Welcome to the wonderful and amazing Kirstyn to the Orthodontics at Don Mills team.

Hello!  My name is Kirstyn and I’m excited to be part of the team at Orthodontics at Don Mills with Dr. Noble and Dr. Cassolato! I have had the pleasure of working in orthodontics for over 10 years. One of the things I enjoy most about my career is to see how transforming a patient’s smile can change their lives. I love getting to know our patients, asking them about their day, their lives, getting to know them and watching their self confidence grow with their braces or Invisalign treatment.  Having been through orthodontic treatment myself, I can relate to all of the positive and also the challenging aspects of orthodontic treatment. We all know wax is your best friend! Wax on, wax off!  But we also know that the end result will have us smiling for the rest of our lives.

I am born and raised in Toronto and love this city!  I am also grateful for my wonderful husband who has supported me throughout my career! He makes my life brighter every day. I enjoy spending time with my family, friends and my cat Peeko!  I also love singing!  If you hear a beautiful voice singing tunes in the clinic, that’s me!  I also enjoy cottaging, fishing, gardening and I really love barbecuing and smoking delicious Italian and Greek meats on our patio.

I look foreword to seeing you all at your next orthodontic appointment! I’m so excited to be part of the Orthodontics on Don Mills team. We have a wonderful team of talented, dedicated and hardworking people who work hard to give you an amazing experience and a great result.  Thank you for this amazing opportunity to serve and I look forward to seeing your smile!

 

Hi, I’m Wendy!  You can find me at the front desk greeting patients with a friendly smile and taking care of our patients’ scheduling needs. I’m so happy to help you with anything you may need and answer any question you may have!

I have been in the orthodontic field for over 8 years. Prior to this, I was a Registered Massage Therapist.  I have lived in east end of Scarborough most of my life and although I’m a Scarborough girl through and through I’m originally from the great land of Newfoundland and I’m true to my newfie roots. An interested fact about me is that my father is a Canadian icon and one of the most famous singer’s coming out of Newfoundland, A. Frank Willis. Just YouTube the song “Take me as I am” by A. Frank Willis for a sample of his work.  If you want to have some serious fun, YouTube, “I’m my own Grandpa” by A. Frank Willis and try to follow the incredible song that my grandpa wrote.   I enjoy spending time with friends and family in my spare time; playing board games, watching movies, and hiking.  My bucket list includes learning to play the guitar, taking a family trip to Hawaii, and travelling across Canada to explore our beautiful country.

I am excited to be part of the incredible team at Orthodontics at Don Mills and work with Dr. James Noble and Dr. Sandra Cassolato. What an amazing field to be in where we get to know patients and follow them in an important stage of their lives to give them confidence!  We have an amazing and friendly team at Orthodontics at Don Mills and we work hard for our patients! I look forward to serving you to create amazing smiles!

In our quest to provide our patients with the latest cutting edge technology, the iTero Element intraoral digital 3D scanner by Invisalign is the latest new technology available at Orthodontics at Don Mills in Toronto.  Our patients can now avoid the messy and gooey dental impressions previously taken during their Invisalign treatment and study models.  It is the cutting edge in technology and aligns with our mission in providing our patients with the latest and best technology.

In only approximately 5-10 minutes, a detailed and accurate 3D image of your mouth is captured for immediate viewing!  This avoids the gagging associated with dental impressions and allows us to accurately treatment plan on the spot.

How the scan is made, is that a sophisticated wand (similar to a large size pen) takes many quick pictures of the different areas of your teeth and gums.  These are quickly streamlined into a complex software that replicates these images for immediate display on a screen.  This is saved as an stl file.  This file can then be sent to the dental laboratory where appliances can be custom made for a variety of different orthodontic purposes.  This file can also be sent to Invisalign (Align technology) which is incorporated into a software program. Dr. Noble and Dr. Cassolato then communicate with this software program to fabricate a series of custom made trays, or aligners.  Aligners are made by Invisalign and are worn by patients through the day.  The aligner fits tight so that it creates a slight amount of pressure and it is changed each week . With each week, more pressure is added according to the program of your orthodontist.  Slowly, the teeth move, in a very biological and pre-determined way, provided the aligners are worn.  And slowly, your teeth get straighter and straighter as the bite is programmed to also fit well in three dimensions.  With the iTero scanner, these trays are manufactured from very detailed measurements and the accuracy of these appliances is remarkable. You can learn more about the iTero digital scanner by viewing the following video:

https://www.youtube.com/watch?v=FaKlXK01Z8s

 

iTero Digital scanner

If you have any questions about the iTero element or digital scanning for your Invisalign treatment in Toronto, please don’t hesitate to call Orthodontics at Don Mills at 416-447-1515 for your orthodontic needs. The team at Orthodontics at Don Mils is here for you!  We would be delighted to meet you for a complimentary consultation.

