Posts for category: Dental Procedures

By Joel E. Johnson, DMD, PA
April 08, 2019
Category: Dental Procedures
Tags: bonded retainer  
ABondedRetainerMightbeaBetterChoiceAfterBraces

The braces are finally off! But to keep your new, straighter smile you'll need to wear a retainer for some time. That's because the same structural mechanism used to move your teeth could undo what we've just accomplished.

That mechanism resides in an elastic tissue called the periodontal ligament that lies between the teeth and the bone and attaches to both with tiny fibers. While the ligament holds the teeth securely in place, it also allows for slight movement in response to bite changes. Braces "pull" the teeth in the desired new direction, and the ligament responds.

But with that pressure gone after the braces' removal, a kind of "muscle memory" can set in that moves the teeth back towards their original positions. A retainer, a dental appliance worn on the teeth, exerts just enough pressure to "retain" or keep the teeth from regressing.

Retainers are effective, but the most common type has a feature that poses potential problems: it can be removed by the wearer. Because of this, less disciplined patients might be tempted not to wear their retainer as directed. There's also a higher risk of losing one and incurring additional cost to replace it.

But there is another type, the bonded retainer, which stays permanently in the mouth until removed by an orthodontist. It's composed of a thin piece of metal that's firmly attached to the back of the teeth with dental composite material. Not only does a bonded retainer solve the problems mentioned before, it also can't be seen from the outside like a removable retainer.

A bonded retainer does have one disadvantage: because it can't be removed, it can obstruct the teeth during brushing and flossing and require more effort. You won't have as much difficulty with a removable retainer keeping teeth and gums clean. You can overcome this disadvantage, though, with specialized tools like a water flosser or a floss threader to make hygiene easier.

To choose which type of retainer is best for you or your family member, have a talk with your orthodontist. And if you choose a bonded retainer and later have it removed, be sure to switch immediately to a removable one if your orthodontist advises. With either retainer, you'll be able to preserve that hard-earned smile for years to come.

If you would like more information on bonded retainers, 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 “Bonded Retainers: What are the Pros and Cons.”

By Joel E. Johnson, DMD, PA
March 26, 2019
Category: Dental Procedures

Veneers SmileHow porcelain veneers from your dentist in Columbia, SC, can give you a new smile

Does your smile need a little freshening up? Is your smile dull and uninteresting? Is your smile compromised by chipped, cracked, or damaged teeth? If you answered yes to any of these questions, it’s time for you to discover the magic of porcelain veneers. They are the go-to treatment to give you a beautiful, flawless smile. Dr. Joel E. Johnson in Columbia, SC, offers porcelain veneer treatment to give you a new smile.

Porcelain veneers are thin, beautiful laminates of sparkling porcelain. These laminates are permanently cemented on to the front surfaces of your teeth. Veneer treatment is conservative, because Dr. Johnson only removes enough tooth surface to compensate for thickness of the veneers.

Porcelain veneers are a versatile treatment that will freshen up your smile by covering up many cosmetic and aesthetic issues with your teeth, including:

  • Excessive tooth wear due to aging or grinding
  • Chips caused by everyday wear-and-tear
  • Cracks or fracture lines caused by trauma
  • Discolorations due to medications or genetics

Veneer treatment may also be able to hide alignment issues including gaps between your teeth, or tooth overlap and tooth rotation. Dr. Johnson will discuss whether veneers are the right choice, or if conventional orthodontics are the best treatment for alignment issues.

Porcelain veneer treatment is a popular choice to refresh smiles because porcelain looks just like natural tooth enamel. It reflects light, so your new porcelain veneers will sparkle just like natural tooth enamel. Unlike natural tooth enamel, porcelain resists stains, so your smile will stay bright for years, even if you drink coffee or smoke.

If you need to refresh your smile, porcelain veneers can help. They can hide both minor and major problems with your teeth, giving you a smile that makes a statement. To find out more about porcelain veneers and other cosmetic, restorative, and preventive dental services, call Dr. Joel E. Johnson in Columbia, SC, today!

By Joel E. Johnson, DMD, PA
March 13, 2019
Category: Dental Procedures
Tags: Dental Crowns  

Dental crowns are a porcelain dental restoration often used after a root canal but can perform various dental tasks. If your dentist suggestsCrown a crown, you probably have a damaged or decayed tooth. Understanding this treatment and how it works can help you determine if it is right for you. Find out more about dental crowns with Dr. Joel Johnson and his practice in Columbia, SC.

