The Builder Of Smiles

With almost three decades of experience, I have learned much about people and the practice of orthodontics. Orthodontics is an art and a science. As an artist, I can move teeth into their esthetically pleasing positions and produce a great smile. However, it is not only about the beautiful smile. Good orthodontics can also improve a patient’s physiology, or the ability to thrive.

With the combinations of orthodontic and orthopedic treatments, positive physiological changes, in the head and neck regions, are possible. Orthodontics can increase the volume of airflow through the nose. In a growing child, using proper orthodontic treatment, this benefit is accomplished non-surgically. For those of you that suffer from Sleep Apnea (insufficient air movement during sleep) this increased airflow through the nose would be extremely helpful in alleviating this problem. Other benefits are the decrease likelihood of  developing a deviated septum of the nose and the proper development of the Eustachian tube (ear-nose connection). These physiological changes help reduce incidences of ear infections in childhood, promote proper speech by allowing  proper tongue positions, and healthy growth of the body and mind by decreasing the incidence of Sleep Apnea. Lastly orthopedic jaw development allow more room for 3 rd molars eruption. This means the wisdom teeth are less severely impacted and removal is less traumatic.

Breakthrough technologies and materials have made their mark in orthodontics by speeding up treatment times and making other procedures more acceptable. Examples of these are digital impressions, clear braces, Invisalign treatment, and innovative bracket and adhesive technologies. But successful and timely treatment can only be achieved when both parent and child are committed to the treatment.

Patients are active participants in their therapy. It is vital they follow instructions about eating, brushing, and wearing elastics and/or appliances. Treatment progress is directly related to how well patients cooperate. Parents play an important role. They activate expanders, bring their children to their scheduled appointments, and they foster good eating and brushing habits. Parental guidance and support is needed for a successful outcome. They are the ‘assistant coaches’ during their child’s treatment.

By working together as a team, a Beautiful-Healthy smile is attainable. When our patients smile with confidence and health, it empowers them to achieve great things. The gift of confidence and health is what I use to measure orthodontic success.


Dr. Phillip B. Aubin

The Builder of Smiles

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When To Get Braces

Do I Need Braces?

An orthodontist usually recommends braces to improve the patient’s physical “orofacial” appearance. Through orthodontic treatment, problems like crooked or crowded teeth, overbites, underbites, incorrect jaw position and disorders of the jaw joints are corrected.

When’s The Right Time For Braces?

Patients with orthodontic problems can benefit from treatment at nearly any age. An ideal time for placement of braces is between 10 and 14 years of age, while the head and mouth are still growing and teeth are more conducive to straightening. However, because any adjustments in facial appearance can be traumatic to a child during these sensitive years, parents should discuss the matter with their children before braces are applied. And braces aren’t just for kids. More and more adults are also wearing braces to correct minor problems and to improve their smiles.

What Kind Of Braces Will I Have To Wear?

Your orthodontist will know what appliance is best for your particular problem, but the patient often has a choice. Braces generally come in three varieties. The most popular type are brackets, metal or plastic, that are bonded to teeth and are far less noticeable. The “lingual” type of braces consists of brackets that attach to the back of the teeth, hidden from view. Bands are the traditional type that cover most of your teeth with metal bands that wrap around the teeth. All use wires to move the teeth to the desired position.

How Long Will I Have To Wear Them?

That depends upon your treatment plan. The more complicated your spacing or bite problem is, and the older you are, the longer the period of treatment, usually. Most patients can count on wearing full braces between 18 and 30 months, followed by the wearing of a retainer for at least a few months to up to two years to set and align tissues surrounding straightened teeth. Some patients may have to wear a permanent retainer if you do not want your bite to return to the way it was.

Will Treatment Be Uncomfortable?

The interconnecting wires are tightened at each visit, bearing mild pressure on the brackets or bands to shift teeth or jaws, gradually into a desired position. Your teeth and jaws may feel slightly sore after each visit, but the discomfort is brief. Keep in mind also that some teeth may need to be extracted to make room for teeth being shifted with braces and for proper jaw alignment.

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Orthodontic Emergency Home Remedies

Orthodontist Westborough MA

An orthodontic emergency exists when something unexpected occurs with your braces that causes discomfort or unexpected tooth movement.

True orthodontic emergencies are very rare, but when they do occur we are available to you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can’t take care of yourself. We’ll be able to schedule an appointment with our office.

You might be surprised to learn that you may be able to temporarily solve many problems yourself until you get in to see us…

The following solutions may help you relieve your discomfort:

Poking Wire: Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.

Loose Bracket or Band: If your bracket or band is still attached to the wire, you should leave it in place and put wax on it. If the wire comes out entirely, wrap the bracket with a tissue.

Loose Wire: Using a tweezers, try to place your wire back into place. If doing this and using wax does not help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If your discomfort continues, place wax on it.

