Exceptional Smiles by your Dallas Orthodontist & Dentist for Children YouTube: Dallas Dentist for Kids & Braces for All Ages Google+: Orthodontist & Pediatric Dentist in Dallas Facebook: Dallas Pediatric Dentist & Orthodontist for All Ages Blog: Dallas Braces & Dentist for Kids Woodhill Dental Specialties: Pediatric Dentist & Orthodontist in Dallas Orthodontics in Dallas Pediatric Dentistry in Dallas

Orthodontics
Jeffrey G. Johnson, DDS, MS

For most people, a beautiful smile is the most obvious benefit of orthodontics. After your braces come off, you'll have a healthy, straight, youthful smile you’ll feel confident about and be proud to show off.

During your treatment, we want you to feel as comfortable as possible.

The aim of Woodhill Dental Specialties is to provide individualized orthodontic treatment that is of the highest standards while in a fun, light-hearted atmosphere. Each relevant treatment decision is considered and made as if the patient were our own family member. We strive to provide all information necessary to make the most beneficial treatment outcomes. We believe that a successful orthodontic result can only be achieved when we function as a team: Dr. Jeffrey Johnson, his staff, and you, the patient. At Woodhill Dental Specialties, our patients have input about the appearance of their smile within physiological and functional limits. We strive to keep ourselves on the cutting edge of technology so that each patient can consistently receive optimal care in the shortest possible time.

We conveniently offer both adult and pediatric orthodontic services in one location so we can help multiple members of your family achieve a straight, beautiful smile.

For more information about our orthodontics approach and what to expect on the first visit, click on the appropriate links or contact us at Woodhill Dental Specialties.

Your First Orthodontics Visit

The first step on your orthodontic journey is a consultation with our orthodontist. This courtesy one-hour consultation identifies your orthodontic needs and goals. At this first visit, we aim to determine either short or long-term orthodontic needs for you or your child. Our goal is to educate you every step of the way and help you understand all treatment options available to you. We have visual aids to show you what orthodontic appliances look like and how they work.

You will be greeted by our Dental Concierge who will get you acquainted with our office. Our New Patient Coordinator will then take a series of photographs and x-rays (panoramic and cephalometric) to facilitate an initial diagnosis or to establish a baseline for future treatment and growth. Our orthodontist, Dr. Johnson will then perform a thorough orthodontic examination.

After the exam, one of three determinations will be made:

  • Treatment is needed now. There are dental issues that require immediate treatment to keep them from getting worse. Your orthodontic problems will be identified and explained as well as the possible treatment modalities that can be employed to correct the problems.
  • Treatment is not needed at all. Your teeth and jaws are in proper functioning and aesthetic alignment. You don’t require any orthodontic treatment, just the six-month dental check-up and cleaning.
  • Treatment is needed, but it can wait. There may be other dental problems and issues that need to be reconciled first before proper orthodontic treatment can be undertaken. The most common reasons for treatment delays are teeth growth and immaturity, and tooth eruption. Sometimes additional dental issues such as filling a cavity and performing a root canal will be done first before orthodontic treatment is addressed.

To schedule a complimentary orthodontic consultation, contact Woodhill Dental Specialties today.

Our Orthodontics Philosophy: The Three "E"s

At Woodhill Dental Specialties, we believe in and adopt the three “E”s philosophy towards orthodontics treatment. The three “E”s are: early treatment, extraction of permanent teeth and esthetics.

Early Treatment

We take a conservative approach to early intervention to minimize the amount of orthodontic treatment necessary during a patient's lifetime. We believe that early intervention is necessary when there are significant functional or psychosocial issues that need to be addressed. Common problems that are dealt with include crossbites, where the upper back teeth fit inside the lower back teeth, and overbites where the front upper teeth overlap and cover the front bottom teeth.

Extraction of Permanent Teeth

Our goal is to minimize the extraction of permanent teeth. Extractions are usually recommended when there are significant crowding problems that cannot be resolved in a manner to maintain the long-term health of all the teeth. When extractions are recommended a minimal number of teeth are selected and often these teeth are limited to either the upper or lower arch only. The most common type of permanent teeth extraction are wisdom teeth. Extractions are recommended only when we believe that facial and dental esthetics will be enhanced or maintained.