What is a Dental Crown?
A dental crown is a tooth-shaped piece of porcelain which fits over the tooth to “cap” it off. A dental laboratory creates and color-matches the dental crown by hand to seamlessly match your smile. Crowns serve many purposes in various situations:

  • Stabilizing a tooth with a large filling
  • Holding a dental bridge in place to replace a missing tooth
  • Covering a dental implant to replace a missing tooth
  • Protecting a damaged or broken tooth
  • Improving the appearance of a tooth with aesthetic issues, such as stains

How does the Process for a Dental Crown Work?
Dental crowns require two appointments with your Columbia, SC, dentist. One appointment to prepare your teeth to receive the crown, take a clay mold of your prepared tooth, and place a temporary crown on. The dental laboratory uses the clay mold to design your dental crown, a process that takes about two weeks. Another appointment to remove any temporary restorations and place your final crown on,

How do I Care for a Dental Crown?
Caring for your dental crown is as easy as caring for your natural teeth. The crown looks and functions just like a natural tooth and requires only that you follow the American Dental Association’s recommendation for a strong oral care routine. Brush twice daily with fluoride toothpaste and a soft brush and floss at least once a day between every tooth. See Dr. Johnson for routine examinations and cleanings twice a year.

Dental Crowns in Columbia, SC
For more information on dental crowns, please contact Dr. Joel Johnson in Columbia, SC at (803) 788-2555 to schedule your appointment!

GetAheadofaDevelopingCross-BitewithThisEarlyInterventionMeasure

Applying braces or clear aligners to move misaligned teeth is only part of an orthodontist's overall mission to eliminate poor bites (malocclusions). Sometimes a malocclusion isn't caused by the teeth at all—the size of the jaw is the problem!

One type in particular, a cross-bite, often happens because the upper jaw has developed too narrowly. As a result, many of the upper teeth fit inside the lower, the opposite of normal. But a tool called a palatal expander can alleviate the problem if it's applied at an early enough age.

The device works because the upper jawbone initially forms as two halves that fit together along a center line in the roof of the mouth (the palate) running from the back of the mouth to the front. These two bone halves remain separate during childhood to facilitate jaw growth, but eventually fuse around puberty.

Consisting of two sets of wire arms joined together by a hinge mechanism in the middle, the expander device is positioned up against the palate. The orthodontist extends each arm to press against the inside of the back teeth, then adds more outward pressure by turning the mechanism in the middle with a small key. During wear, the patient or caregiver will turn the mechanism in the same way to keep up the pressure on the two sides of the jaw.

This continual pressure keeps the two bones moving away from each other and maintaining a center gap between them. In response, more bone forms on the two halves to fill the gap. In time, the newly formed bone should widen the jaw enough to correct any developing malocclusion.

Timing is everything with a palatal expander—if not used before the jaw bones fuse, the patient will need a surgical procedure to separate the bones to pursue treatment. To catch the problem early enough, children should have an orthodontic evaluation on or before they turn six. An orthodontist may be able to identify this or other emerging bite problems and intervene before it becomes worse. Taking this approach can help save you and your child more expensive orthodontic treatment down the road.

If you would like more information on correcting poor bites, 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 “Palatal Expanders: Orthodontics is more than just Moving Teeth.”

By Joel E. Johnson, DMD, PA
March 06, 2019
Category: Dental Procedures
Tags: Dental Crowns  

Do you need dental crowns? One of the most revolutionary developments in modern dentistry is the development of dental crowns. There Crownare many advantages to dental crowns, which makes choosing a dentist who offers them a fabulous idea. Dr. Joel Johnson is one of the finest dentists in Columbia, SC. Here are five benefits of dental crowns!

1. Improve Your Smile- Dental crowns can improve the appearance of your smile. Dental crowns can improve the look of broken, misshapen or discolored teeth. Dental crowns strengthen the teeth and can be used to improve their appearance, alignment or shape.

2. The Luster of Real Teeth- If you want a natural-looking smile, then porcelain is the way to go. All-porcelain crowns are created from a block of ceramic, which is natural-looking and beautiful. The single block of porcelain resembles a person's tooth structure. Nothing gives the same translucency, luster, and depth like all-porcelain dental crowns.

3. A Better Color Match- It's important that you have a crown that matches your natural teeth. With dental crowns, your dentist can choose from over 10 shades to allow him or her to give you a dental restoration that is better matched to the natural color of your teeth.

4. Durability and Strength- Dental crowns are known for their great strength and durability. Dental crowns are tough like natural tooth structure. Your dental crown will be created from a thick block of porcelain that is able to withstand wear and tear. Dental crowns will restore full function of your weak or damaged teeth.

5. A Healthy Smile for Life- A dental crown can last a lifetime. To achieve this goal, you will need to maintain a high level of oral hygiene. Keep your teeth and gums healthy by flossing and brushing regularly – especially around the dental crown. Using a mouth rinse can also help. Remember to visit your dentist regularly for checkups and dental cleanings.

If you need a dental crown, why wait? We can help you today. Call Dr. Joel Johnson at (803) 788-2555 today to schedule a consultation in Columbia, SC. With dental crowns, you can have a smile that's both strong and beautiful!



Columbia, SC Dentist
Joel E Johnson, DMD, PA
9 Office Park Ct.
Columbia, SC 29223
(803) 788-2555
tooth icon Call For Pricing Options

frontdesk@drjoeljohnson.com

Illumisure

Request an Appointment Read Our Reviews

Archive:

FacebookTwitterOur BlogGoogle PlusPinterest

PlanScan

 

ClearCorrect

illumisure

Under Armour Authorized Provider

CareCredit

 

 

American Academy of Cosmetic Dentistry