Dentist - St Johns
2220 CR 210 West, Suite 312
St Johns, FL 32259
(904) 825-9960

(904) 825-9960
2220 CR 210 West, Suite 312
St Johns, FL 32259

Archive:

Tags

Try the latest generation of botox and receive a $100 gift card.  

Sign up at the link below to have the $100 gift card mailed to you. Click Here

Bring in the gift card on your appointment date.

By St. Johns Dental
September 14, 2019
Category: Dental Procedures
Tags: dental implants  
3PossibleTimingScenariosforGettingYourNewImplant

If you have a problem tooth we’ve recommended removing, those “Tooth in one day” ads—a tooth removed and an implant placed at the same time—might start to pique your interest. But there are a few factors we must consider first to determine if this procedure is right for you. Depending on your mouth’s health conditions, you may need to wait a little while between tooth extraction and implantation.

Here are 3 timing scenarios for receiving your implant after tooth removal, depending on your oral health.

Immediately. The “tooth in one day” scenario can be much to your liking, but it could also be tricky in achieving the best results. For one, the implant may fit too loosely—the bone around the socket might first need to heal and fill in or undergo grafting to stimulate regeneration. In other words, immediate implant placement usually requires enough supporting bone and an intact socket. Bone grafting around the implant is usually needed as well.

After gum healing.  Sufficient gum coverage is also necessary for a successful outcome even if the bone appears adequate. To guard against gum shrinkage that could unattractively expose too much of the implant, we may need to delay implant placement for about 4 to 8 weeks to allow sufficient gum healing and sealing of the extraction wound. Allowing the gums to heal can help ensure there’s enough gum tissue to cover and protect the implant once it’s placed.

After bone healing. As we’ve implied, implants need an adequate amount of supporting bone for best results. When there isn’t enough, we might place a bone graft (often immediately after tooth extraction) that will serve as a scaffold for new bone to grow upon. Depending on the degree of bone loss, we may wait until some of the bone has regenerated (about 2 to 4 months) and then allow the natural process of bone cells growing and adhering to the implant (osseointegration) to complete the needed bone growth. If bone loss is extensive, we may need to wait until full healing in 4 to 6 months to encourage the most stable outcome.

If you would like more information on the process of obtaining dental implants, 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 “Implant Timelines for Replacing Missing Teeth.”

By St. Johns Dental
September 04, 2019
Category: Oral Health
Tags: tooth decay  
NewMinimallyInvasiveTechniquesareImprovingToothDecayTreatment

Although techniques and materials have changed, dentists still follow basic principles for treating tooth decay that date from the late 19th Century. And for good reason: They work. These principles first developed by Dr. G.V. Black—the "father of modern dentistry"—are widely credited with saving millions of teeth over the last century.

One of the most important of these treatment protocols is something known as "extension for prevention." In basic terms, it means a dentist removes not only decayed tooth structure but also healthy structure vulnerable to decay. But although effective in saving teeth, practicing this principle can result in loss of otherwise healthy tissue, which can weaken the tooth.

But with new advances in dentistry, decay treatment is getting an overhaul. While Dr. Black's time-tested protocols remain foundational, dentists are finding new ways to preserve more of the tooth structure in a concept known as minimally invasive dentistry (MID).

Better diagnostic tools. Because tooth decay can ultimately infect and damage the tooth's interior, roots and supporting bone, the best way to preserve more of the tooth structure is to treat it as early as possible. Now, new diagnostic tools like digital x-rays, microscopic magnification and optical scanning are helping dentists detect and treat decay earlier, thus reducing how much tissue is removed.

Better prevention methods. Oral hygiene and regular dental care are our basic weapons in the war with tooth decay. In addition, utilizing topical fluoride in combination with a milk-derived product called CPP-ACP dentists can get more of the cavity-fighting organic compound into the tooth enamel to strengthen it against acid attack.

