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Posts for: September, 2020


Dorit Kemsley isn't shy. Best known to fans as an outspoken and sometimes outrageous cast member of the reality show Real Housewives of Beverly Hills, Kemsley is never reticent about “mixing it up” with fellow castmates or their significant others. Recently, though, she confessed to something that left her less than confident: her smile.

Kemsley has been self-conscious about her smile because her teeth looked noticeably short, worn down from an unconscious habit of grinding her teeth. Although teeth grinding is more common among children (who normally grow out of it by adolescence), it can persist into adulthood, usually from difficulties managing high stress (a likely component in the fashion designer/reality show star's busy life).

Stress-induced teeth grinding can occur during waking hours or, more likely, during deep sleep. The accumulating, long-term effects from the habit can lead not only to worn teeth but to weakened gum support, a high risk of tooth fracture or jaw pain and dysfunction.

So, how do you know if you grind your teeth, especially if it's only happening at night? Typical signs include sore jaws after awaking from sleep, increased tooth pain or sensitivity or, like Kemsley, a noticeable difference in your tooth length. Your family or sleeping partner may also complain about the “skin-crawling” noise you make during the night.

There are ways to lessen the effects of teeth grinding. The first step is to have us verify the underlying cause for the habit. If it's tension from stress, then you might reduce the habit's occurrences by learning better stress management or relaxation techniques through individual counseling, group support or biofeedback therapy. We can also fit you with a mouth guard to wear at night or through the day that reduces the force generated during teeth grinding.

And if you've already experienced accelerated tooth wear like Kemsley with a resultant “small teeth” smile, you might pursue the same solution as the RHOBH star: dental veneers. These thin, life-like wafers of porcelain are custom-made to mask imperfections like chips, staining, slight tooth gaps and, yes, worn teeth.

Veneers are often less expensive and invasive than other cosmetic techniques, yet they can have a transformative effect, as Kemsley's Instagram followers have seen. In conjunction with other dental treatments needed to repair any underlying damage caused by a grinding habit, veneers are an effective fix for the smile you present to the world.

If you suspect you may have a grinding habit, see us for a complete examination. From there, we'll help you protect your teeth and your smile.

If you would like more information on teeth grinding habits and their effects, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine article “Teeth Grinding.”

By The Brace Place Orthodontics
September 18, 2020
Category: Oral Health
Tags: Invisalign   Teen  

Looking for an ideal solution to fix your teen’s particular orthodontic issue, minus the use of traditional metal brackets and wires? Invisalign just might be the solution. Invisalign treatment involves the process of wearing a set of clear aligners that effectively straighten the teeth over time. The use of comfortable and inconspicuous thermoplastic aligners will allow your teen to thrive and maintain their self-confidence throughout treatment.

You can consult with our orthodontist, Dr. Josh Goldknopf, here at The Brace Place Orthodontics in our Jacksonville Beach, FL, or Ponte Vedra, FL, office to if Invisalign will work for your teen. Meanwhile, here are some vital things to know about Invisalign.

Who Invisalign is For

It is often presumed that Invisalign can only treat people with minor alignment issues, however, that is not the case. It can also work to correct moderate to major orthodontic issues such as the following:

  • Underbite
  • Overbite
  • Overcrowding teeth
  • Crossbite
  • Open bite
  • Misaligned teeth
  • Gapped teeth

But the only way to determine your candidacy for treatment is through a thorough evaluation of your issues with your orthodontist in our Jacksonville Beach, FL, or Ponte Vedra, FL, office.

How The Invisalign Process Works

Your teen will undergo an oral examination performed by your orthodontist to determine his or her exact orthodontic or dental needs. Next, your orthodontist will take digital impressions of your teen’s teeth to construct a precise treatment plan—which will dictate the specific measure of time and force the teeth will need for correction.

Why Invisalign is Worth it

Invisalign treatment comes with multiple advantages:

  • The Invisalign aligners fit perfectly around the teeth. They are non-invasive, flexible, and offer a smooth feel. They’re also easy to grow accustomed to, as only gradual amounts of force will be exerted on the teeth during the treatment period.
  • Since the aligners are detachable, your teen can go about their usual activities like eating freely, participating in sports, or practicing proper dental hygiene.
  • Extra Features. Invisalign trays for teenagers include special features that are created to make up for when second premolars, molars, or canines grow out.
  • Virtually Invisible. The aligners are almost transparent. They are designed from a clear BPA-free thermoplastic material. Given that they’re practically invisible, it enables your teen to smile brightly without having to be conscious of their appearance while wearing them.
  • Improved Dental Health. Because the aligners are removable, they can easily be cleaned so that potentially harmful bacteria are not given the chance to thrive inside your teen’s mouth. Furthermore, correctly positioned or aligned teeth result in great overall oral health.
  • Time-Saving. Typically, in-office maintenance is required only every six weeks. This will save loads of time for you and your teen.
  • Quick Results. During the initial weeks of treatment, changes in the teeth start to become noticeable. Compared to other teeth alignment options, Invisalign treatment can be completed in a year or so, depending on your teen’s specific misalignment issues.

