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Posts for: October, 2018

By The Brace Place Orthodontics
October 22, 2018
Category: Dental Procedures
Tags: clear aligners  
ClearAlignersMakeitEasierforTeenagerstohaveTheirTeethStraightened

Braces can change a person's life — not just their appearance but their dental health as well. To be honest, though, wearing braces are, well, kind of a drag — especially for teenagers.

Braces can be restrictive and confining; you'll also have to give up certain favorite foods for a while. But more than any of that, they're just plain unattractive. Even being able to choose colors for the brackets and elastic bands can't fully ease a teenager's embarrassment when they smile.

There is, however, an alternative to braces: clear aligners. And they could make orthodontic treatment during this difficult phase of their life much easier to handle.

Clear aligners are a set of clear plastic trays that can be taken in and out of the mouth. Each of the custom-designed trays is slightly smaller than the previous one in the series. After wearing the first tray for a couple of weeks (at least 20 to 22 hours a day), the patient switches to the next tray in the series. They repeat this process until they've worn all the trays. The gradual change from tray to tray moves the teeth to the desired position.

Clear aligners have some distinct advantages over braces, especially for younger patients. They can be removed for cleaning or for a rare special event. They don't limit movement as much as braces. And, they're nearly invisible — other people may not even notice them. And newer aligners are now designed with tiny “power ridges” that increase their movement capabilities. This has made them more useful for teenagers with complicated bite problems and other issues.

There are cases, though, where braces may be the better choice: where you need more control over tooth movement or the patient needs jaw surgery to achieve proper tooth alignment. And their removability could be an issue if the patient won't leave them in their mouth for the necessary time each day.

To find out if clear aligners might be a viable option for your teenager, visit us for a complete orthodontic examination. We can then discuss your best option — clear aligners or braces — to achieve the most desirable outcome for your teenager.

If you would like more information on treating bite problems in teenagers with clear aligners, 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 “Clear Aligners for teens.”


By The Brace Place Orthodontics
October 12, 2018
Category: Oral Health
Tags: retainers   braces  

RetainerIf you have ever undergone orthodontic treatment, you probably know that wearing braces is a process. After having them placed onto the teeth to wearing them for months or even years, you may think that you have finished with your treatment once your dentist removes your braces from your teeth. However, wearing a retainer is crucial to helping your teeth remain straight and beautiful for years to come. Find out more about the importance of a retainer with Dr. Josh Goldknopf at The Brace Place with locations in Jacksonville Beach and Ponte Vedra, FL.

What can I expect throughout the braces process?
During your orthodontic treatment, your experience will differ depending on the type of braces you have. If you have traditional metal braces, you will wear your brackets and wires permanently on your teeth during treatment and see your orthodontist about once a month for maintenance visits. Other types of braces like clear aligners will require less frequent visits and not stay permanently attached to your teeth during your treatment. Your orthodontist can best explain what to expect during your orthodontic treatment at a consultation. However, after your treatment, regardless of the kind of braces you wear, you will need to wear a retainer.

Why is wearing a retainer after braces important?
Once your braces are removed from the teeth, they are susceptible to moving back to their old positions. A retainer helps your teeth remain in place and settle into their new positions without moving or drifting. Additionally, as a younger child’s body grows, their teeth may shift some. A retainer also helps the teeth remain in their corrected position during this process.

Wearing a Retainer After Braces in Jacksonville Beach and Ponte Vedra, FL
Though you may think that your orthodontic care is finished after braces, you will need to wear a retainer for up to several years after your treatment. The length of time you will need to wear your retainer depends on your teeth and their treatment plan. The risk of movement is highest during the first few months when you will need to wear your retainer at all times. After this initial time, you can wear your retainer only at night.

Contact Dr. Josh Goldknopf at The Brace Place with locations in Jacksonville Beach and Ponte Vedra, FL. Call (904) 222-8588 to schedule your appointment with Dr. Goldknopf at either location today!


By The Brace Place Orthodontics
October 12, 2018
Category: Oral Health
Tags: oral hygiene  
GoodOralHygieneIsntJustforTeeth

In October, the American Dental Hygienists’ Association sponsors National Dental Hygiene Month to remind everyone that having good oral health is directly related to practicing good oral hygiene at home. This includes brushing twice each day with fluoride toothpaste and flossing at least once per day. But sometimes we forget that dental hygiene applies not just to your teeth but also to anything you regularly wear in your mouth. This includes removable dentures (full or partial), clear aligners, nightguards, mouthguards and retainers. If you (or your kids, or seniors you know) wear any of these, please review the three appliance-care tips below.

1. CLEAN IT. Just like natural teeth, an oral appliance worn every day needs daily brushing. But toothpaste isn’t an appropriate cleanser for these devices; it’s too abrasive. The grainy particles it contains are great for scrubbing plaque and bits of food from the hard enamel coating of teeth—but they can actually leave little nicks in the plastic of your oral appliance, creating areas for bacteria to hide. This can eventually cause odors and stains. Instead, clean appliances with liquid dish soap or denture paste. Buy a separate brush for your appliance—don’t use the same one that you use on your teeth. It can be a very soft regular toothbrush, nail brush or denture brush.

2. RINSE IT. After cleaning your appliance, rinse it thoroughly. But don’t use hot water—and never boil an oral appliance to sterilize it! Your device was custom-made for your mouth, and it needs to fit precisely to do its job. Hot water can warp the appliance and change the fit, possibly rendering it useless or even harmful. For example, a warped orthodontic aligner might not move teeth into the correct position. Remember: the goal is to kill bacteria, not your appliance!

