What happens if I don’t have my wisdom teeth removed?
December 10th, 2025

One of the things Dr. Rick Johns and our team at Rick Johns Dental monitor during your dental appointments is the growth of your wisdom teeth, or third molars. Third molars generally begin to erupt between the ages of 17 and 25. Wisdom teeth may require removal for many reasons, including pain, infection, or growth issues. While not all patients need their wisdom tooth removed, problems can develop if removal is not performed.
Overcrowding
Many patients have smaller mouths and jaws, which do not allow room for the third molars to grow in properly. If these teeth do erupt, overcrowding can occur. Your teeth will begin to shift or overlap each other. Wisdom teeth that erupt after orthodontic care is completed can cause the teeth to shift and negate the work performed.
Impacted Wisdom Teeth
When wisdom teeth are impacted, they are trapped below your gum line. Impacted wisdom teeth can be very painful and may be prone to abscess and infection. The impaction can lead to decay and resorption of healthy teeth.
On occasion, if wisdom teeth are not monitored properly, their growth can shift parallel to the jaw line. They can also shift backward and eventually interfere with the opening and closing of your jaw.
Greater Potential for Decay
Even when wisdom teeth grow in properly, the location can make the teeth harder to care for. This in turn can lead to the growth of more bacteria, and create health issues later in life.
If you do not have your wisdom teeth removed, they will require continued monitoring. Wisdom teeth are just as subject to decay and other problems as the rest of your teeth. Those that appear above the gum surface can often be extracted at a dental office in a fashion similar to any other tooth extraction. Impacted teeth are normally handled by an oral surgeon.
Pain in the back of the jaw and swelling may indicated wisdom teeth that are beginning to rupture or are impacted. A simple set of X-rays will determine the extent and direction of growth. Please do not hesitate to discuss your concerns during your next visit our Highland, IN office. We will be happy to explain wisdom teeth, and potential removal, as it applies to your specific case.
Holiday Gift Ideas for Healthy Holiday Smiles
December 3rd, 2025

Need some gift ideas for family members and friends who seem to have absolutely everything? Who are impossible to shop for? Who tell you not to worry, it’s the thought that counts? Well, we have a few suggestions which will show the people on your gift list that you’ve put a lot of thought into their gifts this holiday season.
You love to see your friends and family smile, so we’ve come up with some smile-worthy ideas designed for their specific interests.
Environmental Ally
The world is becoming a more eco-conscious place, and happily this transformation includes products designed for personal care. Put together a spa basket which is good for your friend’s comfort, dental health, and the planet!
A recycled gift box filled with environmentally friendly bath products and organic cotton face cloths becomes even more mindful with the addition of bamboo or recycled plastic toothbrushes, zero-waste fluoride toothpaste tablets, and biodegradable picks and floss.
Don’t forget to include a colorful, insulated water bottle for sustainable hydration—and washing away food particles when there’s no handy place to brush after eating. Healthy planet/healthy smile.
Talented Techie
If your friend or relative is cutting edge high-tech, maybe it’s time for a dental upgrade.
Modern electric toothbrushes offer plenty of options for the tech-savvy. They come with different settings for brushing and massaging. They can let brushers know if they’ve brushed long enough, if they’re brushing too hard, or when the brush head needs to be retired. Smart models even link to apps, which can, among other things, map out any missed spots in brushing coverage or suggest more effective brushing angles.
And for an extra thoughtful touch, include a packet of plaque disclosing tablets. Chew one of these helpful little tablets and they will reveal any plaque that’s still on the teeth.
Adventure Seeker
How about a new backpack or carry-all for outdoor or travel adventures? A travel first aid kit is always a welcome addition for the person on the go.
Go the extra step and help a friend be prepared for anything with an emergency dental kit. You can find these lightweight kits in stores or online, or you can assemble one yourself with a travel-size toothbrush and toothpaste, floss, a travel mirror, cotton rolls, pain relievers, and even temporary fillings. Include a pack of sugar-free gum—it helps with altitude changes and hydration. Ask Dr. Rick Johns or the team at Rick Johns Dental for suggestions!
