Johns Family Dentistry

Dental Implants

Dental implants are an excellent way to restore your smile. If you have one or more missing teeth, implants may be right for you. Dental implants restore the entire tooth from the root to the biting surface. There are a few different types of appliances that your dentist can use with dental implants. For example, dental implants can be used as a base to secure dentures. For more information on the dental implants in Puyallup, WA, contact Johns Family and Implant Dentistry.

What are Dental Implants?
Dental implants consist of three main parts. The first part is the post which acts as the tooth’s root. First, the tooth must be removed entirely, including the root. The post is made of solid titanium material. The next part of the dental implant is the abutment that holds the implant’s post and the appliance together. The last part is the appliance of your choice. The type of appliance you choose depends on how many teeth you are replacing. If you replace one tooth, Dr. David Johns may recommend a dental crown. If you are replacing a few teeth, he may recommend a dental bridge. Lastly, if you miss a set of teeth on the top, bottom, or both, he may recommend a denture. Each dental appliance is secured in place with the dental implant. All options are fixed in your mouth, except the dentures can be removable.

What Happens During the Dental Implant Process?
The first step to many dental procedures is an x-ray. An x-ray gives Dr. David Johns, a good understanding of how your teeth sit. Next, he will prepare the gum space. If there is a tooth where you would like a dental implant, he may remove the tooth. Once the gum area is ready, Dr. David Johns will give you a local anesthetic to numb you. Next, to make you more comfortable, he may offer you sedation dentistry. Sedation dentistry includes an oral sedation pill to help you relax. Finally, he will place the post. It will take a few weeks for the post to heal in place before he can place the abutment and the dental appliance. While you heal, Dr. Johns may give you a temporary dental appliance.

Dental Appliances for Dental Implants
Dental implants are posts that sit in your gums. Once the implant is placed and healed, your dentist can place a dental appliance. Below are a few examples of dental devices that can be placed.

Dental Crown. A dental crown is the part of your tooth above your gums. A dental crown is typically made of porcelain. The porcelain material makes a dental crown a solid and durable material. It is also stain-resistant. Unlike the other two dental appliance options, a dental crown only replaces one missing tooth.

Dental Bridge. A dental bridge consists of multiple dental crowns attached to make a bridge. A dental bridge allows your dentist to restore multiple teeth in a row with one dental appliance. Just like dental crowns, dental bridges replace the part of your tooth above the gums and are made of porcelain.

Dentures. Dentures come in two main types: removable and fixed. Both options are great solutions to repair one set or both sets of teeth.

Dental Implants in Puyallup, WA
Dental implants are state-of-the-art technology that can be done here in Puyallup, Washington. At Johns Family and Implant Dentistry, we offer dental implants as a solution to restore one or more teeth. For more information on dental implants or to schedule an appointment, please call our office today.

Dental Implants

A patient may invest in dental implants for a variety of different reasons, many of which focus on positively changing personal image and improving overall oral health. Implants are often applied when patients are missing one or more teeth and are not interested (or have had no success with) dentures or dental bridges. To understand if this type of dental work is the right course of action, a patient must first know about the types of implants and the issues they address.

Implant options
On a basic level, a dental implant is a metal post that is screwed into the patient’s jawbone. Once secured, an artificial tooth, or crown, that matches the patient’s natural tooth color is attached to the post. The end result is a full smile and healthy, sturdy bite.

Dental implants can be broken into several categories, and a dentist may suggest one over the others because of specific patient needs. First, a dentist must determine if the patient has a strong enough jawbone for an implant. After that is decided, a patient may receive one of three different types of implants.

Endosteal versus subperiosteal
All implants can be divided into two major types: endosteal and subperiosteal. Endosteal implants are placed directly in the jawbone. These are often used with patients who have strong, healthy jawbones that are not at risk of breaking during the procedure or after the implants are placed. Endosteal placements are more common than subperiosteal.

Subperiosteal implants do not go into the jawbone but rest above it within the gums. Patients who do not have robust jawbones may undergo bone restoration techniques to regrow and fortify the bone to make it a candidate for endosteal implants. However, patients who do not wish to receive this treatment can opt for subperiosteal implants.

Single implants
Single dental implants are used if a patient is missing just one tooth. One post can be set into the jawbone where the tooth is missing, essentially replacing the lost root. The jawbone must then be given ample time to heal around the post, a period that can last several months. After it is fully healed, the crown is secured to the post via a third piece called an abutment.

Implant-supported bridges
Some patients are missing consecutive teeth in a row. In this case, dental implants can be placed in the location of the roots of the two teeth on each end of the row. The crowns attached to these implants support the crowns in between, creating an effective “bridge.” This removes the need for an implant under each artificial tooth.

Implant-retained dentures
The third option is for patients missing most teeth. Several implants are secured in the jawbone and attached to an entire denture that sits on top of the gums. Instead of having dentures that must regularly be removed, these dentures are permanently fixed in place.

If you have questions, give Johns Family and Implant Dentistry a call at 253-848-3723.

Three Maintenance Tips After Professional Teeth Whitening

Wondering why dental patients are choosing professional teeth whitening in-office services? Having a dental professional make all the decisions allows for a safe whitening procedure that offers immediate and long-lasting results.

Why professional teeth whitening is preferred?
Choosing to undergo professional teeth whitening services means patients will be under the supervision of a dental professional. This means there is no need for them to guess what type of whitening product they should use, how long they need to keep the product on their teeth and when they need to whiten their teeth again. Instead, all one needs to do is let the dental professional take charge of the procedure, which allows for safety and security.

Tips for maintaining a white, bright smile
Below is a list of tips that can help anyone who has recently had their teeth professionally whitened to maintain their new, white and bright smile.

Avoid consuming stain-causing foods and drinks
Avoid consuming drinks that stain, like coffee, red wine, fruit juices, hibiscus, dark soda, beer, and black tea, as this is necessary to maintain a white smile after professional teeth whitening takes place. Additionally, avoiding consuming food that can stain is important and includes foods like beets, berries, red grapes, dark chocolate and food with artificial colors. Examples of approved foods and drinks include milk, pasta, rice, eggs, vanilla pudding, fish, white cheese, chicken breast, potatoes and yogurt. Using a straw can help heavily dyed beverages bypass the teeth.

Do not smoke
According to Healthline, smoking exposes one’s teeth to both tobacco and nicotine and as a result, stained, yellow teeth and bad breath are likely to happen. The fact that smoking tobacco can cause extreme tooth stains is why many smokers who have stains will choose to undergo professional teeth whitening services, as over-the-counter options tend to not work very well for smokers. Smoking not only stains teeth, but it is also harmful to one’s oral health and overall health.

Brush and floss immediately after eating
Brushing and flossing after eating or drinking something that can cause teeth to stain is one of the more important things one can do to maintain their white teeth. If it is not possible to brush one’s teeth after eating or drinking, it is important to at least rinse the mouth thoroughly to rid the mouth of any stain-causing ingredients as soon as possible after eating.

Get touch-ups as needed
Most patients will need to make professional teeth whitening touch-up appointments somewhere in between six and 12 months. It will simply depend on the patient’s particular situation when it comes to how often they will need to undergo touch-up whitening treatments. If the above maintenance tips are not followed, they will likely need to undergo touch-up treatments more often.

In need of professional teeth whitening services?
Choosing the professional teeth whitening route is preferred, as this option is one that provides dental patients with a safe whitening procedure. This means there is no guessing when it comes to whitening one’s teeth, as all of the details are left up to the dentist. The fact that professional whitening lasts longer, also makes this option a popular one amongst busy patients.

Are you considering professional teeth whitening in the Puyallup area? Get more information at

Will I be in pain after having a dental implant placed?

There’s no denying that dental implants are a great way to achieve a new beautiful smile. However, for some, there may be a lot of apprehension about getting dental implants due to a potential pain that may be associated with the procedure. Some people are petrified of the thought of having surgery, and others dread the idea of having anything inserted into their mouths.

If you are considering getting a dental implant, it is important to understand that the procedure can be uncomfortable. Most people experience some level of discomfort following the surgery, but the level of pain will vary from person to person. (Some feel little to nothing while others feel very minor discomfort.) It is important to discuss your expectations for discomfort with Dr. David Johns prior to the implant procedure.

However, if you are one of the millions of people who are looking to replace missing teeth with implants, don’t be afraid. In fact, dental implant surgery is one of the most common and successful procedures performed today.

Dental implants are a great option for people who want to improve their smile. They can give you a natural looking replacement tooth that is stable and secure. Dental implants also last a long time, so you will not have to worry about them breaking down.

If you are considering getting dental implants, you should come visit our practice. Get in contact with our office, Johns Family and Implant Dentistry of Puyallup, WA to schedule your FREE implant consultation today.

