Johns Family Dentistry

History of Dental Implants

It’s safe to say dentistry has come a long way since early attempts at oral care. Many of the treatment options we have today are not only more effective than they were in the past — they’re also a great deal less painful due to anesthetics and pain medications.

One of the standout accomplishments for the field of dentistry is the dental implant. This restorative treatment gives patients a beautiful, complete smile that feels as secure as their natural teeth.

Our patients here at Johns Family Dentistry know first-hand how dental implants can make all the difference for the health and look of your smile. Replacing missing teeth as soon as possible is imperative to protect your remaining teeth and your overall oral health.

Tooth loss has been a problem for thousands of years and humans have always tried to remedy the problem. In fact, early attempts at dental implants can be traced all the way back to the ancient Mayans.

The Evolution of Dental Implants

Although today’s dental implants are a highly technical dental treatment, early civilizations had the basic idea of implants thousands of years ago. One of the earliest attempts at dental implants can be seen in the Mayan civilization.

Evidence of an early attempt was discovered in 1931 in Honduras. An ancient burial site contained the corpse of a woman believed to be in her twenties when she died. This first dental implant was made using seashells and it dates all the way back to 600 AD.

Archaeologists noticed the three seashells in the mandible of the women and initially believed they were inserted after death. It wasn’t until 1970 that a researcher found that bone had grown around the seashell, which tells us that the seashell must have been placed while the woman was still alive.

There are attempts to restore missing teeth in other ancient civilizations as well. Researchers found a copper peg hammered into the upper jawbone of an Egyptian king dating back approximately 3,000 years. Researchers believe that this was placed post-mortem and was done to restore the king’s smile for the afterlife.

Other traces of evidence were found in a Celtic grave discovered in France. An iron tooth was hammered into the jaw of the deceased and it was most likely to improve the smile post-death just as the Egyptians had done.

Early attempts at dental implants used material ranging from iron to wood to seashells. Additional attempts at restoring missing teeth also included using teeth from animals or the poor. Major advancements in dental implants didn’t occur until the eighteenth century. During this time, medical professional experimented with different materials such as gold or alloy but found little success.

The most important discovery in dental implant history was made by orthopedic surgeon Per-Ingvar Brånemarkin 1952. Brånemark was studying bone healing by placing a titanium cylinder around the femur of rabbits. After his study was complete, he was surprised to find that the cylinder could not be removed because it had bonded with the bone.

From there, he theorized that titanium would be the perfect material for dental implants because it could fuse with the jawbone. He placed the first titanium implant in 1965 and used four implants to secure a denture. The patient, who was born with a cleft palate and other dental issues, enjoyed his implants for the next four decades until he passed away.

Contact Our Practice in Puyallup, Washington

From this point, methods for dental implants have continued to progress. Are you tired of living with your missing teeth? Choose dental implants to enjoy a beautifully restored smile. Schedule consultation with Dr. Johns today.

Poor Quality Sleep Has Dangerous Health Consequences

Is restless sleep affecting your health?

There is a direct connection between health and quality of sleep.

A study conducted by the University of Chicago School of Medicine discovered a link between low quality sleep and type 2 diabetes.

“Insufficient sleep–a highly prevalent condition in modern society–may disrupt fat metabolism and reduce the ability of insulin to regulate blood sugars. It suggests that something as simple as getting enough sleep could help counteract the current epidemics of diabetes and obesity.”–Esra Tasali, MD, Assistant Professor of Medicine at the University of Chicago.


Even if you don’t have diabetes, you should care about your blood sugar levels. Spikes in blood sugar are harmful in a myriad of ways.

High blood sugar can damage blood vessels that bring oxygen to your organs. This can increase the risk of heart disease and stroke, kidney disease, nerve malfunction, and vision issues.

Difficulty Sleeping May Be Caused By Sleep Apnea

What is sleep apnea?

It’s a serious health condition in which your breathing periodically stops while you sleep.

Suspect you might have sleep apnea? Read through these common symptoms.

Symptoms Of Sleep Apnea

Excessive Daytime Sleepiness
Sleep Deprivation
Excessive Snoring
Episodes of Not Breathing
Mouth Breathing
Dry Mouth/Throat
Frequent Headaches

Don’t misunderstand, having one of these symptoms is typically fine. If you experience several symptoms, we recommend seeing your doctor.

Three Types Of Sleep Apnea

There are three different types of sleep apnea. Obstructive sleep apnea is a condition where your throat muscles relax. Central sleep apnea occurs when your brain doesn’t send proper signals to control your breathing. The final type is called complex sleep apnea syndrome. This type occurs when someone has a combination of the two previously listed.

