I Have Gum Disease. Can I Still Get Braces?
Gum disease is one of our most common dental diseases, affecting both children and adults. If you are considering getting braces or aligners, make sure your gums are their healthiest before beginning orthodontic treatment. Gingivitis For both younger and older patients, gingivitis (mild gum disease) can be the result of poor brushing and flossing habits. When plaque builds up around the teeth and gums, it irritates delicate gum tissue. The gums become inflamed, and symptoms such as redness, swelling, tenderness, bleeding, and bad breath can result. Usually, your dentist can treat early stages of gingivitis with tips on more efficient brushing and flossing, a professional cleaning, and suggestions for mouth rinses if needed. Because brushing and flossing with braces can be more difficult, you need to devote special attention to your cleaning routine to prevent gingivitis from developing after you start treatment. Talk to us any time about how to brush and floss most effectively when you wear braces. Dr. Eckler, Dr. Leung and Dr. Black can also recommend tools designed especially for braces wearers to get your teeth and gums as clean and plaque-free as possible. If you are a candidate for clear aligners, this option can make it easier to keep your teeth their cleanest. We’ll work with you to keep your gums healthy as your orthodontic work takes place. Periodontitis For older patients, gingivitis, left untreated, can eventually lead to periodontitis (severe gum disease). This chronic infection can lead to the formation of pockets between your gums and teeth that become home to bacteria and infection. Over time, periodontitis can lead to the destruction of gum, ligament, and bone tissue. Left untreated, it can lead to loose teeth and even bone and tooth loss. Making sure you schedule regular dental exams will allow your dentist or periodontist to detect and treat any signs of periodontitis as early as possible. If you have any of the symptoms of gum disease, it’s important to treat the cause of these symptoms as soon as possible to protect your gums, bone, and teeth. Deep cleaning procedures such as scaling and root planing, topical and oral antibiotics, and oral surgeries such as flap surgery or bone and tissue grafting can help reverse the effects of periodontitis. Because orthodontic treatment involves moving the teeth and re-forming the ligament and bone tissue, which hold them in place, you need healthy periodontal ligaments and bones to begin treatment. If you have suffered shifting teeth or bone loss due to periodontitis, talk to us. We will let you know at your visit to our Mississauga and Brampton, ON office if you are a good candidate for orthodontic work, and which type of appliance is best for your periodontal health. We are happy to talk to you about the best way to achieve an attractive smile and a healthy bite if gum disease has been a problem in the past. Most important, we want to make sure that your teeth and gums are their healthiest even before you begin orthodontic treatment. Preventing and treating gum disease will provide the foundation you need for a lifetime of beautiful smiles.
What Are Adjustments?
If you’ve just gotten braces at our Mississauga and Brampton, ON office, you’ve probably also learned a whole new vocabulary. Malocclusion, brackets, archwires, ligatures, elastics—you’ve got the definitions down. But now you’re scheduled for an “adjustment.” What exactly does that mean? Why Do I Need an Adjustment? After all, you’ve just gotten braces! But the fact is, moving your teeth to their ideal location is a process that involves many steps. The brackets and wires you have today are only a starting point. Wires, and rubber bands if you need them, put gentle pressure on the teeth, gradually moving them into a better position. Every time we see you, we check the progress you’ve made and adjust your braces to move the teeth into even better alignment. It’s a careful process to make sure your teeth and jaws fit together perfectly for straight teeth and a healthy bite. What Will Happen at an Adjustment? Because your braces are made specifically for you, there is no one answer for everyone or even every appointment. Usually, your ligatures (the colorful bands around your brackets) will be removed, and often the orthodontic wire that is attached to your brackets will be removed as well. We’ll check to make sure you are brushing and flossing properly around your wires and brackets, and check on the condition of your braces. Your wire might be adjusted, or bent, or tightened, or replaced all together. In the beginning, the wire will probably be more flexible. Later in your treatment, you might get a thicker, firmer wire to move your teeth more effectively, or we might bend a wire to move specific teeth. If you need rubber bands to make sure your bite is in alignment, we’ll show you how to attach and take care of those. We’ll also look for other adjustments that might need to be made to your brackets. If you have any concerns about brackets, wires, or any other part of your braces, let Dr. Eckler, Dr. Leung and Dr. Black know! And once we’re done adjusting your braces, this is your chance to change the color of your ligatures for a new look. Will It Hurt? You might suffer some discomfort in the hours after an adjustment, so treat yourself gently! Stick to soft foods for a few days, and treat yourself to something cold and soothing like ice cream, yogurt, or a smoothie. Brush gently if your teeth are sensitive. Usually, over-the-counter pain relievers will take care of any soreness. You can even take a pain reliever 30 minutes to an hour before the adjustment if you are expecting some discomfort. We have more great ideas on how to reduce any tenderness you might feel—let us know if we can suggest some. Within a day or two, you should be back to normal. If you ever suffer serious discomfort, or if the soreness lasts more than a few days, give us a call. Remember, each adjustment brings you closer to your goal—straight teeth and a healthy bite. And that’s the definition of a beautiful smile!