Understanding PRF – Platelet-Rich Fibrin for Oral Surgery and Healing

Many patients are concerned about healing time and quality of the results for their oral surgery. Whether it’s dental implants, bone grafting, or a sinus lift, oral surgery usually requires several weeks or months for proper healing. Johns Family and Implant Dentistry ensures our patients heal well and recover quickly by using PRF’s or platelet-rich plasma to enhance the body’s ability to heal itself.

What is PRF?
PRF are blood product concentrates made from your own blood. They are rich in blood platelets that aid in the healing process, making them an excellent addition to oral surgery procedures. Because these are derived from your own blood, they are completely safe and a guaranteed match that works with your body’s own immune system.

The platelets encourage the formation of blood clots after surgery and release growth factors that hasten healing by stimulating your own stem cells. The stem cells regenerate new tissue for more efficient recovery.



How do you make PRF?
Before surgery, we draw some of your own blood and place it in a centrifuge. The centrifuge spins out the different blood components into concentrated parts that we can use to aid the healing process. We don’t “make” PRF; your body’s own blood makes these blood products we use as a part of your healing process; however, we can increase the concentration and separate out the specific factors needed.

During oral surgery, PRF is mixed with some of your own bone or a bone substitute, then applied to stimulate stem cell production of new tissue and bone. It basically works like a band-aid created from your own blood that is placed in the surgical area to promote healing.

What are the benefits of using PRF for dental surgery?
* Speeds the healing process
* Reduces bleeding during surgery
* Reduces inflammation
* Reduces risk of post-operative infection
* Encourages new bone growth at the surgical site
* Encourages soft tissue regeneration
* Eliminates chances of rejection or an allergic reaction
* Easily produced in-office the day of surgery
* Reduction of post-operative pain
* Reduces the chance of dry socket and other complications

When does Johns Family and Implant Dentistry use PRF?
Any time the success and rate of healing after oral surgery or dental implants is a concern, PRF can contribute to faster, more effective recovery. A standard procedure we use them for is dental implants. The jawbone and ridge must heal adequately and form a durable bond with the implants. The stem cells in plasma dramatically improve the healing process. It also reduces the length of time between the placement of the implants and the attachment of the crowns.

Dr. David Johns also uses PRF for a variety of other surgical procedures, including:
* Bone grafts
* Sinus lifts
* Ridge augmentation
* Dental cyst removal

Is PRF a complicated procedure?
With the advanced technology in our office, it is a very simple process for you. While you are having your procedure, we draw about 55cc (less than two ounces) of blood, we place it in tubes and centrifuge these to isolate the PRF. The entire process takes just 15-20 minutes, and can have a dramatic, positive effect on the healing process.

Is there anyone who can’t use PRF?
If you have a clotting disorder or blood-borne illness, you may not be a candidate for dental PRF.

Please contact our office at (253) 848-3723 to schedule a consultation with Dr. Johns to discuss dental implants, oral surgery, and how PRF can ensure a successful procedure and enhanced healing.

Are Dental Implants Right for You?

Are Dental Implants Right for You?


The Centers for Disease Control and Prevention says that 52% of people between the ages of 20 and 64 are missing one or more of their teeth. Of those aged 40 to 64, 66% of them are missing at least one tooth. Additionally, around 20% of people over 65 no longer have any of their real teeth.

Whether you’re missing one or more teeth because of an injury, tooth decay or illness, dental implants may be the remedy for restoring your bite. Based on your gum, jawbone and general health, your dentist can help you choose the best solution for your needs.

Tooth Implants: What Are They?
Tooth implants are a long-lasting option for replacing missing teeth, and they look, function and feel like natural teeth. They’re especially appealing to individuals who find bridges and dentures uncomfortable and those who want to protect their bone structure. There are two types of implants: subperiosteal and endosteal. Subperiosteal implants are set in your gums, above your jawbone, while endosteal implants are secured within your jawbone. In either case, dental implants consist of three parts:

Body: Also called the post, this part is made of lightweight, durable titanium, which is rarely rejected by the body. The post looks like a screw and is placed below the gumline.

Abutment: Acting as an attachment point for the crown, this part screws into the post and sits right above your gum line.

Crown: Also known as the prosthesis, this visible part of a dental implant is attached to the abutment. It’s made to match the size, color and shape of your natural tooth.

How Do Dental Implants Work?
Since the posts of dental implants are like artificial tooth roots, they fuse to the jawbone and become a sturdy support for the crowns. Each one is strong enough to support one crown, or multiple crowns that are bridged together.

What’s Involved in Getting Tooth Implants?
Of the numerous oral procedures available, surgically inserting tooth implants is one of the safest. Dentists usually perform the procedure on an outpatient basis over several months and stages. The reason is that healing time is required for your gums and jawbone in between some of the steps. For example, your jawbone needs to heal after a tooth removal before a post can be inserted. You can find out more about each step from your dentist before your procedure.