Esthetics

We strive to attain a treatment result that will be pleasing now and for many years to come. Esthetics is very personal and, as such, the patient's or parents' input is very important as we try to optimize dental and facial esthetics. Every patient presents his or her unique set of circumstances and desires, and thus, the intended course and length of treatment prescribed is different for each patient. In general, we strive to straighten the teeth while maintaining a natural, pleasing appearance.

A healthy and youthful smile can be accomplished when a patient’s teeth are positioned parallel to the curvature of the lower lip while smiling and the smile line is established within structural (skeletal) limits.

At Woodhill Dental Specialties, we care about each patient’s dental health and do all we can to help them achieve the straight, beautiful smile they deserve. To schedule a consultation with our orthodontist or an appointment with one of our dentists, contact us today.

Orthodontic Treatment

Orthodontic braces can be made of metal, ceramic, or plastic, and are bonded to the teeth. By placing a constant, gentle force in a carefully controlled direction, braces slowly move teeth to a corrected position.

Braces have come a long way. Gone are the days when a metal band with a bracket was placed around each tooth. Now you can choose brackets that are clear or metallic color. You can choose the color of the ties that hold the wire in the brackets. Wires are also less noticeable than they used to be and the latest materials move teeth faster with less discomfort to patients.

Treatment time for braces typically range from 12-18 months, depending on the growth of the patient's mouth and face and the severity of the dental problem. Patients teeth develop at various rates and will respond differently to orthodontic treatment, so the time of case completion may differ from the original estimate. The patient's diligent use of any prescribed rubber bands or other appliances is an important factor in achieving the most efficient treatment. The use of interceptive, or early orthodontic treatment procedures may reduce the treatment time to as few as six months.

Braces have become the most popular treatment to achieve straight teeth. While there exist many different modalities for the correction of malocclusions, the braces have long been the mainstays used to straighten the teeth. There has been a tremendous evolution in the appliance systems (braces = brackets and archwires) over the last 100+ years. Today with many recent technological advances, we are proud to provide our patients with the latest state-of-the-art appliances.

The braces appliance system is composed of brackets and archwires. The bracket is attached to each individual tooth via a slot. The archwire is held in place by being inserted into the slot. When the archwire is engaged, a force is exerted on the tooth that signals it to move in a prescribed direction. The direction of tooth movement is determined by the position of the teeth and the brackets. The slots cut into the brackets determine the amount of movement the tooth should experience in all 3 planes of space (forward and backwards, lateral and vertical). Thus, careful and precise placement of brackets on the teeth is necessary. The type of material from which the brackets are created is very important as is the way in which the wires are held within the brackets.

Woodhill Dental Specialties proudly uses only the finest orthodontic appliances produced and continue to update our inventory with state-of-the-art braces. The two main types of braces are the traditional metal braces and the “clear” esthetic braces.

Metal Braces in Dallas
Metal Braces

Our stainless steel braces are self-ligating in that no colored rubber bands are required to hold the wires into the brackets thus reducing friction and improving treatment efficiency (less time in braces!). The colored rubber ligatures can still be used to "decorate" the braces but can increase the time required to wear braces and make it more difficult to keep your teeth and braces clean. The "silver" braces hold every mechanical advantage over the "clear" braces.

   
Esthetic Braces in Dallas
Esthetic Braces

Our cosmetic clear esthetic braces are the latest in orthodontic bracket technology. They offer the advantage of being less visible and are self-ligating like our metal brackets. While most "clear" braces result in longer treatment times than metal braces, ours do not.

There are three main types of wires for braces: copper nickel titanium, titanium niobium and stainless steel. No matter which type a patient chooses, they can be sure that it will be engineered to the most exacting standards for performance and comfort.

Copper Nickel-titanium (CuNiTi)

Nickel titanium archwires have been used in orthodontics since their development in 1969 by Dr. George Andreasen at the University of Iowa. The properties of the wire include super-elasticity, shape memory, and thermal regulation. Basically, lower, more constant forces are exerted by the NiTi wires resulting in force applications that are more physiologically compatible, making tooth movement more efficient and fast with less discomfort. Force levels are controlled in the manufacturing of the wire. The wires are "activated" intraorally at temperatures below 37 degrees Celsius. Copper (Cu) is alloyed with the NiTi to accurately control the activation temperatures of the wires.