Timeless Trendsetter
Older relatives might love a selection of modern gifts designed with old-fashioned comfort in mind, such as an automatic jar opener and a selection of jams, trekking poles for easier hiking, or wireless earbuds for enjoying music or an audio book.
For a lifetime of healthy smiles, consider adding a water flosser to your gift basket. Gum disease is a leading cause of tooth loss for older Americans. Water flossers are a great way to eliminate stubborn plaque, especially when mobility issues make manual flossing difficult. Adjustable water pressure applies just the right amount of cleaning power, and the flow can be directed to the gumline, between teeth, or anywhere necessary.
Film Buff
If your bestie likes nothing better than an evening spent in front of the home screen, consider a subscription or gift card for a streaming service tailored to his or her favorites, whether it’s classic films, sci-fi, action, rom-coms, or epic adventures.
And don’t forget the binge-watch treats! Fill a basket with dental-friendly goodies like fresh fruits, nuts, and dark chocolate. Include a collection of simple sparkling waters or a gift card for vitamin-rich smoothies. Who needs sugary candies and sodas with options like these?
No matter who’s on your shopping list, tailoring your gifts to their interests and their well-being is a great way to share happy, healthy holiday smiles with family and friends in Highland, IN.
Tips for a Tooth-Friendly Thanksgiving
November 26th, 2025

Nothing is more welcome at the Thanksgiving table than your happy, healthy smile! Here are some ideas to keep your holiday smile looking and feeling its best.
#1 Good Dental Hygiene Doesn’t Take Holidays Off
Thanksgiving day is bustling with activity, with shared meals and travelling and get-togethers in Highland, IN. But it’s still essential to make time for proactive dental care. When foods stick around your teeth after you eat, the bacteria in plaque use those sugars and carbs to create acids which erode teeth and lead to cavities. And since Thanksgiving offers plenty of opportunities during the day to nibble on foods high in sugars and carbs, your teeth might need some extra TLC.
- If you’re home, brush and floss as usual after eating. If you’re travelling, bring a kit with a travel-size toothbrush and toothpaste and some floss to keep your teeth clean and your breath fresh throughout the day.
- If you’ve been eating acidic foods like cranberry sauce, wine, or sodas, wait about 30-60 minutes to brush. Acids weaken enamel temporarily, and, until the enamel rehardens, brushing can be abrasive.
- Hydrate with water. Water helps wash away food particles from teeth and braces and helps neutralize enamel-damaging acids in foods and drinks by encouraging healthy saliva production.
#2 Be Choosy about Your Food Choices
- Make sure your plate has a healthy portion of protein and vegetables.
- If your dinner just isn’t complete without carbs, try whole grain rolls instead of soft breads and sweet potatoes instead of white potatoes.
- Eat sweets and desserts with meals, when saliva production is high. This helps wash away sugars and neutralize acids.
- If you or your child wears braces, be sure to keep to braces-friendly foods. This means nothing crunchy, chewy, hard, or sticky.
- Make water one of your go-to beverages. If you do drink acidic beverages such as coffee, soda, or energy drinks, don’t sip them throughout the day. This bathes the teeth in acid for long periods.
- Chew sugarless gum if the team at Rick Johns Dental recommends it. Sugar-free gum encourages saliva production.
#3 Use the Right Tools When You Cook and Eat
And the right tools are never your teeth! Even when every surface in the kitchen is devoted to food prep and you can’t find the bottle opener or the nutcracker or the scissors anywhere, using your teeth to open bottles or nuts or bags of chips is a recipe for disaster. Avoid fractured and chipped teeth by using the appropriate tool for the job.
#4 See Your Dentist to Prevent Small Problems from Becoming Big Holiday Disruptions
If you’ve been suffering tooth pain or sensitivity, schedule an appointment with Dr. Rick Johns before the holidays to make sure your teeth and gums are their healthiest. Nothing takes the fun out of feasting more quickly than a dental emergency.
