The next time you give someone a kiss, you may want to let them floss and brush their teeth first, or better yet, kiss them after they’ve had their dental cleaning:

Champions are not born, they are made. They are individuals who equip themselves with qualities such as discipline, courage, hard work, and strength and overcome the greatest adversities of hardship and near defeat with determination and the power of the willfulness and tenacity in their mind. We are honoured to see champions in our orthodontic office every day.

This is Lia, a champion elastic wearer. Wearing tortoise and elephant elastics is not an easy task but it is not impossible and anyone, when they put their mind to it, can be champion like Lia. Watch how she masters this task which she does with ease. This was achieved through practice. Find me a champion who didn’t practice?

Congratulations to Lia and to all the other champions in our office on your achievement! It is our desire that every single patient in our office becomes a champion elastic wearer.

Thanks Lia for the inspiration.

Check out the video on our youtube channel at:

Parents and patients occasionally express concerns regarding potential harmful side effects resulting from the use of diagnostic radiographs (“X-rays”). Those who have concerns can rest assured that the manner in which we prescribe and obtain these essential images is with great care and consideration, and has effectively no impact at all on increasing the risk for any known illnesses. But how can we be so sure?

It is a well-documented fact that every human being living on this planet is constantly being exposed to naturally occurring and unavoidable ionizing radiation that emanates from the atmosphere that surrounds us all. The higher up in the atmosphere we go (for instance during airline travel), the greater the amount of natural background radiation we are exposed to.
In terms of amount, on a daily basis just by walking around and being alive on this planet, we all are exposed to roughly 8 µSv of ionizing radiation per day. This equates to approximately 3000 µSv per year. Taking a flight on an airplane from London to Los Angeles (an 11.5 hour flight) exposes the passenger to about 80 µSv due to the time spent in the upper atmosphere.But what about the orthodontic  x-rays we use? Are they emitting  large doses of additional radiation that are going to put us at risk? In a word, no!

The most common image we use in our offices is a 2D Digital Panoramic view. We typically take this film only twice during treatment, once right before treatment begins as part of diagnostic assessment and treatment planning, and then typically only once more during the course of treatment to verify the health of the teeth and bone as treatment progresses. Occasionally we take additional films if there are exceptional circumstances such as impacted teeth, short roots, pathologies or other complex situations requiring close monitoring. We always take as few x-rays as possible, and only do so when the health benefits of knowing  what’s going on underneath the gums is greater than any potential risk of doing so.


Each of these images as taken on our state-of-the art digital machines emits approximately 19 µSv, or the equivalent of 2-3 days of natural background emissions. Put another way, by being alive on this planet, we all receive the equivalent dose of radiation that would be absorbed from about 150 of these digital films per year! Taking a few of these films over the span of several years is therefore not very likely to make a significant impact on one’s health, certainly no more so than taking a brief flight to reach a holiday destination. If you have any questions, our knowledgeable staff are always available to answer any.


Dr. Noble had the privilege of performing an orthodontic adjustment on a celebrity today as he adjusted the cervical headgear on an American Doll. She is wearing her headgear like a champ, 12 hours per day, from 8pm to 8am which so happens to be the 12 hours of sleep she needs each day.

She understands the principle of E=R or Effort=Results and it is paying off as her overjet has been reduced from 12mm to 4mm and she can now pout her lips together at rest instead of them being open. Because she listened to Dr. Noble and participated in her treatment, she can enjoy her bite for a lifetime and is now the most popular doll on the shelf.

Orthodontics at Don Mills - Dr. James Noble

Orthodontics at Don Mills – Dr. James Noble

american girl dolls2

Congratulations to Eugenie Bouchard, the first Canadian to make it to the Wimbledon finals! We are proud of you Eugenie and we know you have amazing things ahead!


Eugenie makes it to Wimbledon finals!

Eugenie makes it to Wimbledon finals!


What preventive and interceptive measures are available for improving and maintaining good oral hygiene and cariogenic control in orthodontic patients?

