent Nickolaychuk and an oral surgeon.

And, while it’s not the primary purpose of surgery, corrective jaw surgery and orthodontics can also make you happier with your appearance and boost your self-confidence. Achieving a lifetime of beautiful, comfortable, and healthy smiles—that’s the answer to your question.

Spring may be a time for sports, sun and fun, but it's also a time when you have to be careful. At Kildonan Orthodontics, we know how important it is to protect your face while playing sports. Spring is around the corner, and the spring months bring an increase in outdoor activities—and a greater chance of damaging your precious mouth and pearly whites.  Dr. Nickolaychuk and our dedicated professional team also know sports-related injuries are common among children. According to the American Association of Orthodontists, 70 percent of parents said their biggest worry is that their child will get injured while playing sports. 
That’s why our team at Kildonan Orthodontics is doing our part to spread the word that facial sports injuries can be avoided simply by reminding your kids to wear mouth guards. Ask us—we will provide a mouth guard for any patient in active treatment at no additional charge. In addition, the AAO has provided the following tips for keeping your kids safe on the field. Please remind them to:

• Wear mouth guards during contact sports
• Wear a helmet
• Stretch before and after a game or practice
• Wear protective eye wear
• Wear a face shield to avoid scratched or bruised skin
• Be observant—even as a spectator

All of these can reduce injuries. Only by using a mouth guard and other forms of facial protection can kids with and without braces avoid serious sports injuries. Be sure to avoid mouth guards that custom form to your teeth as these will resist any tooth movements Dr. Nickolaychuk is trying to achieve. Lastly, please give us a call if you have any questions about mouth guards or your treatment at Kildonan Orthodontics.

There are so many ways you protect your teeth throughout your orthodontic treatment. You brush your teeth twice a day, floss regularly and protect your mouth and appliances from being damaged. But did you know there is another, often forgotten about, way to keep your teeth clean and healthy during your treatment? Fluoride – a mineral that helps prevent cavities and tooth decay – can help keep your teeth strong! Fluoride comes in two varieties: topical and systemic. Topical fluoride is applied directly to the tooth. Topical fluoride includes toothpastes and mouth rinses. Systemic fluorides are swallowed in the form of a dietary supplement.

Fluoride used in the orthodontists’ office is often times a stronger concentration than in toothpaste or mouthwash, but is available at some drug stores or a pharmacy (ask your doctor how to purchase professional strength fluoride). A fluoride treatment typically takes just a few minutes. After the treatment patients may be asked not to rinse, eat or drink for at least 30 minutes in order to allow the teeth to absorb the fluoride. Depending on your oral health or doctor’s recommendation, you may be required to have a fluoride treatment every three, six or 12 months. Your doctor may also prescribe a fluoride product such as mouthwashes, gels or antibacterial rinses for at-home treatment.

When choosing your own fluoride product, be sure to check for the American Dental Association’s (ADA) seal of acceptance. Products marked with the ADA seal of approval have been carefully examined and have met the criteria of the ADA for safety and effectiveness. Take care of your teeth, and smile bright!

Believe it or not, an estimated 80 percent of adults currently have some form of gum disease! Periodontal diseases range from simple gum inflammation to serious disease that result in major damage to the soft tissue and bone that support the teeth. In gingivitis, the milder form of gum disease, infection leads to chronic inflammation—gums are swollen, red, and sometimes bleeding. In the worst cases, teeth are lost.

While we know that gum disease is a threat to your oral health, research also points to health effects of periodontal diseases that go well beyond your mouth. Recently, our staff at Kildonan Orthodontics read an article that reported a study that indicated an association between gum disease and heart disease.

In a recent report published in the Journal of Clinical Periodontology, researchers found that the more severe the gum disease, the thicker and harder the walls of your arteries. We encourage you to read the article further for tips on how to improve your overall oral health. If you have any questions, please give us a call and we'll address any concerns you may have! Have a great weekend!

Did you know that back in 2002, Tom Cruise had braces? During this time, he was 40 years old and filmed Minority Report, Austin Powers in Goldmember and the Last Samurai. Check out his smile in Jerry Maguire, Rain Man or The Firm and compare to the post-braces Tom Cruise in Valkyrie or Tropic Thunder. The fact is, movie stars need to look their best for the silver screen, and it wouldn't be possible without orthodontists like Dr. Nickolaychuk.

In fact, lots of movie and television stars have had orthodontic treatment. Check out this slideshow of famous faces with braces. If you’ve thought about getting the perfect smile you’ve always wanted, please give Kildonan Orthodontics a call.

Hey mom and dad! Focusing on your kids' teeth and oral health so much that you're neglecting your own? If you've been thinking wistfully about having your own set of perfect teeth, our staff at Kildonan Orthodontics can help! We are specially trained to offer an adult-friendly option for straightening teeth called Invisalign.

This course of treatment consists of a set of clear aligners that are molded to fit your teeth using a proprietary technology. You wear them all day and night, except for meals, brushing, and flossing – when you can easily slip them out to make eating and cleaning a snap!

Because they're clear, your teeth will be steadily straightening – and no one will know it but you!

Please give us a call to set up a consultation, so we can discuss the specifics of your treatment.

Summer is finally here, and that means it’s time for some refreshing recipes! Our friends at the American Association of Orthodontists (AAO) made an appetizing (and braces-friendly!) summer dish that is sure to delight. Remember, a healthy diet provides essential nutrients and helps you achieve the best possible result from your orthodontic treatment.

Lime-Graham Cheesecake Nibbles

Ingredients:

Crust:

• 1½ cups graham-cracker crumbs (about 9 double-square crackers, crushed)
• 3 Tablespoons margarine, melted
• – or –
• 1½ cups gingersnap crumbs (about 24 to 30 gingersnap cookies, crushed)
• 3 Tablespoons margarine, melted

Filling:

• 2 eggs, separated
• 1/8 teaspoon salt
• 2 (8 oz.) packages cream cheese, softened
• ¾ cup sugar
• 3 drops green food coloring
• 2 Tablespoons lime juice
• 1 Tablespoon all-purpose flour

Directions:

Preheat oven to 325°. Line two muffin tins with 24 cupcake papers. In a medium bowl, stir together the crumbs and margarine. Spoon 1 Tablespoon of the crumb mixture into each paper. Press down the mixture firmly with the bottom of a small juice glass. In a medium bowl, using an electric mixer, beat together egg whites and the salt until the mixture forms soft peaks. Set aside. In a large bowl, use the mixer to beat together the cream cheese, sugar, food coloring, lime juice and flour, until fluffy. Add the yolks until well mixed, then use a spoon to fold in the whites. Spoon a heaping tablespoon of the lime mixture into each paper. Bake at 325 degrees for 25 minutes. Cool on the counter for 20 minutes, then keep refrigerated. Makes two dozen.

Enjoy & have a great week!

-From Kildonan Orthodontics

Braces aren’t just for children and teens anymore! Dr. Nickolaychuk will tell you that anyone, at any age, can benefit from orthodontic treatment, whether it’s correcting a problem not treated in your younger years, or catching a problem early.

To ensure the best overall treatment, the American Association of Orthodontists, or AAO, recommends that children receive an orthodontic consultation as early as age seven. If a problem is evident, taking action early can spare a lot of treatment and expense down the road.

If you never received orthodontic treatment when you were young, don’t worry! You’re never too old for a beautiful smile. Set up an appointment for a consultation and find out how adult orthodontics will transform your smile, as well as your life!

We’ve all heard that biting your nails is an awful habit, but you many wonder- really- what’s so bad about it? Recently, our team at Kildonan Orthodontics found an interesting article in the Huffington Post on about how biting your nails affect your teeth and oral health.

Nail biting, also known as Onychophagia, is a common habit among various age groups, including primarily children, teens and young adults. Nail biting is generally triggered by stress and most often decreases with age. That being said, nail biting is unsanitary, unattractive, as well as unhealthy for your teeth!

Here’s why:

• It’s unsanitary- Your nails are dirty, almost twice as dirty as your fingers! Hence, biting your nails is just asking for germs and bacteria.
• No good things come to your teeth- Nail biting causes your teeth to constantly be chewing, which is not good for them. This excessive motion wears your teeth down faster than a non-nail biter’s and puts a large amount of stress on your front teeth- contributing to teeth misalignment.
• Braces don’t love it either- Braces already put pressure on teeth, nail biting ads unnecessary pressure, further stressing your teeth and weakening their roots.
• It can be costly- Nail biting can result in up to $4,000 in additional dental bills over one lifetime, according to the Academy of General Dentistry (AGD). Yikes!

What can you do about it?

Now that you know how harmful nail biting can be, it’s time to take action to break your nail biting habit. Try to be conscious of your fingernails and to keep them looking good- this will help you resist the temptation, or ask Dr. Nickolaychuk for tips on how to break a nail biting habit.

Smile wider and you might just live longer than those who don’t, according to a March 2010 study at Michigan’s Wayne State University. Drs. Anthony Puntillo & Christopher Crane know that positive emotion has been linked to both physical and mental health, which is exactly what this study gives evidence of. University researchers took a fascinating approach: they examined photos of 230 ball-players who began their careers in baseball prior to 1950 and studied their smile intensity (ranging from big smile, no smile or partial smile). The players' smile ratings were compared with data from deaths that occurred from 2006 through 2009. The researchers then took into account other factors that impact life longevity, including body mass index, career length and even college attendance.

The results? Researchers found that players who weren't smiling in the photos died at the average age of 72.9 years. Players with partial smiles lived to be 75. Those with big smiles, however, lived on average to be 79.9 years old.

The study take-away? Smile! Show those pearly whites often and you might just live longer! Have you been perfecting your smile by visiting Kildonan Orthodontics on a regular basis? If not, give us a call!

Many parents tend to assume they must wait until their child has all of his or her permanent teeth to visit Kildonan Orthodontics, only to find that treatment would have been much easier if started sooner.

How much sooner?

Well, the American Association of Orthodontists recommends that every child have an orthodontic check-up no later than age seven.

That's right - seven.

Orthodontic evaluation at an early age provides two positive outcomes: For some, early identification of problems will lead to easier or shorter orthodontic treatment - and expense - in the future. For others, however, a healthy prognosis will provide immediate peace of mind.

Early evaluation, of course, may signal a need for early treatment. For some children, early treatment can prevent physical and emotional trauma. Aside from spurring on years of harmful teasing, misaligned teeth are also prone to injury and detrimental to good oral hygiene. So if your child is nearing age seven, please give us a call to schedule an appointment.

Have a GREAT rest of the week!

At Kildonan Orthodontics, we know there are lots of few myths about orthodontics (and orthodontists) flying around these days. Before you buy into those myths, however,  Dr. Nickolaychuk and team think you should get the facts! We came across a great site that helps set the record straight. Our friends at the American Association of Orthodontists have some excellent information on the myths and facts of orthodontics. We encourage you to check them out today!

If you have any questions about orthodontics or your treatment here at Kildonan Orthodontics, please give us a call.  Dr. Nickolaychuk is looking forward to seeing you!

Great, great question. When you first come in for your consultation with  Dr. Nickolaychuk, we will conduct a comprehensive examination to assess your oral health. This will better enable our team to determine the best treatment method for you. Then, at your next appointment,  Dr. Nickolaychuk will discuss your orthodontic options with you and have you take intraoral and facial photographs and panoramic and cephalometric X-rays to help determine the proper orthodontic treatment method.

Our staff feels it’s important to take the time to carefully examine your diagnostic records after your consultation so that we can more thoroughly prepare for your treatment. If you are seeking treatment for your child, we ask that both you and your child attend the consultation. Give us a call today and schedule a one! We look forward to hearing from you!

Believe us when we say our staff knows not every child enjoys visiting their orthodontist. But at Kildonan Orthodontics, our staff strives to bring you the best and most comforting experience at each visit. This week, we’d like to know: What is it about Kildonan Orthodontics that makes you comfortable or puts you at ease? Is it something about our pleasant office environment? Our friendly staff? Perhaps it's something about  Dr. Nickolaychuk?

Let us know by posting here or on our Facebook page!

Part of what makes Invisalign really "work," is that clear aligners can be customized for just about anyone. To find out if you are the right candidate for Invisalign treatment at Kildonan Orthodontics, the first thing  Dr. Nickolaychuk will do is to take an impression of your teeth as they are now and digitizes it. Using special software, they looks at the current positioning of your teeth and compares it to the way your teeth should look.

Next, our staff uses special software to map out the exact path your teeth will take from the beginning of your treatment to the end. Based on the results, a set of custom aligners are created just for your teeth. Throughout the course of treatment, you will be required to wear these clear, removable aligners one at a time; each one moving your teeth closer and closer to their final, perfectly aligned position. And since the aligners are virtually invisible, nobody around you will even know you are wearing braces!

Dr. Nickolaychuk ia a certified Invisalign providers. If you have questions about Invisalign, or would like to find out if you are a candidate for Invisalign treatment, please give us a call today.

Who’s afraid of “metal mouth” and the appearance of braces? Not adults, apparently. According to a new study, adults getting braces has jumped 24 percent since 1996! In fact, did you know one of every five patients in orthodontic treatment is over the age of 21? Yes, braces help make your pearly whites strong, healthy and perfectly-aligned, but perhaps another reason for the spike in adult braces is this: cosmetics. In an age—and society—where looks matter as much as anything, and at a time when evenly-aligned teeth might be the difference between getting a job or a promotion, adults are choosing—wisely—to invest in orthodontics. Orthodontic treatment with  Dr. Nickolaychuk can be successful at any age, and adults especially appreciate the benefits of a beautiful smile.

Kildonan Orthodontics provides quality orthodontic care for adults and children in Winnipeg and Selkirk, Manitoba. Dr. Nickolaychuk offers more efficient and comfortable orthodontic treatments, including In-Ovation C clear self-ligating braces, Damon metal self-ligating braces, the Forsus appliance and Invisalign.

If you’ve been thinking about getting that perfect smile,  Dr. Nickolaychuk and our dedicated team at Kildonan Orthodontics would love to have you visit for a consultation. Give us a call to set one up.

Colorful elastic ligatures (the official name for those tiny bands around your brackets) are often replaced when you come in to have your braces adjusted. Which is great! Now you have the opportunity to go with your team colors, or your school colors, or tones that work with your skin and eyes, or shades that represent your favorite holiday season. Today’s bands come in a wide variety of colors, so you never need to worry about becoming bored with your choices.

But are there certain hues that can be a bit more challenging to work with. Let’s look at some of those trickier tones.

• Lunch Look-Alikes

If you don’t want kind friends constantly informing you that you have something stuck in your teeth, you might want to leave certain colors off your list. Dark greens and browns can sometimes give the appearance of food trapped in your braces. Have a look at the shades available, and see what is least likely to send you running for a mirror and a toothbrush.

• Smile Dimmers

A blazing white band might seem like a good match to your blazing white teeth, but for many people, really light colors can make teeth look more yellow. And often bands in shades of yellow can bring out any yellow in your enamel. If you’re looking for a brighter smile, try some darker, richer tones for a gleaming contrast.

• You’re So Over the Rainbow

If you are someone who loves a monochromatic look, perhaps any colors will be, well, just too colorful. In that case, there are ligatures for you! Silver or grey braces will blend with your metal brackets, and clear or tooth-colored bands will be less obvious with metal or ceramic brackets. Light colored bands can be more prone to staining, so keep that in mind if you’re going for invisibility or a close bracket match.

Now with all that being said, you be you! If you like a color, give it a go. It might be the perfect accessory for your smile and your personality. And, if it doesn’t work . . . no big deal! You can explore another part of the color palette on your very next adjustment to our Winnipeg or Selkirk, MB office.

How long? Well, a beautiful smile is both science and art—proper teeth and jaw alignment united with aesthetically pleasing results. Orthodontists achieve both these outcomes with a careful analysis of any dental and facial problems, a treatment plan designed specifically for each patient’s needs, and adjustments through each phase of treatment to carefully bring about that beautiful smile.

And that’s a long way of saying, there’s no one, standard answer as to how long a patient will wear braces because there is no one, standard patient. Often, treatment takes from 18 to 24 months, but it can be months shorter or months longer depending on a variety of different circumstances.

• Different Needs

Your orthodontic needs and goals will generally determine your treatment time. Some patients need only a bit of alignment, which can lead to a fairly short orthodontic experience. Some have malocclusions such as crossbites and open bites that require more complex and lengthy treatment.

And, while we used to think of orthodontics as a teenage rite of passage, that’s certainly no longer the case. Some children will need two-phase orthodontic treatment, where early procedures before the adult teeth even come in ease the way for any necessary second stage treatment when the permanent teeth arrive years later. And some adults will want orthodontic work later in life, where denser bone tissue might lead to (somewhat) longer treatment.

• Different Appliances

Today’s orthodontics offers you many choices in appliances. Lingual braces are an almost invisible option, with brackets and wires on the inside of the teeth. Aligners use clear, custom molded trays to move the teeth into a better position with each new tray. Even traditional braces are smaller and sleeker today, with metal or less visible ceramic brackets. Depending on the orthodontic goals you want to achieve, there might be a small difference in the amount of time each appliance will take to get you to those goals. Talk to us about all your options and what they mean for treatment time.

• Different Levels of Participation in the Process

This is one area you can make a real difference! If you follow our instructions for using your appliances most effectively, you’ll make progress as quickly as possible. If you have aligner trays, be sure to wear them for as long as directed each day. If you have rubber bands attached to brackets on your upper and lower teeth, wear them for as many hours as required, because these little bands are actually the tools that are moving your teeth into alignment. If you don’t wear your braces or aligners as directed, not much is going to happen, and certainly not on schedule.

Give our Winnipeg or Selkirk, MB office a call, and we can discuss your goals for creating your very best smile. Once we’ve decided on a treatment plan, Dr. Brent Nickolaychuk can give you a fairly good estimate as to how long your particular treatment will take. And, when you get to share that beautiful, healthy smile, the time you’ve spent achieving it will be well worth it!

If you already wear traditional braces, you know all about these helpful little rubber rings. But if you are new to the world of braces, you might like to know just what kind of elastics are available and what they can do for you.

• Ligatures: Alignment Assistance

When you get your braces, the brackets you’ve chosen will be bonded to your teeth. Once they are attached securely, an arch wire will be threaded through the brackets to provide consistent gentle pressure, moving your teeth into their best positions. But what holds that wire in place? This is where those tiny, colorful bands, called ligatures, come in. Fit snugly around the wire and the bracket, they keep the wire where it needs to be to move your teeth to a better alignment.

There are also ligatures call “c-chain ligatures,” or “power chains.” These tiny ligature bands are connected to each other, and fit across the brackets in one long strip. This design lets them not only hold your wires in place, but help move your teeth closer together at the same time. They come in a variety of sizes depending on the spacing of your teeth, and might be worn weeks or months as needed.

One thing to remember is that while ligatures are essential, they are not permanent! Every time you have your wires tightened or replaced, you can make this an opportunity to express your personality through your choice of bands. There is a wide variety of color choices available, so take advantage of it!

Show your school spirit by displaying your high school’s colors. Go orange and black for Halloween. Match your ligature tones to your go-to clothing colors. Or, go monochromatic. Match grey or silver bands to your brackets, or choose white or clear bands if you have ceramic brackets. (One word of caution—light colored ligatures can pick up stains from dark foods and drinks. On the other hand, they won’t be around that long!)

• Rubber Bands: Building Better Bites

While ligatures are the colorful attention-getters in the elastics world, there are other bands that do very important work. When you have a malocclusion, or bad bite, your upper and lower jaws don’t fit together perfectly. We use rubber bands to align your bite correctly and carefully move it into the proper position. This is accomplished by attaching bands to tiny hooks on specially chosen brackets on the upper and lower teeth. The bands usually connect an upper bracket to a lower one, and are specifically placed to correct your unique bite problem.

If you need this type of elastic, you will play a very important part in making your orthodontic treatment work. You will probably need to wear your bands 24 hours a day, removing them only for brushing and flossing. (Talk to us about how to work with your bands when you are eating, playing an instrument, or wearing a mouthguard.) And they need to be replaced several times a day, which is where you come in.

Even if the bands look perfect, after hours of work, they lose the tightness needed to keep moving your teeth to their best position. Bands that are too loose won’t be as effective. On the other hand, doubling the bands is a bad idea because that might apply too much force. Bands come in a variety of sizes and strengths, and yours have been chosen for this specific phase of your treatment. Keep calm, keep to a schedule, and keep a supply of bands on hand in case one breaks, and everything will work out.

If this sounds like a lot of confusing information, don’t worry! Dr. Brent Nickolaychuk will supply you with the right bands for your treatment, clear instructions on where and how to place them, and practice time for putting them in. You’ll probably need a mirror at first, but you’ll become an expert in no time.

If you ever have questions we can help you with, contact our Winnipeg or Selkirk, MB office immediately. We are here to guide you through the process and help you with any problems you might have. Wearing your bands consistently and correctly will help you achieve your beautiful smile in the shortest time possible. And that’s an accomplishment that is truly fantastic!

If you’ve just gotten braces at our Winnipeg or Selkirk, MB office, you’ve probably also learned a whole new vocabulary. Malocclusion, brackets, archwires, ligatures, elastics—you’ve got the definitions down. But now you’re scheduled for an “adjustment.” What exactly does that mean?

Why Do I Need an Adjustment?

After all, you’ve just gotten braces! But the fact is, moving your teeth to their ideal location is a process that involves many steps. The brackets and wires you have today are only a starting point. Wires, and rubber bands if you need them, put gentle pressure on the teeth, gradually moving them into a better position. Every time we see you, we check the progress you’ve made and adjust your braces to move the teeth into even better alignment. It’s a careful process to make sure your teeth and jaws fit together perfectly for straight teeth and a healthy bite.

What Will Happen at an Adjustment?

Because your braces are made specifically for you, there is no one answer for everyone or even every appointment. Usually, your ligatures (the colorful bands around your brackets) will be removed, and often the orthodontic wire that is attached to your brackets will be removed as well. We’ll check to make sure you are brushing and flossing properly around your wires and brackets, and check on the condition of your braces.

Your wire might be adjusted, or bent, or tightened, or replaced all together. In the beginning, the wire will probably be more flexible. Later in your treatment, you might get a thicker, firmer wire to move your teeth more effectively, or we might bend a wire to move specific teeth.

If you need rubber bands to make sure your bite is in alignment, we’ll show you how to attach and take care of those. We’ll also look for other adjustments that might need to be made to your brackets. If you have any concerns about brackets, wires, or any other part of your braces, let Dr. Brent Nickolaychuk know! And once we’re done adjusting your braces, this is your chance to change the color of your ligatures for a new look.

Will It Hurt?

You might suffer some discomfort in the hours after an adjustment, so treat yourself gently! Stick to soft foods for a few days, and treat yourself to something cold and soothing like ice cream, yogurt, or a smoothie. Brush gently if your teeth are sensitive. Usually, over-the-counter pain relievers will take care of any soreness. You can even take a pain reliever 30 minutes to an hour before the adjustment if you are expecting some discomfort. We have more great ideas on how to reduce any tenderness you might feel—let us know if we can suggest some.

Within a day or two, you should be back to normal. If you ever suffer serious discomfort, or if the soreness lasts more than a few days, give us a call.

Remember, each adjustment brings you closer to your goal—straight teeth and a healthy bite. And that’s the definition of a beautiful smile!

TMJ is the quick way of referring to your Temporomandibular Joint. Pardon the pun, but that’s quite a mouthful! What is this joint, what does it do, and, if your Dr. Brent Nickolaychuk and our team have told you that you have a TMJ disorder, what can we do to help?

The Temporomandibular Joint

Your two temporomandibular joints are amazing works of anatomical design. These are the joints where the temporal bone in the skull meets the mandible bone of the jaw, and allow our mouths to open and close, move back and forth, and slide from side to side. Muscle, bone, and cartilage work together to provide easy movement and to cushion the joint. But sometimes, the joint doesn’t work as smoothly as it should, and this can lead to Temporomandibular Joint Disorder, or TMD.

When Should You Suspect You Have TMD?

You might have TMD if you experience any of these symptoms:

• Painful chewing
• Pain around your TMJ, or in your face or neck
• Earaches
• Changes in your bite
• Jaws that are limited in movement or lock open or shut
• Clicking, popping or grating noises when you open and shut your jaw

There are many conditions linked to TMD. If you grind your teeth at night, have arthritis in the jaw, have suffered an injury or infection in the area, or have problems with your bite, for example, you might be more likely to have TMJ problems. If you suspect you have TMD, or suffer from any of the symptoms listed above for an extended period, give us a call.

Treating TMD

During your visit to our Winnipeg or Selkirk, MB office, we will check your medical history, and examine your head and neck. We can take an X-ray or scan if needed for further examination of the joint. Because there is no real scientific agreement yet about the best way to treat TMJ disorders, a conservative treatment plan is often best. If you do show signs of TMD, we might first suggest relaxation techniques, over-the-counter pain relievers, or the use of ice packs or moist heat compresses. A change to a softer diet can help, and you should stop chewing gum and making any exaggerated jaw movements.

If these self-care practices aren’t effective, we might suggest a nightguard. This appliance is a comfortable and flexible mouthguard custom fitted for you, and will bring relief from teeth grinding when worn at night. If this treatment is not effective, talk to us about other options.

Luckily, most cases of TMD are temporary and don’t become worse over time. But any persistent discomfort is a good reason to visit us. Whether you have TMD, or any other problem causing you pain in the head or jaw, we want to help.

Getting braces is a huge step in creating the beautiful smile you want. It’s easy to see how important your wires and brackets are. Week by week, you and your family and friends can see the progress you’re making as your teeth become straighter. That makes all the careful brushing, periodic adjustments at our Winnipeg or Selkirk, MB office, and annoying loose ligatures worthwhile.

And while straight, even teeth are the visible reward you get for your months in braces, there’s a benefit that’s every bit as important that might go unnoticed by your friends and family—a healthy, properly aligned bite.

Many people have some kind of malocclusion, or bad bite. There are several different bite problems we treat. Some of the most common are:

• Overjet (the upper front teeth protrude too far forward over the bottom teeth)
• Underbite (the bottom teeth overlap the top teeth)
• Crossbite (one or more teeth haven’t come in in the proper position, often with an upper tooth fitting inside a lower tooth)
• Open bite (the upper and lower front teeth don’t touch).

When the jaws and teeth don’t fit together properly, you might be looking at damaged teeth, headaches, and painful problems with the temporomandibular joint, or jaw joint, in your future. That’s why correcting your bite early is so important. Using rubber bands with your braces is one of the most popular and effective ways to help create a better bite.

Bands are used with your braces to gradually move your teeth into their best position. Specially designed brackets with tiny hooks are bonded to very specific teeth. Why so specific? Because the placement of the brackets depends on which type of malocclusion we are correcting. Rubber bands are then attached to the bracket hooks, usually from an upper tooth to a lower one. When they are in just the right position, those little bands provide just enough force to move your teeth more quickly and effectively than braces alone can.

If you need bands to help correct any kind of malocclusion, you will play a very important part in your orthodontic treatment. It will be your job to attach your bands every day. Don’t worry—while it can seem confusing at first, we’ll make sure you know exactly how and where to place them.

How long should they stay in? You’ll probably need to wear your bands 24 hours a day. It’s while you’re moving your mouth and jaw muscles that your bands are working their hardest. Talk to us about removing them for brushing and flossing, and whether you should wear them while you eat.

Can you use the same bands over several days? Not a good idea. Bands are selected for size and strength to move your teeth very precisely from visit to visit. When bands stay on too long, they become too stretched out to supply the proper pressure needed to move your teeth efficiently. Dr. Brent Nickolaychuk will let you know how long is too long for your specific bands.

Are two bands better than one? Absolutely not. Again, the bands you’re given at each visit are designed for your specific needs. Too much pressure can actually be harmful. Just keep to your recommended schedule of replacing bands, and your orthodontic treatment will stay right on track.

Attaching rubber bands? Keeping them on all during the day? Replacing them as needed? All of these responsibilities might seem a bit overwhelming at first, but we are here to give you all the information and support you need to succeed. Because straight, even teeth and a bite that is healthy and functional? That’s truly how you create your beautiful smile!

Getting braces is a huge step in creating the beautiful smile you want. It’s easy to see how important your wires and brackets are. Week by week, you and your family and friends can see the progress you’re making as your teeth become straighter. That makes all the careful brushing, periodic adjustments at our Winnipeg or Selkirk, MB office, and annoying loose ligatures worthwhile.

And while straight, even teeth are the visible reward you get for your months in braces, there’s a benefit that’s every bit as important that might go unnoticed by your friends and family—a healthy, properly aligned bite.

Many people have some kind of malocclusion, or bad bite. There are several different bite problems we treat. Some of the most common are:

• Overjet (the upper front teeth protrude too far forward over the bottom teeth)
• Underbite (the bottom teeth overlap the top teeth)
• Crossbite (one or more teeth haven’t come in in the proper position, often with an upper tooth fitting inside a lower tooth)
• Open bite (the upper and lower front teeth don’t touch).

When the jaws and teeth don’t fit together properly, you might be looking at damaged teeth, headaches, and painful problems with the temporomandibular joint, or jaw joint, in your future. That’s why correcting your bite early is so important. Using rubber bands with your braces is one of the most popular and effective ways to help create a better bite.

Bands are used with your braces to gradually move your teeth into their best position. Specially designed brackets with tiny hooks are bonded to very specific teeth. Why so specific? Because the placement of the brackets depends on which type of malocclusion we are correcting. Rubber bands are then attached to the bracket hooks, usually from an upper tooth to a lower one. When they are in just the right position, those little bands provide just enough force to move your teeth more quickly and effectively than braces alone can.

If you need bands to help correct any kind of malocclusion, you will play a very important part in your orthodontic treatment. It will be your job to attach your bands every day. Don’t worry—while it can seem confusing at first, we’ll make sure you know exactly how and where to place them.

How long should they stay in? You’ll probably need to wear your bands 24 hours a day. It’s while you’re moving your mouth and jaw muscles that your bands are working their hardest. Talk to us about removing them for brushing and flossing, and whether you should wear them while you eat.

Can you use the same bands over several days? Not a good idea. Bands are selected for size and strength to move your teeth very precisely from visit to visit. When bands stay on too long, they become too stretched out to supply the proper pressure needed to move your teeth efficiently. Dr. Brent Nickolaychuk will let you know how long is too long for your specific bands.

Are two bands better than one? Absolutely not. Again, the bands you’re given at each visit are designed for your specific needs. Too much pressure can actually be harmful. Just keep to your recommended schedule of replacing bands, and your orthodontic treatment will stay right on track.

Attaching rubber bands? Keeping them on all during the day? Replacing them as needed? All of these responsibilities might seem a bit overwhelming at first, but we are here to give you all the information and support you need to succeed. Because straight, even teeth and a bite that is healthy and functional? That’s truly how you create your beautiful smile!

When we think braces, we can’t help but think of the brackets on each tooth and the colorful ligature bands that surround them. But actually, the whole point of those brackets and bands is to hold the archwire in place as it gradually moves your teeth to create a better bite and a straighter smile. Let’s learn more about this talented part of your braces!

• Wire We Wearing These, Anyway?

Archwires use gentle, continuous pressure to move your teeth into alignment. That sounds simple, but there is actually a lot going on. Teeth often need more than realigning. Some teeth need to be turned a bit, some tilted. Your teeth need to be better aligned with those next to them, of course, but also need to fit properly with the teeth above or below them. You might have a malocclusion, or bad bite.

How can one wire handle all that? Well, it can’t. That’s why there are different types of wire. We often use thinner, flexible wires at the beginning of treatment, to put gentle pressure on the teeth as they start their movement. Other wires are firmer, and can be helpful in later phases, when each tooth is carefully moved to its specific, ideal spot. Archwires can be round or rectangular, thicker or thinner, springy or stiff, remember their shape or be bendable—all depending on what they need to do.

Whew! This sounds confusing, but Dr. Brent Nickolaychuk and our team are archwire experts! At every adjustment appointment, we check on the progress of your alignment and choose the exact wire you need to take you to the next stage of your orthodontic journey.

• Out of the Frying Pan, Into the Wire

Now that you have braces, it’s more challenging to make sure that your teeth are clean after eating. We’ll give you advice on how to get rid of the pesky food particles that sometimes get stuck in your braces. First, that’s absolutely not the look you’re going for. But, more than that, bacteria can use these “leftovers” as fuel to create the acids that damage your enamel and cause cavities.

There’s a whole new world of dental products out there waiting to help get your braces clean. Special toothbrush heads work in the spaces between your teeth and the archwire. There are floss threaders that can get dental floss into tight places, and flosses with one stiff end you can guide under the wire so you can direct the floss to where it’s needed. There are even tiny cone-shaped brushes called “interproximal brushes” that can fit under your wires to clean around your brackets and teeth.

Take a care kit to school or work with you so you can keep the tooth surface under your wires and around your brackets free of plaque. After all the hard work you’ve put in with your braces, the last thing you want is cavities once you’ve achieved your beautiful smile!

• Down to the Wire

We said archwires were awesome, but we didn’t say they were perfect! We couldn’t leave without suggestions for handling any wire-related problems that might come up.

One of the most common problems is the irritation caused by the end of a wire that has somehow come loose. You might be able to use a cotton swab to gently push the wire flat against the tooth. If that doesn’t work, orthodontic wax can be used to cover the end of the problem wire and smoothed into place. We’ll provide you with instructions on how to handle these and other minor wire problems at home.

Other problems should be run past us first. If you feel your wire is coming loose, or if a loose end is causing a lot of pain and irritation, call our Winnipeg or Selkirk, MB office. We’ll give you instructions on how to help, and make an appointment if necessary for a professional fix.

In fact, call us anytime you have questions about your braces. We’re here to help you understand each phase of the orthodontic process as you move step by step on the path to a healthy bite and a beautiful smile. And what’s more awesome than that?

Orthodontic technology changes and improves all the time. Today’s braces are lighter, smaller, and more efficient than those of past years. Wires are thinner and more flexible. Even brackets come in different styles and colors. These developments are all great news for braces wearers. Unfortunately, there is one advancement we haven’t been able to offer: self-cleaning braces.

Brackets and wires can both trap food particles and make brushing them away more difficult. This can lead to increased plaque, cavities, and staining around the area of your braces. But with the proper supplies and habits, keeping your braces clean will become routine in no time.

Braces-healthy Supplies

• Toothbrush

Your old toothbrush might work well enough with some brushing adjustments. We can show you how to angle your brush so it works most effectively, and how to make sure the bristles clean around your braces. Or, if you like, there are actually manual toothbrushes designed just for braces. These have V-shaped bristles to make cleaning around the brackets easier. Some people find an electric toothbrush works best. Whichever type of brush you use, be sure you use it often!

• Floss

Again, if regular floss works for you, stay with your normal products. If you are finding it difficult to get into the narrow spaces around your braces, there are floss threaders to get the floss into tight spaces, and flosses specially designed to work with braces.

• Interproximal brush

A big name for a tiny brush! These little cone-shaped brushes can clean around your brackets and under your wires—a great way to reach parts of your teeth your regular brush can’t.

Braces-healthy Habits

• Brush after every meal and sugary drink

Because food particles tend to stick to your braces, and the bacteria in plaque feed on these particles, your enamel is under attack without thorough cleaning after meals. Take a toothbrush and supplies with you to school or work so that you can always brush after eating. If there is absolutely no way to brush, be sure to rinse immediately with water.

• Brush carefully

Pay attention to each tooth, the area around your braces, and your gum line. And don’t forget the tops and inside of your teeth! A common suggestion for braces wearers is to devote at least ten seconds to each tooth. We might also recommend a special mouthwash to reduce bacteria and help keep your mouth and breath fresh.

• Brush on the go

Put together a cleaning kit for when you are out of the house. A brush, some floss, and toothpaste in a handy container will let you brush whenever you need to, wherever you may be. Leave it in your backpack or bag, and you’re ready for anything!

• Watch your diet

Foods that stick to teeth will stick to braces, so avoid caramels, licorice, chewy candies, and any other sticky treats. Why make your life more difficult?

While braces can make brushing and flossing more complicated, you can still keep your teeth clean, bright, and cavity-free. And remember, regular dental exams and professional cleanings are more important than ever during this time. At your next visit to our Winnipeg or Selkirk, MB office, talk to Dr. Brent Nickolaychuk about the best products and practices for the cleanest possible teeth and braces. We have plenty of ideas to help make sure you’ll have the healthy, beautiful smile you’ve worked so hard for when those braces come off!

Some myths never wear out their welcome. If the Tooth Fairy helps your child transition from baby teeth to adult teeth, more power to her! On the other hand, some myths we can do without. Here are five common misconceptions about orthodontics, and the reality behind the myth.

• It’s Only Cosmetic

If you think orthodontists can make a crooked smile straight, you’re right! Creating a beautifully aligned smile is one of our specialties. And if your primary interest is in a straight, even smile for you or your child, that’s a good thing. You can’t underestimate the confidence a beautiful smile brings. But please don’t think that’s all we do. In orthodontics, aesthetics and function work together. An essential part of an orthodontist’s work is diagnosing and treating malocclusions, or bad bites. The correct alignment of teeth and jaw is what makes a beautiful smile a healthy one as well.

• I Don’t Need an Orthodontist for Orthodontic Treatment

All dentists receive comprehensive training and experience in order to earn their dental degrees. But did you know orthodontists like Dr. Brent Nickolaychuk receive two to three years of additional formal training, concentrating specifically in the field of orthodontics? An orthodontist is a specialist, and diagnoses and treats problems with tooth alignment while taking into account dental, jaw and facial development. That is why an orthodontic specialist is best qualified to create a unique, custom-tailored treatment plan for each patient in order to achieve a beautiful, balanced, and healthy smile.

• My Child is Too Young for Orthodontic Treatment

We actually recommend that every child see an orthodontist for an evaluation by the age of seven. It’s important to be aware of any potential orthodontic problems that might affect your child’s later years, but we can also treat problems even before braces are on the horizon. If your child’s mouth is very small, we may recommend gently enlarging the upper dental arch with the use of a palatal expander to accommodate adult teeth as they erupt. If a baby tooth is lost too soon, we can provide a space maintainer so your child’s permanent tooth can erupt in the right place. We can even treat bite problems before all the adult teeth arrive. A visit when your child is young might help prevent the need for more complicated treatment in the future.

• I’m Too Old for Orthodontic Treatment

You’re really not. As long as your teeth and gums are healthy, orthodontic treatment is a great way to keep them healthy. Crowded teeth and malocclusions can lead to problems like worn or cracked enamel, headaches, jaw problems, increased tooth decay, and periodontal disease, to name but a few. And today’s orthodontics offer a much wider variety of treatment options than the metal gear you remember from your high school days. Which leads us to our last myth of the day:

• Those Metal Braces Aren’t for Me

In that case, it’s a good thing we have many other options to offer. Ceramic brackets and clear elastic ligatures make traditional braces much less visible. Lingual braces use brackets and wires placed behind the teeth, which are almost impossible to detect. And clear aligners allow you to subtly reposition your teeth with each new aligner tray—and are removable if need be. In fact, even those metal braces you might remember from your own high school days have gotten smaller and sleeker. Talk to us about the many discreet options available for older and younger patients.

If you are interested in what orthodontics might do for you, give our Winnipeg or Selkirk, MB office a call! We are here to help you discover what’s possible and then to design the best possible treatment plan in order to achieve it.  Let’s make your beautiful, healthy smile a reality!

Now that you’re a teenager, you have a lot more responsibility and independence. Choosing high school classes and electives. Getting a driver’s license. Landing your first job. And those new responsibilities extend to your dental health as well!

• Braces

If you’ve just gotten braces, you might feel a bit overwhelmed. Learning how to brush and floss effectively, attaching rubber bands several times a day, keeping track of your hours if you’re wearing clear aligners—it can seem like a lot. But you can do it! With time and practice, caring for your braces will become just another part of your daily routine. Dr. Brent Nickolaychuk and our team are here to make sure you have all the information and tools you need to succeed. The most important thing to remember is that the better you follow our instructions, the quicker and more effective your orthodontic treatment will be.

• Retainers

If you’ve successfully completed your orthodontic treatment, dealing with your retainer should be a piece of cake! We will give you clear instructions on how long each day you should wear your retainer. Sticking to this schedule is really important--if you don’t wear the appliance as directed, you can undo some of the progress you’ve worked so hard to make. And when you’re not wearing your retainer, be sure it has a safe life outside your mouth. Keep it in a protective case, and keep it someplace where the puppy/the washing machine/the cafeteria trash bin won’t find it.

• Mouthguards

If you have a mouthguard for sports or athletic activities, wear it! Whether you have an over-the-counter device or a custom fabricated guard, it won’t do you any good hiding in your locker. A mouthguard cuts down on tooth and facial injuries caused by falls, physical contact, or other accidents that might happen in your active life. And if you wear braces, ask about a mouthguard designed to fit around them. These custom devices protect your braces and your mouth.

Finally, remember that sticking with your dental routine—two minutes of brushing morning and night and thorough flossing each day—will keep your gums and teeth healthy throughout your teen years. And, if you have any questions about your dental health in general, or a specific dental concern, give our Winnipeg or Selkirk, MB office a call! We’re here to work with you for a lifetime of beautiful smiles.

You know the school day’s over when you hear these seven little words: “I’m home! Is there anything to eat?”

And before your child got braces, you had the answer: simple, tasty snacks that provided not only an energy boost, but nutritional elements to help build strong teeth and strong bodies. But now whole carrot sticks and unsliced apples are out. Nuts and crunchy peanut butter? Not in your pantry. Hard cheeses and crunchy whole grain crackers? Also off the shopping list.

Because any foods that are crunchy, chewy, or hard to bite into can damage brackets and wires, it’s time to freshen up your go-to snack list. Luckily, Dr. Brent Nickolaychuk can recommend many healthy and braces-friendly choices when children need something to tide them over until dinner.

• Fruits and Vegetables for Vitamins and Minerals

Soft fruits like berries, melon, and bananas provide essential vitamins and minerals while going easy on your child’s braces. Make it a blended smoothie for a cool treat—you can even add a healthy handful of spinach or kale without interfering with that fruity taste. If your child still loves apples and carrots best, keep them on hand—but remember that thin slices are the only way to go.

• Dairy Delivers Calcium

Cottage cheese, string cheese, and other soft cheeses provide essential calcium and vitamin D. Yogurt in all its many flavors is another great option.

• Meats Provides Protein

Lean meats such as thinly sliced ham, chicken, or turkey provide flavor and protein, and don’t require the chewing that bologna, roast beef, and salami do. And nothing packs a protein punch like eggs—hard boiled, deviled, or diced up in egg salad.

• Grains, Legumes, and Vegetables for Complex Carbohydrates

Complex carbohydrates—the “good” carbs—are important sources of energy for our bodies. Snacks such as hummus with soft whole grain pita wedges or blended black bean dip and soft crackers are a delicious, energizing option.

You are constantly looking for ways to make your children’s lives better. Mix and match any of these foods for a snack that’s not only good for their braces, but good for their teeth and bodies! Let us know your child’s favorite snack the next time you visit our Winnipeg or Selkirk, MB office!

Congratulations! You have made the decision to get orthodontic treatment at our Winnipeg or Selkirk, MB office. Now it’s time to choose among your various appliance options. Traditional metal brackets and wires, lingual braces, a series of aligners—they all have positives to recommend them. And for some people, ceramic braces are the clear favorite.

Ceramic braces work like regular metal braces. Brackets are bonded to the front of each tooth, and rubber bands surrounding the brackets hold the arch wire that gradually moves the teeth into alignment.

Ceramic braces, however, use brackets made of clear or tooth-colored ceramic or porcelain which blend beautifully with the color of your tooth. The elastic ligatures, or rubber bands, can be chosen to match the brackets or your enamel. There are self-ligating ceramic brackets which don’t use bands at all. Technology is even working on ways to make the arch wire less visible! The end result is braces that are almost undetectable.

If you want a less obvious appliance for professional or personal reasons, talk to us about ceramic braces. As always, there are other factors to consider before you decide, which we will be happy to discuss with you.

• Ceramic brackets are very strong, but they are still more brittle than the metal model. If you play a contact sport, these might not be for you. (But whatever braces you choose, please wear a mouthguard when playing sports.)
• Ceramic braces might not be ideal depending on the amount of alignment and bite correction that is needed. They might also take a bit more time to bring your teeth into alignment. We will be able to tell you if ceramic braces will work for you and if they might require a longer period to move your teeth to their perfect position.
• Brackets can sometimes be somewhat larger (though this isn’t always the case), and, because they can be abrasive, are often recommended for upper teeth only. This way, the lower teeth will not impact, or be impacted by, contact with the upper teeth.
• Oral hygiene can trickier with ceramic braces. Although today’s brackets aren’t as prone to staining, you still need to be careful to brush away the plaque that can accumulate around the brackets. And the bands are susceptible to staining by the usual suspects—coffee, tea, colas, blueberries, or any strongly colored food or beverage.
• Costs will differ depending on the treatment method you choose. Talk to us about cost comparisons with other orthodontic treatments.

Ceramic braces, because they are so much less visible, are a popular orthodontic option, especially for older teenagers and adults. If you are interested, talk to Dr. Brent Nickolaychuk about this effective way to straighten your teeth—discreetly. Ceramic might be the clear solution for creating your lasting, beautiful smile.

You might be surprised to learn that Dr. Brent Nickolaychuk and our team recommend an orthodontic appointment even before your child has had that last visit from the Tooth Fairy. In fact, orthodontic assessments at our Winnipeg or Selkirk, MB office can be beneficial at many stages of your child’s life. Let’s look at some of the reasons why.

The Right Spaces

There’s a reason why we recommend that every child see an orthodontist by the age of seven. If there’s room enough in your child’s mouth to accommodate all the permanent teeth that will be arriving soon, you’re good to go. But if it looks like there won’t be enough space for those adult teeth, there are solutions we can offer to make the transition from baby teeth to adult teeth a smoother one.

• If your child’s mouth is small, the permanent teeth might have too little room to fit in when they arrive. We may recommend gently enlarging the upper dental arch with the use of a palatal expander. This device will provide room for the adult teeth, and could potentially shorten second phase treatment time.
• Too much space can also be a problem. If a child loses a baby tooth too soon, too much space between the remaining teeth can cause them to shift out of position, leaving the wrong spot open for the adult tooth to come in. We might recommend a space maintainer so that there is no shifting of the teeth, and there is room for the adult tooth to erupt in its proper spot.
• If there is a bite problem, early treatment can prevent more serious problems down the road.

If no treatment is necessary immediately, we can monitor the development of your child’s teeth and bite during periodic visits.

(Stay in) The Right Places

Once your child has achieved that perfect smile, it’s time to maintain it. Teeth actually move and shift throughout our lives, whether we have had orthodontic treatment or not. But with orthodontic treatment, the bone tissue and ligaments around the teeth remodel over time to hold the teeth in their new and improved positions. That’s why it’s often important to wear a retainer constantly for several months after the braces come off, as bone and ligament become a firm, strong anchor for the newly aligned teeth and bite.

But there’s no one expiration date on retainers! Worn nightly as needed, they help teeth stay securely in their new positions for a lifetime of beautiful smiles.

Healthy Smiles Mean Happy Faces

If you think your child is ready for any phase of orthodontic work, give us a call. We will be happy to make sure there is ample room for permanent teeth to erupt in their proper spots even during the baby teeth years. If braces are indicated at a later date, we will analyze any potential alignment and bite problems and present all of your treatment options. Finally, after the orthodontic work is completed, we want to make sure your child knows the best way to maintain that beautiful smile with conscientious retainer wear.

If you have any concerns about your child’s teeth or bite, even before the permanent teeth arrive, give our Winnipeg or Selkirk, MB office a call. Early treatment can often prevent future problems and might even lead to faster orthodontic results. At each stage of your child’s growth, we are here to provide your best options for healthy, happy smiles.

Just because it’s cold out there doesn’t mean you’ll give up keeping fit and active! Winter is the season for some of our favorite team sporting activities, and when you’re donning your protective gear, don’t forget to protect your teeth as well.

• Basketball

This sport actually tallies one of the highest counts of dental injuries. Running, jumping, and diving for the ball on an unforgiving court can lead to tooth and jaw injuries.  And for every ten men on the floor, it seems like there at least 50 flailing elbows in the paint.

• Hockey

Notorious for the toll it takes on teeth, hockey is a game of sticks, ice, and whizzing pucks. And when your sport’s penalties include the terms hooking, slashing, and tripping, the more protection, the better.

• Skiing

When you are flying down the slopes, combining powdery snow and speed, mouth protection is a good idea. This also applies to snowboarding and other snow sports.

• Wrestling

Grappling and pinning in close quarters can lead to unintended injuries after accidental contact with the mat or your opponent.

Different uniforms, different equipment, and different playing fields, but all these sports have one thing in common—the easiest way to protect your teeth while playing them is with a mouth guard.

Mouthguards generally come in three forms:

• Over the counter, ready-made appliances. These are available in drugstores and sporting goods stores, but might not be a comfortable fit as they are pre-formed sizes.
• The “boil-and-bite” option is a mouthguard form placed in hot water. You then bite down to shape it to your mouth and teeth.
• Custom mouthguards can be fabricated just for you through our Winnipeg or Selkirk, MB office. These appliances are designed to fit your individual mouth and teeth, so provide a better fit and better protection. They are also usually more durable and more comfortable. If you wear braces, you definitely need a custom mouthguard to prevent an injury to your mouth or braces caused by an ill-fitting appliance.

Whether you play on a team or pursue individual athletic activities, keeping safe as you keep fit is your first priority. We would be happy to discuss your mouthguard options for any sport, any time of year.

If your pre-teen or teenager is home for the summer, it’s easy to provide braces-friendly lunch options. The school lunchroom, though, presents another challenge altogether. What menu selections are most compatible with braces? And what can you put in that lunch box or brown bag to provide a tempting, healthy lunch during school hours? Let’s look at some options!

From the Cafeteria

Encourage your student to stick with soft foods that don’t require biting into. Some good choices include:

• Soup, either creamy or with soft vegetables
• Salads without crunchy vegetables or croutons
• Soft, shredded chicken or beef
• Egg or tuna salad
• Tofu
• Pasta
• Meatloaf
• Macaroni and cheese
• Soft casseroles
• Steamed vegetables
• Mashed potatoes
• Soft breads or tortillas

Bringing a Lunch?

There are many great options for packing a lunch bag! Just remember to keep foods at the proper temperature, with insulated containers for hot foods and two cold sources, such as two frozen gel packs, for cold foods.

• Sandwiches with soft filling (no chunky peanut butter!) on soft bread. Thinly sliced, easy to chew cold cuts will work, but cold cuts like salami are too chewy. Cut the crusts off if necessary. Cutting sandwich wedges into smaller portions will also make them easier to eat.
• Hard boiled eggs
• Hummus and soft pita wedges
• String cheese and soft crackers
• Applesauce
• Yogurt
• Soft fruits such as berries or bananas
• Jell-O or other gelatin dessert cups
• Pudding cups

When to Say “No, Thank You”

If you have to bite into it, if it’s chewy, or if it’s crunchy, it’s best to choose something else! Here are some common culprits when it comes to broken brackets and wires:

• Caramel
• Hard candy
• Popcorn
• Whole carrots
• Whole apples
• Hard rolls
• Pizza
• Corn on the cob

And remember to send your child to school with a brush and floss to clean teeth and braces after lunch. Dental hygiene is very important now, because brackets and wires can both trap food particles and make brushing them away more difficult. This can lead to increased plaque, cavities, and staining around the area of the braces. If it’s impossible to brush, be sure to remind your student to rinse thoroughly with water after eating.

Lunch hour should be a time to relax, get together with friends, and recharge for the rest of the school day. Talk to us about the most (and least) braces-friendly foods and recipes. By learning what foods to avoid and adjusting some old favorites, your school-age child can continue to enjoy healthy, tasty lunches. Most important, visiting Dr. Brent Nickolaychuk at our Winnipeg or Selkirk, MB office for an emergency repair will not be on anyone’s list of afterschool activities!

In the long run, wearing braces is so worth it. Whether you’re working toward straight teeth, an improved bite, or both, you’ll end up with a beautiful smile! But sometimes, in the short run, they can be really annoying. Braces can irritate your lips, tongue, and cheeks while you are getting used to them or after an adjustment. Or a problem wire can poke the inside of your mouth and you can’t see us immediately for a repair. At times like these, Dr. Brent Nickolaychuk will recommend orthodontic wax to make your life more comfortable.

• What is Orthodontic Wax?

Orthodontic wax is made from non-toxic products like beeswax, carnauba wax, and paraffin wax. Some products might contain extras like vitamin E, aloe, or flavorings. The soft wax covers the bracket or wire that is bothering you with a smooth surface that won’t irritate sensitive mouth tissue and will give sore areas a chance to heal.

• What if I Swallow a Piece?

All dental wax is made of non-toxic ingredients. If you accidentally swallow a bit, no need to worry.

• Is It Hard to Apply?

It’s not hard, but it takes a bit of practice. First, locate the wire or bracket that is causing the problem. You might know where it is right away, or be able to discover it by discovering which sharp bracket or wire is across from the sore spot in your mouth.

Always wash your hands first. Brush and floss, so you will have a clean surface to apply the wax. The drier the surface, the better the wax will stick, so let the area air dry or use something clean such as sterile gauze to dry around the bracket.

The wax is actually quite easy to work with. Break off a small piece of wax (no bigger than the size of a popcorn kernel or a pea), roll it in your fingers to soften it, and press the wax firmly but carefully over the problem bracket or wire until it sticks. Rub until the wax is smooth. Don’t worry, we will be happy to show you just how it’s done.

• Can I Eat with Wax in Place?

If you find that you can eat without much irritation, it’s better to eat without wax over your braces. Remove the wax before eating and brush carefully to remove any food particles from your braces before applying new wax. If you do snack while using wax, be sure to change it after you eat. Wax, after all, sticks easily to your braces—and food particles stick to wax! Not a good look, and not good for your teeth.

• Brushing and Flossing

Take off any wax before you brush and floss. Your toothbrush will thank you!

You probably have lots of other questions. Can you sleep with wax on your braces? Will it help you be more comfortable at trumpet practice? That’s why we’re here! If you have any questions at all about orthodontic wax and how to use it, call our Winnipeg or Selkirk, MB office. We want to make sure that the months you spend wearing braces are as comfortable as possible on your way to a lifetime of beautiful smiles. It’s so worth it!

Breakfast is called the most important meal of the day for many reasons. Children need to refuel after a long night’s sleep, and studies suggest that school kids who eat a good breakfast have more energy, better attendance and behavior, and even higher test scores than kids who don’t.

But sometimes, especially with new braces or braces that have just been adjusted, the last thing on your child’s mind is breakfast. Fortunately, Dr. Brent Nickolaychuk can recommend many early morning options that will be both gentle on braces and healthy for growing bodies!

• Yogurt

Soft, creamy, and filled with calcium and vitamin D, yogurt is an easy and nutritious choice. Try different fruit flavors or Greek yogurt for variety.

• Eggs

Packed with protein, scrambled eggs are delicious on their own, or with the addition of cheese or soft veggies. If you’d like to add a bit of flair to the table, a cheese omelet is another great choice. Any egg option is a good one—just remember to skip the crunchy toast on the side.

• Smoothies

Not only a great way to start your day, but a great way to get vitamins and minerals in one delicious meal. And with a flavor base of banana, mango, berries, or apple, no one will notice if some spinach or kale make their way into the blender!

• Oatmeal

Unfortunately for the cereal lover, crunchy cereals and even granola are potentially damaging to wires and brackets. But oatmeal is a healthy alternative that can be made even tastier with the addition of soft fruits such as mangos, berries, and bananas.

• Breads and Pastries

Crunchy and chewy breads and pastries can lead to broken brackets and wires. Soft breads, pancakes, non-crunchy French toast, and soft pastries are much kinder to braces. Because so many of these options are rich in sugar (especially with syrup!), it’s best to go lighter on foods like this and be sure to brush carefully afterward.

• Fruit

Bananas, peaches, nectarines, berries—if it’s soft, it’s good to go! Cut larger fruits into bite-sized pieces. Dried fruits like raisins, dates, and cranberries can be chewy, sticky, and sugary, so best to take them off the shopping list for the time being.

It’s described as the most important meal of the day for many good reasons. With some of these easy-to-prepare breakfasts, you can add delicious, healthy, and braces-friendly to that description! If you stumble on a delicious recipe, don’t forget to share it the next time you visit our Winnipeg or Selkirk, MB office!

When you replace your old toothbrush every three or four months with a new model, you accomplish three things:

• You keep your teeth cleaner (frayed brushes don’t clean as well)
• You protect your gums (you won’t be scrubbing harder to get your teeth clean)
• You add another toothbrush to your growing collection of used brushes

If creative recycling is one of your talents, you might have already discovered how handy repurposed brushes are for cleaning delicate or hard-to-reach spaces around the house. But those old brushes don’t have to spend their entire existence cleaning! Here are some ideas from Dr. Brent Nickolaychuk to give a new, artistic life to your old, uninspired toothbrush.

• Splatter Painting

As your bathroom mirror can confirm, toothbrushes are great for splattering. Why not put those bristles to creative use by adding color bursts to canvas, wooden picture frames or boxes, fabric, cards, gift wrap and more? Just dip the tips of the bristles into the paint, point them toward your surface, and brush your finger over the head. For more formal effects, splatter paint over your favorite stencils on paper or fabric. Or work your magic by splattering around a stencil for a dramatic silhouette.

• Children’s Painting

Your child might find it great fun to use an old toothbrush to create new works of art. The easy-to-grip handle and wide bristles are perfect for painting those first masterpieces. Splatter painting is also a wonderful art activity for children—but be prepared for some clean-up!

Texturizing Clay Pieces

Whether you work in potter’s clay, polymer clay, or Play-Doh, an old toothbrush can provide any number of interesting textures to your piece. Press the bristles into the clay for a sophisticated stippled background, or brush long gentle strokes for a striated effect.

• Carpentry

Wood glue creates strong bonds when you are joining edges, mitering corners, or fitting mortise and tenon joints. It also creates a sticky mess when you use your fingers, a wood or plastic spreader, or one of your good paint brushes. For any gluing jobs or joinery, try a toothbrush for greater control and easy application.

• Jewelry Making

If you work with jewelry pieces, you know that sometimes there are nooks and crannies that are almost impossible to clean or polish. Try a gentle brush with an old toothbrush and the recommended polish for your piece—but do keep brushes away from the delicate surface of pearls. And for the boldly creative, why not use your toothbrush itself as jewelry? There are online instructions out there for transforming that old brush into a colorful bangle bracelet.

In turns out that there’s a second career waiting for your toothbrush after all! Make sure to clean your toothbrushes thoroughly before using them in another role. After that, let your creativity run wild—including your creative recycling! It’s just another way you are crafting a more beautiful environment for all of us.

You’re in the band and you’re getting braces. Now what? If you are a member of the string or percussion sections, you can go back to rehearsal. You’re good to go. When your talents have seated you in the reed or brass sections, though, a little adjustment might be necessary to keep your instrument and your braces working in harmony.

If you play a wind instrument, you know the term embouchure—the way you position and use your lips, tongue, facial muscles, and teeth to produce the sound you want. Depending on the instrument you play, you might be completely unaffected when you get your braces, or you might need to develop a more comfortable embouchure to accommodate them.

Wires and Woodwinds?

If you play a wind instrument such as the flute or piccolo, you might find that your normal lip positioning or blowing angle is affected by your braces, but usually the adjustment time is fairly short. Reed instruments such as the saxophone, clarinet, oboe, and bassoon are considered some of the easiest to adjust to when you have braces, but even though the single and double reed mouthpieces don’t require as much pressure as brass instruments, there can still be an adjustment period. One thing you should look out for is more condensation in your mouthpiece or instrument—be sure to keep your instrument clean to keep your sound pure.

Brackets and Brass?

Brass instruments require mouthpiece pressure. This leaves your lips pressed between the mouthpiece and your braces. For this reason, many brass players have a more challenging adjustment when wearing braces. Smaller mouthpieces (trumpet, French horn) usually require more pressure than larger ones (tuba, trombone). It’s important to learn how to use technique to avoid cuts, irritation, and other injuries caused by the pressure of your braces against your lips. Learning to play with less pressure on the lips and more air control and breath support will help you to recover your tone and range of notes while protecting your lips and mouth.

How Can We Help?

Let Dr. Brent Nickolaychuk know if you play, or plan to play, a wind instrument. We might be able to offer some suggestions. For regular metal and ceramic braces, some musicians find extra wax is helpful in preventing lip and cheek injuries. There are brace guards available that can be applied over the braces to protect your lips and mouth if wax doesn’t do the trick.

There are also alternatives to regular bracket-and-wire braces, depending on your orthodontic needs, cost factors, and length of treatment. Invisalign® devices fit smoothly over your teeth and can even be removed when it is time to practice or play, as long as you get the necessary hours of wear in per day. In some cases, lingual braces, where the brackets and wires are placed behind the teeth, might be the best choice for you.

Finally, don’t forget to talk to your music instructor. Don’t be dismayed if you find the quality of your playing has been affected. Your teacher might have valuable suggestions for adjusting your embouchure, playing with less pressure on the lips, and developing better air and breath support. You might need to shorten your practice time at first, and there might be another period of adjustment after your braces come off.

Above all, take care of yourself! If something is poking your lip or cheek, call our Winnipeg or Selkirk, MB office immediately before it causes injury. It might be difficult at first, but finding an embouchure that works for your comfort and technique is worth it. And remember, these temporary fine-tunings will lead to a wonderful coda: skilled musicianship and a beautiful, healthy smile. Bravo!

Convertible or sedan? Downtown or suburbs? Electric or manual toothbrush? As life decisions go, it’s certainly not choosing your next car, or deciding where you want to live. But, even when you are selecting a toothbrush, it helps to make a list of the pros and cons of the contenders before you make that final selection.

• Efficiency

The most important factor in choosing a toothbrush is finding out which model works best to eliminate bacteria and plaque. And studies have shown that, used properly, both electric and manual toothbrushes do a great job of removing plaque. Some electric models can reach the backs of teeth and the gumline more easily, some manual head designs work better for your individual mouth and teeth, so your particular needs should dictate which style of toothbrush you use. Talk to us about the best methods to brush with your preferred toothbrush, and we’ll let you know if one type of toothbrush or the other might work better for you.

• Health Considerations

Brushing too energetically can actually harm teeth and gums, causing sensitivity and damage to the enamel and gum tissue. An electric toothbrush should provide a continuous brushing motion without needing any pressure from the brusher. This might be the model for you if you have a too-vigorous approach to brushing, or sensitive teeth and gums.

An electric toothbrush can also be more efficient for older and younger brushers, those with limited mobility, and those with health conditions or injuries that make brushing with a regular toothbrush more difficult.

• Cost

An electric toothbrush is not a one-time investment. You should change the removable head as often as you change your manual toothbrush (every three to four months, please). But this cost is offset if an electric toothbrush is more efficient in removing your plaque, easier to use, or even if you just prefer it to manual brushing. If you find that you brush better and more often with an electric toothbrush, the added expense is well worth it.

Whichever brush you decide on, the most important part of the brush is the person holding it! A regular appointment with your toothbrush for two minutes of thorough brushing in the morning and two in the evening, daily flossing, and regular visits to our office for checkups and cleanings will keep your teeth healthy and strong no matter which toothbrush you choose.

Questions about your toothbrush choices? Don’t hesitate to ask Dr. Brent Nickolaychuk at our Winnipeg or Selkirk, MB office.

We all want to live our healthiest lives. We know that part of keeping ourselves healthy is regular visits to our Winnipeg or Selkirk, MB office for checkups and necessary dental work. And that dental work might require an X-ray. Should the amount of radiation in an X-ray concern us?

First, it is helpful to know that the radiation you are exposed to from a dental X-ray is very small. A set of most bitewing X-rays, for example, produces an amount of exposure about equal to the amount of background radiation we get from our normal surroundings in a typical day. We also take care to minimize your exposure even further by using specially designed equipment and protective shielding, and taking only necessary X-rays. If your child is very young, if you are pregnant, or if you have other health concerns, talk to us about the advisability of X-rays and whether they are essential to treatment.

Second, much of our careful general examination will be done visually. Dr. Brent Nickolaychuk can check for cavities and other problems and assess tooth and gum health. But sometimes, there are conditions which can’t be detected without an X-ray.

• Decay that isn’t visible in an oral exam—if a small cavity develops between teeth, or is hidden underneath a filling, an X-ray will catch it before more damage can take place.
• Infection—An X-ray will reveal infections such as abscesses that can damage both bone and tooth, and gum disease that has harmed bone and connective tissue.
• Orthodontic and periodontal issues—We might need an X-ray to determine the spacing and development of your child’s incoming teeth and maturing jaw structure, to properly create braces for adults or children, or to place an implant within the jawbone.
• If you are a new patient, it is helpful to have complete X-rays taken as a baseline of your current dental health and previous dental work. This baseline allows us to track tooth and jaw development, if necessary, and to evaluate any future changes that might be a concern. (If you have had X-rays taken in another office, we can help you have them transferred so we have a background of your dental history.)

Even though the radiation from a dental X-ray is minimal, be assured that we will never request any unnecessary procedure. When we recommend an X-ray, we do so to make sure there is no decay or infection threatening the health of your gums and teeth, and that we have the essential knowledge we need to treat any dental, periodontal, or orthodontic condition. Because we all want to live our healthiest lives—and part of that healthy life is both active and proactive dental care.

School can present a few issues when it comes to caring for your braces and mouth, since you won't have the luxury of the time and tools you have at your disposal while you're at home. But if you head to school prepared, you shouldn't have any trouble keeping your braces and mouth in great shape. Below is a list of helpful tips to care for your braces throughout the entire school year.

• Bring a kit that includes all of your oral health care items. This is a seriously smart thing to do and probably the most important of all the tips. Pack things like a toothbrush, floss, wax, retainer case (if needed), a mirror, a small cup for rinsing, a small bottle of water (if you don't already have some water with you), and some OTC pain medicine or a natural pain remedy. Keep the kit in your locker or backpack. Having all these items on hand will save you a lot of trouble and discomfort, and also ensure you don't have anything unsightly stuck in your braces or teeth!
• Take advantage of breaks and lunchtime. After eating lunch is a great time to pop into the restroom and give your braces and teeth a once over to make sure you don't have any food debris caught in them and to tend to any sore spots. If you've just had your braces adjusted, you may have soreness on your gums or cheeks. This is where the wax you packed will come in handy.
• Eat the right food for your braces. Avoid all the foods that wreak havoc on your braces like gum, candy, popcorn, hard chips, apples which aren't cut into wedges, nuts, beef jerky, ice, etc. You know the foods we're talking about; you've heard it enough already. Steering clear of these foods will help you prevent any possible mishaps with your braces, like breaking a bracket or wire, which is the last thing you want happening at school.

If you follow these tips and also keep up on your oral health routine at home, you'll be maximizing the effectiveness of your braces and making them as comfortable as possible. Do you have questions about caring for your braces during the school day? Ask Dr. Brent Nickolaychuk or anyone in our Winnipeg or Selkirk, MB office and we'll gladly help you out!

Well, of course, they already are working for you—as an essential part of the alignment process. Rubber bands, also known as elastic ligatures, are used to secure the wires inside your brackets. But bands can be more than functional. Since the ligatures around each bracket are replaced when you visit our office, why not use that opportunity to choose a new color scheme as well?

• Make a Statement

Bands offer a chance to coordinate your braces to an interest, team, or event. Are you a swimmer? Maybe cool blues and turquoises appeal to you. Batman forever? Black and yellow. (That will work for beekeepers, too.) Have a favorite sports team? Choosing team colors will support your team with every smile. Love your school? Show your spirit by wearing bands in your school colors. Favorite time of year? Celebrate by selecting festive bands in holiday colors.

• Suit Your Mood

Fiery reds and oranges, tranquil blues and greens, millennial purples and pinks, or exuberant neon—you know that there are just some colors that suit your personality. Showcase that personality with your choice of band color. And if your mood changes, choose shades that express a completely different side of you.

• Coordinate Your Colors

Match your bands to your eye color, your makeup, or the clothing colors you choose most often. If there’s a color profile that works for you, make your bands a part of it. If you don’t want everything matching, complement your coloring or clothing with a different but coordinating shade for a cohesive effect.

• Keep a Low Profile

Most adults will stick with a monochromatic set of bands, and this might be a look that appeals to you as well. Grey and silver bands will blend nicely with silver braces. If you have clear or white brackets, you might want to test out which bands will be least noticeable. Clear bands can become discolored, and white bands can make teeth look darker. If there’s a band which mimics your own tooth color, this will be the choice for you.

• Make Color Theory Work for You

Certain colors and tints bring out the best in your tooth color and work with your skin tones. White and yellow bands might make teeth appear duller, and any shade combination that resembles food particles (greens, browns, and black) is probably not a look you’re going for. Have fun with a color wheel and decide which colors you find most flattering.

Make your bands more than a tool—make them an accessory. There are so many colorful options available that you are bound to happen on a color scheme that just suits you. And if you change your mind? Change it up during your next visit to our Winnipeg or Selkirk, MB office!

Birthdays. Valentine’s Day. Halloween. A trip to the movies. There are just some occasions where a sweet treat is on the menu. Now that you are getting braces, does that mean you have to give up desserts completely? Not at all! The trick to finding the right treat is to know which foods are safe for your braces and which should wait until your treatment is complete.

There are some foods which should always be avoided. They fall into three main categories:

• Hard and Crunchy

Hard candies, peanut brittle, popcorn balls, nutty candy bars—anything that is hard to bite into is hard on your braces, and can damage brackets or even break them.

• Chewy

Caramels, taffy, chewy squares and rolls, licorice and other super-chewy candies can break brackets and bend wires. Not to mention, they are really difficult to clean from the surface of teeth and braces.

• Sticky

Soft foods are generally fine, but soft and sticky candies are another thing entirely. Gumdrops, jelly beans, most gum and other sticky treats stick to your braces, making it hard to clean all that sugar from around your brackets. And even soft sticky candies can bend wires or damage your brackets.

As you have probably noticed, almost all candy falls into one of these categories. Of course, while sugary treats shouldn’t be a major part of anyone’s diet, and careful brushing and flossing are always on the menu if you do indulge, wearing braces does not mean giving up on treats entirely. A better alternative when you are craving something sweet is to choose something that avoids crunchy, chewy and sticky hazards, such as soft puddings, cupcakes or cookies. There are even some candy brands that are safe for your braces.

Talk to Dr. Brent Nickolaychuk the next time you visit our Winnipeg or Selkirk, MB office about the dos and don’ts of desserts—we have tasty suggestions that will make those special occasions both sweet for you and safe for your orthodontic work!

Now that you are working hard to improve your dental health and appearance with your braces, it might seem like a logical time to whiten your teeth as well. But should you go ahead with home kits or a professional whitening? The answer might be yes, but not quite yet!

Toothpaste

The easiest way to whiten teeth is regular use of a whitening toothpaste. But these do not make a major difference in tooth color and may also contain abrasives which can damage ceramic brackets and make them more likely to stain. And, whether you have metal or ceramic braces, the brackets used are bonded to your teeth. Any part of your tooth covered by a bracket will not be affected by the whitening paste. Ask our office if you are thinking of using one of these products. We will be happy to recommend the best toothpastes to use while your braces are in place.

Whitening Strips and Trays

Whiteners can be applied at home with strips or tray kits. Strips are coated with a whitening gel and then pressed around your teeth. Tray kits provide a mouthguard-like appliance, which is filled with whitening gel. But neither strips nor tray solutions will whiten any area covered by brackets. When your braces come off, there might be noticeable differences in color on each tooth. Strips are difficult to apply with braces, and trays need to be custom-designed to fit your braces and make sure they don’t disturb your orthodontic work. One size most definitely does not fit all! Finally, these whitening agents can cause tooth and gum sensitivity, especially around the time of adjustments. Many manufacturers do not recommend using their products while you have braces. Please talk to us if you are thinking of using them.

