Our Blog

Nearly 40,000 people are diagnosed with oral cancer annually in the United States, with more than 8,000 dying every year from the disease. Oral cancer has a higher death rate than many other common cancers, including cervical cancer, testicular cancer, Hodgkin’s lymphoma, and thyroid or skin cancers. The high death rate results from the fact that most oral cancers go undiagnosed until the disease is well advanced and has spread to another part of the body, most often, the lymph nodes in the neck.

Dr. Rick Johns and our team want you to know that cancers of the mouth and throat, which account for about three percent of all cancers in the United States, are largely preventable. However, we want you to know about certain risk factors that affect the likelihood of developing the disease.

• Use of tobacco products including smoking cigarettes, cigars or a pipe, or chewing tobacco all elevate risk for developing oral cancer. Tobacco use especially, is a serious risk factor because it contains substances called carcinogens, which harm cells in your mouth.
• Consumption of alcohol in excess can also increase your risk. If you drink alcohol regularly, you have an elevated risk of getting oral cancer. Alcohol abuse (more than 21 drinks in one week) is the second largest risk factor for the development of oral cancer, according to the Oral Cancer Foundation.
• Excessive sun exposure. People who spend lots of time outdoors and do not use proper amounts of sunscreen or lip balm have a greater risk for developing lip cancer. Exposure to ultraviolet (UV) radiation from sunlight may also cause melanoma, the most serious type of skin cancer.

If you notice unusual lumps, bumps, or red or white patches in your mouth that don’t go away, sores that won’t seem to heal, persistent soreness, or pain or difficulty swallowing please consult Dr. Rick Johns and our team immediately.

Other factors that may influence your risk for developing oral cancer include:

• Age: Oral cancer is typically a disease that affects older people, usually because of their longer exposure to other risk factors. Most patients diagnosed with oral cancer are over the age of 40.
• Gender: Oral cancer strikes men twice as often as it does women.
• A history with viral infections, such as human papillomavirus (HPV)
• A diet low in fruits and vegetables

During your next visit, Dr. Rick Johns will examine your mouth for signs of oral cancer. If you have been putting off a visit to our Highland, IN office for your regular checkup, now is an excellent time to schedule one. Regular visits can be the first line of defense against oral cancer because we can identify early warning signs of the disease. Give us a call today!

The wisdom teeth are the last of the permanent molars to emerge from the gums. This can occur as early as age 17 or as late as 21. Though some teens and young adults experience a completely normal tooth eruption with ideally aligned molars that pose no health threat, this is not the case for everyone.

According to the American Association of Oral and Maxillofacial Surgeons (AAOMS), wisdom teeth must meet specific criteria to avoid a required extraction. These guidelines include:

• Completely erupted and non-impacted
• Completely functional
• Painless
• Free of decay
• Disease-free
• Capable of being properly cleaned

If one or more of your child’s wisdom teeth do not meet these conditions, we recommend scheduling an appointment with Dr. Rick Johns; an extraction may be necessary.

Impacted wisdom teeth

One of the most common reasons for extracting a wisdom tooth is due to impaction. An impacted wisdom tooth is one that has not erupted and will not fully erupt from the gums. Usually this occurs because there is not enough room for the tooth to emerge. Impaction can be painful and can also lead to infection if left untreated. According to the AAOMS, roughly 90 percent of the teen and adult population has at least one impacted tooth. Extracting an impacted wisdom tooth early can help prevent future complications, such as periodontal disease, infections, and damage to neighboring teeth.

Extracting fully erupted wisdom teeth

Even if your child’s wisdom teeth are fully erupted, Dr. Rick Johns and our team at Rick Johns Dental may recommend removing them as a preventive measure. Fully-erupted third molars often interfere with a healthy bite. This can lead to problems with tooth and jaw alignment and may also contribute to the development of headaches. Your child’s wisdom teeth may also be more prone to tooth decay and gum disease, because their location in the back of the mouth makes them more difficult to reach for brushing and flossing.

To learn more about wisdom teeth, or to schedule an appointment with Dr. Rick Johns, please give us a call at our convenient Highland, IN office!

Outside activities? You slather your kids with sunscreen. Biking? You don’t let your child leave the house without a helmet. Youth sports? You provide mouthguards and padding and headgear and all the other tools designed to keep your child safe. Protecting your child is a fundamental part of parenthood, and you take your job seriously.

Protecting your child’s dental health is fundamental, too! Tooth decay is the most common chronic disease in children, and children’s premolars and molars are far more vulnerable to decay than any of their other teeth. You can help protect your child’s molars and premolars with a simple and effective treatment—dental sealants.