Treatment Options for TMD
Temporomandibular dysfunction (TMD) refers to a diverse range of disorders that relate to muscular function in the jaw and face — the temporomandibular joint (TMJ). That could mean difficulty opening your mouth, pain in the jaw or face, or any sort of problem with the jaw joint. TMD can be difficult to diagnose because of the varied causes. Whatever the case, an accurate diagnosis from Dr. Eckler, Dr. Leung and Dr. Black helps make treatment as successful as possible. Most often, jaw problems will resolve themselves within several weeks or months. Surgeries like arthrocentesis, arthroscopy, and open-joint surgery should be a last resort. More conservative and reversible treatments should come first and are in fact the most critical step in the treatment of TMD. Less invasive treatments like acupuncture and splints can be helpful, but that will depend on your particular case. It’s worth your while to speak with Dr. Eckler, Dr. Leung and Dr. Black at our Mississauga and Brampton, ON office to learn about solutions that could work for you. A combination of treatments will most often produce the greatest relief for TMJ patients. It’s a good idea to avoid activities that overuse the jaws, such as chewing gum or clenching your jaws. You can be proactive in finding relief for TMD by trying the following remedies at home: Eat soft food: When you eat soft and/or blended food, your jaw gets an opportunity to rest. Avoid chewy and crunchy food, and food that requires you to open your mouth wide, like apples or corn on the cob. Apply moist heat: A hot water bottle wrapped in a moist towel can help reduce symptoms. Apply ice: Applying an ice pack wrapped in a cloth or towel for no longer than 15 minutes may also reduce pain and promote healing. Do jaw exercises: A physical therapist can help identify the exercises that will work for you. Jaw exercises have been shown to be an effective treatment method that can be performed at home. Relaxation: Actively try to relax the muscles of the face and lips, and let your teeth come apart. Many find meditation, yoga, and slow, deep breathing to be helpful for reducing stress and tension. Avoid wide yawns: Keep your fist under your jaw when you feel a yawn coming on, to keep your jaw from opening too widely.
Awesome Archwires
When we think braces, we can’t help but think of the brackets on each tooth and the colorful ligature bands that surround them. But actually, the whole point of those brackets and bands is to hold the archwire in place as it gradually moves your teeth to create a better bite and a straighter smile. Let’s learn more about this talented part of your braces! Wire We Wearing These, Anyway? Archwires use gentle, continuous pressure to move your teeth into alignment. That sounds simple, but there is actually a lot going on. Teeth often need more than realigning. Some teeth need to be turned a bit, some tilted. Your teeth need to be better aligned with those next to them, of course, but also need to fit properly with the teeth above or below them. You might have a malocclusion, or bad bite. How can one wire handle all that? Well, it can’t. That’s why there are different types of wire. We often use thinner, flexible wires at the beginning of treatment, to put gentle pressure on the teeth as they start their movement. Other wires are firmer, and can be helpful in later phases, when each tooth is carefully moved to its specific, ideal spot. Archwires can be round or rectangular, thicker or thinner, springy or stiff, remember their shape or be bendable—all depending on what they need to do. Whew! This sounds confusing, but Dr. Eckler, Dr. Leung and Dr. Black and our team are archwire experts! At every adjustment appointment, we check on the progress of your alignment and choose the exact wire you need to take you to the next stage of your orthodontic journey. Out of the Frying Pan, Into the Wire Now that you have braces, it’s more challenging to make sure that your teeth are clean after eating. We’ll give you advice on how to get rid of the pesky food particles that sometimes get stuck in your braces. First, that’s absolutely not the look you’re going for. But, more than that, bacteria can use these “leftovers” as fuel to create the acids that damage your enamel and cause cavities. There’s a whole new world of dental products out there waiting to help get your braces clean. Special toothbrush heads work in the spaces between your teeth and the archwire. There are floss threaders that can get dental floss into tight places, and flosses with one stiff end you can guide under the wire so you can direct the floss to where it’s needed. There are even tiny cone-shaped brushes called “interproximal brushes” that can fit under your wires to clean around your brackets and teeth. Take a care kit to school or work with you so you can keep the tooth surface under your wires and around your brackets free of plaque. After all the hard work you’ve put in with your braces, the last thing you want is cavities once you’ve achieved your beautiful smile! Down to the Wire We said archwires were awesome, but we didn’t say they were