If your physician diagnoses your condition as Obstructive Sleep Apnea, don’t assume that there is only one treatment. Oral appliances can treat some forms of sleep apnea. Treatment can ease your symptoms and help prevent the health issues discussed previously.

Sleep Better, Be Happier

Improved sleep can trigger a chain reaction of positive effects. When you sleep better, you feel happier during the day. You are more in control. Better able to deal constructively with life’s complexities. It helps you be proactive instead of reactive. When you make better decisions, you have more success in your business and personal pursuits.

If you have any questions, please direct them to Dr David Johns. 253-848-3723

How to Get Better Sleep When You Experience Sleep Apnea Symptoms

November is National Sleep Comfort month, and it’s a good time as ever to reevaluate our sleep patterns as we head into the holiday season. For some people, no matter how many healthy sleep habits they practice, they still experience poor quality sleep and wake up tired. If you’re still having trouble sleeping after implementing near perfect sleep hygiene, it’s likely you have a sleep disorder.

The Link Between Sleep Apnea & Teeth Grinding

About 40 million Americans suffer from chronic sleep disorders each year. One common sleep disorder among almost 31% of the population is teeth grinding, known as bruxism. What many people don’t know is that grinding teeth is often caused by undiagnosed sleep apnea. Sleep apnea is a condition in which the throat muscles obstruct the airways and nasal passageways, causing you to stop breathing for periods of time during the night.According to the National Sleep Foundation, “nearly one in four people with obstructive sleep apnea grind their teeth at night, and men are more likely to be affected.”


Common Symptoms of Sleep Apnea & Teeth Grinding in Adults

If you’re frequently waking up with headaches, earaches, tired, tight jaw muscles, or sensitive teeth, you are most likely grinding your teeth at night. Bruxism can also show up in worn down teeth and changes in the shape of your teeth.

Sleep apnea, on the other hand, is slightly harder to detect. Some common signs of sleep apnea include:

  • Snoring loudly
  • Feeling tired even after a full night’s sleep and have excessive daytime sleepiness (hyperinsomnia)
  • Trouble staying asleep (insomnia)
  • Waking up with a dry mouth, sore throat or headache
  • Sometimes waking up gasping or with shortness of breath
  • Waking up often to use the bathroom
  • Attention, concentration, and memory problems
  • Heightened irritability and mood swings


Common Symptoms of Sleep Apnea & Teeth Grinding in Children

Children also experience symptoms of sleep apnea and bruxism. Interestingly, a lot of these symptoms are similar to the symptoms of ADHD, such as difficulty with learning, poor attention span, and poor performance at school. Some other signs to look out for include:

  • Snoring
  • Excessive daytime sleepiness
  • Heavy mouth breathing, both while awake and asleep
  • Repeated pauses in breathing during sleep
  • Bedwetting

Risks of Continued Sleep Apnea & Teeth Grinding

Left untreated, sleep apnea can lead to other serious health issues including type 2 diabetes, acid reflux, poor immune function, mental health issues, memory loss and increased risk of stroke or heart failure.

Apart from the symptoms of painful and tired jaw, headaches, and sensitive teeth, nighttime teeth grinding can break, loosen, or wear down teeth, enamel, crowns and fillings overtime.

The good news is there are several remedies you can try to help cure sleep apnea and teeth grinding, and in turn improving your sleep quality.

Tips for Eliminating Bruxism & Sleep Apnea for Improved Sleep Quality

A lot of these symptoms can be alleviated through simple lifestyle changes. These include:

  • Manage stress levels (bruxism especially is a response to stress and anxiety).
  • Lose weight and maintain a healthy weight (obesity increases the likelihood of airway obstruction and narrowed nasal passages).
  • Try yoga (improves respiratory strength and oxygen flow).
  • Limit alcohol intake. (Alcohol relaxes the throat muscles, which leads to snoring and interrupted sleep cycle, as well as contributes to inflammation of your airways, blocking your breathing).
  • Quit smoking. (Tobacco causes inflammation and swelling in your throat).
  • Change your sleeping position. (Sleeping on your back relaxes the throat muscles, thus restricting airflow).
  • Use a humidifier (especially if you live in a dry climate).

Improve sleep hygiene:

  • Reserve the bedroom for sleep only.
  • Keep a consistent sleep schedule, going to sleep and waking up at the same times every day (even on weekends).
  • Avoid caffeine after noon.
  • Avoid blue light from screens at least one hour before bed.
  • Try not eating at least 2-3 hours before bed.
  • Keep your room dark and the temperature cool.
  • Exercise daily.
  • Practice a relaxing bedtime routine.

