By Joel E. Johnson, DMD, PA
December 06, 2017
Category: Dental Procedures
Tags: topical fluoride  
ATopicalFluorideTreatmentCouldProtectYourChildfromToothDecay

A lot happens in your child’s mouth from infancy to early adulthood. Not surprisingly, it’s the most active period for development of teeth, gums and jaw structure. Our primary goal as care providers is to keep that development on track.

One of our main concerns, therefore, is to protect their teeth as much as possible from tooth decay. This includes their primary (“baby”) teeth: although your child will eventually lose them, a premature loss of a primary tooth to decay could cause the incoming permanent tooth to erupt out of proper position. And we of course want to protect permanent teeth from decay during these developmental years as well.

That’s why we may recommend applying topical fluoride to your child’s teeth. A naturally occurring chemical, fluoride helps strengthen the mineral content of enamel. While fluoride can help prevent tooth decay all through life, it’s especially important to enamel during this growth period.

Although your child may be receiving fluoride through toothpaste or drinking water, in that form it first passes through the digestive system into the bloodstream and then to the teeth. A topical application is more direct and allows greater absorption into the enamel.

We’ll typically apply fluoride in a gel, foam or varnish form right after a professional cleaning. The fluoride is a much higher dose than what your child may encounter in toothpaste and although not dangerous it can cause temporary vomiting, headache or stomach pain if accidentally swallowed. That’s why we take extra precautions such as a mouth tray (similar to a mouth guard) to catch excess solution.

The benefits, though, outweigh this risk of unpleasant side effects, especially for children six years or older. Several studies over the years with thousands of young patients have shown an average 28% reduction in decayed, missing or filled teeth in children who received a fluoride application.

Topical fluoride, along with a comprehensive dental care program, can make a big difference in your child’s dental care. Not only is it possible for them to enjoy healthier teeth and gums now, but it could also help ensure their future dental health.

If you would like more information on topical fluoride and other dental disease prevention measures, 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 “Fluoride Gels Reduce Decay.”

By Joel E. Johnson, DMD, PA
November 21, 2017
Category: Dental Procedures
TomHanksAbscessedToothGetsCastAway

Did you see the move Cast Away starring Tom Hanks? If so, you probably remember the scene where Hanks, stranded on a remote island, knocks out his own abscessed tooth — with an ice skate, no less — to stop the pain. Recently, Dear Doctor TV interviewed Gary Archer, the dental technician who created that special effect and many others.

“They wanted to have an abscess above the tooth with all sorts of gunk and pus and stuff coming out of it,” Archer explained. “I met with Tom and I took impressions [of his mouth] and we came up with this wonderful little piece. It just slipped over his own natural teeth.” The actor could flick it out with his lower tooth when the time was right during the scene. It ended up looking so real that, as Archer said, “it was not for the easily squeamish!”

That’s for sure. But neither is a real abscess, which is an infection that becomes sealed off beneath the gum line. An abscess may result from a trapped piece of food, uncontrolled periodontal (gum) disease, or even an infection deep inside a tooth that has spread to adjacent periodontal tissues. In any case, the condition can cause intense pain due to the pressure that builds up in the pus-filled sac. Prompt treatment is required to relieve the pain, keep the infection from spreading to other areas of the face (or even elsewhere in the body), and prevent tooth loss.

Treatment involves draining the abscess, which usually stops the pain immediately, and then controlling the infection and removing its cause. This may require antibiotics and any of several in-office dental procedures, including gum surgery, a root canal, or a tooth extraction. But if you do have a tooth that can’t be saved, we promise we won’t remove it with an ice skate!

The best way to prevent an abscess from forming in the first place is to practice conscientious oral hygiene. By brushing your teeth twice each day for two minutes, and flossing at least once a day, you will go a long way towards keeping harmful oral bacteria from thriving in your mouth.

If you have any questions about gum disease or abscesses, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Periodontal (Gum) Abscesses” and “Confusing Tooth Pain.”

By Joel E. Johnson, DMD, PA
November 06, 2017
Category: Oral Health
Tags: oral health   oral hygiene  
BeThankfulforGoodOralHealth

In November, many of us take time to reflect on what we are most thankful for—and good health is often put at the top of the list. If your teeth and gums have been trouble-free this year, congratulations! If not, here’s how to start making next year a better one for your oral health:

No Rushing When Brushing
It takes time to do a good job on the vital task of brushing your teeth. The American Dental Association recommends brushing twice each day for a full two minutes. That’s not a lot when you think about it: only 30 seconds to reach the front, back and chewing edge of every tooth in each quadrant of your mouth (upper left, upper right, lower left, lower right). Yet many people don’t regularly achieve the two-minute mark. So it’s a good idea to time yourself and see how long that actually is!

Clean In Between
Disease-causing dental plaque builds up not only on teeth, but also in between them. So it’s important to use floss or another interdental (between-the-teeth) cleaning aid. If you don’t floss, you’ll miss cleaning about a third of your tooth surfaces! Plaque left in place can harden into a deposit called calculus or tartar, which can only be removed at the dental office—not at home. When it remains on the teeth, tartar can irritate gums and promote dental disease.