The link below is an article and Dr. Noble and Dr. Cassolato are co-authors that outline measures patients with braces can undertake to improve their oral hygiene during orthodontic treatment. We hope you enjoy it!

point of care Noble interceptive measures for oral hygiene control

This is the text from Apple’s commercial, “Better”. I hope you find it as powerful as I did:


It’s a powerful word, and a powerful ideal.

It makes us look at the world and want more than anything to change it for the better.

To innovate. Improve. To reinvent. To make it … better.

It’s in our DNA. And better can’t be better if it doesn’t consider everything.

Our products, our values, and an even stronger commitment to the environment for the future.

To use greener materials, less packaging.

To do everything we can to keep our products out of landfills.

Changes that will benefit people as well as the planet.

To us, better is a force of nature. It drives us to build things we never imagined.

New data centers powered by the sun and wind.

A new manufacturing facility that runs on 100% clean energy.

And new product designs that make use of recycled materials.

All ways to reduce our impact on the environment.

We have a long way to go and a lot to learn.

But now more than ever we will work to leave the world better than we found and make the tools that inspire others to do the same. 

-Apple Commercial “Better”

Body piercing, especially the face piercing has gained tremendous popularity among adolescents of the current generation with piercings of the ears, eyebrows, lips, tongue and chin, the list goes on. They insert different types of jewelry like – studs, barbells and rings in these pierced places to give them a more stylish look but unfortunately they do it by putting their health on lifelong risks. Dr. James Noble at Orthodontics at Don Mils is concerned with oral piercing as its hazards are not just limited to your oral health but also to your overall body’s health, causing a greater risk to your life.


Although, there are different risks associated with different kinds of body piercing yet here we are going to discuss, the oral piercing, that may involve the tongue as well as lip piercing.


Associated Risks with Tongue Piercing

In tongue piercing, a metal role is incorporated in the middle of the tongue. As the piercing is done through a foreign object; therefore, there is great risk of germs transmission that are usually in the form of viruses of different diseases like hepatitis and others. Your mouth always contains some kinds of bacteria and during piercing; these microbes can run into the blood vessels, present in the tongue. Once the infection is transferred into your tongue, it may transfer to your other body parts rapidly, ultimately causing a serious disease.


Pain and Swelling in Tongue

Piercing can also become a major cause of pain, swelling and even bleeding in the tongue. Sometimes the tongue swells to an extent that it may become a great hindrance in proper air intake. Thus, it becomes difficult to swallow and chew foods and you just have to rely on liquids; thus, the insufficient food can become a major cause of your week health and sudden weight loss.


Damages to Gums and Teeth

Usually, the people become habitual of playing with the piercing in their mouth by rolling or twisting it, which severely damages the teeth surface and also causes wounds, swelling and bleeding in the gums. Your teeth may get scratched or fractured or can even become oversensitive. If you have fillings in your teeth, piercing can damage it, ultimately exposing your teeth roots. Academy of General Dentistry revealed a report that indicated that the tongue piercing can become a cause of chipped teeth, infections, nerve and gum damage, drooling, taste loss and even tooth loss. It is revealed from another report that the people, who wear tongue jewelry continuously for four or more years can get their teeth chipped.  


Damage to Nerve

After a piercing, your tongue may get numb due to anesthesia and damage blood vessels. The numbness vanishes with the passage of time. However, in some cases, it may persist permanently resultantly damaging your taste buds and mouth movement.



In most of the people, piercing results in excessive saliva production in your mouth that might irritate you a lot.

If you have or are going to be receiving a maxillary expander at Orthodontics at Don Mills, you will receive detailed instructions on the procedure and oral hygiene instructions from one of our amazing team members.  Here is Marisa reviewing this with you.  If you have any questions about your RPE, please call us. Congratulations on your expander!

To help inform the general public about orthodontic treatment and the benefits of visiting an orthodontist for braces and Invisalign treatment, the Canadian Association of Orthodontists (CAO) launched a new website with information on these important topics.

Dr. Noble was part of the Canadian Association of Orthodontists committee who designed and wrote their new website which is filled with information for the public to learn about the dental specialty of orthodontics.   Please check it out at: