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Posts for tag: orthodontic treatment

By The Brace Place Orthodontics
April 26, 2020
Category: Dental Procedures

The longer many health problems go on, the worse they become. Treating them as early as possible could stop or slow their development.

That holds true for poor bites: while we can certainly correct them later in life, it's often better to "intercept" the problem during childhood. Interceptive orthodontics attempts to do this with treatments that influence how the jaws and other mouth structures develop during childhood. Many of these techniques are usually best implemented before puberty.

For example, some very complex problems called cross bites can occur if the upper jaw grows too narrowly. We might be able to stop this from happening by using an orthodontic appliance called a palatal expander during the childhood years. It works because the bone at the center of the palate (roof of the mouth) has a gap running back to front until the early teens when the gap closes.

We fit the palatal expander up under and against the palate, then extend out metal arms from a center mechanism to the back of the upper teeth that exert outward pressure on them. This widens the center gap, which the body continually fills with bone as the device gradually exerts more pressure. Over time this causes the jaw to widen and lessens the cross bite. Timing, though, is everything: it's most effective before the gap closes.

Another way to aid jaw growth is a Herbst appliance, a hinged device that alters the movement of the jaws. As a child wears it, a Herbst appliance draws the lower jaw forward to develop more in that direction. Like the palatal expander, it's best used before significant jaw growth occurs.

These are just two examples of techniques and tools that can guide structural growth and prevent bite problems. Because they're most effective in the early years of oral development, your child should undergo an orthodontic evaluation as early as age 6 to see if they need and can benefit from an interceptive treatment.

Interceptive orthodontics can stop or at least slow a growing bite problem. The effort and expense now could save you much more of both later on.

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: Timely Intervention can make Treatment Easier.”

By The Brace Place Orthodontics
April 24, 2020
Category: Dental Procedures

How your orthodontist in Jacksonville Beach, and Ponte Vedra, FL, can help your smile

If you’ve straightened your smile with orthodontic treatment, you've made an excellent choice. After all, a straight smile is not only more attractive, but it’s also far easier to clean than if your teeth are crowded together.

Dr. Josh Goldknopf at The Brace Place Orthodontics offers a wide range of orthodontic services, including tools and techniques to keep your smile healthy and beautiful. He has two convenient office locations in Jacksonville Beach and Ponte Vedra, FL, to help you.

Caring for your smile before, during, and after orthodontic treatment involves removing plaque as thoroughly and frequently as possible. That’s because plaque contains millions of harmful bacteria. These bacteria produce toxic by-products that can eat through tough tooth enamel, causing tooth decay. The toxins also cause inflammation and infection in your gums, and eventually, the bone that supports your teeth is affected. When this happens, you have periodontal disease.

You can do a lot to keep your smile healthy after orthodontic treatment. Remember to:

  • Brush your teeth after meals and before bed, using a soft-bristled toothbrush. Brush gently in a circular motion, cleaning all surfaces of your teeth, and along the gumline. You can also use a sonic or electric toothbrush if you wish.
  • Floss every day, using a single piece of floss or floss picks. Make sure you wrap the floss around the widest part of your tooth as you floss in between your teeth. When you wrap the floss around the tooth, it keeps the floss firmly against the tooth surface, allowing for a better clean.
  • Regular dental visits have been an important part of your dental care during orthodontic treatment, but they remain necessary after completion. That’s because when you have braces, a dental examination and x-ray screening may miss small areas of decay in between your teeth. After the braces are removed, your dentist can perform a comprehensive dental examination and take definitive x-rays to show all areas, including in between your teeth.

To find out more about caring for your smile before, during, and after orthodontic treatment, call Dr. Josh Goldknopf at The Brace Place Orthodontics in Jacksonville Beach and Ponte Vedra, FL: (904) 249-0037.

By The Brace Place Orthodontics
April 09, 2020
Category: Dental Procedures

Get the beautiful, healthy smile you’ve always imagined with the help of braces.

We can all probably agree that a straight smile is a beautiful smile. Of course, as permanent teeth come in, our Jacksonville Beach and Ponte Vedra, FL, orthodontist Dr. Josh Goldknopf often sees a variety of alignment issues that need to be corrected. The best way to fix these alignment issues in the teeth or the jaws is through orthodontic treatment. If you’re wondering whether or not braces are right for you or your child, here are the most common issues we treat with braces,


If there isn’t enough room for your teeth to come in then you’ll notice teeth overlapping and crowding each other. Crowding has the ability to damage teeth and increases the risk for cavities and gum disease because it’s more difficult to keep teeth and gums clean. Luckily, crowding is a common problem our orthodontist sees, and this problem can be treated with both traditional and clear braces.