Don’t Be a Stranger!
Practicing a good daily oral hygiene routine is essential for a healthy mouth, but regular dental exams and cleanings are also vital to maintaining your oral health. Routine dental visits are one of the best preventive healthcare values available. You’ll be screened for everything from cavities to oral cancer and alerted to any concerns that should be dealt with now—before they grow into bigger, more expensive problems later. So don’t be a stranger at the dental office!

Maintaining good oral health will help ensure your quality of life—today, tomorrow and throughout your life. That’s truly something to be thankful for.

If you have questions about oral health and hygiene, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor article “10 Tips for Daily Oral Care at Home.”

By Joel E. Johnson, DMD, PA
October 29, 2017
Category: Oral Health
Tags: gum disease   oral hygiene   pregnancy  
BabyYourTeethandGumsDuringPregnancy

For a healthy pregnancy, it helps to have healthy teeth and gums. In fact, the American College of Obstetricians and Gynecologists (ACOG) encourages its members to advise expectant moms to see their dentist. But maintaining oral health can be more challenging when you’re expecting. For one thing, hormonal changes make you more susceptible to periodontal (gum) disease, which has been linked to “systemic” (general body) health problems including preterm labor and low birth weight.

Periodontal (gum) disease results from the buildup of bacterial plaque on tooth surfaces in the absence of good oral hygiene. It typically starts as gingivitis — inflammation and redness around the gum margins and bleeding when brushing and flossing. If the infection progresses, it can attack the structures supporting the teeth (gums, ligaments, and bone) and may eventually result in tooth loss. And if the infection enters the bloodstream, it can pose health risks elsewhere in the body. Studies suggest that oral bacteria and their byproducts are able to cross the placenta and trigger an inflammatory response in the mother, which may in turn induce early labor.

TLC for Your Oral Environment

Brushing twice daily with fluoride toothpaste and flossing or using another interdental cleaner at least once daily is your first-line defense again bacteria buildup. Professional cleanings are also important to remove hardened plaque (calculus) that brushing and flossing may miss. And regular checkups can catch problems early to avoid or minimize adverse effects. Periodontal disease and tooth decay aren’t always painful or the pain may subside, so you won’t always know there’s a problem.

Dental emergencies such as cavities, root canals and tooth fractures should be treated promptly to address pain and infection, thereby reducing stress to the developing fetus. Of course, if you know you need a cavity filled or a root canal prior to becoming pregnant, that’s the optimal time to get treated!

If you would like more information about dental care during pregnancy, please contact us or schedule an appointment for a consultation. You can also learn more about the subject by reading the Dear Doctor magazine article “Pregnancy and Oral Health.”

By Joel E. Johnson, DMD, PA
October 25, 2017
Category: Dental Procedures

Is your damaged tooth worth saving? Of course, it is if you wish to preserve your smile's appearance and functionality. No tooth is a dental crownsthrowaway. So explore the possibility of a dental crown from Columbia, SC dentist, Dr. Joel Johnson. Read details here on how dental crowns salvage cracked, abscessed or decayed teeth.

What is a dental crown in Columbia?

Your parents or grandparents probably called it a cap, and it may have been made of gold or other precious metal. This tooth-shaped protective jacket may still be fashioned from gold, but more typically today's caps, or dental crowns in Columbia, are porcelain or porcelain fused to metal (PFM).

Dr. Johnson gives his patient choice of material when he evaluates a tooth which has weakened due to numerous fillings, deep decay, dental abscess or oral trauma. He looks carefully at the tooth and gums and takes digital X-rays to evaluate its roots and supporting bone.

If a crown is a good option, he writes a treatment plan and takes oral impressions. These casts of the tooth in question and its neighbors help the dental lab construct the crown, shaping and shading it for perfect fit and bite. Dr. Johnson offers same-day crowns, too, which speed up the process significantly, avoiding long waits for crowns to return from the lab.

The dental crown procedure

This requires a local anesthetic to numb the tooth before the dentist shapes the enamel. Sometimes he must build-up the remaining structure with a post to provide a sufficient base to receive the restoration. After Dr. Johnson prepares the tooth, he uses a special adhesive to bond the crown in place. A final bite adjustment finishes the crown.

Additionally, an ailing tooth may require root canal therapy before receiving a crown. This reliable treatment removes diseased nerves, connective tissue and blood supply from the tooth's interior chambers or root canals. Once sealed and given sufficient healing time, the tooth is ready for crown placement.

Crowns also restore today's superior tooth replacements, dental implants. A dental implant consists of a titanium metal cylinder or screw, surgically inserted into a tooth socket to replace the missing natural root. A metal extension and custom-crafted porcelain crown finish the artificial tooth for realistic appearance and oral function.

Preserving your crown

Most crowns last ten to fifteen years, although ones made of precious metal last even longer. Key to longevity is good oral hygiene--that is, brushing, flossing and professional cleanings to remove plaque and prevent tartar accumulation. These bacteria-laden "biofilms" cause periodontitis, or gum disease, an enemy of natural teeth, restorations such as crowns and dental implants.

Keep that tooth

Why not look into a dental crown? It's a great alternative to extraction and can give your tooth the second chance it deserves. Call Dr. Johnson today for a restorative dentistry consultation in Columbia, SC: (803) 788-2555.





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Columbia, SC Dentist
Joel E Johnson, DMD, PA
9 Office Park Ct.
Columbia, SC 29223
(803) 788-2555
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