Loose Appliance: If your appliance is poking you, place wax on the offending part of your appliance.

Headgear Does Not Fit: Sometimes headgear discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow is bent, please call our office for assistance. Surprisingly, headgear becomes more comfortable the more it’s worn, so be sure you’re getting in the prescribed hours.

Canker Sores: (that may or may not be associated with the braces) are best treated with over the counter remedies available at any drug or discount store. They have two modes of action. One group has some sort of numbing agent that just makes you more comfortable. The other type seals the wound (either by depositing a layer of adhesive or by cauterizing the tissue with chemicals) helping you feel more comfortable. Suspicious swellings in the mouth should be evaluated by your orthodontist or dentist. One exception might be a mucocoel. This is a saliva filled “bubble” that develops inside the lips or under the tongue caused by a very small saliva gland that gets plugged up. If the bubble appears to have only clear fluid inside, you might be able to avoid a visit to your dentist altogether by sterilizing a straight pin and popping it. The drainage that occurs will just be backed up saliva that could not flow due to a plugged up duct.

General Soreness: When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm salt water mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously. If the tenderness is severe, take aspirin or whatever you normally take for headache or similar pain.

Remember, after alleviating your discomfort, it is still very important that you call our office as soon as possible to schedule a time to repair the problem.

AAPD Reminds Parents to Brush Children’s Teeth Two Minutes

The American Academy of Pediatric Dentistry (AAPD), the authority on children’s oral health, is encouraging parents and caregivers to enjoy a happy Halloween by simply brushing their children’s teeth for two minutes, twice a day.

In time for back-to-school season, the AAPD joined with the Ad Council, as part of the Partnership for Healthy Mouths, Health Lives, to launch a historic nationwide campaign designed to encourage parents and caregivers to modify their children’s oral health behaviors through low-cost, preventive strategies. Campaign media partners include Sesame Workshop, DreamWorks, Cartoon Network, My Kazoo! and many others.

According to AAPD President Dr. Joel H. Berg, “This first-of-its-kind campaign unifies dozens of dental organizations around a common message and raises the awareness of children and their parents about the importance of oral health, which is critical, and desperately needs attention on Halloween, and every single day of the year.”

In order to properly prepare for the Halloween holiday, AAPD urges parents and caregivers to visit the campaign’s website for key recommendations and tips on maintaining healthy teeth on this holiday and throughout the year:

  • Keep Kids’ Mouths Healthy: Parents and caregivers should help or watch over their kids’ tooth brushing abilities until they’re at least 8-years-old.
  • The Right Toothbrush: Kids should use a soft toothbrush that allows them to reach all areas of their mouth.  Remember to replace toothbrushes every three-four months and even sooner if the bristles are worn out, or if your children have been sick.
  • Attack Plaque: Plaque is a sticky film of germs that forms on teeth and gums after eating. Plaque that’s not removed by brushing twice a day can lead to cavities.
  • Visit a Dentist: It’s important to visit your dentist regularly your whole life, starting no later than age one. Seeing a dentist regularly is important for good oral health as dentists can detect small problems before they become bigger and more painful problems.
  • Floss Your Teeth: Kids should clean between their teeth once a day, every day, with floss or flossers to remove plaque and food where a toothbrush can’t reach. Children’s teeth can be flossed as soon as two of their teeth touch each other.
  • Use Fluoride: Fluoride is nature’s cavity fighter and occurs naturally in water and some foods. To help protect teeth from cavities, fluoride is added to dental products like toothpaste. Children two years of age or older should always use a fluoride toothpaste.
  • Baby Tooth Decay Is Real: As soon as teeth appear in your baby’s mouth, it’s possible for your baby to develop cavities. It is important to keep your baby’s gums and teeth clean to prevent tooth decay, even in baby teeth.
  • Prevent Kids’ Tooth Decay: You can prevent tooth decay for your kids by lowering the risk of your baby getting the bacteria that cause tooth decay. Make sure you take good care of your baby’s teeth – this reduces the number of bacteria in your baby’s mouth.
  • Nutrition: A balanced diet helps your children’s teeth and gums to be healthy. A diet high in natural or added sugars may place your child at extra risk for tooth decay
    • A sugary or starchy food with sugar is safer for teeth if it is eaten with a meal, not as a snack. Chewing during a meal helps produce saliva which helps wash away sugar and starch.
    • Sticky food’s, like potato chips, raisins and other dried fruit and candy are not easily washed away from your kid’s teeth by saliva, water or milk, so they have more cavity-causing potential.
    • Talk to your dentist about serving foods that protect your kid’s dental health.

In fact, AAPD has revised its Policy on Dietary Recommendations for Infants, Children, and Adolescents, which can be located at

For more helpful tips to ensure that your family enjoys a fun and healthy Halloween, please visit