If these lifestyle changes don’t improve your sleep, some common treatments for bruxism and sleep apnea include medication, surgery, or use of oral appliances to reposition your jaw or tongue to keep your airway open while you sleep. Getting fitted for a custom night dental guard can protect the teeth against grinding and assist with jaw alignment. The American Academy of Dental Sleep Medicine supports custom-fit appliances as “an effective treatment option for snoring and obstructive sleep apnea (OSA)”.

Try implementing these remedies to improve sleep quality, as well as working with Johns Family Dentistry to discuss your symptoms and find a solution that work best for you.

Finding the Right Toothpaste

We already know that it is especially important to keep your teeth clean.   Using the right toothpaste will make the job easier. Which toothpaste is best for the job?  Below are some tips on choosing a toothpaste.

Controlling Plaque and Tartar

Controlling both plaque and also tartar is essential for any patient.  Bacteria in the mouth causes these two conditions.  In fact, tartar is a hard substance on the teeth that is caused by plaque building up over time.  Using a high-quality toothpaste twice per day will help to bust through bacteria, fighting both plaque and tartar, as well as bad breath and more.

The Importance of Fluoride

Fluoride is the key ingredient that you should look for in a toothpaste. Fluoride helps to strengthen teeth, which is important for your overall oral health. Strong teeth will be less likely to develop cavities due to plaque. Fluoride also prevents erosion from acids in foods or drinks. Check for fluoride on the toothpaste label before you buy the product.

What About Whitening Toothpaste?

Whitening toothpaste is a very popular option today. Whitening toothpaste can appear to whiten teeth slightly by removing surface stains, such as those caused by drinking coffee or smoking. However, whitening toothpastes can’t change the natural color of your teeth or lighten a stain that goes deeper than a tooth’s surface.

Regular Check-Ups Are a Must

It is also important to see the dentist, too. Dr. Johns and your JFD dental team will check for cavities and also professionally clean your teeth. It is one of the easiest ways to keep your smile healthy. Ready for your dental check-up? Schedule your appointment with Johns Family Dentistry today.

Why Fluoride in Water?

Five Reasons Why Fluoride in Water is Good for Communities

1.  Prevents tooth decay. Fluoride in water is the most efficient way to prevent one of the most common childhood diseases – tooth decay. An estimated 51 million school hours and 164 million work hours are lost each year due to dental-related illness. Community water fluoridation is so effective at preventing tooth decay that the Centers for Disease Control and Prevention named it one of 10 great public health achievements of the 20th century.

2.  Protects all ages against cavities. Studies show that fluoride in community water systems prevents at least 25 percent of tooth decay in children and adults, even in an era with widespread availability of fluoride from other sources, such as fluoride toothpaste.

3.  Safe and effective. For 70 years, the best available scientific evidence consistently indicates that community water fluoridation is safe and effective. It has been endorsed by numerous U.S. Surgeons General, and more than 100 health organizations recognize the health benefits of water fluoridation for preventing dental decay, including the Centers for Disease Control and Prevention, the American Medical Association, the World Health Organization, the American Dental Association, and the American Academy of Pediatrics.

4.  Saves money. The average lifetime cost per person to fluoridate a water supply is less than the cost of one dental filling. For most cities, every $1 invested in water fluoridation saves $38 in dental treatment costs.

5.  It’s natural. Fluoride is naturally present in groundwater and the oceans. Water fluoridation is the adjustment of fluoride to a recommended level for preventing tooth decay. It’s similar to fortifying other foods and beverages, like fortifying salt with iodine, milk with vitamin D, orange juice with calcium and bread with folic acid.

Questions?  Johns Family Dentistry would be happy to answer them.

Dental Hygiene and Children

Being a responsible parent involves taking care of your child’s mental and physical health on a regular basis.

Children tend to fall prey to germs and bacteria more and hence develop diseases, infections or cavities too. While it is more obvious to take care of their health needs, as a parent, we might not give enough attention to their teeth.

The oral region is connected to the overall body and that is why any negligence in this area is unpardonable.

We have put together a few vital tips that will help you navigate dental health for your children.

