Don’t forget to change your clocks tomorrow! “Spring forward”  and lose 1 hour! That means you can’t sleep in, good thing it’s March break! Fortunately we gain that hour back in 6 months.  Don’t be late for your orthodontic appointment at Orthodontics at Don Mills!

Here’s some interesting information about daylight savings time:

– Hawaii and Arizona are nice all year long so they ignore daylight savings time-Germany was the 1st country to put it into practice in 1918 to encourage people to stay out int he summer and use less energy so they can conserve energy

– Saskatchewan does not have daylight savings time

-We on average save about $4 from daylight savings time but millions of dollars are lost due to sleep deprivation of employees, health consequences and the annoyance of having to plan meetings between countries who have different laws as to when daylight savings time starts, finishes or if they have it at all.

Check out this video to learn more about daylight savings time!!



The Orthodontist can benefit greatly from this development
Dentists may one day be able to grow teeth from new ones using gum cells!  Missing teeth is a common problem plaguing orthodontic patients, whether the teeth are congenitally missing or if they have been lost due to trauma, dental caries or periodontal disease.  Although it is some time away from clinical use, this would be a breakthrough development in the orthodontic treatment planning for these patients who sometimes require the placement of dental implants or substitution of other teeth to correct their problem.  Orthodontics at Don Mills will continue to follow this exciting research and keep you well informed.
Check it out:

If you swallow or aspirate an orthodontic appliance, firstly contact your orthodontist Dr. James Noble to manage the situation.

Here is an article that Dr. Noble wrote for general dentists on managing patients who have swallowed their braces, Invisalign retainers or other orthodontic appliances, enjoy!

How do I manage a patient who swallowed or aspirated parts of an orthodontic appliance?

Posted by on Mar 5, 2013 in Orthodontics | 0 comments

This Dental Urgent Care Scenario (USC) is adapted and presented by the JCDAOASIS team in collaboration with Dr. James Noble of Orthodontics at Don Mills in Toronto

You can find the full USC on JCDAOasis Mobile


Patients receiving orthodontic treatment are at a very high risk of having appliances swallowed into the oropharynx during treatment due to the small size of brackets and clipped wires. Orthodontic appliances that can be swallowed include wires, brackets, transpalatal arches, temporary skeletal anchorage devices, and keys for expanders and removable appliances among others.

Foreign bodies entering the alimentary canal rarely represent a serious medical issue as they pass through the gut wall uneventfully. In some instances, a foreign body may result in impaction or perforation of the gut wall. Foreign bodies entering the airway pose much more serious consequences.

Signs & Symptoms

  • Loose appliance: The patient’s orthodontist must be notified immediately for recementation or replacement.
  • Aspired appliance:
    • Excessive coughing, difficulty breathing, and increased congestion or noisy breathing
    • Patient choking or gagging, runny nose or watery eyes
    • Dusky bluish or red changes in the face, on or under the eyes or around the mouth
  • Large object swallowedinto the alimentary canal:
    • Difficulty, inability. or pain when swallowing
    • Muscle incoordination
    • Haematemesis and/or vomiting


  • Perform a complete intraoral exam.
  • Look for an ulcer that may develop on the mucosa and may have the potential to cause an infection.
  • Look for an irritation of the mucosa of the inner cheek.
  • Look for the orthodontic bracket, wire, or appliance that may be dislodged.
  • Ask the patient if they swallowed it similar to how they swallow food or if they coughed or choked when they swallowed it.


Based on the intraoral examination, it is determined that a long wire may be irritating the mucosa or a broken bracket may be detached.


  • If aspiration is suspected, referral to the ER or an orotolaryngologist is indicated.
  • Rule out obstruction of the larynx or the trachea.
  • If a large foreign body is trapped above the vocal cords, respiratory distress can occur and urgent care is needed, involving back blows and the Heimlich maneuver.
  • Ask the patient to keep calm, turn their head down and attempt to cough excessively. Stridor is also a common sign.
  • If the object passes through the airway without obstruction, refer the patient to a hospital for immediate medical attention.
  • If the object is still trapped, the dentist or a team member should call 911:
    • Maintain positive airway pressure with CPR until the paramedics arrive.
    • Explain the situation to the paramedics.

Recommendations to mitigate the risk of foreign objects ingestion or inhalation

  • Attach floss to appliances and objects when appliances are being cemented and placed intra-orally.
  • Use a barrier, such as gauze, when adjusting orthodontic appliances or placing brackets.
  • Use radio-opaque acrylic, if possible, to radiographically visualize appliances that are swallowed or aspirated.
  • Tether bands with an adequate length of floss through the molar tubes during banding procedures, especially for second molars.
  • Cinch the archwire whenever possible.
  • Reinforce removable quad-helices and transpalatal arches at the point of attachment by using elastomeric ligatures or, preferably, stainless steel ligatures.
  • Micro-implants must be adequately attached by steel ligatures to the main appliance.
  • Advise patients not to try to reseat damaged, ill-fitting, or broken fragments of any appliance. Instead, they should return to the orthodontist to have the appliance checked.