• How Do Sealants Work?

The bacteria in plaque use food particles to create acids. These acids erode the minerals in tooth enamel, creating weak spots that become cavities over time. Molars and premolars are especially vulnerable to cavities because of their uneven chewing surfaces. The dips and grooves on top of the teeth—technically known as “pits and fissures”—collect food particles and bacteria, and can be difficult for children to clean completely when brushing. That’s why cavities are so common in newly erupted molars.

Dental sealants protect your child’s molars and premolars by creating a barrier that covers and smooths out the chewing surface of the tooth, preventing bacteria and food particles from getting stuck inside those uneven pits and fissures.

• What Kind of Sealants Are Available?

The two most common dental sealants are composite resin coatings and glass ionomer sealants.

With resin sealants, after each tooth is cleaned and dried, an etching solution will be brushed onto the top surface of the molar. This etching slightly roughens the surface so that the sealant will stick to the tooth more effectively. A thin coat of the sealant is then painted on and hardened under a special curing light.

Glass ionomer sealants use a flexible paste that bonds to the tooth and hardens within minutes. While they generally don’t last as long as resin sealants, they are designed to absorb and release fluoride for extra cavity-fighting protection.

• Do Sealants Work?

They certainly do! According to the Centers for Disease Control, sealants can prevent 80% of the cavities in molars and premolars, which is where 90% of children’s cavities appear. Dental sealants can last from three to five years, or even longer. Dr. Rick Johns will check the condition of any sealants at each dental exam, and let you know if it’s time for a reapplication.

• When’s the Best Time to Get Sealants?

Tooth enamel gets harder as we get older, so children’s newly erupted teeth are more at risk for cavities. First adult molars usually arrive when a child is six to seven years old, and second adult molars come in around the age of 12. The first and second premolars can erupt between the ages of ten to 12. As soon as the first permanent molars begin to erupt, it’s a good time to talk to Dr. Rick Johns about the best time to apply sealants.

And what about baby teeth? Even though baby teeth are meant to be replaced, they shouldn’t be lost to tooth decay before they are ready to fall out. Primary teeth help young children learn to speak and eat properly and hold the place for adult teeth so these permanent teeth come in where they should. Baby teeth have thinner enamel, and so cavities can progress more quickly. Dr. Rick Johns can let you know if sealant protection for your child’s baby molars is indicated.

Applying sealants at our Highland, IN office is a safe, simple, cost-effective, and painless process. Dental sealants are one more tool you can use to make protecting your child’s dental health a little easier and a lot more effective. That gets a well-deserved parents’ seal of approval!

Regular visits to the dentist are important for people of all ages. Seeing Dr. Rick Johns as recommended provides preventive care for oral diseases. If a disease is already present, early detection can prevent hefty dental bills and further damage to the teeth and gums. Once you have made the decision to visit Rick Johns Dental, you may ask yourself, “What happens during my hygiene appointment?”

Preparation

Arrive at your appointment a few minutes early and bring along any insurance cards or medical information. While it may seem irrelevant, a full medical history can be important, since certain conditions include symptoms that occur inside the mouth.

Initial appointment

In some offices, the first appointment is a screening appointment, during which a dental hygienist will go over your medical and dental history with you, assess the condition of your teeth and gums, then schedule a future appointment to complete the cleaning and any other treatments you may need. In other offices, the screening and cleaning will be done over the same appointment. The dental hygienist may:

• Count your teeth
• Clean your teeth by using a small tool to scrape them in order to remove plaque
• Brush and floss your teeth
• Apply a fluoride treatment using foam that sits on your teeth within a tooth mold, or a gel that can be “painted” on with a small brush
• Inspect your teeth for cavities or signs of decay
• Administer oral X-rays. You will be covered with a special blanket to protect your body and then given a small piece of plastic on which to bite.

Seeing the dentist

After the dental hygienist completes his or her portion of the appointment, the dentist will usually come in and inspect your teeth. After an initial inspection, the dentist may:

• Perform a quick tooth count as well as a more thorough inspection, looking for signs of decay in and around the teeth
• Use a small tool called a “probe” in order to check for signs of gum disease around the base of your teeth
• Visually inspect the skin around your mouth, called the “mucosa”

If you need any further dental work completed, you will usually be required to make an additional appointment. To learn more about hygiene visits, or to schedule an appointment with Dr. Rick Johns, please give us a call at our convenient Highland, IN office!