  1. Even before your baby starts teething, run a clean, damp washcloth over the gums to clear away harmful bacteria.
  2. When your baby gets teeth, brush them with an infant toothbrush. Use water and a tiny bit of fluoride toothpaste (about the size of a grain of rice). Use fluoride toothpaste that carries the American Dental Association’s (ADA) seal of acceptance. (If you are using baby toothpaste without the fluoride, keep it to the same amount because you still want to minimize any toothpaste that is swallowed.)
  3. When two of your baby’s teeth touch, you can begin flossing between them.
  4. Around age 2, your child should learn to spit while brushing. Avoid giving your child water to swish and spit because this can make swallowing toothpaste more likely.
  5. Kids ages 3 and up should use only a pea-sized amount of fluoride toothpaste.  Always supervise kids younger than 8 while brushing, as they’re likely to swallow toothpaste.

Here’s how to keep cavities away:

  1. Start good oral habits early.
  2. Teach kids to brush at least twice a day with fluoride toothpaste and to floss regularly.
  3. Get enough fluoride. Regular use of fluoride toughens the enamel, making it harder for acid to penetrate. Although many towns require tap water to be fluoridated, others don’t. If your water supply is not fluoridated or if your family uses purified water, ask your dentist for fluoride supplements. Most toothpastes contain fluoride but toothpaste alone will not fully protect a child’s teeth. Be careful, however, since too much fluoride can cause tooth discoloration. Check with your dentist before supplementing.
  4. Limit or avoid some foods. Sugary foods, juices, candy (especially sticky gummy candy, gummy vitamins, or fruit leather or “roll-ups”) can erode enamel and cause cavities. If your kids eat these foods, have them rinse their mouth or brush their teeth after eating to wash away the sugar. The same goes for taking sweetened liquid medicines: always have kids rinse or brush afterward.
  5. As your child’s permanent teeth grow in, the dentist can help prevent decay by applying a thin wash of resin (called a sealant) to the back teeth, where most chewing is done. This protective coating keeps bacteria from settling in the hard-to-reach crevices of the molars. But make sure that kids know that sealants aren’t a replacement for good brushing and regular flossing.
  6. As kids get older, their bite and the straightness of their teeth can become an issue. Orthodontic treatment begins earlier now than it used to, and braces have changed too. The embarrassing old gear — a mouth filled with metal wires and braces — is in the past. Kids as young as age 7 now wear corrective appliances, and plastic-based (sometimes clear) materials have replaced metal. Orthodontists know that manipulation of teeth at a younger age can be easier and more effective in the long run. Younger children’s teeth can be positioned with fairly minor orthodontic devices, preventing major treatment later on.

Give us a call now to schedule for a summer cleaning, we are already booking up August, due to the closure from Covid19.  Any questions, your friendly Johns Family Dentistry team is always here to help.

We Are Back!

Who’s ready for a real haircut? What about popcorn and soda in front of a big screen? Whatever you’ve been missing these past few months, get ready to embrace it again as Washington re-opens. Things may look a little different, but soon you’ll be back at the mall, movie theater, gym, and salons in some capacity.

Washington Re-Opens

Our mission has always been to provide the highest available quality care to our community. As we prepare to reopen our doors, the steps taken demonstrate our persistent resolve to this commitment. At your next appointment, in addition to upholding the WISHA standards that we have always maintained, you will notice updated office protocols, new technology, and additional equipment above and beyond the required. Please read them over so you know what to expect when you come to your appointment. Prior to your appointment: Patients will be asked to complete a 10-question health screening and a consent for treatment. Please sign and submit online prior to your appointment. (You will receive this via text).

  • Temperature checks: All team members and patients will be screened daily. Anyone with a temperature of 100° or higher will not be permitted to enter our building.
  • Arrival: We ask that patients “check-in” by calling the office at 253-848-3723, letting us know you have arrived. Relax in your vehicle; we will instruct you to meet one of the staff members at our private entry door. You will be greeted with a warm welcome and a temperature reading.
  • Additional prevention measures: Patients will be given a hydrogen peroxide oral rinse and asked to wash their hands before being taken directly to their patient suite. Please wear a mask if you have one.
  • Our new ‘look’: You will notice your hygienist or assistant fully donned with PPE (personal protection equipment) happy to see you and still smiling underneath it all.
  • Behind the scenes: As always, each suite has been meticulously prepared for your arrival. In addition to every surface being treated with the proper disinfection tools, we have added individual air purifiers that remove bacteria and viruses in each suite and throughout the office. UV light sterilization wands are also being used to ensure no surface is untreated.
  • Time to say goodbye: At the end of your appointment we will schedule your next appointment and email your treatment plan. We will escort you to the side door to return to your car. This will limit crossing paths as much as possible.

