Does Six Month Smiles Really Move Teeth Faster Than Regular Braces? NO


Dentists offering Six Month Smiles cannot move teeth faster than orthodontists
The braces used in Six Month Smiles are the same as those used by orthodontists
Treatment time is shorter with Six Month Smiles because typically only the front teeth are moved
Six Month Smiles is not less expensive than conventional braces
I have recently had several patients who have asked me about ads they’re hearing on the radio and TV about a “new” orthodontic technique that can straighten teeth in only six months and do it cheaper than regular braces. What is this “new” technology? Can it really move teeth faster? Is it safe? And is it really cheaper than braces from an orthodontist?

There are several “short-term orthodontic” companies that offer primary care dentists two-day courses in straightening teeth and then provide them with the marketing and dental supplies necessary to begin offering braces immediately upon leaving the seminar. Two of the most popular companies are Six Month Smiles and PowerProx Six Month Braces. The demand for these products has been huge because on the surface they offer patients what they want, shorter treatment time for less money. What is this new technology and does it really move teeth faster?

There is nothing new about the braces used in short-term orthodontics. Some doctors use clear or tooth colored braces. Others may offer short-term treatment using good old fashioned silver brackets. The braces used by dentists offering reduced treatment time are exactly the same as those used by orthodontists. There is nothing in the design of these brackets or wires that moves the teeth any faster. The rate at which teeth move is limited by natural processes in the bone and ligaments around the teeth and all doctors play by the same biological rules. While there are some additional procedures (like Propel, AcceleDent, and Wilkodontics) that have been shown to increase the rate of tooth movement, the speed at which the teeth will move during Six Month Smiles or PowerProx treatment is exactly the same as conventional orthodontic treatment no matter which brand of brackets or wires are being used. If the rate of tooth movement is the same, how can they get the same orthodontic result in only six months?

The answer lies in the phrase “same orthodontic result.” Providers of short-term orthodontics will tell you, if they are following the guidelines given at their seminar, that the reason their treatment is shorter is because they are shooting for a different end result. As a specialist, I am trained not only to align the front teeth (the “social six”), but also to correct crowding, protrusion, open bites, deep bites, cross bites, over bites, under bites, impacted teeth, extra teeth, missing teeth, etc. Straightening the teeth in front that people see is generally achievable in the first six months of treatment no matter who provides the treatment. It is the correction of the above-listed bite issues that requires the extra time. The braces are on the teeth a shorter time with short-term orthodontics because the dentist merely aligns the front teeth and then takes the braces off without addressing the other problems. In other words, the treatment isn’t faster, it is just shorter because it is intentionally terminated before treatment is complete. But what if you only want your front teeth straight? Is this treatment approach healthy?

Every smile is different. There are some patients that can be treated in six months or less and the results are just fine. These patients usually start with only mild crowding or spacing. These patients have a bite at the start that is fairly normal. If the problems are mild, then six months is plenty of time… and the fees should reflect the shorter treatment time. If you have crowding, an open bite, a deep bite, an over bite, or bite issues in the back, merely aligning the front teeth in six months may leave you feeling things are worse after treatment than they were before. Crowded teeth will flare forward if merely aligned. Small overbites may become big overbites. Open bites may open further. Problems with the occlusion may actually get worse if the braces change the bite and then the teeth are left in that position. I’ve seen cases where six months of treatment gave a decent result. I’ve also retreated patients who were unhappy with their protrusive teeth and a bite that wasn’t corrected by the “short-term treatment” they received elsewhere. The key is having the training and experience to recognize if a case really is “simple.”

Finally, is short-term orthodontics really cheaper? Patients who have come to me for second opinions have disclosed that their quote for six months of treatment was about 75% of what I quoted them for full treatment. This sounds less expensive at first, but if the treatment I provide takes from 12 to 18 months and fixes everything, paying 75% of my fee to get only the front teeth straightened is actually more expensive. For example, imagine that you get two quotes for painting your home. If one painter quotes you $4000 to paint the entire house and a second offers to paint just the front side that is visible from the street for $3000, which one is actually cheaper? Additionally, if you are not happy with your final result, you’ll have to pay a real orthodontist to put your braces back on and finish the case.

If something sounds too good to be true, it probably is. Orthodontists are specialists with two to three years additional training beyond dental school in straightening your teeth. Does it make sense that a dentist with only a two-day course can straighten your teeth faster than a specialist? Your smile and bite are a complex system. You only get one set of teeth. Shouldn’t you do your homework and make sure you get the right treatment the first time?

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Welcome Jasmin!