Titanium-niobium (TiNb)

Titanium-niobium wires are used in the final stage of orthodontics when detailing the esthetics and functionality of the teeth. These types of wires are half as stiff as stainless steel wires, making them more easy to bend as desired.

Stainless Steel

Throughout orthodontic history, stainless steel has been the frequently used wire. It is now, however, reserved for special cases when increased stiffness is needed to minimize unwanted tooth movements. An example of an instance where these wires would be used is closing spaces between teeth or bringing impacted teeth into the dental arch. It is a very effective stabilizing wire and can be used in finishing like TiNb wires.

If you’re in need of braces or would like more information, contact us at Woodhill Dental Specialties today to set up a complimentary consultation.

Adult Orthodontics Treatment

As surprising as it seems, orthodontic treatment isn't just for kids. Teeth can be straightened at any age if your gums and bone structure are healthy. For some patients, this means braces in adulthood. In fact, 35 to 40 percent of our patients today are adults. It shows that no one is too old to get a straight smile they can be proud of.

Orthodontic treatment does not only improve the health of your teeth and gums, but dramatically improves your personal appearance and self-esteem. Crooked teeth or a bad bite can contribute to tooth decay, abnormal wear of the teeth, gum and bone loss, tooth loss, headaches and jaw (TMJ) pain.

Adult treatment requires special consideration and experience. At Woodhill Dental Specialties, we offer:

  • A separate adult treatment room for patients who prefer privacy.
  • Expertise with Invisible Braces treatment that straightens teeth without braces.
  • Clear brackets in addition to metal braces.
  • State-of-the-art technology, SureSmile®, which has dramatically reduced treatment times.
  • Retainer treatment for minor tooth movement.
  • Braces on upper or lower arch only (limited treatment goals).
  • Early morning or late afternoon appointments to fit your schedule.

If you’re in need of adult orthodontic treatment, and would like to schedule a consultation, contact us today.

Two-Phase Children Orthodontic Treatment

Pediatric orthodontics is a common service. Orthodontic treatment is encouraged in children and teens to prevent and offset the development of more severe lengthy dental issues in the future. Most children get orthodontic treatment in the teen years. Some children, however, require early treatment. The most common orthodontic issue experienced by children that require early treatment are early signs of jaw problems.

Our two-phase orthodontics treatment is a special approach to treating specific child jaw growth problems.

The goal of 1st phase orthodontic treatment is to develop the jaws to accommodate all the permanent teeth and to properly relate the upper and lower jaws to each other. Since children grow rapidly, they can benefit enormously from an early phase of orthodontic treatment utilizing appliances to direct the growth relationship of the upper jaw to the lower jaw. Thus, a good foundation can be established providing adequate room for the eruption of the permanent teeth. This early correction may prevent later removal of permanent teeth to correct overcrowding or surgical procedures to align the upper and lower jaws. Leaving such a condition untreated until all permanent teeth erupt could result in a jaw discrepancy too severe to achieve an ideal result with braces.

Orthodontic records will be necessary to determine the type of appliances to be used, the length of treatment, and as baseline information since the shape of the jaws will be altered. Records consist of models of the teeth, x-rays, and photographs.

The permanent teeth can erupt in between the 1st and 2nd phases. Retainers are worn to maintain the result of the 1st phase until interferences with eruption of the remaining teeth is observed. A successful 1st phase will have created room for the permanent teeth to find a favorable eruption path. Otherwise, impaction or severe displacements of teeth are possible. Remember that at the end of the 1st phase the permanent teeth are not in their final positions. This is because there are usually up to 16 permanent teeth that have yet to erupt that we have no control over. Thus, the final positions of the teeth will be determined and accomplished in the 2nd phase of treatment. It is important to continue observation of the erupting teeth and the frequency of appointments varies from person to person.

The goal of the 2nd phase of orthodontic treatment is to place the teeth into equilibrium such that they will function together properly, be healthy, and look attractive. Each tooth has a location within the mouth where it is in harmony with the lips, cheeks, tongue, and other teeth. As was the case in the 1st phase, orthodontic records are necessary to establish the appropriate diagnosis and treatment plan. This 2nd phase is usually initiated once all the permanent teeth have erupted and usually requires braces on all the teeth for a period of time ranging from 12-18 months.