The article can be found at:


Being likeable will help you in your job, business, relationships, and life.  All of the concepts are simple, and yet, perhaps in the name of revenues or the bottom line, we often lose sight of the simple things – things that not only make us human, but can actually help us become more successful. Below are the eleven most important principles to integrate to become a better leader:


1. Listening

“When people talk, listen completely. Most people never listen.” – Ernest Hemingway

Listening is the foundation of any good relationship. Great leaders listen to what their customers and prospects want and need, and they listen to the challenges those customers face. They listen to colleagues and are open to new ideas. They listen to shareholders, investors, and competitors.

2. Storytelling

“Storytelling is the most powerful way to put ideas into the world today.” -Robert McAfee Brown

After listening, leaders need to tell great stories in order to sell their products, but more important, in order to sell their ideas. Storytelling is what captivates people and drives them to take action. Whether you’re telling a story to one prospect over lunch, a boardroom full of people, or thousands of people through an online video – storytelling wins customers.

3. Authenticity

“I had no idea that being your authentic self could make me as rich as I’ve become. If I had, I’d have done it a lot earlier.” -Oprah Winfrey

Great leaders are who they say they are, and they have integrity beyond compare. Vulnerability and humility are hallmarks of the authentic leader and create a positive, attractive energy. Customers, employees, and media all want to help an authentic person to succeed. There used to be a divide between one’s public self and private self, but the social internet has blurred that line. Tomorrow’s leaders are transparent about who they are online, merging their personal and professional lives together.

4. Transparency

“As a small businessperson, you have no greater leverage than the truth.” -John Whittier

There is nowhere to hide anymore, and businesspeople who attempt to keep secrets will eventually be exposed. Openness and honesty lead to happier staff and customers and colleagues. More important, transparency makes it a lot easier to sleep at night – unworried about what you said to whom, a happier leader is a more productive one.

5. Team Playing

“Individuals play the game, but teams beat the odds.” -SEAL Team Saying

No matter how small your organization, you interact with others every day. Letting others shine, encouraging innovative ideas, practicing humility, and following other rules for working in teams will help you become a more likeable leader. You’ll need a culture of success within your organization, one that includes out-of-the-box thinking.

6. Responsiveness

“Life is 10% what happens to you and 90% how you react to it.” -Charles Swindoll

The best leaders are responsive to their customers, staff, investors, and prospects. Every stakeholder today is a potential viral sparkplug, for better or for worse, and the winning leader is one who recognizes this and insists upon a culture of responsiveness. Whether the communication is email, voice mail, a note or a a tweet, responding shows you care and gives your customers and colleagues a say, allowing them to make a positive impact on the organization.

7. Adaptability

“When you’re finished changing, you’re finished.” -Ben Franklin

There has never been a faster-changing marketplace than the one we live in today. Leaders must be flexible in managing changing opportunities and challenges and nimble enough to pivot at the right moment. Stubbornness is no longer desirable to most organizations. Instead, humility and the willingness to adapt mark a great leader.

8. Passion

“The only way to do great work is to love the work you do.” -Steve Jobs

Those who love what they do don’t have to work a day in their lives. People who are able to bring passion to their business have a remarkable advantage, as that passion is contagious to customers and colleagues alike. Finding and increasing your passion will absolutely affect your bottom line.

9. Surprise and Delight

“A true leader always keeps an element of surprise up his sleeve, which others cannot grasp but which keeps his public excited and breathless.” -Charles de Gaulle

Most people like surprises in their day-to-day lives. Likeable leaders underpromise and overdeliver, assuring that customers and staff are surprised in a positive way. There are a plethora of ways to surprise without spending extra money – a smile, We all like to be delighted — surprise and delight create incredible word-of-mouth marketing opportunities.

10. Simplicity

“Less isn’t more; just enough is more.” -Milton Glaser

The world is more complex than ever before, and yet what customers often respond to best is simplicity — in design, form, and function. Taking complex projects, challenges, and ideas and distilling them to their simplest components allows customers, staff, and other stakeholders to better understand and buy into your vision. We humans all crave simplicity, and so today’s leader must be focused and deliver simplicity.

