July 5th, 2023

According to the Canadian Association of Orthodontists, orthodontic treatment for children should start at around age seven. Dr. Nicola Crichigno 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 Stoney Creek office can enable your child to avoid lengthy procedures, extraction, and surgery in adulthood. Talk with Dr. Nicola Crichigno today to see if your child should receive early orthodontic treatment.
June 28th, 2023

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. Nicola Crichigno 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 Stoney Creek office to schedule an appointment with Dr. Nicola Crichigno.
June 28th, 2023

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. Nicola Crichigno 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 Crichigno Orthodontics come in for appointments that relate to their braces.
Dr. Nicola Crichigno 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 Stoney Creek 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. Nicola Crichigno 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.
June 22nd, 2023

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. Nicola Crichigno in Stoney Creek 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.