Professional Whitening

A dental professional can whiten your teeth in office for the best possible results. The most effective treatments for your unique teeth are combined with protective care of your gums and mouth. Whether this treatment is appropriate while you have braces is something we are happy to discuss.

The best way to keep your teeth bright is to keep up your regular dental routine! Brushing and flossing are more important than ever now, because plaque builds up around brackets. Avoid foods that stain teeth and rinse or brush after every meal and snack. Dr. Brent Nickolaychuk will show you the best way to take care of your teeth while your braces are on—and that includes the best way to keep them white and bright. Talk to us about the perfect time to whiten your beautiful smile during your next visit to our Winnipeg or Selkirk, MB office. And if you have to wait a few extra days for the smile you’ve been working toward, truly, the wait will be worth it!

Orthodontists like Dr. Brent Nickolaychuk recommend a first orthodontic visit and evaluation for your child around the age of seven. We will evaluate your child’s jaw and facial development and make sure that there is enough room in the mouth for the permanent teeth when they arrive. One of the recommendations we might make for early treatment is the use of a palatal expander. If you are unfamiliar with this device, let’s take a closer look at why it’s necessary and what exactly it does.

Why do we recommend the palatal expander?

There are two dental arches, composed of the upper and the lower teeth, in your child’s mouth. This arch-shaped design is meant to accommodate all the permanent teeth. Further, when the upper and lower teeth meet, they should result in a healthy occlusion, or bite.

Sometimes, the upper dental arch is simply too small to accommodate all of your child’s permanent teeth, leading to crowding, extractions, and impacted teeth. Also, a too-narrow arch can result in a crossbite, where some of the upper teeth bite inside the lower ones. An improper bite can lead to problems such as TMJ (temporomandibular joint) disorder, improper wear and stress on teeth, certain speech difficulties, and other potential complications. The palatal expander was designed to prevent these problems from occurring.

What is a palatal expander and how does it work?

The expander itself is a device that increases the size of the upper dental arch. Before your child’s bones are finished growing, the space between the two bones of the upper palate is filled with cartilage. This tissue is flexible when children are young, but gradually fuses solidly into place by the time they are finished growing (usually in the early to mid-teens). If the arch can be widened to accommodate the emerging permanent teeth, or to reduce malocclusions, this improvement can also affect the need for, and length of, future dental work.

There are several types of expanders available at our Winnipeg or Selkirk, MB office. These are custom-made appliances, commonly attached between the upper teeth on each side of the jaw. The two halves of the device are connected with a screw-type mechanism that can be adjusted to widen the upper palate and dental arch with gentle pressure. This is a gradual process, with small adjustments usually made once or twice a day to slowly move the bones further apart. As weeks go by, you will notice a successful change in the spacing of the teeth. Your child might even develop a gap in the front teeth, which is normal and will generally close on its own.

If you would like more detailed information, talk to Dr. Brent Nickolaychuk about the palate expander. We can tell you what to expect from this treatment if we think it is best for your child’s unique needs, and how to make it as easy as possible for your child. Our goal is to provide your child with the healthiest teeth and bite possible, always making use of treatments that are both gentle and effective.

You may have a talent for home repairs. You may be able to rebuild your computer. You may even be able to put together a whole room of furniture armed only with flat-box kits and an Allen wrench. But, please—don’t try do-it-yourself orthodontics!

Now that generic clear aligners are available, you might consider giving them a try to save some money. But is straightening your own teeth really a good idea? Before you are tempted, let’s look more closely at the products and the dental science involved.

Invisalign®

• Invisalign clear aligners are used by orthodontists and dentists with experience in custom treatment for your smile. A 3D image of your teeth will be captured by the iTero Element® scanner. Using special software, your doctor can map out each projected shift in your teeth, and even show you a projection of your finished smile!
• Your Invisalign aligners will be tailored to fit your teeth precisely using the 3D scan and 3D printing. They are made from SmartTrack® material, a product specifically engineered for a perfect, comfortable fit. Invisalign aligners are even trimmed to fit your individual gumline to prevent irritation.
• When your first sets of Invisalign aligners arrive at our Winnipeg or Selkirk, MB office, Dr. Brent Nickolaychuk will check for fit, answer any questions you might have about use and care, and let you know what to look for and what to expect. Your progress will be monitored with visits every six to eight weeks. (And for parents of teens, Invisalign aligners can offer blue “compliance indicators” to let you know they are being worn the 20-22 hours a day necessary for the best and fastest results.)

Generic Aligners

• You might be required to make a putty mold of your own upper and lower teeth, which is not the easiest thing to do well, and to take selfies of your teeth.
• The aligners will be sent to you in the mail. They are generally made of hard plastic with generic gumlines. There will be no one to tell you if the aligners fit properly.
• They are sometimes less expensive because there is no in-person medical supervision. A dental professional working for the company will look at the model created from molds you submit, and recommend a series of aligners to correct the problems he detects by looking at the model and your selfies. This supervisor will not be able to assess the overall dental health of each patient to make sure teeth and gums are healthy and ready to start treatment, and will not be able to tell if the teeth are moving properly or improperly once the aligners are in use.

Finally, while generic aligners may potentially have some success in minor tooth straightening, they are not created to deal with complex bite issues or malocclusions.  In fact, using generic aligners with no supervision can cause more serious dental problems than a patient started with.

Sure, sometimes a do-it-yourself project turns out well. But your teeth and bones are too important for home improvement. When it comes to creating a beautiful, even smile and balanced, comfortable bite while making sure of your dental health, it’s always best to trust a professional like Dr. Brent Nickolaychuk to provide you with gentle, tested, and successful care!

In a perfect world, we would all jump out of bed ready to greet the day with a big smile and a toothbrush close at hand to clean our teeth immediately. But if you can’t even find your toothbrush before you’ve had your first cup of coffee, does it really make a difference if you brush and floss after breakfast? Perhaps! Let’s talk biology.

Normal saliva production during the day benefits our teeth and mouths in surprising ways. Saliva washes away food particles to keep our teeth cleaner. It contains cells which combat bacteria and infection. It even provides proteins and minerals to help protect our teeth from decay. But saliva production slows dramatically as we sleep, and the amount of bacteria in our mouths increases. While one of the nasty—and obvious—side effects of bacterial growth is morning breath, there is an invisible effect, which is more harmful. Bacteria in plaque convert sugar and carbohydrates into acids which attack our gums and enamel and can lead to both gingivitis and cavities.

• If You Brush Before Breakfast

Brushing and flossing first thing in the morning removes the plaque that has built up during the night and takes care of many of the bacteria who are ready to enjoy the sugar and carbs in that breakfast with you. If you brush before eating breakfast, rinse your mouth with water after your meal, floss if needed, and you are good to go.

• If You Choose to Brush After Breakfast

But if you decide that doughnut simply can’t wait, you should ideally postpone brushing for 20-30 minutes after your meal. Of course, these are minutes in which bacteria can make use of those new sugars and carbohydrates. So why shouldn’t you brush immediately after eating? Many foods and beverages, especially acidic ones such as grapefruit and orange juice, can weaken the surface of your teeth. If you rinse with water after eating and wait at least 20-30 minutes before brushing, your enamel will be “remineralized” (another benefit of saliva) and ready for cleaning.

No matter if you take a “seize the day” approach and brush first thing in the morning, or a “seize the doughnut” approach and brush soon after eating, the important word here is “brushing.” Dr. Brent Nickolaychuk and our Winnipeg or Selkirk, MB team are happy to make suggestions as to the best morning routine for you. One thing is certain: if you give your teeth and gums two minutes of careful brushing and flossing in the morning, you can’t help but start your day off right!

It may come as a surprise to learn that dogs, like humans, have both baby and adult teeth. Most dogs, unlike humans, have all of their adult teeth by the time they are seven months old, so it’s time to start looking after their dental health when they are still puppies.

While dogs generally don’t develop cavities, periodontal disease is the one of the most common diseases affecting dogs. Periodontal disease starts when the bacteria in your pet’s mouth form plaque. The plaque can harden into tartar, and, if plaque and tartar spread under the gum line, can be responsible for a number of serious problems. Veterinarians warn that tooth loss, tissue damage, bone loss and infection can be the result of periodontal disease. Professional dental treatment is important if your dog is suffering from periodontal disease, and your vet can describe the options available to you. But the time to act is before disease develops. Let’s bone up on some preventative care!

Brushing

There are brushes and toothpastes designed especially for your dog. Train your puppy from an early age to open his mouth to allow you to examine his teeth and gums. (This will also come in handy if you ever need to give him medicine.) Most dogs will accept brushing, and toothpastes come in dog-friendly flavors. Human toothpaste should never be used because it contains cleaners and abrasives that should not be swallowed by your pet. There are also dental wipes available that can be used once and thrown away. Your vet can advise you how to ease your pet into a brushing routine.

Gels and Rinses

Whether you rub an antiseptic gel on your dog’s teeth or squirt an antiseptic rinse into his mouth, these formulas can reduce the build-up of plaque. Not all dogs take to the taste of these solutions, but in general they are safe and effective. Ask your vet for recommendations if you would like to try this method.

Diet

Several dietary products offer anti-plaque ingredients or a kibble shape designed to reduce the formation of plaque. Talk to your vet for the best possible diet and nutrition suggestions for your unique pet.

Chew Toys

Chewing can help reduce plaque build-up if done consistently, and chew toys should be chosen for tooth and digestive safety. Some animal-based products and hard plastic toys are so rigid that they can cause damage to teeth or gums, so be sure to look for safe toys.  Dogs shouldn’t be left alone with toys due to choking or swallowing hazards—if the chew toy becomes small enough to cause choking, or your dog is swallowing large chunks that might not be digestible, time to replace it.

Your veterinarian is the best resource for maintaining your dog’s health and developing a dental routine both you and your pet can live with. When your four-legged friend goes for his next check-up, ask your vet what you can do to keep him and his smile fetching for a long, long time.

You’ve selected the Invisalign system because of the many benefits Invisalign offers: comfort, convenience, appearance, and even potentially shorter treatment time! And to add to the good news, caring for your Invisalign aligners is easy and uncomplicated. Follow these simple tips to keep your aligners in the best possible shape as you move through the stages of your treatment.

Stay Clean

• Always brush and floss your teeth before using your aligners so that bacteria and food particles will not have a chance to collect around your teeth while you wear them.
• When you brush your teeth, be sure to brush your aligners with a separate soft toothbrush and lukewarm water as well.
• Rinse your aligners whenever you remove them during the day.
• Soak your aligners as recommended. Use the Invisalign Cleaning System or ask our Winnipeg or Selkirk, MB team for other suggestions to keep your aligners free from odor and bacteria.

Stay Clear

One of the reasons you chose Invisalign is for an almost invisible appearance. Why take a chance on discoloration or scratches that will make the appliance more noticeable? Here are some common mistakes that can affect the color of your aligners:

• If your aligner has white spots, that might mean plaque build-up. Always rinse your aligner after you remove it and clean it thoroughly night and morning.
• Brushing with anything other than a soft brush and brushing too hard can cause scratches in the material which might be noticeable. A gentle touch will work to clean and protect your aligners.
• Eating with Invisalign aligners can cause staining. More important, it can cause the retention of food particles in the appliance, which can lead to dental problems. Finally, aligners are not meant for chewing—they might be damaged or lose their ideal shape even with soft foods. If you are going to be eating or drinking, take your aligners out, give them a rinse, and brush before you replace them. Or stick with water! Water will have no ill effects on teeth or aligners.
• Only soak aligners in an appropriate solution. Harsh chemicals, colored mouthwashes, and even some toothpastes can dim or discolor the clear plastic.

Talk to Dr. Brent Nickolaychuk about the best products to use and the best methods for taking care of your aligners. After all, making the process of improving your smile as easy and effective as possible is yet another benefit of choosing Invisalign!

You might be surprised to see one of your second grader’s friends with a dental appliance. Isn’t orthodontic work just for teenagers? And, if not, should your seven-year-old be sporting braces right now? The answer to both of those questions is “Not necessarily.” Two-phase treatment is a process designed to correct issues that arise during different times in your child’s life.

First Phase Treatment

We recommend that every child have an orthodontic evaluation around the age of seven to determine if there is a problem that would benefit from early treatment. First phase orthodontics is not the same as orthodontics for older patients. The focus here is on the developing bone and muscle structures which form your child’s bite and provide space for the permanent teeth when they arrive.

There are some clear-cut orthodontic goals that are much easier to attain when children’s bones are still growing.

• Reducing Crowding

If your child’s mouth is small, the permanent teeth will have little room to fit in when they arrive. We may recommend gently enlarging the upper dental arch with the use of a palatal expander. This device will provide room for the adult teeth, and could potentially shorten second phase treatment time. Sometimes the extractions necessary to create more room for permanent teeth in later years can be avoided, as well as the possibility of an impacted tooth—one which doesn’t erupt because it is blocked by other teeth.

• Dealing with Jaw and Bite Concerns

Bones and muscles do not always develop properly, leading to problems with jaw and facial structure. Your younger child still has growing bones, so this is a great time to gently re-form the jaw into a healthy shape. Problems caused by crossbites, underbites, open bites, and other malocclusions can be reduced with early treatment.

• Protecting Teeth

If your child has protruding front teeth, these teeth are more likely to be damaged in falls, at play, or while participating in sports. We can gently reposition them.

Second Phase Treatment

Second phase treatment is designed for your older child. After a resting period, when the permanent teeth finish erupting, we should see your child to evaluate any further orthodontic needs. This is the time to finish the process of straightening the teeth and making sure that each tooth fits together properly for a comfortable and healthy bite. This phase usually makes use of braces or aligners, and can take approximately 12-24 months.

Two-phase treatment is not necessary for every child. But there are some unique reasons that early orthodontics might be recommended for your child, even if it’s clear that more orthodontic work will be needed later. Make an appointment with Dr. Brent Nickolaychuk at our Winnipeg or Selkirk, MB office, and let’s evaluate your child’s orthodontic needs, whether now or in the future, for a lifetime of beautiful smiles.

Perhaps you are already planning for the years when your teenager will need orthodontic work. But hearing that your seven-year-old would benefit from orthodontic treatment? That might come as a complete surprise! It’s a recommendation with real benefits, though—early intervention can save children from tooth and bite problems now, and even simplify their future orthodontic care.

Treating young children for orthodontic problems is called “interceptive orthodontics.” When the permanent teeth start arriving, there might be problems with spacing, bite or protruding teeth. Often, treatment while the bones are still growing is the best way to prevent more serious problems later.

We recommend that your child have an orthodontic consultation with Dr. Brent Nickolaychuk around the age of seven. This exam is especially important for children who may have been thumb suckers or used a pacifier after the age of three, or if you notice obvious teeth, speech or bite issues.

• Crowding and Spacing Issues

Teeth are arranged in two crescent shapes called arches. When the arch of your child’s mouth is small, the permanent teeth can become very crowded as they erupt. Formerly, teeth were removed to make more room. Now, early use of a palatal expander can enlarge the upper dental arch in order to help the permanent teeth come in without crowding. The need for future tooth extraction is reduced, and there is a better chance for correct spacing and alignment with early treatment.

On the other hand, when a child loses a tooth too soon, too much space left between baby teeth can also be a problem. The remaining teeth can shift, leaving the wrong place open for the adult tooth to come in. We might recommend a space maintainer so that there is no shifting of the teeth and there is room for the proper adult tooth to erupt in its proper spot.

• Malocclusions (Bite Problems)

Some malocclusions, like a crossbite, can be caused by problems with jaw and facial structure. Again, we might recommend a palatal expander to help the upper arch of the teeth to fit properly with the lower jaw. Problems with overbite, open bite and other bite issues can also be addressed at this age if necessary. Early care can discourage TMJ (temporomandibular joint) disorders, reduce speech problems, and improve facial symmetry. 

• Protruding Front Teeth

Teeth that protrude are much more likely to be damaged when playing or after a fall. Methods such as braces or appliances can reposition them and protect them from breaking or fracturing.

Many children will not need early intervention, and many can wait until they are older for orthodontic work. But if your young child has orthodontic problems that should be addressed, early intervention can do more than set the stage for successful orthodontics in the teen years. Talk to our Winnipeg or Selkirk, MB team about what we can do for your child. Interceptive orthodontics can protect teeth, guide jaw and speech development, modify harmful oral habits and help to adjust bite problems before they become serious—when it comes to your child’s dental health, the best solutions are early ones!

Whether you’re heading out for a day with friends or running from classroom to volleyball practice, you don’t always have the luxury of taking care of your braces or aligners in the comfort of your home. But don’t stress! Here are some suggestions for handy items you can take with you to handle most of the dental situations that might come up.

Basic Care Kit

• Travel Toothbrush—the perfect size for quick cleanings after a meal on the go. You might want to bring a travel size tube of toothpaste as well.
• Dental Floss, Threader, and Dental Picks—you don’t want something stuck in your teeth or braces through three hours of play rehearsal.
• Water Bottle—if you don’t have time to brush, a good rinse will help keep teeth and appliances clean.
• Small Mirror—to make sure your smile is picture perfect after eating.
• Our office phone number—just in case. If something happens to your braces or aligners, or if you suffer a dental emergency, call our Winnipeg or Selkirk, MB office immediately.

For Braces

• Orthodontic Wax—if one of your brackets is irritating your mouth, you’ll be ready.
• Braces-Friendly Snacks—soft, healthy foods that will help keep your energy up while keeping your braces intact.

For Aligners or a Retainer

• Your case! If you need to take your aligners or retainer out, use your case to protect them and keep them from getting lost. You have better things to do after lunch than sifting through a garbage can full of used napkins. Much better things.

All of these items can fit easily in a case or bag in your glove compartment, locker, or backpack. Want more tips? Talk to Dr. Brent Nickolaychuk and our team on your next visit, and let’s work together to make caring for your orthodontic appliances a quick and convenient addition to your busy schedule!

Contrary to popular belief, orthodontic treatment is not just for older children and teens who have alignment and spacing issues. At our Winnipeg or Selkirk, MB office, orthodontic treatment offers many benefits for children at a young age.

Dr. Brent Nickolaychuk can identify your child’s alignment issues early, and provide treatment as the teeth begin to develop. It’s crucial to start dental care early, not only for proper dental health and cosmetic benefits, but to improve your child’s overall health.

The Benefits of Straighter Teeth

Aside from cosmetic benefits, starting orthodontic treatment at a young age offers many other advantages. A pediatric dentist can help guide the teeth into their proper position to prevent teeth extractions or bite problems, and even reduce the extent of orthodontic treatment later on.

Your youngster will enjoy the confidence of having straight teeth that, as an added bonus, will be easier to clean. Parents will be happy to hear the earlier your child gets treatment, the less your orthodontic expenses could be; plus, it is often covered by dental insurance.

Stages of Orthodontic Treatment

Multiple stages are included in early orthodontic treatment, but there are three main stages.

Stage 1: Treatment starts around age two or three until the child is around six. This stage includes preventive measures to avoid habits that lead to crooked teeth, and monitoring how the teeth grow in.

Stage 2: The first permanent teeth appear around age six to 12 years old and the dentist looks at possible early treatment for misalignment or bite issues.

Stage 3: Any further problems with permanent teeth are corrected during adolescence.

Dr. Brent Nickolaychuk and our staff are able to see early on whether your child will need to have braces in adolescence. Early treatment means fewer procedures, cleaner teeth, and less expense for parents. It’s a win-win for everyone!

Our pets are a valued part of the family, but dogs and cats are not regularly known for their minty-fresh breath. Did you know that bad breath can be a sign of a more serious dental problem for your furry companion?

If you live with a pet or two, you’ll want to brush up on your animal dental knowledge and make sure everyone’s teeth stay healthy.

Proper dental care is essential to a pet’s overall well-being. About 80 percent of dogs and 70 percent of cats suffer from periodontal disease after the age of three.

Not only is this unhealthy for their mouth, it can lead to more serious health problems, including organ damage and heart failure. Toxins from periodontal disease seep into your pet’s bloodstream and have the potential to cause fatal organ damage.

Your veterinarian will check your pet’s teeth at an annual or six-month examination, but here are a few signs of periodontal disease you should watch for at home:

• Yellow/brown tartar
• Foul breath
• Red, inflamed, or bleeding gums
• Excessive drooling
• Pawing at the mouth or rubbing one’s jaw against objects
• Difficulty chewing

Aside from regular checkups at the vet, the best thing you can do for your pet is brush its teeth daily. Bacteria can recolonize onto the surface of teeth within 24 to 36 hours, so it’s essential to remove plaque before it turns into tartar. Ask your vet for a recommended toothbrush and pet toothpaste.

Dental hygiene chews can also help to reduce the effects of gingivitis, but some chews can actually make your pet’s oral health worse. Treats such as cow hooves, pig’s ears, and animal bones can damage teeth and cause other problems if ingested. Your vet can help you choose items that are healthiest for your pet.

Your dog’s favorite toys may also pose a threat to their oral health. Abrasive toys such as the popular green tennis balls can create wear and tear on the surface of pets’ teeth.

As with your own teeth, your dog or cat’s oral health plays a large role in its overall health. Remember to schedule regular checkups and ask your veterinarian for more tips on how to care for your pet’s teeth most effectively.

Orthodontic treatment should begin earlier than most parents are apt to assume. According to the Canadian Association of Orthodontists, orthodontic treatment should start at around seven years of age.

Dr. Brent Nickolaychuk can evaluate your child’s existing and incoming teeth early on to determine whether treatment might be necessary or not.

What is early orthodontic treatment?

Early orthodontic treatment usually begins when a child is eight or nine years old. In stage one, bite problems such as underbites and the jaw’s growth pattern are corrected. It can also help to make room in the mouth for the permanent teeth to take their proper places as they come in, which reduces the chance that the patient will require extractions later, due to overcrowding.

Does your child need early orthodontic treatment?

If you notice any of the following characteristics in your son or daughter, you may want to have a chat with Dr. Brent Nickolaychuk.

• Early loss of baby teeth (before age five)
• Late loss of baby teeth (after age five or six)
• Your child’s teeth do not meet properly or at all
• Your child is a mouth breather
• Front teeth are crowded (you probably wouldn’t see this until your child is about seven or eight)
• Protruding teeth, typically in the front
• Biting or chewing difficulties
• A speech impediment
• Your child’s jaw shifts when he or she opens or closes the mouth
• Your child is older than five years and still sucks a thumb

What are the benefits of seeking orthodontic treatment early?

There are many benefits to early orthodontic treatment. One of the biggest is that, because a child’s jaw and bones are soft and pliable, corrective procedures such as braces can work much faster than they do for adults.

Treatment at our Winnipeg or Selkirk, MB office can enable your child to avoid lengthy procedures, extraction, or surgery in adulthood. Early orthodontic care will give your son or daughter a healthy, stable smile.

Despite the common assumption that braces are for kids, more and more adults are choosing to pursue orthodontics to correct their smiles. Just hearing the word “braces” and picturing a mouth full of metal can cause many grownups to hesitate about getting treatment for a straighter smile.

We’re here to give you the information you need to evaluate your treatment options and make the right choice for yourself. Whatever your personal history, wearing braces as an adult is an excellent way to create the straight, confident smile you’ve always desired.

What are my options?

Recent advances in orthodontic medicine have created numerous options for adults who need braces.

These are best for individuals who have severely crooked teeth or a significant bite problem, or who require other major orthodontic changes. The greatest drawback to wearing metal braces as an adult is the visible appearance of metal and wires.

Clear ceramic braces offer a solution to that, though they cost more. They’re are a good alternative for correcting highly crooked teeth or bite issues. Smoking or drinking red wine, soda, and other dark beverages may stain the adhesive that binds the brackets to your teeth, so you have to commit to being mindful and taking good care of them.

Another popular option for adults who need braces is a clear-aligner treatment, such as with Invisalign®. This system works in a different way from traditional braces by using a series of clear, retainer-like aligners.

In general, the Invisalign process lasts anywhere from three to 18 months. Keep in mind, however, that Invisalign is not as effective as traditional braces in treating bite problems or severe overcrowding.

The prospect of getting braces as an adult can be intimidating, but you should not let your fears prevent you from obtaining the smile of your dreams. A consultation at our Winnipeg or Selkirk, MB office with Dr. Brent Nickolaychuk will address your concerns and provide more information about the best course of treatment!