Please join us in welcoming Jasmin to the Orthodontics at Don Mills team!  Jasmin comes to us with a big smile on her face and 8 years of experience working as an orthodontic dental hygienist.   We are excited to welcome Jasmin and give her a big smile and welcome the next time you come to the office.  Below is Jasmin’s bio:


Hello, my name is Jasmin and I am an orthodontic dental hygienist here at Orthodontics at Don Mills. I was born and raised in a small French town
approximately 10 hours north of Toronto named Kapuskasing.

I went to Cambrian College for Dental Hygiene in Sudbury and graduated in 2006 on the Dean’s Honour List. I have been working in the orthodontic field since 2007. It is a pleasure to be working in a practice that has quality treatment and produces such beautiful smiles!! I love seeing our patients confidently walk out with a beautiful and healthy smile!

In my spare time, I like to relax at home with my husband and our two toddlers. I enjoy baking, sewing, and exploring the world through the eyes
of our children.

I can’t wait to meet and work with you in attaining your beautiful smiles!

Welcome Cheri!

Please join us in welcoming our newest member to the dream team at Orthodontics at Don Mills, Cheri!  Cheri comes to use with a big smile and years of customer experience in specialty offices.  Please give Cheri a warm welcome, smile and big hello when you come into the clinic!  Here’s her bio:

cheri photo

My name is Cheri and I am one of the treatment coordinators here at Orthodontics at Don Mills. I was born and raised in Toronto and I love the multiculturalism the city has to offer. I graduated Dental Office Administration at George Brown College in 1997, with honors and I have had the pleasure of working in the orthodontic field for most of my career. My passion is helping patients create the smile of their dreams, and I am very excited to be a part of Dr. Noble’s dream team.

During my spare time I enjoy spending quality time with my beautiful three children, travelling, playing softball and reading.

I look forward to seeing your smiles!

Happy Valentine’s Day! We have a contest!

Valentine’s Day Contest at Orthodontics at Don Mills!

Pop by our office to enter our Valentines contest – guess the number of hearts and the closest wins a waterpik!

Wishing all our patients and their families a Happy Valentine’s Day and sending you all a lot of LOVE from the team at Orthodontics at Don Mills!

Valentine's Day Contest at Orthodontics at Don Mills!
Valentine’s Day Contest at Orthodontics at Don Mills!

Oral hygiene instructions with braces

Instructions For Your Braces by Dr. James Noble

Congratulations on receiving your braces and starting your orthodontic treatment today!

I am excited to work with you as a team in this incredible life altering journey together.

My mission is to provide you with a beautiful smile, along with an excellent aesthetic and functional treatment result in a caring, fun and friendly environment.

Before we begin, there are several important instructions that you need to know in order to care for your braces. Please take the time to read these instructions and do not hesitate to ask any questions.


What to expect

After the braces are placed, there may be some soreness in your teeth and they may feel slightly loose. This is normal and there is no need to be concerned. This is simply the body’s reaction to the pressure and movement of your teeth. In the beginning of treatment soft foods such as soups, mashed potatoes, yogurt, smoothies, pastas and rice are advised until you feel that you are able to eat harder foods. Over the counter Tylenol and Advil can be used as well to relieve some of the soreness. The inside of your cheeks may become irritated and you may feel that your tissue feels rough. This is normal and occurs because the braces are rubbing against your tissue as you talk and eat. To help relieve some of this discomfort we will also provide you with orthodontic wax to cover braces that are causing sore spots in the mouth. Everybody is different and everyone’s body responds to treatment differently; healing time will vary from person to person, it could take a few days to get used to the braces or it could take a few weeks. Some people may also not feel any discomfort at all after their braces are placed or during the entire treatment time.


Oral hygiene

Now that braces have been placed it is extremely important that you are brushing after every meal (at minimum four times daily) for at least 3-4 minutes each time and flossing every night. The most important time to brush is before bed at night. It is important to be very thorough and spend at least 6 minutes or more brushing at this time because while you are sleeping you are at higher risk of having cavities and white spot lesions form.   With poor oral hygiene, white spot lesions will develop on the teeth and this is the beginning of a cavity. These white spots are permanent and they require costly restorative treatment to repair once the braces are removed.


The most important exercise you can do for your teeth and gums is flossing. Flossing removes the food and bacteria between the teeth and under the gums which the bristle of your toothbrush can not access. If the bacteria is not removed gingivitis will occur; gingivitis is an infection in your gums and it will cause them to be swollen, red and they will bleed easily. If gingivitis goes untreated it will lead to periodontal disease and that is when the bacteria start to break down the ligaments that support the roots of the teeth to the bone. Once that tooth is no longer supported in the bone by the ligaments, you may lose that tooth. If there is gingivitis present it will also slow down treatment as the infection blocks the roots of the teeth from moving freely through the bone. Regular dental check-ups and cleanings with your dentist are strongly recommended for the continued health of your teeth and gums.


