Johns Family Dentistry

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.

March….Madness

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.

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.

THE DANGER OF HIGH BLOOD SUGER

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
Insomnia
Sleep Deprivation
Excessive Snoring
Episodes of Not Breathing
Mouth Breathing
Dry Mouth/Throat
Fatigue
Frequent Headaches
Irritability

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