You found the perfect toothbrush! The bristles are soft, to avoid irritating your delicate gum tissue. The angle of the bristles is perfect for removing plaque. The handle is durable and comfortable when you spend at least two minutes brushing in the morning and two at night. Why, you love this toothbrush and you’ll never let it go… for the next three or four months.

The life of a toothbrush is naturally a short one. Dr. Brent Nickolaychuk and our team recommend replacement every three to four months because the bristles become frayed and worn with daily use. They cannot clean as effectively when the bristles begin to break down, and, depending on your brushing style, may wear out even more rapidly. (Children will probably need to replace toothbrushes at least every three months.) But even in the short time you have your toothbrush, there are ways to keep it ready for healthy brushing.

• Don’t share. While sharing is normally a virtue, sharing toothbrushes can lead to an increased risk of infections, especially for those with compromised immune systems or existing infectious diseases. Similarly, keep different brushes separate when drying to avoid cross-contamination.
• Rinse thoroughly after brushing. Make sure to remove any toothpaste or debris left after you brush.
• Store the brush upright. Air-drying is the preferred way to dry your brush, as covering the brush or keeping it in a closed container can promote the growth of bacteria more easily.

There are several products on the market that promise to sanitize your brush. The verdict is still out on its success, but if you or someone in your home has a compromised immune system, call our Winnipeg or Selkirk, MB office to see if it might be worth your while to check them out.

Even though your toothbrush won’t be with you long, make its stay as effective and hygienic as possible. And if you find a brush you love—stock up!

Nowadays, many adults are taking advantage of getting straighter teeth with braces. Dr. Brent Nickolaychuk and our team love to help patients create the dazzling, confident smile they’ve always wanted.

Our adult patients usually fall into two categories: some had braces in the past but didn’t wear their retainers, while others are brand-new to wearing braces. Either way, both groups want the same thing: straighter teeth and a beautiful smile!

You will have several options for getting braces, depending on your financial situation and how quickly you would like your treatment to finish. Traditional metal braces are a less-expensive option and can help people who have severely crooked teeth. But many adults may not prefer this option because they dislike the appearance of metal brackets.

If you’re concerned about how you’ll look, we offer clear ceramic braces that aren’t as visible. These are more expensive than metal braces, and patients need to be careful with colored drinks that can stain them, such as coffee or red wine.

Another popular option is a clear aligner treatment called Invisalign®. This type is practically invisible; it uses a series of aligners that are customized to fit your teeth. The process of straightening your teeth can last anywhere from three to 18 months. For people who have extreme bite problems or crowded teeth, a different method may work better.

Don’t hesitate to call our Winnipeg or Selkirk, MB office today to set up a consultation. Dr. Brent Nickolaychuk will help you choose the best option so you can be on your way to a straighter, more confident smile!

You went through a lot of effort and work to achieve your perfect smile. You wore your Invisalign aligner trays, brushed and flossed diligently, and now your treatment is done! What happens now?

In order to keep your teeth healthy and beautiful, you should keep several practices in play.

Retainers

Although everyone’s needs are different, many patients require a retainer after Invisalign treatment. If a retainer is recommended by Dr. Brent Nickolaychuk, use it as directed. Not wearing retainers could result in shifting teeth and potentially ruin your results.

It’s also recommended that you avoid hard, crunchy foods for the first few weeks as your teeth adjust. For younger patients, retainers are normally worn until the wisdom teeth come in or are extracted.

Brushing and Flossing

It should come as no surprise that flossing should still be done every day to remove plaque, which can develop into tartar or calculus. The build-up can lead to gingivitis and gum disease.

Your gums may be more sensitive for a week or two after your orthodontic work is completed. A warm saltwater rinse may relieve discomfort.

Because your teeth have been protected by your Invisalign aligners and are now fully exposed, they may be more sensitive the first few weeks after treatment. If that’s the case, we can recommend a sensitive toothpaste to relieve your discomfort. If your teeth are stained, a professional whitening treatment may be considered.

Regular Dental Checkups

Regular dental exams ensure your teeth stay healthy for life. Professional cleanings, X-rays, and cavity treatment can be addressed by staying on top of your routine checkups.

If you have any questions about how to care for your teeth after your Invisalign program, please ask our Winnipeg or Selkirk, MB team. We want you to keep your healthy smile and enjoy the results of your Invisalign treatment.

The team at Kildonan Orthodontics loves to help adults achieve straighter teeth and a beautiful smile. If you are considering getting braces, here are some things you’ll need to know.

Can braces work for adults?

The good news is that braces work for just about anyone. There are several different types of braces, howver, and not all of them may work for you. The different kinds of orthodontic treatments include:

• Ceramic braces
• Metal braces
• Self-ligating brackets
• Lingual brackets (braces behind the teeth)
• Invisible braces
• Rubber bands for bite correction
• Headgear and other appliances

Schedule a consultation with Dr. Brent Nickolaychuk, and we can help you determine the best option for your needs.

How do I get started?

We understand that braces can be a daunting prospect for many individuals. They may appear expensive and time-consuming; however, the process can be relatively pain-free! Here are the first steps you need to take on the road to straight teeth.

You will probably have a lot of questions and concerns before starting. Here are a few questions you should ask:

• What kind of braces do you recommend for my teeth?
• How long will the treatment take?
• How often will I need to come in for adjustments?
• What is the total cost of the treatment? Do you accept insurance? Will you require the full amount up front, or do you have payment plans?

During your first meeting with Dr. Brent Nickolaychuk, we’ll take some X-rays and molds of your teeth to help you determine your best treatment plan. To ensure your treatment is as effective as possible, we may include preliminary dental work before your braces are placed.

After you’ve chosen a treatment plan and undergone any necessary prerequisite dental work, you’ll be on your way to a better smile! Call our Winnipeg or Selkirk, MB location so you can get started today!

When patients ask Dr. Brent Nickolaychuk about who benefits from Invisalign clear aligners, the simple answer is this: almost everyone. Unlike conventional braces, they are removable, which makes eating and cleaning your teeth much easier.

They are molded to fit each patient’s mouth and are practically invisible. Because aligners apply less force in straightening teeth than metal braces, the risk of harm to your teeth is reduced.

Benefits to adults

Traditional braces are associated with children and teenagers. Many adults want to have their teeth straightened but hesitate to wear metal braces. They also worry about having to change their diet and not be able to eat the foods they normally enjoy.

If you are an adult who’s considering braces, our team at Kildonan Orthodontics will tell you Invisalign aligners is a great option for discreet teeth straightening. Your teeth will be straightened with virtually invisible braces.

The aligners are easily removable when you eat, so you can enjoy any food you normally would consume. You simply clean your teeth normally after eating and you won’t have to worry about getting food stuck in your braces.

If there is a special occasion during which you do not want to have any braces in your mouth at all, you can remove the aligners for up to four hours without causing any damage.

Benefits to teenagers

Dr. Brent Nickolaychuk and our team know that teenagers are often involved in sports and other after-school activities, and generally lead pretty busy lives. If your teen plays a musical instrument, you may be concerned that having metal in his or her mouth will interfere with ability to play. Invisalign aligners avoid the damage that can happen with traditional metal braces.

For sports that require players to wear mouthguards, the expense of specially constructed mouthguards to fit over braces is also eliminated. The aligners can be removed during sports activities and teens can easily wear a mouthguard. Teenagers who play musical instruments simply remove the aligners while practicing or playing in the band or orchestra.

Teenagers routinely have trouble flossing teeth between the wires and brackets of traditional braces, but Invisalign allows for easy dental cleaning. Since Invisalign aligners are removable, brushing and flossing are simpler and more likely to be performed.

For more information about Invisalign or Invisalign Teen® treatment, or to schedule an initial consultation with Dr. Brent Nickolaychuk, please give us a call at our convenient Winnipeg or Selkirk, MB office!

For centuries, many have believed in messages written in the stars and constellations. Some people look to their astrological sign to understand their personalities and preferences better, and even to foresee their destiny.

Whether you’re a firm believer in astrology or just read your horoscope for fun now and then, your perfect band color according to the zodiac awaits below.

Aries – Red

You’re passionate, enthusiastic, and full of energy the world needs. You have an ability to light an inspirational flame in yourself and others.

Taurus – Green

You value growth and are filled with earth energy. Close relationships with family and friends are the foundation of your life.

Gemini – Orange

Orange is the color of diversity and inspiration. You have a knack for readily socializing with other people and value a close-knit community.

Cancer – Violet

Cancers have the ability to look deep within themselves for guidance and inspiration. Your thoughts dwell in the realm of dreams and emotion, and fill you with a deep understanding of those around you.

Leo – Yellow

Your humor, intelligence, and courage light up your surroundings like the sun. Use your charisma and positivity to help you achieve great things.

Virgo – Blue

Blue reflects your calm and peaceful personality. People come to you when they need guidance and your caring instinct for others runs strong.

Libra – Green

Your personality is both enchanting and delightful. Your ability to find a solution and heal is uplifting to those around you.

Scorpio – Red

You are full of passion and knowledge. You know your true value, and feeling accepted is important to keep your flame ignited.

Sagittarius – Violet

Violet reflects your electric enthusiasm for life. With your wisdom and passion for truth, you are always striving to reach your next goal.

Capricorn – Blue

Your perception is unmatched, and you’re able to see through the confusion to identify what truly matters. Your confidence and clarity will help you accomplish what you need to do.

Aquarius – Violet

Aquarians are sensitive, creative, and love to share their understanding with the world. You find joy in art, music, and writing to show others your special view of things.

Pisces – Indigo

You have powerful perception and your instincts are often correct. Your ability to understand emotions helps those around you to stay connected and present in the moment.

Next time you visit our Winnipeg or Selkirk, MB office, ask Dr. Brent Nickolaychuk for the band color that goes with your sign!

Many adults and teens in our Winnipeg or Selkirk, MB office would love to have their teeth straightened but are unwilling to go through the long and often embarrassing process of wearing traditional metal braces. Invisalign® and Invisalign Teen® clear aligners offer the perfect solution: They’re the most advanced clear aligner systems in the world!

If you’re considering getting braces, there are several reasons why you might want to consider Invisalign clear aligners. Here are some of them:

• You can eat whatever food you like, without worrying about it catching in wires or breaking brackets.
• People won’t likely be able to tell you’re wearing them!
• The aligners can be removed at any time.
• You can brush and floss as you normally would, which helps to maintain better overall oral health.
• Invisalign aligners are made of a smooth BPA-free plastic and are more comfortable to wear than traditional braces. You’ll need to visit our Winnipeg or Selkirk, MB office less often: only once every six weeks or so.
• With Invisalign Teen, you’ll receive up to six replacements for lost or broken aligners.

Before starting treatment, you’ll have a consultation with Dr. Brent Nickolaychuk to see if Invisalign or Invisalign Teen treatment is right for you. After that, you’ll have X-rays, pictures, and impressions taken of your teeth.

That information will be used to make the 3D models of your teeth that let Dr. Brent Nickolaychuk see how they will move throughout the entire treatment and approximately how long it will take.

You’ll receive your aligners based on the treatment plan we recommend. You’ll get a new set of aligners every two weeks. All you need to do is wear your aligners 22 hours a day and you’ll be on your way to a straighter smile in no time!

Ask a member of our Winnipeg or Selkirk, MB team for more information about Invisalign clear aligners today!

We probably all remember sitting through history lessons during our schooling years. Revolutionary war heroes, English royals, and pop-culture icons filled the pages of our textbooks. Although you may recall a detail or two about their historical significance, how much do you know about their teeth?

Picture England in the mid 1500s. People wore frilly clothes as they hustled along the street, and talked about the latest import from the Indies: sugar. Wealthy Brits did not hesitate to indulge their sweet tooth, and it was no different for the monarch, Queen Elizabeth I.

The queen was especially fond of sweets, but not so fond of the dentist. Her teeth rotted; they turned black and gave off a foul odor. Eventually, Elizabeth lost so many teeth that people found it difficult to understand her when she spoke.

Flash forward to the Revolutionary-era colonies in the 1770s and we encounter the famous dentures of George Washington. They were not made of wood, but rather a combination of ivory and human teeth, some of which were his own pulled teeth and some he purchased from slaves.

Washington did not practice proper dental hygiene throughout his life. He began to suffer dental problems as early as age 24, when he had his first tooth pulled. By the time he was inaugurated in as the first president in 1789, he had only one tooth remaining in his mouth, which was pulled in 1796.

Washington’s dentures were made too wide and never quite fit his mouth properly. He complained that they were painful to wear and caused his jaw to protrude visibly outward.

If you’ve heard of Doc Holliday, you know him as the gun-toting, mustached criminal that ran the Wild West in the late 1800s. You might be surprised to learn that John Henry “Doc” Holliday actually had a career as a dentist.

He graduated from dental school in 1872 and began to practice in Griffin, Georgia. Holliday was later diagnosed with tuberculosis and his violent coughing fits during exams drove patients away. Jobless, he packed his bags for Texas and spent the rest of his days running from town to town as a criminal.

The Beatles brought pop music and British culture to their fans, as well as … teeth? In the mid-1960s, John Lennon had a molar removed that he presented as a gift to his housekeeper, Dorothy. Dorothy’s daughter was a huge fan of the Beatles and he thought she might like to a keepsake. Her family held onto the tooth until 2011, when they auctioned it off to a Canadian dentist for $31,000.

These historical figures had very different experiences with their teeth, but it’s safe to say a bit of extra brushing and flossing could’ve saved them a lot of trouble. Whether you’re queen, president, or an average citizen, it’s up to you to practice good dental hygiene!

Ask a member of our team at our Winnipeg or Selkirk, MB office if you have any questions about how to keep your teeth in top shape!

Did you know your toothbrush could be covered with almost ten million germs? We know … it’s gross! That’s why you should know how to store your toothbrush properly, and when it’s time to replace it.

If you need to brush up on your toothbrush care knowledge, we’ve got you covered so brushing will always leave you feeling squeaky clean.

Keeping a Clean Toothbrush

Your mouth is home to hundreds of types of microorganisms, so it’s normal for some of them to hang onto your toothbrush after you’ve used it. Rinsing your brush thoroughly with water after each use can get rid of leftover toothpaste and food particles that cling to the bristles. Some dentists suggest soaking your toothbrush in mouthwash every now and then can help reduce the amount of bacteria further.

Store your toothbrush in a cool, open environment away from the toilet or trash bin to avoid airborne germs. Closed containers should be avoided because they provide a warm, wet habitat that bacteria love to grow in.

If you have multiple people sharing one sink, an upright holder with different sections will keep everyone’s brushes separated and avoid cross contamination. In addition, we would hope this is a no-brainer, but please don’t share toothbrushes!

Microwaves and dishwashers are not suitable tools for cleaning a toothbrush, because brushes aren’t built to last through this kind of treatment. If you want a really clean toothbrush, your best option is simply to buy a new one.

Replacing Your Toothbrush

The Canadian Dental Association recommends you replace your toothbrush every three to four months, or sooner depending on individual circumstances. Dr. Brent Nickolaychuk and our team agree. If you have braces, tend to brush too strongly, or the bristles become frayed, it’s time for a new brush.

Children will also need replacement brushes more frequently than adults. If you or your child has been sick, you should replace the toothbrush immediately to avoid re-exposing yourself to illness.

Worn-out brushes are not only unsanitary, they don’t do a good job cleaning teeth. Bristles that are worn out and dull won’t scrape away plaque and bacteria as well as a fresh toothbrush can.

Though the idea of ten million germs can be worrisome, if you take a few small precautions, you may ensure your toothbrush stays in good shape. And the cleaner the toothbrush, the cleaner the smile!

According to the Canadian Association of Orthodontists, orthodontic treatment for children should start at around age seven. Dr. Brent Nickolaychuk can evaluate your child’s orthodontic needs early on to see if orthodontic treatment is recommended for your son or daughter.

Below, we answer common questions parents may have about the benefits of early childhood orthodontics.

What does early orthodontic treatment mean?

Early orthodontic treatment usually begins when a child is eight or nine years old. Typically known as Phase One, the goal here is to correct bite problems such as an underbite, as well as guide the jaw’s growth pattern. This phase also helps make room in the mouth for teeth to grow properly, with the aim of preventing teeth crowding and extractions later on.

Does your child need early orthodontic treatment?

The characteristics and behavior below can help determine whether your little one needs early treatment.

• Early loss of baby teeth (before age five)
• Late loss of baby teeth (after age five or six)
• The child’s teeth do not meet properly or at all
• The child is a mouth breather
• Front teeth are crowded (you won’t see this until the child is about seven or eight)
• Protruding teeth, typically in the front
• Biting or chewing difficulties
• A speech impediment
• The jaw shifts when the child opens or closes the mouth
• The child is older than five years and still sucks a thumb

What are the benefits of seeking orthodontic treatment early?

Jaw bones do not harden until children reach their late teens. Because children’s bones are still pliable, corrective procedures such as braces are easier and often faster than they would be for adults.

Early treatment at our Winnipeg or Selkirk, MB office can enable your child to avoid lengthy procedures, extraction, and surgery in adulthood. Talk with Dr. Brent Nickolaychuk today to see if your child should receive early orthodontic treatment.

When you leave on a trip, you probably double-check that evrything’s ready: your clothes are packed, your ticket is handy, and your passport waits patiently on top of your bag or in a special pocket.

The same level of preparedness should apply with regard to caring for your oral health when you’re about to leave home for a while. Whether you’re jumping in the car for a weekend camping trip or flying halfway across the globe for a longer stint, the tips below will help you keep your teeth healthy whil you’re away.

Prepare Ahead of Time

The key to maintaining good oral hygiene during travel is preparation. Schedule a regular dental appointment so your teeth are freshly cleaned and ready before you leave. This can identify potential issues that might cause problems while you’re away.

If you have any items on a dental “to-do” list, such as wisdom tooth removal, replacement of a filling, or orthodontic adjustment, it’s a good idea to get those procedures completed before your trip.

En Route

If you’re stuck on a long flight or trekking far into the woods, you might find yourself where there’s no sink or even a toothbrush at hand. We speak for everyone when we say that nothing is worse than a mouth that feels, shall we say, less than fresh.

A lemon wedge or Granny Smith apple slice can help freshen up your breath when you’re in need of a quick fix. Rinsing your mouth thoroughly with water can help to wash away bacteria that causes cavities and reduce that gritty sensation. If you’ve got toothpaste, put a dot on your finger or a damp washcloth to serve as a makeshift toothbrush.

Nowadays, travel-sized dental products are available at most grocery stores and pharmacies. You can find travel toothbrushes, mini mouthwashes, and pocket-sized floss to slip into your travel bag.

Colgate makes disposable mini-toothbrushes called Wisps that can help you freshen up when you may not have access to a regular toothbrush. Packing a few extra dental supplies may also be a good idea in case one gets damaged or lost.

At Your Destination

Traveling abroad can expose you to unfamiliar conditions. Some countries have compromised water sources that will make you extremely ill if ingested, even from the tiny amount of water with which you wet your toothbrush.

Minimize that risk and keep bottles of water on hand instead for rinsing your mouth and toothbrush. If your toothbrush comes in contact with contaminated water, swapping it out for a new one is the safest option.

Storing your toothbrush properly is necessary to prevent bacteria from growing on it. Place your brush in a Ziploc bag when you’re on the go and allow it to breathe once you get to a temporary destination.

Traveling near or far should be an enjoyable experience. Dental issues shouldn’t be a source of worry on your vacation. As long as you’re prepared and take precautions, your teeth can stay healthy even when they’re out of the country!

Of course, if you have any questions, don’t hesitate to contact our Winnipeg or Selkirk, MB office.

When you start wearing braces, it can become a challenge to clean certain areas of your mouth. If these areas are neglected for long periods of time, though, decay and stains can form on your teeth.

Your mouth will require extra attention while you have your braces on. This can include using a special toothbrush to reach those spots, flossing every day, getting fluoride treatments, avoiding certain foods, and making sure to visit your dentist. Let’s take a closer look at what you can do to prevent decay during treatment.

When you get your braces on, Dr. Brent Nickolaychuk will give you an interdental toothbrush that can be used to get to those hard-to-reach spots in your mouth. The brush has bristles that can easily remove food residue stuck between the wires in your mouth. We may also suggest using a WaterPik, which pulses a pressurized stream of water to remove excess food particles.

Brushing and flossing every day should always be a part of your oral health regimen, but this becomes especially crucial when you have braces. If food gets stuck between braces and sits on your teeth, decay and staining will start to occur. Dr. Brent Nickolaychuk and our team recommend flossing at least once a day, and brushing and using mouthwash after every meal as long as you have braces.

If you don’t have the time, make sure at least to swish your mouth really well with water after you eat. It’s especially important to follow these steps after consuming sugary foods or beverages. It’s best to avoid sweets altogether when you have braces.

Making sure to visit your dentist at least twice a year for a routine cleaning can also help to prevent any decay from damaging your teeth while your teeth are encased in braces. Your dentist will remove any plaque or tartar that’s built up since your last cleaning.

Prevention is key when it comes to keeping your mouth healthy during orthodontic care with braces. Follow these tips and you’ll keep your teeth beautiful and healthy for the day your new smile is finally revealed!

It’s true that orthodontic braces can give you a beautiful smile. But did you know there are other benefits of having braces than just getting perfectly straight teeth? Dr. Brent Nickolaychuk and our team want you to understand the other positives that can come out of having braces and relate to your oral health.

When teeth are crooked or crowded, it’s hard to brush and floss effectively. When there isn’t enough space in your mouth, bacteria and plaque can build up between these teeth. This can lead to serious issues like tooth decay and gum disease. When braces correct the spacing between teeth, and get rid of the tight spaces, patients are able to brush and floss more effectively and not miss essential areas of the mouth.

Surprisingly, braces can also address speech problems. They can shift problem teeth that may be causing embarrassing speech impediments. When an overbite or underbite gets adjusted, patients can pronounce certain words more clearly.

Spaces between teeth may also cause whistling, which braces can fix by closing off the gaps. Word slurring can also be improved with the help of braces by realignment of the jaw or teeth, which opens room for your tongue to move with greater ease.

Braces can also be helpful in supporting the bones and tissues in your mouth. Braces move periodontal ligaments by stretching the connective tissues and nerves. The bones naturally rebuild once they’re settled in their new spot.

Without support from poorly aligned teeth, gum tissue can erode. Braces help prevent erosion of the gums, and will alleviate pressure from the jawbone by fixing a bad bite over time.

If teeth are misplaced, they may not break down food effectively before it enters your stomach. Teeth aid with digestion when you can thoroughly chew your food. If your teeth are badly placed, braces can straighten them for optimal alignment. Once you can chew properly with the help of braces, your food will be more easily and fully digested.

If you have questions regarding braces and how they can help you, contact our Winnipeg or Selkirk, MB office and set up a consultation appointment. Braces can help with many oral health problems, and may save you a lot of money and time in the future.

If you’re not sure whether braces would be worth your time or money, consider the benefits above, and how they add to the value of this treatment. You’ll be getting more than just a beautiful smile!

You have several options for orthodontic treatments that effectively straighten teeth. Damon™ Smile braces are a good option for patients who desire a method that is quick, convenient, and discreet.

Many patients want to avoid traditional braces that can cause pressure and uncomfortable pain. Traditional braces have wires and brackets that extend throughout the mouth, which gradually move teeth into their proper position with some pressure. They also use ties that connect wires to the teeth.

Damon Smile technology is different because it helps to guide teeth gently into place by reducing the amount of force. When you can wear braces in comfort, the process becomes much less intimidating.

The Benefits of Damon Smile Braces

1. Faster results. Damon braces don’t contain metal or plastic ties, so there’s no need to tighten the wire on them. Damon Smile also has a unique system that allows for self-ligating. This system has a specialized clip with a “door” in place of the elastics in traditional braces.
2. Fewer appointments. Lightweight, shape-memory wires allow teeth the freedom to move faster, without the need for as many adjustments.
3. Comfort. Damon Smile realigns teeth and enhances facial appearance without extracting any teeth or using rapid palatal expanders. The slide mechanism facilitates more comfortable repositioning of your teeth.
4. Better oral health. Damon braces are easier to clean because they don’t have ties attached where food particles commonly get stuck.
5. Helps with facial balance. These braces can help achieve a wider smile, improves facial profiles, and help to decrease dark triangles that appear in the corners of the mouth.