Two phase orthodontics involves changing jaw structure and jaw relationship to create a more favorable environment for the eruption of a full permanent dentition. Potential advantages to this approach are a reduction of the overbite or underbite, allowing for more normal future jaw development, and the possibility that future treatment may not be needed.

If you feel that your child may have potential jaw growth problems, contact us at Woodhill Dental Specialties today to schedule an appointment.

SureSmile & Braces in DallasWhy SureSmile® will have you smiling
even before your braces come off!

You're getting braces. And while you're excited about having that great smile, you may be nervous about wearing the wires and brackets. Well, there is a new orthodontic system that makes straightening your teeth with braces a lot faster and easier compared to conventional orthodontic treatment. It's called SureSmile and it's changing the way people feel about their braces.

Using SureSmile technology, your orthodontist can offer you a "braces experience" that provides:

Shorter Treatment Times

You've probably heard from friends or family members that wearing braces is a long-term commitment, taking two years on average. While that may be true of traditional orthodontic treatments, it's not true for SureSmile. With SureSmile's sophisticated 3-D imaging, treatment planning, and customized precision archwires, your orthodontist can reduce treatment time over that of conventional braces.

Fewer Office Visits

In addition to shortening treatment times, the greater efficiency of the SureSmile system also helps reduce the number of wire changes and adjustments you'll need and that means fewer trips to the orthodontist. The SureSmile system's 3-D software lets your orthodontist analyze how to effectively and efficiently align your teeth. Through this software, personalized archwires are designed to move your teeth into proper alignment smoothly and directly, reducing the number of maintenance visits.

Less Overall Discomfort

Anyone who has worn braces will probably tell you that wire adjustments and changes were the least favorite part of the process because they usually cause discomfort. Fortunately, the SureSmile system is engineered to maximize therapeutic efficiency of each wire, significantly reducing the number of adjustments needed, which means fewer episodes of discomfort over the course of your treatment.

High-Quality Results

Shorter treatment times does not mean a compromise in the outcomes. Rather because of the sophisticated planning tools, treatment plans can be developed and executed more precisely than ever before.

Our technology-driven orthodontic process offers several important benefits that make the whole "braces experience" much easier for patients than conventional orthodontics!

If you’re interested in learning more about the SureSmile treatment option and whether you’re a candidate for the treatment, contact us a Woodhill Dental Specialties today.

Invisible Braces

If you are wanting to straighten your teeth without the use of traditional braces, our customized clear aligners may be just what you need. Utilizing SureSmile technology, Dr. Jeffrey Johnson can make clear trays for your teeth to gradually straighten and perfect your smile. A complimentary consultation with Dr. Johnson can determine if these braces alternatives are the best options for your orthodontic needs.

What is it?

If you have heard of Invisalign, you may already be somewhat familiar with clear aligners. These “invisible braces” can accomplish much of what traditional braces do with brackets and wires, but instead use a series of clear trays to move the teeth into an optimal position. The trays will be comfortable, and removable. They will be changed out every 2 weeks. Not everyone is a candidate for these braces. We’ll only recommend them if they are the best option for the patient. There are some patients who will need traditional braces for the best possible outcome. Even traditional braces can be quite esthetic today with the use of ceramic or lingual braces.

What is the process like?

As early as your first visit to our office, we will take a 3D image of your teeth using an intraoral scanner that makes a series of videos of your teeth. With this information, a virtual model will be created and inputted into our SureSmile software, allowing Dr. Johnson to design a series of customized trays to straighten your teeth. The following visit is within a few weeks to fit your first set of trays and we’ll send you home with additional aligners that you will change out yourself every 2 weeks. You will not have to see us for each aligner change, but in 8 weeks so Dr. Johnson can check that your treatment is progressing as planned.

How long will it take and how much will it cost?

Straight teeth don’t happen overnight. The most common treatment duration for “invisible braces” in our office are 6-9 months. Treatment times and cost can and do vary from patient to patient as each case is customized to everyone based on their need and desire. A complimentary exam with Dr. Johnson is needed to determine an estimation of treatment time and the cost. There are options available for payment plans and we will file for all insurance claims. Our consultation visits last about an hour and times are available all throughout the day.

