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Posts for: September, 2019

By The Brace Place Orthodontics
September 28, 2019
Category: Oral Health

The March 27th game started off pretty well for NBA star Kevin Love. His team, the Cleveland Cavaliers, were coming off a 5-game winning streak as they faced the Miami Heat that night. Less than two minutes into the contest, Love charged in for a shot on Heat center Jordan Mickey—but instead of a basket, he got an elbow in the face that sent him to the floor (and out of the game) with an injury to his mouth.

In pictures from the aftermath, Love’s front tooth seemed clearly out of position. According to the Cavs’ official statement, “Love suffered a front tooth subluxation.” But what exactly does that mean, and how serious is his injury?

The dental term “subluxation” refers to one specific type of luxation injury—a situation where a tooth has become loosened or displaced from its proper location. A subluxation is an injury to tooth-supporting structures such as the periodontal ligament: a stretchy network of fibrous tissue that keeps the tooth in its socket. The affected tooth becomes abnormally loose, but as long as the nerves inside the tooth and the underlying bone have not been damaged, it generally has a favorable prognosis.

Treatment of a subluxation injury may involve correcting the tooth’s position immediately and/or stabilizing the tooth—often by temporarily splinting (joining) it to adjacent teeth—and maintaining a soft diet for a few weeks. This gives the injured tissues a chance to heal and helps the ligament regain proper attachment to the tooth. The condition of tooth’s pulp (soft inner tissue) must also be closely monitored; if it becomes infected, root canal treatment may be needed to preserve the tooth.

So while Kevin Love’s dental dilemma might have looked scary in the pictures, with proper care he has a good chance of keeping the tooth. Significantly, Love acknowledged on Twitter that the damage “…could have been so much worse if I wasn’t protected with [a] mouthguard.”

Love’s injury reminds us that whether they’re played at a big arena, a high school gym or an outdoor court, sports like basketball (as well as baseball, football and many others) have a high potential for facial injuries. That’s why all players should wear a mouthguard whenever they’re in the game. Custom-made mouthguards, available for a reasonable cost at the dental office, are the most comfortable to wear, and offer protection that’s superior to the kind available at big-box retailers.

If you have questions about dental injuries or custom-made mouthguards, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Field-Side Guide to Dental Injuries” and “Athletic Mouthguards.”

By The Brace Place Orthodontics
September 24, 2019
Category: Cosmetic Dentistry
Tags: orthodontics  

Adults with healthy teeth and gums can enjoy the smiles of their dreams through orthodontics.Your orthodontist in Jacksonville Beach, FL, Dr. Josh Goldknopf, has diagnostic techniques and tools to determine your best care plan. Learn more how treatment at The Brace Place Orthodontics could change your life!

The benefits of adult orthodontics

Did you know that 20 percent of orthodontic patients are over the age of 21? It's true, confirmed by statistics from the American Association of Orthodontists. Dr. Goldknopf sees many adults at his Jacksonville and Ponte Verda, FL offices. He corrects a wide range of smile alignment issues, remaking facial symmetry, correcting jaw function, and balancing bite (how teeth come together).

Orthodontic treatment eliminates adult facial, ear and headache pain, controls enamel wear patterns, lessens tooth decay, makes gums healthier and achieves better smile aesthetics. When adults have better-looking smiles, self-esteem improves and so do interpersonal and business relationships, says the American Academy of Cosmetic Dentistry.

What happens at The Brace Place Orthodontics

Dr. Goldknopf and his team in Jacksonville Beach, FL, guide each orthodontic patient through a careful dental examination and series of:

  • Digital X-rays and photos
  • Cone beam three-dimensional imaging of the teeth, face, and jaw
  • Oral impressions and creation of a facial model

These steps tell your orthodontist the exact nature of your smile issues and how best to treat them. Then, Dr. Goldknopf will offer you treatment options to achieve your healthiest and best-looking smile. Because you're an adult, Dr. Goldknopf will consider any jaw bone changes and existing restorations you have.

Offered orthodontic appliances

Braces come in many types and configurations including:

  • Traditional metal braces
  • Ceramic, or tooth-colored, braces
  • Lingual, or tongue-side, braces
  • Invisalign clear aligners

Many adult and teen patients choose the innovative Invisalign system for its invisible appearance, shorter treatment time and comfortable acrylic appliances. It corrects mild to moderate orthodontic problems. Your orthodontist will help you choose the right appliances for your smile.

Afterwards, most orthodontic patients wear retainers to keep their newly aligned smiles straight for the long term.

Find out more

Why not contact The Braces Place Orthodontics to discuss your choices for a healthier, more attractive smile? Dr. Goldknopf sees patients in both his Jacksonville Beach, FL, and Ponte Verda, FL, offices. Call for an appointment at (904) 222-8588.

By The Brace Place Orthodontics
September 18, 2019
Category: Dental Procedures

Braces utilize the mouth’s existing teeth-moving mechanism by applying pressure in the direction of the desired movement. This is done with a wire laced through metal brackets affixed to the outside of the teeth that’s then usually anchored to brackets on the back teeth to maintain constant tension.

This anchorage set-up alone, however, may not work effectively with all bite situations, which might require other points of anchorage. That’s where these other tools in the orthodontist’s toolkit can come in handy.

Headgear. These appliances not only aid with moving teeth but they also help influence the proper growth of facial structures (as when one of the jaws is too far forward or too far back). Because of this influence on jaw growth you’ll only find them used with pre-teens. The most typical application is a strap running around the back of the head or neck (or sometimes over the chin or forehead) that attaches in the front to brackets usually bonded to the molars. In this case the back of the patient’s skull serves as the anchor point.