Better treatment techniques. Using air abrasion (a fine particle spray that works like a miniature sandblaster) and lasers, dentists can now remove decayed structure with less harm to healthy tissue than with a traditional dental drill. And new, stronger dental fillings like those made with composite resins require less structural removal to accommodate them.

With these innovative approaches, dentists aren't just saving teeth, they're preserving more of their structure. And that can improve your overall dental health for the long-term.

If you would like more information on minimally invasive dentistry, 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 “Minimally Invasive Dentistry: When Less Care is More.”

By St. Johns Dental
August 25, 2019
Category: Oral Health
HealthySmilesforAlfonsoRibeiroandFamily

If there's anything that makes Alfonso Ribeiro happier than his long-running gig as host of America's Funniest Home Videos, it's the time he gets to spend with his family: his wife Angela, their two young sons, and Alfonso's teenaged daughter. As the proud dad told Dear Doctor–Dentistry & Oral Health magazine, "The best part of being a father is the smiles and the warmth you get from your children."

Because Alfonso and Angela want to make sure those little smiles stay healthy, they are careful to keep on top of their kids' oral health at home—and with regular checkups at the dental office. If you, too, want to help your children get on the road to good oral health, here are five tips:

  • Start off Right—Even before teeth emerge, gently wipe baby's gums with a clean, moist washcloth. When the first teeth appear, brush them with a tiny dab of fluoride on a soft-bristled toothbrush. Schedule an age-one dental visit for a complete evaluation, and to help your child get accustomed to the dental office.
  • Teach Them Well—When they're first learning how to take care of their teeth, most kids need a lot of help. Be patient as you demonstrate the proper way to brush and floss…over and over again. When they're ready, let them try it themselves—but keep an eye on their progress, and offer help when it's needed.
  • Watch What They Eat & Drink—Consuming foods high in sugar or starch may give kids momentary satisfaction…but these substances also feed the harmful bacteria that cause tooth decay. The same goes for sodas, juices and acidic drinks—the major sources of sugar in many children's diets. If you allow sugary snacks, limit them to around mealtimes—that gives the mouth a chance to recover its natural balance.
  • Keep Up the Good Work—That means brushing twice a day and flossing at least once a day, every single day. If motivation is an issue, encourage your kids by letting them pick out a special brush, toothpaste or floss. You can also give stickers, or use a chart to show progress and provide a reward after a certain period of time. And don't forget to give them a good example to follow!
  • Get Regular Dental Checkups—This applies to both kids and adults, but it's especially important during the years when they are rapidly growing! Timely treatment with sealants, topical fluoride applications or fillings can often help keep a small problem from turning into a major headache.

Bringing your kids to the dental office early—and regularly—is the best way to set them up for a lifetime of good checkups…even if they're a little nervous at first. Speaking of his youngest child, Alfonso Ribeiro said "I think the first time he was really frightened, but then the dentist made him feel better—and so since then, going back, it's actually a nice experience." Our goal is to provide this experience for every patient.

If you have questions about your child's dental hygiene routine, call the office or schedule a consultation. You can learn more in the Dear Doctor magazine article “How to Help Your Child Develop the Best Habits for Oral Health.”

By St. Johns Dental
August 15, 2019
Category: Oral Health
Tags: oral health   oral hygiene  
SpeakingofWellnessEnjoyingGreatOralHealthforaLifetime

August is National Wellness Month. Since part of staying in good overall health is taking care of your dental health, it's a good time to look at ways you can improve and maintain your oral health. Here are some tips:

Practice good oral hygiene. A fundamental key to a long life of healthy teeth and gums is keeping them clean of dental plaque. This thin biofilm of bacteria and food particles is the number one cause of tooth decay and periodontal (gum) disease. Brushing twice and flossing once each day gets rid of that unpleasant grittiness and reduces your risk of disease.