Sometimes the opposite issue happens, and the jaws create too much room for teeth to erupt. This results in gaps and spaces between teeth. This typically affects the upper two front teeth. If you have spaces between teeth this is another easy fix. Everything from traditional to self-ligating braces to (possibly) clear aligners can correct this issue.


An overbite is when the upper teeth stick out more than the lower teeth, which means that they rest against the bottom teeth whenever you bite down. Overbites can lead to excessive wear and tear on certain teeth, which is why it’s important to correct this problem early on with braces.


If your bottom teeth cover your upper teeth when you bite down, then you have an underbite. This problem can lead to everything from jaw pain and TMJ disorder to gum disease and speech issues. This is another malocclusion (“bad bite”) that we can correct with traditional braces.

The Brace Place Orthodontics in Ponte Vedra and Jacksonville Beach, FL, is here to provide you with the orthodontic treatment your or your child needs for a straighter, healthier smile. To schedule a consultation with our orthodontist, call (904) 249-0037 for an evaluation.

By The Brace Place Orthodontics
March 17, 2020
Category: Dental Procedures

What do a teenager with a poor bite, a senior citizen with multiple missing teeth or a middle-aged person with a teeth grinding habit all have in common? They may all depend on a dental appliance for better function or appearance.

There’s a wide variety of removable dental appliances like clear aligners or retainers for orthodontic treatment, dentures for tooth loss or night guards to minimize teeth grinding, just to name a few. But while different, they all share a common need: regular cleaning and maintenance to prevent them from triggering dental disease and to keep them functioning properly.

The first thing to remember about appliance cleaning is that it’s not the same as regular oral hygiene, especially if you have dentures. While they look like real teeth, they’re not. Toothpaste is a no-no because the abrasives in toothpaste designed for tooth enamel can scratch appliance surfaces. These microscopic scratches can develop havens for disease-causing bacteria.

Instead, use liquid dish detergent, hand soap or a specific cleaner for your appliance with a different brush from your regular toothbrush or a specialized tool for your particular appliance. Use warm but not very hot or boiling water: while heat indeed kills bacteria, the hot temperatures can warp the plastic in the appliance and distort its fit. You should also avoid bleach—while also a bacteria killer, it can fade out the gum color of appliance bases.

Be sure you exercise caution while cleaning your appliance. For example, place a towel in the sink basin so if the appliance slips from your hands it’s less likely to break hitting the soft towel rather than the hard sink. And while out of your mouth, be sure you store your appliance out of reach of small children and pets to avoid the chance of damage.

Cleaning and caring for your appliance reduces the risk of disease that might affect your gums or other natural teeth. It will also help keep your appliance working as it was designed for some time to come.

If you would like more information on care and maintenance for oral appliances, please contact us or schedule an appointment for a consultation.

By The Brace Place Orthodontics
February 06, 2020
Category: Dental Procedures

About one-quarter of people have teeth that never developed. While most of these congenitally missing teeth are wisdom teeth, they can also include premolars or lateral incisors (the teeth right next to the two front teeth, the central incisors).

Missing teeth can have an adverse effect on smile appearance. But that’s not all: because each type of tooth performs a specific function, one or more missing teeth can lead to bite problems and disruption of dental function. In the case of missing lateral incisors, the canines (eye teeth) normally positioned beside and toward the back of the mouth from them may begin to drift into the empty space and grow next to the central incisors. This can result in greater difficulty chewing and a smile that “doesn’t look right.”

To correct this situation, we must often first attempt to orthodontically move any out of place teeth to their normal positions. This re-establishes the space needed for the missing teeth to be replaced, which we can then restore with prosthetic (artificial) teeth. If the permanent restoration of choice involves dental implants, we’ll usually need to wait until the completion of jaw development around early adulthood. In the mean time, we can use a retainer appliance to hold the teeth in their new positions with prosthetic teeth attached to fill the empty space for a better smile appearance in the interim.

The real issue is timing—beginning orthodontic treatment when appropriate to a person’s oral development, as well as completing the implant restoration when the mouth has matured sufficiently. There are other considerations such as bone volume, which may have diminished due to the missing teeth. At some point we may need to consider grafting to build up the bone sufficiently to support dental implants.

This all may entail a team approach by various specialties like orthodontics, periodontics and implantology. Working together and coordinating within a timely schedule, a mouth and smile marred by undeveloped teeth can be transformed.

If you would like more information on treating smiles with underdeveloped permanent teeth, 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 “When Permanent Teeth Don’t Grow.”