We appreciate your understanding regarding our new procedures and hope you appreciate the added safety measures we are taking to ensure your care. We may look a little different today but are committed to delivering the same excellence and JFD service you are accustomed to. Thank you for allowing us to be a dedicated part of your healthcare team. We are so happy to be back!

– Dr. David Johns and Team


What Makes Some Snacks Good or Bad for Teeth?

With the Clovid19, increase at being at home, many of us are snacking a bit more than usual. So if you are someone like us, giving in to the snacks, do you know how to choose the better option?

Snacks that are high in sugars or carbohydrates and are acidic are unhealthy for your teeth. “Sticky” snacks that can adhere to your teeth are especially bad, as they increase the chance of causing cavities. Eating too many foods that are high in sugar or carbs give the bacteria in your mouth more “fuel” to cause tooth decay. It’s important to be aware of the food you’re snacking on; if you do treat yourself, be sure you’re doing it in the right way.


Tips for Healthy Snacking
Preventing cavities is the ultimate goal. Here are some tips to protect your teeth from snack foods:

Try swapping out candy, soda, and chips with healthier options like apples, yogurt and soda.

Brush and floss 30 minutes after eating snacks that are “sticky” or contain high sugar or carbohydrates.

If you can’t brush immediately after, be sure to rinse with water and brush your teeth at least twice a day and floss before bed.

If you happen to eat an unhealthy, limit the time that you’re exposing your teeth to these foods. Instead of drinking a soda or eating chips over a long period of time, or all day, try to drink or eat in a shorter period.



Foods to Avoid



Citrus fruits


Processed meats


Artificial sugar substitutes



Prevent Cavities
Choose a toothpaste with fluoride and be sure to floss so you can clean the surfaces your toothbrush can’t reach. Lastly, be sure to visit Johns Family Dentistry twice annually for a professional exam or cleaning.

Overall, snacking can be fine for you if you take steps to protect your oral health. Keep in mind which snacks can help promote better oral health and which snacks can impact your oral health negatively. Everything is okay in moderation; limiting sugary or salty snacks and keeping up with a dental care routine will help prevent oral health problems.

How to Improve Oral Hygiene While At Home

We all know that washing our hands and practicing safe social distancing are important steps in fighting COVID-19. Did you know that good oral hygiene can also help fight diseases, including viruses?

Why Is Good Oral Hygiene Important?

Healthy teeth and gums look and feel good, but your mouth is also your first line of defense against infectious bacteria, including viruses such as COVID-19. Brushing your teeth removes harmful bacteria and prevents it from invading your body. Also, saliva contains some antibacterial and antiviral proteins that help fight some infections.

On the other hand, poor oral hygiene is linked to a number of health conditions, including heart disease and diabetes. Insufficient oral care routines can also mean that bad bacteria and viruses spend more time in your mouth and have opportunities to reach your bloodstream.

A good oral care routine is a big step toward good overall health, and it’s something you have complete control over. Now is the perfect time to improve your oral care routine and make new habits for a healthier smile.

Tips to Keep Your Mouth Healthy

Maintaining a healthy mouth doesn’t take much effort. Now that you’re spending plenty of time at home, make sure that good oral care is part of your daily routine. Here are some more tips:

  • Wash your hands before and after brushing and flossing.
  • Store your toothbrush properly. Allow it to air dry and keep all toothbrushes in your household separate to prevent the spread of germs.
  • Disinfect your toothbrush. Here are a few ways to sterilize your toothbrush at home.
  • Add an antibacterial mouthwash to your daily routine.
  • Replace your toothbrush every three months, or after you’ve been sick.
  • Dental emergencies can be life-threatening, and often the ER personnel is not qualified to treat tooth pain. Our team is equipped and well-trained to handle any dental problem that requires immediate treatment.

March Madness

It is March Madness time around Johns Family Dentistry!

We are beginning the month, finishing up a successful book drive. We have been collecting children’s new or gently used books. Our book drive ends on March 5th. The books will then be donated to local charities. We could not do this without the support of our amazing patients and generous community!

Following Selection Sunday on March 15, 2020 – we will go live with joining the JFD tournament challenge. In 2019 we did the same fun competition, using the ESPN app. Staff and patients participated and it was a great turnout and a lot of fun! The competition got intense and a lot of fun school rivalries!  Join the fun and if you are the winner, based on a points system from the app, you will be the recipient of a great prize! (We will announce the prize at the start of the tournament!)

Lastly, March 17th is quickly approaching! Happy Saint Patrick’s Day! Stay safe and enjoy the holiday.