 

We received this heartfelt note today from the Daily bread food bank in thanks for the donation of 600 pounds of food for those in need over the holiday season. Congratulations to our wonderful patients. In our ongoing effort we are going to continue our campaign and Orthodontics at Don Mills will be a hub for donations of non-perishable foods throughout year for the Daily Bread Food bank. We will continue to have contests and rewards for our patients who donate. A heartfelt yhank you again for your contribution and for fighting hunger in Toronto, from all of us at Orthodontics at Don Mills.

Orthodontics at Don Mills - Dr. James Noble thank you

Orthodontics at Don Mills – Dr. James Noble thank you

 

We would like to extend a huge thank you to our wonderful patients for their very kind and generous donations of non-perishable foods for those in need of food this past holiday season! The Daily Bread Food Bank was in great need this  past year and just look at the incredible donation were are able to give! This means a lot especially at that time of year. Thank you thank you thank you and thank you a million times. Pictured here is Marisa and Cheri as well as the driver from the Daily Bread food bank, Chris Noto.  We are still accepting donations of food in our ongoing effort to give back to the community and fight hunger in Canada.

Orthodontics at Don Mills helps fight hunger over the holidays

Orthodontics at Don Mills helps fight hunger over the holidays

emily

Hello my name is Emily and I can’t wait to meet you! I am a Level II dental assistant and it is my pleasure to greet and welcome you in our practice. I will help take your X-rays, impressions for retainers or Invisalign and photos for your treatment. I enjoy playing sports, spending time with my son and enjoying the outdoors or good movie. I look forward to being a part of your orthodontic treatment and providing you with outstanding care with the amazing team at Orthodontics at Don Mills.

Big Welcome to our newest team member and treatment coordinator Clory!

Clory's real pic 2

My name is Clory and I am a Treatment Coordinator here at Orthodontics at Don Mills. I was born and raised in Toronto and couldn’t wish for a better city to grow up in.

I have been in dentistry for over 10 years and helping to create beautiful and healthy smiles is where I plan to stay. I am proud to be a part of such an amazing team. Dr. Noble is truly inspirational and it is wonderful to see how dedicated he is to his patients and team!

On my spare time, I enjoy spending time with my daughter whether it’s building a sand castle, climbing a tree or making a snowman!

You will notice that we’ve added a new big smile to the Orthodontics at Don Mills team – Mary Lu!  Mary Lu comes to us with 8 years experience working as an orthodontic hygienist!  We welcome Mary Lu as part of the dream of creating beautiful smiles for our patients!

Mary Lu pictur

My name is Mary Lu and I am a Dental Hygienist here at Orthodontics at Don Mills. I am part of the process, from the day the braces go on, to the day they come off. Having braces myself in my teen years, I encourage others to achieve the smile they’ve always wished for. I love being part of each patient’s experience and look forward to seeing the changes at each visit. There is nothing better than the day your braces come off and you see your new and improved smile! I received my diploma in Dental Hygiene from George Brown College in 2006, and have a degree in Health Studies from York University. I am also a member of the Canadian Dental Hygienists Association. In my spare time, you can find me cooking new recipes in the kitchen, reading a good book, or going for walks around Toronto’s trails.

I have the privilege of working in a craniofacial hospital as a member of an inter-disciplinary dental specialty team including a prosthodontist, oral surgeons, pediatric dentists, and we have fellows and hospital dental residents who rotate through each week. I arrived one morning greeted by a nervous dental resident who said she was relieved to see me because she really needs to speak with me. She explained that she was moon-lighting doing dentistry in private practice and needed help to look over an Invisalign™ case that wasn’t working.

She said it was her fifth case, a 16-year-old boy with a difficult mother who is quite upset.   He wore the first series of aligners and it didn’t work, and she really had to make it right with her refinement so the family doesn’t become more upset and she needed the help of an orthodontic specialist.

She had the ClinCheck™ on the computer screen ready for me to assess (A Clincheck™ is a simulation of the virtual movements the teeth will make after each tray is worn. The patient can therefore have a projection of what their teeth will look like at the end of treatment. Invisalign™ provides this software to communicate with their technicians in Costa Rica. As orthodontists, we review the exact movement of each tooth in detail and in relation with their neighbour and communicate back and forth with the technicians explaining the exact biomechanical tooth movement necessary and that is biologically possible).

Technology like Invisalign™ have simplified the ability for non-specialist dentists to provide orthodontic care to patients. Moving teeth through bone can be simple, however moving them “properly” through bone in the right three dimensional position so they can effectively and esthetically relate to their neighouring teeth with a resultant bite that is not uncomfortable, can be challenging. Anyone can virtually ‘manipulate’ the movement of teeth in an Invisalign video. For predictable and proper tooth movement, what is required is the rendering of a proper diagnosis of the case with a realistic and effective treatment plan. That’s where the question arises, “who should be doing your Invisalign™ treatment?” Shouldn’t it be an orthodontic specialist with advanced training and expertise in moving teeth and who does it day in, day out, all day long?