11. Gratefulness

“I would maintain that thanks are the highest form of thought, and that gratitude is happiness doubled by wonder.” -Gilbert Chesterton

Likeable leaders are ever grateful for the people who contribute to their opportunities and success. Being appreciative and saying thank you to mentors, customers, colleagues, and other stakeholders keeps leaders humble, appreciated, and well received. It also makes you feel great! Donor’s Choose studied the value of a hand-written thank-you note, and actually found donors were 38% more likely to give a 2nd time if they got a hand-written note!


The Golden Rule: Above all else, treat others as you’d like to be treated

By showing others the same courtesy you expect from them, you will gain more respect from coworkers, customers, and business partners. Holding others in high regard demonstrates your company’s likeability and motivates others to work with you. This seems so simple, as do so many of these principles — and yet many people, too concerned with making money or getting by, fail to truly adopt these key concepts.

To better care you, we at Orthodontics at Don Mills attended the Ortho2 Users meeting in Las Vegas last week. We had the chance to listen to and interact with the top consultants in the orthodontic specialty. We also had the chance to better learn our orthodontic software to better serve you. We are back and fully energized to provide excellence in clinical orthodontics and customer service to our patients who we are truly honoured to serve.

We look forward to seeing you soon!

ortho2 users meeting orthodontic conerence

Orhtodontic Conference in Las Vegas

Toronto Orthodontist, Invisalign braces

Orthodontics at Don Mills, Dr. James Noble, Dr. Sandra Cassolato, 2013 Calendar

1) Life isn’t about finding yourself. Life is about creating yourself – George Bernard Shaw.

2) Twenty years from now you will be more disappointed by the things that you didn’t do than by the ones you did do. So throw off the bowlines. Catch the trade winds in your sails. Explore. Dream. Discover – Mark Twain.

3) Don’t judge each day by the harvest you reap but by the seeds you plant – Robert Louis Stevenson.

4) There are two ways to live your life. One is as though nothing is a miracle. The other is as though everything is a miracle – Albert Einstein.

5) The appearance of things change according to the emotions and thus we see magic and beauty in them, while the magic and beauty really are in ourselves – Kahlil Gibran.

6) When we are no longer able to change a situation, we are challenged to change ourselves – Viktor Frankl.

7) We cannot change the cards we are dealt, just how we play the hand – Randy Pausch.

8) Perfection is achieved, not when there is nothing more to add, but when there is nothing left to take away.   Antoine de Saint-Exupéry

9) You miss 100 percent of the shots you never take.  Wayne Gretzky

10) Courage is not the absence of fear, but rather the judgment that something else is more important than fear.  Ambrose Redmoon

11) “What lies behind us and what lies before us are tiny matters compared to what lies within us.” — Ralph Waldo Emerson

12) Seek first to understand, then to be understood.  Stephen Covey.

Before committing to orthodontic treatment, it is important to understand that you are also committing to a lifetime of retention of the final result.  As we age, the position or our lips, cheeks, tongue and soft tissues changes.  The soft tissues determine the position of our teeth which therefore also changes with time. Our teeth also have a tendency to move back to their old crooked position because of the fibres in our gums.  Once orthodontic treatment is complete, the retention phase of treatment is even more than the treatment important so teeth won’t relapse or move into a more crooked position.  Attached is a photo of a type of retainer that I use in my practice called a lower lingual bonded retainer.  It’s a stainless steel wire that is custom bent to adapt to the inside of your teeth and permanently fixed to the inside of your teeth with an orthodontic adhesive.  Flossing is certainly challenging, but this retainer will ensure that your teeth remain straight.  As long as it’s in, they will.

Approximately 60% of the patients we treat are adults and a lot of these patients have already had at least one round of previous braces.  Because they either weren’t given a retainer, didn’t wear their retainers or it was broke or lost, their teeth shifted and they now need re-treatment.  We at Orthodontics at Don Mills are committed to ensuring that the treatment we give you is the last course of braces, by giving you the best possible retainers, both fixed and removeable.  We custom bend our own lingual retainers so they fit perfectly flush on the groves of the inside of your lower teeth with a stiff wire and the wire is bonded to each individual tooth, an image is shown below.

We are team of committed professionals who look forward to meeting with you, listening to your concerns and discussing your options with you.  Please contact Dr. James Noble and the Orthodontics at Don Mills Team for a complimentary consultation.





The Parkwoods Major Atoms select team has been in thew news recently because the team had a surprise when the Stanley Cup was brought to their dressing room recently to enjoy! This is a dream come true for the 10 year olds!

Orthodontics at Don Mills has been a proud sponsor of the Parkwoods Hockey organizations for many years. We are proud of all the players and salute all the volunteer coaches and organizers.  Who needs Hockey Night in Canada when we can go over to Fenside arena on a Saturday and take in some fantastic games.–scarborough-hockey-team-surprised-with-stanley-cup