perfect! We couldn’t leave without suggestions for handling any wire-related problems that might come up. One of the most common problems is the irritation caused by the end of a wire that has somehow come loose. You might be able to use a cotton swab to gently push the wire flat against the tooth. If that doesn’t work, orthodontic wax can be used to cover the end of the problem wire and smoothed into place. We’ll provide you with instructions on how to handle these and other minor wire problems at home. Other problems should be run past us first. If you feel your wire is coming loose, or if a loose end is causing a lot of pain and irritation, call our Mississauga and Brampton, ON office. We’ll give you instructions on how to help, and make an appointment if necessary for a professional fix. In fact, call us anytime you have questions about your braces. We’re here to help you understand each phase of the orthodontic process as you move step by step on the path to a healthy bite and a beautiful smile. And what’s more awesome than that?
Toothbrush Science
Let’s talk science! From the vastness of the cosmos to sub-atomic particles, science helps us understand the world around us and how it works. So, let’s take some familiar scientific fields of study and apply them to your toothbrush. My toothbrush? Yes, indeed! When it comes to your oral health, your toothbrush is the first line of defense, so understanding how and why it works so well might help us use this handy tool even more effectively. Biology—the study of living organisms Unfortunately for your toothbrush, the living organisms we’re talking about here are the bacteria which cause tooth decay and those which can lead to illness. How do these problems arise, and how do we prevent them? Fight Plaque Plaque is the sticky film that builds up on teeth, and millions of oral bacteria help make up this biofilm. These bacteria convert sugars and other carbohydrates in the foods we eat into acids. And these acids erode our tooth enamel, leading to tooth decay. (More on this when we get to Chemistry.) The best ways to get rid of plaque? Brush often. The recommended minimum is two minutes of brushing twice a day, but when you’re having orthodontic work done, it’s even more important to banish the plaque that can stick to your braces or inside aligners. Ask us what brushing schedule is best for you. Try an electric toothbrush. For some people with braces, cleaning the teeth is easier and more thorough with an electric brush. Replace your brush regularly. Brushes become worn and frayed after three or four months, and you won’t be brushing as effectively. Stop Germs from Spreading Don’t share. Sharing toothbrushes can lead to an increased risk of colds and infections. Rinse thoroughly after brushing, making sure you remove any toothpaste or debris left after you brush. Store the brush upright and let it air-dry. Covering the brush or keeping it in a closed container can promote the growth of bacteria more easily. Keep different brushes separate when they’re drying to avoid cross-contamination. Replace your brush regularly! Chemistry—the study of what makes up substances, their properties, and how they interact When it comes to improving your brushing chemistry, the best thing you can do for your toothbrush is to put a dab of fluoride toothpaste on it! Why fluoride? Let’s look at the chemistry of tooth enamel. Tooth enamel is the strongest substance in our bodies—even stronger than bone. But it is not indestructible, and acidic substances can dissolve the mineral bonds which give our enamel its strength, whether they come from the bacteria in plaque or are found in our favorite foods and drinks (sodas, coffee, tomatoes, and citrus are among the tasty, but acidic, culprits). The enamel in our teeth contains calcium and phosphate ions, minerals which help make it the strongest substance in our bodies. But when the level of acidity in our mouths becomes too high, these minerals begin to dissolve. Eventually, teeth become pitted, bacteria can penetrate more deeply, and decay is the result. So what can we do? While our saliva helps neutralize acidity naturally, and we can cut back on acidic foods in our diets, using fluoride toothpaste actually helps restore the strength of our enamel in a process known as “remineralization.” Fluoride works on the surface of enamel to both attract and anchor calcium ions, reducing mineral loss and strengthening the weakened enamel. Fluoride also interacts with the calcium and phosphate compound to create a new compound that is even stronger and more acid-resistant. When you brush with fluoride toothpaste, you help replace and restore the mineral composition of your enamel—and there’s evidence that fluoride might even interfere with oral bacteria’s ability to produce acid. Now that’s good chemistry! Physics—the study of matter and energy and their interactions The matter here is your tooth enamel, and the energy is the force you use when brushing. And this is one time the force should not be with you. Over-vigorous brushing can not only damage your brackets, but can also irritate delicate gum tissue and wear