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By The Brace Place Orthodontics
November 18, 2019
Category: Oral Health
Tags: oral hygiene   braces  
StopWhiteSpotsBeforeTheyAppearWhileWearingBraces

Braces can be a long, involved process, but gaining a more attractive smile and better oral health is worth it. Sometimes, though, braces can produce unintended short-term consequences.

Brace brackets and wires do the work of moving teeth to better positions. They can, however, hinder the wearer's hygiene efforts to remove plaque, a thin film of bacteria and food particles, from tooth surfaces. Plaque buildup increases the risk of dental disease and other ill effects.

One such effect while you're wearing braces is the formation of tiny spots that look pale and chalky on otherwise smooth and polished enamel. These are white spot lesions (WSLs), where acid has remained for too long on the tooth enamel. They occur because acid-producing bacteria escape removal during brushing and flossing due to the braces hardware.

We want to try to prevent WSLs while wearing braces, and not just because they're unattractive. You're actually looking at enamel erosion, which could lead to cavity development at those weakened spots.

Although difficult for you as a braces wearer, daily brushing and flossing is crucial to WSL prevention. You'll need to take more time to be sure you're reaching all around the wires and brackets. You can improve your effectiveness with special brushes for braces and floss threaders or water irrigators. You can also help keep acid levels low by cutting back on acidic foods and beverages, especially sodas, coffee or spicy foods.

Even if you develop WSLs we can treat them effectively, especially if caught early. One way is by aiding enamel re-mineralization through saliva stimulation (the mouth's acid neutralizer) or applying fluoride to the teeth to strengthen enamel. We can also use caries infiltration, a technique that injects tooth-colored resin below the surface of the lesion. This strengthens the weakened enamel and gives the area the appearance of translucence like normal enamel.

While you're wearing braces, focus diligently on keeping your teeth clean of plaque and keep up your regular cleaning visits with us. If you notice any unusual discolorations or abnormalities, see us as soon as possible. Stopping WSLs from developing will help ensure your teeth are healthy and attractive after the braces come off.

If you would like more information on dental care with braces, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “White Spots on Teeth during Orthodontic Treatment.”

By The Brace Place Orthodontics
November 13, 2019
Category: Dental Procedures

Few of us are blessed with smiles that are naturally straight, even, and picture-perfect. While some dental imperfections, like yellowing, cosmetic Smilecan be fixed with cosmetic dentistry procedures, teeth with gaps or misalignments may require the help of an orthodontist. Here at The Brace Place Orthodontics in both Jacksonville Beach and Ponte Vedra, FL, Josh Goldknopf, DDS, PA is an expert in creating great grins, and braces could be the perfect solution. Here are some signs that you may be a good candidate for braces:

  • Crooked teeth: Teeth that are slanted forward, backward, or sideways not only can create discomfort, but they can also negatively impact the appearance of your smile.
  • Crowded teeth: Teeth that are tightly packed together can create pressure on your mouth and make dental hygiene, especially flossing, difficult. It can also inhibit any still-erupting teeth from coming in properly.
  • Difficulty biting and chewing: If your teeth are misaligned, you may find yourself biting your lips or cheeks when eating, leading to bleeding or sores on your gums.
  • Over or underbite: If your bottom or top teeth jut outward or inward, you may find yourself putting extra wear-and-tear on your teeth, not to mention feeling discomfort or self-conscious about your smile.
  • Shifting jaw: If you have jaw pain, it could be caused by the positioning of your teeth.

Braces can solve any of the issues listed above comfortably, efficiently, and permanently. In around one-to-three years, braces (available in both traditional metal and clear bracket forms) can straighten and properly space your teeth. Post-treatment, you will find that eating, brushing, and flossing are all easier, and will feel confident showing off your smile to the world!

 

Interested? Give us a call

Dial 904-249-0037 to schedule a consultation at either of our locations in Jacksonville Beach or Ponte Vedra, FL. Call today to see if braces are the right fit for you!

By The Brace Place Orthodontics
November 07, 2019
Category: Dental Procedures
JulianneHoughSharesaVideo-andaSong-AfterWisdomTeethComeOut

Once upon a time, celebrities tried hard to maintain the appearance of red-carpet glamour at all times. That meant keeping the more mundane aspects of their lives out of the spotlight: things like shopping, walking the dog and having oral surgery, for example.

That was then. Today, you can find plenty of celebs posting pictures from the dentist on social media. Take Julianne Hough, for example: In 2011 and 2013, she tweeted from the dental office. Then, not long ago, she shared a video taken after her wisdom teeth were removed in December 2016. In it, the 28-year-old actress and dancer cracked jokes and sang a loopy rendition of a Christmas carol, her mouth filled with gauze. Clearly, she was feeling relaxed and comfortable!

Lots of us enjoy seeing the human side of celebrities. But as dentists, we’re also glad when posts such as these help demystify a procedure that could be scary for some people.