Work with Dr. Rick Johns to ensure that your dental health is at its best for the holidays and every day. With proactive care, a tooth-friendly diet, and regular examinations, you’ll be welcoming friends and family with a beaming, healthy smile all year long.
A Spot of Trouble?
November 19th, 2025

Your smile is in the spotlight every day, helping you greet the world with confidence! But when you’re self-conscious about discolored spots on your teeth, it’s time to get some professional advice to deal with these troublesome tints.
Discolored patches, both dark and light, can develop for a number of different reasons. Some markings are cosmetic only, and some spots require treatment. Some can be removed with a professional cleaning, and some might require more serious restoration. Let’s have a look at some of the common causes of enamel discoloration.
- Cavities
Decayed enamel can appear as a brown spot on the tooth. A dark edge around a filling might mean decay underneath.
Regular checkups at our Highland, IN office will help catch small cavities before they become big ones. If you need a filling, the filling color can be matched to your tooth color for an undetectable restoration.
- Demineralization
Bacteria in plaque produce acids, which attack our teeth. These acids erode minerals such as calcium and phosphorus from enamel, leaving a weak spot that is vulnerable to decay. This process is called “demineralization,” and often leaves a whiter spot on a tooth where minerals have leached away. Common reasons for demineralization are neglecting dental hygiene, failure to clean around braces, and a diet filled with sugary and acidic foods.
Fluoride and enamel-strengthening toothpastes, a healthy saliva flow, and a balanced diet help our teeth “remineralize,” bathing teeth in minerals that can help replace those that have been lost. But if you have lingering white spots due to demineralization, Dr. Rick Johns can provide some options, including whitening, microabrasion, and veneers.
- Fluorosis
Fluorosis is a cosmetic condition caused by exposure to too much fluoride while the permanent teeth are still forming (generally, during the years before a child’s eighth birthday). Small white spots and patches are a common result of mild fluorosis. In more serious cases, teeth can be pitted and stained with brown, gray, or black spots.
Preventing fluorosis begins in early childhood. Talk to Dr. Rick Johns about fluoride levels in local tap water if you have any concerns. Use only the recommended amount of toothpaste (the size of a grain of rice for children three and under; the size of a pea for children three to six), and show your child how to spit out toothpaste and rinse after brushing. Keep fluoride toothpastes and other fluoride products out of the reach of young children. Don’t give children fluoride supplements or fluoride rinses without discussing it with Dr. Rick Johns.
If your own teeth have been affected by fluorosis, talk to us. Again, this is a cosmetic condition affecting otherwise healthy teeth. Whitening treatments can be helpful in mild cases, microabrasion has been effective for mild to moderate cases, and, for severe cases, cosmetic restorations such as bonding and veneers are an option.
- Tartar
Are you seeing an accumulation of dark brown spots and stains on your teeth, especially between the teeth and at the gum line? This might mean that you have tartar buildup. When you brush plaque away every day, your enamel stays smooth and clear. But when plaque builds up over time, it hardens and becomes tartar.
How hard is tartar? So hard that it can only be removed with a professional cleaning. Eliminate this source of spots and staining with twice daily brushing and daily flossing, and make sure regular professional cleanings are on your calendar.
- Other Causes
Medications taken while teeth were developing (notably, antibiotics in the tetracycline family) can cause discoloration. Medical conditions such as celiac disease and enamel hypoplasia can affect both tooth color and enamel formation.
Cosmetic treatment and restorations can help with discoloration caused by medications, and restorations such as bonding, veneers, and crowns can restore tooth appearance and function when medical conditions cause imperfections in enamel color and structure.
If you’re unhappy with the overall whiteness of your smile, a professional whitening might be just what you’re looking for. If specific patches, streaks, and spots of a different color are dimming your bright smile, it’s time for an exam. Dr. Rick Johns will be able to tell you the reason for any discolored enamel as well as present you with all your treatment options. Put the spotlight back where it belongs—on your healthy, confidant smile!