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Does my child need two-phase treatment?

July 9th, 2025

Two-phase orthodontic treatment involves two separate and distinct periods that your child receives orthodontic treatment. It allows your son or daughter to begin early treatment of bite and jaw problems, in order to reduce the dental issues he or she experiences later on.

Two-phase orthodontic treatment with Dr. Dennis Johnson can improve how well the second phase of the treatment works and helps to make room for permanent teeth. Overall, two-phase treatment helps to position the teeth and the jaw for an attractive profile. Our team at Johnson Orthodontics recommends that you bring your child to our Columbus, OH office at the age of seven or eight, so that Dr. Dennis Johnson can determine if early (Phase-One) treatment is necessary.

Phase-One

Phase-One orthodontic treatment is known as early treatment. It begins shortly after your child’s first orthodontic examination, usually around age eight or nine. The main goal of Phase-One orthodontic treatment is to help make room for permanent teeth, which reduces crooked teeth as a result of overcrowding. It treats the jaw and bite growth, and issues like crossbite or underbite. This can reduce the need for your child to undergo extractions.

Phase-Two

Phase-Two orthodontic treatment is when braces are placed on the upper and/or lower teeth. The purpose is not just to correct spaces or misaligned teeth, but also to correct overbite or underbite concerns. Phase-Two usually begins around age 11 or 12, and the braces are worn for an average of two to three years, depending on your child’s unique needs. Some children have fewer issues and wear braces for little more than a year, while others need them for up to four years.

Signs your child needs two-phase orthodontic treatment

If your child exhibits the following signs, he or she may be a good candidate for two-phase orthodontic treatment:

  • Losing baby teeth early, before five years of age
  • Problems with biting or chewing
  • Sucking the thumb after age five
  • Evidence of a crossbite, where the teeth don’t come together when opening or closing of the mouth
  • Teeth are crowded at age seven or eight
  • Protruding teeth on the top or bottom

Not all children need to have early treatment, but if your child shows any of these signs, you should bring him or her to us for an evaluation at Johnson Orthodontics.

Celebrate the Fourth with a Smile!

July 2nd, 2025

Surveys show that Independence Day is the biggest cookout day of the year. If you’re celebrating with a feast of hot dogs, fresh grilled corn on the cob, burgers, and other traditional treats, we have some tips to help make your holiday dining fun for you and safe for your braces, so you don’t miss out on any of the fun in Columbus, OH! 

  • Skip the “Finger Foods”

Traditional BBQ fare like ribs, burgers, chicken legs, and corn on the cob are usually eaten with fingers, not utensils. This means biting into these delicious favorites with your front teeth, which puts pressure on your braces and can lead to bent wires and broken or loose brackets. 

But being careful with your braces doesn’t mean you have to miss out! Use a knife and fork to cut food into smaller pieces or cut the kernels off the cob, and you can chew with your back teeth, protecting your brackets and wires. 

  • Edit The Menu

Crunchy, hard, and sticky foods should never be on the menu when you’re wearing braces. These foods can damage your wires and brackets or get stuck between your braces and your teeth. 

A Fourth of July BBQ is the time for clever substitutions. Exchange crusty rolls and seeded buns for softer, seedless versions. Dig into the potato or pasta salad instead of munching on crunchy chips. Skip hard candies, nuts, and sticky smores and enjoy creamy soft desserts like yogurt parfaits, colorful berries, and soft ice creams.

  • Water’s Always a Good Choice on a Hot Day

Proper hydration is essential for both your overall health and your oral health. Drinking water helps prevent cavities by washing away food particles and bacteria and reducing acidic conditions in the mouth. A swish can help dislodge food from your braces when you can’t get to a toothbrush. And water, unlike some darker beverages, won’t stain the enamel next to your brackets.

  • Keep Up the Good Work

During your busy holiday, whether at home or on the road, be sure to make time to brush and floss as directed after meals and before bed. 

Talk to Dr. Dennis Johnson about easy ways to protect your braces and teeth for stress-free holiday dining. Everyone at Johnson Orthodontics wants to make sure that, whether you’re enjoying a meal with family and friends, marching in the parade, oohing and aahing at the fireworks, or all of the above, your Fourth of July is filled with healthy, happy smiles!

Five Fun Ways to Count Down Your Braces Time

June 25th, 2025

Braces can straighten your teeth to give you a more attractive smile for life. The process can take 18 months to two years or more, and this amount of time can seem unending when you first get your braces. Counting down your brace time can help the time pass more quickly and build the excitement for when you finally get your braces removed.

Make a Wall Calendar

Crossing out each day on a calendar is a standard way of counting down time. You can make this more personal by designing your own calendar to help you count down. Use an online customization service to upload photos or designs for each month. Each month’s picture can also display the number of months remaining until you expect your braces to come off.

Schedule Rewards

When you receive regular rewards for continuing to wear your braces, they can seem less burdensome. Plan to buy yourself a reward every month that you wear your braces for the duration of the treatment. The time will pass much faster when you feel you are earning rewards for your patience.

Lengthen a Paper Chain

Use strips of paper to make the links of your chain, and add a new link each week to lengthen the chain. Before sealing each new strip of paper into a circle, write on it a reason why you are getting your teeth straightened, or an event in the future when you will appreciate your straight teeth as you smile.

Use a Wall Hanging

Purchase a large pad of blank white paper. Write a “0” on the bottom sheet and a “1” on the next, and continue until you reach the number of days remaining in your treatment. Rip off the top sheet each day to see how many days are left and remind yourself of the progress you are making.

Find a Buddy

If any of your friends get braces around the same time as you, share the experience. Make a pact to celebrate each trip to Johnson Orthodontics when one of you receives news about your progress.

Can I use mouthwash instead of flossing?

June 18th, 2025

While mouthwash goes a long way in improving your oral care, it is not a substitute for flossing. Mouthwashes and flossing provide different benefits that you should understand.

Mouthwash Benefits

Mouthwash comes in two categories. Some are considered cosmetic. This type of rinse provides temporary relief from bad breath and has a pleasant taste. These do not actually kill any bacteria.

Therapeutic mouthwashes provide the healthier benefits. These may contain different ingredients including fluoride or antimicrobial agents. This type is used to remove plaque buildup and reduce the potential for calculus formation. Therapeutic rinses can also help prevent cavities, bad breath, and gingivitis. In addition, Dr. Dennis Johnson can prescribe special rinses to assist patients after periodontal surgery or other procedures.

Flossing Benefits

Flossing is what removes the plaque formation before it can harden and become calculus. While a rinse reduces buildup, only flossing will fully remove plaque, especially between teeth. The bristles on a toothbrush do not get between teeth completely. If plaque is not removed, it hardens into tartar or calculus. When this builds below the gum line, gum disease can start.

Types of Floss

Floss is available in a thin string form or a tape. It can be waxed or unwaxed. If you find flossing difficult, you might want to try a different type of floss. You can buy bulk floss in containers or purchase the disposable type with a plastic handle attached. This style can be easier for many individuals to use. Interdental picks are available for bridgework or other situations where regular floss cannot be used.

If you have questions regarding the best mouthwash or floss, or need tips for easier flossing, please ask our Columbus, OH team for advice. We will be glad to give you solutions to help keep your mouth clean and healthy.