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Posts for: July, 2018

By The Brace Place Orthodontics
July 26, 2018
Category: Dental Procedures
Tags: braces   orthodontics   Invisalign  

Are you thinking of getting Invisalign?invisalign

Do you want to improve your smile? Do you feel like you're too old to be wearing braces? Well, Dr. Josh Goldknopf at The Brace Place Orthodontics understands how you feel, which is why he offers Invisalign at his Ponte Vedra and Jacksonville Beach, FL, office.

Invisalign is composed of custom-made clear aligners that are made to fit your upper and lower teeth. The aligners function the same way traditional braces work, by applying pressure on each tooth so that it moves into its proper position. Your Ponte Vedra and Jacksonville Beach orthodontist creates your custom aligners using a specialized computer software.

The clear plastic aligners are flexible and are great for if you need to straighten your teeth and don't want anyone to know you're wearing braces, unlike traditional metal braces. You do, however, need to keep them on for a minimum of 20 hours a day. You can take them off if you want to eat, brush your teeth or floss.

Benefits of Invisalign:

There are several benefits to Invisalign. Here are a few:

  • Oral Hygiene: Because Invisalign is a removable appliance, you will be able to clean your teeth more thoroughly than if you have traditional metal braces. Make sure to brush your teeth twice a day and floss at least once.
  • Comfortable: Invisalign aligners are thin, flexible aligners that don't irritate the soft tissue in your mouth, unlike metal braces.
  • Teeth-Grinding Protection: If you have a teeth-grinding or clenching habit, Invisalign can be used as a nightguard to protect your teeth.
  • Discreet Look: Traditional metal braces are noticeable, especially if you're a teenager or an adult. Invisalign is transparent, so no one will notice if you have braces.
  • No Dietary Deprivations: Traditional braces prevent you from eating your favorite foods, like taffy apples or corn, but that's not an issue with Invisalign. You can eat whatever you want because the aligners you wear are removable.

If you would like to schedule an appointment with your Ponte Vedra and Jacksonville Beach, FL, orthodontist Dr. Josh Goldknopf, then call the office today (904) 222-8588!


ABondedRetainerCouldbeaPreferredChoiceoveraRemovableOne

If you've known anyone who has worn braces, you know what comes after — wearing a retainer. This can be kind of a letdown after all those months with braces, but it's absolutely necessary.

That's because teeth have a tendency to “rebound” to their pre-orthodontic positions once the force to move them stops after the braces are removed. Retainers help keep or “retain” moved teeth in their new positions and prevent them from reverting to the old.

When you think “retainer,” you probably picture a removable appliance with a wire that fits over the front of the teeth. While that may be the most common type, it isn't the only one. There's another called a bonded retainer, a thin piece of wire bonded to the back of the teeth that need to be retained. Unlike the other type, a dentist must remove a bonded retainer when it's no longer needed.

The biggest advantage of a bonded retainer is its invisibility — the wire is behind the teeth so no one can see it as with a removable retainer. The wire is bonded to the teeth with a dental composite material and then light-cured to create a strong attachment.

Another advantage is especially pertinent to younger patients. Because it's permanently attached and can't be taken out, there's no constant reminding of the patient to wear it — and no more worries about replacing a lost one.

They can, though, be difficult to floss around leading to potential plaque buildup that increases disease risk. It's very important you receive proper hygiene instruction for cleaning under the bonded retainer. Another concern is that they can break under excessive chewing pressure. And as with the more common retainer, we wouldn't want to remove it as that will result in the teeth's relapse to their old positions.

To learn which retainer is best for your situation, you should discuss the options with your orthodontist. Regardless of which type you choose, though, a retainer is a must for protecting your investment in that new smile.

If you would like more information on orthodontics and retainers, 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.”


By The Brace Place Orthodontics
July 14, 2018
Category: Dental Procedures
ADifferentKindofChipShotforProGolferDanielleKang

While the sport of golf may not look too dangerous from the sidelines, players know it can sometimes lead to mishaps. There are accidents involving golf carts and clubs, painful muscle and back injuries, and even the threat of lightning strikes on the greens. Yet it wasn’t any of these things that caused professional golfer Danielle Kang’s broken tooth on the opening day of the LPGA Singapore tournament.

“I was eating and it broke,” explained Kang. “My dentist told me, I've chipped another one before, and he said, you don't break it at that moment. It's been broken and it just chips off.” Fortunately, the winner of the 2017 Women’s PGA championship got immediate dental treatment, and went right back on the course to play a solid round, shooting 68.

Kang’s unlucky “chip shot” is far from a rare occurrence. In fact, chipped, fractured and broken teeth are among the most common dental injuries. The cause can be crunching too hard on a piece of ice or hard candy, a sudden accident or a blow to the face, or a tooth that’s weakened by decay or repetitive stress from a habit like nail biting. Feeling a broken tooth in your mouth can cause surprise and worry—but luckily, dentists have many ways of restoring the tooth’s appearance and function.

Exactly how a broken tooth is treated depends on how much of its structure is missing, and whether the soft tissue deep inside of it has been compromised. When a fracture exposes the tooth’s soft pulp it can easily become infected, which may lead to serious problems. In this situation, a root canal or extraction will likely be needed. This involves carefully removing the infected pulp tissue and disinfecting and sealing the “canals” (hollow spaces inside the tooth) to prevent further infection. The tooth can then be restored, often with a crown (cap) to replace the entire visible part. A timely root canal procedure can often save a tooth that would otherwise need to be extracted (removed).