If you’re considering a braces treatment for yourself or your child, ask Dr. Brent Nickolaychuk about the Damon Smile system and how this orthodontic method can achieve the results you’re looking for. There are an array benefits to appreciate when you compare the Damon method to traditional braces.

Feel free to contact our Winnipeg or Selkirk, MB office if you have questions regarding orthodontic treatment for a more beautiful smile.

When we think of Valentine’s Day, we think of cards, flowers, and chocolates. We think of girlfriends celebrating being single together and couples celebrating their relationship. We think of all things pink and red taking over every pharmacy and grocery store imaginable. But what Dr. Brent Nickolaychuk and our team would like to think of is when and how this joyous, love-filled day began.

Several martyrs’ stories are associated with the origins of Valentine’s Day. One of the most widely known suggests that Valentine was a Roman priest who went against the law at a time when marriage had been banned for young men. He continued to perform marriage ceremonies for young lovers in secret and when he was discovered, he was sentenced to death.

Another tale claims that Valentine was killed for helping Christians escape from Roman prisons. Yet another says that Valentine himself sent the first valentine when he fell in love with a girl and sent her a letter and signed it, “From your Valentine.”

Other claims suggest that it all began when Geoffrey Chaucer, an Englishman often referred to as the father of English literature, wrote a poem that was the first to connect St. Valentine to romance. From there, it evolved into a day when lovers would express their feelings for each other. Cue the flowers, sweets, and cards!

Regardless of where the holiday came from, these stories all have one thing in common: They celebrate the love we are capable of as human beings. And though that’s largely in a romantic spirit these days, it doesn’t have to be. You could celebrate love for a sister, a friend, a parent, even a pet.

We hope all our patients know how much we love them! Wishing you all a very happy Valentine’s Day from the team at Kildonan Orthodontics!

It’s not unusual for a patient to be unaware of the range of services that orthodontists can provide for their patients. Knowing which services Dr. Brent Nickolaychuk and our team perform can help you better understand your options and why we might select a particular method of treatment.

Both orthodontists and dentists care about good oral health, but they approach treatment in differing ways. You know that dentists clean teeth and treat gum disease, tooth decay, toothaches, and other oral health problems.

But what does your orthodontist do besides help straighten teeth with the help of braces? Orthodontists are commonly known to help fix or realign crooked teeth. Many of the patients at Kildonan Orthodontics come in for appointments that relate to their braces.

Dr. Brent Nickolaychuk and our team recommend that children be seen around the age of seven to evaluate their potential orthodontic needs. Common problems may include overcrowding of teeth, large gaps or spaces, and overbites or underbites, among other things.

In order to address these common problems, we offer several methods of treatment besides standard braces and retainers:

• Space maintainers can be used to fill the spaces left by missing baby teeth so other teeth don’t shift and occupy the adult tooth’s location.
• Jaw repositioning appliances, sometimes known as splints, are used to reposition the upper and lower jaw bones correctly.
• Lip and cheek bumpers can also be used to avoid having to pull teeth. These bumpers are placed in the mouth so the patient’s lips or cheeks don’t put pressure on specific teeth.
• A more common appliance that orthodontists use is expanders. If your mouth is crowded, expanders will be placed on the curve of the upper and/or lower jaw(s) in order to make room for teeth to be properly aligned.
• As a last resort, an orthodontist may turn to headgear. This is normally provided to slow down the growth of the jaw. It must be worn a number of hours each day.

When you visit our Winnipeg or Selkirk, MB office, we will go over these options with you and pick the best course of treatment, depending on the current state of your oral health.

No matter which oral appliances you end up with, Dr. Brent Nickolaychuk and our team will go over all the available options with you to give you a beautiful smile. If you have questions regarding your treatment method, don’t hesitate to call our office and we can provide you with some insight.

Understanding the different options your orthodontist can provide should make matters less confusing if you should need to select a method of treatment.

Dr. Brent Nickolaychuk and our team recommend always wearing a protective mouthguard to participate in most physical sports. We especially encourage this if you have braces that can potentially cut your mouth or cause damage to your teeth. You have various choices to consider when you’re looking for a protective mouthguard.

One option is a full facial guard, which is often used for contact sports, such as football or hockey. This type offers full protection of the face from external impact. You should also consider an additional mouthguard to protect yourself from cuts inside your mouth, and avoid possible damage to your braces.

Boil-and-bites are another version of mouthguard that can be used for more physical sports. This type is used just the way its name implies: You warm the mouthguard in water to soften the material, then bite down gently once it’s at the correct temperature to form it into the shape of your mouth. These are fine to use temporarily, but they don’t always provide the best protection if they don’t fit properly.

Another option is to have Dr. Brent Nickolaychuk make a custom mouthguard for you. The mouthguard will be designed with built-in layers to protect both your teeth and braces when it’s worn. Having Dr. Brent Nickolaychuk create a custom-fitted mouthguard will ensure optimal protection and a comfortable fit whenever you participate in physical activities.

Protecting your teeth and braces is essential when you compete in sports. Accidents happen, and having a preventive mouthguard can potentially save you from oral pain and damaged braces. Our Winnipeg or Selkirk, MB office is happy to assist you in creating a custom-made mouthguard for any sports activities you want to pursue.

If you’ve experienced a mouth injury that has caused damage to your braces, please contact us immediately so we can fix the problem right away. Remember, prevention is key when it comes to your oral health!

If you’re thinking about investing in braces, there are a few things you should take into consideration. It’s normal for adult teeth to come in crooked, which is why braces are a common solution for teens and adults who desire a beautiful smile.

Your dentist may recommend orthodontic treatment if crooked teeth begin to affect your or your child’s oral health. But many factors go into whether braces would be right for you or your child, or not.

Modern orthodontic treatments offer numerous options for the typical issues people face, such as crooked teeth or jaw alignment problems. Malocclusion, otherwise known as having a bad bite, is common in patients with crooked teeth.

Braces can be worn for a short period of time to correct uneven jaw alignment, which may be the cause of an underbite or overbite in patients. A retainer is worn afterward to keep the newly straightened teeth in place.

Now that one in five braces wearers is an adult, grownups have a variety of braces options. Braces are typically left on for at least one year to straighten teeth effectively. Options can include regular metal braces, clear braces, or Invisalign® aligners.

If you’re an adult and would prefer a discreet treatment, clear braces or Invisalign retainers are your best options. Dr. Brent Nickolaychuk will be able to provide you with a recommended best route of treatment depending on what you’re trying to accomplish and what your budget is. Before getting braces, it’s worth learning about all the methods of treatment available at Kildonan Orthodontics.

Be sure to contact your insurance company before your appointment to see if orthodontic treatments are covered; otherwise, you may want to plan to pay for out-of-pocket costs. If you have questions regarding the types of treatment we provide for our patients, call our Winnipeg or Selkirk, MB office for more information.

If you’ve never been to an orthodontist before, you might be wary of what to expect during your first visit. Your dentist may have recommended an orthodontic appliance if it could improve the state of your oral health. More often, you may suspect that you or your child should have orthodontic work done if the time is right financially.

Understanding the various options your orthodontist can perform will be helpful to know before your appointment.

Your initial appointment usually lasts at least an hour. It’s common that diagnostic work will need to be done. This might include getting X-rays so Dr. Brent Nickolaychuk can better understand the overall structure of your mouth. A quick mold of the mouth may also be taken if braces are a possibility.

Your first appointment is intended to find out how we can efficiently give you a great smile! Here’s a list of common questions you might ask during your first visit:

• Is now the right time for treatment, or should it wait?
• What is the estimated length of time for the treatment?
• How much should I expect to pay? What are the payment options?
• What can I do to prevent or minimize pain?
• Is it likely that I will wear extra appliances in addition to braces to correct my overbite, underbite, or other problems?
• Are there specific foods I will need to avoid?
• Will braces prevent me from playing my favorite sport or musical instrument?
• How can I keep my teeth clean with braces?
• How often will I be expected to come in for checkups and other appointments?

Don’t be afraid to ask these and other questions before you or your child commits to getting braces. Dr. Brent Nickolaychuk and our team are happy to answer any of them before or after your visit.

Once you’ve had your initial consultation, our team will be here throughout the entire process if any problems arise. We look forward to seeing you at your first appointment in our Winnipeg or Selkirk, MB office!

Once you get your braces off, you want to make sure your smile remains straight! This is where retainers come in.

Once your braces come off, you’ll be fitted for a retainer provided by Dr. Brent Nickolaychuk to keep those teeth in place. A retainer is a custom-fit device that sits in the mouth and reinforces the new position of your teeth. Wearing it may be annoying at first, but it’s an essential part of the process of keeping your teeth in place over the long term.

For the first few months after your braces are gone, Dr. Brent Nickolaychuk will tell you to wear your custom retainers all the time, except when you’re eating, drinking, or brushing. You have the option of having a clear plastic retainer made if you’re concerned about your appearance.

Eventually, we will recommend that you only have to wear the retainer during each night for a full year. After that, you may take a couple nights off from wearing them each week. In order to preserve the position of your teeth for as long as possible, we don’t recommend that you ever fully stop wearing your retainers.

If you’re concerned about forgetting to wear your retainer, and worried that your teeth may shift, a lingual retainer could be a good option for you. This gets placed on the back of your teeth and is not readily visible.

These retainers are permanent, but they could cause issues for you down the road if you don’t maintain good oral hygiene. Plaque and tartar can build up around these lingual bars, which is why we don’t usually recommend this as a primary choice.

Wearing your retainer is extremely vital after your braces come off. Without your retainer to keep them in place, the teeth you’ve taken so long to fix may begin to shift again. Getting braces is quite an investment, which is why you should keep wearing your retainer long after the braces have come off.

If you have questions or concerns regarding your retainers, contact our Winnipeg or Selkirk, MB office and we can address any problems you may have.

We’ve been celebrating the new year for a really, really long time. It goes way back, but it started formally in 1582, when Pope George XIII made January 1^st the official holiday for ushering in the new year. The idea was to yell, cheer, and blow horns to scare away all the evil spirits of the previous year with the hope that the new one would be filled with happiness and opportunity.

While scaring away evil spirits isn’t what’s on our mind these days, we still ring in the New Year by cheering and hollering with friends and family. It’s a time to set new goals, refocus on old ones, and look forward to all the surprises the coming year will bring.

Whether you’re saying hello to the New Year snuggled up at home on your couch in the Winnipeg or Selkirk, MB area or by gathering your friends for a social celebration, here are some tips to help ensure you welcome this new chapter with a smile.

Tips for a great New Year’s Eve celebration from Kildonan Orthodontics

• Stay safe. This one’s vital, because nothing puts a damper on your party like an emergency trip to the hospital. Stay responsible and try to plan ahead, whether that means taking a taxi, staying with a friend, or recruiting a designated driver. Do what you have to do to keep yourself and everyone around you safe.
• Spend time with the people you love most. The way we see it, the whole point of the holiday season is to cherish your family and friends. Regardless of what you’re doing, make sure there’s something for everyone. It’s essential to do something the whole group will enjoy!
• Smile! Whether you get all dressed to go out or have a quiet gathering with family and friends, make sure you accessorize with a smile. There’s always something to smile about!

We can all agree that change can be scary sometimes, but ringing in the New Year is an observance we all welcome with open arms. We hope you’ll enjoy this transitional holiday in a fun, healthy, and safe way. You have endless possibilities ahead of you!

From Dr. Brent Nickolaychuk, have a fantastic New Year!

The electronic toothbrush has undergone several technological advances since the 1960s. Everything from design and bristle motions to rotation, oscillation, and sonic vibration has led to dramatic changes in this necessary tool over time.

Rotation oscillation happens when the head of the toothbrush rotates from one direction to the other. The benefit of powered toothbrushes is that they can produce 50,000 strokes per minute, compared to 300 strokes with a manual toothbrush.

When you’re thinking about brush head size, smaller brush heads are best for hard-to-reach areas and small mouths. Brush heads should be replaced every three to six months as needed. A good way to save money is to designate a brush head for each family member which can be taken on and off a shared base motor.

Having a base motor or rechargeable toothbrush can deliver enough power on a full charge for a week of brushing, which makes it convenient for travel or when life gets busy. Some toothbrushes include audible signals that let you know when to switch the area of your mouth you’re brushing or when a full two minutes has gone by.

Do you have sensitive teeth? Studies have indicated that people tend to apply more pressure on their teeth when they use a manual toothbrush. This makes an electric toothbrush a preferable option if you’re having issues with sensitive teeth or gums.

There are even electric models with pressure sensors that will stop the brush from spinning when you press too hard against your teeth!

Everyone can benefit from having an electric toothbrush. A large handle size can be taken into consideration if a member of the household is young, or has a physical disability or arthritis. They’re even recommended for children in order to maintain good oral hygiene from a young age.

Biofilm is a term used for plaque or debris that builds up in your mouth. If not properly addressed, this can cause serious bacterial infections to your gums and teeth. If you want to remove biofilm in the most efficient way, an automatic toothbrush is the way to go.

When you're ready to make your decision, make sure to consult with Dr. Brent Nickolaychuk at our Winnipeg or Selkirk, MB office to decide which electric toothbrush is right for you!

Halloween is a time to enjoy delicious candies you might avoid the rest of the year. Youngsters who get to dress up and ask for sweet treats out trick-or-treating cherish this holiday.

If you have braces on, Dr. Brent Nickolaychuk would like you still to have fun and celebrate Halloween this year!

It’s easy to get carried away on Halloween by eating too much candy at once. Most parents try to prevent the all-too-common sugar high their kids experience on Halloween night. While there are certain candies that should be avoided, not all candy will cause problems for kids with braces. After trick-or-treating, you could trade unsafe candies with siblings and/or friends so they don’t miss out on the sugar buzz.

Dr. Brent Nickolaychuk and our team have come up with a list of teeth-friendly treats that should keep you from worrying about breaking your braces. We also came up with a list of candies to avoid, so as to save you a trip to our Winnipeg or Selkirk, MB office. Remember to be extra careful when you indulge this Halloween!

Braces-Friendly Sweets

• Solid chocolate: Milk, white, or dark
• Nougat-filled candy bars: Three Musketeers
• Powdery candy: Sweet Tarts, Pixie Stix
• Mint-flavored candy
• Malted milk balls
• Soft cookies
• Peanut butter crackers

Avoid These Treats

• Sticky candy: Starbursts, toffee, Tootsie Rolls
• Hard candy: Suckers, Jolly Ranchers
• Taffy
• Caramels
• Fruit chews
• Gum
• Caramel apples
• Skittles
• M&Ms

When in doubt, ask Dr. Brent Nickolaychuk if a particular candy is safe to eat when you have braces. We hope you enjoy your Halloween sweets, and look forward to seeing you at your next appointment! Happy Halloween!

Having braces can be frustrating when you have to be cautious about eating certain foods or having to avoid them altogether. Making sure your braces don’t bend or break is vital when you’re trying to straighten your teeth quickly and properly. Dr. Brent Nickolaychuk and our team have come up with a list of foods to avoid, and which foods you can enjoy while you have braces.

No matter how careful you are, excessive chewing of hard-to-eat foods will eventually cause problems for you and your braces. Knowing what you can and cannot eat at a meal may be helpful when you first get your braces on.

Some foods are too hard for braces, because they can break wires or create damage that will have to be fixed by Dr. Brent Nickolaychuk. Avoiding the following snacks will prevent this from occurring:

• Hard candies
• Gum
• Nuts
• Popcorn
• Some hard raw vegetables or fruits (carrots, apples)
• Ice
• Chips

There are plenty of safe options for breakfast. They include eggs, yogurt, pancakes, oatmeal, soft toast, bananas, and even bacon.

For lunch, avoid hard or abrasive foods, undercooked vegetables, or apples. Safer options include a delicious stew, soft-breaded deli sandwich, or a mixed salad. Always be careful when biting into foods, and try to cut solid meal items into small chewable portions whenever possible.

A healthy braces-friendly dinner can come in many forms. Soft, steamed vegetables paired with a lean protein make a great option. The addition of rice or quinoa can complete the meal. Just remember to brush and floss after, because these small grains are likely to get stuck between braces and teeth.

During your treatment, Dr. Brent Nickolaychuk will tighten your braces at each checkup. Braces tightening can sometimes leave your teeth feeling sore afterward. During this time, we recommend picking soft food options until the pain goes away, such as:

• Pudding
• Mashed potatoes
• Soup
• Ice cream
• Cottage cheese
• Peas
• Pasta
• Yogurt
• Muffins

It’s also essential to pay close attention to your oral health routine. When food is stuck between braces, you’re more likely to experience plaque and decay buildup. If you want to keep your teeth from appearing discolored when your braces come off, keep up with brushing and flossing after every meal!

If you notice your braces are damaged after you’ve eaten a meal, contact our Winnipeg or Selkirk, MB office to schedule an appointment right away. Our team is here to help with any issues that come up while you are in braces, and to answer any questions you may have about which foods you can and cannot eat.

Braces aren’t just for kids. Many grownups are taking advantage of orthodontic treatment and having their teeth straightened at a later age.

Sometimes, patients include adults who already had braces in the past, but their teeth shifted over time once they stopped wearing their retainers. In other cases, adults who have never had braces are tired of having crooked teeth and ready to invest in a beautiful smile.

Whatever the case may be, if you’re looking to straighten your teeth with braces, Dr. Brent Nickolaychuk would love to help you with this process. Having a dazzling smile can increase your confidence in all areas of your life!

Depending on what you’re willing to spend and how quickly you would like to complete the process, you have various options for getting braces. We all know what traditional metal braces look like. This is a less-expensive route for individuals who have severely crooked or displaced teeth. However, many adults avoid option because the braces are noticeable or distracting in a professional atmosphere.

For people concerned about aesthetics, clear ceramic braces may be a preferable option. This type can still fix extremely crooked teeth or jaw alignment issues. It may be slightly more expensive than traditional metal braces. Patients who choose this treatment route need to be careful not to stain the clear adhesives by drinking too much coffee, red wine, soda, or other beverages that can discolor teeth.

Another great option for adults who don’t want to have visible braces is a clear aligner treatment known as Invisalign®. This popular option differs from traditional braces by featuring a series of clear aligners that are each custom-made for your teeth.

The entire process can take anywhere from three to 18 months to straighten your teeth completely. This may not be the best choice for patients who have an overcrowded mouth or extreme bite issues. Invisalign is often the most expensive option, but it’s great if you’re concerned about your appearance while your teeth are being straightened.

If you’ve been thinking about straightening your teeth with the help of braces, don’t hesitate to contact our Winnipeg or Selkirk, MB office to set up a consultation. From there, Dr. Brent Nickolaychuk can figure out the best course of treatment, depending on your budget and overall needs.

Adult braces can be a great way to boost your confidence and finally give you the smile you’ve always wanted.

Although using mouthwash is certainly not the equal of brushing and flossing, it does have benefits for your dental hygiene. If you use mouthwash regularly, you should find out which type is best suited for your needs. Here are some things to think about the next time you’re at the store.

The first item to weigh is why you want to use mouthwash. If the reason involves a high risk for cavities, you should focus on a mouthwash that contains fluoride. Make sure to double-check the label, because some mouthwashes do not necessarily include fluoride.

If you’re looking for a mouthwash to fight gingivitis, select an oral rinse with antibacterial properties. Make sure to read labels and avoid picking one that contains alcohol. Antibacterial mouthwash would also be best for a patient who has periodontal disease.

Another option is prescription mouthwash. These should be discussed with Dr. Brent Nickolaychuk and/or your pharmacist in order to avoid negative side effects. Pay close attention to the directions regarding how much to use and for how long. Keep in mind that some brands may lose their effectiveness if you use them on an ongoing basis.

For children, you can find a mouthwash that changes the color of plaque on their teeth. This is a fun way to help them understand how well they are brushing, and what areas they need to focus on. It can even be a tool for adults who have trouble reaching certain areas of their mouth.

While mouthwash is generally considered as a safe means to improve your oral health, you need to keep certain things in mind. Avoid using any mouthwash that has alcohol in it. If you are using a strong one, it can reduce your sense of taste over time. Be wary of a mouthwash that claims it can loosen plaque; this is not accurate and can mislead consumers.

We hope these simple suggestions will help you the next time you’re at the store. Make sure you pick the right mouthwash to keep that healthy smile! Feel free to contact Dr. Brent Nickolaychuk at our Winnipeg or Selkirk, MB with any questions you may have.

X-rays have been a function of dental healthcare for a long time. That in and of itself should be good news, because it means we've had plenty of time to improve them. While there is always some risk in exposure to radiation, dental X-ray exposure has decreased significantly due to all the advances in technology. So there’s risk, but X-rays are quite safe.

Think of X-rays as you would about a car. Automobiles these days have all kinds of technology to make them as safe as possible. There's still a chance that you’ll suffer an accident. Would you stop using a car because of that risk? When it comes to dental X-rays, Dr. Brent Nickolaychuk and our team believe the positives clearly outweigh the negatives.

X-rays can be done digitally or with film. For film, X-rays require different exposures at different speeds to produce the image. Digital X-rays have software that automatically adjusts the exposure and produces the X-ray in a digital file. Since they substantially reduce your exposure to radiation, digital X-rays are the current standard in dental offices.

In addition to digital X-rays, lead aprons are an essential piece of X-ray safety. They help protect internal organs from X-rays by acting as a shield. They usually come with a thyroid collar as well, since that is one of the most vulnerable areas to X-rays in the body. Lead aprons can absorb up to 95% of any scatter rays that result from an X-ray. Not bad, right?

Although dental X-rays involve some radiation exposure (not all of it can be eliminated), so does everyday life. Getting too much sun, for example, can be dangerous. The truth is, we accumulate radiation in our bodies over a lifetime, so it’s worthwhile to be aware and avoid as much unnecessary exposure as possible. When it comes to your dental health, though, getting an X-ray — especially when your doctor says you need it — offers more benefits than risks.

Ask us about the type of dental X-rays we use during your next visit to our Winnipeg or Selkirk, MB office!

If you’ve visited Kildonan Orthodontics, then there’s a good chance you’re looking to perfect your smile by straightening your teeth with braces. At some point during your treatment, you may need to use elastics, otherwise known as rubber bands, for a certain period. These are used to apply additional pressure that will move your teeth in the right direction.

Placement of the elastics is specific to each patient’s teeth. These small rubber bands stretch over the tiny loops on both the top and bottom brackets. At first, Dr. Brent Nickolaychuk may recommend you wear the elastics both day and night for an extended time.

You may be told to switch only to nighttime wear once the teeth are set in the correct position. By consistently wearing the elastics, you can shorten the overall time your braces will have to be on.

The elastics are made from medical-grade latex. If you have an allergy to latex, make sure to let Dr. Brent Nickolaychuk know, so you can be given an alternate material. We will show you how to take elastics on and off when they’re given to you at your appointment.

You should remove them when you eat so they don’t become overstretched or break. It’s important not to overstretch the bands, and always to replace them if they break. Eventually it will become a familiar habit to carry the bands around with you for times when this might happen.

The Do’s and the Don’ts

• DO … always wash your hands before removing or replacing the rubber bands.
• DO … call us if you run out of elastics.
• DO … get in the habit of carrying around extra rubber bands as replacements.
• DON’T … double up on elastics because this can exert too much pressure on your teeth and could actually harm the roots.
• DON’T … overstretch the rubber bands or they will lose strength and become ineffective.

If you were recently given elastics as well as your braces, feel free to ask any questions during your appointment, or call our Winnipeg or Selkirk, MB office any time. Using elastics correctly is one more step in your journey to a perfect smile!

Did you know that the most common oral health diseases are tooth decay and gum disease? Not so coincidentally, they are also the easiest to prevent. As much as we would like for the brushing and flossing to do all the work for us, in reality, we really are what we eat — and a healthy diet is just as important for dental health as it is for the rest of the body.

