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Posts for category: Dental Procedures

By The Brace Place Orthodontics
May 06, 2020
Category: Dental Procedures
Tags: retainer  

If you want to keep that new smile after orthodontic treatment, you’ll need to wear a retainer for awhile. Teeth have a tendency to “rebound” to their old positions and a retainer prevents that from happening.

Most people are familiar with the standard removable retainer. But there’s another option: a bonded retainer. While performing the same function as a removable one, the bonded retainer differs in one important aspect—it’s fixed in place and can’t be removed except by a dentist. It’s especially useful for certain bite repairs like the closure of the gap between the front teeth.

If you’re thinking this retainer sounds a lot like the braces just removed, it’s not. The main part of a bonded retainer is a thin metal wire that we bond with a dental composite material across the back of the affected teeth. While you can definitely feel it with your tongue it can’t be seen by others, which is an advantage over many removable retainers.

The fixed nature of bonded retainers also creates a couple of advantages, especially for younger patients. There’s no compliance issue as with removable retainers—the patient doesn’t have the option of taking it out. That also means it can’t be lost, a frequent and costly occurrence with the removable variety.

But a bonded retainer does have some drawbacks. For one, the wire and composite material make it more difficult to floss. There’s also a possibility of breakage from high biting forces, which if that should occur must be immediately repaired to avoid the teeth rebounding. But while removable retainers have their downsides, it’s much easier with them to keep the teeth clean of plaque—you simply take the appliance out to brush and floss.

With your dentist’s help you can weigh the pros and cons of both types of retainers and decide which is best for you or your child. Whichever one you choose, wearing a retainer will help protect that hard-earned smile for years to come.

If you would like more information on protecting your bite after 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 “Bonded Retainers: What are the Pros and Cons?

By The Brace Place Orthodontics
April 26, 2020
Category: Dental Procedures

The longer many health problems go on, the worse they become. Treating them as early as possible could stop or slow their development.

That holds true for poor bites: while we can certainly correct them later in life, it's often better to "intercept" the problem during childhood. Interceptive orthodontics attempts to do this with treatments that influence how the jaws and other mouth structures develop during childhood. Many of these techniques are usually best implemented before puberty.

For example, some very complex problems called cross bites can occur if the upper jaw grows too narrowly. We might be able to stop this from happening by using an orthodontic appliance called a palatal expander during the childhood years. It works because the bone at the center of the palate (roof of the mouth) has a gap running back to front until the early teens when the gap closes.

We fit the palatal expander up under and against the palate, then extend out metal arms from a center mechanism to the back of the upper teeth that exert outward pressure on them. This widens the center gap, which the body continually fills with bone as the device gradually exerts more pressure. Over time this causes the jaw to widen and lessens the cross bite. Timing, though, is everything: it's most effective before the gap closes.

Another way to aid jaw growth is a Herbst appliance, a hinged device that alters the movement of the jaws. As a child wears it, a Herbst appliance draws the lower jaw forward to develop more in that direction. Like the palatal expander, it's best used before significant jaw growth occurs.

These are just two examples of techniques and tools that can guide structural growth and prevent bite problems. Because they're most effective in the early years of oral development, your child should undergo an orthodontic evaluation as early as age 6 to see if they need and can benefit from an interceptive treatment.

Interceptive orthodontics can stop or at least slow a growing bite problem. The effort and expense now could save you much more of both later on.

If you would like more information on interceptive orthodontics, 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 “Interceptive Orthodontics: Timely Intervention can make Treatment Easier.”

By The Brace Place Orthodontics
April 24, 2020
Category: Dental Procedures

How your orthodontist in Jacksonville Beach, and Ponte Vedra, FL, can help your smile

If you’ve straightened your smile with orthodontic treatment, you've made an excellent choice. After all, a straight smile is not only more attractive, but it’s also far easier to clean than if your teeth are crowded together.

Dr. Josh Goldknopf at The Brace Place Orthodontics offers a wide range of orthodontic services, including tools and techniques to keep your smile healthy and beautiful. He has two convenient office locations in Jacksonville Beach and Ponte Vedra, FL, to help you.

Caring for your smile before, during, and after orthodontic treatment involves removing plaque as thoroughly and frequently as possible. That’s because plaque contains millions of harmful bacteria. These bacteria produce toxic by-products that can eat through tough tooth enamel, causing tooth decay. The toxins also cause inflammation and infection in your gums, and eventually, the bone that supports your teeth is affected. When this happens, you have periodontal disease.