If general dentists are offering orthodontic treatment, are they giving patients the option of seeing a specialist? We often are asked the question if patients are “qualified” for Invisalign™. The question that patients should be asking is if their dentist is “qualified” to be performing Invisalign™. Invisalign™ or other clear aligner systems are not a commodity but they result in different outcomes between different providers. Invisalign™ is just a vehicle for the orthodontist to take a patient through their journey, just like braces, with the goal of a beautiful smile and functional bite.

 

Questions patients should ask their dentist prior to proceeding with orthodontic treatment with them include:

1) Are you an orthodontic specialist and is this what you do all day, every day?

2) Have you completed an advanced full time 2-3 year orthodontic residency training program?

3) If no to the above questions, what makes you qualified to be moving my teeth and are you confident you can provide the same level of care as a specialist?

4) Did an orthodontic specialist treat your smile or your children’s smile?

5) Do you develop your own treatment plans or do you rely on a specialist or outside company to do so?

6) Are you just getting my teeth straight or are you paying attention to how my bite will fit together after treatment or the specific details of my smile?

7) How many cases similar to mine have you treated in your career and can you show me before and after photographs?

8) What will you do if something goes wrong?

 

Unfortunately, sometimes dentists and their staff may falsify themselves as orthodontists. To determine if the person treating you really is an orthodontist, you can ask them which advanced specialty training program they have attended, or if they successfully passed the royal college of dentists specialty training exam. You can also get a hint if they are doing cleanings, fillings, crowns, and other common general dental procedures. If they have a one-stop shop for treatment, they are likely not orthodontic specialists. In fact, many dentists lower their Invisalign™ fees, using Invisalign™ as a loss leader to give them ability to charge patients for regular cleanings, check-ups and other procedures.

Here is an example of a case treated by a general dentist doing Invialign™ which had to be retreated by an orthodontic specialist, and the final result achieved.

Ashley1

 

Ashley2

 

When I reviewed the dental residents Clincheck, I saw a lot of problems. My first question was, do you have photos? She pulled out unhelpful out-of-focus photographs which had been taken on her cell phone. My next question was if she had a panorex and lateral cephalogram? She had a full mouth series of x-rays, no panorex, no lateral cephalogram because the dental office where she was working doesn’t have the machine to take these diagnostic orthodontic x-rays.

I went through the Clincheck video and saw explained to her the issues she was facing. I first ask asked her why the case was finished with a posterior open bite and no anterior coupling. Her answer was, “Well why would they leave the case finished like that?” I tried to gently explained to her that she’s the one who is responsible for treating the case and the technician is responsible for following her instructions. Then I asked her why the teeth are not straight. She told me they were, and then I pointed out the angulation was off and the torque wasn’t right on several teeth and the alignment was not even ideal. I told her it would be helpful to see a lateral cephalogram as the incisors look significantly proclined and appear to need retraction, and that this case may require the extraction of four premolar teeth.

She was disconcerted with my answers and recommendation to her and said that she thinks it’s best for the patient to be referred to another general dentist who does Invsialign™ to keep things simple for the patient. The oral surgeon and pediatric dentist who were in the room and witnessed the interaction, both came to me and said that she will figure it out herself after she specializes. She later thanked me for the help and admitted that since she was doing her residency, she appreciated the value in patients seeing dental specialists for their care.

Where I practice in Toronto, there are hundreds of dentists providing Invisalign™, and some who treat hundreds of cases each year. These patients often have to spend more money, and have to undergo the burden of additional orthodontic treatment so they can “get it right” by a certified specialist. And sometimes, what has been done is irreversible. When it comes to orthodontic treatment, it is truly a “buyer beware” jungle out there. Invisalign™ and other clear aligner systems are wonderful alternatives to traditional braces that we as orthodontists can offer patients. But don’t be fooled. It’s not like buying a shirt or shoes. The person who is treating you is what is critical to achieve a successful esthetic and functional outcome that can last you a lifetime.

James Noble

You’ll notice a bright, new beautiful smile at Orthodontics at Don Mills – our new dental hygienist Sueli! Sue beings with her many years of experience working in the orthodontic field.  Please join me in giving Sueli a warm welcome to our dream team!

Sue Orthodontics at Don Mills

Sue Orthodontics at Don Mills

My name is Sueli and I came to Canada 15 years ago from Brazil with a dream to become a successful professional. I chose dental hygiene due to previous experience as a dental technician specialized in orthodontics.

My career experience is extensive, having worked for various private dental offices, orthodontist offices and dental laboratories. I also has done some volunteer work at Yonge Street Mission which assists young adults that can’t afford dental treatment. I love to work with kids and young adults so this gave me great satisfaction, being able to be a preventive educator and promote oral health.

Being an Orthodontic Dental Hygienist is one of my passions. I love orthodontics and I take pride in promoting the best oral health care possible for my patients and the community.

I am a also a member of Ontario Dental Hygiene Association and the Ontario Dental Hygiene Orthodontic Study Club. When I am not working, I enjoy spending time with my lovely little dog Heyme, biking, hiking, snowboarding, and roller blading.