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Posts for: February, 2020

By The Brace Place Orthodontics
February 26, 2020
Category: Dental Procedures
Tags: TADs  
AnchorageDevicesEnableGreaterPrecisionDuringOrthodonticTreatment

As a basic orthodontic appliance, braces are what allows us to move teeth into better positions to improve a person’s bite. In certain cases, though, this treatment application gets a little assistance from Temporary Anchorage Devices (TADs) to improve accuracy and reduce treatment time.

Braces take advantage of our teeth’s natural ability to move. Teeth are held in place within the bone by the periodontal ligament, an elastic tissue that attaches to the teeth with microscopic fibers secured by a hardened substance called cementum. The periodontal ligament is constantly remodeling in response to changes in the mouth. As pressure is placed on a tooth, new bone, ligament and cementum are formed on the “pulling” side of the tooth; on the other side, the bone and ligament dissolve (resorb), allowing the tooth to move in that direction.

Braces allow this natural process to occur with controlled forces applied by thin flexible wires threaded through the small brackets attached to the front of the teeth and then affixed or “anchored” to other teeth. By attaching the teeth to the other teeth by wires running through all the brackets, “anchorage” is created to allow teeth to be moved where the dentist wants them to go. By adjusting the tension on the wires, we can apply light but constant pressure on the “unanchored” teeth to move them into a new desired position.

Teeth we do not want to move are referred to as the anchorage for teeth we do want to move. If, however, the situation calls for more precise isolation of teeth to be moved, TADs can be very useful. TADs are mini-implants imbedded in the bone to serve as anchorage at strategic locations in the mouth. In this way, the group of teeth to be moved receives forces that are applied through the additional anchorage provided by the TADs. That “tension” or “pressure” is applied only to them and not to adjacent teeth that should not move. This increases efficiency for tooth movement and helps reduce the treatment time.

TADs can be placed using local anesthesia and with little discomfort, and are removed when orthodontic treatment is completed. Although the procedure is pretty straightforward, it does require collaboration between orthodontist and surgeon to ensure correct positioning.

In the end, TADs increase our ability to control the forces that move teeth during orthodontic treatment. This lessens discomfort for the patient and helps ensure the end result — a more functional bite and a transformed smile.

If you would like more information on the use of TADs and other orthodontic appliances, 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 “What are TADs?


By The Brace Place Orthodontics
February 24, 2020
Category: Cosmetic Dentistry
Tags: Orthodontic  

In a perfect world, everyone would have perfectly aligned teeth. However, the reality is that plenty of people have poorly aligned teeth, crowded teeth, and crooked smiles. Aside from the cosmetic problems that these concerns raise, they can also make your teeth tougher to clean, which increases your risk for developing gum disease and tooth decay. Crooked teeth could likewise result in swallowing and chewing problems as well as difficulty in pronouncing specific sounds. In turn, this could place unnecessary stress and pressure on your chewing muscles, resulting in jaw pain.

Fortunately, here at The Brace Place Orthodontics in Jacksonville Beach and Ponta Vedra, FL, orthodontist Dr. Josh Goldknopf can address all of these concerns. Aside from the cosmetic benefits you receive from a properly aligned bite, the right orthodontic treatment plan can also offer the following oral health benefits:

Clean Your Teeth More Properly

Misaligned and crooked teeth can create nooks and crevices that are very difficult to clean thoroughly. This can cause bacteria buildup, leading to tooth decay, gum disease, dental infections, and other harmful dental issues.

Improve Your Chewing and Speech

Certain kinds of bite issues could make it hard for you to chew and speak properly. Orthodontics can fix these bite concerns to improve your chewing and speech.

Realign Your Jaw

A poorly aligned jaw cam result in TMJ dysfunction, which, in turn, leads to jaw pain and weakened teeth that could chip and wear out prematurely. In some cases, this pain could even radiate to the shoulders and neck. A properly aligned jaw could save you all the hassle and pain later on.

Relief from Sinus Pain

A bad bite can also narrow your airways and lead to pressure in your sinuses. The right orthodontic plan can fix your bite, which can clear your sinuses and make breathing more comfortable for you.

Take note that depending on the severity of your misaligned bite, your orthodontist may recommend one or more of these orthodontic procedures:

  • Braces
  • Retainers
  • Removable appliances
  • Headgear
  • Oral surgery

Need Dental Work? Call one of our Locations in Jacksonville Beach or Ponta Vedra, FL, Today

The right combination of orthodontic treatments will not only fix your smile, but also provide you with a myriad of health benefits. If you’re unhappy with how your teeth work or look, contact The Brace Place Orthodontics in Jacksonville Beach and Ponta Vedra, FL, to schedule an appointment with your orthodontist, Dr. Josh Goldknopf. Call us today at (904) 249-0037.


By The Brace Place Orthodontics
February 20, 2020
Category: Oral Health
Tags: braces  

How treatment from your orthodontist in Jacksonville Beach, FL, can give you an outstanding smile

It’s important to have an outstanding smile, and one of the factors that makes a smile outstanding is having straight teeth. You may think orthodontics is just for teenagers. In fact, it’s become a popular treatment for adults too. The variety of orthodontic options has made achieving a straight smile easier, more comfortable, and more affordable than ever.

Dr. Josh Goldknopf at The Brace Place Orthodontics can give you the outstanding smile you deserve. He has two convenient office locations in Jacksonville Beach, and Ponte Vedra, FL, to help you and your smile.