down enamel. A “sawing” back-and-forth motion is both hard on your enamel and misses plaque and debris between the teeth. We’ll be happy to show you the safest and most effective way to brush with braces. Just remember, “Massage, don’t scrub.” A soft toothbrush is almost always your best option when you use a manual brush, but if you’re still a heavy-handed brusher, or have sensitive teeth and gums, consider an electric model. An electric toothbrush should provide a continuous brushing motion without needing any heavy pressure from the brusher. Some models will even let you know when you are brushing too hard. Brushing harder is not brushing better, and your teeth, gums, and braces will be heathier with careful brushing habits. If you need tips on brushing with braces, contact our Mississauga and Brampton, ON office and ask! There’s a lot of science in the simple act of brushing, but we don’t need to spend hours studying to get a passing grade in dental health. The things you do normally—brushing at least two minutes twice a day, using fluoride toothpaste, and applying proper brushing technique—will help create a smile which will earn you top marks from Dr. Eckler, Dr. Leung and Dr. Black for a lifetime!
Five Clues That It’s Time to Replace Your Toothbrush
Your dashboard lights up when your car needs an oil change. Your family smoke detector beeps when you need to switch out the batteries. But when it’s time to replace your toothbrush, you’re on your own. Luckily, there are several not-too-subtle clues that you should be shopping for a new model. Fraying Is your toothbrush looking a bit scruffy? Do those once orderly bristles look like they have the toothbrush equivalent of bed head? Have some bristles vanished altogether? Time to retire that toothbrush. Once the bristles are frayed, you just can’t reach plaque as effectively, especially where it likes to hide between the teeth. Are you prematurely fraying? You could be brushing too hard. Overbrushing can injure delicate gum tissue, cause wear and tear to tooth enamel, and even damage your braces. If you find your brush fraying after only a few weeks of use, you might be using too much force. Remember, plaque is a sticky film, but it’s a soft sticky film. Ask us for advice on just how hard you need—or don’t need—to brush. Odor This one really goes without saying—no one wants an aromatic toothbrush! How to make sure your toothbrush is fresh and clean? Always rinse carefully after you brush. This will get rid of any toothpaste, bits of food, or other particles left on your brush. Let your toothbrush air dry. It might seem more hygienic to keep your brush covered in a bathroom setting, but a closed, moist container is a perfect breeding ground for germs. Don’t let them make a home in your bristles! Illness A cold or a bacterial infection (like strep throat) is no fun. But now that you’re feeling better, it might be time to throw out your toothbrush. The chances of re-infection are very low, unless your immune system is compromised, but this is a perfect opportunity to replace your brush with a fresh, germ-free model. And if you share your toothbrush, or if you store it right next to a family member’s (which you really shouldn’t do, for this very reason), germs get shared, too. Quarantine your brush while you’re ill, and replace it once you’re out and about. Discomfort Bigger isn’t necessarily better. A brush with a head that’s too big won’t allow you to get into those small spaces in your mouth where plaque likes to collect. And when you are trying to clean around brackets and wires, a regular brush might be a problem. Ask Dr. Eckler, Dr. Leung and Dr. Black for suggestions for the best tools for clean and comfortable brushing. Also, harder doesn’t mean more effective. A brush with hard bristles can cause damage to your gums and enamel. We almost always recommend soft-bristled brushes for this every reason. There are so many styles of brush out there, you’re bound to find the perfect fit with a little trial and error. Or ask us for suggestions the next time you’re at our Mississauga and Brampton, ON office for an adjustment! You’ve Passed the “Best By” Date Because of its durable construction, your toothbrush can last a long, long time. But no matter how comfortable and effective your toothbrush is right now, it was never meant to go through life with you. Bristles break down over a period of a few months, and just don’t clean as effectively. Your brush should be changed every three months, and this includes changing the head on your electric toothbrush. And because you wear braces, you’re brushing more often, so that three month lifespan might be stretching it. Unfortunately, you don’t have a flashing light or annoying beep to remind you when it’s time to change brushes, so you’ll have to devise your own reminders. Reminder apps, calendar notes, the first day of a new season—use whatever works best for you. Don’t ignore the clues your toothbrush is leaving you. Replacing your brush whenever it’s necessary helps guarantee that the time you spend cleaning your teeth and gums will lead to confident, healthy smiles. Case closed!