Eating well boosts your immune system, and makes you less susceptible to gum disease and tooth decay. When you maintain a balanced diet, you provide your body with all the nutrients it needs to succeed. So what does a healthy, balanced diet entail? It’s really quite simple. Here are some tips:

1. Focus on lean meats, veggies, whole grains, and healthy fats.
2. Limit your intake of sugary drinks like energy drinks and soda.
3. Keep your sweet tooth in check.
4. Beware of acidic meals and snacks that are high in salt and sodium.
5. Drink lots of water.

Unfortunately, there’s no “one size fits all,” magic diet that will automatically improve your oral health, but following the five guidelines above as best you can is a great way to start. Food and drinks that are high in sugar or acidity weaken your enamel, stain your teeth, and make you more likely to develop a cavity or gum disease.

At Kildonan Orthodontics, we like to encourage our patients to drink a lot of water during the day. Doing so not only keeps you hydrated, but also helps rinse out the sugar and acid from various things you’ve consumed during the day.

If you think your diet might be affecting your smile, come pay Dr. Brent Nickolaychuk a visit or give our Winnipeg or Selkirk, MB office a call! We’re always happy to answer your questions.

It’s possible to develop tooth decay even when you take great care of your teeth. Brushing and flossing may not be enough to keep your teeth healthy, depending on your diet. Cavities, discoloration, and decay are still possible when certain foods feature in your daily intake. Keep an eye out for foods that will damage your enamel and cause the very issues you’ve been trying to avoid.

What causes enamel damage?

Tooth enamel is the hard outer layer of your teeth that is made of various minerals. Tooth decay results when the acids in your food react with the minerals in your enamel. Strongly pigmented foods may also cause unsightly discoloration on the surface of your teeth. Avoid wreaking havoc on your beautiful smile by identifying the foods that can harm your enamel.

Acid

Acidic food is your teeth’s worst nightmare! This is the greatest cause of enamel damage, even if you brush and floss regularly. To avoid damaging your teeth, make sure you can determine whether a food is acidic or not.

The pH levels are a way to determine acidity on a one-to-seven scale. This defines the relative acidity or alkalinity of a food or substance. Foods with high pH levels are not as likely to harm your enamel.

It’s wise to avoid or minimize foods that are high in acids. Highly acidic food can include fruits such as lemons, grapefruit, strawberries, grapes, and apples. Moderately acid foods may surprise you; they include tomatoes, maple syrup, pickles, and honey.

Not surprisingly, eggs and dairy products such as milk and cheese contain the least amount of acid. Red wine and coffee can also discolor your enamel if they’re drunk in excessive amounts.

What can I do to prevent enamel damage?

There are plenty of ways to avoid discoloration and decay of your enamel. The best thing to do is limit the amount of high-acid foods, including sugary juices and soda, in your diet.

Another way is to brush and floss regularly, an hour after each meal. If you can’t make time to brush, an easy solution is to swish your mouth with water or mouthwash to rinse away any leftover acidic particles.

Damaged tooth enamel may be common, but is avoidable when you know which foods to stay away from and the steps to take after you do eat highly acidic foods. Take our advice and you’ll be sure to slow down any future discoloration and decay that happens in your mouth.

For more advice on protecting your enamel, give our Winnipeg or Selkirk, MB a call to learn more!

Going back to school is already an exciting (and sometimes nerve-racking) time so we don't want your braces adding to that. Our Winnipeg or Selkirk, MB team has compiled some helpful tips to make the process as easy and fun as possible.

1. Make sure you pack or purchase braces-friendly lunches

Try to avoid overly crunchy foods (think carrots, celery, hard crackers) especially if your teeth are sore from having your braces tightened. But you shouldn't stop eating healthful foods that fall in this category. For instance apples can be sliced into wedges or carrots can be cut into coins.

You should also avoid sticky foods like candy or gum that can and will stick in your braces like glue! Softer foods are easier on your teeth and braces, so aim to make a good portion of your lunch on the softer side.

2. Have a braces kit in your backpack or locker

Having some useful items on hand at school when you need them is one of the most helpful things you can do. Pack some wax for sores or tenderness, floss and/or flossing tools made for braces, a toothbrush and toothpaste, a small cup for rinsing, a small mirror to check for trapped food, and some lip balm if your lips tend to chap. With these tools on hand, you'll avoid most if not all braces-related nuisances!

3. Know that you're not alone

If you're feeling self-conscious about your braces, don't. Be proud of them! There are many other people your age who have braces, and if they don't have them now, they probably will in the future. Relax and know that you're on the path to a straighter and healthier smile.

If you have any questions about making your transition into "braceshood," just ask Dr. Brent Nickolaychuk or any member of our Winnipeg or Selkirk, MB team! We're here to help make your braces experience (and your smile) the best it can be.

Sometimes food that’s good for your body isn’t necessarily the best for your teeth. Dr. Brent Nickolaychuk and our team want you to know which healthy foods can harm your teeth and gums, and what steps you can take to continue enjoying these foods, even when you’re dieting.

When you begin to substitute empty calories with whole foods, make sure you also remember to focus on your dental health. The majority of people tend to switch out sugary foods in favor of fruits and vegetables when they diet.

It’s worth knowing that most fruits are highly acidic and composed of natural sugars. Some of the highly acidic fruits to watch out for include apples, grapes, strawberries, pineapples, blueberries, oranges, and grapefruit. Moderation is key here, as with all other things. Fruits can be a great source of energy to help you through your day, but try not to overdo them.

Often, people also incorporate more leafy greens into their diets, which mean plenty of salads. Salad dressing is another item you’ll want to watch out for. Many dressings are filled with vinegars and sweeteners that include harmful acids, which change the pH of your mouth. When your mouth shifts from alkaline to acidic, your smile also turns to a higher risk for erosion and decay.

Rather than get rid of these foods altogether, simply change what you do after you eat them. Rinse your mouth out with water, brush your teeth, or eat alkalizing foods after consuming these acidic foods. Healthy alkalizing foods include dairy products such as eggs and yogurt, or any type of vegetable.

If you have questions regarding your current diet and its effect on your oral health, please contact our Winnipeg or Selkirk, MB office and speak with a member of our staff. If you’ve begun to make changes in your diet toward a healthier lifestyle, we hope these tips can help your make positive changes to your oral health. Our team at Kildonan Orthodontics wants a healthy lifestyle to be a top priority in your life.

Your opinions matter to Dr. Brent Nickolaychuk and our team! Our blog is meant to be an educational channel, but we always want to know what things you’re interested in learning more about. After all, our blog is here for you to enjoy!

We’d like to encourage you to send us any ideas about what you want to see more of. No idea is too small! Whether it involves a specific treatment or advice on what kind of toothpaste you should use, we’d love to hear from you about it.

To share your thoughts with us, simply leave your comments below or on our Facebook page! You can also fill out a comment card the next time you visit our Winnipeg or Selkirk, MB office!

It’s useful to know some of the common problems that can arise when you get braces. Even if you take great care of your braces and teeth, you might not be able to avoid certain issues or side effects that accompany braces. But don’t worry: These are all common problems that can be taken care of by following some simple advice.

If you just had your braces put on, you may notice some general soreness in your mouth. Your teeth are starting to adjust to having to shift, so they may ache, and your jaw might feel tender at first. This will subside once your mouth becomes used to the new appliance in residence.

You may experience soreness on your tongue or mouth, which may be a sign of a canker sore. Canker sores are common when braces rub against your mouth. You can use ointments to relieve pain and numb the area that’s been irritated. Canker sores are commonly caused by broken wires or loose bands on your braces.

Common Issues

• Loose brackets: Apply a small amount of orthodontic wax to the bracket. You might also apply a little between the braces and the soft tissue of your mouth.
• Loose bands: These must be secured in place by Dr. Brent Nickolaychuk. Try to save the band for repair.
• Protruding or broken wires: Use the eraser end of a pencil to push the wire carefully to a less painful spot. If you are unable to move it, apply orthodontic wax to the tip. If a mouth sore develops, clean your mouth with warm salt water or antiseptic rinse.
• Loose spacers: These will need to be repositioned by Dr. Brent Nickolaychuk and possibly replaced.

Avoiding Issues

You should avoid certain foods that could cause major damage to your braces. No matter what you eat, make the effort to cut your food into small pieces that can be chewed easily. This will prevent chunks of it from getting lodged between brackets.

Avoiding hard and chewy foods is also wise. Some foods can break your hardware: for example, popcorn, nuts, apples, gum, taffy, and hard candies. Avoiding any foods that easily got stuck in your teeth when you didn’t have braces is a good rule to follow.

The appliances in your mouth are bound to attract food particles and make it easier for plaque to build up. By making sure you brush and floss carefully every day, you can prevent stains and cavities from developing over time. Dr. Brent Nickolaychuk and our team recommend brushing and making sure that food isn’t lodged between your braces after every meal.

Having braces can be very exciting, but it can also be challenging at first. Watching for these common issues during your first few weeks can prevent problems down the road. If you experience a lot of pain from your braces, contact our Winnipeg or Selkirk, MB office and we can try to resolve any issues.

Braces can sometimes be a pain, but they’re well worth it once your new smile gets revealed!

It’s vital to understand the difference between an orthodontic emergency and minor orthodontic issues. Minor issues can be handled the next day, or at your next scheduled appointment. When a real orthodontic emergency occurs, however, you will need to see a doctor immediately.

Emergencies can include injuries to your teeth, jaw, mouth, or face. Whether you have braces or oral appliances in your mouth at the time or not, it’s crucial to fix the problem before it gets worse. If you have an injury that affects an orthodontic appliance, that may need to be replaced or adjusted, depending on the extent of the injury.

You can watch for and address some common minor issues on your own, or wait to have them fixed at your next appointment with Dr. Brent Nickolaychuk:

• Poking wire
• Loose bracket
• Loose elastic band
• Loose wire
• Loose appliance
• Headgear does not fit
• Lost or broken elastic band
• General soreness

These minor issues may arise if you eat hard or sticky foods that damage your braces or other orthodontic appliances. Make sure to be extra careful, and avoid brushing your teeth too aggressively to avoid causing damage.

These problems should not be treated as emergencies unless they begin to cause prolonged pain and discomfort. If you notice this happening, contact our Winnipeg or Selkirk, MB office and we can provide a solution.

Some at-home remedies you can try can include covering loose brackets or wires with wax. Wax can prevent canker sores from forming by covering sharp metal pieces that poke into your gums. If you have wires that have poked out into your gums, you can use tweezers to push the wires gently away from the direction of the sore area. Always make sure you use alcohol to sterilize anything you intend to put into your mouth.

When you get braces initially, you may notice some soreness of the jaw or small abrasions from your mouth getting accustomed to foreign materials. You should not worry too much about this temporary pain.

A warm salt-water solution can be used to alleviate any swelling or discomfort you’re experiencing. Many drug stores have ointment for canker sores that will numb the area if they continue to bother you. If you notice that your pain or swelling doesn’t get better, schedule an appointment with a medical professional as soon as you can.

When in doubt, contact our Winnipeg or Selkirk, MB office if you are unsure or still have questions about an orthodontic problem you’re facing. If the situation becomes an emergency, don’t hesitate to make an appointment with our team, so we can help provide you with a solution.

Orthodontic emergencies should be taken care of promptly whenever they arise.

Your feedback is very important to us at Kildonan Orthodontics. We always want to make sure that our practice is meeting its full potential, so whether you’ve visited Dr. Brent Nickolaychuk once or been a loyal patient throughout the years, we encourage you to share your thoughts about your experience with us!

You can do this easily by giving us a review on our Facebook page or writing down your comments below. If you feel more comfortable, you’re always welcome to give our Winnipeg or Selkirk, MB office a call, too! We feel fortunate to have you all as patients and look forward to reading all your feedback!

A vital step in your oral health routine is flossing. We hope our patients at Kildonan Orthodontics maintain good oral hygiene, including daily flossing between each visit to our Winnipeg or Selkirk, MB office. A toothbrush is not always enough to get to the hard-to-reach areas of your mouth. When food remains between your teeth, bacteria starts to grow and will break down your enamel. This is where flossing comes in!

Should you floss before or after brushing?

Whatever your personal preference, you may floss before or after you brush your teeth. When you floss first, you can brush away any leftover dislodged food debris from your teeth. On the other hand, when you brush first, you will loosen the plaque between your teeth, which makes flossing more effective.

The essential aspect is that you floss thoroughly by using a fresh strand of floss and make sure to get between every tooth. Even if your teeth look and feel clean, don’t skip flossing or plaque will begin to build up on your teeth.

When is the best time to floss?

Although you should brush your teeth at least twice a day, Dr. Brent Nickolaychuk and our team recommend flossing your teeth thoroughly once a day. Many people prefer to floss before bed, so that plaque doesn’t sit between their teeth all night.

What kind of floss should I use?

You may choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine. If you have permanent oral appliances or restorations, be sure to follow the flossing instructions provided to you.

Do you need help flossing?

If you’re having trouble flossing or have questions about which floss is best for your teeth, contact our Winnipeg or Selkirk, MB office and we can provide you with support. Be sure to keep up with your daily flossing routine, and we will see you at your next appointment!

As we all know, or should by now, the key to maintaining great oral health is keeping up with a daily plan of flossing, brushing, and using mouthwash. These three practices in combination will help you avoid tooth decay and keep bacterial infections at bay.

At Kildonan Orthodontics, we’ve noticed that it’s usually not the toothbrush or floss that people have trouble picking, but the mouthwash.

Depending on the ingredients, different mouthwashes will have different effects on your oral health. Here are some ideas to take under consideration when you’re trying to decide which type of mouthwash will best fit your needs.

• If gum health is your concern, antiseptic mouthwashes are designed to reduce bacteria near the gum line.
• If you drink a lot of bottled water, you may want to consider a fluoride rinse to make sure your teeth develop the level of strength they need.
• Generally, any mouthwash will combat bad breath, but some are especially designed to do so.
• Opt for products that are CDA approved, to ensure you aren’t exposing your teeth to harmful chemicals.
• If you experience an uncomfortable, burning sensation when you use a wash, stop it and try another!

Still have questions about mouthwash? Feel free to ask Dr. Brent Nickolaychuk during your next visit to our Winnipeg or Selkirk, MB office! We’re always happy to answer your questions. Happy rinsing!

Patients have so many choices for straightening their teeth nowadays — clear aligners, ceramic braces, lingual braces, self-ligating braces — but who is best suited to guide them through orthodontic treatment? Well, an orthodontist like Dr. Brent Nickolaychuk in Winnipeg or Selkirk, MB of course!

This may seem obvious, but there’s misinformation circulating with regard to the roles dentists and orthodontists play in treating patients’ oral health.

Dentists are trained to clean teeth, fill cavities, perform certain dental surgeries, and examine overall oral health. Many dentists now offer braces to their patients, but according to the Canadian Association of Orthodontists, it’s better to consult an orthodontist if you need to straighten teeth or fix a bite.

Why an orthodontist? Because they are...

• Specialists in straightening teeth and aligning jaws, even advanced cases
• Required to study an additional two to three years after dental school
• Trained to choose the correct treatment option because they have worked with all the available options
• Trained to recognize the potential pitfalls with certain treatments and cases, which means there’s less chance of problems after treatment has started or been completed
• Familiar with emerging treatments and technologies so they can make the best choice for a patient’s case

Some dentists claim to have taken enough continuing education or additional training to offer braces to their patients. But this can't compare to the advanced training an orthodontist receives during his or her education.

Ideally, dentists and orthodontists work hand in hand to make sure oral health and the alignment of teeth and jaws are the best they can be. Think of a dentist as the one who is there for a lifetime, to make sure teeth and gums are healthy.

In contrast, an orthodontist is the highly skilled teammate who helps the dentist by straightening teeth and aligning the jaws over the course of a few years. Instead of one replacing the other, they work together for the health and benefit of their patients.

Damon® Smile is a state-of-the-art braces treatment that enables you to get a healthy, straight smile more quickly and comfortably than traditional braces. Studies show Damon Smile requires up to six months less time to complete successful treatment.

However, a question many patients have is...

Why should I get braces?

Apart from the boost in self-esteem that straight teeth can give a person, some people wonder whether braces like Damon Smile are necessary. As Dr. Brent Nickolaychuk will tell you, braces offer many health benefits as well as aesthetic ones.

When you have evenly spaced teeth and correct bite:

• It’s easier to brush and floss
• There is less tension on the supporting bones and muscles of the mouth and jaw, which reduces stress and headaches
• Chewing is more efficient (which can help your digestion)
• There is less likelihood of tooth decay caused by inadequate oral hygiene since teeth are easier to clean — so this helps to prevent gum disease.

You can see the benefits of getting braces, but why Damon Smile instead of traditional braces or clear aligners? Damon Smile offers patients a highly customizable and discreet way of straightening their teeth. And it's suitable for almost all patients, unlike clear aligners, which can be used only in certain situations.

Since Damon Smile isn’t removable, the braces work 24 hours a day, seven days a week, to correct your smile and bite. That means faster results with less chance of relapse!

Damon Smile doesn’t use elastics like traditional brackets, which means you experience less bacterial buildup and faster, more comfortable movement of your teeth. Did we mention Damon Smile also comes in a clear version? Damon® Clear™ lets patients move teeth discreetly as well as effectively. There is also a nickel-free option for patients who are sensitive to nickel.

These are just some of the many benefits of braces with Damon Smile. The next time you visit our Winnipeg or Selkirk, MB office, ask Dr. Brent Nickolaychuk if you’re a good candidate for Damon Smile so you can experience the benefits yourself!

Temporomandibular dysfunction (TMD) refers to a diverse range of disorders that relate to muscular function in the jaw and face — the temporomandibular joint (TMJ). That could mean difficulty opening your mouth, pain in the jaw or face, or any sort of problem with the jaw joint.

TMD can be difficult to diagnose because of the varied causes. Whatever the case, an accurate diagnosis from Dr. Brent Nickolaychuk helps make treatment as successful as possible.

Most often, jaw problems will resolve themselves within several weeks or months. Surgeries like arthrocentesis, arthroscopy, and open-joint surgery should be a last resort. More conservative and reversible treatments should come first and are in fact the most critical step in the treatment of TMD.

Less invasive treatments like acupuncture and splints can be helpful, but that will depend on your particular case. It’s worth your while to speak with Dr. Brent Nickolaychuk at our Winnipeg or Selkirk, MB office to learn about solutions that could work for you.

A combination of treatments will most often produce the greatest relief for TMJ patients. It’s a good idea to avoid activities that overuse the jaws, such as chewing gum or clenching your jaws.

You can be proactive in finding relief for TMD by trying the following remedies at home:

• Eat soft food: When you eat soft and/or blended food, your jaw gets an opportunity to rest. Avoid chewy and crunchy food, and food that requires you to open your mouth wide, like apples or corn on the cob.
• Apply moist heat: A hot water bottle wrapped in a moist towel can help reduce symptoms.
• Apply ice: Applying an ice pack wrapped in a cloth or towel for no longer than 15 minutes may also reduce pain and promote healing.
• Do jaw exercises: A physical therapist can help identify the exercises that will work for you. Jaw exercises have been shown to be an effective treatment method that can be performed at home.
• Relaxation: Actively try to relax the muscles of the face and lips, and let your teeth come apart. Many find meditation, yoga, and slow, deep breathing to be helpful for reducing stress and tension.
• Avoid wide yawns: Keep your fist under your jaw when you feel a yawn coming on, to keep your jaw from opening too widely.

Many smokers believe that chewing tobacco is a safer alternative to smoking cigarettes. This simply isn't the case! In fact, smokeless tobacco can cause serious health concerns.

Smokeless tobacco comes in many forms and goes by many names: dip, snuff, snus, or simply chewing tobacco. Use of these products usually involves sucking or chewing on shredded or loose tobacco leaves, sometimes flavored, for a prolonged period. There are even products that emulate a dissolvable candy-like consistency which are made of compressed tobacco powder.

What are risks and smokeless tobacco?

Whichever form a tobacco product takes, the dangers of using or consuming them is very real. According to a 2007 study by the World Health Organization's International Agency for Research on Cancer, there are upwards of 28 cancer-causing chemicals in smokeless tobacco that are known to cause cancer. And these products are habit-forming just like any other tobacco product that contains nicotine. Using them will increase your risk for many serious diseases including but not limited to: cancer (especially oral and esophageal), gum and heart disease, cavities, and pre-cancerous mouth lesions.

At the end of the day, long-term use of smokeless tobacco can cause serious health issues. These products really take a toll on both your oral and overall health. They put a strain on your immune system and make it less capable of warding off infection and disease.

Dr. Brent Nickolaychuk and our team strongly advise you to stop using smokeless tobacco—or any kind of tobacco product—and not to pick up the habit if you aren't. There is no safe level of tobacco use, smokeless or otherwise.

Need to quit smoking or using smokeless tobacco products?

You can and should always talk to your doctor, healthcare practitioner, or Dr. Brent Nickolaychuk for help quitting. But there are many other resources available for those who'd like to quit. The Canadian Cancer Society offers information, support (local and online), and tools to help smokers and smokeless tobacco users quit.

You can take a look at their website at cancer.ca or call them toll-free at 1-888-939-3333.

Make the best choice for your health and well-being; avoid the bad habit of tobacco products. If you have any questions about how tobacco related products affect your oral health and hygiene, please don't hesitate to ask one of our Winnipeg or Selkirk, MB staff members.

Some foods are just terrible for your teeth — think cookies and candy bars — but there are certain foods that are beneficial to your oral health. Below, Dr. Brent Nickolaychuk and our team have covered five of the top foods to keep your teeth and gums healthy!

1. Crispy, low-acid fruits and vegetables: Fruits like apples and vegetables such as carrots and celery act like “natural toothbrushes,” helping to clear plaque from your teeth and freshen your breath.

2. Kiwis: These little green superstars are packed with vitamin C which is essential for gum health. The collagen in your gums is strengthened when you consume foods that are high in vitamin C, like kiwis, thus helping to prevent periodontal problems.

3. Raw onions: Onions have long been studied for their antimicrobial, antibacterial, and antioxidant properties. Proliferation of bacteria is what leads to tooth decay and cavities. By including raw onions in your diet, you'll be doing your part to wipe out those little microbes before they can multiply!

4. Shiitake Mushrooms: A specific compound in shiitake mushrooms, lentinan, has been shown to have antibacterial properties that target the microbes that cause cavities while leaving other beneficial bacteria alone. It may also help prevent gingivitis, or inflammation of the gums.

5. Green Tea: Often lauded for its high antioxidant content and many health benefits, it turns out green tea also benefits your oral health! A Japanese study found men who drank green tea on a regular basis had a lower occurrence of periodontal disease compared to men who drank green tea infrequently. It's believed this is due to the catechins in green tea, a type of flavonoid that may help protect you from free radical damage, but more research needs to be done. Either way, drink up for your overall health, as well as your teeth!

If you have any questions about your oral health, or are looking for even more oral health tips, contact our Winnipeg or Selkirk, MB office!

If you’re like most adults, you aren't enthused about the idea of having to get traditional metal braces. The look, feel, and cost keep many people from getting the smile they want.

However, many options are available at our Winnipeg or Selkirk, MB office if you’re looking for a cost-effective and more discreet way to straighten your teeth.

Choosing the right kind of cosmetic braces depends on the severity of your situation. Some cosmetic braces, such as clear aligners, are best suited for mild to moderate spacing or crowding of the teeth, and minimal bite alignment issues. But there are options for people who need more intense treatment.

Below is a list of some of the most popular options available today.

Invisalign® involves multiple clear aligner trays that you wear in a predetermined order to achieve the desired treatment result. Most people won’t even know you’re wearing them, and they offer solid results. Clear aligners might not be suitable for all cases; they are mainly for those with mild to moderate spacing or crowding of the teeth and minimal bite alignment issues.

Ceramic braces are similar to traditional braces, but less visible due to translucent ceramic brackets and/or wires. They are not quite as discreet as clear aligners such as Invisalign, but they are more subtle than traditional braces and can be used for most cases.

Lingual braces are attached to the back of your teeth instead of the front. They are highly discreet but effective at moving teeth and correcting bite issues. Their cost is higher due to the materials involved, and the additional time and effort required to place them accurately.

Self-ligating braces are similar to traditional metal braces, but no elastics (ligatures) are required on the bracket because they have built-in clips to hold the wire against your teeth. People will perceive you’re wearing them, but they don’t need as many adjustments from Dr. Brent Nickolaychuk, so you’ll require fewer appointments and undergo a shorter treatment time.