You can do a lot to keep your smile healthy after orthodontic treatment. Remember to:

  • Brush your teeth after meals and before bed, using a soft-bristled toothbrush. Brush gently in a circular motion, cleaning all surfaces of your teeth, and along the gumline. You can also use a sonic or electric toothbrush if you wish.
  • Floss every day, using a single piece of floss or floss picks. Make sure you wrap the floss around the widest part of your tooth as you floss in between your teeth. When you wrap the floss around the tooth, it keeps the floss firmly against the tooth surface, allowing for a better clean.
  • Regular dental visits have been an important part of your dental care during orthodontic treatment, but they remain necessary after completion. That’s because when you have braces, a dental examination and x-ray screening may miss small areas of decay in between your teeth. After the braces are removed, your dentist can perform a comprehensive dental examination and take definitive x-rays to show all areas, including in between your teeth.

To find out more about caring for your smile before, during, and after orthodontic treatment, call Dr. Josh Goldknopf at The Brace Place Orthodontics in Jacksonville Beach and Ponte Vedra, FL: (904) 249-0037.

By The Brace Place Orthodontics
April 13, 2020
Category: Dental Procedures
Tags: braces  

Oral health depends on more than a pretty smile. It stems from proper bite, muscular function, and balance, plus the right growth and development early in life. At The Brace Place Orthodontics in Jacksonville Beach, FL, Dr. Josh Goldknopf provides the detailed orthodontic care needed for a smile that looks amazing, performs well, and lasts a lifetime.

Just what is orthodontia?

Orthodontia is the dental specialty that corrects problems associated with tooth alignment, occlusion (bite), smile appearance, and muscular function/balance. It also evaluates and corrects how a child's jaw grows and develops so that problems related to speech, biting, chewing, and facial appearance may be avoided.

However, it's important to note that adults may receive treatment from an orthodontist such as Dr. Goldknopf, as well. As long as teeth, gums, and jaw bone are healthy, you can achieve the smile you want and the oral function and health you deserve.

Problems that braces can treat

Braces and other orthodontic devices, such as palatal expanders, move teeth and other soft and hard oral tissues into more favorable positions. The British Orthodontic Society says typical treatment plans which employ conventional metal braces may take up to three years to complete.

The desired outcomes are to:

  • Balance how teeth close together
  • Improve speech
  • Make biting and chewing more comfortable and efficient
  • Limit mouth breathing
  • Smooth jaw function
  • Close gaps and open space between crowded teeth
  • Correct underbite (the lower jaw protrudes), overbite (the upper jaw extends over the lower), crossbite (the lower jaw is skewed to one side) and open bite (top and bottom teeth do not meet)
  • Help teeth meet at the midline between the upper and lower jaw

What will your care plan involve

Much depends on your consultation with Dr. Goldknopf. During this meeting at either our Jacksonville Beach or Ponte Verda office, your orthodontist will perform an oral examination of the gums and teeth and take special 3-D images with the i-CAT cone beam scanner. He can then tell you which smile alignment issues you should address, what kind of appliances are best for you, and how long your treatment will take.

Get going on that new smile

Dr. Josh Goldknopf of The Brace Place Orthodontics looks forward to seeing you for a smile consultation at one of our two offices. To schedule an orthodontist appointment at either our Jacksonville Beach or Ponte Verda, FL, location phone (904) 249-0037.

By The Brace Place Orthodontics
April 09, 2020
Category: Dental Procedures

Get the beautiful, healthy smile you’ve always imagined with the help of braces.

We can all probably agree that a straight smile is a beautiful smile. Of course, as permanent teeth come in, our Jacksonville Beach and Ponte Vedra, FL, orthodontist Dr. Josh Goldknopf often sees a variety of alignment issues that need to be corrected. The best way to fix these alignment issues in the teeth or the jaws is through orthodontic treatment. If you’re wondering whether or not braces are right for you or your child, here are the most common issues we treat with braces,


If there isn’t enough room for your teeth to come in then you’ll notice teeth overlapping and crowding each other. Crowding has the ability to damage teeth and increases the risk for cavities and gum disease because it’s more difficult to keep teeth and gums clean. Luckily, crowding is a common problem our orthodontist sees, and this problem can be treated with both traditional and clear braces.


Sometimes the opposite issue happens, and the jaws create too much room for teeth to erupt. This results in gaps and spaces between teeth. This typically affects the upper two front teeth. If you have spaces between teeth this is another easy fix. Everything from traditional to self-ligating braces to (possibly) clear aligners can correct this issue.


An overbite is when the upper teeth stick out more than the lower teeth, which means that they rest against the bottom teeth whenever you bite down. Overbites can lead to excessive wear and tear on certain teeth, which is why it’s important to correct this problem early on with braces.


If your bottom teeth cover your upper teeth when you bite down, then you have an underbite. This problem can lead to everything from jaw pain and TMJ disorder to gum disease and speech issues. This is another malocclusion (“bad bite”) that we can correct with traditional braces.

The Brace Place Orthodontics in Ponte Vedra and Jacksonville Beach, FL, is here to provide you with the orthodontic treatment your or your child needs for a straighter, healthier smile. To schedule a consultation with our orthodontist, call (904) 249-0037 for an evaluation.