Our Blog

A lot of our patients are curious about the difference between an orthodontist and a dentist. In fact, one of the most common questions we hear at Crichigno Orthodontics is, “Dentists and orthodontists are all the same, right?”

A general dentist is your primary dental care provider. Dentists diagnose, treat, and manage your overall oral healthcare needs, including gum care, root canals, fillings, crowns, veneers, and bridges.

Orthodontists, such as Dr. Nicola Crichigno, are more concerned with diagnosis, prevention, interception, and treatment of malocclusion, or what we call “bad bite,” of the teeth. Orthodontists focus on tooth and jaw alignment and bite problems such as overbites and underbites, and are responsible for straightening teeth via bands, wires, braces, and other fixed or removable corrective treatment options, like braces and clear aligners. Orthodontists treat children as well as adults who wish to improve the function of their bite and appearance of their smile.

Before becoming an orthodontist, doctors such as Dr. Nicola Crichigno start out in dental school and earn a dental degree, just like your general dentist. After dental school, those doctors who decide they are interested in the orthodontic field, stay in school for a few more years and become experts in orthodontia, which is one of nine specialties within the dental field.

Isn’t it nice to know we have orthodontic experts here at Crichigno Orthodontics to help you through any type of treatment your teeth and jaw might need? To schedule your initial appointment at our Stoney Creek office, please give us a call today!

Orthodontists like Dr. Nicola Crichigno 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 Stoney Creek 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. Nicola Crichigno 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.

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. Nicola Crichigno 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 Stoney Creek 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!

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. Nicola Crichigno 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 Stoney Creek office, why not wear your braces boldly and opt for something festive?