To Learn More About Invisalign and How It Can Benefit Your Teen, Call Us

Arrange an assessment with your orthodontist, Dr. Josh Goldknopf, here at The Brace Place Orthodontics in our Jacksonville Beach, FL, or Ponte Vedra, FL, office by dialing  (904) 222-8588.

By The Brace Place Orthodontics
September 13, 2020
Category: Dental Procedures

Approximately 4 million tweens and teens are currently undergoing orthodontic treatment for a poor bite (malocclusion) that can cost their families thousands of dollars in braces or clear aligners. But treatment doesn't always have to follow this track: Found early, many malocclusions can be corrected or minimized before they fully develop.

Known as interceptive orthodontics, this particular approach to bite correction often begins as early as 6-10 years of age. Rather than move existing teeth, interceptive orthodontics focuses instead on redirecting jaw growth and intervening in other situations that can cause malocclusions.

For example, a child's upper jaw may not be growing wide enough to accommodate all incoming permanent teeth, crowding later arrivals out of their proper positions. But taking advantage of a gap during early childhood that runs through the center of the palate (roof of the mouth), orthodontists can increase jaw width with a device called a palatal expander.

The expander fits up against the palate with “legs” that extend and make contact with the inside of the teeth. With gradually applied pressure, the expander widens the central gap and the body naturally fills it with new bone cells. The bone accumulation causes the jaws to widen and create more room for incoming teeth.

Another way a malocclusion can develop involves the primary or “baby” teeth. As one of their purposes, primary teeth serve as placeholders for the future permanent teeth forming in the gums. But if they're lost prematurely, adjacent teeth can drift into the vacant space and crowd out incoming teeth.

Dentists prevent this with a space maintainer, a thin metal loop attached to the adjoining teeth that puts pressure on them to prevent them from entering the space. This spacer is removed when the permanent tooth is ready to erupt.

These and other interceptive methods are often effective in minimizing the formation of malocclusions. But it's often best to use them early: Palatal expansion, for example, is best undertaken before the central gap fuses in early puberty, and space maintainers before the permanent tooth erupts.

That's why we recommend that children undergo an orthodontic evaluation around age 6 to assess their early bite development. If a malocclusion looks likely, early intervention could prevent it and reduce future treatment costs.

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.”

By The Brace Place Orthodontics
September 03, 2020
Category: Dental Procedures

When considering “smile makeover” options, it’s easy to focus on whitening, veneers or implants — techniques and materials focused mainly on the teeth and gums. But if you don’t also consider the bigger picture of how your upper and lower teeth come together to form your bite, these efforts may be a lot like picking out paint colors for a house with foundation problems.

That’s why orthodontics, the dental specialty concerned with the bite, could be a consideration in your smile makeover plan. Moving teeth into better positions not only improves your teeth’s function and health it could also help facilitate any cosmetic changes that follow.

The first step, of course, is to visit an orthodontist, a dentist with advanced training and experience in tooth alignment and function, for a comprehensive evaluation. Orthodontists are also knowledgeable in the growth and development of the bite, and so can develop a treatment approach that reflects the patient’s needs, whether a child or adult.

Treatments vary, depending on your particular needs. Fixed appliances like metal or clear braces that can’t be removed by the patient are the standard treatment for most malocclusions (bad bites). Clear aligners, removable trays that fit over the teeth with programmed incremental movements of the teeth, find the greatest application with adults. Orthodontists may also use specialized appliances, like temporary anchorage devices (TADs), which work to isolate teeth that need to be moved from those that don’t.

In comprehensive makeovers, orthodontists will work with a team of other dentists and specialists, including periodontists (specializing in the gums, bone and other supporting structures of the teeth) and oral surgeons. In these cases, orthodontic treatment may occur before or after other treatments with the overall goal of producing a beautiful, transformed smile.

If you would like more information on how orthodontics can transform your smile, 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 “The Magic of Orthodontics: The Original Smile Makeover.”