Temporary anchorage devices (TADs). Orthodontists sometimes wish to isolate the teeth to be moved from nearby teeth that shouldn’t be. For example, they may want to move front teeth back to close a space without the back teeth moving forward. In this case, it may be necessary to create a separate anchorage point in the jaw. This can be done with TADs, which are made of either biotolerant (stainless steel, chromiumâ??cobalt alloy), bioinert (titanium, carbon), or bioactive (hydroxyapatite, ceramic oxidized aluminum) materials and shaped like mini-screws. Orthodontists insert them into the bone and then attach them to the braces using elastics (rubber bands). After completing orthodontic treatment they’re easily removed.

Elastics. We’ve already mentioned them, but elastics deserve their own category because they can be used in various kinds of anchorage. They play an important role, for example, in cross-arch anchorage that maintains tension between the upper and lower jaws. They can also be used to help move one or more groups of teeth — or isolate certain teeth from moving. They truly are flexible (no pun intended) in their uses for fine-tuned tooth movement.

All these devices can be used in various combinations to match and correct whatever bite situation a patient may have. The end result is straighter and better-functioning teeth — and a more attractive smile.

If you would like more information on 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 “Orthodontic Headgear & Other Anchorage Appliances.”

By The Brace Place Orthodontics
September 08, 2019
Category: Oral Health

Wearing braces is all about the future: you undergo many months of treatment to gain a lifetime of better mouth function and a more attractive smile.

In the meantime, though, you'll have to deal with a few new realities during treatment: restrictions on foods, limitations with mouth function, and (perhaps) embarrassment over your new “metallic” smile.

There's one reality, though, that trumps all others in importance: your risk for developing dental disease increases significantly during orthodontic treatment. The brackets and wires of your braces make it more difficult to remove bacterial plaque, the main cause of dental disease, which allows places for disease-causing bacteria to thrive. To combat this, you'll need to step up your hygiene efforts to remove daily plaque.

One sign your efforts might not be getting the job done is red, swollen or bleeding gums. Although gums can swell in reaction to the braces themselves, it's often because plaque-induced periodontal (gum) disease has infected the gum tissues.

Gum disease is an aggressive infection. If it isn't stopped it can damage the gums and underlying bone that support your teeth — damage that could eventually lead to tooth loss. To stop it, we must remove plaque from all tooth and gum surfaces, even below the gum line. In some advanced cases it may even be necessary to remove the braces to better treat the disease.

That's why preventing gum disease through effective hygiene is so important. Besides continuing routine visits with your family dentist, you should also brush and floss every day to remove plaque. Be sure you're brushing above and below the braces. It may be helpful to use an interproximal brush specifically designed to maneuver around these tight spaces. You can also use a floss threader or a water irrigator to make the job of flossing easier.

If you do notice gum redness, swelling or bleeding, don't delay — call your dentist at once. An examination will determine if you have gum disease and to what degree, which will guide treatment. The sooner this happens, the less the impact on your dental health and your orthodontic treatment.

If you would like more information on dental care while wearing 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 “Gum Swelling During Orthodontics.”

By The Brace Place Orthodontics
September 03, 2019
Category: Dental Procedures
Tags: clear aligners  

Is Invisalign the best way to straighten your smile? It’s time to find out.

Are you unhappy with your smile? Do you find that you hide your teeth in photos because they are crooked or misaligned? If you said “yes” Invisalignthen you’ve come to the right place! Our Jacksonville Beach, FL, orthodontist, Dr. Josh Goldknopf, has helped countless patients get the smiles they want. Here at the Brace Place, we believe it’s never too late to get a straight smile. Read on to find out if clear aligner therapy is right for you!


What is clear aligner therapy?

Instead of using brackets and wires to shift teeth, this unique orthodontic treatment uses clear, custom-made aligners. These trays are made from a flexible plastic that rests against the teeth to apply just the right amount of pressure to shift your smile into its ideal alignment. Here at our Jacksonville Beach office, the clear aligner therapy that our orthodontic specialist uses is Invisalign.


What issues can Invisalign treat?

When Invisalign first came out, it was best for handling more minor issues. However, these clear aligner systems have been perfected more and more over the years, allowing them to handle a wide range of issues including,

  • Overbites
  • Underbites
  • Crossbites
  • Open bites
  • Crooked teeth
  • Crowding or overlapping teeth
  • Gapped teeth

Of course, while Invisalign can be used to treat a variety of orthodontic issues, it’s important to note that it can't effectively treat all problems. Sometimes, more complicated tooth or jaw movements are better suited for traditional braces, which is something that we can discuss during your consultation.


I’m interested in Invisalign. What’s the next step?

The next step involves a smile examination and discussion of treatment goals at our Jacksonville Beach so that we can determine whether you are a good candidate for Invisalign treatment.

When you come in for your consultation, we will ask you questions about what you wish to correct with Invisalign. From there, we will examine your mouth to make sure everything looks healthy. If you are a good candidate for treatment, the next step is to take molds of your teeth and to map out your treatment plan so you can get started!


Call today!

The Brace Place is the place to get orthodontic treatment in Jacksonville Beach, FL. From children who need traditional braces to adults looking for that subtle Invisalign treatment, we offer it all in a caring, friendly environment. Call us today at (904) 249-0037 to schedule a consultation!