Good Oral Hygiene is the foundation to Straightening your teeth

 

Dr. C Lun WangI have been treating myself with both lingual(tongue side) and labial(lip side) braces for almost a year now.  Initially, the biggest adjustment was to the braces poking or rubbing against my lips or my tongue.

The constant irritation gave me raw spots on the mucosa of my mouth.  This skin irritation was an annoyance that was minor and lasted only for the first month.

 

Further to that, I had to learn to eat with the braces, since if I chewed hard on foods, I would hit some of the braces too hard and break them off.  It is amazing how your body adapts to these needs, since you cannot remove the braces, I was able to adjust the pressure that I applied with each bite so that I would not bite too hard to break my braces, but hard enough to chew my food.

The proprioceptive(pressure sensing) receptors built into my teeth gave instant feedback to my bite pressure, and by training, my muscles developed the proper muscle memory so that during each subsequent bite, the pressure was just right.

 

The next adjustment I went through was the fact that I frequently bit on my lip when I chewed.  This was a much more painful experience and one that took me longer to get over.  During your chewing cycle, your lips, cheeks, and tongue have been trained to move the bolus of food that is in your mouth around and onto the biting surface of your teeth.

Your lips have to provide an additional function, that is they also have to keep your food, and especially the liquids in your mouth from being squeezed out of your mouth, onto your chin, and your clothes.  Your eating partners especially appreciate this function, since seeing your food coming out of your mouth is hardly neither appealing nor appetizing.

My problem with my lips is that they frequently got caught on my lower braces in Vancouver during chewing and made cuts on my lips that are very painful.  Luckily, wounds in your mouth heal much faster than on your skin, and after a few months, my lip muscles also adapted to their new functional parameters.

 

935972_586677598030630_1493679419_nThe last and most lasting difficulty is one that is probably most important and has long-term ramifications; that is my ability to keep my teeth clean.  With braces on, there are many more nooks and crannies for food to get stuck in.

A normal cleaning regimen does not do a thorough job.  Even with proper tools and good dexterity, the cleaning process is tedious and takes a long time.  That is why in our clinic, we stress good oral hygiene practice from day one of your orthodontic treatment.

On the day of getting your braces, we spend time teaching you how to clean your teeth properly.  We also provide tools that will help speed up the cleaning time.  One of those tools is an electric toothbrush.

I have always told my patients that if brushing is done properly, a manual toothbrush is as good as an electric toothbrush.  However, it does take better coordination and more diligence to achieve a proper cleaning with a manual toothbrush.

So we provide an electric toothbrush with your orthodontic treatment in Vancouver to help you with this important task.  The following is a scientific study that demonstrates the advantages of using an electric toothbrush for most people.

 

Introduction

Good oral hygiene is a challenge for orthodontic patients in Surrey because food readily becomes trapped around the brackets and under the archwires, and appliances are an obstruction to mechanical brushing. The purpose of this study was to compare the plaque removal efficacy of 3 toothbrush treatments in orthodontic subjects.

Methods

This was a replicate-use, single-brushing, 3-treatment, examiner-blind, randomized, 6-period crossover study with washout periods of approximately 24 hours between visits. Forty-six adolescent and young adult patients with fixed orthodontics from a university clinic in Germany were randomized, based on computer-generated randomization, to 1 of 3 treatments:

(1) oscillating-rotating electric toothbrush with a specially designed orthodontic brush head (Oral-B Triumph, OD17; Procter & Gamble, Cincinnati, Ohio)

(2) the same electric toothbrush handle with a regular brush head (EB25; Procter & Gamble)

(3) a regular manual toothbrush (American Dental Association, Chicago, Ill). The primary outcome was the plaque score change from baseline, which we determined using digital plaque image analysis.

Results

Forty-five subjects completed the study. The differences in mean plaque removal (95% confidence interval) between the electric toothbrush with an orthodontic brush head (6% [4.4%-7.6%]) or a regular brush head (3.8% [2.2%-5.3%]) and the manual toothbrush were significant (P <0.001). Plaque removal with the electric toothbrush with the orthodontic brush head was superior (2.2%; P = 0.007) to the regular brush head. No adverse events were seen.

Conclusions

The electric toothbrush, with either brush head, demonstrated significantly greater plaque removal than the manual brush. The orthodontic brush head was superior to the regular head.