To schedule a consultation with our orthodontist, Dr. Johnson, contact Woodhill Dental Specialties today.

Testimonials

"Dear Dr. Johnson,
We are grateful that we have an orthodontist that cares as much as you."

"Dr. Johnson,
Thank you so much for everything! I've learned a lot from you and everyone else. You guys have been so nice and helpful to me. I'm going to miss all of you so much. Again, thank you so much!"

"Dr. Jeff,
It is hard to know where to start in thanking you for your talents and time spent with me during this last year. You have been such a good and kind advisor with regard to a new bite and improved appearance. It has been a pleasure getting to know you and thank you for all that you have done so well for me, and my family. We are all raving fans and each of us our exceedingly grateful that we were in the hands of such a wonderful and caring expert. I hope you know what a difference you make. With all of our best regards."

"Dear Jeff,
We sincerely thank you for the outstanding care you have given our children. Your staff is absolutely the best! We always look forward to coming to your office. I sing your praises to all who ask about our kids' great smiles. We appreciate and value your time."

"You are the best ever! Your staff is so kind and beautiful. You ALL rock! Hope you all have a good day."

"Dear Dr. Johnson,
I am writing you this quick note to thank you for the wonderful job you did on my teeth! Thank you so much for you great skill and expertise. I am so glad that I had an amazing orthodontist like you! I absolutely LOVE my smile! Thank you again for making my first, and hopefully last, braces experience a good one!"

"Dr. Johnson and his staff are great with kids and do excellent work!"

"Dear Dr. Johnson,
I wanted to personally thank you and your staff for taking the extra time to accommodate me. It was truly a pleasure working with your staff as they took great care to see to my comfort. I look forward to seeing you all again - thank you!"

"We've had three girls in and out of braces and love Dr. Johnson and his staff!"

"Dear Dr. Johnson,
Thank you for fixing the teeth that were misplaced in my mouth. Words cannot describe how great my teeth look right now. Thank you so much, and if my friends had to see a great orthodontist, you would be the first doctor that I would recommend. Keep doing what you do."

"This by far is the best office I have ever been too. I was very impressed on the first day, your staff ROCKS!"

"Dear Dr. Johnson and Team -
Thank you for all ya'll do!"

"Dr. Johnson and his staff are great with kids and do excellent work!"

"My experience has been awesome. I would highly recommend Dr. Johnson and his staff to anyone."

"Dear Doctor Johnson,
You have always been so wonderful to me. I wanted to thank you for your support and friendship over the last few years. You are the Best!"

"I've been thinking about braces and had a great consultation here. Dr. Johnson really took the time to educate me about the services they offer and the benefits. I never felt like he was trying to push me in a certain direction. The staff is friendly and professional too."

"Dr. Johnson is amazing, sweet, and talented. I couldn't be more happy with my entire experience with him and all the girls in the office."

Come and experience the great service yourself by scheduling an appointment with Woodhill Dental Specialties.

Frequently Asked Questions

No, it is not. Many of our patients are referred by their family dentist, yet many other patients take the initiative to schedule an examination themselves.

The American Association of Orthodontists recommends an orthodontic screening at age 7. By this age, several permanent teeth in most children have erupted allowing us to effectively evaluate your orthodontic condition.

No, they will not. The space available for the front teeth does not increase as you grow. In most people, after the permanent molars erupt, the space available for the front teeth decreases with age.

If you or your child can potentially benefit from orthodontic treatment, simply call our office at 214-691-1172. We will be happy to schedule an appointment for you. When you call to schedule your appointment, our front office staff will request some basic information from you.

Upon arriving, each patient will be seen by the New Patient Coordinator who will acclimate you to our office and prepare you for the initial exam. We will take the necessary photographs and x-rays to allow us to make a proper diagnosis. Dr. Johnson will then complete a thorough exam. If you have a current panoramic x-ray, please bring it to this appointment. To read more about your first visit, see our First Visit page.

