Posts for: December, 2015

By Joel E. Johnson, DMD, PA
December 21, 2015
Category: Dental Procedures
Tags: bonding  

Dental bonding is an option many people choose to resolve a variety of dental issues, from spacing to chipped teeth.

Bonding procedures have been in use for many years and are generally considered to be easy, quick and painless. In today’s hectic, fast paced world, easy, quick and painless become attractive selling points.Bonding

But such decisions should never be made lightly. If you are in the Columbia area and you are dealing with such issues, Dr. Joel Johnson is a good resource to help you make that decision.

What is bonding?

Bonding is a dental procedure that involves using a plastic resin material to repair or fill teeth. The material is tooth colored and can easily be shaped and molded to fit the individual needs of the patient. Dental bonding is an option that can be undertaken for a variety of issues, including, but not limited to:

  • Chipped teeth
  • Discolored teeth
  • Spaces or gaps in teeth
  • Fillings
  • Protection of an exposed tooth root due to exposure from receding gums

There are a number of advantages to bonding. For one, bonding is one of the least expensive treatment options – significantly less expensive than veneers or crowns. Bonding is a fairly simple procedure that does not take a lot of time, nor does it require extensive shaving, grinding, or reshaping of existing teeth, such as is the case in a crown procedure. Bonding is also virtually painless; the patient usually does not need any anesthesia unless they are having a cavity filled.

However, there are some disadvantages that a patient should consider as well. Bonding materials are not as strong as the ceramic used in a crown or a veneer, therefore it will not last as long as a crown or veneer. The material can also, in some cases, cause further chipping or even break a tooth.

Generally, dentists consider bonding to be a better option for simple procedures, temporary fixes, and/or repairs on teeth that do not generate a high bite pressure, such as a front tooth.

Any such decision should be made in consultation with a qualified dentist such as Dr. Joel Johnson. For more information, call 803-788-2555 or visit the website at www.drjoeljohnson.com.


By Joel E. Johnson, DMD, PA
December 21, 2015
Category: Dental Procedures
Tags: celebrity smiles   bonding  
ARoyalFix

So you’re tearing up the dance floor at a friend’s wedding, when all of a sudden one of your pals lands an accidental blow to your face — chipping out part of your front tooth, which lands right on the floorboards! Meanwhile, your wife (who is nine months pregnant) is expecting you home in one piece, and you may have to pose for a picture with the baby at any moment. What will you do now?

Take a tip from Prince William of England. According to the British tabloid The Daily Mail, the future king found himself in just this situation in 2013. His solution: Pay a late-night visit to a discreet dentist and get it fixed up — then stay calm and carry on!

Actually, dental emergencies of this type are fairly common. While nobody at the palace is saying exactly what was done for the damaged tooth, there are several ways to remedy this dental dilemma.

If the broken part is relatively small, chances are the tooth can be repaired by bonding with composite resin. In this process, tooth-colored material is used to replace the damaged, chipped or discolored region. Composite resin is a super-strong mixture of plastic and glass components that not only looks quite natural, but bonds tightly to the natural tooth structure. Best of all, the bonding procedure can usually be accomplished in just one visit to the dental office — there’s no lab work involved. And while it won’t last forever, a bonded tooth should hold up well for at least several years with only routine dental care.

If a larger piece of the tooth is broken off and recovered, it is sometimes possible to reattach it via bonding. However, for more serious damage — like a severely fractured or broken tooth — a crown (cap) may be required. In this restoration process, the entire visible portion of the tooth may be capped with a sturdy covering made of porcelain, gold, or porcelain fused to a gold metal alloy.

A crown restoration is more involved than bonding. It begins with making a 3-D model of the damaged tooth and its neighbors. From this model, a tooth replica will be fabricated by a skilled technician; it will match the existing teeth closely and fit into the bite perfectly. Next, the damaged tooth will be prepared, and the crown will be securely attached to it. Crown restorations are strong, lifelike and permanent.

Was the future king “crowned” — or was his tooth bonded? We may never know for sure. But it’s good to know that even if we’ll never be royals, we still have several options for fixing a damaged tooth. If you would like more information, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Repairing Chipped Teeth” and “Crowns and Bridgework.”


By Joel E. Johnson, DMD, PA
December 13, 2015
Category: Dental Procedures
Tags: tooth extraction  
SimpleorSurgicalChoosingtheRightKindofToothExtraction

There are instances when a general dentist will remove (extract) a problem tooth. At other times, though, the same dentist may refer a patient needing an extraction to an oral surgeon. Why the difference?

The procedure performed by a general dentist is referred to as a “simple tooth extraction.” “Simple” doesn’t mean easy and requiring no skill or expertise — it certainly does. In this case, the term refers to the anatomy of the tooth being extracted, particularly its roots.

Teeth that respond well in a simple extraction have an uncomplicated root system. The path of removal, usually with a single root involved, is fairly straight and without extreme angles. In the hands of a skilled and experienced dentist, it can be removed with little to no discomfort.

Dentists actually must use finesse to remove a tooth from its socket. The tooth is held in place with tiny collagen fibers that extend from a tough, elastic gum tissue known as the periodontal ligament, which lies between the teeth and the bone. With some manipulation, a dentist can loosen these fibers, which then makes removing the tooth much easier. All of this can usually be performed with local anesthesia.

Of course, to determine if a tooth can be removed this way, we must conduct a thorough dental examination first, including x-ray imaging to determine the exact nature and location of the roots. If the exam reveals the root system is more complex, or that there are defects to the bone or the tooth that could make a simple extraction difficult (resulting, for example, in not removing the crown and root in one piece), then the tooth may need to be removed surgically.

Such situations require the skill and resources of an oral surgeon. These specialists perform a number of surgical procedures related to the mouth and face; as procedures go, extraction is among the most routine. Using local anesthesia and post-operative pain management, undergoing a surgical extraction involves only minimal discomfort and a very short recovery time.

After examining your tooth we’ll recommend the best course for extraction, whether simple or surgical. In either case, we’ll see that your problem tooth is extracted as efficiently and painlessly as possible.

If you would like more information on tooth extractions, please contact us today to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Simple Tooth Extraction?




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

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