Let’s take a look at some of the orthodontic options you can choose from:

  • Braces, which consist of traditional brackets and wires; this is the tried-and-true method of orthodontic treatment. It’s what you think of when you consider orthodontic treatment. Today’s braces are more comfortable, more discreet, and more beautiful. You can choose from:
  • Traditional metal brackets and wires
  • Ceramic (tooth-colored) brackets and clear wires
  • Lingual braces, which are attached to the back surfaces of your teeth

Aligners, which are custom-made appliances of clear plastic; you receive a set of aligners, which you wear for 2 weeks, and then you move on to a new set of aligners, which you also wear for 2 weeks. You change aligners every 2 weeks until your treatment is complete, which usually takes between 9 and 15 months. Aligners have advantages like these:

  • Comfort, because they have no sharp parts to irritate tissue
  • Beauty, because they are clear and virtually undetectable to people around you
  • Convenience, because you can remove them to eat and to brush and floss your teeth

A straight smile can enhance your appearance, and improve your chewing ability. A straight smile also decreases wear-and-tear on your teeth and your jaws. Fortunately, you can achieve a straight smile easily. To find out more about straightening your smile, call Dr. Josh Goldknopf at The Brace Place Orthodontics in Jacksonville Beach, and Ponte Vedra, FL, at (904) 222-8588. Call now!


By The Brace Place Orthodontics
February 19, 2020
Category: Cosmetic Dentistry
Tags: Invisalign  

How Invisalign orthodontic treatment from your dentist in Jacksonville Beach, FL, can help your smile

Have you been thinking about straightening your smile? If so, you may have heard about Invisalign. Invisalign has revolutionized orthodontic treatment, making treatment comfortable and discreet. Dr. Josh Goldknopf at The Brace Place Orthodontics offers a full range of orthodontic services, including Invisalign. He has two convenient office locations in Jacksonville Beach, and Ponte Vedra, Florida to help your smile.

Let’s take a closer look at Invisalign. These are just a few frequently asked questions and answers about Invisalign treatment:

Why is Invisalign revolutionary?

Invisalign uses clear plastic trays, known as aligners instead of conventional brackets and wires.

What are the advantages of Invisalign?

Invisalign is comfortable because the aligners are made of smooth plastic, making them very easy to wear. Invisalign is also virtually invisible because the aligners are clear, so people around you won’t notice them. You can also remove the aligners to brush and floss your teeth, and when you eat, so you can enjoy the foods you love.

What dental problems can Invisalign fix?

Invisalign can correct most of the alignment and positioning issues just like conventional braces. Invisalign can correct overbite, underbite, crossbite, and open bite. It can also straighten rotated, crowded teeth to give you a straight, beautiful smile.

How does Invisalign work?

Dr. Goldknopf will give you your first set of aligners, which you wear for 2 weeks, then you move up to another set, which you also wear for 2 weeks. You progress to a new set of aligners every 2 weeks until your treatment is complete. You will visit Dr. Goldknopf every few weeks so he can monitor your progress.

How long does Invisalign treatment take?

The entire process takes between 9 to 15 months.

Interested? Give us a call

You deserve a beautiful, straight smile, and Invisalign can help you achieve it. To learn more about Invisalign and how it can help your smile, call Dr. Josh Goldknopf at The Brace Place Orthodontics at (904) 222-8588, with offices in Jacksonville Beach, and Ponte Vedra, Florida. Call now!


By The Brace Place Orthodontics
February 16, 2020
Category: Dental Procedures
ReduceFutureBiteProblemswithTheseInnovativeTechniques

When you think orthodontics, you may instantly picture braces or clear aligners worn by teenagers or adults. But there’s more to orthodontics than correcting fully developed malocclusions (poor bites). It’s also possible to intervene and potentially reduce a malocclusion’s future severity and cost well beforehand.

Known as interceptive orthodontics, these treatments help guide jaw growth in children while mouth structures are still developing and more pliable. But timing is critical: waiting until late childhood or puberty could be too late.

For example, we can influence an upper jaw developing too narrowly (which can cause erupting teeth to crowd each other) with an expander appliance placed in the roof of the mouth. The expander exerts slight, outward pressure on the upper jaw bones. Because the bones haven’t yet fused as they will later, the pressure maintains a gap between them that fills with additional bone that eventually widens the jaw.

Functional appliances like the Herbst appliance influence muscle and bone development in the jaws to eventually reshape and reposition them. The Herbst appliance utilizes a set of metal hinges connected to the top and bottom jaws; when the patient opens and closes their jaws the hinges encourage the lower jaw to move (and eventually grow) forward. If successful, it could help a patient avoid more invasive treatments like tooth extraction or jaw surgery.

Some interceptive objectives are quite simple in comparison like preserving the space created by a prematurely lost primary tooth. If a child loses a primary tooth before the incoming permanent tooth is ready to erupt, the nearby teeth can drift into the empty space. Without enough room, the permanent tooth could erupt out of position. We can hold the space with a simple loop device known as a space maintainer: usually made of acrylic or metal, the device fits between adjacent teeth and prevents them from drifting into the space until the permanent tooth is ready to come in.

Interceptive orthodontics can have a positive impact on your child’s jaw development, now and in the future. For these techniques to be effective, though, they must begin early, so be sure your child has a complete orthodontic evaluation beginning around age 7. You may be able to head off future bite problems before they happen.

If you would like more information on orthodontic treatments, please contact us or schedule an appointment for a consultation.