Like having a root canal, the thought of extracting wisdom teeth (also called third molars) makes some folks shudder. Yet this routine procedure is performed more often than any other type of oral surgery. Why? Because wisdom teeth, which usually begin to erupt (emerge from beneath the gums) around age 17-25, have the potential to cause serious problems in the mouth. When these molars lack enough space to fully erupt in their normal positions, they are said to be “impacted.”

One potential problem with impacted wisdom teeth is crowding. Many people don’t have enough space in the jaw to accommodate another set of molars; when their wisdom teeth come in, other teeth can be damaged. Impacted wisdom teeth may also have an increased potential to cause periodontal disease, bacterial infection, and other issues.

Not all wisdom teeth need to be removed; after a complete examination, including x-rays and/or other diagnostic imaging, a recommendation will be made based on each individual’s situation. It may involve continued monitoring of the situation, orthodontics or extraction.

Wisdom tooth extraction is usually done right in the office, often with a type of anesthesia called “conscious sedation.”  Here, the patient is able to breathe normally and respond to stimuli (such as verbal directions), but remains free from pain. For people who are especially apprehensive about dental procedures, anti-anxiety mediation may also be given. After the procedure, prescription or over-the-counter pain medication may be used for a few days. If you feel like singing a few bars, as Julianne did, it’s up to you.

If you would like more information about wisdom tooth extraction, please call our office to arrange a consultation. You can learn more in the Dear Doctor magazine articles “Wisdom Teeth” and “Removing Wisdom Teeth.”

By The Brace Place Orthodontics
October 28, 2019
Category: Dental Procedures
OrthodonticsCouldbetheSmileTransformerYouveBeenLookingFor

When designing your new smile, we have a lot of options for changing how individual teeth look: from whitening discolored teeth to replacing missing teeth with life-like dental implants. But the problem may not be how your teeth look — in fact, individually they may look perfect. If they’re not straight, though, your smile won’t be as attractive as it could be.

We can address a poor bite (malocclusion) through the dental specialty of orthodontics. By moving misaligned teeth we may be able to transform your smile without any other dental work, or it could serve as a more solid foundation for other cosmetic enhancements. To find out if orthodontics can make a difference for you, you should begin with an initial visit to your general dentist. A thorough dental examination will enable them to tell you if correcting your bite could be a good option for you. If it is, they’ll most likely refer you to an orthodontist, a specialist in treating malocclusions.

The orthodontist will also perform an evaluation and get as complete a picture as possible of your particular bite problems. This examination will also include checking jaw growth and development in younger patients, how the affected teeth align with other teeth, and if your current bite is having any effect on the jaw joints. This will provide a good overview of not only the malocclusion but how it affects the rest of your mouth.

With this detailed analysis, they can then advise you on the best course of treatment. Most malocclusions can be corrected with braces or, increasingly, clear aligner trays. In certain situations, though, more specialized approaches may be needed, such as isolating only certain teeth for movement.

While orthodontic treatment takes time and can be expensive, the end result can be amazing: an improved bite that not only enhances your appearance but improves function and long-term health. Along with other cosmetic enhancements to your teeth and gums, orthodontics can give you a new sense of confidence in your smile.

If you would like more information on improving your smile with orthodontic treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “The Magic of Orthodontics.”

By The Brace Place Orthodontics
October 18, 2019
Category: Dental Procedures
Tags: palatal expander  
PalatalExpansionCouldHeadOffFutureOrthodonticTreatment

People mainly identify orthodontics with braces. But while they’re a major part of it, braces aren’t the only way this important dental specialty can make a difference in a person’s bite.

For example, orthodontics can help guide the development of a younger patient’s facial structure that could head off future upper teeth misalignment. The area of focus is the upper jaw and palate (the roof of the mouth) that jointly make up a structure called the maxilla. The maxilla is actually formed by two bones fused together in the center of the palate along what is known as the midline suture running from front to back in the mouth.

The two bones remain separated until puberty, which helps accommodate rapid structural growth during childhood. But problems can arise if the upper jaw is too narrow, causing a “cross-bite” where the lower back teeth bite abnormally outside the upper ones. This can crowd upper permanent teeth and cause them to erupt improperly.

Using a technique called palatal expansion we can correct this abnormality if we act before the maxillary bones fuse. The technique employs a custom-made appliance called a palatal expander that attaches to the posterior teeth of the upper arch. Expanders have two halves joined by a small screw device to increase tension against the teeth to widen the jaw. A parent or the patient (if old enough) increases the tension by using a special key to turn the adjustment screw a tiny amount each day. This may cause minor discomfort that normally eases in a few minutes.

The patient wears the device until the jaw expands to the desired width and then allows the bones to stabilize in the new position. This can sometimes create a small gap between the upper front teeth, but it often closes on its own or it may require braces to close it.

While palatal expanders are not for every case, they can help normalize development and improve the bite, and thus preclude more extensive orthodontic treatment later. But time is of the essence: after the maxilla has fused, surgery will be necessary to separate them and widen the palate. It’s important then not to delay if your child could benefit from this effective treatment.

If you would like more information on palatal expanders and other orthodontic treatments, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Palatal Expanders.”





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