This study and other similar helpful articles can be found on the American Association of Orthodontists website.  Proper care for your teeth will not only help you with good healthy teeth and gums during your orthodontic treatment but will also promote good oral hygiene habits that will last a lifetime.

After all, with your orthodontic treatment, you will be rewarded with straight teeth and a great smile, why not keep that picture-perfect smile for a lifetime? 

Every time you visit your orthodontist, they will check your teeth for proper cleaning, but you will still need to visit your family dentist regularly for professional cleaning and check-ups to avoid unwanted decay or disease to your teeth and gums.

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Dr. Yashodhan Milind Bichu

  • Certified Specialist-Orthodontics, British Columbia College of Oral Health Professionals, 2024
  • Dental Speciality Assessment and Training Program Orthodontics, University of British Columbia, 2024
  • M.D.S, Master of Dental Surgery, Goa Dental College & Hospital, Goa University, Goa, India,2010
  • B.D.S, Bachelor of Dental Surgery, MGV’s KBH Dental College & Hospital, Nashik, Maharashtra University of Health Sciences, India 2006,

Dr. Yash is a Certified Specialist Orthodontist with an experience of over 14 years gained through specialist orthodontic practices in Mumbai, India and Dubai and Abu Dhabi, United Arab Emirates. He is multilingual and fluent in several languages, including Hindi, Punjabi, Marathi, and Arabic.

He completed his dental program from India in 2006 with Honors, as a distinguished recipient of the Vice-Chancellor’s Certificate of Merit for Academic Excellence and subsequently earned his master’s degree in Orthodontics from Government Dental College as a Gold Medalist of the Goa University in 2010. Being an ardent advocate of ‘Learner for Life’ philosophy, Dr. Yash went on to pursue advanced training in Lingual Orthodontics, Micro Implant Anchorage and Surgical Orthodontics at the Yonsei University, Seoul, South Korea in 2014. He then completed a mini-residency stint at the UConn Dental School, University of Connecticut, USA (2017) to further hone his skills for accelerated orthodontics and clear aligner therapy.

Dr. Yash moved to Canada with his family in 2022 and completed his orthodontic specialty recertification program at the University of British Columbia in 2024, by securing the single coveted seat offered to internationally trained Orthodontists in 2023. He is also a fellow of the prestigious Royal College of Dentists of Canada- an honor bestowed to the top dental specialists in their field.

Dr. Yash believes in “Practice Passion in Orthodontics” and specializes in treating children with preventive and interceptive orthodontics, and adults with contemporary and esthetic treatment modalities.

In his spare time, Dr. Yash enjoys talking; actually, mostly listening, to his wife, Aditi, an orthodontist herself; and their chatty 6-year-old daughter, Anahita. The trio live in Vancouver and love exploring all the wonderful places, sampling the plethora of cuisines and just soaking in the resplendent beauty that Beautiful British Columbia and Canada offer!

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

Dr. Yan Liu

  • University of British Columbia 2021, Vancouver, Certified Orthodontics and Dentofacial Orthopedics
  • Arthur Dugoni School of Dentistry, 2004, San Francisco, Postdoctoral Fellowship
  • Pecking University, 2001, Beijing, PH.D.
  • Beijing Medical University 1997 Beijing, DDM,

Dr. Yan Liu is a Certified Specialist of Orthodontics and Dentofacial Orthopedics with over 20 years of experience as both a practitioner and an educator. She has been practicing at Pacificwest Dental Group in Vancouver BC, since 2021.

She received her Doctor of Dental Medicine from Beijing Medical University in 1997 and later acquired her Ph.D. from Peking University in 2001. In 2004 Dr. Liu finished her postdoctoral fellowship at the Arthur Dugoni School of Dentistry in San Francisco. She is now a part-time faculty at UBC Dentistry School, where she spends considerable time advancing research and mentoring students. Her clinical researches are about Assessment of Treatment Results of Invisalign and Comparison of Root Resorption Between Cases Treated with Invisalign and Fixed Edgewise Appliance.

When asked what gets her up in the morning, Dr. Liu says it’s seeing her patients thrive in life with their new smiles. She strives to explore efficient treatment modalities that serve patients well and keep her knowledge and skills updated. She also cares about the ongoing research and development in Orthodontics and how to improve the long-term impact on patients’ beautiful smiles. Her enthusiasm for her work is further evident in her active involvement in the Canadian Association of Orthodontics as well as the BC Society of Orthodontists.