See your dentist regularly. A good daily oral hygiene habit works best at controlling soft plaque. But any that you miss—a possibility even with great brushing and flossing skill—can harden into calculus (tartar). To remove it, you'll need professional cleaning by a dental professional. The American Dental Association recommends a comprehensive dental cleaning at least twice a year to fully minimize your disease risk.

Eat a low-sugar, dental-friendly diet. Oral bacteria love to feast on the leftovers from your eating, especially sugar. So, cutting back on foods with added sugar isn't just good for other aspects of your health, it can also help "starve out" bacteria and reduce their population in your mouth. You can also boost oral health by eating foods rich in minerals like calcium to maintain strong bones and teeth, and antioxidants that guard against oral cancer.

See your dentist at the first sign of problems. While hygiene, dental care and a nutritious diet can greatly reduce your risk of disease, it won't eliminate it completely. So see your dentist promptly if you notice red, swollen or bleeding gums, mouth pain or unusual spots on your teeth. The sooner you're diagnosed and treated, the less damage from dental disease and future treatment expense you'll endure.

Manage other inflammatory conditions. If you're dealing with a condition like heart disease, diabetes or arthritis, it could increase your risk of gum disease or make any occurrence of it worse. That's because gum disease and many systemic conditions share chronic inflammation as a common link. If an inflammatory condition is not managed through proper treatment, it could worsen any gum disease symptoms you have.

Pursuing wellness is a worthy goal—just be sure you include your oral health in the mix. A healthy mouth is a key ingredient for a healthy life. If you would like more information about gaining and maintaining optimum oral health, please contact us or schedule an appointment for a consultation. To learn more, read the Dear Doctor magazine articles “Daily Oral Hygiene” and “Good Oral Health Leads to Better Health Overall.”

ThatToothacheMightNotBeFromYourToothTheProblemofReferredPain

Pain is the body’s warning system: It tells us something is wrong. And depending on the location and intensity of the pain, it can give us vital clues about the problem.

Sometimes, though, it’s not so clear and direct—the pain could arise from any number of sources. Toothaches often fall into this category: Although it’s likely indicating a tooth or gum problem, it could be something else — or even somewhere else.

This is known as referred pain, in which you may feel pain in one location, like your mouth, but the actual source of the problem is somewhere else, like an infected and congested sinus passage. If we’re able to identify the true source and location of the pain, the better the chances of a successful treatment outcome.

Besides sinus infections, there are other conditions like trigeminal neuralgia that can refer pain to the mouth. This painful condition involves the trigeminal nerve, a large nerve running on either side of the face that can become inflamed. Depending on where the inflammation occurs, you might feel the pain at various points along the jaw, feeling much like a toothache.

There’s also the case of an earache mimicking a toothache, and vice-versa. Because of the proximity of the ears to the jaws, there is some nerve interconnectedness between them. For example, an infected or abscessed back tooth could feel a lot like an earache.

These and other possible problems (including jaw joint disorders or teeth grinding) can generate pain as if it were coming from the mouth or a single tooth. To be sure you’ll need to undergo a complete dental examination. If your dentist doesn’t find anything wrong with your mouth, he or she may refer you to a medical doctor to explore other possible causes.

Getting to the root cause of pain can help determine which treatment strategy to pursue to relieve it. Finding the actual source is the most efficient way to understand what a pain sensation is trying to tell us.

If you would like more information on dental pain, please contact us or schedule an appointment for a consultation.





This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.

Dr. John Joyner

Dr. Joyner established St Johns Dental as a cosmetic and family dental practice in 2003.  His goal is to provide high quality dentistry and a caring, gentle environment for his patients.  Dr. Joyner grew up in Mississippi where his father was a United Methodist minister.  Dr. Joyner graduated from the University of Mississippi School of Dentistry in 1991. He is currently also an Instructor for the University of Florida Dental School.  He supervises dental students as they complete their clinical rotations at The Sulzbacher Center in Jacksonville Beach, FL.

Read more about Dr. John Joyner

Questions or Comments?
We encourage you to contact us whenever you have an interest or concern about our services.