3. STORE IT. Keep your appliance in a safe place—away from curious pets and toddlers. When you are not wearing it or cleaning it, your device should be packed away in its case or soaking overnight in water or a cleaning solution according to your original instructions.

If you have any questions about oral appliance care or oral hygiene, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “10 Tips for Cleaning Your Oral Appliance” and “10 Tips for Daily Oral Care at Home.”


By The Brace Place Orthodontics
October 08, 2018
Category: Dental Procedures
Tags: braces  

At the Brace Place Orthodontics in Jacksonville Beach, adult patients can take full advantage of various kinds of braces. Yes, even though you're not a child or teen, you can enjoy the many health and aesthetic benefits of straight teeth. Dr. Josh Goldknopf is the well-established and patient-centered orthodontist who will put you on a path to great oral health. Learn more here about braces for adults.

Why people need braces

Orthodontic care changes tooth and jaw position and development. Also called orthofacial orthopedics, treatment with braces corrects a variety of problems which affect smile appearance, speech, muscular comfort, and balance, and the health of tooth enamel and gum tissue.

While the American Association of Orthodontists recognizes the wisdom in evaluating children's bite and jaw development by age seven, the organization also recommends braces for adults. As long as teeth and gum are basically healthy, people can pursue orthodontic correction throughout the age span--even into the senior years.

Braces for adults in Jacksonville Beach address such issues as:

  • Overbite
  • Underbite
  • Crossbite
  • Openbite
  • Tooth rotation
  • Tooth tipping
  • Congenitally malformed or missing teeth
  • Gaps
  • Crowding
  • Overlapping teeth
  • Orthodontic relapse (you've had braces previously, and your teeth moved out of their new positions)

Your orthodontist will evaluate your teeth and gums, taking oral impressions and precise three-dimensional imaging to study how braces can correct your smile.

How braces work

The principles of orthodontia are similar regardless of the age of the patient. The orthodontist applies gentle physical forces to move teeth (roots first) into healthier and more attractive positions. As the teeth move, new bone grows, anchoring the teeth in better permanent locations.

After treatment concludes, most of Dr. Goldknopf's patients--both kids and adults--wear customized retainers for a prescribed period of time. These appliances keep newly aligned teeth in place, avoiding orthodontic relapse.

Types of adult braces

Just like their younger counterparts, Dr. Goldknopf's adult patients may wear traditional, bonded-on metal braces, tooth-colored ceramic braces, or lingual (tongue-side) braces. For many adults, Invisalign clear aligners are a wonderful option as they offer quicker treatment times, a smooth, comfortable fit, discreet appearance and outstanding results for mild to moderate smile issues.

The best of care

Yes, as an adult, braces may be your option for a great new smile. Find out more at a consultation with Dr. Goldknopf at the Brace Place Orthodontics where you'll enjoy personal and individualized care from the doctor himself. We have two offices: one in Jacksonville Beach and one in Ponte Vedra. Call ahead to arrange an appointment: (904) 222-8588.


By The Brace Place Orthodontics
October 02, 2018
Category: Dental Procedures
WhyemBigBangTheoryemActressMayimBialikCouldntHaveBraces

Mayim Bialik has spent a good part of her life in front of TV cameras: first as the child star of the hit comedy series Blossom, and more recently as Sheldon Cooper’s love interest — a nerdy neuroscientist — on The Big Bang Theory. (In between, she actually earned a PhD in neuroscience from UCLA…but that’s another story.) As a child, Bialik had a serious overbite — but with all her time on camera, braces were just not an option.

“I never had braces,” she recently told Dear Doctor – Dentistry & Oral Health magazine. “I was on TV at the time, and there weren’t a lot of creative solutions for kids who were on TV.” Instead, her orthodontist managed to straighten her teeth using retainers and headgear worn only at night.

Today, there are several virtually invisible options available to fix orthodontic issues — and you don’t have to be a child star to take advantage of them. In fact, both children and adults can benefit from these unobtrusive appliances.

Tooth colored braces are just like traditional metal braces, with one big difference: The brackets attached to teeth are made from a ceramic material that blends in with the natural color of teeth. All that’s visible is the thin archwire that runs horizontally across the teeth — and from a distance it’s hard to notice. Celebs like Tom Cruise and Faith Hill opted for this type of appliance.

Clear aligners are custom-made plastic trays that fit over the teeth. Each one, worn for about two weeks, moves the teeth just a bit; after several months, you’ll see a big change for the better in your smile. Best of all, clear aligners are virtually impossible to notice while you’re wearing them — which you’ll need to do for 22 hours each day. But you can remove them to eat, or for special occasions. Zac Efron and Katherine Heigl, among others, chose to wear clear aligners.

Lingual braces really are invisible. That’s because they go behind your teeth (on the tongue side), where they can’t be seen; otherwise they are similar to traditional metal braces. Lingual braces are placed on teeth differently, and wearing them often takes some getting used to at first. But those trade-offs are worth it for plenty of people. Which celebs wore lingual braces? Rumor has it that the list includes some top models, a well-known pop singer, and at least one British royal.

So what’s the best way to straighten your teeth and keep the orthodontic appliances unnoticeable? Just ask us! We’d be happy to help you choose the option that’s just right for you. You’ll get an individualized evaluation, a solution that fits your lifestyle — and a great-looking smile!

For more information about hard-to-see (or truly invisible) orthodontics, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Orthodontics for the Older Adult” and “Clear Aligners for Teenagers.”