For less serious chips, dental veneers may be an option. Made of durable and lifelike porcelain, veneers are translucent shells that go over the front surfaces of teeth. They can cover minor to moderate chips and cracks, and even correct size and spacing irregularities and discoloration. Veneers can be custom-made in a dental laboratory from a model of your teeth, and are cemented to teeth for a long-lasting and natural-looking restoration.

Minor chips can often be remedied via dental bonding. Here, layers of tooth-colored resin are applied to the surfaces being restored. The resin is shaped to fill in the missing structure and hardened by a special light. While not as long-lasting as other restoration methods, bonding is a relatively simple and inexpensive technique that can often be completed in just one office visit.

If you have questions about restoring chipped teeth, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Porcelain Veneers” and “Artistic Repair of Chipped Teeth With Composite Resin.”


By The Brace Place Orthodontics
July 12, 2018
Category: Dental Procedures
Tags: braces   orthodontics   Invisalign  

Young people are born with all sorts of orthodontic problems, ranging from occlusions (bite issues), abnormal eruptions (extra teeth on the invisaligngumline), and crowding. Many young patients must have a standard metal or ceramic wire braces treatment to resolve these issues. It is an uncomfortable process and often requires a long treatment period with an orthodontist. But the best choice for some teenagers may be Invisalign for teens, a solution that is offered at The Brace Place Orthodontics in Ponte Vedra and Jacksonville Beach, FL.

Why Do Patients Want Invisalign?
It is “clear” to see why many patients, including high school teenagers, prefer Invisalign over metallic braces. Invisalign trays are see-through, making them difficult for others to notice unless they take a really close look. Teenagers are often very self-conscious about their appearance and don’t like the inconveniences that come with wearing permanently attached metal brackets. They want the flexibility of being able to remove their dental device when needed, whether it is to eat or socialize with their friends.

Invisalign for Teens
There is an Invisalign treatment for adults and one that is specifically designed for teenagers. The trays used for teenagers have a special indicator button on each side that tells the parent and dentist if the teenager is following instructions. If they’re being compliant, the color of the indicator fades. The trays are checked at every dental appointment with your Ponte Vedra and Jacksonville Beach, FL orthodontist. Parents want to ensure that their investment in this orthodontic treatment will be worthwhile.

Ensuring a Successful Treatment
Teenagers are less likely than adults to commit to wearing their Invisalign trays for the required amount of time, which is 20-22 hours per day. This leads to challenges that could require a longer treatment and more dental visits with your Ponte Vedra and Jacksonville Beach, FL orthodontist. Here are a few tips for how to keep your teen and his or her teeth on the right track:

  • Make sure your teen understands why the indicator is important and how it is being used to determine compliance.
  • Give your child a quick reminder each night before bed to insert the trays.
  • Ensure that your teen always has a protective case for the aligners so that they don’t accidentally get lost. Many of them get wrapped up in tissue and accidentally tossed away.

Bring Your Teen in for a Consultation
Your teenager may be a good candidate for Invisalign for teens, so see an orthodontist at The Brace Place Orthodontics in Ponte Vedra and Jacksonville Beach, FL for a consultation. Call (904) 222-8588 today for an appointment with Dr. Josh Goldknopf.


By The Brace Place Orthodontics
July 04, 2018
Category: Dental Procedures
Tags: palatal expander  
CorrectaCross-BitebyWideningtheUpperJawwithanExpander

A poor bite (malocclusion) could be more than simply teeth out of alignment. There could be complex causes for the malocclusion, possibly involving the facial bone structure.

An example of this is the development of a cross-bite due to problems with the upper jaw and palate (the roof of the mouth), jointly called the maxilla. The maxilla is in fact formed by two bones fused together in the center of the palate in what's called the midline suture. The suture doesn't completely fuse until after puberty.

Sometimes a maxilla's development doesn't follow a normal track. The upper jaw doesn't widen as it should, which leads to the cross-bite where the upper back teeth abnormally bite inside the lower teeth. The upper front teeth continue to bite normally in front of the lower front teeth. This also can have profound influence on breathing, causing sleep apnea.

We can correct this by using an orthodontic appliance called a palatal expander before the midline suture fuses. The expander gradually widens the upper jaw to its normal width and thus eliminates the cross-bite.

Positioned at the roof of the mouth, the expander has metal arms that extend from a central hinge to exert pressure on the inside of the upper teeth. The patient or a caregiver uses a small key to turn a mechanism that extends the arms toward the teeth a tiny amount each day. This gradually widens the jaw, while at the same time stimulating bone growth at the midline suture. Eventually the gap fills with bone to solidify the new width as the suture fuses.

It's important to undertake this treatment before fusion. If you wait until after puberty, you will need to separate the bones first to attempt it. The overall impact and cost is much less if you act promptly in the early years.

Palatal expansion may not be the right treatment in every case, so we'll need to perform a thorough orthodontic exam first. If, however, we do determine it can help, using an expander can improve function, correct future breathing problems and make possible a more attractive future smile.

If you would like more information on orthodontic treatment options, 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: Orthodontics is more than just Moving Teeth.”