Undergoing a Bone Graft
If your jaw has lost bone or is weak, you may need bone grafting in order to get tooth implants. This step will make your jaw more stable to hold the implant and will improve the chances of the procedure being successful. It can be completed using a bone substitute that promotes bone growth or bone from another area of your body. Although minor grafting may be performed during the initial surgery, extensive grafting could take months.

Placing the Implants
During your tooth implant surgery, your dentist will make an incision in your gums to expose your jawbone. Next, a deep hole will be drilled through the surface so the post can be screwed in. Last, your dentist will use stitches to close the insertion site. Then you’ll wait for your bone to grow around and bond to the post, which can take several months.

Connecting the Abutment
After your jawbone and post have fused together, the dentist will attach the abutment during minor surgery. The gums will be reopened so that the top of the post is exposed. Then, your gums will be closed around the abutment, but the top will remain partially exposed. Next, you’ll wait a couple of weeks for your gums to heal.

Attaching the Crown
Once the second round of healing is complete, the dentist will take impressions of your mouth and real teeth so that a lab can create your crown. Fixed crowns are screwed or cemented to the abutment, whereas removable crowns are snapped onto the abutment and removed every day for cleaning.


What Happens After the Dental Implants Procedure?
As with all other dental surgeries, you’ll likely experience minor swelling, bruising, bleeding and pain after the tooth implant procedure. Your dentist might give you tips and aids to manage the swelling and pain, as well as prescribe pain medication.

What Are the Advantages and Disadvantages of Getting Tooth Implants?
If you’re looking for a way to replace missing teeth, tooth implants are a wonderful choice. Although they offer numerous benefits, knowing the drawbacks is important, too.

The Advantages
Comfort: Since dental implants become part of your jaw, they offer a level of comfort that traditional dentures can’t duplicate.

Convenience: Implants don’t require messy adhesives because they’re permanent.

Improved Speech: It’s easy to speak clearly with implants because they’re designed for a secure fit that won’t budge.

Natural Appearance: Because implants are customized for each person, they’re impressive imitations of real teeth.

Optimal Oral Health: The dentist doesn’t have to alter your remaining teeth to give you implants, and you can brush and floss them like normal.

Durability: Implants can last a lifetime with proper oral hygiene.

The Disadvantages
Cost: A single implant may cost thousands of dollars, and your dental insurer may not cover it. However, your dentist might make it more affordable with payment options.

Surgery: Risks are always associated with surgical procedures, including complications, infections, jaw fractions, tooth damage and nerve damage, and side effects from the anesthesia could occur.

Future Expenses: In some cases, implant crowns need to be replaced, which can be expensive and come out of your pocket.

Time: Typically, finishing the dental implant process takes several months.

Next step?

Johns Family Dentistry offers affordable, compassionate oral health care through several services, including tooth implants. Schedule a consultation today.

We are open to serve you. Your health and safety are our top priorities.

We are following state and CDC guidelines to responsibly deliver needed care. Please view our enhanced safety and infection control measures here.

Digital Scanner

When it comes to setting the tone for patient-first restorative dentistry, digital scanning is the best way forward. Not only is it a faster, easier process with more accurate results, it drastically reduces intra-oral discomfort. Intra-oral scanners use the latest digital technology to swiftly scan the patient’s upper and lower arches, in fast, more comfortable process which can take fewer than two minutes.

When it comes to the treatment itself, one of the most common dislikes is having a conventional impression taken and the prospect of this procedure can cause patients to avoid beneficial treatment. Today’s scanner perform the job better, faster and more comfortably for our patients. They also save time and are more accurate.

At Johns Family Dentistry, we utilize the scanner for bridge and crown, implants, diagnostics wax-ups and aligners.


As we enter March, we realize it was just 12 months ago that we had to follow our Governor’s orders and close down the practice for nearly 2.5 months. Granted we were still allowed to come into the office to treat dental emergencies, but a handful of patient’s a week compared to what we normally see, just had an eery feeling.

Alas, we were granted permission to re-open in late May and have been playing catch-up ever since. The patients of Johns Family Dentistry have been amazing through all of it. Not only were they thrown off schedule, they have been extremely understanding and supportive as we have attempted to get back on course.

Not all of the employees were able to return last May, due to childcare/homeschooling and health concerns. So you have seen some new faces in the practice.