It’s only natural to have questions before you embark on a course of braces treatment. Speak with Dr. Brent Nickolaychuk or any of our staff members at our Winnipeg or Selkirk, MB office about your goals, budget, and timeframe, and we’ll help you find the right fit!

If you participate in sports or other physical activities, it’s wise to consider getting a mouthguard. Also known as mouth protectors, mouthguards are a device worn over the teeth to lessen the impact of a blow to the face.

This reduces the chance that you might lose teeth or sustain other serious oral injuries. We recommend that all patients involved in a contact sport such as wrestling, football, or hockey wear a mouthguard because of the high risk of such injuries.

However, anyone involved in a physically demanding sport or activity should wear a mouthguard as well.

Can you imagine what it would be like to lose a few of your front teeth? The way you talk, eat, and smile would all change. Potential injuries when you don’t wear a mouthguard include chipped and broken teeth, fractured jaws, root damage, damage to crowns and bridgework, concussions, and/or injury to the lips, cheeks, or gums.

Types of Mouthguards

There are three different types of mouthguards — typically made of a soft plastic material or laminate. You can decide which works best for you in terms of budget, fit, and comfort.

• Stock mouthguards are prefabricated to a standard size. They offer adequate protection, but you need to make sure you find one that fits properly and comfortably. Stock mouthguards are readily available at department stores, sporting goods stores, and online.
• Boil-and-bite mouthguards are placed in boiling water to soften them, then into the mouth so they can conform to the shape of the teeth. Boil-and-bite mouthguards are more expensive, but offer a more customized fit than stock ones. You can find these in department stores, pharmacies, sporting goods stores, and online.
• Custom-made mouthguards are created just for you by Dr. Brent Nickolaychuk. These offer the best fit and comfort of all the options, but they are also the most expensive. Ask a member of our Winnipeg or Selkirk, MB team for more information.

The Canadian Dental Association says a good mouthguard should be easy to clean, fit properly, be comfortable, and resist tearing or damage. It shouldn’t restrict speech or breathing.

Still not sure if you need a mouthguard or which kind is right for you? Ask Dr. Brent Nickolaychuk or one of our staff members for more information.

You can learn just about anything on the Internet these days. You can also order just about anything on the Internet these days.

But would you order your braces on the Internet? There’s a new trend involving websites that claim to offer a solution for straightening teeth, without your ever seeing a dentist or orthodontist in person.

These companies usually have patients take an impression of their teeth using putty and a tray. Then you mail the impressions back to the company where a dentist reportedly examines them and suggests a course of treatment using 3D modeling software.

A series of clear aligners are made, to be worn by the patient in order to attain the desired result. Although this form of orthodontic treatment may cost less than seeing an orthodontist in person, there are several reasons why you should avoid it:

• Potential health hazards are missed: If your oral health is not up to par (e.g., you have cavities, gingivitis, chipped teeth, etc.), an orthodontist would not suggest orthodontic treatment. Only after these issues are addressed would treatment be considered as an option. Whether this is the case with a person can’t be known when all the doctor sees is a set of impressions.
• Lack of information about the patient: Before you receive any orthodontic treatment, an orthodontist will have X-rays taken to make sure you are a good candidate. If the bones or teeth do not look like they would align properly with treatment, another course of care may be suggested, even necessary. None of this background is available to over-the-net orthodontic providers.
• No regular checkups: The purpose of regular checkups with Dr. Brent Nickolaychuk is to ensure that everything is moving properly, on schedule, and most important, safely. This lack of hands-on care with Internet orthodontics could be a hazard for you as a patient and has the potential to do more harm than good.

It’s not worth the risk of getting orthodontic treatment over the net just to save some money. Our Winnipeg or Selkirk, MB office is committed to working with you, whatever your financial situation may be.

Let’s work together to give you the smile you deserve!

Have you ever thought about how you're cleaning and storing your toothbrush when you're not using it? Did you know that the way you store your toothbrush could have an affect on your oral health? In this post, we'll look at some steps you can take to maximize toothbrush cleanliness and minimize bacteria.

Below are some tips from Dr. Brent Nickolaychuk for toothbrush use and storage:

• Don't share your toothbrush – This may seem obvious, but sharing a toothbrush exposes both users to bacteria and microorganisms from the other user, which can increase chances of infection. You should also avoid storing your toothbrush in the same container as other people’s toothbrushes.
• Thoroughly rinse your toothbrush after each use – Rinsing your toothbrush well under running water will help remove food particles, toothpaste, and other debris from the bristles of your brush.
• Store your toothbrush in an open-air container not a sealed one – Putting a wet toothbrush in a sealed container creates a favorable environment for microorganisms and bacteria.
• Soak your toothbrush in an antibacterial mouthwash after use – There is some evidence to suggest that soaking your toothbrush in an antibacterial solution may reduce the amount of bacteria present on the toothbrush.
• Change your toothbrush every three months – The bristles of your toothbrush become less effective and frayed after repeated use so it's a good idea to replace it on a regular basis. It's also wise to replace it after you've been sick.

There are many simple things you can do to make your oral-care regimen as clean as possible. Use common sense when storing your toothbrush—don't put it in a dirty place like the edge of your sink or in the shower (please, not by the toilet!), and keep it upright in a cool dry place—and you're usually good to go. If your toothbrush is looking a little worse for wear, drop by our Winnipeg or Selkirk, MB office and we'll be glad to provide you with a new one!

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Proper oral hygiene techniques are always worthwhile, but they are especially crucial when you’re wearing orthodontic appliances such as braces. When you don’t maintain an effective oral hygiene routine, you can be more susceptible to gum disease as well as tooth decay, cavities, decalcification, discoloration, and/or staining of the teeth.

Braces themselves don’t cause these issues, but since they create spaces that are difficult to clean, they provide extra sources of food (dental plaque and food debris) for the bacteria that do. Bacteria create a biofilm on the surface of a tooth that can spread if not addressed. That bacteria food can only be removed by a mechanical action: brushing and flossing your teeth!

Here’s a list of smart hygiene steps to follow for the duration of your braces treatment:

Proper tooth brushing technique: Make sure to brush your teeth thoroughly (for a total of about two minutes), but not too hard. Point the head of the toothbrush at the gum line and brush just hard enough so that you feel slight pressure against the gums. Use a soft, small-headed toothbrush or an electric toothbrush if you’d like. Try your best always to clean on and around every tooth, bracket, and wire in your mouth!

Flossing: Braces can make flossing a chore, but it’s an essential adjunct to proper tooth brushing. Make sure to floss between all your teeth and brackets. Dr. Brent Nickolaychuk can provide you with braces floss threaders and interproximal toothbrushes (small brushes used to clean areas under wires and between brackets) to make the task easier. You might also consider purchasing an oral irrigator that uses a stream of water to blast food particles and debris from between teeth and gums.

Rinse with water: This may sound slight, but it’s a good idea, especially if you aren’t able to brush. Rinsing your mouth with water throughout the day helps to dislodge the decay-causing food particles that become lodged in braces.

Hygiene away from home: It’s a good idea to have a kit with a toothbrush, floss, floss threaders, mirror, and small water cup on hand at school or work. That way, you’ll be sure to have all the tools you need to keep your mouth clean.

Regular professional cleanings: As always, it’s best to visit your dentist regularly to verify everything in your mouth is in order and your oral hygiene routine is effective. Twice a year is sufficient, unless the dentist recommends more frequent visits.

It's vital to keep your teeth and gums clean during your braces treatment, and that requires your care and attention. If feel like you need help with any of the techniques above, a member of our Winnipeg or Selkirk, MB team can demonstrate them for you!

Many patients underestimate the importance of wearing their retainers after their braces come off, but it is one of the most critical post care practices to keep your teeth in alignment. Why spend all that time, energy, and money to straighten your teeth when you don't plan to keep them straightened after treatment?

What is a retainer?

As the name implies, a retainer keeps teeth from moving back to the positions in which they started before treatment was administered; they "retain" your smile and bite. There are many different types of retainers—some are removable and some are permanent. Some retainers are made of plastic and metal (known as Hawley retainers) and others are all plastic or all metal. Some retainers can even be bonded to the back of your teeth!

How long do I need to wear it?

If you've been given a removable retainer by Dr. Brent Nickolaychuk, you may be wondering how long you need to wear it. It takes time for the tissues and bones around your teeth to reorganize and set into place after braces treatment.

The amount of time you’ll need to wear your retainer depends on your unique situation, but typically, retainers should be worn at least as long as the time you spent in braces. You might need to wear them full-time for a while, and then transition to wearing them only at night. Dr. Brent Nickolaychuk will have a treatment plan especially for you, and if you stick to it, you'll always have a straight smile.

Nothing is forever (at least without retainers!)

Research has shown that there is no “permanent” position for your teeth to remain in. In fact, some studies say upward of 70% of patients will see a change to their bite and tooth alignment as they get older. This applies to people who have had orthodontic treatment and those who have not. Of course, some people's teeth never seem to shift—you can consider them the lucky ones, as most people's teeth do.

And this is precisely where retainers come in. The only way to ensure your teeth stay in alignment long-term is by wearing your retainers. If you have any questions about retainers or your treatment plan, please ask any member of our Winnipeg or Selkirk, MB staff.

Most people think braces are all about their teeth. While it is true orthodontics is meant to move your teeth into proper position, there's more to it than that. To safely move your teeth with braces, you're going to need healthy and stable gums (or periodontium—the tissues that support your teeth).

For this reason it's critical to have your periodontal health evaluated prior to getting braces. This applies particularly to adults, since a 2013 study by the Center For Disease Control found that an estimated 47.2% of adults 30 years of age and older had periodontitis (gum disease). If you do have periodontitis, moving your teeth with braces will only make things worse.

Conversely, there is also risk for periodontal disease if you don't get orthodontic treatment. Malocclusion, as well as crooked and spaced teeth, can all contribute to periodontal disease. In these situations your teeth and gums are more difficult to clean and become breeding grounds for disease causing bacteria. Bad oral hygiene combined with these traits can greatly contribute to the development of periodontitis.

So, periodontics and braces have a tricky relationship. On one hand, you shouldn't get braces if you show signs of developing or have periodontitis, while on the other hand, braces can help prevent the possibility of developing periodontitis by correcting the bite and straightening the teeth.

If you are 30 years of age or older and are considering getting braces, it would be wise to first:

• Let Dr. Brent Nickolaychuk know about your desire to get braces
• Get an exam to make sure you're in good periodontal health and a good candidate for braces
• If you are a good candidate, keep an eye on your teeth and gums and get regular dental checkups throughout your entire course of treatment.

If you are in any doubt about the status of your teeth and gums, it's always best to get them checked before embarking with braces treatment. For more information or to have your periodontal health assessed for braces treatment, please contact our Winnipeg or Selkirk, MB office.

These days it's becoming more and more common to see adults at our Winnipeg or Selkirk, MB office getting their teeth straightened with Invisalign clear aligners — that is, if you can see them! Treatment with Invisalign is effective and aesthetically pleasing for all ages, but adults have certainly taken to them.

For some it may be to overcome the stigma that "braces are just for kids," but for others it may be the displeasing appearance and discomfort of traditional braces. According to the American Association of Orthodontics, from 1994 to 2010 the number of adults 18 and older getting braces increased by 58 percent, from 680,000 to 1.1 million annually. Many of these adults opt for Invisalign because of how discreet they are and since they don't need to avoid any foods or make dietary changes like you do with traditional braces.

The benefits of getting your teeth into proper alignment are many, and so are the advantages of Invisalign. By following your individual course of Invisalign treatment, you can expect to enjoy the following benefits over traditional braces:

• The total treatment time is more precise with Invisalign since your treatment is modeled by a computer, as compared to traditional braces where it is really just an estimate.
• You'll need to make fewer trips to our Winnipeg or Selkirk, MB office since you can change your trays on your own every few weeks or as prescribed.
• There's less risk to the health of your tooth enamel since there is no need to place brackets on your teeth.
• Invisalign aligners are clear and practically invisible, so most people won't even know you're wearing them!

If you're interested in Invisalign treatment, please let Dr. Brent Nickolaychuk know. We'd be happy to help you on your journey to a straighter, healthier smile!

There's something special about customizing the elastics on your braces to fit your unique personality. Once you embrace your braces (no pun intended) you'll realize how many color options and combinations there are to choose from. Although you'll have a fantastic smile afterward, you won't have this level of customizability once your braces come off, that's for sure!

Adding flair to your braces isn't what all patients are looking to do (like those opting for clear aligners or ceramic braces), but it's part of the fun of traditional metal braces! Many of our patients ask Dr. Brent Nickolaychuk to have their elastics match the colors of their favorite sports teams or their school, but how about changing your elastics to match holiday colors?

Here are some options to consider:

• Valentine’s Day – Red and pink
• Easter – Pink, blue, and violet
• Halloween – Orange and black
• Christmas – Red, green, and white
• Saint Patrick’s Day – Green and white

There are a few colors that some people choose to avoid. But if you’re trying to make your teeth stand out in a crowd, the following suggestions need not apply!

• Brown or Green – can be mistaken for food being stuck in your teeth
• Black – might look like a rotten tooth if someone isn't looking hard enough
• White – Some patients think it will make their teeth look whiter, but in fact it can make your teeth appear yellower than they actually are. White elastics can also stain easily.
• Yellow – accentuates the yellowness of your enamel

Since changing the color of your elastics has no effect on the actual orthodontic treatment process, the idea is to have fun and add a personal touch. So, next time you get your elastics changed at our Winnipeg or Selkirk, MB office, why not wear your braces boldly and opt for something festive?

There are so many adults and teens in our Winnipeg or Selkirk, MB office who would love to have their teeth straightened but that are unwilling to go through the long and unsightly process of traditional metal braces. Well, that's where Invisalign® and Invisalign Teen® come to the rescue; the most advanced clear aligner systems in the world!

There are several reasons why, if you're considering getting braces, you should consider Invisalign too. Here are some of them:

• You can eat whatever food you'd like, without worrying about it getting caught in wires or breaking brackets.
• Most people won't even know you're wearing them!
• If you need to, you can remove your aligners at any time.
• The removable aligners let you brush and floss as you normally would, making for better overall oral health.
• Since they are made of a smooth BPA-free plastic, Invisalign aligners are simply more comfortable to wear than traditional braces. No metal means no more roughed up gums or irritated tongue!
• You'll need to visit our Winnipeg or Selkirk, MB office less often — only once every six weeks or so.
• With Invisalign Teen, you’ll receive up to six replacements for lost or broken aligners.

Before you get started with treatment, you’ll have a consultation with Dr. Brent Nickolaychuk to see if Invisalign or Invisalign Teen is right for you. If your case is a good fit, then you’ll have X-rays, pictures, and impressions of your teeth taken. That information will be used to make the 3D models of your teeth that let Dr. Brent Nickolaychuk see how they will move throughout the entire treatment and approximately how long it will take.

After that, you’ll receive your aligners based on the treatment plan we recommend. You’ll get a new set of aligners every two weeks. Then all you need to do is wear your aligners 22 hours a day and you’ll be on your way to a straighter healthier smile. Don’t hesitate to a member of our Winnipeg or Selkirk, MB team for more information about Invisalign!

When most patients ask Dr. Brent Nickolaychuk this question, they're thinking strictly about sugar content — cut out the bacteria-feeding sugar that's present in regular soda by opting for a diet soda and it will be better for your teeth. That seems logical, right? Well, there's a bit more to it than that. Let's take a closer look at how any kind of soda can affect your dental health.

Diet Soda – Why it can also lead to tooth decay

The main culprit in these drinks that leads to decay is the acid content. Diet sodas and other sugar-free drinks are usually highly acidic, which weakens the enamel on your teeth and makes them more susceptible to cavities and dental erosion. The level of phosphoric acid, citric acid, and/or tartaric acid is usually high in sugar-free drinks so it's best to avoid them.

Some patients also enjoy drinking orange juice or other citrus juices. These drinks are high in citric acid and have the same effect on the enamel of your teeth.

So what about regular soda?

We know the acidity of diet sodas and sugar-free drinks contributes to tooth decay, so what about regular soda? Like we alluded to earlier, regular soda is high in sugar — a 12 ounce can contains roughly ten teaspoons of sugar — and sugar feeds the decay-causing bacteria in the mouth. This also includes sports drinks and energy drinks, which are highly acidic and loaded with sugar too. So these drinks are a double-whammy of sugar and acidity your teeth and body simply don't need.

The problems caused by both diet and regular soda is exacerbated when you sip on them throughout the day. If you drink it all in one sitting, you won't be washing sugar and/or acids over your teeth all day long and your saliva will have a chance to neutralize the pH in your mouth.

The best beverages to drink and how to drink them

Drinking beverages that are lower in acid is a good step to take to keep your enamel strong. According to a study conducted by Matthew M. Rodgers and J. Anthony von Fraunhofer at the University of Michigan, your best bets are plain water, black tea or coffee, and if you opt for a soda, root beer. These drinks dissolved the least amount of enamel when measured 14 days after consumption of the beverage.

If you still choose to drink soda, diet soda, sugar-free drinks, or juices here are some other tips to lessen tooth decay:

• Drink your soda or acidic beverages through a straw to minimize contact with teeth
• Rinse with water immediately after consumption of the beverage
• Avoid brushing your teeth between 30 minutes to an hour after drinking the beverage as this has been shown to spread the acids before your saliva can bring your mouth back to a neutral pH
• Avoid drinks that have acids listed on the ingredients label

Still have questions about soda, sugar, and acid? Give our Winnipeg or Selkirk, MB office a call and we’d be happy to help!

Clear aligners like Invisalign® have become increasingly popular over the past several years and rightly so. They’re removable, easier to clean than braces, and hardly anyone knows you're wearing them. They are great in treating many cases, but they aren't for everyone.

Below, Dr. Brent Nickolaychuk and our team cover some of the instances where clear aligners just aren't the answer:

• If drastic tooth movement is required – Fixed appliances deliver much more significant tooth movement. So if your case is a drastic one, clear aligners may not be the best choice.
• If you need to move molars – Molars have much stronger roots than your other teeth and would require significantly longer to move with clear aligners. A fixed appliance is the best choice in this instance, especially if you have a substantial overbite or underbite that needs to be dealt with.
• If you're the type who often forgets or loses things –If you would forget to wear your aligners for the prescribed amount of time (usually at least 22 hours per day), clear aligners are probably not the best choice for you. Forgetting to wear them can delay treatment and even make it so you need to regress to the previous set of aligners to be able to move forward with treatment. And let's face it, if you're not careful, removable aligners are easy to lose. Losing aligners delays treatment and is expensive since you need to buy replacements to stay on course. Replacing a lost set of aligners usually takes between seven and ten days—a definite setback in treatment.
• If you're looking for the fastest treatment possible – Clear aligners usually can't move teeth as quickly as fixed appliances. So if you're looking for the fastest way to achieve your desired result, clear aligners may not be the best bet.

Feel free to talk with Dr. Brent Nickolaychuk about your options regarding braces and clear aligners. We know there are pros and cons to both, so let’s find the option that works best in your life and for your specific needs in terms of treatment. Schedule an appointment at our Winnipeg or Selkirk, MB office today!

Crooked or crowded teeth aren’t always just a cosmetic issue; they also are more difficult to clean, which can lead to tooth decay and gum disease. Likewise, if your teeth don’t align properly when you bite (known as malocclusion), this can cause chewing, swallowing, and speaking problems.

You can put these risks to rest and look amazing, however, with well-thought-out orthodontic treatment from Dr. Brent Nickolaychuk. More and more adults are opting for orthodontic treatment and changing their lives in the process.

Childhood is of course the ideal time to get treatment, since the mouth and jaws are still growing, but many adults still can get beautiful and lasting results which can be achieved discreetly and effectively with modern orthodontic appliances and technologies.

Traditional braces used to be the only thing going, and many adults understandably don’t like the way they look. There are so many other options for braces these days that it’s possible for almost any patient to be treated effectively and efficiently — usually in one to two years.

Here are some of the technologies being implemented in our modern Winnipeg or Selkirk, MB orthodontic office:

• Clear aligners: Practically invisible clear plastic aligners are great for less severe cases.
• Lingual braces: These are placed on the back of your teeth instead of the front, and can handle anything that traditional braces can.
• Ceramic braces: Translucent ceramic brackets make for effective and more discreet treatment.
• Self-ligating braces: These require less manipulation by the orthodontist, which means fewer appointments and quicker results.

It should also be noted that the goal of orthodontic treatment (especially in adults) isn’t always limited to straightening teeth and/or correcting a bite. Teeth provide support for the lips and cheeks and help define your face.

The relationship between the jaws, teeth, face, soft tissues, and underlying skeleton of the face are important, and an orthodontist takes this into account when designing a smile.

In short, getting orthodontic treatment won’t just give you a good-looking and healthy smile; it can help define and enhance the entire appearance of your face. Knowing just how crucial your teeth are in determining how you look and live will help you age positively and confidently.

3D imaging, also known as CBCT (Cone Beam Computerized Tomography), can be an invaluable tool for Dr. Brent Nickolaychuk to help you to maintain or restore your oral health. Advances in the industry have allowed for more precise and detailed imaging than ever before.

CBCT machines work by rotating around a patient to capture both 3D and 2D images of the head and jaw all at the same time. This is then digitally reconstructed on the computer to allow for quicker and more accurate diagnosis. There are several benefits of 3D imaging over traditional imaging like X-rays and CT scans, for both doctor and patient.

The benefits of 3D imaging for the patient:

• Radiation exposure is reduced as compared to traditional X-rays or CT scans. A 3D scan will expose patients to less radiation than a full set of oral X-rays and up to 95% less radiation than a CT scan.
• 3D imaging allows the patient to view the results of the scan alongside the doctor, right on the computer. This way the patient can better understand what's going on if there is an issue.
• The procedure is extremely quick and easy to perform. It usually only takes about ten to twenty seconds for the entire 3D image to be taken.
• Cost savings are huge for patients when compared to traditional CT scans performed at a hospital.

The benefits of 3D imaging for the doctor:

• One of the biggest benefits for doctors is the amount of information gained from one scan. Doctors receive much more in-depth and actionable information as compared to 2D X-ray imaging alone. This makes for better treatment planning and diagnosis.
• The images are digital so they can be viewed on any computer or tablet instead of having just one physical printed image.
• Clearer images are captured with this technology, which allows the doctor to more accurately diagnose any disorder such as impacted teeth, pathologies which are difficult to see, TMJ, or any other issue relating to the bone and structures of the tooth below the gum line.
• 3D imaging allows for better communication between doctor and patient. The doctor can more easily show the patient what's going on and explain the course of treatment they suggest.

When called for, 3D imaging can be a very helpful diagnostic tool for both doctor and patient alike. This is why our Winnipeg or Selkirk, MB office is equipped with state-of-the-art imaging technologies so we can provide our patients with the most accurate and comfortable experience possible.

It's a habit many people have and not only can it be annoying to the people around you, it can be detrimental to your dental health. Chewing ice is so common that it even has its own name, pagophagia. We're not talking about a slushy or shaved ice (although those artificially sugary treats should be avoided too!) but more like the hunks of ice rattling around in the bottom of your glass.

Ice chewing can be a sign of emotional problems like stress or obsessive-compulsive disorder, but it can also be a marker for iron deficiency anemia and other physical problems. Then again, some people just like to have something to chew on. For whatever reason you find yourself chewing on it, it's a habit you need to break.

Chewing on ice can cause:

• Chipped and cracked teeth
• Damaged enamel
• Sore jaw muscles
• Damage to dental work such as crowns, fillings, or other appliances

If chewing on ice is becoming a problem in your life, don’t hesitate to speak with Dr. Brent Nickolaychuk about it. But if you find yourself still wanting to chew on something, here are a few alternatives to ice:

• Baby carrots
• Celery sticks
• Sugar-free (xylitol) gum

We know you need to chill sometimes, but chomping down your entire glass of ice is not the way to do it. If you have any other questions on the topic, feel free to talk with a member of our Winnipeg or Selkirk, MB team. It may be beneficial in solving the issue and helping to remediate any damage to your teeth.