Tips for Keeping Your Breath Fresh While You’re in Braces
You’ve got a lot going on in your busy life, and whether it’s school, practice, or simply socializing, you want to put a confident face forward. And part of that confidence comes from knowing your breath is its freshest! Too often, though, this time of your life makes that goal seem difficult. Let’s look at ways to keep you smiling your brightest and feeling your freshest in any social setting. Watch Your Diet Sure, garlic, onions, and other pungent food choices are obvious culprits when it comes to bad breath, but did you know that sugars and simple carbs are the food of choice for the bacteria that cause decay, gingivitis, and bad breath? Eating a nutritious, braces-friendly diet will help keep your mouth, your braces, and your breath healthy. And it’s not just what you eat. Dehydration also causes bad breath. But those caffeinated drinks and sodas that keep you going through the day are the source of acids and sugars that contribute to tooth decay, gum disease, and less-than-fresh breath. Water, milk, and healthy smoothies are a great way to stay hydrated, add vitamins and minerals to your diet, and go easy on your braces. Keep Up with Oral Hygiene It’s hard to keep your teeth and gums their cleanest when it seems like you’re always on the go, but good oral habits are just as important now as they were when you were younger. Brushing after every meal and snack and flossing daily will help get rid of the bacteria and plaque, which lead to cavities. Our tongues also harbor the bacteria that cause bad breath, so finish off your routine with a gentle brush of the tongue, or try a tongue scraper. Flossing helps keep gums healthy, which, in turns, keeps your breath healthy as well. Dentists generally suggest flossing once a day, but wearing braces could require flossing more often to make sure you’re getting rid of all those food particles that can become trapped in brackets and wires. Studies have suggested that hormonal changes in teenagers can mean your gums are more at risk for periodontal problems, which can also lead to bad breath, so don’t neglect your gum health! And be sure to make room in your schedule for regular checkups and cleanings. Your dentist and hygienist will let you know if you’re on track for healthy teeth and gums and fresh breath. Wearing Braces? Part of careful brushing and flossing means getting to all those places in your braces which trap food particles. Besides being a source of unpleasant odors, food particles lead to plaque buildup and tooth decay, another cause of bad breath. Dr. Eckler, Dr. Leung and Dr. Black can suggest the best methods for keeping your braces their cleanest—even in hard to reach spots—with suggestions for brushing and flossing techniques. We can also suggest the best and easiest-to-use products for your particular braces, and recommend or prescribe antibacterial mouthwashes. Wearing Aligners? Aligners are removed before you eat, so it’s easy to forget that they also need attention. Follow instructions given at our Mississauga and Brampton, ON office for daily cleaning to prevent saliva and plaque from sticking to your aligners and causing odors. And always remember to brush before you replace aligners after eating a meal or even snacking—otherwise, you’re just trapping the food particles that cause cavities or odors next to your teeth. You’ve got a lot going on in your busy life, and the last thing you need to worry about is fresh breath. Keep up with your solid dental routines, make sure your braces or aligners are clean and plaque-free, and show the world your healthiest, freshest, most confident smile.