Brushing Techniques

When using a power toothbrush hold the brush head to one tooth at a time for 30 seconds making sure that you get all areas of the tooth and brace and be sure to get under the gums as well. Do not move the brush back and forth in your mouth; it rotates so quickly that it will miss areas of your teeth. Be sure that you brush your chewing surfaces and the inside of your teeth as well and again concentrate on your gums.

There are times when using a manual brush will be needed; such as after lunch when at school or work. Manual brushing requires more effort. You must make sure that you angle your brush at a 45 degree angle towards your gum and gently but firmly brush your gum and then brush downwards to remove the plaque at the gum line away. Then brush on top of the brace, underneath the brace and a circular scrub around the braces. Again, don’t forget the chewing surfaces and the inside of your teeth.


Brushing with braces
Brushing with braces


Flossing is just as important as brushing. Flossing allows you to remove bacteria that your toothbrush can’t reach. Flossing will be more challenging and will take patience and effort. It will take a lot longer to floss but if it is kept a part of your routine it will become easier and you will become faster at it within a couple of weeks. Floss threaders aid in flossing and make it possible to get between the tooth and the wire. To use the floss threader it is always best the push the floss away from your lip, so for the top teeth drop the floss down underneath the wire and wrap the floss tight around both fingers of both hands and gently floss both sides of each tooth go as far as comfortable or make a “C” shape around each tooth. Release the floss from one hand and repeat in between each set of teeth.


Interdental brushes

For on the go, when a tooth brush is not available interdental brushes can be used to remove any food that may be caught in the braces. They are not meant to replace brushing or flossing but to tide you over until you are able to.


Eating with braces

Being very careful and finding different techniques you can eat most foods without damaging the braces. Some foods have to be avoided during treatment they are foods that will break braces and if braces are being broken on a regular basis it is hard to progress in treatment.


Examples of hard and sticky foods that are strongly discouraged include:

Hard and sticky candies                                        popcorn seeds

Jolly ranchers                                                                 nuts

Starbursts                                                               Ice-cubes

Caramels                                                                Toffees

Peanut brittle                                                        Gum containing sugar

Hard foods such as uncooked fruits and vegetables can be eaten in a modified way for example an apple is hard but if it is cut up into bite size pieces and placed towards the chewing surfaces it can be eaten without breaking a brace. The trick is always bite size pieces placed towards the chewing surfaces and never bite into anything that is hard. Corn on the cob should to be taken off the cob it is too difficult to bite into the cob without breaking a brace. Meats that are on bones can be eaten but the meat needs to be taken off the bone. Biting into a chicken wing or a rib can break a brace off. Foods that have pits can be cut into smaller pieces to avoided biting into the pit.



The success of your orthodontic treatment depends a lot on your cooperation. Keeping your teeth and gums clean and healthy will keep your treatment on track; not breaking braces or appliances on a regular basis will also help with the success of your treatment. There may be a time where you may have to wear elastics or other orthodontic appliances. It is important that you follow instructions exactly to ensure the success of your treatment. If there are any problems or concerns, please do not hesitate to call the office; we are here to make your orthodontic experience as pleasant as possible.



We greatly appreciate at least 72 hour notice before any change in appointments.


Root Resorption

During treatment, the tips of the roots of the teeth may become blunted or shortened. While some patients are prone to this happening, most are not. X-rays will be taken during treatment to monitor for this. Short roots are generally of no disadvantage under healthy circumstances (good oral hygiene), but the life of the tooth may be shortened if oral hygiene is poor.


Problems and solutions

Loose brackets or bands

If a brace or band comes out, leave it in place if it still attached to the wire Place wax on the brace if it is causing discomfort and give us a call at the office to replace it.

Loose wire

Try to place the wire back in with tweezers. If that is not possible, you can try to clip the end of the wire with nail clippers. If neither are possible than cover the end of the wire with wax and give the office a call to have the wire clipped.

Loose Tiewire or Elastics

If it is causing discomfort cover with wax and call the office to have the elastics or ties replaced.

Loose Appliances

If it is causing discomfort cover with wax and call the office to have the appliance repaired.


Take Tylenol/Advil and use a warm salt water rinse to help promote healing.


Massive thanks to all our patients who supported our food drive!

MASSIVE Thank You to all our patients at Orthodontics at Don Mills who very generously donated to our food drive to help the daily food bank who helps those in need have a delicious Christmas dinner! Your donations are greatly appreciated! Frosty as you can see here is extremely happy.   THANK YOU!  Wishing you all a very Merry Christmas, Happy Hanukkah, Happy Kwanza and all the best for peace, health and happiness in 2015!!!!

Thanks to our patients who donated food those in needed!
Thanks to our patients who donated food those in needed!