We are starting March off with a bang! We have completed the addition and have two new operatories to better serve you. We now have a total of 6 clinical rooms and Dr Johns has a much smaller private office. (He is very adaptable!)




As a patient, you will see some new high tech equipment we have added as well. Investing in the practice, gives higher predictability and better treatment options for you as the patient. Dr Johns will be traveling out of state several times this year, taking courses and perfecting his craft.

As always we appreciate each of every one of you. Thank you for your continued support and for being a part of the JFD Family. Your leaders in restorative options such as crowns and implants and cosmetic dentistry.

Why an Implant?

There is no question dental implants are one of the leading treatment options for missing teeth. Whether you lost a tooth from trauma or tooth decay, the experience can be traumatizing. There are changes cosmetically, but also tooth loss can affect surrounding areas of mouth like your gums and bone quality. Dental implants in Puyallup are an incredible option because it is the only way to permanently restore natural tooth function while providing the highest quality in cosmetic treatment.

What are dental implants?
Dental implants are the closest replacement to your actual tooth. A biocompatible implant screw, usually composed of titanium is gently screwed into the jawbone to provide support of the surrounding structures.

Once an implant is successful and osseointegrated, a new tooth or prosthetic will be custom-made for your implant: Dr Johns at  at Johns Family Dentistry will take an impression of your teeth (including your new implant and abutment) and bite to create a replacement crown. Dr Johns will match the shade to your natural teeth, so it will function and look just like a natural tooth.

Dental Implants are permanent
Not everyone is ready for dental implants. It is a financial investment and is not an overnight procedure. Some people choose to use a denture or bridge as a stepping stone prior to getting a dental implant. For those with dentures, you know how uncomfortable they can be to speak and eat. Dental implants replace the need for removable dentures by providing a permanent solution.

If you are missing one tooth or all of your teeth, dental implants are the best solution for a permanent, comfortable prosthetic. Instead of worrying about a denture slipping or becoming loose, an implant supported denture will always remain in place. Your dental office in Puyallup is confident to offer various types of dental implants to treat your individualized needs.

What are the benefits of dental implants

There are endless perks of getting implants when one is missing a tooth. Some of the benefits include:

Implants are tooth decay proof because they are composed from titanium and porcelain so no need to worry about new cavities.
Your jawbone will remain healthy and preserved instead of deteriorating and receding.
Maintains a youthful look because it preserves jawbone
An implant crown will look so natural adjacent to your teeth, you won’t know the difference.
Avoid replacing prosthetic after prosthetic which can be timely and costly.

Am I a good candidate for dental implants?
Most people are eligible for dental implants, but some conditions would cause implants to be less successful. Those with uncontrolled medical disorders like heart disease, diabetes, and cancer are not good candidates for a dental implant. Anyone with an uncontrolled medical condition may cause increased inflammation, which can lead to failure of implant osseointegration. Fortunately, your dental practice in Puyallup will help determine the proper course of treatment for you.

What is the dental implant process?
The dental implant process varies slightly if you are receiving one or multiple implants and what type of restoration you need. Regardless, Johns Family Dentistry will review the pre-operative and post-care instructions with you to ensure the greatest success of the implant. The steps to receive an a dental implant include:

Dental imaging: We offer the highest level of technology to guarantee we have precise imaging of your teeth and jaw. A 3-D Cone Beam x-ray will help determine the exact site the dental implant will be placed and all surrounding structures to ensure it is placed safely and precisely.

Dental extraction: Some patients require a gentle extraction if your tooth is not previously missing. This is usually the first surgical step of your dental implant process.

Bone graft: Most people will require an alveolar bone graft to help create a solid layer of bone for the implant to be placed once a dental extraction is complete. This is necessary for the implant screw to successfully osseointegrate into the jawbone. This procedure usually requires up to 6 months of healing before the dental implant can be placed.

Dental implant placement: Once your bone is strong enough for an implant to be placed, a titanium screw is drilled into the bone of the missing tooth site. A healing cap is then screwed to the implant screw and your gum is sutured to heal anywhere from 2-6 months. This healing time will allow the implant screw to properly secure to the jawbone.

Dental prosthetic: Once the dental implant is secured to the bone and osseointegration takes place, a custom abutment is placed. An abutment is a prosthetic that will attach to a dental crown, bridge, or denture. Your dentist in 92101 uses the finest laboratories to help ensure we correctly match the shade of your adjacent teeth.

We are confident to offer the highest quality dental implants in Puyallup. With proper maintenance, you can be guaranteed your dental implant to last a lifetime. Call our office to schedule a consultation so we can discuss your personalized needs.

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.