There are four essential questions that we will cover during the initial examination:

  • Is there an orthodontic problem and if so, what is it?
  • What must be done to correct the problem?
  • How long will the treatment take to complete?
  • How much will the treatment cost?

Straight teeth and a balanced facial profile are the goal of orthodontics. New technology has provided advanced orthodontic techniques that greatly reduce the need for removing any teeth.

Treatment time obviously depends on each patient's specific orthodontic problem. In general, treatment times range from 9 to 18 months. The "average" time frame a person is in braces is approximately 15 months. Because of our utilization of the latest in orthodontic technology, our treatment times have decreased by 35% in the last 5 years. To read more about our technology see our SureSmile® page.

It is impossible to give an exact cost for treatment until we have examined you. We will explain the exact cost and financial options during the initial examination. We have many financing options available to accommodate your needs, and we will review these with you. We will also review your insurance information and help to maximize your benefit and file your claims.

Appointments are scheduled according to each patient's needs. Most patients in braces will be seen every 8 to 10 weeks. If there are specific situations that require more frequent monitoring, we will schedule appointments accordingly.

Unfortunately, we cannot schedule all appointments for students during after-school hours. However, because most appointments are scheduled 8 to 10 weeks apart, most patients will miss minimal school due to their orthodontic treatments. We will, however, make a sincere effort to meet your scheduling needs.

Generally, braces do not "hurt". After certain visits, teeth may be sore for a few days. In these situations, medications such as Tylenol or Advil will ease the discomfort. However, after most visits, patients do not feel any soreness at all! We often remind our patients, "It does not have to hurt to do the job."

No. Shots are not necessary in orthodontic treatment.

Absolutely not! It is our belief that each patient should be provided with their own braces to achieve the best orthodontic result possible.

Yes. We recommend a mouthguard for all sports. We are happy to provide you with a mouthguard when requested and have several color options available.

Yes! Regular checkups with your family dentist are important while in braces. We recommend cleaning appointments at least every 3 to 6 months.

Yes. Once treatment begins, we will explain the complete instructions and provide a comprehensive list of foods to avoid. Some of those foods include: ice, hard candy, raw vegetables and all sticky foods (i.e. caramel and taffy). You can avoid most emergency appointments to repair broken or damaged braces by carefully following our instructions.

Patients should brush their teeth at least 3-4 times each day: after each meal and before going to bed. We will show each patient how to brush, floss, and care for their teeth with braces.

If something breaks, you should call our office. In many cases we can address these issues over the telephone. If not, we will then schedule an appointment or add extra time to your existing appointment. For more information see Emergency Service.

Yes. Some orthodontic problems are significant enough to require early intervention. However, if a patient is not yet ready for treatment, we will follow that patient's growth and development until the time is right for treatment to begin.

Phase One treatment, if necessary, is usually initiated between the ages of 7 and 10. Phase One treatment lasts about 6-12 months. The primary objective for Phase One treatment is to address significant problems to prevent them from becoming more severe, such as providing more room for permanent tooth eruption, correcting underbite or overbite, improving facial profile and lip posture and boosting self-esteem and self-image. For more information, please refer to our Child Treatment page.

Even with ideal cooperation and favorable growth response in Phase I most patients will benefit with continued Phase II treatment which is full braces. However, Phase II is generally less severe and may require a shorter treatment period. Both phases are important for the correction of problems, yet are distinctly different. The most important value of two-phase treatment is the end result. For more information, please refer to our Child Treatment page.

At the completion of the initial examination, we will determine whether a patient will need an expander. The purpose of an expander is to correct crossbites that cause jaw assymetries and other structural problems. The added benefit is creating additional space for permanent teeth to erupt. Please refer to the Rapid Palatal Expander page for more information.

A surprising percentage of our patients are adults. In fact, 30% of all orthodontic patients are adults. Health, happiness, and self-esteem are vitally important to adults. No patient is "too old" to wear braces!

Yes. A tooth with a crown will move just like a tooth with a simple filling. When teeth are missing, orthodontic treatment will aid in the alignment of the remaining teeth.

Teeth, and sometimes entire facial structures, are permanently changed by orthodontic treatment. It is important that the treatment be appropriate and properly completed. Orthodontists are specialists who have extensive and specialized training that enables them to provide their patients with professional, personalized treatments.