Positive Aging with Orthodontics
Crooked or crowded teeth aren’t always just a cosmetic issue; they also are more difficult to clean, which can lead to tooth decay and gum disease. Likewise, if your teeth don’t align properly when you bite (known as malocclusion), this can cause chewing, swallowing, and speaking problems. You can put these risks to rest and look amazing, however, with well-thought-out orthodontic treatment from Dr. Eckler, Dr. Leung and Dr. Black. More and more adults are opting for orthodontic treatment and changing their lives in the process. Childhood is of course the ideal time to get treatment, since the mouth and jaws are still growing, but many adults still can get beautiful and lasting results which can be achieved discreetly and effectively with modern orthodontic appliances and technologies. Traditional braces used to be the only thing going, and many adults understandably don’t like the way they look. There are so many other options for braces these days that it’s possible for almost any patient to be treated effectively and efficiently — usually in one to two years. Here are some of the technologies being implemented in our modern Mississauga and Brampton, ON orthodontic office: Clear aligners: Practically invisible clear plastic aligners are great for less severe cases. Lingual braces: These are placed on the back of your teeth instead of the front, and can handle anything that traditional braces can. Ceramic braces: Translucent ceramic brackets make for effective and more discreet treatment. Self-ligating braces: These require less manipulation by the orthodontist, which means fewer appointments and quicker results. It should also be noted that the goal of orthodontic treatment (especially in adults) isn’t always limited to straightening teeth and/or correcting a bite. Teeth provide support for the lips and cheeks and help define your face. The relationship between the jaws, teeth, face, soft tissues, and underlying skeleton of the face are important, and an orthodontist takes this into account when designing a smile. In short, getting orthodontic treatment won’t just give you a good-looking and healthy smile; it can help define and enhance the entire appearance of your face. Knowing just how crucial your teeth are in determining how you look and live will help you age positively and confidently.
Going on vacation? Remember these simple tips!
If you are wearing braces and are planning a vacation, our team at Smile Solutions would suggest that you be prepared. We put together a list of items that will be handy to have with you at all times while you are out of town. They include: Toothpick, flosspick, or other interdental cleaners Travel toothbrush A water bottle or a mini bottle of mouth rinse Orthodontic wax to help with discomfort from protruding wires A small mirror for examining any possible issues in your mouth Putting these items together in a “braces/oral hygiene kit” may be wise. You may even buy pre-made braces kits. Please ask us for more information. If you happen to be on vacation and experience problems reaching our office, we suggest going online and searching for orthodontic practices in your area. Most orthodontists will lend a helping hand to another orthodontic patient and get him or her out of pain or discomfort. We also suggest avoiding the following foods to prevent broken brackets and/or wire distortion while you are on vacation: Chewy, sticky, or gummy food Apples, pears, and other whole fruits (cut fruit into wedges before consuming) Bagels and hard rolls Corn on the cob Hard candies Hard cookies or pretzels All varieties of nuts, including peanuts, almonds, and cashews Finally, if you are wearing clear aligners and happen to lose your tray, don’t worry! Simply put in either the previous tray or the next tray and contact us as soon as you get home! Follow these tips and you can have a worry-free vacation! Please give us a call if you have any questions!
Pick the right electric toothbrush!
The electronic toothbrush has undergone several technological advances since the 1960s. Everything from design and bristle motions to rotation, oscillation, and sonic vibration has led to dramatic changes in this necessary tool over time. Rotation oscillation happens when the head of the toothbrush rotates from one direction to the other. The benefit of powered toothbrushes is that they can produce 50,000 strokes per minute, compared to 300 strokes with a manual toothbrush. When you’re thinking about brush head size, smaller brush heads are best for hard-to-reach areas and small mouths. Brush heads should be replaced every three to six months as needed. A good way to save money is to designate a brush head for each family member which can be taken on and off a shared base motor. Having a base motor or rechargeable toothbrush can deliver enough power on a full charge for a week of brushing, which makes it convenient for travel or when life gets busy. Some toothbrushes include audible signals that let you know when to switch the area of your mouth you’re brushing or when a full two minutes has gone by. Do you have sensitive teeth? Studies have indicated that people tend to apply more pressure on their teeth when they use a manual toothbrush. This makes an electric toothbrush a preferable option if you’re having issues with sensitive teeth or gums. There are even electric models with pressure sensors that will stop the brush from spinning when you press too hard against your teeth! Everyone can benefit from having an electric toothbrush. A large handle size can be taken into consideration if a member of the household is young, or has a physical disability or arthritis. They’re even recommended for children in order to maintain good oral hygiene from a young age. Biofilm is a term used for plaque or debris that builds up in your mouth. If not properly addressed, this can cause serious bacterial infections to your gums and teeth. If you want to remove biofilm in the most efficient way, an automatic toothbrush is the way to go. When you’re ready to make your decision, make sure to consult with Dr. Eckler, Dr. Leung and Dr. Black at our Mississauga and Brampton, ON office to decide which electric toothbrush is right for you!