In her spare time, Dr. Liu enjoys spending time with her family. She loves to golf, bike and practice yoga, too.

Professional Memberships

  • The Canadian Association of Orthodontists
  • The British Columbia Society of Orthodontists
  • The Chinese Association of Orthodontists
  • Invisalign Annual Summit Speaker

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

Dr. Kevin Lee

Dr. Kevin Lee

  • University of British Columbia 2015 Combined MSc and Diploma in Orthodontics, Vancouver, BC
  • University of British Columbia 2011 DMD, Vancouver, BC
  • University of British Columbia 2006 Bachelor of Science: Biochemistry, Vancouver, BC

Born and raised in Taiwan, Dr. Kevin Lee moved to Richmond, BC with my family in 1999 when he was 15 years old. Dr. Lee received his Bachelor of Science (Biochemistry) Degree and Doctor of Dental Medicine degree from the University of British Columbia in 2011. After spending a year working as a full-time hospital dental resident at the Montefiore Medical Center in the exciting city of Bronx, New York (Yankees!), Dr. Lee came home to British Columbia, where he spent three years at UBC to complete graduate training in orthodontics. He also earned a Master of Science degree in Craniofacial Biology for his study of Dentofacial Morphology in Children with Obstructive Sleep Apnea.

Dr. Lee is a certified specialist in Orthodontics, a fellow of the Royal College of Dentists of Canada, and diplomat of the American Board of Orthodontics. Dr. Lee is also a director of the Taiwanese Chamber of Commerce in BC.

Dr. Lee lives in Richmond with his wife Dr. Sherry Liu, a local family dentist, and their two kids. In his spare time, Dr. Lee enjoys photography, cooking, movies, and spending time with families and friends. He also volunteers at Willingdon Church as photographer and First Aid Responder.

“The unique combination of art, mechanics, and science required to treat every patient is what made orthodontics fascinating to me. Because every smile and patient is unique and different, a customized treatment plan is formed for each person to provide a balance between function, aesthetic, and health. As a board-certified orthodontist, I am passionate in updating myself with the most advanced knowledge and skill to provide quicker, easier, and most predictable treatment options for my patients. I am excited for the opportunities to meet with every one of my patients to share my knowledge, skill, and passion in orthodontics, and to form a long lasting partnership with them.”

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

Dr. Cheng Lun Wang

  • DDS. Doctor of Dental surgery, University of Western Onterio, 1989
  • MSc. University of Manitoba 1994
  • Cert. of Orthodontics, University of Manitoba 1994

Orthodontic specialist, Dr. Wang, is the founder and sole-proprietor of PacificWest Orthodontics and Dental Group in Surrey and Vancouver. Dr. Cheng Lun Wang graduated with a degree in Dental Surgery from the University of Western Ontario in 1989.

After graduation, he completed an internship with the Hospital for Sick Children in Toronto, transitioning later into a full-time position with the I.W.K. Hospital for Children in Halifax and specializing as a pediatric orthodontist. During this time, Dr. Wang continued to teach undergraduate dental students from Dalhousie University, while also building a part-time private practice in Dartmouth, Nova Scotia.

Dr. Wang entered the orthodontic program at the University of Manitoba in 1991. After three years of intensive Clinical Orthodontic training, he earned a Masters of Science degree in Craniofacial Biology in 1994.

An enthusiasm for continuing education has led Dr. Wang to share his years of professional experience on Orthodontic and Pediatric dentistry at various lectures and professional presentations throughout Canada. In addition to actively practicing lingual and labial Orthodontics in his private clinics, he also serves as a clinical instructor at the University of British Columbia (UBC) School of Dentistry. His clinical research has been published in the Journal of Oral Surgery, Oral Medicine, and Oral Pathology.

Dr. Wang’s primary focus is working directly with you to meet your specific orthodontic needs. Working with his orthodontic associates and support team, Dr. Wang practices out of two PacificWest Dental Group clinics – one in Vancouver BC and the other in Surrey BC. 

Professional Memberships

Find Our More About Surrey Orthodontics

To find out more about the orthodontic specialties, braces for teeth and treatments at PacificWest Dental Group, please call PacificWest Dental Surrey or Vancouver offices to book an appointment. 

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